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Anaemia Mukt Bharat (AMB) Programme
Park's Textbook of Preventive and Social Medicine
Background
The Anaemia Mukt Bharat (AMB) programme is launched under the Poshan Abhiyaan umbrella. Poshan Abhiyaan focuses on the first 1,000 days of the child - which includes:
- 9 months of pregnancy
- 6 months of exclusive breast-feeding
- Period from 6 months to 2 years
The goal is to ensure focussed interventions on addressing under-nutrition, reducing Infant Mortality Rate (IMR) and Maternal Mortality Rate (MMR), and increasing birth weight. An additional one year of sustained intervention (till age 3 years) consolidates the gains of the first 1,000 days.
Anaemia Mukt Bharat Strategy
The AMB Strategy is a universal strategy that focuses on six key interventions:
1. Prophylactic Iron and Folic Acid Supplementation
Provision of IFA to all target beneficiary groups across the life cycle.
2. Deworming
Periodic deworming of target populations to reduce hookworm burden, which is a major contributor to iron-deficiency anaemia.
3. Intensified Year-Round Behaviour Change Communication (BCC) Campaign
The campaign is themed "Solid Body, Smart Mind" and focuses on four key behaviours:
- (a) Improving compliance to IFA supplementation and deworming
- (b) Appropriate infant and young child feeding (IYCF) practices
- (c) Increasing intake of iron-rich food through diet diversity, quantity, frequency, and/or fortified foods - with focus on locally available resources
- (d) Ensuring delayed cord clamping after delivery (by 3 minutes) in health facilities
4. Testing and Treatment of Anaemia
Using digital methods and point-of-care treatment, with special focus on:
- Pregnant women
- School-going adolescents
5. Mandatory Provision of Iron and Folic Acid Fortified Foods
In all government-funded public health programmes.
6. Intensifying Awareness, Screening and Treatment of Non-Nutritional Causes of Anaemia
In endemic pockets, with special focus on:
- Malaria
- Haemoglobinopathies
- Fluorosis
Implementation
The AMB Strategy is implemented in all villages, blocks, and districts of all states/UTs of India through existing delivery platforms as envisaged in:
- National Iron Plus Initiative (NIPI)
- Weekly Iron Folic Acid Supplementation (WIFS) programme
- Park's Textbook of Preventive and Social Medicine (Block 7, p. 516-517; Block 9)