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ANEMIA AMONG CHILDREN (State wise data) & Measures To Reduce Anemia(Part-II)

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  • Bharat Dube
    *Measures to reduce the nutritional Anemia* ** Government has initiated various measures to improve the nutritional status including anemia in the population.
    Message 1 of 2 , Mar 10 3:39 AM

      Measures to reduce the nutritional Anemia

      Government has initiated various measures to improve the nutritional status including anemia in the population. The measures are:

       1. The Reproductive and Child Health Programme (RCH-II) provides iron and folic acid tablets to all pregnant and lactating women and preschool children for anemia control. Now it has been decided that children 6 months to 5 years would be given 20 mgs iron and 100 mcg folic acid supplement in liquid form. Children 6-10 years would be provided with 30 mg iron and 250 mcg folic acid while adolescents in the age group 11-18 years would receive the same dose as adults.

      A village link worker (ASHA) under the NRHM will orient the community on the importance of Nutrition and shall be provider of IFA tablets besides orienting the community on other health related issues.

      The States have been advised to organize monthly Health & Nutrition days where anemia prevention measures are also discussed.

      2. Supplementary feeding through programmes like Integrated Child Development Services (ICDS) scheme. Children in the age group 0-  6 years receive supplementary nutrition, immunization, preschool education etc. Supplementary food to pregnant women / nursing mothers to the extent of 500 calories and 20-25 g protein per day is also provided along with nutrition and health education. One of the recent steps to increase the effectiveness of services under ICDS is the provision of 50% of Recommended Dietary Allowances (RDA) of micronutrients through supplementary food.

      Supplementary food is also provided through National Programme of Nutritional Support to Primary Education (Mid-day Meal programme) to school going children. 

      3. A National Nutrition Policy was adopted in 1993 and the National Plan Action on nutrition is being implemented through various departments of Government of India. Now a National Nutrition Mission under the Ministry of Women and Child Development has been set up to deal with all nutritional problems through a Mission mode approach. 

      4. Nutrition Education to increase the awareness and bring about desired changes in the dietary practices including the promotion of breast feeding and dietary diversification. 

      5. Other measures initiated by the Government to imporive the Nutritional Status of the people are: 

      i) Improving agricultural and horticulture produce

      ii) Improving the purchasing power of the people through income generating schemes

      iii) Availability of essential food items at subsidized cost through Targeted Public Distribution system and Public Distribution System.

       6. Programmes for prevention of Specific Micronutrient Deficiency Disorders other than iron deficiency. 

          i) Under RCH programme Vitamin A supplements are provided to children till 5 years of age.

          ii) National Iodine Deficiency Disease Control Programme (NIDDCP)

       7. Pilot initiatives on fortification of micronutrients with atta (flour), oil etc.

       8. As part of filariasis control Hetrazan along with Albendazole are administered as part of filariasis control. Deworming helps improve anemia.

      9. National Malaria Control Programme.

      -
      Dr Bharat Dubey
      Consultant,
      Policy Analyisis Unit.KGMU.
      Guest Lecturer,
      MPH,Lucknow University.
    • Rajesh Sood
      Dear Friends, Intolerance, compliance is always a problem with tablets- iregular supplies further compound the problem. Double fortified salt DFS can be a
      Message 2 of 2 , Mar 10 9:26 AM
        Dear Friends,
         
        Intolerance, compliance is always a problem with tablets- iregular supplies further compound the problem.
        Double fortified salt DFS can be a useful public health measure to increase iron levels in the population
        iodisation of salt has proven effective in controlling this public health problem.
        Tamil nadu salt corporation supplies this DFS at cost around 4/- per KG which is much less than Tata salt and is palatable and has same white colour. The production and demand need to be upscaled. If legislative measures are taken to make Irn fortified salt (DFS) compulsory, we can make huge dent in irn deficiency in the country.
         
        Till then ICDS and school mid day school meals should intiate DFS as a public health population strategy.
        Iron tablets will continue to be used as therapeutic measure along with other long term measures.
         
        Rajesh Sood
        On Mon, Mar 10, 2008 at 4:09 PM, Bharat Dube <bharatdube@...> wrote:


        Measures to reduce the nutritional Anemia

        Government has initiated various measures to improve the nutritional status including anemia in the population. The measures are:

         1. The Reproductive and Child Health Programme (RCH-II) provides iron and folic acid tablets to all pregnant and lactating women and preschool children for anemia control. Now it has been decided that children 6 months to 5 years would be given 20 mgs iron and 100 mcg folic acid supplement in liquid form. Children 6-10 years would be provided with 30 mg iron and 250 mcg folic acid while adolescents in the age group 11-18 years would receive the same dose as adults.

        A village link worker (ASHA) under the NRHM will orient the community on the importance of Nutrition and shall be provider of IFA tablets besides orienting the community on other health related issues.

        The States have been advised to organize monthly Health & Nutrition days where anemia prevention measures are also discussed.

        2. Supplementary feeding through programmes like Integrated Child Development Services (ICDS) scheme. Children in the age group 0-  6 years receive supplementary nutrition, immunization, preschool education etc. Supplementary food to pregnant women / nursing mothers to the extent of 500 calories and 20-25 g protein per day is also provided along with nutrition and health education. One of the recent steps to increase the effectiveness of services under ICDS is the provision of 50% of Recommended Dietary Allowances (RDA) of micronutrients through supplementary food.

        Supplementary food is also provided through National Programme of Nutritional Support to Primary Education (Mid-day Meal programme) to school going children. 

        3. A National Nutrition Policy was adopted in 1993 and the National Plan Action on nutrition is being implemented through various departments of Government of India. Now a National Nutrition Mission under the Ministry of Women and Child Development has been set up to deal with all nutritional problems through a Mission mode approach. 

        4. Nutrition Education to increase the awareness and bring about desired changes in the dietary practices including the promotion of breast feeding and dietary diversification. 

        5. Other measures initiated by the Government to imporive the Nutritional Status of the people are: 

        i) Improving agricultural and horticulture produce

        ii) Improving the purchasing power of the people through income generating schemes

        iii) Availability of essential food items at subsidized cost through Targeted Public Distribution system and Public Distribution System.

         6. Programmes for prevention of Specific Micronutrient Deficiency Disorders other than iron deficiency. 

            i) Under RCH programme Vitamin A supplements are provided to children till 5 years of age.

            ii) National Iodine Deficiency Disease Control Programme (NIDDCP)

         7. Pilot initiatives on fortification of micronutrients with atta (flour), oil etc.

         8. As part of filariasis control Hetrazan along with Albendazole are administered as part of filariasis control. Deworming helps improve anemia.

        9. National Malaria Control Programme.

        -
        Dr Bharat Dubey
        Consultant,
        Policy Analyisis Unit.KGMU.
        Guest Lecturer,
        MPH,Lucknow University.




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