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Paper on ‘National Strategy to address micronutrient malnutrition through ICDS’

Conference Proceedings

National Conference

on

Opportunities and Challenges for Preventing Micronutrient Malnutrition through ICDS

September 21 - 22, 2000

The World Food Programme (WFP) organised a 2-day conference in collaboration with the Department of Women and Child Development (DWCD) and Micronutrient Initiative (MI). The objectives of the conference were to (i) assist the Government in developing a National Policy on inclusion of micronutrients in the Integrated Child Development Services (ICDS) norms for supplementary food at the national level and (ii) suggest basic norms for micronutrients in ICDS food supplements.

Participants included senior government of India officers who are involved in supplementary feeding programmes and in implementation of the National Nutrition Policy (Department of Women and Child Development, Food and Nutrition Board, Food Processing Ministry, Agriculture Ministry and Prevention of Food Adulteration); state government officers involved in ICDS implementation from 9 states where WFP and CARE are involved - (Andhra Pradesh, Orissa, West Bengal, Uttar Pradesh, Madhya Pradesh, Rajasthan, Bihar, Assam, Kerala); NGOs involved in providing supplementary food and/or in improving the health and nutritional status of women and children; Government of India Task Force Members; international agencies involved in nutrition (UNICEF, WHO, MI, FAO); authorities dealing with food laws/regulations and experts from the field of supplementary feeding and micronutrient fortification for special risk areas and groups.

The outcome of the conference was a paper on ‘National Strategy to address micronutrient malnutrition through ICDS

Background to the conference

Micronutrients play leading roles in the production of enzymes, hormones and other substances, helping to regulate growth, activity, development, and the functioning of the immune and the reproductive systems. They must be part of the diet or taken as supplements.

The full devastating extent and impact of micronutrient malnutrition have been recognized only recently. Deficits in three key nutrients- Vitamin A, iron and iodine cause clinical manifestations- childhood and maternal death, lowered immune response, blindness, mental retardation and anaemia. But this human devastation is only the tip of the iceberg; it does not include millions who are marginally deficient in micronutrients and unable to achieve their full mental and physical potential as parents, workers and citizens. Poverty, lack of access to a variety of foods, lack of knowledge of optimal dietary practices and high incidence of infectious diseases are some of the factors, which lead to micronutrient malnutrition. Adequate intake is especially crucial during early childhood and other periods of rapid growth, pregnancy and breast-feeding.

Micronutrient malnutrition is most devastating among pre-school children, adolescent girls and pregnant mothers, the target beneficiaries of ICDS, the existing national program which holistically addresses the interrelated needs of young children, adolescent girls and women- the groups most vulnerable to micronutrient malnutrition. Through supplementary feeding it attempts to bridge the caloric gap between the national recommended and actual average intake of children and women in low income and disadvantaged communities. The ICDS food reaches out to the poorest and the most vulnerable in the country. Norms for ICDS food supplement have been specified but only for calories and protein.

The supplementary food provided in ICDS is unlikely to meet their micronutrient needs because most of the ICDS food does not contain enough vitamins and minerals. Thus there is urgent need to include micronutrients in the norms for ICDS food. If the supplementary food provided to them was fortified with minerals and vitamins, micronutrient deficiency in the vulnerable groups can be easily prevented and controlled.

ICDS IN INDIA APPEARS TO BE THE RIGHT TOOL TO COMBAT MICRONUTRIENT MALNUTRITION.

 

 

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