Applied Nutrition Programmes in India

DR. MAHESWARI JAIKUMAR

MID DAY MEAL PROGRAMME-INDIA

APPLIED NUTRITIONAL PROGRAMMES

DR.MAHESWARI JAIKUMAR

COMMUNITY NUTRITION PROGRAMME

• The govt of India has initiated several large scale supplementary programme : to improve the nutritional status of the population

NUTRITION PROGRAMMES IN INDIA

No: PROGRAMME MINISTRY

1 Vit A prophylaxis programme

Ministry of Health & Family Welfare

2 Prophylaxis against nutritional anaemia

Ministry of Health & Family Welfare

NUTRITION PROGRAMMES IN INDIA

No: PROGRAMME MINISTRY

3 Iodine Deficiency Disorders Control Programme

Ministry of Health & Family Welfare

4 Special Nutrition Programme

Ministry of Social Welfare

NUTRITION PROGRAMMES IN INDIA

No: PROGRAMME MINISTRY

5 Balwadi Nutrition Programme

Ministry of Social Welfare

6 ICDS programme Ministry of Social Welfare

NUTRITION PROGRAMMES IN INDIA

No: PROGRAMME MINISTRY

7 Mid Day Meal Programme

Ministry of Education

8 Mid Day Meal Scheme

Ministry of Human Resources Development

VIT “A” PROPHYLAXIS PROG 1970

• Administration of massive dose of Vit A (oily preparation)

• 200,000 IU (110 mg of retinol palmate) orally to all pre school children /6 Mo.

RDA – Vit “A” (ICMR 2010)GROUP CATEGORY RETINOL

(mcg)B-

CAROTENE (MCG)

INFANTS 0 – 6 Mo 350 -

6 – 12 Mo 350 2800

RDA – Vit “A” (ICMR 2010)GROUP CATEGORY RETINOL

(mcg)B-

CAROTENE (MCG)

CHILDREN 1 – 6 Yrs 400 3,200

7 – 9 Yrs 600 4,800

RDA – Vit “A” (ICMR 2010)GROUP CATEGORY RETINOL

(mcg)B-

CAROTENE (MCG)

ADOLES- -CENTS

10 – 17 Yrs 600 4,800

RDA – Vit “A” (ICMR 2010)GROUP CATEGORY RETINOL

(mcg)B-

CAROTENE (MCG)

ADULTS MAN 600 4,800 WOMAN 600 4,800

PREGNANCY 800 6,400LACTATION 950 7,600

PROPHYLAXIS AGAINST NUTRITIONAL ANAEMIA IV FYP

• The programme consists of distribution of IFA (folifar) tab to pregnant women & young children (1-12 yrs).

• The MCH centre (urban) & PHC (rural) & ICDS projects implement the programme.

• The NIN Hyderabad has also developed a technology for the control of anaemia through iron fortification of common salt.

CONTROL OF IODINE DEFICIENCY DISORDERS 1986

• 1962-The National Goitre Control Prog• The objective of the programme is to

identify goitre endemic areas & to supply iodized salt in place of common salt.

• 1986 - Iodine Deficiency Disorders Control Prog was mounted with the objective of replacing entire edible salt by iodized salt in a phased manner by 1992.

SPECIAL NUTRITION PROGRAMME 1970

• The programme was started for the nutritional benefit of children below 6 yrs, pregnant & nursing.

• The prog operation is in urban slums, tribal areas & backward rural areas.

• The SNP supplies 300 Kcal / 10-12 gm of protein/child/day.

• The beneficiary mothers receive 50 Kcal & 25 gm of protein.

• This supplement is provided for 300 days/year.

• The aim of the programme is to improve the nutritional status of the target groups.

• The prog is gradually being merged into ICDS prog.

BALWADI NUTRITION PROGRAMME 1970

• The programme benefits 3-6 yrs children in rural areas.

• The programme is implemented through Balwadis, & includes provision of primary education to children.

• The food supplement provides 300 Kcal & 10 gm of protein /child/day.

• Balwadis are being phased out due to the implementation of ICDS programme which is more universal.

ICDS 1975• Its is a supplementary nutrition

programme.

• The components of the programme are : 1.Vit “A” prophylaxis. 2.IFA distribution.

• The beneficiaries are : Pre school choldren, adolescent girls 11-18 yrs, pregnant & lactating mothers.

• The programme is implemented through Anganwadi centre & the workers are called Anganwadi Workers.

• The work of Anganwadi worker is supervised by MUKHYASEVIKAS.

• Field supervision is done by CHILD DEVELOPMENT PROJECT OFFICER

MID – DAY MEAL PROGRAMME 1961

• Is also called as SCHOOL LUNCH PROGRAMME.

• The prime objective of the programme is to improve school enrollment & to retain them aiming at literacy movement.

• The meal offered in SLP is a supplement & not a substitute to the home diet.

• The meal supplies at least one third of the total energy requirement & half of the protein requirement.

• The cost of the meal is reasonably low

• The meal is such that it can be easily prepared in the school; no complicated cooking process should be involved.

• Locally available food should be used.

• The menu should be frequently changed to avoid monotony.

MODEL MENU-MID-DAY MEAL

FOODSTUFF g/day/childCEREALS & MILLETS 75PULSES 30OIL & FAT 8LEAFY VEGETABLES 30NON LEAFY VEGETABLES 30

MID-DAY MEAL SCHEME 1995

• The objective of the programme is universalization of primary education by increasing school enrollment, retention & attendance & also focusing on the nutritional status of the children

• The programme was revised in the year 2004.

• It was implemented in 2,408 blocks in the first year & gradually whole country was covered in 1997-98.

• 300 Kcal & 8-12 gm of protein content is provided to all children in class I-V.

SUGGESTIONS FOR PREPARATION OF NUTRITIOUS MEAL

1.Food be stored in air tight containers.

2.Use whole wheat or broken wheat.

3.Rice should be par boiled or unpolished.

4.Single dish meal with vegetables is advocated.

5.Cereal pulse combination should be used.

6.Sprouted pulses should be included.

7.Wash the ingredients before cooking.

8.Fermentation improves nutritive value.Cooking must be done with lid to avoid wastage of nutrients.

9.Over cooking should be avoided.

10.Avoid re heated oil.

11.Leafy tops of carrot, radish should be used in cooking.

12.Use only iodized salt

DR. MAHESWARI JAIKUMAR