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  • Title: Nutrition and health education through I.C.D.S.
    Author: Vasundhara MK, Harish BN.
    Journal: Indian J Matern Child Health; 1993; 4(1):25-6. PubMed ID: 12287139.
    Abstract:
    Summary results and discussion were provided for an Integrated Child Development Service (ICDS) survey of 52 anganwadi community workers (AWWs) and 156 mothers of ICDS beneficiary children. The project was implemented in Nelamangala, Bangalore, India, in order to ascertain the practices of mothers in managing diarrhea and respiratory infections and nutrition. The results would be applied to improving health education and developing appropriate and effective communication about nutrition and health between the AWW and the mother. The results of the AWWs survey showed that the 96.16% of AWWs had education up to the high school level and 2 graduated from high school. 69.2% weighed children correctly and 53.84% plotted growth charts satisfactorily. 53.50% of the 2507 growth charts were satisfactorily graphed. 94% reported weighing all children every month, however, the work load made this activity very difficult. Only 5.7% plotted the growth chart immediately after weighing. 38.46% found the visual record of growth good tool of health and nutrition education. 86.92% correctly identified a flattened curve as an indicator of growth failure. 71.15% were aware that additional feeding was needed. 17.30% suggested treatment with tonics and 3.84% suggested treatment for worm infestations. The responses from the mothers indicated that 51.92% were illiterate, agricultural laborers. 92% of mothers had a per capita income of less than Rs. 300/month. 86.53% were aware of the growth monitoring of the AWWS and 61% knew it was conducted monthly. 20.53% had participated in weighing sessions and 42% reported that AWWs explained the meaning of growth monitoring and the importance of weighing procedures. 28.84% reported that AWWs showed comparisons of present and previous weights and explained the significance. 38.64% considered the information meaningful, but only 3.84% could correctly interpret a flattened curve. 63.43% were misinformed about diarrhea causes and treatment. The recommendation was for use of arm circumference tapes for measuring malnutrition, for better training of AWWs in promoting extra feeding for malnutrition, for promoting continued breast feeding during diarrhea bouts, and discouraging use of over-the-counter drugs for treatment of respiratory infections.
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