Cultura

ICDS And The Nutritional Status Of Children In Punjab: Progress Made And The Path Ahead

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Dr Jatinder Singh
Dr Maninder Deep Cheema
Dr Jagsir Singh

Abstract

The paper broadly aims to examine the contribution of ICDS programme in improving the well-being of its beneficiaries. Using Punjab as a case study, it looks at the progress in beneficiary coverage and the nutritional status of children below 6 years of age. Scientific evidence shows that early childhood growth depends heavily on a loving, safe, and nurturing environment along with adequate nutrition. Nearly 80 per cent of brain development takes place by the age of three.

The findings show that ICDS has played a positive role in improving both nutrition and pre-school education for young children. Punjab has made faster progress compared to the national average.  As per NFHS-5 (2020–21), India’s malnutrition rate is more than double that of Punjab. However, universal coverage of ICDS services in Punjab remains far from achieved. More than half of the eligible population is still not receiving ICDS benefits. Low coverage is associated to individual-level factors (such as status consciousness and preference for private pre-schooling) as well as policy gaps (inadequate and irregular supply of SNP, poor infrastructure, etc.). To build trust among uncovered beneficiaries, the government needs to address these policy-level challenges. Ensuring healthy childhood growth is essential for India to convert its demographic advantage into meaningful economic development.

Keywords : Nutrition, Early Childhood, Malnutrition, Human Capital, Pre-school education..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty