重铸食品

Nakkeeran N, S. Jadhav, A. Bhattacharya, Sunil Gamit, Chetan Mehta, Pratiksha Purohit, Ruchi Patel, Minal Doshi
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引用次数: 1

摘要

综合儿童发展服务(ICDS)是在印度开展的主要项目,旨在解决儿童发展、营养不良和学前教育等问题。大约每1000人中就有一名安干瓦迪工作人员和一名安干瓦迪帮工,通过安干瓦迪中心提供一揽子服务,包括补充营养方案、学前教育、免疫、健康检查、转诊服务以及营养和健康教育。自20世纪90年代中期以来,印度政府一直在努力推广ICDS,在第八个五年计划(1992-93至1996-97)和第十二个五年计划(2012-17)期间,分配给该计划的资金增加了数倍(1-2)。但是,国际综合发展系统下所有服务的使用率仍然很低。在AWCs覆盖的地区,近75%的0-71个月大的儿童没有从中心获得任何补充食物,不到12%的儿童“几乎每天”获得补充食物。对于36-71个月大的儿童,这一数字为15.5%。超过80%的儿童根本没有称重。据报道,由于不利的体制规则和结构性因素,属于经济落后和社会边缘化家庭的儿童,包括达利特人、部落和宗教少数群体的儿童被排除在利用这些服务之外。同样,富裕家庭的成员也不使用AWCs(尤其是SNP)为6岁以下儿童提供的服务。在古吉拉特邦的四个村庄进行了一项多地点人种学研究,以确定AWCs使用率低的原因,特别是SNP服务。该研究旨在了解农村环境中SNP周围家庭的日常体验,并有机会将awc作为嵌入乡村文化生活背景的制度进行研究。作者假设,一项以儿童福利为重点的研究可以作为一个说明性案例,以突出在执行其他基于应计权利的方案方面的挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Recasting Food
Integrated Child Development Services (ICDS) is the principal programme operating in India to address issues around child development, malnutrition and pre-school education. A package of services – including the Supplementary Nutrition Programme (SNP), pre-school education, immunization, health check-ups, referral services, and nutrition and health education – are provided through an Anganwadi Centre (AWC) with an Anganwadi Worker (AWW) and an Anganwadi Helper (AWH) for roughly every one thousand people. From the mid-1990s, there have been successive efforts on the part of the Government of India to universalize ICDS, and there has been a multi-fold increase in funds allocated to this programme between the 8th Five-Year Plan (1992–93 to 1996–97) and the 12th Five-Year Plan (2012–17) (1-2). However, the utilization of all services under ICDS continues to be grossly low. Close to 75 percent of children aged 0–71 months in the areas covered by AWCs did not receive any supplementary food from the centres, and less than 12 percent of children received supplementary food ‘almost daily’. For children aged 36–71 months this figure is 15.5 percent. More than 80 percent of children were not weighed at all. It has been reported that children belonging to economically backward and socially marginalised families, including Dalit, tribal, and religious minorities, are excluded from utilising these services through unfavourable institutional rules and structural factors. Equally, members of well-off families do not use services provided by AWCs – especially the SNP – for under-6 children. A multi-sited ethnographic study was conducted in four villages in Gujarat in order to identify the reasons behind poor utilisation of AWCs, especially the SNP services.  The study aimed to understand everyday experience of households around the SNP in rural settings and an opportunity to study AWCs as institutions embedded in the context of village cultural life. The authors hypothesise that a study focusing on AWCs could serve as an illustrative case to highlight challenges in implementing other entitlement-based programmes.
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