Saiyed F, Seshadri S
Department of Foods and Nutrition, M.S. University of Baroda, Vadodara, Gujarat.
Indian J Pediatr. 2000 May;67(5):322-8. doi: 10.1007/BF02820677.
Preschool children in 0-36 months of age are nutritionally the most vulnerable group. Nutrition and health services delivery through an ICDS programme aims at ameliorating the problems of malnutrition and infection. The extent of utilization of nutrition and health services in relation to nutritional status can provide valuable information on operational efficacy of the programme. In the present study, 610 preschool children (0-36 months) under an urban ICDS block were placed in three categories of service utilization viz. full, partial and none. The impact of the extent of service utilisation on nutritional status and morbidity was assessed over a one year period. The findings showed that complete utilization of all services resulted in significant improvement in nutritional status as assessed through anthropometric indices viz. height/age, weight/age and weight/height as percent NCHS median standard. Data on morbidity in children showed that the number of episodes and the duration of illness(es) were significantly lower when the services were utilized fully than when utilized partially or not utilized at all. Thus major efforts should go into the convergence of services and full utilization by the community.
0至36个月大的学龄前儿童是营养方面最脆弱的群体。通过综合儿童发展服务计划提供营养和健康服务旨在改善营养不良和感染问题。营养和健康服务的利用程度与营养状况的关系能够为该计划的运作成效提供有价值的信息。在本研究中，城市综合儿童发展服务街区下的610名学龄前儿童（0至36个月）被分为三类服务利用情况，即：充分利用、部分利用和未利用。在一年时间里评估了服务利用程度对营养状况和发病率的影响。研究结果表明，通过人体测量指标（即身高/年龄、体重/年龄和体重/身高占美国国家卫生统计中心中位数标准的百分比）评估，所有服务的充分利用使营养状况得到显著改善。儿童发病率数据显示，与部分利用或完全未利用服务相比，充分利用服务时发病次数和疾病持续时间显著更低。因此，应主要致力于服务整合及社区的充分利用。
