ArticleBMC public health2025
Opportunities for enhancing dietary diversity and environmental sustainability of supplementary nutrition program under the Integrated Child Development Services Scheme - a qualitative study in Srikakulam district, Andhra Pradesh.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Role of Ayurvedic Principles in Addressing Malnutrition and Non-Communicable Diseases in Low-Resource Settings.Cureus · 2026Review
- Evaluation of India's Supplementary Nutrition Programme for children aged 36-72 months and opportunities for improvement using linear programming.Journal of nutritional science · 2026Article
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Abstract
backgroundMalnutrition in all its forms remains a critical public health challenge in India. Public food procurement (PFP) serves as a potential entry point for addressing malnutrition while promoting sustainable food systems. The Integrated Child Development Services (ICDS) Scheme, a major PFP initiative in India, plays a crucial role in improving the nutritional status of vulnerable populations. This study explored opportunities to enhance dietary diversity and environmental sustainability within the Supplementary Nutrition Program (SNP) under ICDS in Andhra Pradesh.
methodsAn exploratory qualitative study was conducted in eleven purposively selected villages of two blocks of Srikakulam district, Andhra Pradesh engaging with program implementers and facilitators at grassroots level along with community members. Through key informant interviews and focus group discussions, the study first identified key stakeholders involved across the supply chain of SNP-ICDS and gathered selected stakeholders' perceptions regarding program challenges and opportunities for food diversification while enhancing environmental sustainability. Data from the discussions were analysed using thematic analysis deploying inductive approach.
resultFindings highlight operational challenges such as delays in delivery of food items through centralized supply chain, improper food storage and technological barriers with the online application used for distributing the take-home ration. Stakeholders emphasized the potential of local food procurement, establishment of kitchen gardens, and millet inclusion in the menu to enhance both dietary diversity and environmental sustainability. Additionally, strengthening community engagement, nutrition education, and skill-based training for grassroots workers were highlighted as crucial strategies for improving food acceptability and dietary diversity.
conclusionThe study highlights opportunities to enhance dietary diversity and integrate environmental sustainability within the SNP-ICDS through local food procurement. Fostering community engagement and addressing logistical challenges, budget constraints could enhance program effectiveness. Advocacy for policy reforms at higher levels, particularly promotion of local procurement and decentralising fund allocation is recommended to enhance the effectiveness of SNP-ICDS.
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