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NUTRITIONAL PROGRAMMES IN INDIA:

  1. Vitamin A prophylaxis programme.
  2. Prophylaxis against nutritional anaemia.
  3. Iodine deficiency disorders control programme.
  4. Special nutrition programme.
  5. Balwadi nutrition programme.
  6. ICDS programme.
  7. Mid-Day meal programme.
  8. Mid-Day meal scheme.

VITAMIN A PROPHYLAXIS PROGRAMME:

   Govt. of India initiated National Vitamin A prophylaxis programme in 1970 to cover pre-school children aged up to 5 years. It is an integral component of RCH Programme which is now a part of NRHM.

STRATEGY:

  1. SHORT TERM ACTION: Administer large doses of Vitamin-A orally in recommended doses to vulnerable groups on a periodic basis. Supplied free of cost through PHCs as flavoured Syrup in 100 ml bottle with a concentration of 1000000 IU/ml. Bottle is supplied with a 2ml capacity spoon. Once opened, should be used within 6-8 weeks.

RECOMMENDED DOSAGE VITAMIN A PROPHYLAXIS:

 

VULNERABLE GROUP

ORAL DOSE OF RETINAL PALMITATE

TIMING

New born

50,000 IU

At birth

Children <1 year

100,000 IU

Once in every 4-6 months

Children > 1 year

200,000 IU

Once every 4-6 months

Women of child bearing age

300,000 IU

Within one month of giving birth

Pregnant & lactating mothers

5000 IU

20,000 IU

Everyday

Once every week

 

VITAMIN A PROPHYLAXIS SCHEDULE- UNDER NATIONAL IMMUNISATION SCHEDULE:

 

DOSE NO

AGE OF THE CHILD

DOSE

REMARKS

    1

9 Months

100,000 IU

Along with Measles Vaccine

    2

1.5 Years

200,000 IU

With booster doses of DPT & OPV.

    3

2 Years

200,000 IU

  NIL

    4

2.5 Years

200,000 IU

  NIL

    5

3 Years

200,000 IU

  NIL

    6

3.5 Years

200,000 IU

  NIL

    7

4 Years

200,000 IU

  NIL

    8

4.5 Years

200,000 IU

  NIL

    9

5 Years

200,000 IU

  NIL

 

TOTAL

17,00,000 IU

 

    2. MEDIUM TERM ACTION: Fortification of certain food with Vitamin A.

    3. LONG TERM ACTION: Promotion of consumption of green leafy vegetables. Promotion of breast feeding for as long as possible. Improvement in environmental health. Immunization against measles. Prompt treatment of diarrhoeal disease. Social & health education.

 

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