Use of Mother Child Protection Card for Improving Infant Feeding Practices

Jump To References Section


  • ,IN
  • ,IN
  • ,IN
  • ,IN



Mother Child Protection Card, under-three children, infant feeding, morbidity, nutritional status


For the last four decades India had invested in interventions for improving household food security, supplementary feeding programmes and health care to pre-school children. However under-nutrition rates in under-five children continue to be high. Poor infant and young child feeding and caring practices had been identified as the major modifiable factors associated with under-nutrition especially in the critical first two years. Mother Child Protection Card (MCPC) was introduced as the critical intervention tool for combating these two factors and improving nutritional status of the children. A community based mixed longitudinal study was taken up in urban low middle income group mothers with under-three children to assess feasibility and impact of using MCPC as a supportive tool for nutrition and health education regarding infant and young child feeding and care during illness. Mothers readily accepted MCPC, kept it safely and produced it when requested. MCPC with authentic pictorial messages was used by all health and nutrition front line workers and research team; this practice ensured uniformity in nutrition and health education messages. Over 90% of infants at 2 months and over 2/3rd at 5 months were solely breast-fed. By 8th month almost all infants received semi-solid food. Almost all families accessed health care during illness and followed the advice regarding feeding during illness and convalescence. As a result the mean z scores for weight-for-age did not show any deterioration in the first year. MCPC is a useful tool in providing nutrition and health education and improving infant feeding practices.


Download data is not yet available.


Metrics Loading ...



How to Cite

Prabhakar, K., Kalaivani, K., Kowsalya, S., & Ramachandran, P. (2019). Use of Mother Child Protection Card for Improving Infant Feeding Practices. The Indian Journal of Nutrition and Dietetics, 56(4), 351–364.



Original Articles
Received 2019-08-04
Accepted 2019-08-08
Published 2019-10-01



Jones, G., Steketee, R. W., Black, R. E., Bhutta, Z. A. and Morris, S. S. Bellagio child survival study group. How many child deaths can we prevent this year? Lancet, 2003, 362, 65-71.

Bhutta, Z.A., Ahmed, T., Black, R.E., Cousens, S., Dewey, K., Giugliani, E., Haider, B.A., Kirkwood, B., Morris, S.S., Sachdev, H.P. and Shekar, M. Maternal and child under nutrition study group.What works? Interventions for maternal and child under nutrition and survival. Lancet, 2008, 371, 417-440.

Ramachandran, P. Nutrition transition in India, 2008, 1947-2007.http://wcd.nic/publications.htm accessed on 10.7.2018MDG doc

Ramachandran. P. and Kalaivani, K. Nutrition transition in India: challenges in achieving global targets. Proc. Ind. Natn. Sci. Acad., 2018, 84, 821-833.

Gupta, A. and Thakur, N. Infant and young feeding practices in India: Current status and progress towards SDG targets. Proc. Ind. Natn. Sci. Acad., 2018, 84, 853-865.

Aggarwal, A., Verma, S., Faridi, M.M.A. and Dayachand. Complementary feeding-reasons for in appropriateness in timing, quantity and consistency. Ind. J. Pediat., 2008, 75, 49-53.

Chaturvedi, A., Nakkeeran, N., Doshi, Patel, R. and Bhagwat, S. Capacity of frontline ICDS functionaries to support caregivers on Infant and Young Child Feeding (IYCF) practices in Gujarat, India. Asia Pac. J. Clini. Nutr., 2014, 23, S29-S37.

Parikh, P. and Sharma, K. Knowledge and perceptions of ICDS anganwadi workers with reference to promotion of community based complementary feeding practices in semi tribal Gujarat. Nat. J. Commu. Med., 2011, 2, 457-464.

Aruldas, K., Khan, M.E. and Hazra, A. Increasing appropriate complementary feeding in rural Uttar Pradesh. The J. Family Welfare, 2010, 56, 51-56.

Imdad, A., Yakoob, M.Y. and Bhutta, Z.A. Impact of maternal education about complementary feeding and provision of complementary foods on child growth in developing countries. BMC Public Health, 2011, 11, S25.

Kushwaha, K.P., Sankar, J., Sankar, M.J., Gupta A, Dadhich, J.P., Gupta, Y.P., Bhatt, G.C., Ansari, D.A. and Sharma, B. Effect of peer counselling by mother support groups on infant and young child feeding practices: the Lalitpur experience. PLoS One, 2014, 9, 1-8.

Malhotra, N. Inadequate feeding of infant and young children in India: lack of nutritional information or food affordability? Public Health Nutr., 2012, 16, 1723-1731.

International Institute for Population Sciences (IIPS). National Family Health Survey (NFHS-4), 2015–16 India report

Kalaivani, K. and Prema Ramachandran. Combating the triple burden of malnutrition: World Health Assembly targets for 2025 NFI Bulletin: 2017, 38, 1-8.

FAO The State of Food Insecurity in the accessed on August 22, 2018.

IIPS. National Family Health Survey-1,, accessed on 10 Dec 2018.

IIPS. National Family Health Survey-2,, accessed on 10 Dec 2018.

IIPS. National Family Health Survey-3,, accessed on 10 Dec 2018.

IIPS - District Level Household and Facility Survey DLHS-1 accessed on 28 March 2019.

IIPS - District Level Household and Facility Survey DLHS-2 accessed on 28 March 2019.

IIPS - District Level Household and Facility Survey DLHS-3 accessed on 28 March 2019.

IIPS District Level Household and Facility Survey (DLHS-4) 2014 accessed on 28 March 2019.

RGI: Annual Health Survey CAB component: CAB State Fact Sheets www. accessed on 28.3.2019 AHS CAB

Most read articles by the same author(s)

1 2 3 4 5 6 7 > >>