SUBJECT:COMMUNITY HEALTH NSG II

UNIT :6

PART 10 :NATIONAL HEALTH AND FAMILY

WELFARE PROGRAMMES AND ROLE OF NURSE
PART 10-
National Health & Family Welfare
Programmes and the Role of Nurse

National Nutritional AnemiaProphylaxis

Programme
Mid-day Meal Programme

ICDS Programme

Applied Nutrition Programme

National Nutritional Anaemia
Prophylaxis programme

Mrs.Shanthi Sujatha Mary

Professor
 Objectives

• Discuss the prevalence of nutritional anaemia

prophylaxis programme
• List down the strategy of Nutritional anaemia
prophylaxis programme
• Enlist the Beneficiaries of Nutritional anaemia
prophylaxis programme.
 Prevalence

• 60% of infants and toddlers

• 60% of 1-6 years of age
• 88% of adolescent girls
• 85% of the pregnant women(9.9% having severe
anaemia)
• Higher in lactating than pregnant women
• Commonest is iron deficiency anaemia
 National Nutritional Anaemia
prophylaxis programme
• Launched during the fourth five year plan in the
year 1970
• Now the programme implemented as part of
RCH programme
 Strategy

• Daily supplementation with iron and folic acid

tablets to prevent mild and moderate cases of
anemia
 Beneficiaries

• Are at risk groups

 Pregnant women
 Lactating mothers
 Children under 12 years
 OTHER STRATEGIES
• Fortification of salt with iron
• Nutrition Education
 Summary

• Iron deficiency anemia is the most

widespread micronutrient affecting all age
groups irrespective of gender,cast,creed and
religion.
 Frequent question

Short notes:5 marks.

1. Nutritional anaemia prophylaxis programme
MID DAY MEAL PROGRAMME

Prepared by
Mrs . T. Shanthi Sujatha Mary
Professor
 Specific Objectives

• Introduce the topic .

• List down the objectives of mid day meal
programme.
• Enumerate the principals of mid day meal
programme.
• Prepare a model menu for mid day meal
programme.
 Specific objectives Condt…

• Enlist the goal of school feeding program.

• Discuss the mid day meal scheme.
• Explain the preparation of nutritious and
economical mid-day meal.
 Introduction

• Also called as ‘Noon meal programme’

• Target group – 6-11 years
• Launched on 15th August 1995 ,revised in 2004.
 Objectives
• Improving school attendance
• Reduce dropouts
• Child nutrition
 Principles of mid-day meal
programme
• Meal should be a supplement and not a substitute
to the home diet
• Meal should supply at least one-third of the total
energy requirement, and half of the protein need
• Cost of meal should be reasonably low
• Prepared easily in schools, No complicated
cooking process
• Locally available foods should be used
• Menu should be frequently changed to avoid
monotony
 Model menu – A mid-day school
meal
Food stuffs g/day/child

Cereals and millets 75

Pulses 30

Oils and fats 8

Leafy vegetables 30

Non-leafy vegetables 30
 National Institute of Nutrition

• Minimum number of feeding days – 250 to have

the desired impact on the children
 Goals of school feeding
programme
• Reorientation of eating habits
• Incorporating nutrition education in to the
curriculum
• Encouraging the use of local commodities
• Improving the school attendance and
performance of the pupils
• Mid-day meal programme became the part of
the Minimum needs programme in the Fifth five
year plan
 Mid-day meal scheme
• Is also known as National programme of
nutritional support to primary education.
• Launched on 15th August 1995 and revised in
2004
 Objectives

• Universalization of
primary education by
increasing enrolment
• Imparting nutrition
education
• Covered children of
primary stage(Class I to
V)
 Mid-day meal scheme

• Free supply of food grain from nearest food

corporation of India go down at the rate of
100gm per student per day
• A cooked mid-day meal with minimum 300
calories and 8 to 12 grams of protein content will
be provided to all the children in class I to V
Suggestions for preparation of nutritious
and economical mid-day meal
• Food grains must be stored in a place away from
moisture, in air tight containers/bins to avoid
infestation
• Use whole wheat or broken wheat for preparing
mid-day meals
• Rice should preferably be parboiled or
unpolished
 Suggestions contd..

• ‘Single dish meals’ using broken wheat or rice

and incorporating some amount of a pulse or
soya beans, a seasonal vegetable/green leafy
vegetable, and some amount of edible oil will
save both time and full besides being nutritious
• Examples-Broken wheat pulao, leafy kichedi,
upma, dal-vegetable rice.
 Suggestions contd..

• Cereal pulse combination is necessary to have

good quality protein
• The cereal pulse ratio could range from
3:1 to 5:1
 Suggestions contd..

• Sprouted pulses have more nutrients and

should be incorporated in single dish meals
• Leafy vegetables when added to any
preparation should be thoroughly washed before
cutting should not be subjected to washing after
cutting
• Soaking of rice, dal, Bengal grains thoroughly
and soak in just sufficient amount of water
required for cooking .
 Suggestions contd..
• Rice water if left after should be mixed with dal if
these are cooked separately and should never
be thrown away
• Fermentation improved nutritional value.
Preparation of Idli, Dosa, Dhokla etc may be
encouraged
• Cooking must be done with the lid on to avoid
loss of nutrients
 Suggestions contd..

• Overcooking should be avoided

• Reheating of oil used for frying in harmful and
should be avoided
• Leafy tops of carrots, radish, turnip etc should
not be thrown but utilized in preparing mid-day
meals
• Only ‘Iodized salt' should be used for cooking
mid-day meals
 Summary

Mid day meal programme is also called as Noon

meal programme . The Target group – 6-11 years
Launched in 1962 in primary schools. To Provide
supplement and not a substitute to the home diet
Prepared easily in schools, No complicated
cooking process .
A cooked mid-day meal with minimum 300 calories
and 8 to 12 grams of protein content will be
provided to all the children in class I to V
 Frequent question

Short notes:5 marks

1. Mid day meal programme.
PREPARED BY
J.POORNIMA MARY RODRIGUEZ
ASSOCIATE PROFESSOR
 OBJECTIVES

• Identify the objectives of ICDS

• Enlist the goals of ICDS
• Appreciate the components of ICDS
• Explain the Beneficiaries of ICDS
• Recognize the ICDS Team
• Discuss the services of ICDS
 Introduction

• Integrated Child Development Scheme was

started in 1975
 OBJECTIVES

• To institutionalize essential services and strengthen

structures at all levels
• To enhance capacities at all levels
• To ensure appropriate inter-sectoral response at all
levels
• To raise public awareness and participation
• To create database and knowledge base for child
development services
 GOALS

 Preventing and reducing under nutrition as early

as possible.
 Focusing on reaching children under three years
of age.
 An integrated approach to early child
development.
 Extending from the centre to family and
community.
 Fostering decentralization, flexibility.
 Ensuring equity.
 COMPONENTS
 Supplementary Nutrition

 Iron and Folic acid Distribution

 Vitamin A Prophylaxis
 Beneficiaries

The beneficiaries under the Scheme are

1. children in the age group of 0-6 years,
2. Pregnant women
3. lactating mothers
4. women in 15-45 years age group and
5. adolescent girls. ( Selected Blocks)
 Beneficiary and Services
• BENEFICIARY SERVICES

Health check-ups, TT,

• Pregnant women supplementary nutrition,
health education.

• Nursing Mothers • Health check-us

supplementary nutrition,
health education

• Children less than 3 • supplementary nutrition,

health check-ups,
years immunization, referral
services

• Children between 3-6 • supplementary nutrition,

health check-ups,
years immunization, referral
services, non formal
education
• supplementary nutrition,
• Adolescent girls( 11- health education
 Population Norms under ICDS

•1 Anganwadi centre (AWC)

for population of 400-800;

•Mini Anganwadi-150-400

•2 AWCs for 800-1600;

•3 AWCs for 1600-2400

•and thereafter in multiples of 800 -1 AWC

 THE ICDS TEAM ( District)

The ICDS team comprises the

• Anganwadi Workers(AWW)
• Anganwadi Helpers (Sahayika)
• Supervisors(LS)
• Child Development Project Officers (CDPOs)
• District Programme Officers (DPOs).
SERVICES UNDER ICDS
Services Target Group Services Provided By
OTHER SCHEMES
 OTHER SCHEMES

1. Kishori Shakti Yojana

 Indira Gandhi Matritva Sahyog
Yojana(IGMSY)

Cash Transfer to pregnant and Lactating Mothers

 SUPERVISION

The work of Anganwadis is supervised by

Mukhyasevikas

Field supervision by Child Development Project

Officer
 Frequent question

Short notes:5 marks

1. ICDS.
Short answer:
Write down the objectives of ICDS programme
APPLIED NUTRITION PROGRAMME
 APPLIED NUTRITION PROGRAMME

OVERVIEW
• Objectives
• Beneficiaries
• Activities
 objectives

• a) promoting production of protective food such

as vegetables and fruits
• b) ensure their consumption by pregnant and
nursing mothers and children.
 Beneficiaries

• children between 2-6 years

• pregnant and lactating mothers.
 ACTIVITIES

• To provide better seeds

• Encourage kitchen gardens
• poultry farming
• beehive keeping
• School Garden
• Community garden
 CONCLUSION

• The community kitchens and school gardens

could not function properly due to lack of
suitable land, irrigation facilities and low financial
investment.
 Reference

K.PARK’S Textbook of “Prevention and social medicine”

M/S Banarsidas Bhanot publisher,
25th silver jubilee edition ,2019