A rapid assessment of service deliveries at Anganwadi Centres in Ranchi district of Jharkhand

Published

2014-03-31

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Original Article

Authors

  • Shamim Haider
  • Chandramani Kumar
  • Shalini Sunderam
  • Mithilesh Kumar
  • Vivek Kashyap
  • Shashi Bhushan Singh

Abstract

Introduction: Proper functioning of Anganwadi Centres (AWCs) are important for better service delivery which will lead to healthy mother and child , and ultimately better development of human resources in order to build a healthy and productive nation. Objectives: To assess the functioning of AWCs. 2) To measure the quantitative gap in coverage of beneficiaries. 3) To find out bottlenecks in proper service delivery of AWCs. Methods: Randomly selected 50 AWCs in Ranchi district were surveyed during July 2012 to September 2012. Semi-structured questionnaire was used to collect information from Anganwadi workers (AWWs). Existing records at AWCs were also accessed to collect data.  Statistical analysis: Frequency distribution and chi - square test were done. Results: 3941(>73%) out of 5387 eligible children aged 6-71 months were enrolled at AWCs and 3870(97.45%) enrolled children were availing food under Supplementary Nutrition Programme (SNP). Growth charts were available and properly maintained at all AWCs however; regular health check-up of all children was done in only 5(10%) AWCs. Pre-School Education (PSE) materials, mainly in form of charts and posters were available at 47(94%) AWCs. More than 90% pregnant & lactating women were enrolled at AWCs and almost all centres were providing maternal health services like Ante natal care (ANC) and Tetanus Toxoid (TT) to them. Only 955 (33%) out of 2859 eligible adolescent girls were enrolled in AWCs. Iron-Folic Acid (IFA) supplementations to pregnant women were available at 25 (50%) AWCs. Conclusions:  Though coverage and supplementary nutrition of children is good; poor coverage, lack of health education and supplementary nutrition of adolescent girls is a matter of concern. Low honorarium, excess workload and poor infrastructure of AWCs are main impediment in proper service delivery.

How to Cite

1.
Haider S, Kumar C, Sunderam S, Kumar M, Kashyap V, Singh SB. A rapid assessment of service deliveries at Anganwadi Centres in Ranchi district of Jharkhand. Indian J Community Health [Internet]. 2014 Mar. 31 [cited 2022 Dec. 7];26(1):15-9. Available from: https://www.iapsmupuk.org/journal/index.php/IJCH/article/view/366

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