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Sarkar J, Sarkar C. Role of Community Infrastructure in Improving Nutrition in Under-Five Children for Better Implementation of Integrated Child Development Services. JCCNC 2025; 11 (1)
URL: http://jccnc.iums.ac.ir/article-1-605-en.html
1- Mumbai Metropolitan Region (MMR), Maharashtra, India
2- Department of Biotechnology, University of Mumbai, Matunga, Mumbai-19, India. , chiradeep.sarkar@gnkhalsa.edu.in
Abstract:   (199 Views)
Background: In India, 26 million children are born every year. These Children (0-6 years) comprise 13% of the country's population. Undernutrition is a fallout of malnutrition, malabsorption, and nutritional imbalance which causes a problem of being underweight in children. It can affect a child’s brain development and other developmental milestones. This study is designed to understand the role of Anganwadi Centers (AWCs) (community day-care centres) and women’s access to Internet in reducing the undernutrition in children.
Methods: It was a retrospective cross-sectional study which was conducted during 2023-2024. The study population consisted of 724,115 Indian women in the age group of 15-49 years.  We used anonymized, publicly available secondary data from the India National Family Health Survey (NFHS-5). The NFHS5 survey was carried out from the year 2019 to 2021. Information on various parameters was collected using a predesigned questionnaire. Statistical analysis including Pearson correlation coefficient analysis, simple linear regression and multiple linear regression analysis were carried out for independent variables including percent of operational AWCs and percent of women with Internet access, and dependent variable (percent of underweight children per state). Statistical analysis of the data has been done by Social Science Statistics (www.socscistatistics.com) tools. The significance level of 0.05 was considered for analysis.
Results: The states or union territories (UTs) with lower number of AWCs had a higher percentage of women with Internet access as compared to UTs with more AWCs. Multiple linear regression for independent variables (operational AWCs, and women with Internet access), and dependent variable (underweight children per state) was developed. It was shown that β0= 37.1607; β1(AWCs)= 0.5659; and β2(Internet access) = -0.2907 and R squared value as 0.5709. This shows that independent variables have a significant influence on the number of underweight children in the state. Results of the Pearson correlation indicated that there is a significant large negative relationship between women’s access to Internet and the percentage of underweight children in the state, (r (34) = -0.733, p < .001), meaning that with an increase in internet access for women the percentage of underweight children decreases.
Conclusion: The study clearly shows that when compared, community daycare centers (AWCs) have a limited role in the child's nutrition, but women’s Internet access can be a determinant of the child's nutrition. Women's access to the Internet can help reduce the number of underweight children under five and improve overall maternal and child health as well as public health.
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Type of Study: Research | Subject: General
Received: 2024/05/4 | Accepted: 2024/08/28 | Published: 2025/01/1

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