SC Nooyi, MN Srinivasa, S Shivanajiah, D Rajaram, SN Somanna, SS Puttajois
Department of Community Medicine, MS Ramaiah Medical College, Bangalore, Karnataka, India
Prof. S C Nooyi
Department of Community Medicine, MS Ramaiah Medical College, Bangalore, Karnataka
|How to cite this article:|
Nooyi S C, Srinivasa M N, Shivanajiah S, Rajaram D, Somanna S N, Puttajois S S. Authors' reply.J Postgrad Med 2014;60:345-346
|How to cite this URL:|
Nooyi S C, Srinivasa M N, Shivanajiah S, Rajaram D, Somanna S N, Puttajois S S. Authors' reply. J Postgrad Med [serial online] 2014 [cited 2022 Dec 2 ];60:345-346
Available from: https://www.jpgmonline.com/text.asp?2014/60/3/345/138833
We thank author for comments on our article and present responses below.  As per the orders of government of Karnataka (effective 1 Oct 2004), the programme of midday meals has been extended to all government and government-aided primary school children up to 7 th standard and further was extended to all government and aided high-schools from 2007.  Hence, a comparison of children in schools receiving midday meals versus those not receiving them cannot be done and in fact would be unethical. There is enough evidence in literature to show that there is an impact of midday meals in improving the weights and heights of children receiving these meals. ,
In our schools, students receive three standard cups of rice of different recipes which amounts to an average of 864 kcals, (175.8 g carbohydrate and 11.4 gm of proteins) per day. The calories and protein consumption is based on the recommendations of Dr Mohan's Atlas of Indian Foods.  This meets the suggested requirement of 700 calories and 12 g of protein.  Attendance and academic performance of children has not been assessed in this study since this was not the objective of the study. This limitation is also addressed in the editorial that accompanied the publication.
Regarding the proportion of underweight children (13.8% and 13.1%), one cause could be that because the meal in the school is the only meal the child gets. It may be a substitute and not a supplement as it is intended to be, as observed in another study.  Even so, the extent of children who were underweight is much lower than that found by other studies. ,,
Assessment of the impact of midday meals on reducing school dropout rates would be possible only through a longitudinal study.
We are grateful to the Trustees and members of the Sri Sai Mandali Trust Malleswaram for their support in providing midday meals to school students. We would like to thank the Management of M S Ramaiah Medical College and Hospitals and M S Ramaiah Dental College for their support of all the school health related activities of the Department of Community Medicine. We sincerely thank Mr. Dinesh H K, Mr. Chethan and Mr. D K Shivaram, medico-social workers, in the Department of Community Medicine, M S Ramaiah Medical College for efficiently assisting in the data collection and data entry.
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