helping individuals and groups develop healthy eating habits in order to promote wellness and prevent disease. importance of community nutrition • The aim of Community Nutrition actions is to adequate lifestyles related to food consumption patterns in order to improve the quality of life and contribute to health promotion of the population in the community where programs and services are delivered. need for community nutrition for special groups • infants • child • adolescent • pregnant women • lactating mother • old peoples nutritional problem in India other disorders • vitamin D , E,K and Vitamin BComplex , C Deficiencies • Minerals deficiency • other disorders related to lack of or over nutrients. nutritional programmes in India • Vit A deficiency programmes • national iodine deficiency disorder programme • mid day meal programmes • ICDS • various agencies • NIPCCD(National Institute of Public Cooperation and Child Development), • CARE(Cooperative for Assistance and Relief Everywhere), • FAO,NIN, CFTRI Vit A deficiency programmes
• The National Prophylaxis Programme
against Nutritional Blindness due to Vitamin A Deficiency (NPPNB due to VAD) was initiated in 1970 with the specific aim of preventing nutritional blindness due to VAD.The Programme was started as a 100 per cent centrally sponsored programme. • In 1970 National Prophylaxis Programme Against Nutritional Blindness was initiated as a centrally sponsored scheme. Under this scheme, all children between ages of one and three years were to be administered 200,000 IU of Vitamin A orally once in six months. • In the fifties and sixties many of the states reported that blindness due to Vitamin A deficiency was one of the major causes of blindness in children below five years. A five-year long field trial conducted by NIN showed that if massive dose Vitamin A (200,000 units) was administered once in six months to children between one and three years of age, the incidence of corneal xerophthalmia is reduced by about 80 per cent. In view of the serious nature of the problem of blindness due to Vitamin A deficiency, it was felt that urgent remedial measures in the form of massive dose Vitamin A supplementation covering the entire population of susceptible children should be undertaken. aim • Aim: to decrease the prevalence of Vitamin A deficiency. OBJECTIVES • Prevention of vitamin A deficiency: 1. Promoting consumption of Vitamin A rich food 2. Creating awareness about the importance of preventing Vitamin A deficiency 3. Prophylactic Vitamin A as per the following dosage schedule: • 100000 IU at 9 months with measles immunization
• 200000 IU at 16-18 months, with DPT booster
• 200000 IU every 6 months, up to the age of 5 years.
• thus, a total of 9 mega doses are to be given from 9 months of age
up to 5 years. • Treatment of Vitamin A deficient children: 1. All children with xerophthalmia are to be treated at health facilities. 2. All children having measles, to be given 1 dose of Vitamin A if they have not received it in the previous month. 3. All cases of severe malnutrition to be given one additional dose of Vitamin A.