Background: Anganwadi centers were providing integrated services comprising supplementary nutrition, immunization, health check-up, and referral services to children below six years of age and expectant and nursing mothers. After more than three decades of implementation, the success of Integrated Child Development Services (ICDS) program in tackling maternal and childhood problems still remains a matter of concern. Objectives: To estimate the proportion of pregnant women utilizing various services provided by the anganwadi centre. To assess the association between demographic factors and utilization of anganwadi services by pregnant women. Methods: A cross-sectional study with a sample size of 135 was conducted in three villages attached to a medical college. Pregnant women enrolled in anganwadi the center were included in the study. Data was collected by a predesigned pretested semi-structured questionnaire. Data was presented in proportions, odds ratio with confidence interval, and Chi-square test, Fisher test was applied to find the association between variables by using SPSS ver. 23. Results: The study showed 86.66% utilized supplementary nutrition services, 62.96% received health education, 85.92% took vaccines from anganwadi centre, 40.74% utilized referral services, and 82.22% utilized health checkups services provided by anganwadi centre. Distance from the centre was found to be an important determinant of the utilization of anganwadi services. Conclusions: There is a need to sensitize and motivate beneficiaries to utilize the services offered by anganwadi center.

Back ground: Diabetes mellitus (DM) is a chronic progressive metabolic disorder, most common non-communicable disease globally.The global prevalence of diabetes among adults over 18 years of age rose from 4.7% in 1980 to 8.5% in 2014. In 2016, diabetes was the direct cause of 1.6 million deaths. Objectives: To assess the self-care practices among elderly with type 2 diabetes mellitus and to know the factors influencing it. Methodology: A community based crosssectional study was conducted by selecting elderly through systematic random sampling; socio-demographic details and self-care practices were assessed by Summary Diabetes Self-Care Activities questionnaire (SDSCA).Data were entered in excel,descriptive statistics and chi-square were calculated.Results:177 elderly diabetics participated in the study. A majority of 49.71% were in the age group of 69-70years. 58.76% were females, 40.11% were literates, and 55.93% resided in joint families. The self-care practices were computed based on Summary Diabetes Self-Care Activities questionnaire (SDSCA) 72.88% had good and poor self-care practices.Significant factors were 60-69 years age group, male gender, literates and duration of diabetes (1-5years) (p<0.05).Conclusion: Diabetes and related complications impose a high-burden of catastrophic economic costs by increasing out of pocket expenditure.Self-care in diabetes plays a pivotal role in managing the disease, which has to be practiced more efficiently at individual level with the support from family and community so as to promote healthy ageing amid co-morbidities.