This was prepared by Bsc nursing 3rd year student for class presentation.

1. National Nutritional
Programs for the
Health and Welfare of
Children

2. INTRODUCTION
Malnutrition is the most important single cause
of illness and death globally accounting for 12%
of all deaths & 16% of disability. The problem of
Malnutrition in India has been recognized since
the inception of five years plans and a number
of nutritional programs have been introduced
for combating it. These programs help in
bringing down the morbidity and mortality due
to Malnutrition.

3. National Nutritional policy
National Nutrition Policy (NNP) has been launched in
1993 by the Government of India under the agensis of the
nutrition agriculture, food production, food supply
education, information, health care, social justice, rural
and urban development, tribal welfare, women and child
development & department of Women and Child
Development.
The strategy of NNP was a multi- sectorial strategy for
eradicating malnutrition and to achieve proper nutrition
for all. The main approach was taken under NNP is to
overcome the problem of nutrition through direct
Nutrition interventions for susceptible groups through
various development policies.

4. The implementation strategy involves,
Nutrition interventions for in particularly vulnerable
group who are below 6 yrs., adolescent girls and
pregnant and lactating women, getting higher the
safety nets.
Improve essential food item nutritional quality by
Fortification that facilitates of low price nutritious
foods.
Prevention of micronutrient deficiencies among
susceptible groups.
Land reforms measures for reducing vulnerabilities of
landless and landed poorly.
Strengthen health and family welfare programme.
Provide basic health and nutrition knowledge, avoid
food adulteration.

5. Enhancement in nutrition surveillance and
Monitor the progress of nutrition programs,
and check all the various aspects of nutrition.
Communication of information to people
through traditional media.
Minimum wage administration to ensure its
strict enforcement and timely revision and
linking it with price rise through a suitable
nutrition formula and provide a special support
to women laborer's during her pregnancy.
Community participation in generating
awareness on various nutrition and health
programs.
Education and literacy.
Improvement in the status of women and
Equal compensation for women.

6. Nutritional programs
Various policies have been launched by the Indian government to
eradicate the nutritional problem Such as,
Integrated Child Development Services Scheme
Special Nutrition Programme (SNP)
National Nutritional Anemia Prophylaxis Programme
National Iodine Deficiency Disorders Control
Programme
National Goiter Control Programme
Mid Day meal programme
National Deworming Day
Applied Nutrition Programme
Akshaya Patra Programme
Kishori shakthi yojana .

7. AIMS
To provide additional nutrients to target groups.
To fulfill the gap between food intake and
requirement.
Beneficiaries
1) Pre-school children
2) School children
3) Pregnant women
4) Lactating mother

8. Integrated Childhood Development Services
The Integrated Child Development Service (ICDS) Scheme was
launched on October 2nd, 1975.
It was brought for providing supplementary nutrition,
immunization and pre-school education to the children is a
popular flagship programme of the government.
It is one of the world’s largest programs to provide an integrated
package of services for the entire development of a child.
It is a centrally funded scheme executed by state governments
and union territories.
Beneficiaries
Main beneficiaries of this programme were,
Children in the age group of 0-6 years
Pregnant women and lactating mothers.

9. Objectives
Objectives of this programme were as follows ,
To improve the nutritional and health status of children in
the age- group 0-6 years.
To lay the foundation for proper psychological, physical and
social development of the child.
To reduce the incidence of mortality, morbidity, malnutrition
and school dropout.
To achieve effective coordination of policy and
implementation amongst the various departments to
promote child development.
To enhances the capability of the mother to look after the
normal health and nutritional needs of the child through
proper nutrition and health education.

10. ICDS Provides Certain Services under their Scheme are as Follows
Survice Targeted group Service provided by
(i) Supplementary
Nutrition
Children below 6 years, Pregnant & Lactating
Mothers (P&LM)
Anganwadi Worker and Anganwadi Helper
(Ministry of Women and Child Development )
(ii) Immunization Children below 6 years, Pregnant & Lactating
Mothers
ANM /Health system, Ministry of Health and
Family Welfare
iii)Health check-up Children below 6 years, Pregnant & Lactating
Mothers
ANM/AWW (Health system)
(iv) Referral Services Children below 6 years, Pregnant & Lactating
Mothers (P&LM
AWW/ANM(Health system)
v) Pre-School
Education
Children 3-6 years AWW
(vi) Nutrition &
Health
Education Women (15-45 years) AWW/ANM

11. Vitamin A Prophylaxis Programme
The programme was launched in 1970 by the ministry of health
and family welfare.
It was started with seven states with severe problems later it was
extended country.
Objectives
To reduce the disease and preventing blindness due to Vitamin A
deficiency.
The main objective of this programme was to decrease the commonness
of Vitamin A deficiency from current 0.6% to ≤ 0.5%.
The Main strategy was given to provide health and nutrition education to
encourage colostrum's feeding, exclusive breastfeeding for the first six
months, the introduction of complementary feeding thereafter and
adequate intake of Vitamin A rich foods.

12. Prophylactic Vitamin A as per the following dosage
schedule:
1,00,000 IU at 9 months with measles immunisation.
2,00,000 IU at 16-18 months, with DPT booster
2,00,000 IU every 6 months, up to the age of 5 years.
Thus a total of 9 mega doses are to be given from 9
months of age up to 5 years. All children those are
suffered from xerophthalmia are to be treated at health
facilities, given 1 dose of Vitamin A if they have not
received it in the previous month.

13. National Nutritional Anaemia Prophylaxis Programme
This programme was launched during 5-year plan in 1970 by Ministry of
health and family welfare.
Recently, the National Nutritional Anaemia Prophylaxis Programme is
operated as part of the RCH programme under the revised policy.
Objective
The prevention of nutritional anaemia in mothers and children.
The programme also aimed to include health and nutrition education to
improve overall dietary intakes and encourage the use of iron and folic acid
rich foods as well as food items that help iron absorption.
Beneficiaries
The target group has been expanded to include,
Infants 6-12 months
School children 6-10 years and
Adolescents 11-18 years of age, clinically found to be anaemic.

14. Prophylactic for anemia deficiency,
For infants and children: a liquid formulation having 20 mg
elemental iron and 100 ugs folic acid per ml, will be made
available.
Dosage for various age groups are as follows:
Children 6-9 months: 20 mg elemental iron + 100 ug folic acid for
100 days if the child is clinically found to be anaemic.
School going children 6-10 years:30 mg elemental iron + 0.250 mg
folic acid for 100 days.
Adolescents and adults: 100 mg elemental iron + 0.500 mg folic
acid for 100 days, girls are given greater priority in the
programme.
Pregnant women: one tablet of 100 mg elemental iron + 0.500
mg folic acid prophylactically daily and if clinically anaemic, 2 such
tablets to be given daily for 100 days.
Lactating mothers and acceptors of family planning:one tablet
containing 100 mg elemental iron + 0.500 mg folic acid daily for
100 days.

15. National Iodine Deficiency Disorders Control Programme
(NIDDCP)
Ministry of Health & Family Welfare is the nodal Ministry for
implementation of National Iodine Deficiency Disorders Control
Programme (NIDDCP).
Iodine is an essential micronutrient required daily at 100-150 micrograms
for normal human growth and development.
Deficiency of iodine can cause physical and mental retardation, abortions,
cretinism, stillbirth, deaf-mutism, squint & various types of goitre.
National Goitre Control Programme
Realizing the magnitude of the problem, the Government of India
launched a 100 per cent centrally assisted National Goitre Control
Programme (NGCP) in 1962.
In August 1992 the National Goitre Control Programme (NGCP) was
renamed as National Iodine Deficiency Disorders Control Programme.
The programme is being implemented in all the States/UTs for entire
population.

16. Objectives
To check the Iodine Deficiency Disorders in the districts.
To supply of iodized salt.
To resurveys to assess the impact of iodized salt after
every 5 years.
To laboratory monitoring of iodized salt and urinary iodine
excretion.
To awareness programmes for health Education and
Publicity.
Result:
They found that after the years the Total Goiter Rate (TGR)
in the entire country is reduced significantly.
Production of iodized salt also increased 65.00 lakh MT.
The consumption of adequately iodized salt at household
level has been increased from 51.1% (as per NFHS III
report 2005-06) to 71.1% (as per CES report, 2009.

17. Special Nutrition Program
Started in 1970
Operated by Ministry of social welfare.
For nutritional benefits
-preschool children
-pregnant women
- lactating mother
Activities:
1) Supplementary nutrition for 300 days/per year.
Child:300kcal & Protien:10-12gm/day
women:500kcal & protiene:25 gm/day
2)Provide health services
-supply vitamins A solution.
-Iron & folic acid.

18. Mid-Day Meal Programme
The Mid-day Meal Scheme first started in Tamilnadu. It is also
known as School Lunch Programme. This programme was
launched by Ministry of Education in 1961.
Aims:
The aim of this scheme involves,
The provision is free to school-children on all working days.
Protecting children from classroom hunger.
Increasing school enrolment and attendance.
Improved socialisation among children belonging to all castes
and Addressing malnutrition.
Social empowerment through provision of employment to
women.
Reduce school drops outs.

19. Objectives
To attract more children for admission to school.
Literacy improvement of children.
Eating habits & nutrition education.
Beneficiaries:
Primary school children(6-11)
Given for 250days per years are given,
Principles for mid-day meal:
Meal should be supplement, not a substitute to home diet.
Supply 1/3rd energy & 1/2 of total protien.
Cost of meal-reasonable low.
Can be prepared easily, with locally available food
Menu should be frequently changed.
As per the current norms, the primary children are provided
with 30-gram pulses, 75-gram vegetables per day.

20. National Deworming Day
Launched on February 2015.
The National Deworming Day is a single fixed-day approach to
treating intestinal worm infections in all children aged 1-19
years, and is held on 10th February and 10 August each year.
Drug administration:
Age group 1-2 years:Half tablects of Albendazole 400mg
tablects.
2-9 years: Full tablect of Albendozole 400mg tab.
If syrup is supplied,
5ml for 1-2 years on a bi annual basis.
10ml for 2-5 years,on a bi annual basis.
Drug administration must be done under supervision by teacher
or Anganwadi worker.

21. Conclusion
Nutrition education is an important element in an overall
Strategy aimed at improving food security and preventing all
forms of malnutrition. School from pre-school to secondary
are ideal setting for promoting lifelong healthy eating habits
and lifestyles.