ArticlePloS one2024
Integrated child development service (ICDS) coverage among severe acute malnourished (SAM) children in India: A multilevel analysis based on national family health survey-5.
Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed, 7 citations in OpenAlex.
- Prevalence and determinants of severe malnutrition among children under five in aspirational districts of India.BMC public health · 2025Article
- 50 years of a nation-wide child development programme in India.BMJ paediatrics open · 2025Review
- Assessing the Impact of Socioeconomic and Environmental Factors on the Body Mass Index of Children Aged 3-6 Years: A Cross-Sectional Study in Assam, India.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025Article
- Building blocks of life: improving nutrition and health outcomes through fortification and breastfeeding in the first 1000 days of a child's life.Frontiers in nutrition · 2025Article
- Indian perspective on childhood malnutrition: Prevalence, pathophysiology, risk factors, and prevention.World journal of clinical pediatrics · 2024Article
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
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Abstract
Severe acute malnutrition (SAM) can be fatal for children, and potentially limit their cognitive and physical growth. The last three National Family Health Survey (NFHS) in India shows an increase in the prevalence of SAM among under-five children. Given the specific mandates under ICDS (Integrated Child Development Service) for SAM children, it is important to validate the coverage efficiency of ICDS on SAM children. This paper examines a possible association between the coverage efficiency of ICDS on SAM children. The study further aims to identify the determinants of ICDS service utilization among SAM children. We used data from the fifth round of the National Family Health Survey. Descriptive statistics was used to estimate the SAM coverage under ICDS. Multilevel Logistic Regression was used to identify the determinants of ICDS service utilization among SAM children. The burden of SAM is higher among older children (3+ age). Coverage of ICDS was more among younger children and the poorest households in the rural areas. Results from multilevel logistic regression showed that age had a significant relationship with the outcome variable. SAM children living in the rural areas had a significantly higher odds of being covered under ICDS service (OR 1.57; CI: (1.35, 1.82)) than their urban counterparts. Pregnant and lactating mothers who received ICDS services were significant determinants of SAM coverage under ICDS. There is no evidence that ICDS is more efficient in identifying and covering SAM children than non-SAM children. Despite special provisioning in place for SAM children, coverage of different ICDS services was similar to that of non-SAM children, and were in fact lower than non-SAM children for some categories. The study suggests that improving coverage of ICDS services among pregnant and lactating mothers would increase the coverage of ICDS services among SAM children.
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