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Impact of the integrated package of nutrition and health services

F Saiyed1, S Seshadri

  • 1Department of Foods and Nutrition, M.S. University of Baroda, Vadodara, Gujarat.

Indian Journal of Pediatrics
|July 8, 2000
PubMed

Insights

Full utilization of nutrition and health services significantly improves preschool children's nutritional status and reduces illness. This highlights the importance of integrated child development services (ICDS) program efficacy.

Area of Science:

  • Pediatrics
  • Public Health
  • Nutrition Science

Background:

  • Preschool children (0-36 months) are highly vulnerable to malnutrition and infection.
  • The Integrated Child Development Services (ICDS) program aims to address these issues through nutrition and health services.
  • Understanding service utilization is key to assessing program effectiveness.

Purpose of the Study:

  • To assess the impact of nutrition and health service utilization on the nutritional status of preschool children.
  • To evaluate the relationship between service utilization and morbidity in young children.
  • To determine the operational efficacy of the ICDS program based on service uptake.

Main Methods:

  • A study involving 610 preschool children (0-36 months) in an urban ICDS block.
  • Children categorized by service utilization: full, partial, and none.
  • Nutritional status assessed using anthropometric indices (height/age, weight/age, weight/height) over one year.
  • Morbidity data collected on illness episodes and duration.

Main Results:

  • Complete utilization of all services led to significant improvements in anthropometric indices (height/age, weight/age, weight/height).
  • Children with full service utilization experienced fewer episodes and shorter durations of illness.
  • Partial or no service utilization was associated with poorer nutritional status and higher morbidity.

Conclusions:

  • Full utilization of integrated child development services (ICDS) is crucial for enhancing preschool children's nutritional status.
  • Maximizing service uptake significantly reduces illness episodes and duration in young children.
  • Efforts should focus on service convergence and community engagement to ensure complete utilization.

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