METHODOLOGY a counselling tool and develop action plan


This chapter give
details of the
methodology used for the study. The present study was design with the broad aim of to engage community
and grassroot level functionaries to deliver key nutrition and dietary
interventions to improve knowledge, practices for optimizing weight through
improved home diet, iron rich foods, and improve utilisation of available
public health services unmarried adolescent girls aged (15-19 years).

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To assess the nutritional
status of the target population by anthropometric measurements to identify
malnutrition (BMI <18.5kg/m2)& MUAC (<21.1cm) overweight(>23kg/m2)
and obesity  ( > 30kg/m2), and waist

To assess the
regularity of supply and utilization of commodities and fortified wheat flour (if
available) under PDS system by the target population

To assess the dietary
practices to compute consumption of food groups/CU/day and food frequency of
iron rich foods of the target population

Profile of ASHAs and
representative members of MAS in selected zone and areas

To identify the training
needs of ASHAs and representative members of MAS using knowledge and practice
assessment tool to optimize weight
and to improve iron deficiency anemia in the target population and developing a
monitoring and counselling module

To build the capacity of
ASHAs and selected MAS representatives to optimize
weight and to improve iron deficiency anemia of target population using
training module and study the impact of training by comparing the data on
knowledge, practice and delivery of services to the target population.

To facilitate and support
MAS representatives to build capacities of MAS members to optimize weight,
improve iron deficiency anemia and to improve utilization of relevant services
by using training module as a counselling tool and develop action plan for
reaching the target population.

To conduct random checks
on the delivery of nutritional health interventions by the trained MAS members
and to review the monthly meetings organised by the ASHA & MAS

To evaluate the community
engagement strategy by documenting the participation of MAS members in
delivering the key interventions to the community. 

To evaluate the impact of
community engagement strategy on knowledge, dietary practices and utilization
of available health services practices of target population.


The study was
approved under the Department Of Medical Ethics Committee (No. IECHR/2017/18).
The Maharaja Sayaji Rao University of Baroda, Vadodara.


consent of all the subjects were taken in order to enrol them for the research

Under Vadodara Mahanagar Seva Sadan (VMSS)
there are 4 zones i.e. east, west, north, south. From that 1 zone will be
Purposively selected that will be east Zone, under that 1 UHC Sawad was
purposively selected





















study was divided into 3 phases. Details
of experimental design for the research

       is presented in

Phase- I Situational analysis

UHC profile (n=1)

Anganwadi profile (n=7)

Public distribution
system (n=6)

Background information
(n= 250)

Weight, Height, MUAC, and
WC (n=250)

Haemoglobin estimation

Knowledge and practices(n=250)

24 hr dietary recall (per
CU/day) (n=250)

Semi- quantitative food
frequency (n=250)

Phase- II Identification
of the training needs of ASHAs and selected members of MAS and development of
training module

Profile of ASHA (n=6)

Profile of MAS
representatives (n=18)

Knowledge and practice of
ASHA (n=6)

Knowledge and practice of
MAS representatives (n=18)

Development of the
training cum monitoring module for ASHAs and MAS representatives (n=24)

Training cum counselling
module for ASHA and MAS (n=55)

Supportive Supervision

Research student will
monitor ASHA (n=2)

ASHA in turn will monitor
the MAS representatives (n=18)

MAS representatives will
further monitor the MAS members (n=)

Number of MAS actively
engaged in delivering key dietary and health intervention of the target
population (n=)

To evaluate the impact of
community engagement strategy on knowledge, dietary and utilization of health
services practices of target population (n=250)





UHC will be purposively selected


10-12  AWCs from that 7 AWCs would be randomly
selected to get a sample of 250 unmarried adolescent girls


























(A) Identification of The Training Needs


Build the Capacities of ASHAs and Selected Members of MAS



= 6 ASHAs

trainers =24
ASHA and 18 MAS representatives)

7ASHAs =
18 MAS representatives

MAS committee = 100 MAS  members       (10×10)

MAS members














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