{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T08:31:56Z","timestamp":1793694716369,"version":"4.5.1"},"reference-count":21,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2019,6,16]],"date-time":"2019-06-16T00:00:00Z","timestamp":1560643200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100006641","name":"UNICEF","doi-asserted-by":"publisher","award":["None Stated"],"award-info":[{"award-number":["None Stated"]}],"id":[{"id":"10.13039\/100006641","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Food Nutr Bull"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Maternal spot feeding programs operational in southern Indian States are providing a package of nutrition services (food, micronutrient supplementation, deworming, gestation weight gain monitoring, and fortnightly nutrition health education) to pregnant women. These remain to be evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>We evaluated the maternal spot feeding programs in 2 Southern Indian states.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Study design was cross-sectional entailing primary data collection (July to November 2016) on 360 pregnant and lactating women (of infants aged 0-6 months) per state and a review of the scheme\u2019s management information system (MIS) beneficiaries\u2019 records for the time period April 2014 to August 2017. To gain program functioning insights, open-ended interviews (n = 252) with state, district, and block program managers a state-level open space technology workshop was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Average days of meal consumption ranged from 19 to 21 days per month; spot meal enhanced high dietary diversity (\u22656 food groups; 57%-59%) and consumption of eggs and milk (74%-96%) among pregnant and lactating women. On-the-spot consumption of iron, folic acid, calcium, and deworming was 18%, 87%, and 56%, respectively; 94% attended at least 1 of the 2 nutrition monthly counseling sessions. Majority (68%) of the beneficiaries were motivated to enroll by self-help groups or family members, suggesting the crucial persuasive role of peers and family members.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Maternal spot feeding schemes can potentially deliver nutrition interventions outlined in the World Health Organization antenatal care guidelines 2016 for a positive pregnancy outcome. Research on schemes\u2019 impact on birth outcomes, maternal depression, social norms, and its cost-effectiveness is needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0379572119844142","type":"journal-article","created":{"date-parts":[[2019,6,16]],"date-time":"2019-06-16T22:30:40Z","timestamp":1560724240000},"page":"393-408","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Delivering an Integrated Package of Maternal Nutrition Services in Andhra Pradesh and Telangana (India)"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9408-2956","authenticated-orcid":false,"given":"Vani","family":"Sethi","sequence":"first","affiliation":[{"name":"Child Development and Nutrition Section, UNICEF India Country Office, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khyati","family":"Tiwari","sequence":"additional","affiliation":[{"name":"UNICEF Field Office for Andhra Pradesh and Karnataka, Hyderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Sareen","sequence":"additional","affiliation":[{"name":"Independent Consultant, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suneeta","family":"Singh","sequence":"additional","affiliation":[{"name":"Amaltas, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chittaranjan","family":"Mishra","sequence":"additional","affiliation":[{"name":"Amaltas, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Jagadeeshwar","sequence":"additional","affiliation":[{"name":"Secretary to Government, Women, Children, Disabled and Senior Citizens, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Sunitha","sequence":"additional","affiliation":[{"name":"Secretary to Government, Women, Children, Differently Abled and Senior Citizens, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Vijay","family":"Kumar","sequence":"additional","affiliation":[{"name":"Centre for Economic and Social Studies, Hyderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arjan","family":"de Wagt","sequence":"additional","affiliation":[{"name":"Chief of Nutrition, UNICEF India Country Office, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. P. S.","family":"Sachdev","sequence":"additional","affiliation":[{"name":"Paediatrics and Clinical Epidemiology, Sitaram, Bhartia Institute of Science and Research, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,6,16]]},"reference":[{"key":"bibr1-0379572119844142","unstructured":"World Health Organization. WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience. Geneva, Switzerland: WHO; 2016. http:\/\/apps.who.int\/iris\/bitstream\/10665\/250796\/1\/9789241549912-eng.pdf. Accessed October 2, 2017."},{"key":"bibr2-0379572119844142","unstructured":"National Family Health Survey (NFHS-4) 2015\u201316. International Institute of Population Sciences. Mumbai, India; 2016. https:\/\/www.rchiips.org\/nfhs\/nfhs4.shtml. Accessed October 10, 2017."},{"key":"bibr3-0379572119844142","unstructured":"National Nutrition Monitoring Bureau. Diet and Nutritional Status of Rural Population, Prevalence of Hypertension & Diabetes among Adults and Infant & Young Child Feeding Practices \u2013 Report of Third Repeat Survey. NNMB Technical Report No. 26. Hyderabad: National Institute of Nutrition; 2012."},{"key":"bibr4-0379572119844142","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1416964112"},{"key":"bibr5-0379572119844142","unstructured":"Ministry of Women and Child Development. Annual Report 2016\u20132017. Government of India, New Delhi; 2017. India.www.wcd.nic.in\/sites\/default\/files\/FINAL%20WCD_AR_English%20"},{"key":"bibr6-0379572119844142","unstructured":"Ministry of Health and Family Welfare. Guidelines for Antenatal Care and Skilled Attendance at Birth by ANMs\/LHVs\/SNs. Government of India, New Delhi, India; 2010. https:\/\/www.nhp.gov.in\/sites\/default\/files\/anm_guidelines.pdf. Accessed October 2, 2017."},{"key":"bibr7-0379572119844142","unstructured":"Ministry of Health and Family Welfare. Guidelines for Control of Anaemia: National Iron Plus Initiative. Government of India, New Delhi, India; 2013. www.unicef.org\/india\/10._National_Iron_Plus_Initiative_Guidelines_for_Control_of_IDA.pdf. Accessed October 4, 2017."},{"key":"bibr8-0379572119844142","unstructured":"Ministry of Health and Family Welfare. National Guidelines for Calcium Supplementation During Pregnancy and Lactation. Government of India, New Delhi, India; 2014. www.nrhmhp.gov.in\/sites\/default\/files\/files\/NG_calcium.pdf. Accessed October 4, 2017."},{"key":"bibr9-0379572119844142","unstructured":"Ministry of Health and Family Welfare. National Guidelines for Deworming in pregnancy.Government of India, New Delhi, India; 2014. http:\/\/rmncha.in\/wp-content\/uploads\/guidelines_img\/1475124659.pdf. Accessed October 4, 2017."},{"key":"bibr10-0379572119844142","unstructured":"Ministry of Health and Family Welfare. Health Management Information System (HMIS). Government of India, New Delhi, India; 2017. https:\/\/nrhm-mis.nic.in\/SitePages\/Home.aspx. Accessed October 10, 2017."},{"key":"bibr11-0379572119844142","volume-title":"Nourishing India\u2019s Tribal Children: The Nutrition Situation of Children of India\u2019s Scheduled Tribes","author":"United Nations Children\u2019s Fund (UNICEF)","year":"2014"},{"key":"bibr12-0379572119844142","unstructured":"Ballard TJ, Kepple AW, Cafiero C. The Food Insecurity Experience Scale: Development of a Global Standard for Monitoring Hunger Worldwide. Rome, Italy: Food and Agriculture Organization; 2013. www.fao.org\/fileadmin\/templates\/ess\/voh\/FIES_Technical_Paper_v1.1.pdf. Accessed September 25, 2017."},{"key":"bibr13-0379572119844142","doi-asserted-by":"crossref","unstructured":"Sphere Project. Sphere Handbook: Humanitarian Charter and Minimum Standards in Disaster Response. Karnataka, India: Sphere India; 2011. http:\/\/www.refworld.org\/docid\/4ed8ae592.html. 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