Determinants of nutritional status among under-five children receiving Integrated Child Development Services (ICDS) in India

Pradhan, Manas Ranjan; Shete, Mahesh Rajendra

doi:10.1177/02601060221085809

Cited by 3 publications

(5 citation statements)

References 45 publications

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“…Our findings reveal reduced undernutrition risk among under-five children in rural areas, contrasting earlier urban-centric studies (Bharati et al, 2008). Rural children benefit from access to fresh, organic and seasonal foods, promoting nutrient-dense intake (Pradhan & Shete, 2022).…”

Section: Utilization Of Icds Servicescontrasting

confidence: 97%

“…used matching methods and reported improved WAZs among boys aged 0-2 years receiving daily supplementaryfeeding, whereas et al (2018) found no significant association between ICDS services during pregnancy and underweight.With the postreform universality of ICDS access across India, matching methods no longer provide suitable counterfactuals for ICDS beneficiaries due to the role of unobservable self-selection. Thus, observational studies have shown an insignificant and sometimes negative association between ICDS utilization and undernutrition among under-five children in the postreform period(Dixit et al, 2018;Pradhan & Shete, 2022). However, our DID analysis, accounting for preintervention parallel trends, reveals a small but significant correlation between ICDS services and underweight prevalence in 2019-2021 compared to 2015-2016.Although the NFHS data lack explicit information on service quality, it is noteworthy that the Poshan Abhiyaan indicates improvements in quality over the two survey periods.…”

mentioning

confidence: 54%

“…Our findings reveal reduced undernutrition risk among under‐five children in rural areas, contrasting earlier urban‐centric studies (Bharati et al, 2008 ). Rural children benefit from access to fresh, organic and seasonal foods, promoting nutrient‐dense intake (Pradhan & Shete, 2022 ). Additionally, children in higher wealth quintiles are less likely to be underweight due to superior access to diverse diets, health care and improved living conditions (Chowdhury et al, 2018 ).…”

Section: Discussionmentioning

confidence: 99%

“…With the postreform universality of ICDS access across India, matching methods no longer provide suitable counterfactuals for ICDS beneficiaries due to the role of unobservable self‐selection. Thus, observational studies have shown an insignificant and sometimes negative association between ICDS utilization and undernutrition among under‐five children in the postreform period (Dixit et al, 2018 ; Pradhan & Shete, 2022 ). However, our DID analysis, accounting for preintervention parallel trends, reveals a small but significant correlation between ICDS services and underweight prevalence in 2019–2021 compared to 2015–2016.…”

Section: Discussionmentioning

confidence: 99%

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Utilization of Integrated Child Development Services (ICDS) and its linkages with undernutrition in India

Singh,

Chauhan,

Alderman

et al. 2024

Maternal & Child Nutrition

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The Integrated Child Development Services (ICDS) programme has been the central focus of the POSHAN Abhiyaan to combat maternal and child malnutrition under the national nutrition mission in India. This paper examined the linkages between utilization of ICDS and underweight among children aged 6–59 months. The study utilized data from two recent rounds of the National Family Health Survey (NFHS‐4 [2015–2016] and NFHS‐5 [2019–2021]). Descriptive analyses were used to assess the change in utilization of ICDS and the prevalence of underweight at the national and state levels. Multivariable logistic regressions were performed to examine factors associated with the utilization of ICDS and underweight. Linkages between utilization of ICDS and underweight were examined using the difference‐in‐differences (DID) approach. Utilization of ICDS increased from 58% in 2015–2016 to 71% in 2019–2021. The prevalence of underweight decreased from 37% to 32% in the same period. Changes in ICDS utilization and underweight prevalence varied considerably across states, socioeconomic and demographic characteristics. Results from decomposition of DID models suggest that improvements in ICDS explained 9%–12% of the observed reduction in underweight children between 2016 and 2021, suggesting that ICDS made a modest but meaningful contribution in addressing undernutrition among children aged 6–59 months in this period.

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Section: Utilization Of Icds Servicescontrasting

confidence: 97%

mentioning

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Utilization of Integrated Child Development Services (ICDS) and its linkages with undernutrition in India

Singh,

Chauhan,

Alderman

et al. 2024

Maternal & Child Nutrition

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“…The provision of nutrition in AWCs acts as a supplementary source. A recent study (Pradhan & Shete, 2022) based on data from the National Family Health Survey affirms that a sizable proportion of under-five children receiving any ICDS services suffer from undernutrition.…”

Section: Introductionmentioning

confidence: 99%

Equity in Access to Nutrition through ICDS

Behera,

Acharya,

Pal

2024

Journal of Social Inclusion Studies

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With the recognition of the problem of child malnutrition in India, the government provides supplementary nutrition under the flagship scheme of Integrated Child Development Services. The scheme has a specific focus on children from geographically and socio-economically disadvantaged groups. In the recent past, although several studies have looked into the access of children to supplementary nutrition services, the effectiveness of the services on children’s nutrition status through the lens of equity has however not drawn adequate attention. This article assesses the nutritional status of children across social groups based on the standard of ‘Nutritive Value of Indian Food’. Data collected from a sample of 286 children across social groups registered under the ICDS scheme covering ten villages in two rural districts of one state; reveals that although the supplementary nutrition meets the protein intake as per the Recommended Dietary Allowances norm, deficiencies are observed in the intakes of nutrients like calorie, calcium and iron. There are notable differentials among children across social groups in the intake of nutrients. The article calls for monitoring of adequacy of supplementary nutrition services for children from disadvantaged groups, and raising nutritional awareness among caregivers.

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Understanding the socio-demographic and programmatic factors associated with adolescent motherhood and its association with child undernutrition in Bangladesh

Hossain,

Das,

Tariqujjaman

et al. 2024

BMC Public Health

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Background Worldwide, a significant number of girls become mothers during adolescence. In Bangladesh, adolescent childbirth is highly prevalent and has adverse effects on children’s health and undernutrition. We aimed to identify the relationship between the undernutrition of children and adolescent motherhood, the factors associated with adolescent mothers’ age at first birth, and to examine the programmatic factors and gaps influencing children’s undernutrition in Bangladesh. Methods We analysed the ‘Bangladesh Demographic and Health Survey’ BDHS-17-18 data and desk review. To examine the factors associated with adolescent motherhood and its impact on child undernutrition, data from 7,643 mother-child pairs were selected. Child stunting, wasting, and underweight were measured according to the World Health Organisation (WHO) median growth guidelines based on z-scores − 2. Univariate, bivariate, simple, and multiple logistic regressions were used for analyse. We followed the systematic procedures for the literature review. Results Approximately, 89% of adolescents aged ≤ 19 years were married and 71% of them gave their first childbirth. Children of adolescent mothers (≤ 19 years) were significantly 1.68 times more wasted (aOR: 1.68; 95% CI: 1.08 to 2.64), 1.37 times more underweight (aOR: 1.37; 95% CI: 1.01 to 1.86) and either form 1.32 times more stunting, wasting or underweight (aOR:1.32; 95% Cl: 1.05 to 1.66) compared to the children of adult mothers (> 19 years) after adjusting potential confounders. The factors associated with mothers’ first childbirth during adolescence were the age gap between husband and wife 5–10 years (aOR: 1.81; 95% Cl: 1.57–2.10) and age gap > 10 years (aOR: 2.41; 95% Cl: 1.96–2.97) compared with the age group < 5 years, and husbands’ education (aOR: 1.29; 95% Cl: 1.04–1.61) compared with the uneducated husbands. In the literature review, we found potential gaps in focusing on the Adolescent Sexual and Reproductive Health (ASRH) program in Bangladesh, from thirty-two programmes only half of them focused on adolescents aged 10–19 years, and eleven programmes focused only on girls. Conclusion Children of adolescent mothers are at risk of wasting, underweight, and any form of undernutrition. For effective policies and interventions in Bangladesh, it is important to emphasise delaying adolescent pregnancy and prioritising child undernutrition.

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Determinants of nutritional status among under-five children receiving Integrated Child Development Services (ICDS) in India

Cited by 3 publications

References 45 publications

Utilization of Integrated Child Development Services (ICDS) and its linkages with undernutrition in India

Utilization of Integrated Child Development Services (ICDS) and its linkages with undernutrition in India

Equity in Access to Nutrition through ICDS

Understanding the socio-demographic and programmatic factors associated with adolescent motherhood and its association with child undernutrition in Bangladesh

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