Nutrition Programmes
The state has been adopting diverse Nutrition program interventions as mentioned below :
- MAA Programme:
Promotion of Infant and Young Child Feeding practices for preventing under-5 child death (through community & facility based interventions by – Capacity building of ANMs/ASHA/AWW on IYCF/Mothers’ Counselling on Breast feeding & Complementary feeding).
Facility /Community level initiative for various training and IEC activities are going on Under MAA Programme
- Initiation of Breast feeding within one hour of Birth
- Exclusive Breast feeding up to six months
- Complimentary feeding practices and age appropriate diverse foods from six months of age
- Continuation of Breast Feeding up to 2 years or more.
Coverage :
- 148 Master trainers are trained on MAA in 7 days state level TOT.
- 3623 Medical Officers, 140 Counsellors, 3091 Staff Nurses, 7336 ANMs and 34984 ASHAs were trained of Infant and Young Child Feeding practices and improved counseling skills.
National Iron Plus Initiatives:
National Iron Plus Initiative (NIPI) programme (Iron & Folic Acid prophylaxis programme) has been implemented across the State by Health and Family Welfare Dept. in coordination with School and Mass Education Dept. (S&ME Dept.), Women & Child Development Dept (WCD Dept) and ST & SC Development Dept.
This programme is catering to the following beneficiaries:
- Children 6 months to 59 months age group: IFA syrup (1 ml contains 20 mg elemental iron and 100 mcg Folic Acid) are administered by ASHA bi-weekly (Tuesday & Friday).
- Children 5 to 9 years age group: WIFS Junior (Pink Tablets), IFA tablets (45 mg elemental iron and 400 mcg Folic Acid) are administered on Monday by teachers to children in class 1 to 5 at all Govt. & Govt. Aided schools.
State Coverage:
| Year | Children 6-59 months | Children 5-9 yrs | Source |
| 2023-24 | 71.1% | 76.0% | HMIS |
| 2024-25 | 76.0% | 80.0% | HMIS |
III. NRC / Facility based Interventions for management of Severely Acute Malnutrition (SAM) Children:
- A Nutrition Rehabilitation Centre (NRC) is a unit for the management of severely acute malnourished children- Children admitted with defined admission criteria who are referred by from VHND and RBSK teams
- Children kept under observation and provided with medical and therapeutic care
- Focus on improving the skills of mothers on complete care and feeding.
State Coverage
| Year | No. of NRC Functional | No. of Admission | Bed Occupancy Rate | Total Discharge | % of Recovery |
| 2023-24 | 67 | 12930 | 86% | 12250 | 90% |
| 2024-25 | 67 | 13397 | 88.2% | 12255 | 91.4% |
IV. Vitamin-A supplementation:
Children of age group 9 months-5 years receive Vitamin – A supplementation biannually along with Routine Immunization in total of 9 doses.
State Coverage:
| Year | 1st Round | 2nd Round |
| 2023 | 99.3% (Feb. Round) | 98.7%(Aug Round) |
| 2024 | 97.8%(Feb. Round) | 99.4%(Aug Round) |
V. National Deworming Day (NDD):
- Administered with Albendazole at AWC and Schools.
- It is a fixed day approach with a mop up day to cover left outs due to absenteeism or sickness,conducted biannually in February and August every year
- Starting from August 2023 round Women of Reproductive Age group 20-24 years are administered Tab. Albendazole to prevent anaemia.
State Coverage:
| Year | 1st. Round | 2nd Round |
| 2023 | 97.8%(Feb. Round) | 97.8%(Aug. Round) |
| 2023(WRA 20-24years) | 97.1%(Aug. Round) | |
| 2024 | 97.6%(Feb. Round) | 97.5%(Aug. Round) |
| WRA 20-24years | 97.2%(Feb. Round) |
VI. AMLAN(Anaemia Mukta Laqshya AbhiyaN):
Under this strategy
- The beneficiary category of Children 6 to 59 months, out of school Adolescent girls of 10-19 years, Women in Reproductive Age (WRA) 20-24 year, Pregnant Women and Lactating Mother are tested for haemoglobin estimation at their respective VHSND/UHSND.
- All students studying in class 1st to 12th in Govt and Govt. aided schools are tested for haemoglobin estimation at their respective schools.
- Those beneficiaries who are left out or belong to out of reach areas are tested in T3 camps, which is organized yearly twice at every CHC and quarterly once in every Districts.
- Based on the Hb test results, necessary therapeutic dose is administered/ referral is done to higher centre.
- Counseling & follow-up are undertaken.
| Status of AMLAN April’24 to Feb’25 | ||||||||||
| Beneficiary | Total No. Tested | Total Anaemic cases | % | Mild | % | Moderate | % | Severe | % | |
| 6-59 months | 3415406 | 1193934 | 35.0 | 984661 | 28.8 | 201031 | 5.9 | 8242 | 0.2 | |
| 5-9 years | 1995188 | 851544 | 42.7 | 630887 | 31.6 | 213447 | 10.7 | 7180 | 0.4 | |
| 10-19years (in school) | ||||||||||
| Boys | 941790 | 371033 | 39.4 | 281952 | 29.9 | 85064 | 9.0 | 4107 | 0.4 | |
| Girls | 981680 | 402480 | 41.0 | 293949 | 29.9 | 103987 | 10.6 | 4544 | 0.5 | |
| Total | 1923470 | 773513 | 40.2 | 575901 | 29.9 | 189051 | 9.8 | 8561 | 0.4 | |
| 10-19years (out of school Girls) | 735085 | 392381 | 53.4 | 264573 | 36.0 | 124383 | 16.9 | 3425 | 0.5 | |
| WRA (20-24 years) | 1184636 | 555380 | 46.9 | 374640 | 31.6 | 177063 | 14.9 | 3677 | 0.3 | |
| Pregnant Women | 1858457 | 1044027 | 56.2 | 752625 | 40.5 | 279861 | 15.1 | 11553 | 0.6 | |
| Lactating Mother | 1274514 | 790061 | 62.0 | 484896 | 38.0 | 298615 | 23.4 | 6550 | 0.5 | |
| Total | 12386756 | 5600840 | 45.2 | 4068183 | 32.8 | 1483459 | 12.0 | 49188 | 0.4 | |
VII.CLMC (Comprehensive Lactation Management Centre):
To provide comprehensive lactation support and management for all mothers within the hospital and providing safe donor human milk to sick newborn, CLMC is established in Capital Hospital, Bhubaneswar and at SCB Medical College, Cuttack. Facilities for collection, screening, processing, storage and dispensing of donated human milk for babies without access to their own mother’s milk and expression and storage of mother’s own breast milk for consumption of her baby are available in CLMC.
During F.Y2024-25, 1587.6 litres of milk collected and 6736 nos. of newborn benefitted.
VIII. Lactation Management Unit(LMU) :
Lactation Management Unit is established in 25 District Hospital/Medical colleges adjacent to functional SNCU having at least 12 beds where sick new-borns are admitted for medical management. The LMU is set up with collection and storage facility of mother’s own milk to fulfil the feeding requirement of their own baby.
During F.Y2024-25, 2493 litres of milk collected and 10426 no.s of newborn benefitted.