Pandey Gargi, Chopra Harivansh, Bano Tanveer, Jain Seema, Singh Ganesh
Department of Community Medicine, Lala Lajpat Rai Medical College, Meerut, Uttar Pradesh, India.
J Family Med Prim Care. 2024 Aug;13(8):3282-3286. doi: 10.4103/jfmpc.jfmpc_123_24. Epub 2024 Jul 26.
Undernutrition in children under 5 years of age is still a great public health burden. Integrated child development services (ICDS) were launched with an idea of making a dent on this age-old issue. Various studies in the past have been done to identify lacunae in the programme, but very few studies are done focussing on the satisfaction of mothers with the supplementary nutrition provided through ICDS programme. The utilisation of the programme depends on various factors, one of which is client satisfaction.
The Anganwadi centres of urban areas of Meerut were line-listed after taking a list of Anganwadis from the Child Development Office. There are 297 Anganwadis in urban areas of Meerut. With help of random number tables, three Anganwadis were selected, and to complete the sample of 152, 51 children from two Anganwadis and 50 from one Anganwadi centre were selected with help of simple random tables. The data thus collected were analysed using Epiinfo version 7.2.3.1.
The prevalence of underweight was found to be 34.2%, wasted 19.7%, and stunted 11.2%. Among the characteristics assessed, a majority of mothers, 58.5%, were dissatisfied with the frequency at which supplementary nutrition was provided from the Anganwadis. All children were provided Take Home Ration, and 100.0% of mothers reported using it for all family members. Still 63.2% of mothers were unaware about the iron supplementation in childhood and only 65.8% of mothers had satisfactory handwashing practices.
In this study, a majority of mothers were dissatisfied with the frequency at which supplementary nutrition was provided to their children. Also, the prevalence of underweight children was significantly higher when mothers were not aware about the factors affecting nutrition in children. The Take Home Ration given for children was shared among family members in 100.0% families.
5岁以下儿童营养不良仍是一个重大的公共卫生负担。综合儿童发展服务（ICDS）项目的启动旨在解决这一长期存在的问题。过去已经进行了各种研究来找出该项目中的缺陷，但很少有研究关注母亲们对通过ICDS项目提供的补充营养的满意度。该项目的利用率取决于多种因素，其中之一就是客户满意度。
从儿童发展办公室获取密鲁特市城区的安格瓦迪中心名单后进行逐一登记。密鲁特市城区有297个安格瓦迪中心。借助随机数表，选取了3个安格瓦迪中心，为完成152人的样本，通过简单随机表从两个安格瓦迪中心选取了51名儿童，从另一个安格瓦迪中心选取了50名儿童。使用Epiinfo 7.2.3.1版本对收集到的数据进行分析。
发现体重不足的患病率为34.2%，消瘦为19.7%，发育迟缓为11.2%。在评估的特征中，大多数母亲（58.5%）对安格瓦迪中心提供补充营养的频率不满意。所有儿童都获得了家庭配给口粮，100.0%的母亲报告将其用于所有家庭成员。然而，仍有63.2%的母亲不知道儿童补铁的情况，只有65.8%的母亲有令人满意的洗手习惯。
在本研究中，大多数母亲对向其子女提供补充营养的频率不满意。此外，当母亲不了解影响儿童营养的因素时，体重不足儿童的患病率显著更高。100.0%的家庭将为儿童提供的家庭配给口粮在家庭成员之间分享。
