Improving impact of programmes/Schemes: National Nutrition Mission, Mid day meal programme Dr. A. Laxmaiah, MBBS, DPH, MPH, Ph.D, MBA, PG Certificate in Applied Nutrition Scientist ‘F’ (Sr. Deputy Director: Epidemiology) & Head, Division of Community Studies, NIN, ICMR, Hyderabad -7
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Improving impact of programmes/Schemes:
National Nutrition Mission, Mid day meal
programme
Dr. A. Laxmaiah, MBBS, DPH, MPH, Ph.D, MBA, PG Certificate in Applied Nutrition
Impact of undernutrition among preschool children:
Source: Murray & Lopez, 1996: Pelletier et al, 1993
Malnutrition 54%
The direct or indirect cause of child death is undernutrition in
about 54% total deaths
Integrated Child Development Service Scheme (ICDS)
Mid Day Meal Programme
National prophylaxis Programme for control of Vitamin A
deficiency
National Prophylaxis Programme for control of Nutritional
Anemia
National Control of Iodine Deficiency Disorders (IDD)
Balwadi supplementary Nutrition Programme
National Diarrhoeal Diseases Control Programme
National Nutritional Programs in operation
Integrated Child Development Services (ICDS)
The programme was launched in the year 1975. The ICDS
today represents one of the world’s largest programmes for
early childhood development. Objectives of ICDS: 1. Lay the foundation for proper psychological development of
the child.
2. Improve nutritional & health status of children 0-6 years.
3. Reduce incidence of mortality, morbidity, malnutrition and school drop-outs.
4. Enhance the capability of the mother and family to look after the health, nutritional and development needs of the child
5. Achieve effective coordination of policy and implementation among various departments to promote child development.
Integrated Child Development Services
Implementing Agency is DWCD, GOI. GOI proposes to cover all Community Development
Blocks (CDB) By the year 2000 Currently, the programme is in operation over 6118 CDB
Under this programme, the package of services are being provided by an integrated approach for converging basic
services through community-based workers and helpers: Supplementary Nutrition Immunization Health Check up for minor ailments Referral Services Non-formal Pre-school Education Nutrition & Health Education (NHE)
Beneficiaries
Calories (kcal)
Protein (g)
Children 6-35 months
500
12-15
Children 36-72 months
500
12-15
Severely undernourished Children (6-72)
800 20-25
Pregnant & Lactating (P&L) Mothers and Adolescent girls
600
18-20
Supplementary Nutrition Norms
F. No. 5-9/2005/ND/Tech (vol.II), GoI, Min. of WCD, 24th February 2009
INCLEN Study
2009-11
Persisting undernutrition:
Social, cultural and environmental determinants
Ministry of HRD, Govt of India
MDM PROGRAMME
The programme was launched in the year 1962-63,
subsequently it was changed as ‘National Programme of
Nutritional Support to Primary Education (NP-NSPE) on
15th August 1995 as a Centrally Sponsored Scheme.
Objectives
Increase school enrolment, retention rate, regular
attendance reduce drop out rate and Nutritional Status.
• Tamil Nadu is in the forefront of organizing MDM since
1956 (as Chief Minister’s Noon Meal Programme).
• Children receive one meal every day,450Kcal energy and
12-15g protein/day for about 300 days in a year.
• As per the directive of supreme court hot cooked meal is
being served in all the states.
Nutritional
Content
Norm as per
NPNSPE,
2004
Revised Norm as per
NPNSPE,
2006
Calories 300 450
Protein 8-12 15
Micronutrients Not prescribed
Adequate quantities of micronutrients like iron, folic acid, vitamin-A etc