Kapil Umesh
Department of Human Nutrition, All India Institute of Medical Sciences, New Delhi.
Indian J Pediatr. 2002 Jul;69(7):597-601. doi: 10.1007/BF02722688.
The Integrated Child Development Services (ICDS) scheme is the largest program for promotion of maternal and child health and nutrition not only in India but in the whole world. The scheme was launched in 1975 in pursuance of the National Policy for Children. The scheme has expanded in the last twenty-seven years form 33 projects to 5171 blocks. ICDS is a multi-sectoral program and involves several government departments. The program services are coordinated at the village, block, district, state and central government levels. The primary responsibility for the implementation of the program lies with the Department of Women & Child Development at the Centre and nodal department at the states, which may be Social Welfare, Rural Development, Tribal Welfare or Health Department or an independent Department. The beneficiaries are children below 6 years, pregnant and lactating women and women in the age group of 15 to 44 yrs. The beneficiaries of ICDS are to a large extent identical with those under the Maternal and Child Health Program. The program provides an integrated approach for converging all the basic services for improved childcare, early stimulation and learning, health and nutrition, water and environmental sanitation aimed at the young children, expectant and lactating mothers, other women and adolescent girls in a community. ICDS program is the reflection of the Government of India to effectively improve the nutrition and health status of underprivileged section of the population through direct intervention mechanism. The program covers 27.6 million beneficiaries with supplementary nutrition. The program services and beneficiaries has essentially remained the same since 1975. Recently a review of the scheme was held, sponsored by Government of India, which suggested modifications in the health and nutrition component of ICDS scheme to improve the program implementation and efficiency.
综合儿童发展服务计划(ICDS)不仅是印度,也是全球最大的促进母婴健康与营养的项目。该计划于1975年依据《国家儿童政策》启动。在过去二十七年里,该计划已从33个项目扩展至5171个街区。ICDS是一个多部门项目,涉及多个政府部门。该项目服务在村、街区、 district、邦和中央政府层面进行协调。项目实施的主要责任在于中央的妇女与儿童发展部以及各邦的 nodal部门,这些部门可能是社会福利部、农村发展部、部落福利部、卫生部或一个独立部门。受益对象为6岁以下儿童、孕妇和哺乳期妇女以及15至44岁的女性。ICDS的受益对象在很大程度上与母婴健康项目的受益对象相同。该项目提供一种综合方法,将所有基本服务整合起来,以改善儿童照料、早期刺激与学习、健康与营养、水和环境卫生,目标群体是社区中的幼儿、准妈妈和哺乳期母亲、其他女性以及少女。ICDS项目体现了印度政府通过直接干预机制有效改善弱势群体营养和健康状况的努力。该项目为2760万受益者提供补充营养。自1975年以来,该项目的服务和受益对象基本保持不变。最近,由印度政府发起对该计划进行了一次审查,建议对ICDS计划的健康和营养部分进行修改,以提高项目实施和效率。 (注:原文中district和nodal未翻译,可能是特定专业术语或拼写有误,需进一步确认准确含义)