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Integrated Child Development Services
            (ICDS) Scheme




    State Institute of Health and Family Welfare,
                        Jaipur
Prologue

Ø Initiated-Oct.2,1975, in 33 CD Blocks
  under V Five Year Plan
Ø In succession to objectives of National
  Children's Policy (Aug. 1974)
Ø World’s largest program for early
  childhood development




     SIHFW: an ISO9001: 2008 certified institution   2
Purpose for Initiation

Ø Routine MCH services not reaching
  target Population
Ø Nutritional component not covered
  by Health services
Ø Need for community participation




    SIHFW: an ISO9001: 2008 certified institution   3
Objectives

Ø Lay the foundation for proper psychological
  development of child
Ø Improve nutritional & health status of
  children
Ø Reduce incidence of mortality, morbidity,
  malnutrition and school drop-outs
Ø Enhance the capability of mother & family
Ø Achieve effective coordination among
  various departments


       SIHFW: an ISO9001: 2008 certified institution   4
Services

Ø Supplementary nutrition
Ø Non-formal pre-school education
Ø Immunization
Ø Health Check-up
Ø Referral services
Ø Nutrition and Health Education




 SIHFW: an ISO9001: 2008 certified institution   5
Beneficiaries of ICDS

•   Children < 6 years
•   Pregnant & Lactating women
•   Women in Reproductive age group (15-44)
•   Adolescent Girls (in selected Blocks)




         SIHFW: an ISO9001: 2008 certified institution   6
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
                       pregnant & lactating
                       mothers
Health Check-ups       Children>6 years; pregnant                ANM/MO/AWW
                       & lactating mothers
Referral               Children>6 years; pregnant                AWW/ANM/MO
                       and lactating mothers
Pre-School             Children 3-6 years                        AWW
Education
N& H Education         Women (15-44 years)                       AWW/ANM/MO

                 SIHFW: an ISO9001: 2008 certified institution                7
Role of AWW

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


         SIHFW: an ISO9001: 2008 certified institution   8
Role of AWW

Ø Make home visits
Ø Assist PHC staff
Ø Guide ASHA
Ø Assist in implementation of Kishori
  Shakti Yojana (KSY)




      SIHFW: an ISO9001: 2008 certified institution   9
Role of AW Helper


ØCook & serve food
ØClean the Anganwadi premises
ØCleanliness of small children
ØBring small children to Anganwadi




    SIHFW: an ISO9001: 2008 certified institution   10
Role of ASHA

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




    SIHFW: an ISO9001: 2008 certified institution   11
Role of ANM
Ø Hold weekly / fortnightly meeting with ASHA
Ø Participate & guide in organizing the Health
  Days at AWC
Ø Utilize ASHA in motivating the pregnant
  women and married couples
Ø Guide ASHA in motivating pregnant women
  for full ANC
Ø Educate ASHA on danger signs of pregnancy
  and labor


          SIHFW: an ISO9001: 2008 certified institution   12
Women & Child Development
                              Minister, WCD

                        Principal Secretary, WCD

     Secretary (WCD) & Commissioner (Women Empowerment)

Director, ICDS                                                Executive Director
                                                             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)

                   SIHFW: an ISO9001: 2008 certified institution                         13
Health Department
          Director-H & FW

           Senior Advisor

  Officer-in-charge analyzer

         Divisional Advisor

        Chief Distt. advisor

            Distt . Advisor

           Project Advisor

           Sector Advisor
 SIHFW: an ISO9001: 2008 certified institution   14
Role of Health Department

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




     SIHFW: an ISO9001: 2008 certified institution   15
Anganwadi Centre
Population Norms:
Ø For Rural/Urban Projects
   400-800 - 1 AWC
   800-1600 - 2 AWCs
   1600-2400 - 3 AWCs
   Thereafter in multiples of 800 1 AWC
Ø For Mini-AWC
   150-400 -1 Mini AWC


      SIHFW: an ISO9001: 2008 certified institution   16
Ø For Tribal /Riverine/Desert, Hilly and other
  difficult areas/ Projects
   300-800 - 1 AWC
Ø For Mini- AWC
   150-300 1 Mini AWC
   AWCs in Rajasthan: 58,438
    48,372+10,066(Sanctioned, 2009)



          SIHFW: an ISO9001: 2008 certified institution   17
Supplementary Nutrition

Beneficiary                  Pre-revised                         Revised w.e.f.
                                                                 Feb. 2009
                             Calories Protein                    Calories Protein
                             (KCal)   (G)                        (KCal)   (Gm)

Children (6-72               300                  8-10           500      12-15
months)
Severely              600                         20             800      20-25
malnourished children
(6-72 months)

Pregnant & Lactating         500                  15-20          600      18-20
                 SIHFW: an ISO9001: 2008 certified institution                 18
Revised financial norms

Category                              Pre-    Revised w.e.f
                                      revised Nov., 2008


Children (6-72 months) Rs. 2.00 Rs. 4.00

Severely malnourished Rs. 2.70 Rs. 6.00
children (6-72 months)

Pregnant & Lactating                  Rs. 2.30 Rs. 5.00


            SIHFW: an ISO9001: 2008 certified institution     19
Honorarium
Qualification/Year                      1975                   1.04.08
                                        -76
Non-Matriculate                         100                    1438
Matriculate                             150                    1500
Non-Matriculate with 5 years experience -                      1469
Matriculate with 5 years experience     -                      1531
Non-Matriculate with 10 years           -                      1500
experience
Matriculate with 10 years experience    -                      1563
Mini Anganwadi Worker                   -                      750
Helper                                  35                     750
               SIHFW: an ISO9001: 2008 certified institution          20
Training Infrastructure

Ø Anganwadi Workers Training Centers
  (AWTCs)
Ø Middle Level Training Centers (MLTCs)
Ø National Institute of Public Cooperation
  and Child Development (NIPCCD) and
  its Regional Centers.




      SIHFW: an ISO9001: 2008 certified institution   21
International Partners


Ø United Nations International Children’
  Emergency Fund (UNICEF)
Ø Cooperative for Assistance and Relief
  Everywhere (CARE)
Ø World Food Programme (WFP)




     SIHFW: an ISO9001: 2008 certified institution   22
Major Initiatives
Ø Revision in Population norms
Ø Universalization and 3rd phase of
  expansion of the Scheme of ICDS
Ø Increment in Budgetary allocation for
  ICDS Scheme
Ø Introduction of cost sharing between
  Centre & States
Ø Revision in financial norms of
  supplementary nutrition


      SIHFW: an ISO9001: 2008 certified institution   23
Major Initiatives
ØRevision of feeding and nutrition norms.
ØEnhancement of honoraria
ØIntroduction of WHO approved Growth
 Standards
ØProvision of flexi funds at Anganwadi level
ØThe Gov. of India introduced `Anganwadi
 Karyakartri Bima Yojna’ to AWW & AWH
ØA scheme of award for AWWs introduced
 both at the National and State Level


      SIHFW: an ISO9001: 2008 certified institution   24
Ø Paid absence of 135 days of maternity leave
Ø Provision of Uniform for AWWs and Helpers
Ø Strengthening of Management Information
  System (MIS)
Ø Revision in cost norms of Training component
  of ICDS Scheme
Ø BPL no longer a criteria




        SIHFW: an ISO9001: 2008 certified institution   25
Monitoring System


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




 SIHFW: an ISO9001: 2008 certified institution   26
Achievements
Year    No. of      No. of      No. of                          No. of pre-
        operational operational Supplemen                       school
        projects    AWCs        tary                            education
                                nutrition                       beneficiarie
                                beneficiarie                    s (in lakhs)
                                s (in lakhs)
31.03.06 5659             748229                     562.18     244.64
31.03.07 5829             844743                     705.43     300.81

31.03.08 6070             1013337                    343.26     339.11

31.03.09 6120             1044269                    373.43     340.60
                SIHFW: an ISO9001: 2008 certified institution            27
Punctuations
Ø Practically children 3-6 Yrs.
Ø Pregnant & Lactating not covered
Ø Irregular food supplies
Ø Quality of Nutrition supplement?
Ø Poor supervision
Ø Lack of community ownership/
  participation
Ø Nutrition education only on papers
Ø Children come only for food

   SIHFW: an ISO9001: 2008 certified institution   28
Thank You


For more details log on to
www. sihfwrajasthan.com
             or
 contact : Director-SIHFW
            on
  sihfwraj@yahoo.co.in

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Integrated Child Development Scheme (ICDS)

  • 1. Integrated Child Development Services (ICDS) Scheme State Institute of Health and Family Welfare, Jaipur
  • 2. Prologue Ø Initiated-Oct.2,1975, in 33 CD Blocks under V Five Year Plan Ø In succession to objectives of National Children's Policy (Aug. 1974) Ø World’s largest program for early childhood development SIHFW: an ISO9001: 2008 certified institution 2
  • 3. Purpose for Initiation Ø Routine MCH services not reaching target Population Ø Nutritional component not covered by Health services Ø Need for community participation SIHFW: an ISO9001: 2008 certified institution 3
  • 4. Objectives Ø Lay the foundation for proper psychological development of child Ø Improve nutritional & health status of children Ø Reduce incidence of mortality, morbidity, malnutrition and school drop-outs Ø Enhance the capability of mother & family Ø Achieve effective coordination among various departments SIHFW: an ISO9001: 2008 certified institution 4
  • 5. Services Ø Supplementary nutrition Ø Non-formal pre-school education Ø Immunization Ø Health Check-up Ø Referral services Ø Nutrition and Health Education SIHFW: an ISO9001: 2008 certified institution 5
  • 6. Beneficiaries of ICDS • Children < 6 years • Pregnant & Lactating women • Women in Reproductive age group (15-44) • Adolescent Girls (in selected Blocks) SIHFW: an ISO9001: 2008 certified institution 6
  • 7. 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 pregnant & lactating mothers Health Check-ups Children>6 years; pregnant ANM/MO/AWW & lactating mothers Referral Children>6 years; pregnant AWW/ANM/MO and lactating mothers Pre-School Children 3-6 years AWW Education N& H Education Women (15-44 years) AWW/ANM/MO SIHFW: an ISO9001: 2008 certified institution 7
  • 8. Role of AWW Ø To elicit community support Ø Participation in running the program Ø Weigh & record each child every month Ø Refer cases Ø Organize non-formal pre-school activities Ø Provide supplementary nutrition Ø Provide health & nutrition education and counseling SIHFW: an ISO9001: 2008 certified institution 8
  • 9. Role of AWW Ø Make home visits Ø Assist PHC staff Ø Guide ASHA Ø Assist in implementation of Kishori Shakti Yojana (KSY) SIHFW: an ISO9001: 2008 certified institution 9
  • 10. Role of AW Helper ØCook & serve food ØClean the Anganwadi premises ØCleanliness of small children ØBring small children to Anganwadi SIHFW: an ISO9001: 2008 certified institution 10
  • 11. Role of ASHA Ø Awareness generation Ø Counsel women Ø Community mobilization Ø Work with VHSC Ø Escort/accompany pregnant women & children requiring treatment Ø Provide primary medical care SIHFW: an ISO9001: 2008 certified institution 11
  • 12. Role of ANM Ø Hold weekly / fortnightly meeting with ASHA Ø Participate & guide in organizing the Health Days at AWC Ø Utilize ASHA in motivating the pregnant women and married couples Ø Guide ASHA in motivating pregnant women for full ANC Ø Educate ASHA on danger signs of pregnancy and labor SIHFW: an ISO9001: 2008 certified institution 12
  • 13. Women & Child Development Minister, WCD Principal Secretary, WCD Secretary (WCD) & Commissioner (Women Empowerment) Director, ICDS Executive Director 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) SIHFW: an ISO9001: 2008 certified institution 13
  • 14. Health Department Director-H & FW Senior Advisor Officer-in-charge analyzer Divisional Advisor Chief Distt. advisor Distt . Advisor Project Advisor Sector Advisor SIHFW: an ISO9001: 2008 certified institution 14
  • 15. Role of Health Department Ø Health Check-ups Ø Handling Referral Ø Immunization Ø Nutrition & Health Education Ø Monitoring of Health components SIHFW: an ISO9001: 2008 certified institution 15
  • 16. Anganwadi Centre Population Norms: Ø For Rural/Urban Projects 400-800 - 1 AWC 800-1600 - 2 AWCs 1600-2400 - 3 AWCs Thereafter in multiples of 800 1 AWC Ø For Mini-AWC 150-400 -1 Mini AWC SIHFW: an ISO9001: 2008 certified institution 16
  • 17. Ø For Tribal /Riverine/Desert, Hilly and other difficult areas/ Projects 300-800 - 1 AWC Ø For Mini- AWC 150-300 1 Mini AWC AWCs in Rajasthan: 58,438 48,372+10,066(Sanctioned, 2009) SIHFW: an ISO9001: 2008 certified institution 17
  • 18. Supplementary Nutrition Beneficiary Pre-revised Revised w.e.f. Feb. 2009 Calories Protein Calories Protein (KCal) (G) (KCal) (Gm) Children (6-72 300 8-10 500 12-15 months) Severely 600 20 800 20-25 malnourished children (6-72 months) Pregnant & Lactating 500 15-20 600 18-20 SIHFW: an ISO9001: 2008 certified institution 18
  • 19. Revised financial norms Category Pre- Revised w.e.f revised Nov., 2008 Children (6-72 months) Rs. 2.00 Rs. 4.00 Severely malnourished Rs. 2.70 Rs. 6.00 children (6-72 months) Pregnant & Lactating Rs. 2.30 Rs. 5.00 SIHFW: an ISO9001: 2008 certified institution 19
  • 20. Honorarium Qualification/Year 1975 1.04.08 -76 Non-Matriculate 100 1438 Matriculate 150 1500 Non-Matriculate with 5 years experience - 1469 Matriculate with 5 years experience - 1531 Non-Matriculate with 10 years - 1500 experience Matriculate with 10 years experience - 1563 Mini Anganwadi Worker - 750 Helper 35 750 SIHFW: an ISO9001: 2008 certified institution 20
  • 21. Training Infrastructure Ø Anganwadi Workers Training Centers (AWTCs) Ø Middle Level Training Centers (MLTCs) Ø National Institute of Public Cooperation and Child Development (NIPCCD) and its Regional Centers. SIHFW: an ISO9001: 2008 certified institution 21
  • 22. International Partners Ø United Nations International Children’ Emergency Fund (UNICEF) Ø Cooperative for Assistance and Relief Everywhere (CARE) Ø World Food Programme (WFP) SIHFW: an ISO9001: 2008 certified institution 22
  • 23. Major Initiatives Ø Revision in Population norms Ø Universalization and 3rd phase of expansion of the Scheme of ICDS Ø Increment in Budgetary allocation for ICDS Scheme Ø Introduction of cost sharing between Centre & States Ø Revision in financial norms of supplementary nutrition SIHFW: an ISO9001: 2008 certified institution 23
  • 24. Major Initiatives ØRevision of feeding and nutrition norms. ØEnhancement of honoraria ØIntroduction of WHO approved Growth Standards ØProvision of flexi funds at Anganwadi level ØThe Gov. of India introduced `Anganwadi Karyakartri Bima Yojna’ to AWW & AWH ØA scheme of award for AWWs introduced both at the National and State Level SIHFW: an ISO9001: 2008 certified institution 24
  • 25. Ø Paid absence of 135 days of maternity leave Ø Provision of Uniform for AWWs and Helpers Ø Strengthening of Management Information System (MIS) Ø Revision in cost norms of Training component of ICDS Scheme Ø BPL no longer a criteria SIHFW: an ISO9001: 2008 certified institution 25
  • 26. Monitoring System Ø Central level Ø State level Ø Block level Ø Village level (Anganwadi level) SIHFW: an ISO9001: 2008 certified institution 26
  • 27. Achievements Year No. of No. of No. of No. of pre- operational operational Supplemen school projects AWCs tary education nutrition beneficiarie beneficiarie s (in lakhs) s (in lakhs) 31.03.06 5659 748229 562.18 244.64 31.03.07 5829 844743 705.43 300.81 31.03.08 6070 1013337 343.26 339.11 31.03.09 6120 1044269 373.43 340.60 SIHFW: an ISO9001: 2008 certified institution 27
  • 28. Punctuations Ø Practically children 3-6 Yrs. Ø Pregnant & Lactating not covered Ø Irregular food supplies Ø Quality of Nutrition supplement? Ø Poor supervision Ø Lack of community ownership/ participation Ø Nutrition education only on papers Ø Children come only for food SIHFW: an ISO9001: 2008 certified institution 28
  • 29. Thank You For more details log on to www. sihfwrajasthan.com or contact : Director-SIHFW on sihfwraj@yahoo.co.in