Utilization of Integrated Child Development Services (ICDS) and its linkages with undernutrition in India

Bibliographic Data

ID15535836
AuthorsShri Kant Singh (0000-0003-0824-9073, International Institute for Population Sciences), Alka Chauhan (0000-0001-9391-620X, International Food Policy Research Institute, corresponding author), Harold Alderman (0000-0001-8019-6397, International Food Policy Research Institute), Rasmi Avula (0000-0003-0066-6964, International Food Policy Research Institute), Laxmi Kant Dwivedi (0000-0001-9737-2844, International Institute for Population Sciences), Rati Kapoor (0000-0003-3164-715X, International Food Policy Research Institute), Trupti Meher (0000-0001-7637-2060, International Institute for Population Sciences), Pratiksha Menon (0000-0001-5988-2894, International Food Policy Research Institute), Phuong H Nguyen (0000-0003-3418-1674, International Food Policy Research Institute), Sarang Pedgaonker (International Institute for Population Sciences), Parul Puri (0000-0001-6272-837X, International Institute for Population Sciences), Suman Chakrabarti (0000-0002-5078-2173, International Food Policy Research Institute)
Year2024
Volume20
Issue3
Pagese13644-e13644
Publication date2024-04-08
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMaternal and Child Nutrition (JOURNAL)
Journal identifiersISSN: 1740-8695 • E-ISSN: 1740-8709
PublisherWiley (PUBLISHER • GB)
DOI10.1111/mcn.13644
PMID38586943
OpenAlexW4394571612
LanguageEN
Citations received5
References cited17

The Integrated Child Development Services (ICDS) programme has been the central focus of the POSHAN Abhiyaan to combat maternal and child malnutrition under the national nutrition mission in India. This paper examined the linkages between utilization of ICDS and underweight among children aged 6-59 months. The study utilized data from two recent rounds of the National Family Health Survey (NFHS-4 [2015-2016] and NFHS-5 [2019-2021]). Descriptive analyses were used to assess the change in utilization of ICDS and the prevalence of underweight at the national and state levels. Multivariable logistic regressions were performed to examine factors associated with the utilization of ICDS and underweight. Linkages between utilization of ICDS and underweight were examined using the difference-in-differences (DID) approach. Utilization of ICDS increased from 58% in 2015-2016 to 71% in 2019-2021. The prevalence of underweight decreased from 37% to 32% in the same period. Changes in ICDS utilization and underweight prevalence varied considerably across states, socioeconomic and demographic characteristics. Results from decomposition of DID models suggest that improvements in ICDS explained 9%-12% of the observed reduction in underweight children between 2016 and 2021, suggesting that ICDS made a modest but meaningful contribution in addressing undernutrition among children aged 6-59 months in this period

Body mass index · Environmental health · Logistic regression · Malnutrition · Overweight · Population · Socioeconomic status · Underweight · Child Nutrition and Water Access · Demography · Global Maternal and Child Health · Medicine · Poverty, Education, and Child Welfare · Pediatrics

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