Integrated Child Development Scheme (ICDS) 20.06

1 Integrated Child Development ServicesIntegrated Child Development Services (ICDS) SchemeState Institute of Health and Family Welfare, JaipurJaipurPrologueg InitiatedOct 2 1975 in 33 CD Blocks ,1975, in 33 CD Blocks under Five Year Plan In succession to objectives of National Child ' P li(A1974)Children's Policy (Aug. 1974) World s largest program for early gpgychildhood Development 2 SIHFW: an ISO9001: 2008 certified institutionPurpose for InitiationPurpose for Initiation Routine MCH services not reaching target Population Nutritional component not covered Nutritional component not covered by Health services Need for community participation3 SIHFW: an ISO9001: 2008 certified institutionObjectives Lay the foundation for proper psychological dlt f hilddevelopment of Child Improve nutritional & health status of hildchildren Reduce incidence of mortality, morbidity, malnutrition and school dropoutsmalnutrition and school drop-outs Enhance the capability of mother & family Ahiff tidi ti Achieve effective coordination among various departments4 SIHFW: an ISO9001.

2 2008 certified institutionServicesServices S pplementar n trition Supplementary nutrition Non-formal pre-school education Iiti Immunization Health Check-up Referral services Nutrition and Health Education5 SIHFW: an ISO9001: 2008 certified institutionBeneficiaries of ICDS Children<6 yearsChildren 6 years Pregnant & Lactating women Women in Reproductive age group (15-44)Women in Reproductive age group (15-44) Adolescent Girls (in selected Blocks)6 SIHFW: an ISO9001: 2008 certified institutionTarget Groups & Service ProviderServicesTarget GroupServices ProviderSupplementary Children >6 years; pregnant & AWW & AWHN utritionlactating mothers ImmunizationChildren below 6 years; t & l t tithANM/MOpregnant & lactating mothersHealth Check-ups Children>6 years; pregnant & lactating mothersANM/MO/AWWgReferralChildren>6 years.

3 Pregnant and lactating mothersAWW/ANM/MOPre-School EducationChildren 3-6 yearsAWWN& H EdiW(1544)AWW/ANM/MON& H EducationWomen (15-44 years)AWW/ANM/MO7 SIHFW: an ISO9001: 2008 certified institutionRole 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 8 SIHFW: an ISO9001: 2008 certified institutionRole of AWW Mk hiit Make home visits Assist PHC staff Guide ASHA Assist in implementation of KishoriShaktiYojana(KSY)ShaktiYojana(KSY )9 SIHFW: an ISO9001: 2008 certified institutionRole of AW HelperRole of AW Helper Cook & serve food ClthAdii Clean the Anganwadipremises Cleanliness of small children Bring small children to Anganwadi10 SIHFW: an ISO9001: 2008 certified institutionRole of ASHA Awareness generation Counsel women Community mobilization Work with VHSC Escort/accompany pregnant women & children requiring treatment Provide primary medical care 11 SIHFW: an ISO9001.

4 2008 certified institutionRole of ANM Hold weekly / fortnightly meeting with ASHA P ti it &id ii ith Hlth Participate & guide in organizing the Health Days at AWC UtiliASHA iti titht Utilize ASHA in motivating the pregnant women and married couples Guide ASHA in motivating pregnant women Guide ASHA in motivating pregnant women for full ANC Educate ASHA on danger signs of pregnancy Educate ASHA on danger signs of pregnancy and labor12 SIHFW: an ISO9001: 2008 certified institutionWomen & Child DevelopmentMi i tWCDM inister, WCDP rincipal Secretary, WCDS ecretary (WCD) & Commissioner (Women Empowerment)Director, ICDSE xecutive Directorec o , C Secu eec oWomen SHG institute Program DirectorProjectDy. Director, (Distt. level)CDPO, (Proj. level)Regional Resource Centre, (Divisional level)OfficerProject Officer (Distt.)

5 Level)LS, (Sector level)AWW, AWH Project OfficerPrecheta (Block level)(Village level)Sathin (GPL)13 SIHFW: an ISO9001: 2008 certified institutionHealth DepartmentDirector-H & FWSenior AdvisorOfficer-in-charge analyzergyDivisional AdvisorChief Distt. advisorDistt . AdvisorProject AdvisorSector Advisor14 SIHFW: an ISO9001: 2008 certified institutionRl fH lhDRole of Health Department Health Check-ups Handling Referralg Immunization Nutrition & Health Education Monitoring of Health components15 SIHFW: an ISO9001: 2008 certified institutionAnganwadiCentreAnganwadiCentr e Population Norms: For Rural/Urban Projects 400-800 - 1 AWC800-1600 - 2 AWCs1600-2400 - 3 AWCsThereafter in multiples of 800 1 AWC For Mini-AWC 150-400 -1 Mini AWC16 SIHFW: an ISO9001: 2008 certified institution For Tribal /Riverine/Desert, Hilly and other difficult areas/ Projects j300-800 - 1 AWC For MiniAWC For Mini-AWC150-300 1 Mini AWC Att th54915 Adi At present there are 54915 AnganwadiCentres and 6204 Mini Anganwadi Centres in Rajasthan (WCD Rajasthan Nov 10)Rajasthan.

6 (WCD, Rajasthan, Nov. 10)17 SIHFW: an ISO9001: 2008 certified institutionSupplementary Nutrition BeneficiaryPre-revisedRevised Feb. 2009 Calories (KC l)Protein (G)Calories (KC l)Protein (G )(KCal)(G)(KCal)(Gm)Children (6-72 th )3008-1050012-15months)Severely li h d hild6002080020-25malnourished children (6-72 months)Pregnant & Lactating50015-2060018-2018 SIHFW: an ISO9001: 2008 certified institutionRevised Financial Norms for Food 2010 Children (6-72 months) Rs. malnourished children (6-72 months)Rs. & LactatingRs. : an ISO9001: 2008 certified institutionHonorarium to with 5 years i-14693300experienceMatriculate with 5 years experience -15313300 Non-Matriculate with 10 years experience -15003331 Matriculate with 10 years15633363 Matriculate with 10 years experience -15633363 Mini Anganwadi Worker-7501650gHelper35750165020 SIHFW: an ISO9001: 2008 certified institutionSource: InfrastructureTraining Infrastructure Anganwadi Workers Training Centers (AWTCs) Middl Ll T i iCt(MLTC ) Middle Level Training Centers (MLTCs) National Institute of Public Cooperation and Child Development (NIPCCD) andand Child Development (NIPCCD) and its Regional Centers.

7 21 SIHFW: an ISO9001: 2008 certified institutionInternational PartnersInternational Partners United Nations International Children Emergency Fund (UNICEF) Cooperative for Assistance and Relief (C)Everywhere (CARE) World Food Programme (WFP) 22 SIHFW: an ISO9001: 2008 certified institutionMajor InitiativesMajor Initiatives Revision in Population norms Universalization and 3rdphase of expansion of the Scheme of ICDS Increment in Budgetary allocation for ICDS Scheme It d tift h i bt Introduction of cost sharing between Centre & States Rii ifiilf Revision in financial norms of supplementary nutrition23 SIHFW: an ISO9001: 2008 certified institutionMajor Initiatives Revision of feeding and nutrition norms. Eht fhi Enhancement of honoraria Introduction of WHO approved Growth Std dStandards Provision of flexi funds at Anganwadi level Th Gf I di i t dd `Adi The Gov.

8 Of India introduced `Anganwadi Karyakartri Bima Yojna to AWW & AWH AhfdfAWWitd d A Scheme of award for AWWs introduced both at the National and State Level24 SIHFW: an ISO9001: 2008 certified institution Paid absence of 135 days of maternity leaveyy Provision of Uniform for AWWs and Helpers Strengthening of Management Information Strengthening of Management Information System (MIS) Revision in cost norms of Training component gpof ICDS Scheme BPL no longer a criteria25 SIHFW: an ISO9001: 2008 certified institutionMonitoring System Central level State level State level Block level Village level (Anganwadi level) Village level (Anganwadi level)26 SIHFW: an ISO9001: 2008 certified institutionAchievements YearNo. of operational No. of operational No. of SupplementaNo. of pre-school projectsAWCsry nutrition beneficiaries (ilkh)education beneficiarie(ilkh)(in lakhs)s (in lakhs)31 03 065659748229562 18244 03 0961201044269373 43340 : an ISO9001: 2008 certified institutionNo of Supplementary Nutrition BeneficiariesNo.

9 Of Supplementary Nutrition BeneficiariesYearTotal0-3 Year3-6 PregnantAdolescentTotalYearTotal Target for SNP0-3 Year Children3-6 Year ChildrenPregnant & Lactating MothersAdolescent GirlsTotalMothersSep. 201050045111668437 10872498286392483935854012010 Progress Report: Sep. 201028 SIHFW: an ISO9001: 2008 certified institutionPunctuations Practically children 3-6 Yrs. Pregnant & Lactating not coveredgg Irregular food supplies Quality of Nutrition supplement?Qypp Poor supervision Lack of community ownership/ participation Lack of community ownership/ participation Nutrition education only on papers Children come only for food Children come only for food29 SIHFW: an ISO9001: 2008 certified institutionThank YouFdtil ltFor more details log on towww. contact : Director-SIHFW 30 SIHFW: an ISO9001: 2008 certified institutio