Understanding the Knowledge, Attitude and Practices of Grass Root-Level Workers of ICDS in Surat City, Gujarat, Western India

Abstract

Objective: To assess functioning of ICDS and understanding the operational challenges of its implementation.

Methodology: In collaboration with the SMC which caters to 5 blocks comprising of 1004 anganwadis under the ICDS, anganwadi workers (AWW) n= 929, KAP was assessed using a pretested questionnaire during 8 meetings conducted for 5 blocks of Surat. Data regarding the KAP of AWW, infrastructure of AWCs; delivery of Nutrition and health education, supplementary nutrition, preschool education, immunization, referral services and community participation were elicited.

Results: KAP results of the grass root level workers of ICDS Surat reveals that 97% AWW had passed were 10th standard and 97% AWW had received In-service training. Infrastructure of AWW was good (97% had RCC construction and 60% ad toilet facilities, 65% had water supply and 55% had electricity). However the Ready to eat (RTE) supplementary nutrition supplied by the ICDS was not acceptable to the community. Awareness regarding the importance of growth monitoring, preschool education, nutrition and health counselling and supplementary nutrition was also not satisfactory.

Conclusion: Though all ICDS workers were trained by the government, the quality of teaching learning can be strengthened so as to focus on child growth and nutrition. RTE ‘Balbhog’ need to be promoted among the children.