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1. The pilot phase

The pilot phase aimed at determining the feasibility of training basic health workers in concepts of family intervention and in trying out the efficacy and usefulness of the manual brought out for this purpose. It was thought that a pilot study would also help the research workers in achieving expertise in training of the health _workers and sensitize them to possible problems that they might encounter in the training and evaluation process. For this phase the sample decided was 5 families each from a rural area and a city slum. The village chosen was Bannerghatta and the city slum Marenahalli.

For this phase the sample decided was 5 families each from a rural area and a city slum. The village chosen was Bannerghatta and the city slum Marenahalli.

First of all the Anganwadi workers were talked to regarding their work and activities. Then they were provided with the manual (Kannada version) to familiarize themselves with it for 2 days they were explained. The concept of family intervention was important and how it would facilitate their work without disturbing their routine. Later the research workers discussed with them regarding their opinions about it, the difficulties faced either in the content or the language. They were also given the short version of HRC (Kannada) and trained how to identify families with risk factors.

Once the Anganwadi workers were familiar with the. HRC and the manual, they were trained at the field level. This involved their visiting 5 identified families (with risk factors) with the research workers. In these families the research workers demonstrated to them how to identify risk factors and how to intervene when necessary. Later 5 other families were identified by them to carry out the intervention. The research workers accompanied them to these families and the problems and difficulties were discussed and clarified. The intervention in this phase was carried out for 10-12 weeks duration. Each family was visited once a week, each visit lasting for 10-15 minutes. The research workers evaluated these families on SWBI, HRC, EI, cognitive tests and nutritional state.

2. The Actual Intervention

Once the pilot phase was over, the actual intervention was started in the chosen areas. Before starting the programme the village leaders and important persons were also contacted and explained about the present programme. Once the permission was obtained from the Directorate of Women and Child Welfare the concerhed CDPO's were informed. This was necessary because the Anganwadl programme is covered under the ICDS programme and it further eased out the execution of the programme. The training for the Anganwadi workers who were not trained earlier was


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