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Original Article

Natl J Community Med. 2014; 5(1): 109-113

Positive Deviance Approach and Supplementary Nutrition under ICDS Scheme on Improvement of Nutritional Status of 2–6 year Children in Rural Bangalore

Mohammed Imran, Mangala Subramanian, Subrahmanyam G, Jayashree Seeri, Pradeep C, Mini Jayan.


"Introduction: Childhood malnutri-tion is a significant health problem in India and important cause for childhood morbidity and mortali-ty. Lack of knowledge about child feeding contributes significantly to poor nutritional status among children. A system to deliver nutri-tion education effectively would be of value in India. Hence, the pre-sent study was designed to assess nutritional status of 2 to 6 year An-ganwadi children and to evaluate effect of nutrition education and supplementary nutrition on nutri-tional status of malnourished An-ganwadi children
Methods: An Interventional study was carried out in rural anganwadi centres selected by cluster sam-pling technique. Intervention was done in the form of Nutrition edu-cation based on positive deviance approach, supplementary nutrition and supervision. Weight for age of study participants was measured every quarter for a period of one year.
Results: The prevalence of under-weight initially was 47.3%. After intervention prevalence reduced to 43%, 40%, 32% and 30 % during first, second, third and fourth quar-ter assessment. The improvement was significant between baseline and first quarter assessment (P

Key words: Protein energy malnutrition, Posi-tive deviance approach, Supple-mentary nutrition, Anganwadi cen-tres

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