| What is the purpose of the Anemia Mukt Bharat-Operational Guidelines? | an attempt to provide the programme managers a simple operational strategy for implementation at all levels of care and service delivery | Technical guidelines for control of Iron Deficiency Anaemia in children and pregnant women and lactating mothers were in place but the operational mechanisms for implementing the same were needed. The Anemia Mukt Bharat- Operational Guidelines are an attempt to provide the programme managers a simple operational strategy for implementation at all levels of care and service delivery. The guidelines delineate the prophylactic management of anemia across all ages and provide the testing and treatment strategy for particular population groups of In-school adolescents and pregnant mothers receiving antenatal care. | 248 | definition | 1.000 | The Anemia Mukt Bharat- Operational Guidelines are an attempt to provide the programme managers a simple operational strategy for implementation at all levels of care and service delivery. | 9 | page=9,block=2 | 0.850 | valid |
| What purpose are the Operational Guidelines for Programme Managers intended to fulfill? | a handbook and a resource for effective planning and implementation | Concerted efforts to address this challenge, in congruence with the recently launched POSHAN Abhiyaan and convergent actions in form of the “Anemia Mukt Bharat” strategy are a welcome step. We urge States, Union Territories and key stakeholders to build priority on this strategy aiming to achieve long term health and economic outcomes. These Operational Guidelines for Programme Managers have been designed to serve as a handbook and a resource for effective planning and implementation. We are hopeful that these guidelines will prove to be useful for service providers and programme managers at all the levels of implementation. We are confident that the Anemia Mukt Bharat initiative integrated with initiatives under National Health Mission (NHM) and POSHAN Abhiyaan would contribute in achieving the envisaged outcomes for the country’s population. Ms. | 421 | definition | 1.000 | These Operational Guidelines for Programme Managers have been designed to serve as a handbook and a resource for effective planning and implementation. | 7 | page=7,block=2 | 0.700 |
| What does India’s National Health Policy (2017) recognize anemia as? | a deterrent to maternal and child survival and overall productivity of the nation | India’s National Health Policy (2017) recognizes anemia as a deterrent to maternal and child survival and overall productivity of the nation. The policy also emphasizes on a need for intensifying efforts to address all causes of anemia for accelerating decline in anemia prevalence, in a mission mode using a unified multi-pronged strategy rather than multiple programmes. At the same time, Government of India has also made a commitment to Global World Health Assembly target of 50% reduction of anemia among women of reproductive age by 2025 and the POSHAN Abhiyaan (2018–2020), ambitious target to reduce prevalence of anemia among children 6–59 months, adolescents and women of reproductive age 15–49 years by 3 percentage points per year. | 59 | definition | 1.000 | India’s National Health Policy (2017) recognizes anemia as a deterrent to maternal and child survival and overall productivity of the nation. | 11 | page=11,block=2 | 0.700 | valid |
| What are the components of the 6X6X6 strategy in the Anemia Mukt Bharat initiative? | six target beneficiaries, six interventions and six institutional mechanisms | In view of the above mentioned national and global commitments, the Ministry of Health and Family Welfare has developed the Anemia Mukt Bharat strategy and Operational Guidelines, providing preventive and curative mechanisms through a 6X6X6 strategy including six target beneficiaries, six interventions and six institutional mechanisms, for all stakeholders to implement the strategy. The strategy also talks about newer initiatives such as use of advanced methods of haemoglobin estimations using digital haemoglobinometers, and point of care management of anemia among in-school adolescents and pregnant women. I am hopeful that States will find the Anemia Mukt Bharat Operational Guidelines useful in pro-actively implementing the overall strategy and thus in turn have a positive impact on the health and economic status of the county. | 260 | definition | 1.000 | In view of the above mentioned national and global commitments, the Ministry of Health and Family Welfare has developed the Anemia Mukt Bharat strategy and Operational Guidelines, providing preventive and curative mechanisms through a 6X6X6 strategy including six target beneficiaries, six interventions and six institutional mechanisms, for all stakeholders to implement the strategy. |
| What is the function of the IFA compliance card? | ASHA will record compliance in the IFA compliance card attached with the MCP card and teach mothers to mark the compliance after administering every dose. | ASHA will record compliance in the IFA compliance card attached with the MCP card and teach mothers to mark the compliance after administering every dose. » After a month, it is expected that mothers would acquire the required skills and confidence in providing IFA syrup to their child twice a week and marking the same on the compliance card. » In addition, screening for anemia in children under-5 years will be done biannually and follow-up with the children diagnosed with anemia in scheduled visits by Rashtriya Bal Swasthya Karyakram (RBSK) team as per protocol. • School children 5–9 years will be provided weekly IFA (Pink) tablet in schools using spot feeding approach of IFA after the mid-day meal through teachers in Government aided schools and after lunch break in private schools. Out-of-school children between 5–9 years will be provided IFA tablets through ASHA during home visits. | 0 | definition | 1.000 | ASHA will record compliance in the IFA compliance card attached with the MCP card and teach mothers to mark the compliance after administering every dose. » After a month, it is expected that mothers would acquire the required skills and confidence in providing IFA syrup to their child twice a week and marking the same on the compliance card. |
| What is the initial treatment for adolescents with mild and moderate anemia? | Two IFA tablets (each with 60 mg elemental iron and 500 mcg folic acid), once daily, for 3 months, orally after meals | Target group All school-going adolescents 10–19 years in government/ government-aided schools Who will screen and place of screening In school premises by RSBK team Periodicity Annually Mild and Moderate Anemia (Hb cut-off as per Table 1) First level of treatment (at all levels of care) Two IFA tablets (each with 60 mg elemental iron and 500 mcg folic acid), once daily, for 3 months, orally after meals Follow-up • Line listing of all anemic cases to be maintained in the school register for Iron Folic Acid supplementation and given to the ANM/LHV/MPHW of designated area • Follow-up by ANM/LHV/MPHW of designated area, as feasible for the state • Parents to ensure follow-up of adolescent after 45 days to 90 days at the nearest sub-centre/ health facility • If haemoglobin levels have improved to normal level, discontinue the treatment, but continue with the prophylactic IFA dose If no improvement after first level of treatment If no improvement after three months of treatment (i.e., still in mild/moderate category), ANM/MO of nearest facility to refer adolescent to First Referral Unit (FRU)/District Hospital (DH) If Haemoglobin is <8 g/dl (severe anemia) First dose of treatment Management of severe anemia in adolescents 10–19 years is to be done by the medical officer at FRU/DH based on investigation and subsequent diagnosis |
| What is Anemia? | defined as haemoglobin concentration below established cut-off levels in the blood | Infectious diseases – in particular malaria, helminth infections, tuberculosis and haemoglobinopathies – are other important contributory causes to the high prevalence of anemia (WHO and UNICEF, 2004). Anemia is defined as haemoglobin concentration below established cut-off levels in the blood. The haemoglobin cut-offs which are used for diagnosing anemia across ages are described in Table 1. | 212 | definition | 0.980 | Anemia is defined as haemoglobin concentration below established cut-off levels in the blood. | 19 | page=19,block=2 | 0.850 | valid |
| What does the abbreviation MWCD stand for? | Ministry of Women and Child Development | xv MWCD Ministry of Women and Child Development NCEAR-A National Centre of Excellence and Advanced Research on Anemia NCERT National Council of Educational Research and Training NDD National Deworming Day NIPCCD National Institute of Public Cooperation and Child Development NHFS National Family Health Survey NHM National Health Mission NHSRC National Health Systems Resource Centre NRLM National Rural Livelihood Mission NVBDCP National Vector Borne Disease Control Programme PHC Primary Health Centre POSHAN Abhiyaan PM’s Overarching Scheme for Holistic Nourishment Abhiyaan PHN Public Health Nurse PMSMA Pradhan Mantri Surakshit Matritva Abhiyaan PNC Post Natal Care PW Pregnant Woman RBC Red Blood Count RBSK Rashtriya Bal Swasthya Karyakram RKSK Rashtriya Kishor Swasthya Karyakram SAM Severe Acute Malnutrition SRLM State Rural Livelihood Mission SIHFW State Institute of Health and Family Welfare VHND Village Health and Nutrition Day VHSNC Village Health Sanitation and Nutrition Committee WIFS Weekly Iron Folic Acid Supplementation WRA Women in Reproductive Age | 8 | definition | 0.980 | xv MWCD Ministry of Women and Child Development NCEAR-A National Centre of Excellence and Advanced Research on Anemia NCERT National Council of Educational Research and Training NDD National Deworming Day NIPCCD National Institute of Public Cooperation and Child Development NHFS National Family Health Survey NHM National Health Mission NHSRC National Health Systems Resource Centre NRLM National Rural Livelihood Mission NVBDCP National Vector Borne Disease Control Programme PHC Primary Health Centre POSHAN Abhiyaan PM’s Overarching Scheme for Holistic Nourishment Abhiyaan PHN Public Health |
| What is the meaning of POSHAN Abhiyaan? | PM’s Overarching Scheme for Holistic Nourishment Abhiyaan | xv MWCD Ministry of Women and Child Development NCEAR-A National Centre of Excellence and Advanced Research on Anemia NCERT National Council of Educational Research and Training NDD National Deworming Day NIPCCD National Institute of Public Cooperation and Child Development NHFS National Family Health Survey NHM National Health Mission NHSRC National Health Systems Resource Centre NRLM National Rural Livelihood Mission NVBDCP National Vector Borne Disease Control Programme PHC Primary Health Centre POSHAN Abhiyaan PM’s Overarching Scheme for Holistic Nourishment Abhiyaan PHN Public Health Nurse PMSMA Pradhan Mantri Surakshit Matritva Abhiyaan PNC Post Natal Care PW Pregnant Woman RBC Red Blood Count RBSK Rashtriya Bal Swasthya Karyakram RKSK Rashtriya Kishor Swasthya Karyakram SAM Severe Acute Malnutrition SRLM State Rural Livelihood Mission SIHFW State Institute of Health and Family Welfare VHND Village Health and Nutrition Day VHSNC Village Health Sanitation and Nutrition Committee WIFS Weekly Iron Folic Acid Supplementation WRA Women in Reproductive Age | 520 | definition | 0.980 | xv MWCD Ministry of Women and Child Development NCEAR-A National Centre of Excellence and Advanced Research on Anemia NCERT National Council of Educational Research and Training NDD National Deworming Day NIPCCD National Institute of Public Cooperation and Child Development NHFS National Family Health Survey NHM National Health Mission NHSRC National Health Systems Resource Centre NRLM National Rural Livelihood Mission NVBDCP National Vector Borne Disease Control Programme PHC Primary Health Centre POSHAN Abhiyaan PM’s Overarching Scheme for Holistic Nourishment Abhiyaan PHN Public Health |
| What health issues are linked to anemia during pregnancy? | post-partum hemorrhage, neural tube defects, low birth weight, premature births, stillbirths and maternal deaths | Almost 50 percent of the pregnant women, 59 percent of children under five years of age, 54 percent of adolescent girls and 53 percent of non-pregnant non-lactating women of our country are anemic. Anemia during pregnancy is associated with post-partum hemorrhage, neural tube defects, low birth weight, premature births, stillbirths and maternal deaths. In other populations, anemia is associated with lowered immunity, poor cognitive development and decreased work productivity. | 241 | relationship | 0.970 | Anemia during pregnancy is associated with post-partum hemorrhage, neural tube defects, low birth weight, premature births, stillbirths and maternal deaths. | 7 | page=7,block=2 | 0.800 | valid |