A Study on Appraisal of Knowledge, Attitude and Practices of Trained AWWs regarding Malnutrition under IMNCI

Krupal Jagdishchandra Joshi, Hetal T Koringa, Kishor M Sochaliya, Girija P Kartha


Context: Malnutrition is the biggest health problem of children in developing countries. Approximately 60 million children are underweight in India and child malnutrition is responsible for 22% of the country’s burden of disease.

Aims: (i) To study the knowledge and attitude of anganwadi workers (AWWs) after IMNCI training regarding malnutrition. (ii) To assess the skills acquired by AWWs after IMNCI training regarding malnutrition.

Materials and Methods: The present study was a cross-sectional study conducted in five talukas of Surendranagar district from August 2012 to January 2013. Sample size included all AWWs of five talukas of Surendranagar district, who had received basic IMNCI training. Out of a total 833 AWWs, 774 were

Statistical Analysis Used: Descriptive statistics and Chi-square test.

Results: The analysis shows that majority of AWWs were educated up to secondary level (49.49%). Nearly 20% of AWWs were educated up to primary level, which could be a barrier to any program implementation. 80.6% of the respondents correctly identified the grade-4 malnutrition from growth chart, while nearly 20% of the respondents were able to identify low-grade, i.e., first to third degree malnutrition.

Conclusions: Educational status plays a great role for the success of any program as it affects the understanding and grasping level of AWWs about their skillful management of malnutrition. Efficient and keen work in the field requires not only proper training but also assessment of their skills at all levels. Re- training at timely interval can play a lead role to improve their skills.


Anganwadi worker, IMNCI, Malnutrition

Full Text:



The World Bank [Internet]: Helping India Combat

Persistently High Rates of Malnutrition. 2013 [cited

Mar 07]. Available from: http://www.worldbank.



UNICEF India [Internet]: The children – Nutrition. [cited

Mar 28]. Available from: http://www.unicef.org/


Chaudhary N, Mohanty PN, Minakshi Sharma.

Integrated management of childhood illness (IMCI):

Follow-up of basic health workers. Indian Journal of

Pediatrics 2005; 72: 735-39.

WHO IRIS [Internet]: Report of an informal consultation

on maintaining the performance of health workers

trained in IMCI: Geneva. 22-23 Jun 2000 [Cited 2017

Mar 07]. Available from: http://apps.who.int/iris/


Kapil U, Tandon BN. ICDS scheme – Current status,

monitoring, research and evaluation system. Indian

Journal of Public Health [Internet]. 1990 [cited 2017

Mar 07]; 34(1): 41-47. Available from: http://www.ijph.



Amaral J, Gouws E, Bryce J et al. Effect of integrated

management of childhood illness (IMCI) on health

worker performance in Northeast-Brazil. Cad. Saude

Publica Rio de janeiro 2004; 20(2): S209-19.

Kelley LM, Black RE. Research to support household

and community IMCI: Report of a meeting. Baltimore,

Maryland, USA. J Health Popul Nutr 2001; 19(2): S111-

Chattopadhyay D. Knowledge and skills of anganwadi

workers in Hooghly district, West Bengal. Indian Journal

of Community Medicine 2004; 29(3): 117-18.

Beracochea E, Dickson R, Freeman P et al. Case

management quality assessment in rural areas of

Papua New Guinea. Troptdocu [Internet]. 1995

Apr [cited 2017 March 03]; 25(2): [about 1 p.].

Available from: http://journals.sagepub.com/doi/ab





  • There are currently no refbacks.

Copyright (c) 2018 International Journal of Preventive, Curative & Community Medicine (ISSN: 2454-325X)

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.