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Assessing the Efficacy of a Nutritional Intervention Program in a Tribal Area in Maharashtra

Received: 15 September 2022     Accepted: 4 October 2022     Published: 24 October 2022
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Abstract

Nutritional deficiency is a key impediment to the development of India as it impacts the growth, health and productivity of its population. The government has sponsored a Midday Meal Scheme (“MMS”), a school meal program to improve the nutritional standing of children in the country. MMS currently serves approximately 120 million children in over 1.27 million schools and is the largest such program in the world. While MMS is far reaching and has the best of intentions its effectiveness in pre-primary and primary children is limited. The Bombay Mothers and Child Welfare Society (“BMCWS”) a 100 year old social organization based out of Mumbai had introduced a nutrition support program in the form of a breakfast meal (“BMCWS Meal Plan”) to address this deficiency in 2018. This study is designed to assess the efficacy of the BMCWS Meal Plan to serve as a supplement to the MMS in Rajgurunagar taluka, a tribal belt in Pune district, Maharashtra India.. The anthropometric indicators data collected is based on reporting guidelines of the Technical Expert Advisory Group on Nutrition Monitoring (TEAM) of UNICEF-WHO. Local school teachers collaborated to collect age, weight and height data for 159 children across 16 different schools in remote locations. Similarly hemoglobin readings of the children were taken with qualified nursing staff and the sample set was divided into three control groups. There was a clear improvement in the hemoglobin readings of the children in the program which implies the plan is effective in preventing anemia in children. Overall the results of the nutritional program show that it is not effective on anthropometric parameters however there is a positive impact on hemoglobin readings. Some changes to the existing nutrition plan will have a more pronounced impact on the children, specifically the introduction of pre-boiled eggs which will increase the protein intake in the diet and also be easy to transport to remote locations by the teachers.

Published in Journal of Food and Nutrition Sciences (Volume 10, Issue 5)
DOI 10.11648/j.jfns.20221005.12
Page(s) 165-170
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Malnutrition, Tribal Region, Anthropometric, Hemoglobin, Anemia, Nutritional Intervention

References
[1] Aguayo, V. (n.d.). Comprehensive National Nutrition Survey. National Health Mission. Retrieved September 12, 2022, from https://nhm.gov.in/WriteReadData/l892s/1405796031571201348.pdf
[2] Butler, N., & Streit, L. (n.d.). Kwashiorkor and Marasmus: What's the Difference? Healthline. Retrieved September 12, 2022, from https://www.healthline.com/health/kwashiorkor-and-marasmus
[3] FANTA Project. (n.d.). MODULE 3 excerpt of "Guide to Anthropometry: A Practical Tool for Program Planners, Managers, and Implementers". FANTA Project. Retrieved September 12, 2022, from https://www.fantaproject.org/sites/default/files/resources/MODULE-3-FANTA-Anthropometry-Guide-May2018.pdf
[4] FAO. (n.d.). Hunger in India. India FoodBanking Network. Retrieved September 12, 2022, from https://www.indiafoodbanking.org/hunger
[5] India State-Level Disease Burden Initiative Malnutrition Collaborators*. (2019). The burden of child and maternal malnutrition and trends in its indicators in the states of India: the Global Burden of Disease Study 1990–2017. Lancet, 3, 855-70. https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(19)30273-1/fulltext
[6] Mother Child Nutrition. (2019). Food and Nutrition Board - India - Mother, Infant and Young Child Nutrition & Malnutrition - Feeding practices including micronutrient deficiencies prevention, control of wasting, stunting and underweight. Mother and Child Nutrition. Retrieved September 12, 2022, from https://motherchildnutrition.org/india/food-nutrition-board.htm
[7] Ntumva, M. (2013). School Dropout in Community Secondary Schools: A Case of Nyamilama Secondary SchoolMwanza Tanzania. International Journal of Science and Technology, 2 (10).
[8] POSHAN Abhiyan. (2018, October 22). POSHAN Abhiyaan - PM's Overarching Scheme for Holistic Nourishment. National Portal of India. Retrieved September 12, 2022, from https://www.india.gov.in/spotlight/poshan-abhiyaan-pms-overarching-scheme-holistic-nourishment
[9] Sheriff, K. (2021, November 25). Health survey shows anaemia a concern across age groups in children, women. The Indian Express. Retrieved September 12, 2022, from https://indianexpress.com/article/india/health-survey-anaemia-in-children-women-7640057/
[10] Siddiqui, F. (n.d.). The Intertwined Relationship Between Malnutrition and Poverty. Frontiers in Public Health, 8. https://www.frontiersin.org/articles/10.3389/fpubh.2020.00453/full
[11] Smile Foundation. (2021, December 18). What has NFHS-5 revealed about malnutrition in India? Smile Foundation. Retrieved September 12, 2022, from https://www.smilefoundationindia.org/blog/what-has-nfhs-5-revealed-about-malnutrition-in-india/
[12] Victora, C. G. (2008). Maternal and child undernutrition: consequences for adult health and human capital. The Lancet, 371 (9609), 340-357. https://www.sciencedirect.com/science/article/pii/S0140673607616924
[13] World Health Organisation. (n.d.). Anaemia. WHO | World Health Organization. Retrieved September 12, 2022, from https://www.who.int/health-topics/anaemia
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  • APA Style

    Anoushka Kapur. (2022). Assessing the Efficacy of a Nutritional Intervention Program in a Tribal Area in Maharashtra. Journal of Food and Nutrition Sciences, 10(5), 165-170. https://doi.org/10.11648/j.jfns.20221005.12

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    ACS Style

    Anoushka Kapur. Assessing the Efficacy of a Nutritional Intervention Program in a Tribal Area in Maharashtra. J. Food Nutr. Sci. 2022, 10(5), 165-170. doi: 10.11648/j.jfns.20221005.12

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    AMA Style

    Anoushka Kapur. Assessing the Efficacy of a Nutritional Intervention Program in a Tribal Area in Maharashtra. J Food Nutr Sci. 2022;10(5):165-170. doi: 10.11648/j.jfns.20221005.12

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  • @article{10.11648/j.jfns.20221005.12,
      author = {Anoushka Kapur},
      title = {Assessing the Efficacy of a Nutritional Intervention Program in a Tribal Area in Maharashtra},
      journal = {Journal of Food and Nutrition Sciences},
      volume = {10},
      number = {5},
      pages = {165-170},
      doi = {10.11648/j.jfns.20221005.12},
      url = {https://doi.org/10.11648/j.jfns.20221005.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfns.20221005.12},
      abstract = {Nutritional deficiency is a key impediment to the development of India as it impacts the growth, health and productivity of its population. The government has sponsored a Midday Meal Scheme (“MMS”), a school meal program to improve the nutritional standing of children in the country. MMS currently serves approximately 120 million children in over 1.27 million schools and is the largest such program in the world. While MMS is far reaching and has the best of intentions its effectiveness in pre-primary and primary children is limited. The Bombay Mothers and Child Welfare Society (“BMCWS”) a 100 year old social organization based out of Mumbai had introduced a nutrition support program in the form of a breakfast meal (“BMCWS Meal Plan”) to address this deficiency in 2018. This study is designed to assess the efficacy of the BMCWS Meal Plan to serve as a supplement to the MMS in Rajgurunagar taluka, a tribal belt in Pune district, Maharashtra India.. The anthropometric indicators data collected is based on reporting guidelines of the Technical Expert Advisory Group on Nutrition Monitoring (TEAM) of UNICEF-WHO. Local school teachers collaborated to collect age, weight and height data for 159 children across 16 different schools in remote locations. Similarly hemoglobin readings of the children were taken with qualified nursing staff and the sample set was divided into three control groups. There was a clear improvement in the hemoglobin readings of the children in the program which implies the plan is effective in preventing anemia in children. Overall the results of the nutritional program show that it is not effective on anthropometric parameters however there is a positive impact on hemoglobin readings. Some changes to the existing nutrition plan will have a more pronounced impact on the children, specifically the introduction of pre-boiled eggs which will increase the protein intake in the diet and also be easy to transport to remote locations by the teachers.},
     year = {2022}
    }
    

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    AU  - Anoushka Kapur
    Y1  - 2022/10/24
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    AB  - Nutritional deficiency is a key impediment to the development of India as it impacts the growth, health and productivity of its population. The government has sponsored a Midday Meal Scheme (“MMS”), a school meal program to improve the nutritional standing of children in the country. MMS currently serves approximately 120 million children in over 1.27 million schools and is the largest such program in the world. While MMS is far reaching and has the best of intentions its effectiveness in pre-primary and primary children is limited. The Bombay Mothers and Child Welfare Society (“BMCWS”) a 100 year old social organization based out of Mumbai had introduced a nutrition support program in the form of a breakfast meal (“BMCWS Meal Plan”) to address this deficiency in 2018. This study is designed to assess the efficacy of the BMCWS Meal Plan to serve as a supplement to the MMS in Rajgurunagar taluka, a tribal belt in Pune district, Maharashtra India.. The anthropometric indicators data collected is based on reporting guidelines of the Technical Expert Advisory Group on Nutrition Monitoring (TEAM) of UNICEF-WHO. Local school teachers collaborated to collect age, weight and height data for 159 children across 16 different schools in remote locations. Similarly hemoglobin readings of the children were taken with qualified nursing staff and the sample set was divided into three control groups. There was a clear improvement in the hemoglobin readings of the children in the program which implies the plan is effective in preventing anemia in children. Overall the results of the nutritional program show that it is not effective on anthropometric parameters however there is a positive impact on hemoglobin readings. Some changes to the existing nutrition plan will have a more pronounced impact on the children, specifically the introduction of pre-boiled eggs which will increase the protein intake in the diet and also be easy to transport to remote locations by the teachers.
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Author Information
  • Biology Department, Dhirubhai Ambani International School, Mumbai, India

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