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Sanjit Sarkar

                             practices, and infections. Integrated  Child Development Scheme (ICDS), a government launched
                             nutrition program, if strengthened through effective implementations and proper strategies,  could
                             itself play a vital role in improving the child nutrition status in their early ages. Dissemination of
                             knowledge among mothers on  infant and child feeding  practices, hygiene  and sanitation,  and
                             home-based treatment management during infectious disease among children is crucial in improving
                             the childcare practice behavior. Community-based platforms like Self-Help Group (SHG) may be
                             used as important  platforms to implement interventions for improved  exclusive breastfeeding
                             and complementary feeding practices.  Maternal nutrition and  health  also seem to be associated
                             with child malnutrition. Nutrition status of the children is poor for mothers having lower BMI, indi-
                             cating a positive association between maternal health and child nutrition status. Thus, integrating the
                             maternal health components with a nutrition program is highly recommended for improving both
                             maternal and infant health. Although the ICDS has addressed maternal health, the policy is needed to
                             strengthen and focus more on implementation perspectives.
                                Several limitations needed to be acknowledged to interpret the results. Firstly, this is a cross- sec-
                             tional study, which did not track the event history of a child’s malnutrition across their ages. In order
                             to understand the potential temporal association and dynamics of malnutrition, a cohort prospective
                             study is more appropriate than a cross-sectional study. Secondly, there is likely a recall bias among
                             the respondents answering the questions relating to the events that happened in the past such as the
                             dates of birth of the mother and child. Thirdly, the study could not assess the contribution of expo-
                             sure to hygiene and sanitation while there is evidence to show that it is an important contributing
                             factor in the malnutrition of children in their younger age (Rah, Cronin, Badgaiyan et al., 2015).
                             Fourthly, the results interpreted in this study based on sample data cannot be generalized for the
                             whole geographical area due to diverse socio-cultural and geographical parameters.
                             Conflict of Interest and Funding

                             No conflict of interest has been reported.

                             Acknowledgements

                             The  author  would like express his  sincere thanks  to  the  anonymous reviewers for  their critical
                             and beneficial comments, and suggestions for improving the paper. The author is thankful to the ed-
                             itor of this journal for considering this paper for critical review. The author is also thankful to the
                             respondents from Bankura district in West Bengal, India for their cooperation and support during the
                             field survey.

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