Paper Information

Journal:   INTERNATIONAL JOURNAL OF PREVENTIVE MEDICINE   2014 , Volume 5 , Number 6; Page(s) 758 To 766.
 
Paper: 

FOLLOW?UP ASSESSMENT OF UNDER?NOURISHED CHILDREN UNDER INTEGRATED CHILD DEVELOPMENT SERVICES SCHEME IN TAPI DISTRICT, INDIA

 
 
Author(s):  DESAI KANAN T.*, NAYAK SUNIL N., PATEL PRAKASH B., MODI BHAUTIK P., GHARAT VAIBHAV V., BANSAL RAJKUMAR
 
* DEPARTMENT OF COMMUNITY MEDICINE, C’?BLOCK, SURAT MUNICIPAL INSTITUTE OF MEDICAL EDUCATION AND RESEARCH, UMARWADA, SURAT ? 395 010, GUJARAT, INDIA
 
Abstract: 

Background: India shares the largest burden of under-nutrition in world. The aim of this study was to conduct follow-up assessment of under-nourished children attending anganwadi center (AWC).
Methods: This was a retrospective cohort study conducted in 50 AWC of Tapi district. Total 529 children aged 1-6 years diagnosed as under-nourished before 1 year were included. Pre-structured questionnaire was used for present day assessment of these children followed by Epi-info mediated analysis.
Results: Children of literate mothers had higher weight gain. Ninety percent of children attended anganwadi regularly, however 25% of children dropped out for more than 1 month. In 1 year, growth had faltered in 20% children and was stagnant in 63% of them. Children who were treated for under-nutrition; that completed course at Child Development and Nutrition Center; and whose parents were counseled about the under-nourished status of child had higher weight gain than their counterparts.
Conclusions: Parents of under-nourished children must be counseled about the nutritional status of their child. In cases of under-nourished child, referral to higher center must be ensured by health worker. Supplementary feeding as a long-term solution to country’s under?nutrition problem should be studied in detail with the alternative solutions.

 
Keyword(s): ANGANWADI, FOLLOW-UP, NUTRITIONAL ASSESSMENT, UNDER-NOURISHED CHILDREN
 
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