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Integrated Child Development Services

(ICDS) Scheme

State Institute of Health and Family Welfare,


Jaipur
Prologue
g

Initiated-Oct.2,1975,
Initiated Oct 2 1975 in 33 CD Blocks
under Five Year Plan

In succession to objectives of National


Child ' Policy
Children's P li (A
(Aug. 1974)

Worlds largest
g p
program
g for early
y
childhood development

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Purpose for Initiation

Routine MCH services not reaching


target Population

Nutritional component not covered


by Health services

Need for community participation

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Objectives

Lay the foundation for proper psychological


d
development
l t off child
hild
Improve nutritional & health status of
children
hild
Reduce incidence of mortality, morbidity,
malnutrition and school drop
drop-outs
outs
Enhance the capability of mother & family
Achieve
A hi effective
ff ti coordination
di ti among
various departments

SIHFW: an ISO9001: 2008 certified institution 4


Services

Supplementary
S pplementar n nutrition
trition
Non-formal pre-school education
Immunization
I i ti
Health Check-up
Referral services
Nutrition and Health Education

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Beneficiaries of ICDS

Children < 6 years


Pregnant & Lactating women
Women in Reproductive age group (15-44)
Adolescent Girls (in selected Blocks)

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Target Groups & Service Provider
Services Target Group Services Provider

Supplementary Children >6 years; pregnant & AWW & AWH


Nutrition lactating mothers

Immunization Children below 6 years; ANM/MO


pregnantt & lactating
l t ti mothers
th
Health Check-ups Children>6 years; pregnant & ANM/MO/AWW
g mothers
lactating
Referral Children>6 years; pregnant and AWW/ANM/MO
lactating mothers
Pre-School Children 3-6 years AWW
Education
N& H Ed
Education
i W
Women (15-44
(15 44 years)) AWW/ANM/MO

SIHFW: an ISO9001: 2008 certified institution 7


Role of AWW

To elicit community support


Participation in running the program
Weigh & record each child every month
Refer cases
Organize non-formal pre-school activities
Provide supplementary nutrition
Provide health & nutrition education and
counseling

SIHFW: an ISO9001: 2008 certified institution 8


Role of AWW

Make
M k hhome visits
i it

Assist PHC staff

Guide ASHA

Assist in implementation of Kishori


Shakti Yojana (KSY)

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Role of AW Helper

Cook & serve food

Cl
Clean the
th Anganwadi
A di premises
i

Cleanliness of small children

Bring small children to Anganwadi

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Role of ASHA

Awareness generation
Counsel women
Community mobilization
Work with VHSC
Escort/accompany pregnant women &
children requiring treatment
Provide primary medical care

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Role of ANM
Hold weekly / fortnightly meeting with ASHA
Participate
P ti i t & guideid iin organizing
i i ththe H
Health
lth
Days at AWC
Utilize
Utili ASHA ini motivating
ti ti the
th pregnantt
women and married couples
Guide ASHA in motivating pregnant women
for full ANC
Educate ASHA on danger signs of pregnancy
and labor

SIHFW: an ISO9001: 2008 certified institution 12


Women & Child Development
Minister,
Mi i t WCD

Principal Secretary, WCD

Secretary (WCD) & Commissioner (Women Empowerment)

Director,
ec o , ICDS
C S Executive
ecu e Director
ec o
Women SHG institute
Dy. Director, (Distt. level)
Project Program Director
Officer Regional Resource
CDPO, (Proj. Project Officer Centre, (Divisional
level) (Distt. level) level)

LS, (Sector level) Precheta


Project Officer
(Block level)
AWW, AWH
(Village level) Sathin (GPL)

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Health Department
Director-H & FW

Senior Advisor

Officer-in-charge
g analyzer
y

Divisional Advisor

Chief Distt. advisor

Distt . Advisor

Project Advisor

Sector Advisor
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Role
R l off Health
H l h Department
D

Health Check-ups
Handlingg Referral
Immunization
Nutrition & Health Education
Monitoring of Health components

SIHFW: an ISO9001: 2008 certified institution 15


Anganwadi Centre
Population Norms:
For Rural/Urban Projects
400-800 - 1 AWC
800-1600 - 2 AWCs
1600-2400 - 3 AWCs
Thereafter in multiples of 800 1 AWC
For Mini-AWC
150-400 -1 Mini AWC

SIHFW: an ISO9001: 2008 certified institution 16


For Tribal /Riverine/Desert, Hilly and other
difficult areas/ Projects
j
300-800 - 1 AWC
For Mini-
Mini AWC
150-300 1 Mini AWC
At presentt there
th are 54915 Anganwadi
A di
Centres and 6204 Mini Anganwadi Centres in
Rajasthan (WCD
Rajasthan. (WCD, Rajasthan
Rajasthan, Nov
Nov. 10)
10)

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Supplementary Nutrition

Beneficiary Pre-revised Revised w.e.f.


Feb. 2009
Calories Protein Calories Protein
(KC l)
(KCal) (G) (KC l)
(KCal) (G )
(Gm)

Children (6-72 300 8-10 500 12-15


months)
th )
Severely 600 20 800 20-25
malnourished
l i h d children
hild
(6-72 months)

Pregnant & Lactating 500 15-20 600 18-20


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Revised Financial Norms for Food
Supplement
Category Pre- Revised w.e.f
wef
revised June 2010

Children (6-72 months) Rs. 2.00 Rs.4.84

Severely malnourished Rs. 2.70 Rs.5.82


children (6-72 months)

Pregnant & Lactating Rs. 2.30 Rs.6.00

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Honorarium to Functionaries
Qualification/Year 1975-76 1.04.08 1.4.11
Non-Matriculate 100 1438 3238
Matriculate 150 1500 3269
Non-Matriculate with 5 years - 1469 3300
experience
i
Matriculate with 5 years experience - 1531 3300
Non-Matriculate with 10 years - 1500 3331
experience
Matriculate with 10 years - 1563 3363
experience
Mini Anganwadi
g Worker - 750 1650
Helper 35 750 1650
20
Source: http://wcd.rajasthan.gov.in/ SIHFW: an ISO9001: 2008 certified institution
Training Infrastructure

Anganwadi Workers Training Centers


(AWTCs)
Middle
Middl L Levell T
Training
i i C Centers
t (MLTC
(MLTCs))
National Institute of Public Cooperation
and Child Development (NIPCCD) and
its Regional Centers.

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International Partners

United Nations International Children


Emergency Fund (UNICEF)

Cooperative for Assistance and Relief


Everywhere (CARE)
(C )

World Food Programme (WFP)

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Major Initiatives
Revision in Population norms
Universalization and 3rd phase of
expansion of the Scheme of ICDS
Increment in Budgetary allocation for
ICDS Scheme
Introduction
I t d ti off costt sharing
h i between
b t
Centre & States
Revision
R i i iin fifinancial
i l norms off
supplementary nutrition

SIHFW: an ISO9001: 2008 certified institution 23


Major Initiatives
Revision of feeding and nutrition norms.
E h
Enhancement t off honoraria
h i
Introduction of WHO approved Growth
St d d
Standards
Provision of flexi funds at Anganwadi level
Th Gov.
The G off India
I di introduced
i t d d `A
`Anganwadi
di
Karyakartri Bima Yojna to AWW & AWH
A scheme
h off award d ffor AWWs
AWW introduced
i t d d
both at the National and State Level

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Paid absence of 135 days y of maternityy leave
Provision of Uniform for AWWs and Helpers
Strengthening of Management Information
System (MIS)
Revision in cost norms of Training
g component
p
of ICDS Scheme
BPL no longer a criteria

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Monitoring System

Central level
State level
Block level
Village level (Anganwadi level)

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Achievements
Year No. of No. of No. of No. of pre-
operational operational Supplementa school
projects AWCs ry nutrition education
beneficiaries beneficiarie
(i lakhs)
(in l kh ) s (in
(i lakhs)
l kh )

31 03 06 5659
31.03.06 748229 562 18
562.18 244 64
244.64

31.03.07 5829 844743 705.43 300.81

31.03.08 6070 1013337 343.26 339.11

31 03 09 6120
31.03.09 1044269 373 43
373.43 340 60
340.60
27
SIHFW: an ISO9001: 2008 certified institution
No.
No of Supplementary Nutrition Beneficiaries

Year Total 0-3 Year 3-6 Pregnant Adolescent Total


Target for Children Year & Girls
SNP Children Lactating
Mothers

Sep. 5004511 1668437 1087249 828639 24839 3585401


2010

Progress Report: Sep. 2010

28
SIHFW: an ISO9001: 2008 certified institution
Punctuations
Practically children 3-6 Yrs.
Pregnant
g & Lactating g not covered
Irregular food supplies
QQualityy of Nutrition supplement?
pp
Poor supervision
Lack of community ownership/ participation
Nutrition education only on papers
Children come only for food

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Thank You

For more details


F d t il llog on tto
www. sihfwrajasthan.com
or
contact : Director-SIHFW
on
sihfwraj@yahoo.co.in

SIHFW: an ISO9001: 2008 certified institution 30

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