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Diploma Programme in Nutrition and Health Education


School of Continuing Education

Indira Gandhi National Open University
Maidan Garhi, New Delhi -110068
Diploma Programme in Nutrition and Health Education (DNHE)

Dear Students,

You will have to do three assignments in all. Each Tutor Marked Assignment carries 100 marks.
The course-wise distribution of assignments is as follows:

Assignment 1 (TMA) - based on DNHE 1

Assignment 2 (TMA) - based on DNHE-2
Assignment 3 (TMA) - based on DNHE-3


Before attempting the assignments please read the following instructions carefully.

1) Read the detailed instructions about assignments given in the Programme Guide.
2) Write your roll number, name, full address and date on the top right corner of the
first page of your response sheet(s).
3) Write the course title, assignment number and name of the study centre you are
attached to in the centre of the first page of your response sheet(s).

The top of the first page of your response sheet should look like this:

Enrolment No…………………….




Course Title………………………

Assignment No………………….. Date …………………………

Study Centre……………………..

4) Use only foolscape size paper for your responses and tie all the pages carefully.
5) Write the question number with each answer.
6) You should write in your own handwriting.
7) Submission: The completed Assignment should be sent to the Coordinator of the Study
Centre allotted to you.

A Note of Caution

It has been noticed that some students are sending answers to Check Your Progress Exercises to the
University for evaluation. Please do not send them to us. These exercises are given to help in
judging your own progress. For this purpose, we have provided the answers to these exercises at
the end of each Unit. We have already mentioned this in the Programme Guide.

Before despatching your answer script, please make sure you have taken care of the following

 Your roll number, name and address have been written correctly.
 The title of the course and assignment number have been written clearly.
 Each assignment has been written on separate sheets and pinned properly.
 All the questions in the assignments have been answered.

Now read the guidelines before answering questions.


The Tutor Marked Assignments have two parts.

Section A: Descriptive Questions (60-80 marks)

In this section, you have to answer questions of descriptive type.

Section B: Practical Activities (20-40 marks)

You would be required to submit your responses to activities given in Practical Manuals 1, 2 and 3


You will find it useful to keep the following points in mind:

1) Planning: Read the assignments carefully. Go through the units on which they are based.
Make some points regarding each question and then rearrange these in a logical order.
2) Organization: Be a little more selective and analytical. Give attention to your introduction
and conclusion. The introduction must offer your brief interpretation of the question and
how you propose to develop it. The conclusion must summarize your response to the

Make sure that your answer:

a) is logical and coherent;
b) has clear connections between sentences and paragraphs;
c) is written correctly giving adequate consideration to your expression, style and
d) does not exceed the number of words indicated in the question.
3) Presentations: Once you are satisfied with your answers, you can write down the final
version for submission, writing each answer neatly and underline the points you wish to

Course Code : DNHE-1
Assignment Code : DNHE-1/AST-1/TMA-1 /09
Last Date of Submission : 31st July, 2009

Maximum Marks: 100

Section A – Descriptive Type Questions (60 marks)

There are ten short questions in this part. Answer all questions. Each question carries 6 marks.
1.a)Differentiate between saturated and unsaturated fats. (2)
b) Which are the food sources of Vitamin A?
c) What is Malnutrition? Explain giving examples. (2)

2.a) “Recommended dietary intakes depend on physiological state in the case of women.” Is this
statement correct? Justify your answer with examples. (4)
b) How are proteins digested?

3.a) How do growth spurts influence nutrient needs? (2)

b) List the nutrients of particular importance in: (4)
i) Pre-school years
ii) Adolescence
Give justifications for your answer.

4. Suppose you were asked to evaluate a snack/packed lunch for a school going child. List the
criteria you would use. Explain giving an example. (6)

5. Illustrate the following using diagrams/ flow charts: (6)

a) Malnutrition and infection interrelationship
b) Visual cycle
c) Steps in preparation of a monthly food budget

6. a) Differentiate between the objectives of ICDS and mid day meal programmes. (3)
b) “Preventive strategies are as important as curative ones in tackling nutrient deficiency
disorders.” Do you agree with this statement? Justify your answer giving reasons. (3)

7. a) What is the importance of growth monitoring? Discuss briefly. (4)

b) List the major principles involved in treating PEM. (2)

8. Why is maternal malnutrition a serious problem in India? Explain in brief. (6)

9. List the menu for one main meal (lunch or dinner) in your family. Evaluate the menu for that
particular meal. (6)
(Hint: Your answer should be based on major points to remember in meal planning. It should
not be limited to evaluating whether the meal is balanced or not.)

10. What suggestions can you provide for selection of fruits and vegetables? (6)

Section B - Practical Activities (40 marks)

There are four exercises in this section. These exercises are based on Practical Manual 1. Answer
all four.

1. Look up Section 1 Activity 5 in Practical Manual -1. Read the activity carefully and then do
the required steps. The format provided should be used to record your observations. (10)

2. Plan a snack rich in iron, energy and protein suitable for a 10-12 year old girl. Your answer
must specify:
i) Name of snack
ii) List of ingredients
iii) Method of preparation
iv) Sources of iron, energy and protein included.

3. Describe in detail any four cooking practices common in your region for pulses
(rice/wheat/maize etc.). Predict the nutrients which are likely to be lost to a substantial degree
in each. (10)

4. Look up Table 5.3, Section 5 of Practical Manual-I giving a food plan for Pushpa, a sedentary
women. How would you explain this table to Pushpa in simple language? Explain in detail.


Course Code: DNHE-2
Assignment Code: DNHE-2/AST-4/TMA /09
Last Date of Submission: 31st August, 2009

Maximum Marks: 100

Section A - SAQ (Short Answer Questions) (80 marks)

There are ten questions in this part. Answer all questions. Each question carries 8 marks.

1) If you were to assess the incidence of malnutrition in a community, what mortality rates
will you compute? Discuss briefly.

2) Enumerate the major indicators of “Quality of Life”? Using any two indicators, discuss
the quality of life in Asia.

4) List the common infectious diseases which can be prevented by timely immunization.
Name the causative organism and sign/symptoms for each of the infectious diseases.
Give the immunization schedule recommended for children by our government.

4) Differentiate between normal and therapeutic diets? Explain using a flow chart.

5) If you were to counsel a patient suffering from Coronary Heart Disease, what guidelines
would you recommend to the patient for dietary management of the disease?

6) What are the means of indirect transmission of infection in human beings? With the help
of a flow chart, explain the mode of transmission of infection through fecal-oral route.

7) What are the essential components of primary health care? Present a brief critical analysis
on the delivery of the component, giving suitable examples.

8) Difine the terms Endemic and Epidemic? List any two diseases endemic in India. Discuss
the control / preventive measure for any one disease.

9) Discuss any one method you would adopt on a large scale for purification of water.

10) List any five health programmes implemented by the government in our country. Discuss
any two briefly.

Section B - AQ (Application Questions) (20 marks)

There are two questions in this part. Each question carries 10 marks. Answer both.

1) Visit any primary health center (run by the government) and/or a family welfare /

planning clinic (run by NGO/ voluntary organization) in your neighborhood.
Interview the health personnel (doctor etc.) working in the center and the subjects coming
to the centre and find out about the family planning measures promoted by the center(s)
and commonly adopted by the subjects. Present your data in a tabular form.


2. This question is based on Practical Manual 2. You were asked to attempt five out of eight
activities in Practical Manual 2. Submit your response to any two out of the five you have
completed. (7+7)

Course Code: DNHE-3
Assignment Code: DNHE-3/AST-7/TMA/09
Last Date of Submission: 3oth September, 2009

Maximum Marks: 100

Section A - SAQ (Short Answer Questions) (80 marks)

There are ten questions in this part. Answer all questions. Each question carries 8 marks.

1) Working with the community is challenging and requires certain skills ! What skills
should a community worker acquire to work with the community ? Discuss, briefly.

2) As a community worker you have been asked to develop a plan of action to combat
malnutrition in the community. What aspects would you consider in developing the
action plan ? Elaborate.

3) Discuss the concept of Community Diagnosis in the context of Community Nutrition.

4) Which nutritional problems are common in pregnant women ? Enumerate. Give five
simple messages you would like to communicate to pregnant women which will help
create awareness and prevent these problems.

5) “Mass communication media are essentially classified based on the form in which
information is communicated”. Explain the statement, giving the classification with
appropriate examples.

6) What are Teaching Aids ? Explain giving examples. List five handy points you would
keep in mind while preparing Teaching Aids.

7) Define the term Strategy with reference to Nutrition and Health Education. How are
individual strategies different than community strategies? Elaborate giving appropriate

8) Participatory Learning is crucial for the success of any Nutrition/ Health

Programme/ Campaign. Comment on the statement, highlighting the usefulness/
limitations (if any) of participatory approach.

9) Differentiate between Machine Operated Devices and Non-machine Media. Give the
advantages / limitations of both.

10) List the levels involved in organizing Nutrition/Health programmes/Campaigns. Explain

any two levels briefly, highlighting its salient features.

Section: B - AQ (Application Questions) (20 marks)

There are two questions in this part. Answer both.

1. a) List any five messages you would like to convey to mothers regarding supplementary
feeding of infants (1)
b) Design / prepare a poster / chart / banner etc, related to the message(s) mentioned at
(a) above. (5)

2. This question is based on Practical Manual 3. You were asked to attempt five out of eight
activities in Practical Manual 2. Submit your response to any two out of the five you have
completed. (7+7)