Introduction: The development of the nation lies in the hands of the children who are the future citizens. Childhood malnutrition among urban poor is similar to or higher than rural poor. Here a comparative study of health profile of children 0-6yrs of age residing in the urban slums covered by ICDS and not covered by ICDS in Siddipet telangana was undertaken. Mothers and children under 6 year’s age constitute a high priority group because children are connected with their development and survival. The development of the nation lies in the hands of the children who are the future citizens. The two major deficiency syndromes affecting the preschool children in developing countries are protein energy malnutrition and nutritional anemia. Both these condition shave considerable impact on child’s physical and mental development. Objective: The objective of the study is to study and compare the prevalence of anemia among children in ICDS and non ICDS areas. Methods: A cross – sectional study with comparison group was carried out in urban slums of Siddipet city in the ICDS and Non-ICDS areas. In all 560 children were examined from each area and the prevalence of anemia was estimate din both the areas separately. Results: Pevalence of anemia among0-6years children in ICDS and Non- ICDS areas was 47.9 %( 44.1% in male and 51% in female) and 56.1 % (47.8% in male and 63.7% in female) respectively. Majority of the anemia male children were having moderate grade of anemia in both the groups i.e.24.4% in ICDS and 29.9% in Non-ICDS area. Cases of severe grade of anemia were seen in 1-3 years children in ICDS whereas in Non- ICDS group they were from1-4 years age group. Majority of the anemia female children were having moderate anemia in both the groups (30.7% and 45.2%). Conclusion: Prevalence of anemia was found as in ICDS area was 47.9% compared to 56.1% in then on ICDS area. Statistically this difference was not significant. Infants showed least prevalence of anemia in both the groups.