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Managing Malnutrition in Ahmedabad. Local food – control of Malnutrition in Ahmedabad & Gujarat in general. Nutrition Basket for Supplementary food for severely & moderately Malnutrition children Hema Mehta

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Managing Malnutrition in Ahmedabad


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    1. Managing Malnutrition in Ahmedabad • Local food – control of Malnutrition in Ahmedabad & Gujarat in general. • Nutrition Basket for Supplementary food for severely & moderately Malnutrition children Hema Mehta DNHE,CIN Chairperson, People’s Heath & Development Trust

    2. po%a` su\aro , t>durStI v\aro. 1. po%a`nIAgTyta 2 2. halnIpiriS=it 3 3. qoraknIps>dgIvqte |yanma> raqvanIbabto 5 4. kupo%a` -@aDvana ]payo 10 5. po%a`yuKtsStoqorak t=a AO%a\ 5 6. Nutrition Basket 10 7. SvaS+yix&a` ma@epoS@r 5 8. soF@ver t=a vebsa[@ 5 9. wiv%ynu> Aayojn 5 10. ccaR t=a ]ps>har 10

    3. 1. po%a`nI AgTyta Aaharno AekDo .. bIja b\a mI>Da po%a` xairrIk , manisk t=a samajIk t>durStIno payo !e. Aa|yaiTmk SvaS+y ma@e p` ATy>t ]pyogI !e. ApUrtu> po%a` .. Maa>dgI v\u, sarvar qcR v\e, kma`I Ao!I =ay, ix&a` k=^e, z-Da v\e vgere... da.t. lohInI ifkkax va^I bhen ba^kne v\u mare, pit ,paDoxI Ane sasu sa=e v\u zgDe

    4. Poor Nutrition resulting in weight loss, muscle wasting, weakness, nutrient deficiencies Impaired immune system Poor ability to fight infections, Increased stress Increased Nutritional needs, Reduced food intake and increased loss of nutrients Infection Increased vulnerability to secondary infections Vicious Cycleof Malnutrition and infection Source: Adapted from RCQHC and FANTA 2003

    5. Choice is between:Diet or Death ? • If diet is not proper at any stage be ready for consequences. • It will lead to Disease • Drug • Doctor • Diagnosis & Drug • Disability & Dependency • Death ----------- -

    6. 2. halnI piriS=it • srkar -`a p/yTn krI rhI !e. • loko su\I maihtI pho>cI rhI !e. • smacar pt/oma> s>Qyab>\ leqo AavI rhya !e. • Saarvar njIkma> m^tI =[ !e. DoK@rnI s>Qya v\I rhI !e. • [N@rne@=I maihtI ha= vgI bnI !e. • Avnva s>xo\no Ane sa\no taTkailk hajr !e to p!I Aavu> kem ? Aag`vaDI Ane xa^ana Baa^ko Aek baju sUklkDI Ane bIjI baju v\u pDta vjn \ravta nagirkono jImqanaAoma \saro. medanonI rmtna bdle moba[l, @IvI Ane ivDIyo gemma> smy psar qoraknI slahna bdle @onIknI bo@lo, pavDrna DBbaAo Ane [>jeKxnonu> -oDapur. lohInI lalax ]DIne , ifKKa cheraAo mu>zaya kre. Aavu> kem? Aek ]dahr` AenImIyanu>

    7. Definition of anemia

    8. Iron Deficiency Anemia ( IDA ) - Prevalence • Global (WHO,1991) - Over 2 billion people, 40% of the world’s population • Regional (WHO,1996) Pregnant Women: South East Asia – 79 % (includes India) Eastern Mediterranean – 61% Africa – 44% Western Pacific – 39% Americas – 29% Europe – 20% • 90 % the anemic persons live in developing countries • Greatest risk to ==> infants, preschool children, adolescents & women of child bearing age group

    9. Nearly half of the global total number of anemic women live in the Indian subcontinent(WHO,1991) • In India, at least 60-70% of the adolescent girls are anemic. • Classification of countries with respect to the degree of public-health significance of anemia [WHO/UNICEF(1996)] – • Anemia prevalence of at least 40%  high prevalence • Anemia prevalence of 15-40%  medium prevalence • Anemia prevalence of less than 15 %  low prevalence • Needless to say, India is in the high prevalence group

    10. Trends in Anemia among Children

    11. 3. qoraknI ps>dgI vqte |yanma> raqvanI babto • po%a`mULy • Svad • SvC!ta • Kya> su\I sacvI xkay • deqav • samajIk Ane \aimRk SvIk<tI , smy , s>jogo , • ik>mt , Aai=Rk piriS=tI • m^vama> sr^ta • ra>\vama> sr^ta , ra>\vanI po%a`mULy pr Asr • heraferIma sr^ta • pe@ wrvama> ]pyogIta • we^se^nI s>wavna , k<it/m r>g , rsay` , p/Izrve@Iv , Aese>s vgerenu> p/ma` vgere

    12. 4. kupo%a` -@aDvana ]payo • sacI maihtI , *aan , smj , s>xo\nno stt ]pyog • piriS=tIno stt Qyal Ane mULya>kn • qoraknI yoGy ps>dgI t=a p/ma`sr j+=o. • qorak s>b>\I @evo • cepI rogone kabuma> leva • SvC! Paa`I Ane qorak • qorak nI smtulIt vhe>c`I , sO=I mo>-ama> mo>-u ko` qrIde !e? sO=I grIb • AaroGy ix&a`. indxRn ra>\vanI k^anu> • sof@ver , vebsa[@ , [meel , AesAemAes , vgereno ]pyog

    13. qoraknI SvC!ta Ane po%a` 1. A#vaDIyama> be var Aek muÌI f`gavel k#ae^ qava jae[Ae, jeva ke f`gavel mg A=va c`a,m# ivgere xÑAatma> =eaDa p/ma`ma> cavIÞcavIne \Ime\Ime qavu>,mafk AavI jay p!I 25Þ30 g/am je@lu> l[ xkay. f`gavel k#ea^ne !ayDama> sUkvIne lea@ bnavvama> Aave tea te lea@ -`ea j shela[=I pcI jay Aevae bne !e.Aa lea@ rab, -e>s,bafelea lea@,suqDI ivgere bnavvama> vaprI xkay.

    14. .A#vaDIyama> be var lIla pa>dDa va^I waà • 100 g/am qavI jae[Ae. jeva ke me=InI, ta>d^jae, kum^a mu^anI waÃ, kea=mIr, DeaDInIwaÃ,srgvana pannI waÃ, A^vIna pannIwaÃ, svanI waÃ, palqnI waÃ,lu`nIwaÃ,cIlnIwaÃ,ivgere. waÃnu>xak bnavta phela Aa@lu> |yan raqae

    15. 1 seEa p/=m pa`I=I \ea[ na>qae. • 2 waÃne bhu zI`I smarvI nhI. • v-ar ma@e mUkela telne bhu grm n =va • devu>.ára[ n mukIAe tea caleâxÑAatma> xak bnavtI vqte $a>k` quLlu> raqvu> Ane 5Þ10 imnI@ p!I $a>kI devu>. waÃnu> xak qava=I zaDa =ta heay tea waÃnea p/kar bdlI na>qvae A=va waÃnea rs pIvDavoe

    16. 3. wat,qIcDI,!u@I da^ bnavIAe te vgerenu> Aeasam` fe>kI dev>u n jea[Ae. 4. featrava^I polIx vgrnI da^ vaprvI jemke mgnI da^, tuvernI featrava^I da^ ivgere caeqa krta> paEEAama> lohtTvnu> p/ma` v\are hoy !e.

    17. 5. da^,ceaqa ivgere -sIne \eava nhI> Ane \eaya p!I pla¾ya heay tea te pa`I rsea[ma> vaprI levu> . 6. vasI qearak n qavea samaNy rIte ]na^ama 6 klak p!I n qavu> 7. drreaj Aek Aam^u qavu> A=va 5 =I 10g/am sUka Aam^a ke Aam^an>u cU`R levu>

    18. 8. f^ jeva ke jamf^,ppEyu>,meas>bI,cIku> drreaj A=va A#vaiDyama> 2Þ3 var qavu> 9. qa>Dna bdle gea^, go^na bdle xerDI cUsvI sarI. áxerDInea rs bjarma> m^e te wy>kr nuksan krI xke.â 10. jmtI vqte tulsIna 10 pan qava.

    19. 11. jmta> phela Ane p!I 5 imin@ xa>t Ane p/sNn icÁae Aaram krvea. 12. cavIcavIne \Ime\Ime nana kea^Iya Aan>dpUvRk jmva. 13. -]>nae lea@ ca^Ine ÃvDa ka$Ine car` pa!u> lea@ma> na>qI devu. -]>nea lea@ bh>u zI`ea n d^vea.

    20. 14. jmvama> Aea!ama> Aea!u> kcu>br levu> Ane te p` jo grm pa`I=I \oyelu> hoy to. 15. mI#u> bne Tya> su\I Ao!u qavu>. 16. t^elI vangI n qavI A=va Ao!I qavI jemk pa`IpurI,wÃya,smosa vgere.

    21. 17. lal mrcane bdle lIla mrcano ]pyog xKy hoy Tyare krvo. 18. bjarma> bnta tEyar qorak =I ivxeÄ ko[ faydo =to n=I, ]L@u kyarek nuksan =[ XaKe !e. Aa=I j xky hoy Tya> su\I nIce lqela qorakãDBbaAo n leva áA=va waGye j ko[var leva.â

    22. 19. ba^keane ca, keafInI @ev n paDvI tena bdle du\ Aapvu>.mea@aAaeAe xky heay tea ca, keafI b>\ krva daÑ, bIDI, tmaku, !I>k`I tea n j leva. 20. wUq lage tena krta> v\u n qavu>áqas krIne Svaid%@ vangI qatI vqte |yan raqvu>.â qearakna ]prna inymea pa^va=I nIcena raegea =ta A@ke A=va =ya heay tea Aea!I tklIf Aape Ane jLdI kabuma> Aave.

    23. jemke go^I, cokle@, wU>g^a, pePsIkola, brf, kuLfI, Aa[Sk/Im, )Iq>D, koLD/I>k, iviv\ jatna> ibSkI@ áqara>,g¾ya,k/Imâ pa]>, b/eD, kon, qarIpDva^I,ibSkI@,im#a[, fU@slaD,brf n>aqel A=va coQqa[ vgr bnavel xerDIno rs, f/U@Jyus. tEyar p/o@In, iv@amIn, du\na DBbajevake p/o@IneÅ,holIRKs,bonRvI@a vgerenI t>durSt ba^kne ko[ jÑr n=I. la>ba ga^e kuiÀm bnav@na qorak=I AS=maádmâ,AelÃR, keNsr jeva wy>kr reagea =vanI xKyta v\e !e.

    24. ba@lIno jam, ma>da paDvanu> kam KeLXym Ane iv@aimn to hxe pr>tu sa=osa= Øip/zrve@IvØk<i¿am r>gØsug>i-t ÖVyØk<i¿am Svad hxe to???ÜÜto ke@lay rogone inm>¿a` Aapxe jemke...ØAeljI RØdmØkIDnINaI tklIfØlIvrna rogo

    25. Recommended Daily Allowances

    26. Recommended Daily Allowances

    27. Balanced Diet

    28. sa=e sa=e jrurI !e ... ... ... • SvC! qorak Ane pa`I • SvC! ha= Ane vas` • rogono A@kav ... Qaas krIne melerIya, krimya , zaDa, gumDa> xrdI, qa>sI vgere • nukxankark jaherato pr lgam • dvaAono ]ict ]pyog. befam dvaAo n levI. • mata Ane ipta b>Nneno p/ema^ SpxR Ane hU>f • Aa>g`vaDI kayRkr p/em=I raqe , smje Ane smjave. • marvu> nhI , ]tarI paDvu> nhI .

    29. 5. po%a`yuKt sSto qorak t=a AO%a\

    30. Medicinal value of food !!

    31. Medicinal value of food !!

    32. 6. Nutrition basket

    33. SvaS+yp/d vangIAo. • cokle@ • p>jrI • qIcu> • cUrmana> laDva • fUdInanI c@`I

    34. -]>na lo@nI b/eD • -]>na lo@na ibiSk@ • -]>na lo@nI Kek • -]>na lo@nI Naan q@a[ • sa=vo • wEDku>

    35. lapsI:Þ1 va@kIjaDo -]>no lo@, po`Iva@kIpa`I, AD\a va@kaje@lo go^. lo@ zI`ohoy to po`Iva@kIpa`I.rIt:Þlo@ne á telnu> ã -Inu> â mo` d[ pa`Ine go^ qUb ]k^ep!IAorI d[ vel`=I qaDapaDI \Ime tape $a>kI d[ =oDIvarp!Ihlavvu>. ne !eLlenIcelo$ImUkI 10 imin@ raqImUkvu>. tpelIjaDIipÁa^nIlevI.

    36. $ok^a:Þ3 va@kIcoqa \o[ ne sUkvva. 1 va@kIc`anIda^, 1 va@kIADdnIda^ na>qIkkro lo@ d^vo.Aa=ama> h^dr, me=I, c`anIda^, watna>qva. $ok^akrtIvqteva@ela> Aadumrca>, mI#u>, soda, tel -]>no jaDo lo@ mo` d[ne na>qvo.

    37. jlebI:Þ1 kp -]>no lo@, 2 cmcI c`ano lo@ ,1.5 kpqa>D, 0.5 kpdhI> ne 1 cp@Ije@losoDana>qIAaim)` pa`Ima> pla^vu>. =oDu> $Ilu raqvu>. grm -I ma> t^vIAne b\I t^ayAe@lecas`Ima> na>qvI. Caas`I jra AakrI krvI p!I \Ima tape 10 imin@ raqvI. Caas`Ima>=I ka$Ine !U@I !U@I mUkvI.

    38. p>jrI:Þ100 g/am \a`a, 100 g/am suva, 100 g/am @opra, sU># 25 g/am, qa>D 250 g/am, -I jÑr p/ma`e.sUva Þ \a`a, @opÑ -I mUkInexekIlevad^Ine b\u> mIKskrvu>.

    39. 7. SvaS+y ix&a` ma@e poS@r