Role of reorientation training in enhancement of the knowledge regarding growth monitoring activities by Anganwadi workers in urban slums of Delhi

Davey, Anuradha; Davey, Sanjeev; Datta, Utsuk

doi:10.4103/0970-0218.39244

Cited by 9 publications

(12 citation statements)

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“…It is, therefore, a high time to rejuvenate and strengthen ICDS program by imparting regular training, identifying alternative financial and monitoring options and fostering better community participation. 12,13 …”

Section: Discussionmentioning

confidence: 99%

Evaluation of Integrated Childhood Development Services (ICDS) program implementation in an urban slum of Delhi, India

2017

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Background: The Integrated Childhood Development Services (ICDS) scheme is India’s foremost program imparting comprehensive and cost-effective services to meet the multi-dimensional needs of children. Following a populist approach, the program has now increased its umbrella coverage to reproductive age, pregnant and lactating women. The impact of such development and existing program performance remain debatable due to the paucity of evaluation research.Methods: A mix-methods descriptive case study was done using adapted ICDS monitoring tool in a pre-identified slum. The slum was purposely chosen for its intensive habitation of the poor and marginalized population. Primary data were collected through personalized interviews with program staff, health functionaries, and community representatives. Secondary data were collected from records available at Anganwadi centre (AWC). The data were triangulated and analyzed with results being expressed in narrative, simple proportions and percentages.Results: The mean coverage of ICDS services was 58.3%. Maximum coverage recorded for Supplementary Nutrition (SN) and minimal for Nutrition and Health Education (NHE). SN, immunization, Pre-school education (PSE) and growth monitoring (0-3 years) were regularly held. Maternal and child health services were unsatisfactory. Poor community perception reported for AWC and ICDS services with exception of SN.Conclusions: Present case study unveils poor infrastructure, coverage and community participation for ICDS services. Immunisation and referral networking is often dysfunctional reflecting the need for enhanced intersectoral cooperation. Adapted tools could serve as an effective strategy for evaluating and facilitating need-based improvements.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Integrated Childhood Development Services (ICDS) program implementation in an urban slum of Delhi, India

2017

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“…Bhasin SK et al and Davey A et al observed even worse knowledge of AWWs in regard to important steps of Growth monitoring. 1,7 In the same study Bhasin SK et al have also revealed that only 43% of AWWs had the knowledge that growth monitoring can be started for a child at any age below 6 years, while Jena P showed that all the AWWs were aware about the age at which growth monitoring should start. 5,7 As far as the further steps of growth monitoring are concerned, all the AWWs considered weight measurement and then correct plotting on the growth chart as important subsequent steps.…”

Section: Discussionmentioning

confidence: 97%

“…These findings are supported by the study of Davey A et al and Bhasin SK et al, which highlighted that majority of the AWWs, had adequate knowledge of growth chart interpretation and the significance of die lines on the growth charts indicating different grades of nutritional status. 1,7 While the study of Jena showed that about 23% of the Anganwadi workers were having knowledge about the flattened growth line on growth chart. 5 The mean score of knowledge was around 65% (19.7 out of 30) in the study area during baseline survey.…”

Section: Discussionmentioning

confidence: 99%

“…In a malnourished child, development of the milestones is delayed. 1 As per NFHS-3, almost half of the children under age five years (48 percent) are chronically malnourished. In other words, they are too short for their age or stunted, Forty-three percent of children of under five years are underweight for their age while one out of every five children in India under five years is wasted.…”

Section: Introductionmentioning

confidence: 99%

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An intervention to improve the knowledge of anganwadi workers pertaining to growth monitoring in rural areas of Varanasi district, India

et al. 2016

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“…22 In urban ICDS blocks of Delhi, the similar kind of issue was also identified in study by Davey et al 23 and these authors; in their another study also suggested to focus on repeated practical reorientation training to strengthen the correct knowledge of the AWWs, which can increases their capabilities to take corrective and preven-tive action at appropriate time for optimum development of nutritional status of the children. 24 So, AWWs need constant upgradation of their knowledge in nutritional care of infants in their area for a better positive impact.…”

Section: Discussionmentioning

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

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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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Role of reorientation training in enhancement of the knowledge regarding growth monitoring activities by Anganwadi workers in urban slums of Delhi

Cited by 9 publications

References 1 publication

Evaluation of Integrated Childhood Development Services (ICDS) program implementation in an urban slum of Delhi, India

Evaluation of Integrated Childhood Development Services (ICDS) program implementation in an urban slum of Delhi, India

An intervention to improve the knowledge of anganwadi workers pertaining to growth monitoring in rural areas of Varanasi district, India

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

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