Which of the following is not a service provided under the ICDS scheme?

Haryana CHO - 2022

Community Health Nursing

Easy

Appeared in: Haryana CHO - 2022

Explanation

The Mid-day Meal (MDM) scheme, now called PM-POSHAN, is not a service under the ICDS program.
MDM is a school-based program under the Ministry of Education, targeting children in Classes I-VIII.
ICDS, under the Ministry of Women and Child Development, provides a package of six other services, including Supplementary Nutrition, but not the school-based Mid-day Meal.
The target beneficiaries for ICDS are children below 6 years, pregnant women, and lactating mothers, which is different from the school-aged children targeted by the MDM scheme.

Option A: This is a core service of the ICDS scheme. It is provided at Anganwadi centers for children in the 3-6 year age group to promote their social, physical, and psychological development.
Option C: This is a package of two distinct but related services provided under ICDS. It includes regular health check-ups, weight monitoring, and referral to appropriate health facilities for sick or malnourished children and mothers.
Option D: This is a vital health service delivered through the ICDS infrastructure in coordination with the health system (ANMs). It ensures that all eligible children and pregnant women receive their due vaccinations.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Services under the Integrated Child Development Services (ICDS) Scheme as background academic context rather than a clinical decision trigger.
A Community Health Nurse (CHN) plays a crucial role in the ICDS scheme by coordinating with Anganwadi Workers (AWW) for health check-ups, immunization sessions, and health education.
Understanding the specific services of ICDS versus other schemes like PM-POSHAN is essential for nurses to make appropriate referrals and provide accurate information to families.
What if? If a 7-year-old child is found to be malnourished during a school health check-up, the nurse should refer them to the Mid-Day Meal scheme for nutritional support at school, not the ICDS supplementary nutrition program, as the child is outside the ICDS age bracket.

How to Approach the Question

First, identify the negative keyword 'not' in the question. This means you are looking for the option that does not belong.
Recall the six major services provided under the Integrated Child Development Services (ICDS) scheme.
The six services are: Supplementary Nutrition, Pre-school Education, Health & Nutrition Education, Immunization, Health Check-ups, and Referral Services.
Evaluate each option against this list.
Pre-school education, health check-ups/referral, and immunization are all on the list of ICDS services.
The 'Mid-day meal' is a separate, school-based program. Therefore, it is the correct answer as it is not an ICDS service.

Concept Tested & Keywords

Concept Tested: Services under the Integrated Child Development Services (ICDS) Scheme
Stem keywords: ICDS scheme, service
Lead-in keywords: not
Negative lead-in flag: The question asks to identify the service NOT provided under the ICDS scheme.

Qeg4fDl-gg8yKFk7fTTBrg

E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart A (pp 1-232 of 464) p. 94-96

E6 Nutrition Monika Sharma 3e p. 314-316