Medicina Comunitária e Educação em Saúde

Abstrato

Assessment of Coverage of Services among Beneficiaries Residing in Area Covered by Selected Anganwadi in Urban Project I and II of Raipur City

Mini Sharma, Soni GP and Nitin Sharma

Introduction: It has been a focus of interest to expand ICDS scheme and provide adequate quality of services to the beneficiaries. Current study is an attempt to find out the coverage deficit in services provided by Anganwadi centres to its eligible beneficiaries residing under urban project of Raipur district (I and II). Materials and methods: Cross sectional observational study conducted at Raipur district in selected 30 Anganwadi centres (by Systemic random sampling). House to house survey was done to identify the eligible beneficiaries. Selected Anganwadi centers were visited and their infrastructure, facility and beneficiaries registers were checked beneficiaries interviewed to confirm and identify coverage gap. Observations: 4474 (66%) beneficiaries were registered to the AWC out of 6822 in project 1 and II, 34% were thus unregistered. In growth monitoring actual coverage gap was 38%. In preschool education actual lag (i.e. service lag + coverage lag) was 47%. In supplementary nutrition actual gap was 28%. There was a service deficit of 13% in immunization services. Conclusions: There was a gross coverage deficit on the part of the services provided by the anganwadi centres under ICDS scheme especially in the surveyed population. In a social welfare scheme a coverage gap like this is unacceptable. A thorough evaluation at the root level is required to identify the