Malnutrition among school-going and preschool children is a major public health issue in India.
To combat undernutrition and ensure proper physical and mental development, government-led nutrition programs such as the Mid-Day Meal (MDM) and Balwadi Nutrition Program have been introduced.
These programs aim to supplement the daily nutritional requirements of children and improve school attendance and retention.
OBJECTIVES OF NUTRITIONAL PROGRAMS
To improve the nutritional status of children.
To reduce the incidence of morbidity and mortality due to malnutrition.
To enhance school attendance and reduce dropout rates.
To inculcate healthy food habits from an early age.
To provide a safety net for underprivileged sections of society.
MID-DAY MEAL PROGRAM
DEFINITION AND ORIGIN
It is a school meal program launched by the Government of India to improve the nutritional status of school-age children.
Launched as a centrally sponsored scheme on 15th August 1995.
Presently known as PM POSHAN Scheme (Pradhan Mantri Poshan Shakti Nirman Yojana).
TARGET GROUP
Children studying in Government, Government-aided, and Local Body schools.
Age group: 6тАУ14 years.
Covers classes I to VIII.
NUTRITIONAL CONTENT SPECIFIED
Primary Schools: 450 kcal and 12g protein per child per day.
Upper Primary Schools: 700 kcal and 20g protein per child per day.
MENU AND FOOD COMPONENTS
Variety of food is provided including rice, dal, vegetables, oil, and condiments.
Fortified foods, eggs or milk included in some states.
Locally available and culturally acceptable items encouraged.
BENEFITS
Prevents classroom hunger.
Improves school enrollment, attendance, and retention.
Enhances social equity тАУ reduces caste-based discrimination.
Provides employment opportunities to women (cooks and helpers).
IMPLEMENTATION MECHANISM
Joint collaboration of Ministry of Education, state governments, local bodies, and NGOs.
Meals prepared on-site or supplied by centralized kitchens.
Regular health checkups and deworming are part of the initiative.
MODERN REFERENCE
As per ParkтАЩs Textbook of Preventive and Social Medicine, mid-day meal programs are an essential supplementary feeding intervention to support growth and learning in school-aged children.
BALWADI NUTRITION PROGRAM
INTRODUCTION
Launched in 1970, under the Indian Council for Child Welfare (ICCW).
Focuses on the nutritional needs of preschool children in rural and slum areas.
TARGET GROUP
Children in the age group of 3тАУ6 years attending Balwadis (pre-primary schools).
NUTRITIONAL CONTENT
300 kcal and 8тАУ10g of protein per child per day.
Supplementary food includes roasted grams, chikki, porridge, khichdi, etc.
Provision for one meal per day.
OBJECTIVES
To prevent malnutrition among children under six years.
To prepare children physically and mentally for formal schooling.
To improve child-care practices in low-income families.
IMPLEMENTATION
Managed by ICCW, state governments, and local bodies.
Often linked with Integrated Child Development Services (ICDS) for better efficiency.
AYURVEDIC PERSPECTIVE ON BALAHARA & PATHYA-AHAR
IMPORTANCE OF BALAHARA (CHILD DIET)
In Ayurveda, Bala Ahar is crucial for Sharira Vriddhi (physical growth), Dhatu Pushti (tissue nourishment), and Medha Vriddhi (mental development).
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(рдЪрд░рдХ рд╕рдВрд╣рд┐рддрд╛, рд╕реВрддреНрд░рд╕реНрдерд╛рди 27/348)
тАЬWholesome and proper diet brings strength and good complexion.тАЭ
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(рдХрд╛рд╢реНрдпрдк рд╕рдВрд╣рд┐рддрд╛, рдЕрдиреНрдирдкрд╛рди рд╡рд┐рдзрд┐ рдЕрдзреНрдпрд╛рдп)
тАЬChildrenтАЩs food should be unctuous, neither too cold nor too hot, sweet in taste, palatable and easy to digest.тАЭ
IMPORTANCE OF NUTRITION IN CHILDHOOD тАУ AYURVEDA AND MODERN VIEW
Proper nutrition in childhood is the foundation for Swastha Jeevana (healthy life).
Both Ayurveda and modern science stress on balanced diet, timely meals, and hygienic food practices.
Malnutrition leads to Agnimandya (low digestive fire) and Dhatu Kshaya (tissue depletion) as per Ayurvedic perspective.
In modern medicine, it results in wasting, stunting, micronutrient deficiencies, and lowered immunity.
ROLE OF COMMUNITY PARTICIPATION AND HEALTH EDUCATION
Community involvement ensures monitoring and acceptance of the programs.
Health education is essential for awareness on child nutrition, hygiene, and dietary diversity.
Inclusion of Ayurvedic dietary principles and Dinacharya in community awareness may enhance overall impact.