Abstract:
A study entitled “Nutritional status of ICDS (Integrated Child Development Services) beneficiaries with respect to participation" was carried out' in Malappuram district selecting 170 beneficiaries representing three categories via preschool children, pregnant mothers and lactating mothers and 70 nonbeneficiaries from similar socio-economic background far parnparison.
The study enlightened the socio-economic and personal characteristics of the respondents, appraisal of the programme implemented in the area, nutritional status of the respondents through dietary, food consumption, anthropometric, clinical and biochemical parameters, participation index and nutrtianal status index of the respondents, and the interre1 ationhip between participation index and nutritional status index.
Major findings
Majority of the respondents were from Hindu community. Joint family system with 'small family norm' prevailed in the area. Major expenditure is for food.
Beneficiaries had the correct perception about the ICDS programme. Their, highest preference was for supplementary nutrition' and least for referral service. Beneficiaries considered supplementary nutrition most useful followed by immunization and ‘health check-ups'. "Sharing of the food supplement", incomplete utilization of immunization, Irregular supply of vitamin supplements, lack of motivation for health education calsses, under utilization of referral services were some of the lacunae identified.
Anthropometric measurements of the preschool children and that of mother beneficiaries were superior to that of their counterparts in the contorl group. Dietary and food consumption pattern of the experimental group was better than the control group. Nutrient intake was adequate with respect to calories and proteins in both the groups, while other nutrients such as vitamin A, vitamin C, and riboflavin were inadequately met, and were much lower in the control group. Clinical evidence of various deficiency diseases were lower in the experimental group compared to the control group. So also the biochemical parameters.
Various socio-economic personal characteristics were not found to influence either the participation or the participation levels of the respondents. The nutritional status index developed wa.s significantly better in the experimental group. Participation index of the beneficiaries was found to be high and nutritional status index increased significantly with participation index in the beneficiaries except in pregnant mothers
