Background: 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. Objective: We evaluated the maternal spot feeding programs in 2 Southern Indian states. Methods: 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’s management information system (MIS) beneficiaries’ 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. Results: Average days of meal consumption ranged from 19 to 21 days per month; spot meal enhanced high dietary diversity (≥6 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. Conclusion: 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’ impact on birth outcomes, maternal depression, social norms, and its cost-effectiveness is needed.

中文翻译：

---

在安得拉邦和特伦甘纳邦（印度）提供一揽子综合孕产妇营养服务

背景：在印度南部各州实施的产妇现场喂养计划正在为孕妇提供一揽子营养服务（食物、微量营养素补充剂、驱虫、妊娠期体重增加监测和每两周一次的营养健康教育）。这些还有待评估。目标：我们评估了印度南部 2 个州的产妇现场喂养计划。方法：研究设计是横断面的，需要收集每个州 360 名孕妇和哺乳期妇女（0-6 个月大的婴儿）的主要数据（2016 年 7 月至 11 月），并审查该计划的管理信息系统 (MIS) 受益人的记录2014 年 4 月至 2017 年 8 月期间。为了获得计划运作的见解，与州、地区、和块项目经理举办了一次州级开放空间技术讲习班。结果：平均膳食消费天数为每月 19 至 21 天；点餐提高了孕妇和哺乳期妇女的高膳食多样性（≥6 个食物组；57%-59%）和鸡蛋和牛奶的消费（74%-96%）。铁、叶酸、钙、驱虫当场消耗量分别为18%、87%、56%；94% 的人参加了每月 2 次营养咨询课程中的至少 1 次。大多数 (68%) 受益人是通过自助团体或家庭成员参与的，这表明同伴和家庭成员的说服作用至关重要。结论：母亲现场喂养计划可以潜在地提供世界卫生组织 2016 年产前保健指南中概述的营养干预措施，以获得积极的妊娠结果。