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Impact of total six years exposure to integrated child development services on growth and health status of target children in dalmau project area uttar pradesh india



Impact of total six years exposure to integrated child development services on growth and health status of target children in dalmau project area uttar pradesh india



Indian Journal of Medical Research 86(DEC): 766-774



An assessment of impact of 6 yr exposure to the Integrated Child Development Services (ICDS) Scheme on growth and health status of children in the Dalmau project (Rai Bareli district, UP), was undertaken. Anthropometric measurements (weight for age, height for age and weight-height index), malnutrition, morbidity and immunization were used as indicators of the child's growth and health status. A total of 214 children aged 6-8 yr, from three randomly selected villages of the ICDS block Dalmau and 205 children of the same age group from three randomly selected villages of the adjoining non-ICDS block Lalganj were compared on the basis of these indicators. Both the ICDS and non-ICDS groups were fairly well matched according to most of the biosocial characteristics. In all the three areas and in both the sexes, children in ICDS group were having higher values for mean weight and mean height as compared to non-ICDS group but, in weight, the differences were significant only in the age groups of 6 and 7 yr in both the sexes and, in height, the significant differences were observed in the age group of 6 yr among the males and in the age groups of 6 and 7 yr among the females. In all the ages percentage of children having weight-height index below 0.15 (age independent criterion for PEM) was much more in the non-ICDS group (41.95%) as compared to ICDS group (24.30%) but the differences were statistically significant in the children aged 6 and 7 yr only. Overall prevalence of PEM was significantly lower in the ICDS group (20.09%) as compared to the non-ICDS group (35.12%). Other types of malnutrition were also less prevalent in the ICDS area. There was significantly lower prevalence of diarrhea and dysentery, diseases of the skin and eyes at the time of study, in the ICDS group (9.81, 5.14 and 1.40% respectively) as compared to non-ICDS group (19.02, 12.20 and 6.83% respectively). Prevalence of upper respiratory tract infections, pyrexia, ear diseases were also lower in the ICDS group but the differences were not significant. Though the coverage of vaccination was significantly higher in the ICDS area, it was much below the desired level.

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