Student Dissertation

Agency : Malnutrition; Early Childhood Nutrition; Knowledge and Practices;

Objective : 1) To assess and motivate the knowledge of front line workers in early childhood nutrition in the TSU Blocks of Sitapur . 2) To assess and motivate the practices adopted by the frontline workers in early childhood nutrition in the TSU Blocks of Sitapur.

Background : Malnutrition continues to be a silent emergency, with 43% children below the age of 5 being underweight and almost 70% being anaemic. About 22% children are born with low birth weight. Lack of adequate information on nutritional needs has been identified as a major factor for the prevailing nutritional situation in the state. About 36% of the total children identified as beneficiaries of the supplementary nutrition programme under ICDS were underweight, with 62,728 falling in the Grade III and IV (severely malnourished categories). All the frontline workers are educated and trained on basic and essential maternal and child health nutrition needs which equips them with skills & knowledge to early detect high risk cases. These front-line workers are the backbone of the state and district action plans. So, it is the utmost priority of the Program managers to focus on the skill development of these front-line workers matching the demand of the situation. Developing the skills and capacity of frontline workers (FLWs) is a core component of the TSU.

Methodology : Type of Study: Descriptive cross sectional study Study Area: Four TSU Blocks of Sitapur. Sampling Procedure: Simple Random Sampling Sample Size -161FLWs Inclusion Criteria: All the FLW’s who were ready to participate in the study till its complete Exclusion Criteria: All those who were not available on the day of data collection or questionnaire distribution Data collection – The Primary data was collected by visiting VHND sessions, AAA meetings, Cluster meetings, Block meetings and home visits. Inclusion Criteria: All the FLW’s who were ready to participate in the study till it’s complete Exclusion Criteria: All those who were not available on the day of data collection or questionnaire distribution

Findings : The research study was conducted in 4 Blocks of Sitapur namely – Behta , Biswa, Khairabad and Mahmoodabad . The target sample size set before the study was 40% of all presently working FLW, but due to non-availability & time constraints, data from only 15%of FlWs was collected in rational scientific manner. Data has been collected from 161 FLW’s as 34ANM(N1=85);73 ASHA (N2=583); 54 AWW (N3=518). Twenty four percent of FLWs are lie in 39-44 age group. Twenty seven percent of FLWs are secondary school pass outs, followed by twenty two percent graduates. Twenty seven percent Flws have 15-20 years of experience. For assessing their practices a checklist was followed during VHND sessions and home Visits. It was further observed that only 44% OF FlWs were correctly Practicing Nutrition section, 73.2% in breast feeding and 44%in Complementary feeding. After further analyzing, it was found out that AWW Had best practices in all the three components followed By ANM and then ASHA.

Recommendations : ï‚· Regular monitoring and supportive supervision to blocks during AAA, Cluster meetings, VHND sessions, Home vists to ensure best efficiency out of front line workers ï‚· Refresher training to non-performing and performing FLWs in Batches. ï‚· Analysing service delivery platforms like VHND and home visits to ensure better delivery and outcomes. ï‚· Allocation of Budget for IEC in TSU ï‚· Availability and implementation of IEC among Front line workers ï‚· Regular Updates of VHIR, RCH and Aganwadi registers to ensure coverage and targeted reach out. ï‚· One register for Aganwadi Worker as well so that she is able to focus & give time to Home visits. ï‚· To ensure motivation and coordination among front line workers, incentives should be re planned. ï‚· AAA, Cluster meetings should be monitored exhaustively to know the identify the problems of community. ï‚· Use of Same criteria (WAZ) for admission of children in NRC from all sources - AWC or hospital ï‚· Proper referral Mechanism should be established. ï‚· Initiatives like mobile kunji should also be available for Childhood nutrition.


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