Impact of perceptions of key stakeholders in combating undernourishment among rural children in Delhi: A qualitative study

Davey, Sanjeev; Davey, Anuradha; Adhish, Vivek S; Bagga, Rajni

doi:10.4103/2394-2010.158123

Cited by 3 publications

(4 citation statements)

References 2 publications

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“…The study of Gupta et al 15 had also reported that weight for age was significantly higher in ICDS group males aged 6 months to 3 years and female children aged 2 to 4 years, as similar to our study findings. The lack of coordination might also be responsible for higher prevalence of under nutrition in our study; as literature also reveals inadequate, ineffective and defective perceptions and uncoordinated efforts of PRIs, ICDS, and Health department reducing undernourishment in rural area of Delhi by Davey et al 6 Weight recording, plotting and identification of growth faltering of infants are a crucial activity of AWWs. Care of infants who are underweight is their one of the key job responsibilities.…”

Section: Discussionmentioning

confidence: 80%

“…4 The role of father have 5 also been cited in the literature apart from other factors such sociocultural and economic factors of mothers and perceptions of community level stake holders and ICDS-health functionaries in nutritional status of under 5 years rural children of Delhi. [5][6][7] So, the real focus is poor on root of tackling undernourishment from birth till infancy, when the targets are most vulnerable.…”

Section: Introductionmentioning

confidence: 99%

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Impact of Nutritional Services of Anganwadi Workers in Improving Nutritional Status of Infants in Delhi: A Study by Mixed Method Technique

Davey¹,

Davey²,

Adhish³

et al. 2015

International Journal of Research Foundation of Hospital and Healthcare Administration

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Background:Despite the presence of integrated child develop ment services (ICDS) program in rural area of Delhi, the real impact of nutritional services of ICDS program on nutritional status of infants is not very clear, therefore, studying this area may provide new insights in this field. Materials and methods:This study was carried out from 1st January 2015 to 31st March 2015 (3 months). All children up to 1 year of age (in AWC 1 and 2 area of a one rural ICDS block) were examined for their nutritional status by weight for age criteria. The registered infants of both these Anganwadi centers (AWCs) and their mothers were simultaneously observed for all kind of nutritional services they received from Anganwadi workers (AWWs) by way of key informants interviews and this was further confirmed by applying secret customer technique. Results:The prevalence of mild to moderate malnutrition among infants in both the AWC area (AWC 1 area-6 months to 1 year category-52.9%, AWC 2 area (from 0-6 months and 6 months-1 year-69.3%) was higher. The key feeding factors identified for such scenario were: Improper colostrums feeding, wrong age of initiation of semisolid feeding, exclusive breastfeeding not done for 6 months, etc. [especially for AWC 2 area (p < 0.05) and AWC 1 area (p > 0.05)] among the AWCs. These factors were further confirmed by poor efforts of both AWWs in providing nutritional services toward mother and infants. Conclusion:Anganwadi workers need to focus on quality of nutritional services provided toward mothers of infants and this area needs regular monitoring and supervision from ICDS and health system meticulously.

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Section: Discussionmentioning

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Impact of Nutritional Services of Anganwadi Workers in Improving Nutritional Status of Infants in Delhi: A Study by Mixed Method Technique

Davey¹,

Davey²,

Adhish³

et al. 2015

International Journal of Research Foundation of Hospital and Healthcare Administration

Self Cite

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show abstract

“…[18] Dongre et al in their study at rural Wardha found that Anganwadi workers were giving poor emphasis on growth monitoring and examination of malnourished children and the duties such as record keeping, preschool education, and supplementary food distribution were time consuming which hindered them for giving time for nutrition education and monitoring of malnourished children. [19] Studies have reported that the time, transportation, and geographical terrain are the problems faced by the ASHAs making them unable to complete the coverage of designated households. [20][21][22] Therefore, there is need to invest in creating community awareness about nutrition and to draw peer counselors from within the community.…”

Section: Discussionmentioning

confidence: 99%

Mothers’ Perception regarding Malnutrition in their Children

Haldar¹,

Viswanath²,

Srivastava³

2022

APJHS

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Introduction: Nutrition in the early childhood days plays a significant role by balancing the holistic aspect of child, that is, physical, mental, social moral, and spiritual area. A healthy child is not only a desire of every mother but is also an asset to the country. Inadequate amounts of nutritional intake for longer periods can lead to irreversible damage to child’s growth. However, little is known about perception of mothers to causes of malnutrition in their children. Methods: This qualitative study was undertaken in selected village of Haldwani block, Uttarakhand. Focused group discussions were conducted each being 30–45 min of duration among mothers of identified malnourished children (<3 years of age), who were purposely recruited in the study. The author played the role of facilitator and carried out the discussion with mothers with the help of open-ended questionnaire. Data were analyzed and report was created. Results: The mothers in the study reported that – irregularity in child’s eating was the major cause affecting nutritional status. There were variety of other reasons identified which were: Craving for outside food in children, inability of mothers to practice exclusive breastfeeding, inadequate deworming, lack of child related guidance from community workers, and time was the major constraint for mothers. Conclusion: Perception of child nutrition in mothers and family greatly influences the community-based management. With prompt and focused efforts of – the health workers, the community workers, the family, and the government uncomplicated malnutrition can always be treated at home. Emphasis should always be on nutritional diet as per the requirement for different age group of children.

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“…10 According to AWWs in a study by Darvey et al, advices like education about nutrition and health, importance of child feeding practices, immunisation and regular weighing of their child at AWC can prevent development of malnutrition in children. 8 Many programs to alleviate under-nutrition among children were launched by state and national governments. The programs related to combat malnutrition in children are depicted in the figure number 1.…”

Section: Discussionmentioning

confidence: 99%

Perception and knowledge regarding under-nutrition in children among anganwadi workers: a qualitative study in Berhampur of Ganjam district, Odisha

Kar

Das

Sahoo

et al. 2019

Int J Community Med Public Health

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Background: Anganwadi centres (AWCs) remain hub for promoting nutrition in children. For an effective functioning of programs, Anganwadi workers (AWWs) need to have a sound knowledge and perception regarding under-nutrition. A qualitative study (Focus Group Discussion) was conducted with aim to assess perceptions and knowledge of AWWs regarding under-nutrition in 6 domains like about term under-nutrition in children, its causes, identification of it, its community management, advices to be given to parents and knowledge of program related to under-nutrition in their locality.Methods: 2 Focus group discussions (each consisted of 12 members and took around 40-45 minutes) were conducted in December 2018 among AWWs of Berhampur through purposive sampling. One author played role of facilitator who carried out discussions, another acted as recorder who took notes and sociograms were recorded by another author. Audio-visual recordings were done. Data were analysed and a report was created based on grounded theory.Results: Participants had fair knowledge of term under-nutrition. They had good knowledge of causes of under-nutrition in children and knew how to identify. But none of them had proper knowledge of community management of malnutrition (CMAM) in children. Though most of them have knowledge of screening of malnourished children and referral to Nutritional rehabilitation centre, they were unaware of other key components of CMAM. Many AWWs didn’t know much about programs for combating malnutrition; however they were well acquainted with ICDS and VHND.Conclusions: Quality training programs and more sensitisation should be done for Anganwadi workers. Specific training on CMAM should be carried out for them.

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Impact of perceptions of key stakeholders in combating undernourishment among rural children in Delhi: A qualitative study

Cited by 3 publications

References 2 publications

Impact of Nutritional Services of Anganwadi Workers in Improving Nutritional Status of Infants in Delhi: A Study by Mixed Method Technique

Impact of Nutritional Services of Anganwadi Workers in Improving Nutritional Status of Infants in Delhi: A Study by Mixed Method Technique

Mothers’ Perception regarding Malnutrition in their Children

Perception and knowledge regarding under-nutrition in children among anganwadi workers: a qualitative study in Berhampur of Ganjam district, Odisha

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