%0 Journal Article
%T Participation of pregnant and lactating mothers in ICDS programme in rural area.
%A Lal S
%A Khanna P
%A Vashisht BM
%A Punia MS
%A Satpathy S
%A Kumar S
%J Indian J Matern Child Health
%V 6
%N 3
%D Jul-Sep 1995
%M 12346502
暂无%X In the Integrated Child Development Services (ICDS) project Chiri in India, interviews with 363 pregnant and lactating mothers and an examination of household records were conducted to learn the extent of their participation in the ICDS Programme activities and to identify obstacles to under- or non-utilization of these services. 62% of the women were currently involved in the ICDS Programme. 23.7% had never used ICDS services. The most frequented services were supplementary nutrition (97.3%), tetanus toxoid prophylaxis (89.3%), and iron and folic acid prophylaxis (87.1%). 62.8% of the women participating in the supplementary nutrition program participated more than 20 days/month. Since tetanus toxoid prophylaxis and iron and folic acid prophylaxis occurred one day/month with high participation, the workers could have used this day for group meetings, individual counseling, discussions, and demonstration, but the opportunity was missed for prenatal care, contraception, growth monitoring, and health and nutrition activities. 89.8% of women participating in the supplementary nutrition program took the food home to share with family members. Participation rates were less than 50% for organized radio listening (9.3%), Mahila Swasthya Sangh meetings (20.4%), birth spacing (40.4%), health and nutrition education (40.4%), family planning (46.2%), and prenatal care (47.4%). The major reasons for never using ICDS services were: could not spare time (53.5%) and working outside the household for long hours (50%). 15% were never approached by an anganwadi worker and were therefore not aware of ICDS services or the workers did not have an encouraging attitude. Other possible contributing factors to under- or non-utilization were high illiteracy (61%) and insufficient awareness of ICDS services among heads of households (94.9%).