Impact of Enriching the Diet of Women and Children Through Health and Nutrition Education, Introduction of Homestead Gardens and Backyard Poultry in Rural India

摘要

The study addresses the issue of micronutrient deficiency in diets through health and nutrition education and introduction of homestead gardens and backyard poultry with high egg-yielding birds in a rural community. The target was the pregnant women and mothers with preschool children aged 6-24 months registered with the 11 Integrated Child Development Services (ICDS) centres called' Anganwadi' in eight villages of Medak district, in the South Indian state of Andhra Pradesh (now Telangana). Knowledge, attitude and practice (KAP) surveys of health and nutrition on a sub-sample of 142 mothers with 6- to 24-month-old children done initially and at the end of three years showed marked improvement in mothers' knowledge and child-feeding practices. At theend of three years, 335 target families had raised vegetable gardens diverting 57.8 acres of land. The KAP survey responses showed that the percentage of families raising homestead gardens increased from 30 % initially to over 70 % finally. Weekly meanfrequency of green leafy vegetables (GLV) cooked, increased from 1.9 to 2.4. The percentage of households cooking GLV more than three times per week increased from 21 in the initial survey to 45 in the final survey. Weekly frequency and quantity of eggsconsumed, among households who set up B YP, more than doubled. ICDS records showed gradual decline in percentage of 6 to 24-month-old children suffering from moderate-to-severe malnutrition, over the three-year experimental period.