Objectives:

To follow up SDG Goals

To assess root cause for malnutrition in Children

To screen children against 4 –Ds (Defects, Delays
in milestones, Diseases, Deficiencies)
To assess socio-economic factors
contributing to malnutrition in children
To assess lack of awareness in mothers about proper
feeding of children leading to morbidity and malnutrition
in children
GENETIC / INHERITED factors

Depicting all the background scenario of malnutrition a Case Sheet was prepared
 Strategy
➢ A. Screening Committee to conduct Medical Examination is constituted at Area Hospital with the following
members
• [Link]
• [Link] Physician
• [Link]
• [Link] Technician
• [Link] Officer
• [Link]
• [Link] Development Project Officer
➢ B. Designing Case Sheet to Examining all the Physiological corrections – Prenatal , Post natal , Genetical
Physiological Diseases and Defects.
➢ C. Conducting Medical Examination of all Malnourished Children
To assess the exact reasons for malnutrition Pentapadu Mandal of
Tadepalligudem ICDS Project was taken as Pilot Mandal and the exact number of
malnourished children was taken from YSR Sampoorna Poshana Dashboard
September,2023.

The Children were screened in J.A.S. Programme and after that

reffered to Area Hospital , Tadepalligudem. A sample size of 100 Children
was taken and tests were conducted as follows…

Sample Size Blood Tests Chest X- Miscellane USG Whole Montoux

and Urine rays ous 2D Abd & Test
Tests ECHO etc. Pelvis

100 100 16 4 1 6
Case Sheet
CHIEF COMPLAINTS THAT LEADS TO BECOME SAM CHILD IF YES
MARK ( √ )
 Clinical findings Out of 100 Children tested 8 Children were
found with the following Abnormalities
[Link] DISORDERS -1
[Link] DISORDERS -4
Abnormalities [Link] INFESTATIONS -1
, 8, 8%
[Link] DISORDERS -1
Malnutrition,
[Link] DYSFUNCTION -1
47, 47% Iron
Deficiencies,
45, 45%
The Abnormal Children referred to Net Work Hospitals

Sample Size Abnormalities Iron Deficiencies Malnutrition

100 8 47 45
Factors leading to malnurtrition
Genetical factors Morbidity Defects and deformaties Socio Economic Status

Genetical and
Inheritance factors
34
34%
Socio Economic
Status, 52, 52%

Morbidity, 6, 6%
Defects and
deformaties, 8, 8%

Factors leading to malnutrition

Sample Genetical and Defects and Socio Economic
Morbidity
Size Inheritance factors deformaties Status
100 34 6 8 52
CYCLICAL DIET THERAPY PATTERN SHOULD BE CHANGED ONCE IN A WEEK

2. HIGH PROTIEN AND ENERGY RICH DIETS

3. SUPPLEMENTATION OF MICRO/MACRO NUTRIENTS

4. PALATABLE IRON RICH FOODS

5. PROVISION OF ALLIED NUTRITIONAL HEALTH PRODUCTS AND MEDICINES TO SUPPORT

THE REGULAR TREATMENT MODALITIES.
 NUTRITION ADVISE TO BE FOLLOWED AT HOME
1. CYCLICAL DIET THERAPY FOR SAM/MAM
DIET

DAY LUNCH 12:30PM SNACKS 03:30PM DINNER 07:00PM

BRAK FAST 07:30AM MID MORNING SNACKS 11:00AM

MONDAY VEG SANDWICH CASHEW NUTS WITH RAISINS SAMBAR RICE DATES WITH ALMONDS JEERA RICE

TUESDAY CARROT IDLI WITH GROUND NUT CHUTTNEY CPP WHITE RICE WITH CHOLE CURRY SESAME LADDU PALAK RICE RAITHA

WEDNESDAY UTTAPPAM WITH CORIANDER CHUTINEY CHIKKI EGG FRIED RICE FRUIT CUSTARD CARROT RICE

THURSDAY BROKEN WHEAT UPMA RICE FLAKES KHEER LEMON RICE WITH RAITHA CHOLE VADA WHITE RICE WITH PESARAKOTTU

FRIDAY JAGGERY WHEAT DOSA FRUIT WHITE RICE WITH MIXED VEG CURRY CPP PALAK RICE

SATURDAY POHA CPP PHOOL MAKHANI KICHIDI WITH RAITHA BOILED CHENNA TOMMATO RICE

SUNDAY GREEN GRAM DOSA BLACK GRAM LADDU EGG BIRIYANI SEMOLINA HALWA VEG RICE
 CORRECTIVE TREATMENT TOWARDS ILLNESS
1 TREATMENT OF ASSOCIATED ILLNESS LIKE FREQUENT RESPIRATORY
TRACT INFECTIONS.

2 TREATMENT OF WORM INFESTATIONS.

3 TREATMENT WITH SUPPLIMENTATIONS OF VITAMINS-MICRO-MACRO

NUTRIENTS ALONG WITH PRIMORDIAL PRINCIPLES OF FOOD-i.e,
PROTEINS, CARBOHYDRATES AND FATS.

4 TREATMENT TOWARDS CORRECTION OF CARDIAC/NEUROLOGICAL

AILMENTS BY SPECIALIST REFERRALS.
Financial Tie Up with : As there are so many number of Malnourished Children,
it is decided to take Financial support from NGO’s Donars & Philanthropists.
They are motivated to donate some amount (1000/- per month) monthly to
the Malnourished Children in order to purchase Nutritious Food and also needy
medicines. The following Institutions are motivated in this reg.

• 1. Rotary Club
• 2. Lions Club
• 3. Tanuku Trust
• 4. Rice Millers Association
 Way forward
[Link] the end of JAS Campaign Medical Examination of all SAM, MAM Children will be
completed.
2. It is decided to monitor all the children daily by Asha, ANMs, Anganwadi Workers &
GMSks and fortnightly in family Doctor programme.

3. Regular follow up and Supervisory Feeding

4. To track and monitor all the Malnourished Children by all levels of officers a Web site is
designed by NIC Eluru Dist. Login Credentials were given to CDPO for daily monitoring
and generating monthly reports.

5. To follow up the Malnourished Children at field level and also to make the parents
aware of their child condition Jagananna Bala Suraksha Book lets were prepared and
distributed to children for regular follow up. Every month the heights , weights and their
status will be posted in the book lets and their parents will be explained their child
condition by field functionaries
Health Checkups in JAS
Health Chekups in Area Hospital, Tadepalligudem
CARRY OUT THEME:

HEALTHY CHILDREN
FOR
BETTER SOCIETY
THANK YOU