A Study to Assess the Implementation and Effectiveness of IMNCI Program and Evaluation of Skills of Rural Anganwadi Workers in Vadodara Taluka


  • Sheela Bharani Medical College Baroda, Vadodara
  • Tarun Parmar Medical College Baroda, Vadodara
  • Neha Kantharia M. S. University of Baroda, Vadodara
  • Rahul Parmar Medical College Baroda, Vadodara
  • Nikhil Kharod Pramukh swami Medical College, Karamsad


IMNCI program, AWWs, skills, problems in implementation


Background: IMNCI is an integrated approach to decrease morbidity and mortality amongst children between 0-5 years. Training to pre-service level during medical, nursing-education and anganwadi worker (AWW) is the first fundamental stage of IMNCI.

Objectives: To evaluate the skills of AWWs trained under the IMNCI program and to identify the problems in implementation of IMNCI program in rural areas.

Methods: A cross sectional study including 50 AWWs of Vadodara taluka, selected by random sampling technique.

Results: Most of the AWWs were 40 years of age. Out of 50 AWWs, 18 (36%) underwent IMNCI training between 1-2 years duration and 32 (64%) underwent training between 2-5 years period from the date of interview. Around 72% AWWs undertook 3 visits of young infants. All AWWs were equipped with weighing scales but were not having supplies like, ORS (70%), Cotrimoxazole (94%) and IFA (56%). Out of 46 (96%) who had maintained the register, only 9 (18%) had completed them. Lack of motivation and supervision with overburden due to other programs and inadequate stocks of drugs were major difficulties found in this program. Convulsions, lack of active body movements and nasal flare in young infants were the signs missed by 36%, 22% and 20% AWWs respectively. About 50% AWWs had knowledge about Kangaroo mother care. Breast-feeding problems were identified by 54% AWWs. Only 8% AWWs had checked immunization cards.

Conclusion: The study identified a number of programme-related and external constraints that, if taken care of, might improve implementation and effectiveness of IMNCI program.


Darnal S, Humphreys C, Jha R, Joseph P, Meier J. The Changing Role of Anganwadi Workers: A Case Study on IMNCI in Valsad District, Gujarat. Youth speak: Case Studies of Development in Practice. p 51.

The State of Asia-Pacific’s Children 2008. Available at: http://www.unicef.org/sapc08/docs/SAPC_Full_Rep ort.pdf. Accessed on September 8, 2011

Millennium Developmental Goals – India Country Report 2011-Mid Term Statistical Appraisal, Ministry of Statistics and Programme Implementation (MoSPI). Available at: http://mospi.nic.in/Mospi_New/upload/ MDG_2010_01jan12.pdf. Accessed on March 31, 2012.

WHO Department of Child and Adolescent Health and Development (CAH), Ministry of Health and Family Welfare. Student's handbook for Integrated management of neonatal and childhood illness. 2003. Available at:

http://www.whoindia.org/LinkFiles/Child_&_Adoles cent_Health_IMNCI Student_Manual June_03 %2 82%29.pdf. Accessed on July24, 2011.

IMNCI (Integrated Management of Neonatal and Childhood Illness) pg.48. Integrated Management of Childhood Illnesses, (IMCI). Available at: http://www.who.int/child.adolescent- Health/integr.htm. March 13, 2004.

Integrated Management of Neonatal and Childhood Illness. Training Modules for Physicians. Ministry of Health and Family Welfare, Govt. of India, 2003.

Ingle G K, Malhotra C. Integrated management of neonatal and childhood illness: An overview: Indian Journal of Community Medicine Vol. 32, No. 2 2007; Page: 108-110.

Integrated Management of Childhood Illness, Indian Pediatrics 2006; 43:1029-1031, Available at: www.indianpediatrics.net/1aug99.htm. Accessed on: November 30, 2011.




How to Cite

Bharani S, Parmar T, Kantharia N, Parmar R, Kharod N. A Study to Assess the Implementation and Effectiveness of IMNCI Program and Evaluation of Skills of Rural Anganwadi Workers in Vadodara Taluka. Natl J Community Med [Internet]. 2012 Jun. 30 [cited 2023 Sep. 30];3(02):207-12. Available from: https://njcmindia.com/index.php/file/article/view/1680



Original Research Articles