1000 Versus 635 Days Approach for Prevention of Undernutrition in Children

H. Chopra
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Abstract

Since the pre-independence era, India is dealing with a variety of health problems that have been eliminated in developed nations. As we prepare to enter post covid era, a problem which we are dealing since ages is child promotion and child survival. India is a nuclear weapon-affiliated country now but it still has a long way to go as far as child malnutrition is concerned. It is a surprising fact to know that the prevalence of malnutrition in India is double that of sub-Saharan country.[1] It has been 45 years since the launch of the Integrated Child Development Scheme (ICDS) and we still have 35.8% of undernourished children in our country makes one think about the drawbacks in our current approach. [2] There are a wide variety of reasons for decreased weight inchildren under the age of 5. Interestingly inadequate food security is considered as one of the primary reasons, however,it does not justify the 20.1% of underweight children belonging to high socioeconomic status.[2] Other reasons include infections i.e. diarrhea and acute respiratory infections in children and it could be attributed to a moderate rate (approximately 62%) of immunization in the under 5 age group.[2]
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1000天和635天预防儿童营养不良的方法
自独立前时代以来,印度一直在处理各种健康问题,这些问题在发达国家已经消除了。在我们准备进入后covid时代之际,我们多年来一直在处理的一个问题是儿童促进和儿童生存。印度现在是一个核武器附属国家,但就儿童营养不良而言,它还有很长的路要走。印度的营养不良发生率是撒哈拉以南国家的两倍,这是一个令人惊讶的事实儿童综合发展计划(ICDS)已经启动了45年,我国仍然有35.8%的营养不良儿童,这让人想到我们目前的方法的缺点。5岁以下儿童体重下降的原因多种多样。有趣的是,食品安全不足被认为是主要原因之一,然而,这并不能证明20.1%的体重不足儿童属于高社会经济地位其他原因包括感染,即儿童腹泻和急性呼吸道感染,这可归因于5岁以下年龄组的中等免疫接种率(约62%)
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