Nutrition in Banjar block, Himachal Pradesh – can we strengthen the District Health system?. Over view. Situation summary – why nutrition campaign? Actions for intervention Achievements Lessons for learning. Nutrition programme. Nutrition in under 5’s – Tandi Panchayat, HP, INDIA.
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Nutrition in Banjar block, Himachal Pradesh – can we strengthen the District Health system?
Largest programme in India
October – Dec 06 Survey of 15 anganwaddis
90% centres staffed
50% no utilisation of meds
100% have completed growth monitoring
60% under supplied rations
50% of mother’s don’t attend
Programme not accessible to over 50% of population (more than 1 hour walk)
Growth monitoring limited (lack of scales and inaccurate)
Lack of training to workers
Financial disincentive if reporting malnutriton
Build relationships with Government Project Officer and District officials
Support anganwaddi with child health clinics for all malnourished children on 15th dates
Training each month to ICDS staff
Train Nutrition promoters based in communities to work with anganwaddi workers
Outreach work – rations/ growth monitoring by NPs to more remote villages
Register 30 children each
Share all growth monitoring data with ICDS
Advocates with communities on nutrition/ ICDS