PRESENTATION ON NATIONAL NUTRITIONAL ANEMIA PROGRAMME

INTRODUCTION

Anemia is major health problem of the world

especially in developing countries. It is estimated that its prevalence in India is 30 per cent among expectant women. Studies conducted by ICMR show that anemia is not confined to pregnant woman alone but also affects the other population. In India anemia is estimated to contribute 20percent of all maternal deaths, three times greater premature delivery, low birth weight babies and nine times higher risk of perinatal mortality (MOHFW, 1998)

The national nutritional anemia control programme (NNACP) was initiated in 1970.Under this programme iron and folic acid tables(IFA) were given to pregnant, lactating mothers and preschool children at least 100 days in a year. The programme was reviewed and the focus of programme was shifted from prevention to prevention and control. (ICMR 1989).

LET'S STOP ANAEMIA NOW!

Goals, objectives or target related to nutrition

Provide

a package of intervention of to prevent and control anemia in 60% of high risk group ,including micro nutrient supplementation, parasitic disease control and promotion of key dietary behavior know to improve micronutrient intake .

Fortily at least on food vehicle with iron and other micronutrients needed for anemia prevention . Increase of affordable micronutrient rich food through house hold food production .

STRATEGIES
There are two type of strategies 1. Targeted strategies for high risk prevention 2. Population based strategies

TARGETED STRATEGIES FOR HIGH RISK GROUP

Strategy 1- micronutrient supplement Provide iron folate Multiple micronutrient (MMN) supplementation, for low birth weight infant,children,pregnant woman,breastfeeding womanfor the first three months after delivary

Strategy 2-dietry improvement Protect ,promote and support breastfeeding and complementry feeding practise Continous breast feeding until the child at least 2 year Increase intake of meat and fish ,where economicaly and culturally feasible Using cooking technique that minimize the loss biovailability of micronutrients

Strategy 3: Parasitic disease control soil transmitted helminths and diarrhea Provide pre sumtive and anti helminthic treatment to children and adolescent girl Promote good hygiene and senitary practicies to prevent infection

Strategy 4:family planning and safe motherhood Encourage women to attend ANC services as early as possible in pregnancy and PNC after delivery Promote family planning method .

2.POPULATION BASED STRATEGIES

Strategy 1- food fortification Set legislation and regulation for fortification with iron and other micronutrients Develop produce and market food fortificated with iron micronutrient Promote (through social marketing ) foods fortified with iron and other micronutrient

 Strategy

:2 production of micronutrient rich food through household food production .

SUMMARY

Today we have discussed national nutrional anemia prophylaxis programme in this introduction goal objective and strategy in the community field .

THAN K
YOU