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Background: Sustainability of any Community health worker programme is determined by several internal and external factors and is highly context and region specific. We aimed to identify factors that influence the sustainability of a community health volunteer programme across the globe.
RESUMO
Background: Early childhood nutrition is an important stage in human development characterized by rapid cognitive development. The study aimed to determine the consumption of food patterns and dietary diversity among indigenous children according to socioeconomic status. Subjects/Methods: We used cross-sectional data from the National Family Health Survey (NFHS-4, 2015–16). Our study included 13,963 tribal children aged six to twenty-three months. A 24-hour dietary recall questionnaire was used to collect data from the mother on 21 foods, 7 food categories, and an ADDI was calculated. The relationship between household wealth, maternal education, food consumption, and ADDI was studied using multivariate regression models. The study used two models. MODEL 1: Adjusted for sex, birth order, religion, children's age, mother education, house type, and family type. Model 2: only for sex and age. Results: The median (IQR) age of the 13963 children was 14 (10-19) months, with a female/male ratio of 1:1.06. Overall, the mean score for dietary diversity was low (2.47, 95% [CI] 2.44–2.49), and the prevalence of ADDI was only 26.9 percent. In model 1, higher-income households were shown to be as likely to consume dairy products. (aOR 2.20; 95% CI 1.90-2.54) and eggs (aOR 1.28; 95% CI 1.06-1.55) than those from poor households. Higher educated mothers were more likely to consume dairy products (aOR 1.52; 95 percent CI 1.26-1.83), eggs (aOR 1.32; 95 percent CI 1.02-1.69), and other fruits and fresh vegetables (aOR 1.32; 95 percent CI 1.04-1.67) compared to mothers with no education. Conclusion: The diverse dietary consumption of Indian tribal children was inadequate. Efforts should be taken to improve their nutritional status through nutrition education and nutrient sensitive farming, including kitchen gardens.