Department of Community & Family Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, 249203, India.
Department of Community & Family Medicine, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, 522503, India.
Indian J Pediatr. 2019 Jul;86(7):628-632. doi: 10.1007/s12098-019-02869-9. Epub 2019 Mar 7.
India is undergoing not only economic, demographic and nutritional transformational change but also indicators of health are improving remarkably. But, Integrated Child Development Scheme (ICDS) is striving hard to improve the nutritional and health status of children in the age-group 0-6 y even after 4 decades of its implementation, so there is a need to reconsider strategies to bring desired improvement in children's health. For better governance in the delivery of the Scheme, convergence is one of the key features of the ICDS Scheme for providing all services under the Scheme. The National Nutrition Strategy (NNS) has been launched, which reflects renewed focus on nutrition and it lays down a roadmap for effective action, among both implementers and practitioners in achieving our nutritional objectives. The NNS framework envisages a KuposhanMukt Bharat- linked to Swachh Bharat and Swasth Bharat. Specific nutritional interventions under KuposhanMukt Bharat are Infant and Young Child care and Nutrition, Infant and Young Child Health, Maternal Care, Nutrition and Health, Adolescent Care, Nutrition and Health, addressing micronutrient deficiencies-including anemia and Community nutrition. All districts having high burden of malnutrition will be targeted, and the nutritional status will be measured through a real time ICT enabled system by providing smart phone to Anganwadi workers (AWW). Newer interventions included are eliminating of registers used by AWWs, measurement of height of children at the Anganwadi centres (AWCs), social audits and setting-up Nutrition Resource Centres, involving masses through Jan Andolan for their participation on nutrition through various activities, among others.
印度不仅正在经历经济、人口和营养方面的转型变革，而且健康指标也在显著改善。但是，综合儿童发展服务（ICDS）在实施 40 多年后，仍然在努力改善 0-6 岁儿童的营养和健康状况，因此需要重新考虑策略，以期望改善儿童的健康。为了更好地实施该计划，整合是该计划提供所有服务的关键特征之一。国家营养战略（NNS）已经启动，这反映了对营养的重新关注，为实施者和从业者实现我们的营养目标制定了有效的行动路线图。NNS 框架设想了一个与 Swachh Bharat 和 Swasth Bharat 相关的 KuposhanMukt Bharat。KuposhanMukt Bharat 下的具体营养干预措施包括婴儿和幼儿护理与营养、婴儿和幼儿健康、孕产妇保健、营养与健康、青少年保健、营养与健康、解决包括贫血在内的微量营养素缺乏问题以及社区营养。所有营养不良负担沉重的地区都将成为目标，通过向安格万迪工人（AWW）提供智能手机，通过实时 ICT 启用系统来衡量营养状况。新纳入的干预措施包括消除 AWW 使用的登记册、在安格万迪中心（AWC）测量儿童的身高、社会审计和建立营养资源中心，通过 Jan Andolan 让群众参与各种活动，参与营养等。
