Evaluation of healthcare services of integrated childhood development services (ICDS) in a district of Western India

Journal of Medical and Scientific Research Pub Date : 2023-07-01 DOI:10.17727/jmsr.2023/11-40

Dave PD, Chauhan M, Sarkar A

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Abstract

Background: Early years of the life are the most crucial period for the physical, mental, social, emotional, language development and lifelong learning. Integrated child development services (ICDS) program maintained its uniqueness as early childhood development program of the world. The objectives of study were to (1) evaluate the ICDS services & its utilization by the beneficiaries & (2) find out differences in health care services between rural & urban anganwadi centres (AWCs). Method: A cross sectional study involving selected 120 AWCs of Jamnagar was carried out using a pro forma having questions related to health care services provided under ICDS. Results: 67% of beneficiaries were regular in pre-school education (PSE). Percentage of mild, moderate & severe malnutrition varied between 82-85%, 7-12% &6-8% in children between 6m-6 years respectively. Referral services, nutrition and health care session, vaccination services, routine healthcare check-up of children at every 1-3 month and Minimum 4 ANC visits were provided in 60%, 82.5%, 62.5%, 75% and 77.5% AWCs respectively. Conclusion: About 2/3rd beneficiaries were regularly attending PSE with higher prevalence in urban than rural AWCs. Percentage of mild, moderate & severe malnutrition varied between 82-85%, 7-12% & 6-8% in children of 6 months to 6 years respectively. Rural AWCs had more ‘mild malnourished’ child & urban AWCs had more ‘severely malnourished child’.

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综合儿童发展服务(ICDS)在印度西部地区的医疗服务的评价

背景:生命的早期是身体、智力、社会、情感、语言发展和终身学习的最关键时期。儿童综合发展服务(ICDS)项目保持了其作为世界儿童早期发展项目的独特性。本研究的目的是:(1)评估ICDS服务;受益人对其使用;(2)找出农村卫生保健服务的差异;城市anganwadi中心(AWCs)。方法:对贾姆纳格尔选定的120个AWCs进行横断面研究，使用与ICDS提供的卫生保健服务相关的问题进行形式调查。结果:67%的受惠者定期接受学前教育(PSE)。轻度、中度&在600 -6岁的儿童中，严重营养不良的比例分别为82-85%、7-12%和6-8%。60%、82.5%、62.5%、75%和77.5%的基层医院分别提供转介服务、营养和保健课程、疫苗接种服务、每1-3个月为儿童进行例行健康检查和最少4次产前检查。结论:约2/3的受益人定期参加PSE，城市的发生率高于农村AWCs。轻度、中度&严重营养不良在82-85%和7-12%之间变化;6个月至6岁儿童中分别为6-8%。农村awc有更多的“轻度营养不良”儿童;城市awc有更多的“严重营养不良的孩子”。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Medical and Scientific Research

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审稿时长

6 weeks