Student Dissertation

Agency : SABLA, Supplementary Nutrition Program, Knowledge of AWW, Implementation

Objective : The key objective of the study is to assess the knowledge of supplementary nutrition program and SABLA among anganwadi workers in Dahod and to evaluate the level of their implementation.

Background : A package of various Nutrition services is being provided through ICDS. With a view to combat malnutrition, Gujarat Government is implementing the Nutrition Programme for children under 6 years, pregnant women, nursing mothers and adolescent girls. According to the National Food Survey 2007, Gujarat and Madhya Pradesh were the only two states which showed an increase in the numbers of malnourished children. In 2007, the number of malnourished 14 children in Gujarat grew to 46 per cent as against 45 per cent in the previous years. To deal with malnutrition State Government is implementing the Supplementary Nutrition Programme. Also, Rajiv Gandhi Scheme for Empowerment of Adolescent Girls (RGSEAG), better known as SABLA Scheme is also running in the tribal district of Gujarat to overcome the problem of malnutrition and anaemia in adolescent girls. For a successful implementation of these programs it is very important that the Anganwadi worker has a thorough knowledge regarding malnutrition, supplementary nutrition and schemes related to them.

Methodology : Descriptive Cross sectional study with convenient sampling was undertaken. Structured questionnaire was prepared to address the objectives of the study and face-face interviews with AWWs were conducted.

Findings : The study findings highlight that only 4 percent of workers have excellent knowledge, 65 percent have very good knowledge, 25 percent have good knowledge, five percent have fair knowledge and only one percent have poor knowledge regarding supplementary nutrition program. The Cronbach’s alpha value for this scale is 0.731. It has also shown that 88 percent of these services were given to the beneficiaries. In case of SABLA, it was seen that only 4 percent of AWW have excellent knowledge, 54 percent have very good knowledge, 9 percent have good knowledge, 25 percent have fair knowledge and 8 percent have poor knowledge. The Cronbach’s alpha value for this scale was 0.852. It has also shown that 72 percent of these services are given to the beneficiaries. The overall knowledge of anganwadi workers regarding supplementary nutrition program is good in Dahod Taluka. However, Most of the workers lack in the technical knowledge like shelf life of balbhog and quantity of food given in different interventions of ICDS related to nutrition. Also, workers knowledge regarding SABLA needs improvement. AWWs lack in activities like nutrition and health education and life skill education. Apart from this sharpening of the skills related to BMI calculation and its implementation is also required. However, the implementation part is satisfactory for both. For improving the knowledge of AWWs, refresher trainings are required. Also, on the job mentoring and hand holding from the supervisor’s end could also be beneficial.