Student Dissertation

Agency : Anganwadi Workers; Nutrition Care; ICDS; Integrated Child Development; Malnutrition

Objective : The key objective of the study is to assess the current knowledge among Anganwadi Workers on Different services given in Intensive Nutrition care centre

Background : Intensive Nutrition Care Program has unique and as yet, incompletely applied potential for promotion of child health and nutrition and is an preventive tool for reducing the cases of malnutrition, e.g. SAM and MAM, appropriate response to illness and an understanding of the various factors which play a role in growth and development of the child by the AWWs.

Methodology : Descriptive study with Purposive sampling was undertaken. Structured questionnaires were prepared addressing the objectives of the study and face to face interviews with AWWs were conducted.

Findings : The study findings highlight regarding the services provided under INCC at AWC, 26% AWWs have full knowledge, 24% AWWs have above average knowledge, and around 50 % have average knowledge about the same. In questions related to Duties 80% AWWs have the full knowledge, 10 % have the above average knowledge, and 2% have the average knowledge, 8% have partial knowledge. Depending on response to question regarding the growth chart on an average 80 % AWWs have knowledge about growth chart and the colour difference provided in growth chart and for what colour code stand for, 10 % have above average knowledge, 5 % have the average knowledge about the same, 5 % have no knowledge at all. In terms of knowledge regarding the Appetite test 60 % AWWs have the full knowledge, 5 % have above average knowledge, 10% have Average knowledge, 25 % have no knowledge. Almost all Anganwadi workers know about the time table and menu of food given in a day. In the questions regarding the knowledge on breast feeding 80 % AWWs have full knowledge, 2% have above average knowledge and 3% have average knowledge, 15% have no knowledge at all.

Intensive Nutrition Care consists of measures to detect Sever Acute Malnutrition (SAM) and Moderate Acute Malnutrition combined with action when this is detected. It aims to improve nutrition level, reduce the risk of death or inadequate nutrition, help and educate carers, and lead to early referral for conditions manifest by growth disorders. As Anganwadi Worker invests time in this activity, evidence for its benefits and harms was sought. For Intensive Nutrition Care Program, there are many functions of AWWs, for which they should be sufficiently trained.