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5 th GujArat review mission. Nutritional assessment. Parameters for assessing nutritional status of children availing MDM. Anthropometic Assessment Diet Pattern Survey Clinical Survey. Anthropometric assessment. Body weight Height Mid upper arm circumference (MUAC). Body weight.
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5thGujArat review mission Nutritional assessment
Parameters for assessing nutritional status of children availing MDM • Anthropometic Assessment • Diet Pattern Survey • Clinical Survey
Anthropometric assessment • Body weight • Height • Mid upper arm circumference (MUAC)
Body weight Height MUAC Anthropometric Measurement
Table-1 Anthropometric parameters and BMI of school children as per age
Table-2 Nutritional status of school children as per age and gender
Table-3 Nutritional status of primary and upper primary school children as per gender Ref: WHO (2007)
Quantity of MDM serving • The quantity served per child was generally as per the requirement of primary school or upper primary school children. • In some schools more number of children were present in comparison to the number of children who consumed MDM.
The first served children got more than the other in primary and upper primary schools.
Nutritive values of MDM Recipes/ serving eaten by children on the days of visit
Observations • It was observed that the recipes could not meet the expected amounts of energy and proteins, compared to RDAs • Only Dal rice and brinjal potato(566 kcal) could provide energy close to expected amounts(646 Kcal). • Flourosis was observed in majority of the children.
Suggestions for nutritionally balanced meal • It is desirable to have cereals and pulses along with vegetables and fruits. • Drumstick leaves should be included in recipes. • One piece of sapota or mango approximately 100-150 g may be distributed along with rice. • 20 g of whole Bengal gram for primary and 30 g upper primary be soaked and cooked with pulao to give balance of protein and energy. • Recipes like LAPSIare not liked by children therefore a substitute for this should be thought of.
The last 10 per cent of the children having lowest academic performance should be medically examined regularly for anaemia, IDD, hearing and eyes.