Student Dissertation

Agency : ICDS; Community Participation; ISSNIP; Nutritional Status

Objective : • To explore the knowledge and participation of community in CBEs • To check community perception of CBEs as source of health information • To check community awareness about various topics discussed by AWW/ASHA during home visits • To assess changes in community behaviour after participation in these events • To recommend strategies to enhance community participation in CBEs

Background : The most significant feature of ICDS is to improve the capabilities of the parents to take care of the child and thus involve the community by encouraging self-help in improving the quality of life and well-being of the child and family. ICDS has been envisaged and conceptualized as a community based programme. It calls for community participation in its process of implementation by utilizing local resources. The need for a comprehensive study to assess ICDS programme at the national level has been felt at the advent of the new millennium as the programme was on the verge of completing three decades of its implementation. A report of SRS released by registrar general of India in July 2016 revels that Infant mortality rate (IMR) in Madhya Pradesh is one of the highest in the country. The data showed that IMR in the state stood at 52 against the national IMR of 39. Situation in rural areas is worse with IMR going up to 57 against the national IMR of 43 in rural areas.

Methodology : • Setting: Selected districts of Madhya Pradesh • Duration: 1 February 2017 till 29 April, 2017 • Sample size: 81 participants 9 each in 9 groups distributed as follows: o 3 groups of Pregnant and Lactating Women o 2 groups of Mothers in law o 2 groups of Husbands of Pregnant and Lactation Women o 2 groups of other community members • Sampling technique: o Area Sampling: Random selection of Districts, Blocks and Sectors. o Participants sampling: Participants selected according to availability of desired group composition. • Data collection procedure: Recording of the discussion in recorder • Type of study: Qualitative Analysis • Data Analysis Procedure: Data was analyzed using Atlas.ti software • Data collection Instrument: Guided Checklist • Methods of data collection: Focused Group Discussion

Findings : The study implied everything good in relation to the event awareness and celebration. They not only celebrated Godbharai, AnnaPrashan etc. but also took great initiatives to involve elder citizens and adolescent girls. It can be assumed from the study that community members of Madhya Pradesh take part in these events with full enthusiasm. They bring their family and friends to the events. But it was found that husband’s participation was negligible. It can be assumed from the study that community was well aware about health, nutrition and feeding practices. Because events are celebrated on Tuesday (Mangal Diwas), AWW goes on Monday or Saturday to invite the beneficiaries.

Recommendations :By this study, it can be concluded that majority of the community was adequately aware and had good knowledge of CBEs. Not only PLW, MIL, and other community members seem to be content about the way CBEs are rolled out in their AWC. However, husbands could not say much about objectives of CBEs and kept on naming the events and what their wives received in these events. They admitted that due to scarcity of time they never were part of these events. But they have heard from their wives about these events and follow whatever little knowledge gets transferred to them. There is a need to involve more male members of the community making them aware of their child’s and wife’s heath. Women in India still have to follow what the male members of their family say. If they get engaged more in these events, there is a possibility of attaining the set goals of malnutrition, MMR and IMR sooner by them.