International Journal of Research Foundation of Hospital and Healthcare Administration

Register      Login

VOLUME 3 , ISSUE 2 ( July-December, 2015 ) > List of Articles


Impact of Nutritional Services of Anganwadi Workers in Improving Nutritional Status of Infants in Delhi: A Study by Mixed Method Technique

Sanjeev Davey, Anuradha Davey, S Vivek Adhish, Rajni Bagga

Citation Information : Davey S, Davey A, Adhish SV, Bagga R. Impact of Nutritional Services of Anganwadi Workers in Improving Nutritional Status of Infants in Delhi: A Study by Mixed Method Technique. Int J Res Foundation Hosp Healthc Adm 2015; 3 (2):57-64.

DOI: 10.5005/jp-journals-10035-1037

Published Online: 01-03-2015

Copyright Statement:  Copyright © 2015; The Author(s).



Despite the presence of integrated child development services (ICDS) program in rural area of Delhi, the real impact of nutritional services of ICDS program on nutritional status of infants is not very clear, therefore, studying this area may provide new insights in this field.

Materials and methods

This study was carried out from 1st January 2015 to 31st March 2015 (3 months). All children up to 1 year of age (in AWC 1 and 2 area of a one rural ICDS block) were examined for their nutritional status by weight for age criteria. The registered infants of both these Anganwadi centers (AWCs) and their mothers were simultaneously observed for all kind of nutritional services they received from Anganwadi workers (AWWs) by way of key informants interviews and this was further confirmed by applying secret customer technique.


The prevalence of mild to moderate malnutrition among infants in both the AWC area (AWC 1 area—6 months to 1 year category—52.9%, AWC 2 area (from 0—6 months and 6 months—1 year—69.3%) was higher. The key feeding factors identified for such scenario were: Improper colostrums feeding, wrong age of initiation of semisolid feeding, exclusive breastfeeding not done for 6 months, etc. [especially for AWC 2 area (p < 0.05) and AWC 1 area (p > 0.05)] among the AWCs. These factors were further confirmed by poor efforts of both AWWs in providing nutritional services toward mother and infants.


Anganwadi workers need to focus on quality of nutritional services provided toward mothers of infants and this area needs regular monitoring and supervision from ICDS and health system meticulously.

How to cite this article

Davey S, Davey A, Adhish SV, Bagga R. Impact of Nutritional Services of Anganwadi Workers in Improving Nutritional Status of Infants in Delhi: A Study by Mixed Method Technique. Int J Res Foundation Hosp Healthc Adm 2015;3(2):57-64.

PDF Share
  1. Impact of the integrated child development services on maternal nutrition and birth weight in rural Varanasi. Ind Pediatr 2000;37:1321-1327.
  2. India—Integrated Child Development Services. 2015. Available at: [Last updated on 2015 May 08 and Last cited on 2015 May 08].
  3. (Internet@2015]. Available at: Resou rces/2235461147272668285/u nder nou r i shed _ chapter_2.pdf.1-33. [Last updated 2015 May 17 and Last cited 2015 May 17].
  4. Women Literacy and Infant Feeding Practices in Rural ICDS Block of Delhi. Natl J Community Med 2012;3(3):385-390.
  5. Study of impact of Sociocultural and economic factors of mothers on the nutritional status of their malnourished children in a rural area of Delhi, India. Int J Med Sci Public Health 2015;4(2):1-6.
  6. Impact of per-ceptions of key stakeholders in combating undernourishment among rural children in Delhi. J Health Res Rev 2015;2(1):1-8. (Ahead of Print).
  7. Factors influencing status of undernutrition among children (0–5 years) in a rural area of Delhi: a cross-sectional study. Int J Community Med Public Health 2014;1:12-17.
  8. Role and responsibilities of Anganwadi workers, with special reference to MYSORE District. Int J Sci Environ Technol 2013;2(6):1277-1296.
  9. MOHFW. Role Clarity and Delineation of roles for frontline workers. [Internetc 2015]. Available at: Health_Frontline_FunctionariesFinal.pdf. [Last updated 2013 Dec 24 and Last cited 2015 May 08].
  10. A coordinated approach to children's health in India. 1981 Mar 21;1(8221):650-653.
  11. Integrated Child Development Services Scheme and nutritional status of Indian children. J Trop Pediatric 1995 Apr;41(2):123-128.
  12. Integrated Child Development Services scheme and its impact on nutritional status of children in India and recent initiatives. Ind J Public Health 1999 Jan-Mar;43(1):21-25.
  13. Study of nutritional status of children attending ICDS services in Lucknow. Ind J Prev Soc Med 2011;42(2).
  14. Nutritional status of pre-school children in an integrated child development service block of Chandigarh. J Ind Med Assoc 2001 Oct;10:554-556.
  15. Impact of the Integrated Child Development Services in Uttar Pradesh. Ind J Med Res 1984 Mar;79:363-372.
  16. Role of ICDS program in delivery of nutritional services and functional integration between Anganwadi and health worker in north India. Int J Nutrit Wellness 2007;5(2).
  17. Knowledge and Attitudes of Anganwadi Supervisor Workers About Infant (Breast feeding and Complementary) Feeding in Gondia District. Ind J Community Med 2009;34(3):249-251.
  18. Knowledge and attitude of AWW on infant feeding in Delhi. Ind Pediatr 1995 Jan;32(3):346-350.
  19. Nutritional beliefs amongst Anganwadi workers. Ind Pediatr 1992;29(1-6):67-71.
  20. Knowledge and perceptions of ICDS Anganwadi workers with reference to promotion of community based complementary feeding practices in semi tribal Gujarat. National J Community Med 2011;2(3):457-464.
  21. KAP of Rural, Urban and Tribal AWWs and Beneficiary Mother Nutrition in lactation. Ind J Community Med 2004;29(4):198-199.
  22. The Impact of Anganwadi Centers’ Services on Infant Survival in India. Available at: [Last updated on 2013 Dec 24 and last cited on 2015 May 08].
  23. Perceptions regarding Quality of Services in Urban ICDS Blocks in Delhi. Ind J Pub Health 2008;52(3):156-158.
  24. Role of reorientation training in enhancement of the knowledge regarding growth monitoring activities by Anganwadi workers in urban slums of Delhi. Ind J Community Med 2008;33(1):47-49.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.