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Seminar On Nutritional Programme In India :

Seminar On Nutritional Programme In India Submitted To: Submitted By: Mr. Rajesh Keskar Bikram Mazumdar Subject Co-ordinator Post Basic B. sc Nursing II nd year

Introduction :

Introduction From the nutritional points & View the Indian society is actual society, consisting of a small group of well-fed and a very large group of undernourished . The specific nutritional problem in the country are :- PEM Nutritional Anemia Low birth weight Xerophthalmia Iodine deficiency disorder and others Under nutrition or Malnutrition is a world wide problem of today. Its is not only an important cause of child Mortality and Morbidity. But it leads to permanent impairment of physical and mental growth of those who service.

Meaning Introduction and Definition :

Meaning Introduction and Definition Meaning :- Nutrition : - Nutrition is drive from Latin world nutrire to nourish. 1. Nourishment 2. The same of the processes involved in the taking in of nutrient its and in their assimilation and use for proper body functioning and maintenance of health. 3. The study of food and drink as related to the growth and maintenance of living organism. Programme :- Programme comes from (Greek word port grammes record) Sequence of instructions written in computer programming language that control (the functional of computer.)

Definition :

Definition Nutrition : Nutrition is the science of food the nutrition and other substance their action, interaction and balance in relationship to health and disease, the process by which the organism ingests, digest absorbs, transports and utilizes nutrients and disposes of their end products .

Historical Perspectives:

Historical Perspectives This programme was started in in 1963 by the government of India in collaboration with UNICEF and WHO for improvement in the nutrition status of pregnant and lactating women and children’s young and old people. Objective of Programme :- 1 To develop, progressively a co-ordinate and comprehensive National Programme of education and training in applied nutrition and related subsets with the objective of establishing and effective field services to improve local diets. 2 To ensure effective utilization of these protective food pregnant and nursing women, preschool and school children. 3 To provide progressively facilities for the training and orientation of tutorial staff required for the educational institutions and training centre participating in this programme.

Need of Implementation of Nutrition Programme :

Need of Implementation of Nutrition Programme 1 To assess the growth of children. 2 To monitor the impact of the nutritional programme. 3 To find out the magnitude of the problem. 4 To assess the extent of prevalence to dietary management or deficiency. 5 To analyze the reasons for the nutritional disorders. 6 To Suggest ways of overcoming over nutrition and under nutrition's in the community.

Effects On Society :

Effects On Society 1 During Growth phase 2 During expectant and each nursing woman 3 Other vulnerable sections of the society Effects During Infancy and Childhood The period of infancy and childhood is one of the complete dependence upon the mother of fulfillment of nutritional needs. Direct effect :- 1 Protein- Calorie Malnutrition 2 Hypo vitaminosis 3 Anemia 4 Thiamine deficiency 5 Hypo Vitaminosis D Indirect effect :- Indirect effects are present to a greater degree as malnutrition in the harbinger of infective conditions.

Over all effects :

Over all effects The direct and indirect effects always go hand in hand and the above deficiencies usually do not occur alone. A Perinatal, infant and toddler mortality. B Growth retardation and effect, upon metabolism and final form. C Effects on physical development of brain and mental development. D Effects of individual nutritional deficiencies Effects during pregnancy :- ( The main nutrient deficiencies, are total dietary calorie Protein, Iron, calcium, Folic Acid and Vitamin A and D and the resultant conditions are anemia with hypo- proteinemia and Oesteomalaisia affecting innumerable young woman in our country .

Overall effects:

Overall effects A High maternal mortality. B High morbidity proneness to infective conditions like T.B., under weight 44 % had Hypo vitamin A and 10% had gross hypo proteinemia.

Nutritional Problem in India :

Nutritional Problem in India This problem is a chronic one : The diversions of the problem in our country are such that a part from having some of the highest maternal, neonatal and infant mortality rate in the world. There are many nutritional problems which affect vast segment of our population. The major one which deserve special mentions are highlighted. 1. Low Birth Weight Low birth weight ( i.e. birth weight less than 2500 g ) is a major public health problem in many developing countries. About 30 % of babies born in India are LBW ( 92) was compared to 4% in same developed countries. In countries where the proportions of LB Weight in high, the majority are suffering from foetal growth retardation . In countries where the proportion of LBW infant is low, most of them are pre- term.

2. Protein Energy Malnutrition :

2. Protein Energy Malnutrition Protein energy malnutrition has been identified as a Major health and nutrition problems in India. It occurs particularly in weakling and children in the first year of life. It is not only an important cause of childhood morbidity and mortality, but leads to permanent impairment of physical and possibility, of mental growth of those who survive. 3. Xerophthalmia Xerophthalmia ( dry eyes ) refers to all the occular manifestation of vit A deficiency in man. It is the most widespread and serious nutritional disorder leading to blindness particularly in south- East Asia. Xerophthalmia is most common in children aged 1-3 years and is often related to weaning. The younger child the more severe the disease. It is often associated with PEM. Mortality is often high in the age group 27.

PowerPoint Presentation:

4. Nutritional Anemia Nutritional anemia is a disease syndrome caused by malnutrition in its widest sense. It has been defined by who as a conditions in which the hemoglobin content of blood is lower than normal as a result of a deficiency of one or more essential nutrients regardless of the cause of such deficiency. Anemia is established if the hemoglobin below the cut off points reminder by WHO. 5. IODINE DEFECIENCY DISOREDER:- Iodine deficiency is yet other major nutrition problem in India. Till recently iodine deficiency was equated with Goitre in recent year it has become increasingly clear that iodine deficiency leads to a much wider spectrum of disorder commencing with the intrauterine life and extending through childhood to adult life with serious health and social implications.

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SKIT

Nutritional Programme in India :

Nutritional Programme in India A Mid day meal programme. B Balwadi Nutrition Programme. C Vitamin A prophylaxis programme D Prophylaxis against nutritional anemia. E Control of Iodine deficiency disorder. F Special nutrition programme. G Integrated child development services programme,

1.Mid Day Meal Programme :

1.Mid Day Meal Programme The mid day meal programme is also known as school lunch programme. This programme has been in operation since 1961 throughout the country. The major objectives of the programme is to attract more children for admission to school and retain them so that literacy improvement of children could be brought about. Midday meal programme has an important role in providing balanced diet to school children. Aims of Midday meal: 1 To fulfill one third nutrition requirement of school children. 2 To create interest about school and education among children. 3 To reduce absenteeism of children in school. 4 To provide relief to parents of poor children.

2. Balwadi Nutrition Programme :

2. Balwadi Nutrition Programme This programme was started in 1970 for the benefit of children in the age group 3-6 years in rural areas. It is under the over all change national level organization including the Indian council of child welfare are given grants to implement the programme. Voluntary organization which receive the funds are actively involved in the day to day management. The programme is implemented though balwadi which also provide pre- primary education to these children. The food supplement provide 300k cal and 10 gram of protein per child per day. 3. Vitamin ‘A’ Prophylaxis programme This programme was launched by the ministry of health and family welfare in 1970 on the basis of technology developed at the national instution of nutrition at Hyderabad. It is worth mentioning that India is the first country in the world where the programme for prevention of blindness due to deficiency of vitamin A was launched on a national scale. This programme was run in seven states 1975, This programme in being conducted nation wide.

Prophylaxis Against Nutritional Anemia :

Prophylaxis Against Nutritional Anemia This programme was started by government of India under the fourth 5 year plan under this Iron and Folic Acid tablets are distributed among pregnant woman and children between 1 and 12 years of age so that vulnerable group can be saved from nutritional anemia. Distribution of tablets is carried out in the community center health centers and hospital. The tablets are also distributed free of cost at antenatal clinics and during home visits. Besides tablets distributions nutrition counseling fortification of salt with iron making availability of food rich in iron and folic acid are other part of this programme.

5. Control of Iodine Deficiency Disorders :

5. Control of Iodine Deficiency Disorders The National Goitre programme was launch by government of India in 1962 in the conventional goitre belt in the Himalayan region with the objective of identification of the goitre endemic areas to supply iodized salt in place of common salt and assess the impact of goitre control measures over a period of time. 6. Special Nutrition Programme This programme was started in 1970 for the nutritional benefit of children below 6 years of age pregnant and nursing mother and is in operation in urban, slums, tribal areas and backward rural areas. The supplementary food supply about 300 k.cal and 10-12 grams of protein per child per day. The beneficiary mother receive daily 5 gm and 25 gm of protein. This supplement is provided to them from about 300 days in a year. This programme was originally launched as a central programme.

7. Integrated Child Development Services Programme ( ICDS) :

7. Integrated Child Development Services Programme ( ICDS) Integrated child development services programme was started in 1975 in pursuance of the National policy for children. There is a strong nutrition components in this programme in the form of supplementary nutrition, vitamin A prophylaxis and iron and folic acid distribution. The beneficiaries are pre school children below 6 year pregnant & lactating mothers. Role of Community health Nurse. 1. Identify cases of Mal Nutrition among pre school children, one to five years and refer them to nutrition feeding centers and to the medical officer public Health Centre. 2. Educate the community about nutritious diet for mother and children. 3. He will work out the residential birth death and infant Mortality rate, acute gastroenteritis and cause for specific death rate for each of the panchayat in this area.

PowerPoint Presentation:

4 He will exhibit this data in graphs and charts in the subcentres. 5 He will administer vitamin A conceptive once in 6 month to all children from one year to five years. 6 The community health Nurse will have to study the food habits of peoples & their views. 7 She needs to impart the knowledge of importance of good nutrition with out hurting their cultural habits. 8 She needs to use all media of health education in nutrition education. 9 She needs to demonstrate simple recipes which are affordable and locally available. 10 She needs to identify the Malnourished children and refers them appropriately to the nutrition programme. 11 She assist in Nutrition rehabilitation programme. 12 She takes part in research activities.

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