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Assessing supplementary feeding programmes in selected Balwadies.

S Joshi1, S Rao

  • 1Department of Biometry and Nutrition, Maharashtra Association for the Cultivation of Science, Pune, India.

European Journal of Clinical Nutrition
|September 1, 1988
PubMed
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Feeding programs improve child nutrition, but their effectiveness is reduced in areas with poor environmental conditions. Environmental factors significantly interfere with nutritional status improvements in children.

Area of Science:

  • Public Health Nutrition
  • Child Development
  • Environmental Health

Background:

  • Childhood malnutrition remains a significant public health issue, particularly in resource-limited settings.
  • Environmental conditions, including risks of infections and infestations, can impede nutritional interventions.
  • Understanding the interplay between feeding programs and environmental factors is crucial for effective public health strategies.

Purpose of the Study:

  • To evaluate the efficacy of feeding programs in improving the nutritional status of preschool children.
  • To determine the influence of environmental conditions on the success of nutritional interventions.
  • To compare the impact of feeding programs in low socioeconomic (LSE) versus medium socioeconomic (MSE) environments.

Main Methods:

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  • A comparative study involving 273 preschool children across four kindergartens in Pune city over 7 months.
  • Children were categorized based on socioeconomic status and participation in a feeding program (LSE(F), MSE(F), LSE(NF), MSE(NF)).
  • Anthropometric measurements and nutritional status assessment (Gomez classification) were conducted, alongside analysis of food supplements for energy and protein content.

Main Results:

  • Children receiving nutritional supplements showed significant improvement in nutritional status compared to those without supplements (P < 0.05).
  • The positive impact of feeding programs was less pronounced in the low socioeconomic environment (LSE) compared to the medium socioeconomic environment (MSE).
  • Poor environmental conditions were identified as a significant factor limiting the effectiveness of nutritional interventions.

Conclusions:

  • Feeding programs can improve the nutritional status of malnourished children.
  • Environmental factors, such as poor sanitation and high infection risk, substantially mitigate the benefits of nutritional supplementation.
  • Integrated approaches addressing both nutrition and environmental health are necessary for optimal child development in vulnerable populations.