Background: Under-nutrition is one of the major problem which leads to developmental delays as well as poor health requiring frequent visits to health care center in early child hood in India. The aim of this study was to conduct assessment of utilization of ICDS program and its impact on under‐nourished children attending anganwadi center (AWC). Methods: This was a record and interview based analytical study conducted in RHTC area under Government Medical College of Kota district. Total 380 records of beneficiary children registered under the ICDS scheme were observed for present day assessment of these beneficiaries followed by SPSS mediated analysis. Results: A higher weight gain was seen in children of literate mothers. Regular attendance in anganwadi was seen in eighty five percent of children, however 19 % of children dropped out for more than 1 month. In a period of one year, it was observed that in growth had faltered in 2.6% children and was stagnant in 71.5% of them. Conclusions: Focus on taking regular follow up by the AWWs should be encouraged so that continuity in attendance and maximum utilisation of services by the eligible and registered beneficiaries under the scheme is ensured. This might prove to be an important step in preventing shifting of children towards red category.

Background: Under-nutrition is one of the major problem which leads to developmental delays as well as poor health requiring frequent visits to health care center in early child hood in India. The aim of this study was to conduct assessment of utilization of ICDS program and its impact on under‐nourished children attending anganwadi center (AWC). Methods: This was a record and interview based analytical study conducted in RHTC area under Government Medical College of Kota district. Total 380 records of beneficiary children registered under the ICDS scheme were observed for present day assessment of these beneficiaries followed by SPSS mediated analysis. Results: A higher weight gain was seen in children of literate mothers. Regular attendance in anganwadi was seen in eighty five percent of children, however 19 % of children dropped out for more than 1 month. In a period of one year, it was observed that in growth had faltered in 2.6% children and was stagnant in 71.5% of them. Conclusions: Focus on taking regular follow up by the AWWs should be encouraged so that continuity in attendance and maximum utilisation of services by the eligible and registered beneficiaries under the scheme is ensured. This might prove to be an important step in preventing shifting of children towards red category.