ArticleBMC public health2025
Integrated Child Development Services (ICDS) and their contribution to improving complementary feeding practices among children aged 6-23 months in India: insights from a nationally representative survey.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundIntegrated Child Development Services (ICDS) is India's flagship programme to improve the nutritional and health status of children. Appropriate complementary feeding is essential for young children age 6 and 23 months to meet additional nutrient needs. However, there are limited evidence on how ICDS utilization affects complementary feeding practices in India.
methodsThis study used a sample of 59,115 children age 6-23 months from the National Family Health Survey 2019-21. Modified Poisson regression analysis was performed to evaluate the association between the utilization of ICDS services and complementary feeding practices, estimating the adjusted prevalence ratio (aPR).
resultsChildren age 6-23 months receiving ICDS services had a 19% high probability of consuming diverse diet (95% CI 1.13-1.25, p < 0.001), a 27% high probability of consuming egg and flesh foods (95% CI 1.20-1.34, p < 0.001), and a 3% higher probability of consuming vegetables and fruits (95% CI 1.00-1.06, p < 0.05). However, ICDS utilization is not significantly associated with the timely introduction of semi-solid foods (6-8 months) and the minimum acceptable diet (6-23 months). The probability of achieving recommended meal frequency is significantly 14% lower (95% CI 0.83-0.90, p < 0.001) among ICDS beneficiaries.
conclusionDespite the programme expansion, ICDS have limited influence on improving complementary feeding practices in India. Targeted efforts to improve service delivery to young children by Integrated Child Development Services could potentially support better complementary feeding practices.
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