An Exploratory Survey On ICDS Knowledge Among Anganwadi Workers in Hamirpur District Himachal Pradesh
An Exploratory Survey On ICDS Knowledge Among Anganwadi Workers in Hamirpur District Himachal Pradesh
Volume 9 Issue 1, Jan-Feb 2025 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
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Recommendations
Based on the findings of this study, the following recommendations are made:
1. Conduct regular training and capacity-building programs for Anganwadi workers in Hamirpur District.
2. Provide ongoing support and supervision to Anganwadi workers.
3. Develop targeted interventions to enhance the knowledge and skills of Anganwadi workers.
4. Conduct further research to explore the factors influencing the knowledge and skills of Anganwadi workers
in Hamirpur District.
INTRODUCTION Alarming Statistics:- Infant mortality rate: 50-
The Integrated Child Development Services (ICDS) Under-five mortality rate: 93- 25% of newborns are
Scheme was launched by the Government of India on underweight- Only 1 in 3 children is exclusively
October 2, 1975, to combat high infant and child breastfed for 6 months- 1 in 2 children under 5 suffers
mortality rates. India, classified under the South East from moderate or severe malnutrition- Only 1 in 3
Asian Region (SEAR D), faces significant health and children receives a full course of DPT vaccinations-
nutrition inequalities, with mortality rates for children Only 1 in 5 children is protected against vitamin A
under five years old at 74 per 1000 live births ¹. deficiency- Approximately 60 million children in
Objectives of ICDS: India are underweight
Improve nutritional and health status of children Consequences of Under Nutrition:
aged 0-6 years Persistent undernutrition has severe consequences on
Enhance psychological, physical, and social health, education, and productivity, hindering human
development development and economic growth, particularly
among the poor and vulnerable.
Reduce mortality, morbidity, malnutrition, and
school dropout rates Justification for the Study:
Given the alarming statistics and the critical need to
Promote child development through effective address the health, nutrition, and educational
policy coordination challenges faced by Indian children, this study aims
Services Provided by Anganwadi Centers: to explore the knowledge and practices of Anganwadi
Nutrition and Health Education: Educating workers in promoting child development and
women on health, nutrition, and development addressing malnutrition.
needs Operational Definitions
Immunization: Protecting children from vaccine- 1. Knowledge: Verbal responses of Anganwadi
preventable diseases workers on ICDS services.
Referral Services: Referring children and mothers 2. Integrated Child Development Scheme (ICDS): A
to medical facilities as needed government program providing services to
children, pregnant women, and lactating mothers.
Growth Monitoring: Tracking children's weight
and growth development 3. Anganwadi Workers: Trained women working in
Anganwadi centers.
Supplementary Nutrition: Providing additional
nutrition to children, pregnant women, and 4. Anganwadi Centers: Rural childcare centers
nursing mothers providing ICDS services.
Non-Formal Pre-School Education: Offering early Assumptions
childhood education and development activities Younger Anganwadi workers may have less
knowledge than older workers.
The ICDS Scheme operates through a network of
Anganwadi Centers, with Anganwadi workers Higher-educated workers may have more
providing essential services to children, pregnant knowledge than less-educated workers.
women, and nursing mothers. Experienced workers may have more knowledge
Need for the Study than less-experienced workers.
Children are the future of society, and their well- Anganwadi workers may have varying knowledge
being is crucial for national development. on ICDS.
Unfortunately, Indian children face numerous
challenges, including high infant and under-five Hypothesis
mortality rates, malnutrition, and inadequate access to H1: There is a significant association between
healthcare and education. knowledge level and demographic variables.
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Delimitations Sampling Technique
Study limited to Hamirpur District, Himachal Non-probability convenience sampling technique was
Pradesh. used.
Only Anganwadi workers willing to participate Tool Development
were included. A structured knowledge questionnaire was developed
and validated to assess the knowledge of Anganwadi
Data collection period was one month.
workers regarding ICDS services.
Only workers who can read and write Hindi were
included. Scoring Key
Each correct answer was awarded 1 score, and
Research Approach and Design incorrect answers were awarded 0. The total score
This exploratory study employed a descriptive survey was 60.
approach to investigate the knowledge of Anganwadi
Content Validity and Reliability
workers regarding Integrated Child Development
Content validity was established through expert
Scheme (ICDS) in Hamirpur District, Himachal
opinions. Reliability was established using the split-
Pradesh. A non-experimental descriptive research
half method.
design was used.
Pilot Study
Variables
A pilot study was conducted among 6 Anganwadi
1. Dependent Variable: Knowledge of Anganwadi
workers to test the feasibility and practicability of the
workers regarding ICDS.
study.
2. Extraneous Variables: Age, Marital status,
Data Collection
Education, Religion, Type of family, Work
Data was collected using the structured knowledge
experience, Area of living, Monthly income, and
questionnaire. Informed consent was obtained from
Source of information.
participants.
Setting
Data Analysis
The study was conducted in Anganwadi centers in
Descriptive and inferential statistics were used to
Hamirpur District, Himachal Pradesh.
analyze the data.
Population and Sample
Ethical Considerations
The population consisted of Anganwadi workers in
Formal permission was obtained from the concerned
Hamirpur District. A convenience sample of 60
authorities, and confidentiality was assured to
Anganwadi workers was selected.
participants.
DATA ANALYSIS AND INTERPRETATION
This chapter presents the analysis and interpretation of data collected from Anganwadi workers in Hamirpur
District, Himachal Pradesh. The data analysis aims to summarize and organize the collected data to answer the
research questions and test the hypothesis formulated for the study. The results will provide insights into the
level of knowledge regarding Integrated Child Development Scheme (ICDS) among Anganwadi workers.
SECTION:-A
SOCIO- DEMOGRAPHIC VARIABLES OF ANGANWADI WORKERS
Table (1): Frequency and percentage distribution of Anganwadi workers according to their Age,
Marital status, Education, Religion, Type of family, Work experience, Area of living, Monthly income
of anganwadi workers and Source of information. N=60
S.NO. DEMOGRAPHIC VARIABLES FREQUENCY (f) PERCENTAGE (%)
Age
a) 18-25 6 10%
1. b) 26-35 18 30%
c) 36-45 25 42%
d) Above 46 11 18%
Marital status
a) Single 6 10%
2. b) Married 35 59%
c) Divorce 9 15%
d) Widow 10 16%
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Educational status
a) Illiterate 0 0%
b) 4-7th 3 5%
3.
c) 8-10th 20 34%
d) 10-12th 29 48%
e) Up to degree 8 13%
Religion
a) Hindu 30 50%
4. b) Muslim 8 13%
c) Sikh 14 24%
d) Christian 8 13%
Type of Family
5. a) Single 36 60%
b) Joint 24 40%
Work experience
a) Up to 5 years 6 10%
6. b) 6-10 years 24 40%
c) 11-15 years 15 25%
d) Above 16 years 15 25%
Area of living
7. a) Rural 23 38%
b) Urban 37 62%
Monthly income of Anganwadi workers (Rs)
a) Up to 900 0 0%
8. b) 901-1800 3 5%
c) 1801-3000 39 65%
d) Above 3000 18 30%
Source of information
a) News paper & magazine 12 20%
9. b) Radio & television 26 44%
c) Internet 12 20%
d) Participated in community programme 10 16%
Key Findings
The majority of Anganwadi workers were:
Aged 36-45 years (42%)
Married (59%)
Educated up to 10-12th standard (48%)
Hindus (50%)
From single families (60%)
Had work experience between 6-10 years (40%)
Lived in urban areas (62%)
Relied on radio and television as their primary source of information (44%)
Section B
Over all knowledge regarding integrated child development scheme among Anganwadi workers
Table-2 Frequency and percentage distribution of subjects over all knowledge regarding Integrated
Child Development Scheme N=60
Integrated Child Development Scheme OVER ALL KNOWLEDGE
INADEQUATE MODERATE ADEQUATE
DIMENSIONS KNOWLEDGE KNOWLEDGE KNOWLEDGE
F % F % F %
Nutrition and Health education 2 3.33% 24 40% 34 56.67%
Immunization 3 5% 26 43.34% 31 15.66%
Referral Services 0 0% 18 30% 42 70%
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Growth monitoring 1 1.66% 30 50% 29 48.34%
Supplementary nutrition 0 0% 35 58.34% 25 41.66%
Non Formal preschool education 0 0% 20 33.33% 40 66.64%
Table (2) Indicate that majority of the subjects 34 (56.67%) had adequate knowledge and 02 (3.33%) had
inadequate knowledge about Nutrition & Health education. The majority of the subjects 26 (43.34%) had
moderate knowledge and 3 (5%) had inadequate knowledge about Immunization. The majority of the subjects 42
(70%) had adequate knowledge and 0 (0%) had inadequate knowledge about Referral services. The majority of
the subjects 30 (50 %) had moderate knowledge and 1(1.66%) had inadequate knowledge about Growth
monitoring. The majority of the subjects 35 (58.34%) had moderate knowledge and 0 (0%) had inadequate
knowledge about Supplementary nutrition. The majority of the subjects 40 (66.64%) had adequate knowledge
and 0 (0%) had inadequate knowledge about Non formal preschool education.
Fig: Frequency and percentage distribution of subjects over all knowledge regarding Integrated Child
Development Scheme.
TABLE 3: Mean and standard deviation of knowledge regarding Integrated Child Development
scheme N=60
S. No. Level of Knowledge Regarding ICDS Maximum Score Mean Standard Deviation
1. Nutrition & Health education 10 7.68 1.36
2. Immunization 10 7.38 0.91
3. Referral services 10 7.7 0.92
4. Growth monitoring 10 6.93 1.12
5. Supplementary nutrition 10 7.26 1.01
6. Non formal preschool education 10 7.91 1.00
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Religion
a) Hindu 30
4. b) Muslim 8 6 4.90106 12.59 0.5566 #
c) Sikh 14
d) Christian 8
Type of family
5. a) Single 36 2 1.7202 5.99 0.4231 #
b) Joint 24
Work experience (in Years)
a) Up to 5 6
6. b) 6-10 24 6 5.482 12.59 0.4836 #
c) 11-15 15
d) Above 16 15
Area of living
7. a) Rural 23 3 9.792 7.82 0.0204 *
b) Urban 37
Monthly income of
anganwadi workers (Rs)
a) Up to 900 0
1 0.0129 3.84 .909474 #
b) 901-1800 3
c) 1801-3000 39
d) 3000-and above 18
Source of information
a) News paper & magazine 12
b) Radio & television 26
9. 6 5.386 12.59 0.4953 #
c) Internet 12
d) Participated in community 10
programme
*Significant at p<0.05 level # Not significant at p <0.05 level
Table (4.1) shows that there was no significant association between the Age, Marital status, Education, Religion,
Type of family, Work experience, Monthly income and Source of information. So null hypothesis was accepted
and research hypothesis was rejected. But there was a significant association between the Area of living, so null
hypothesis was rejected and research hypothesis was accepted.
Table 4.2: Association between the level of knowledge score with Immunization.
N=60
IMMUNIZATION
Chi Square Table P Level of
S. No Demographic Variables Frequency DF
value value Value significance
Age (in Years)
a) 18-25 6
1. b) 26-35 18 6 4.0752 12.59 0.6665 #
c) 36-45 25
d) Above 46 11
Marital status
a) Single 6
2. b) Married 35 6 3.0719 12.59 0.79977 #
c) Divorce 9
d) Widow 10
Education
a) Illiterate 0
b) 4 -7th standard 3
3. 2 7.2007 5.99 .027314 *
c) 8 -10th standard 20
d) 10-12th standard 29
e) Up to degree 8
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Religion
a) Hindu 30
4. b) Muslim 8 3 10.2161 7.82 .016816 *
c) Sikh 14
d) Christian 8
Type of family
5. a) Single 36 3 0.138 7.82 0.98692 #
b) Joint 24
Work experience (in
Years)
a) Up to 5 6
6. 6 34.09 12.59 0.00001 *
b) 6-10 24
c) 11-15 15
d) Above 16 15
Area of living
7. a) Rural 23 2 1.6795 5.99 0.4318 #
b) Urban 37
Monthly income of
anganwadi workers (Rs)
a) Up to 900 0
8. 1 3.461 3.84 .06284 #
b) 901-1800 3
c) 1801-3000 39
d) 3000-and above 18
Source of information
a) News paper & magazine 12
b) Radio & television 26
9. 3 4.2714 7.82 .233609 #
c) Internet 12
d) Participated in 10
community programme
*Significant at p<0.05 level # Not significant at p <0.05 level
Table (4.2) depicted that there was no significant association between the Age, Marital status, Type of family,
Area of living, Monthly income and Source of information. So null hypothesis was accepted and research
hypothesis was rejected. But there was a significant association between the Education, Religion and Work
experience, so null hypothesis was rejected and research hypothesis was accepted.
Table 4.3: Association between the level of knowledge score with Referral services. N=60
REFERRAL SERVICES
Chi Square Table P Level of
S. No Demographic Variables Frequency DF
value value Value significance
Age (in Years)
a) 18-25 6
1. b) 26-35 18 3 2.9826 7.82 0.39432 #
c) 36-45 25
d) Above 46 11
Marital status
a) Single 6
2. b) Married 35 3 2.193 7.82 0.53333 #
c) Divorce 9
d) Widow 10
Education
a) Illiterate 0
b) 4 -7th standard 3
3. 2 1.432 5.99 .48872 #
c) 8 -10th standard 20
d) 10-12th standard 29
e) Up to degree 8
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Religion
a) Hindu 30
4. b) Muslim 8 3 3.8416 7.82 0.27909 #
c) Sikh 14
d) Christian 8
Type of family
5. a) Single 36 1 0.478 3.84 0.48933 #
b) Joint 24
Work experience (in
Years)
a) Up to 5 6
6. 2 0.9524 5.99 0.62115 #
b) 6-10 24
c) 11-15 15
d) Above 16 15
Area of living
7. a) Rural 23 1 0.408 3.84 0.52299 #
b) Urban 37
Monthly income of
anganwadi workers (Rs)
a) Up to 900 0
8. 1 2.5548 3.84 .10996 #
b) 901-1800 3
c) 1801-3000 39
d) 3000-and above 18
Source of information
a) News paper & magazine 12
b) Radio & television 26
9. 3 4.4297 7.82 0.21883 #
c) Internet 12
d) Participated in 10
community programme
*Significant at p<0.05 level # Not significant at p <0.05 level
Table (4.3) described that there was no significant association between the Age, Marital status, Education,
Religion, Type of family, Work experience, Area of living, Monthly income and Source of information. So null
hypothesis was accepted and research hypothesis was rejected.
Table 4.4: Association between the level of knowledge score with Growth monitoring. N=60
GROWTH MONITORING
Chi Square Table P Level of
S. N0 Demographic Variables Frequency DF
value value Value significance
Age (in Years)
a) 18-25 6
1. b) 26-35 18 3 2.2941 7.82 .317578 #
c) 36-45 25
d) Above 46 11
Marital status
a) Single 6
2. b) Married 35 6 5.212 12.59 0.51693 #
c) Divorce 9
d) Widow 10
Education
a) Illiterate 0
th
b) 4 -7 standard 3
3. 2 4.7152 5.99 0.09465 #
c) 8 -10th standard 20
d) 10-12th standard 29
e) Up to degree 8
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Religion
a)Hindu 30
4. b)Muslim 8 3 2.436 7.82 .486961 #
c)Sikh 14
d)Christian 8
Type of family
5. a)Single 36 2 1.592 5.99 0.45113 #
b)Joint 24
Work experience (in Years)
a) Up to 5 6
6. b) 6-10 24 3 8.743 7.82 0.03291 *
c) 11-15 15
d) Above 16 15
Area of living
7. a) Rural 23 3 1.37 7.82 0.71259 #
b)Urban 37
Monthly income of
anganwadi workers (Rs)
a) Up to 900 0
8. b) 901-1800 3 4 25.582 9.49 3.8 *
c) 1801-3000 39
d) 3000-and above 18
Source of information
a) News paper & magazine 12
b) Radio & television 26
9. 3 8.1372 7.82 .043259 *
c) Internet 12
d) Participated in community 10
programme
*Significant at p<0.05 level # Not significant at p <0.05 level
Table (4.4) stated that there was no significant association between the Age, Marital status, Education, Religion,
Type of family and Area of living. So null hypothesis was accepted and research hypothesis was rejected. But
there was a significant association between the Work experience, Monthly income of Anganwadi Workers and
Source of information, so null hypothesis was rejected and research hypothesis was accepted.
Table 4.5: Association between the level of knowledge score with Supplementary nutrition. N=60
SUPPLEMENTARY NUTRITION
Chi Square Table P Level of
S. No Demographic Variables Frequency DF
value value Value significance
Age (in Years)
a) 18-25 6
1. b) 26-35 18 3 0.415 7.82 0.93713 #
c) 36-45 25
d) Above 46 11
Marital status
a) Single 6
2. b) Married 35 3 3.054 7.82 0.38338 #
c) Divorce 9
d) widow 10
Education
a) Illiterate 0
b) 4 -7th standard 3
3. 3 2.7444 7.82 0.43274 #
c) 8 -10th standard 20
d) 10-12th standard 29
e) Up to degree 8
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Religion
a) Hindu 30
4. b) Muslim 8 3 4.4379 7.82 0.217897 #
c) Sikh 14
d) Christian 8
Type of family
5. a)Single 36 2 18.287 5.99 0.000107 *
b)Joint 24
Work experience (in
Years)
a) Up to 5 6
6. 3 2.984 7.82 0.39409 #
b) 6-10 24
c) 11-15 15
d) Above 16 15
Area of living
7. a)Rural 23 1 1.939 3.84 0.163777 #
b)Urban 37
Monthly income of
anganwadi workers (Rs)
a)Up to 900 0
8. 2 0.925 5.99 0.6298 #
b)901-1800 3
c)1801-3000 39
d)3000-and above 18
Source of information
a)Newspaper & magazine
12
b) Radio & television
9. 26 4.18 7.82 0.242672 #
c)Internet 3
12
d)Participated in
10
community programme
*Significant at p<0.05 level #Not significant at p <0.05 level
Table (4.5) indicates that there was no significant association between the Age, Marital status, Education,
Religion, Work experience, Area of living, Monthly income of Anganwadi workers and Source of information.
So null hypothesis was accepted and research hypothesis was rejected. But there was a significant association
between the Type of family, so null hypothesis was rejected and research hypothesis was accepted.
Table 4.6 Association between the level of knowledge score with Non formal preschool education N=60
NON FORMAL PRESCHOOL EDUCATION
Chi Square Table P Level of
S. No Demographic Variables Frequency DF
value value Value significance
Age (in Years)
a) 18-25 6
1. b) 26-35 18 3 1.0922 7.82 0.77896 #
c) 36-45 25
d) Above 46 11
Marital status
a) Single 6
2. b) Married 35 2 2.3549 5.99 .308067 #
c) Divorce 9
d) Widow 10
Education
a) Illiterate 0
b) 4 -7th standard 3
3. 1 0.0353 7.82 .851067 #
c) 8 -10th standard 20
d) 10-12th standard 29
e) Up to degree 8
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Religion
a) Hindu 30
4. b) Muslim 8
c) Sikh 14 3 1.074 7.82 0.78336 #
d) Christian 8
Type of family
5. a) Single 36
1 0 3.84 1 #
b) Joint 24
Work experience (in
Years)
a) Up to 5 6
6.
b) 6-10 24
c) 11-15 15 3 2.513 7.82 0.47295 #
d) Above 16 15
Area of living
7. a) Rural 23
1 0.0353 3.84 .851067 #
b) Urban 37
Monthly income of
anganwadi workers (Rs)
a) Up to 900 0
8.
b) 901-1800 3
c) 1801-3000 39
1 3.2143 3.84 .072998 #
d) 3000-and above 18
Source of information
a) News paper &
magazine 12
9. b) Radio & television
c) Internet 26
d) Participated in 12 3 5.1808 7.82 .159029 #
community programme 10
*Significant at p<0.05 level # Not significant at p <0.05 level
Table (4.6) point out that there was no significant association between the Age, Marital status, Education,
Religion, Type of family, Work experience, Area of living, Monthly income and Source of information. So null
hypothesis was accepted and research hypothesis was rejected.
DISCUSSION 9. Primary source of information (44%) was radio
The present study aimed to assess the level of and television.
knowledge regarding Integrated Child Development Discussion Sections:
Scheme among Anganwadi workers in Hamirpur A. Demographic characteristics
District, Himachal Pradesh. B. Overall knowledge regarding ICDS
Major Findings: C. Association between knowledge score and
1. Majority of Anganwadi workers (42%) were aged demographic variables.
36-45 years. Summary
2. Most workers (59%) were married. This study assessed the level of knowledge regarding
3. Highest education level (48%) was 10-12th Integrated Child Development Scheme (ICDS)
standard. among Anganwadi workers in Hamirpur District,
Himachal Pradesh.
4. Most workers (50%) were Hindus.
Conclusion
5. Majority (60%) belonged to single families. The study revealed that the majority of Anganwadi
6. Most workers (40%) had 6-10 years of work workers had adequate knowledge about Nutrition and
experience. Health education, Referral services, and Non-formal
7. Majority (62%) lived in urban areas. preschool education. However, they had moderate
knowledge about Immunization, Growth monitoring,
8. Most workers (65%) earned ₹1801-3000/month. and Supplementary nutrition.
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Nursing Implications [7] Basavanthappa BT. Nursing Research. 2nd ed.
1. Nursing Education: Focus on community health New delhi: jaypee brothers; 2007. p. 92, 155,
nursing curriculum and in-service education for 177.
health professionals and Anganwadi workers. JOURNALS:
2. Nursing Practice: Community health nurses can [1] Kapil U, Pradhan R. Integrated child
play a crucial role in improving knowledge and development services scheme and its impact on
providing health services. nutritional status of children in India and recent
3. Nursing Administration: Organize staff initiatives. Indian Journal of public health. 1999
development programs, periodic evaluation, and Jan-Mar; 43(1): 21-5.
necessary health education and administrative [2] National Institute of Health and Family
support. Welfare, New Delhi. National Health
Recommendations Programme Series 7, Integrated Childhood
1. Conduct a comparative study between ICDS and Development Services. 2006.
Non-ICDS blocks. [3] Gupta JP, Manchanda UK, Juyal RK. A Study
2. Evaluate the efficiency of various teaching of the Functioning of Anganwadi Workers of
strategies. Integrated Child Development Scheme, Jama
Masjid, Delhi. 1979. NIHFW publication.
Limitations
1. Small sample size. [4] PEO (Programme Evaluation Organization,
planning Commission, Govt. of India) Study
2. Limited data collection period (4 weeks). No. 12. Evaluation report on the integrated
3. The study did not assess attitude and practice of child development services project (1976-78)-
Anganwadi workers regarding ICDS programme. 1982
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