PMID- 38330040
OWN - NLM
STAT- MEDLINE
DCOM- 20240214
LR  - 20240214
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 19
IP  - 2
DP  - 2024
TI  - Integrated child development service (ICDS) coverage among severe acute 
      malnourished (SAM) children in India: A multilevel analysis based on national 
      family health survey-5.
PG  - e0294706
LID - 10.1371/journal.pone.0294706 [doi]
LID - e0294706
AB  - Severe acute malnutrition (SAM) can be fatal for children, and potentially limit 
      their cognitive and physical growth. The last three National Family Health Survey 
      (NFHS) in India shows an increase in the prevalence of SAM among under-five 
      children. Given the specific mandates under ICDS (Integrated Child Development 
      Service) for SAM children, it is important to validate the coverage efficiency of 
      ICDS on SAM children. This paper examines a possible association between the 
      coverage efficiency of ICDS on SAM children. The study further aims to identify 
      the determinants of ICDS service utilization among SAM children. We used data 
      from the fifth round of the National Family Health Survey. Descriptive statistics 
      was used to estimate the SAM coverage under ICDS. Multilevel Logistic Regression 
      was used to identify the determinants of ICDS service utilization among SAM 
      children. The burden of SAM is higher among older children (3+ age). Coverage of 
      ICDS was more among younger children and the poorest households in the rural 
      areas. Results from multilevel logistic regression showed that age had a 
      significant relationship with the outcome variable. SAM children living in the 
      rural areas had a significantly higher odds of being covered under ICDS service 
      (OR 1.57; CI: (1.35, 1.82)) than their urban counterparts. Pregnant and lactating 
      mothers who received ICDS services were significant determinants of SAM coverage 
      under ICDS. There is no evidence that ICDS is more efficient in identifying and 
      covering SAM children than non-SAM children. Despite special provisioning in 
      place for SAM children, coverage of different ICDS services was similar to that 
      of non-SAM children, and were in fact lower than non-SAM children for some 
      categories. The study suggests that improving coverage of ICDS services among 
      pregnant and lactating mothers would increase the coverage of ICDS services among 
      SAM children.
CI  - Copyright: (c) 2024 Chakraborty et al. This is an open access article distributed 
      under the terms of the Creative Commons Attribution License, which permits 
      unrestricted use, distribution, and reproduction in any medium, provided the 
      original author and source are credited.
FAU - Chakraborty, Ritankar
AU  - Chakraborty R
AUID- ORCID: 0000-0001-6510-9291
AD  - Department of Bio-Statistics and Epidemiology, International Institute for 
      Population Sciences, Mumbai, Maharashtra, India.
FAU - Joe, William
AU  - Joe W
AD  - Population Research Centre, Institute of Economic Growth, Delhi University 
      Enclave (North Campus), Delhi, India.
FAU - ShankarMishra, Udaya
AU  - ShankarMishra U
AD  - Department of Bio-Statistics and Epidemiology, International Institute for 
      Population Sciences, Mumbai, Maharashtra, India.
FAU - Rajpal, Sunil
AU  - Rajpal S
AD  - Department of Economics, FLAME University, Pune, Maharashtra, India.
LA  - eng
PT  - Journal Article
DEP - 20240208
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Child
MH  - Female
MH  - Pregnancy
MH  - Humans
MH  - Adolescent
MH  - *Child Development
MH  - Multilevel Analysis
MH  - *Lactation
MH  - India/epidemiology
MH  - Health Surveys
PMC - PMC10852256
COIS- The authors have declared that no competing interests exist.
EDAT- 2024/02/08 18:42
MHDA- 2024/02/10 10:47
PMCR- 2024/02/08
CRDT- 2024/02/08 13:52
PHST- 2022/09/26 00:00 [received]
PHST- 2023/10/25 00:00 [accepted]
PHST- 2024/02/10 10:47 [medline]
PHST- 2024/02/08 18:42 [pubmed]
PHST- 2024/02/08 13:52 [entrez]
PHST- 2024/02/08 00:00 [pmc-release]
AID - PONE-D-22-26619 [pii]
AID - 10.1371/journal.pone.0294706 [doi]
PST - epublish
SO  - PLoS One. 2024 Feb 8;19(2):e0294706. doi: 10.1371/journal.pone.0294706. 
      eCollection 2024.