National Nutrition Programmes

NATIONAL NUTRITION
PROGRAMMES
-Suchita Dhoundiyal
(133)
Sunidhi (134)
1994 1993 1995
National Mid-day
PDS Nutrition Meal
Policy scheme
1962 1975 2001 2018

National ICDS Annapur National
Goitre na Nutrition
Control Scheme Mission
Program
1970 1970 2012 2013

Balwadi Vitamin A Weekly Iron Plus
deficiency Iron
Nutrition Supplemen
Initiatve
Program Control ta-tion
Program Program
NUTRITIONAL PROGRAMS
Programs of Ministry of Women Child Development
Integrated Child development services(ICDS)
Balwadi Nutrition Program (BNP)
Special Nutrition program
Applied Nutrition program
National Nutrition Mission (Poshan Abhiyan)
Programs of the Ministry of Health and Family Welfare
Nutritional Anemia Prophylaxis Program
National Vitamin A Prophylaxis Program
National Iodine Deficiency Disorders Control Program (NIDDCP)
National Program for Prevention and Control of Fluorosis (NPPCF)
Programs of the Ministry of Education
Mid day Meal Scheme (MDMS)
NATIONAL NUTRITION MISSION
(POSHAN ABHIYAN)
Goals:
To achieve improvement in the nutritional status of children
(0-6 years), adolescent girls, pregnant women and lactating
mothers.
Comprises real time monitoring system, incentivizing
states/UTs for meeting the targets, incentivizing Anganwadi
workers for using IT based tools, eliminating registers,
introducing measurement of height of children.
Targets to reduce level of stunting, undernutrition, anemia
and LBW babies.
Reorganization of the existing ICDS scheme components under Saksham
Anganwadi and POSHAN 2.0
3 main components are:
A. Nutrition support for POSHAN through supplementary nutrition program
(SNP):
For children (6 months to 6 years), PWLM, adolescent girls(14-18

years) in NER.
Diet diversification and inclusion of fortified rice and millets
(mandatorily at least once a week)
Supplementary nutrition in 2 servings: morning snacks and HCM
B. Early childhood care and education (3-6 years) and early stimulation for
0-3 years : preschool learning material
C. Saksham Anganwadi: modern infrastructure like upgraded LED screens,
water purifier, rainwater harvesting system, smart audio visual aids,etc.
NATIONAL NUTRITION ANEMIA
PROPHYLAXIS PROGRAMINCLUDING “NATIONAL IRON
PLUS INITIATIVE” AND “ANEMIA MUKT BHARAT”
Started in 1970
Distribution of IFA tablets to pregnant women,
children and adolescents is an important
component
The National Iron Plus Initiative was launched
in 2013
Anemia Mukt Bharat was launched in 2018 to
reduce anemia in vulnerable age
groups:women, children and adolescents.
6 age 6
groups interventions
6 institutional
mechanisms
Under national IRON PLUS INITIATIVE
Under ANEMIA MUKT BHARAT
NATIONAL PROPHYLAXIS PROGRAM AGAINST
NUTRITIONAL BLINDNESS DUE TO VITAMIN A DEFICIENCY
Surveys indicate prevalence of Bitot’s spots >0.5 %
Night blindness >0.7- 2 %
AIM: To decreases prevalence of vitamin A deficiency from 0.7 to <0.3
%
DOSAGE:
1. Dose of 1 lakh IU of vitamin A (Retinol palmitate)- orally at 9 months
2. Dose of 2 lakh IU of vitamin A –at 6 monthly interval up to 5 years
3. All cases of severe malnutrition- 1 additional dose
IMPLEMENTATION: by Anganwadi workers under supervision of ANM
NATIONAL IODINE DEFICIENCY DISORDERS
CONTROL PROGRAM
RDA of Iodine – 100-150 mcg

National goitre control program launched in 1962, renamed as NIDDCP in 1992.
As per NFHS-5, 94% households use iodised salt.
PROGRAM COMPONENTS:
Surveys
Provision of iodised salt
IDD Monitoring
Manpower training
Health education and IEC activities
NATIONAL PROGRAM FOR PREVENTION AND
CONTROL OF FLUOROSIS
OBJECTIVES:
Collect, assess and use the available baseline data on
fluorosis
Comprehensive management of fluorosis in selected areas
Capacity building for prevention, diagnosis and
management of fluorosis cases.
STRATEGIES:
Training health personnel for disease prevention, health
promotion, early diagnosis and prompt intervention.
Capacity building of district and medical college hospitals
for RCS and rehabilitation
Establishment of diagnostic facilities in district hospitals
Health education for prevention and control of fluorosis
cases
MID DAY MEAL PROGRAMME
Also known as School Lunch Programme, operational since 1961.
Objective: Attract more children for admission to schools and retain
them to increase the literacy rate in children.
Broad principles:
Meal provides a supplement, NOT A SUBSTITUTE to
the food at home.
Meal provides: 1/3rd of total daily energy requirement
(300 kcal)
½ protein need (8-12 g/day)
No complicated cooking process should be involved.

Food that is cooked easily and is available locally at low
cost is preferred.
Cooking cost: 4.13/- per child in primary stage
6.18/- per child in upper primary
The programme has become a part of Minimum Needs

Programme in 5th Five Year Plan.
MID DAY MEAL SCHEME (MDMS)
Launched in 1995, to support “universalization of primary education”
in 2001, decision by supreme court- Mandatory for government schools
to provide cooked meals.
Renamed as Pradhan Mantri Poshan Shakti Nirman (PM POSHAN)
CURRENT STATUS: covers more than 12 crore children
AIM: To provide at least 1 nourishing meal to the school going children
per day.
OBJECTIVES:
Improving the nutritional status of children in classes 1-8 in
government, local body and government aided schools
Encouraging poor children of disadvantaged sections, to attend
school more regularly
Providing nutritional support to children of primary stage in drought
affected areas during summer vacations.
Some suggestions for meal preparation are:
Food grains must be stored in a place away from moisture.
Use whole wheat or broken wheat (Dalia) for preparing mid day
meals.
Rice should be preferably parboiled or unpolished.
Cereal pulse ratio- 3:1 to 5:1.
Leafy vegetables when added should be thoroughly washed
before cutting and not after.
Soaking of rice, dal reduces cooking time.
Fermentation improves nutritive value.
Cooking with lid on to avoid loss of nutrients.
Overheating should be avoided.
BALWADI NUTRITION PROGRAM
Initiated in 1970 for children from rural areas
Meals were provided to children (300 kcal +10-12 gm protein
per day) with pre-primary education
Being phased out by ICDS
INTEGRATED CHILD
DEVELOPMENTAL
SERVICES (ICDS)
Started in 1975
OBJECTIVES:
1. Improve the nutritional and health status of children
2. Lay the foundation for proper psychological, physical, and social
development
3. Reduce the incidence of mortality, morbidity, malnutrition and school drop
out
4. Achieve effective coordination policy and implementation
5. Enhance the capability of the mother to take care of normal health and
nutritional needs of the child
ICDS SERVICES:
1. Supplementary nutrition
Includes supplementary feeding (for 300 days)growth monitoring , prophylaxis
against vitamin A deficiency and nutritional anemia
Children below 6- 36 months and PWLM : take-home rations
Children in the age group of 3 to 6 years : morning snacks and cooked meals
1. Immunisation
2. Health check-ups
Includes health care of children <6 years, ANC and PNC mothers
Provided by ANM
1. Referral services
2. Preschool education
3. Nutrition and health education(NHE)
By Anganwadi worker, part of BCC
ICDS Team
1 Anganwadi center : 1000 population (in rural/urban area)

700 (in tribal areas)
Comprises of Anganwadi helpers , Anganwadi workers, supervisors.

(Mukhyasevika), CDPOs, district program officers (DPOs).
Anganwadi worker is selected from the local community, age:21-45 years .
Minimum education qualification: Matric.
Honorarium: 4500/- per month .
Mukhyasevika supervises 20-25 Anganwadi workers.
CDPO supervises 4-5 mukhyasevikas.
THANK YOU!

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NATIONAL NUTRITION

1962 1975 2001 2018

1970 1970 2012 2013

For children (6 months to 6 years), PWLM, adolescent girls(14-18

RDA of Iodine – 100-150 mcg

No complicated cooking process should be involved.

The programme has become a part of Minimum Needs

1 Anganwadi center : 1000 population (in rural/urban area)

Comprises of Anganwadi helpers , Anganwadi workers, supervisors.

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