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ICDS _ Inter-Sectoral Convergenc

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					ICDS & Inter-Sectoral Convergence



           Mahesh Arora
           Director



           New Delhi, 15th July 2008



       Ministry of Women & Child Development
                    Government of India
ICDS – Integrated Child Development Services



•   ICDS - Foremost symbol of India’s
    commitment to her children
•   The world’s largest and most unique
    program
    of early childhood development with over
    a million Anganwadi centers
•   AWC-spread over 6,070 projects and
    10,13,429 Anganwadi Centers in the
    country
  Objectives of ICDS

• Improve nutritional & health status of children 0-6 years
• Lay foundation for early development and learning
• Promote Early Childhood Care and Education
  to improve school enrolment and retention
• Reduce incidence of malnutrition, morbidity & mortality
• Enhance capability of the mother to look after the health,
  nutritional and development needs of the child, through family
  care and community empowerment approaches
• Achieve effective coordination of policy and implementation among
  various departments to promote child development
ICDS Services…
Services                  Target Group         Services Provided By
Supplementary             Children <6 years    Anganwadi Workers
Nutritional Support       Pregnant mothers     (AWW)
(Includes child growth    Lactating mothers
monitoring & promotion)
Immunization              Children <6 years    ANM
                          Pregnant mothers
                          Lactating mothers
Health Check-up           Children <6 years    ANM/ AWW
                          Pregnant mothers
                          Lactating mothers
Referral                  Children <6 years    ANM/ AWW
                          Pregnant mothers
                          Lactating mothers
Pre-School Education      Children 3-6 years   AWW
Nutrition & Health        Women (15-45 yrs)    Health/ FNB
Education
Convergence of services
Sector                    Services
Health and Family         • Ensure Immunization, health check-up and
Welfare                     referral services
                          • Village Health and Nutrition Day
                          • Strengthen health infrastructure
                          • Joint training of ICDS and health
                            functionaries
                          • Nutrition and Health Education
Rural Development         • Drinking water and toilet facilities in AWCs
Ministry-Sanitation and
Drinking Water
Human Resource            • School transition
Development-              • Community mobilisation and training
Elementary Education      • Joint Training of Anganwadi Workers &
                            other ICDS functionaries in pre-school
                            education
ICDS: Beneficiaries
                                          Beneficiaries (in lakhs)
                             Supplementary       Pre-school
Period                         Nutrition         Education
2001-02 (End of IX Plan)         375.10             166.56
2002-03                          387.84             188.02
2003-04                          415.08             204.38
2004-05                          484.42             214.41
2005-06                          562.18             244.92
2006-07                          705.43             300.81
%-increase during X Plan         88.06%             80.60%
2007-08 (as on 31.03.2008)       843.27             339.10
ICDS: Beneficiaries
                                                                  In Lakhs




                                                                705
Supplementary Nutrition
Pre-school Education




                                                    562
                                        484
                            415
                388
 375




                                                                      301
                                                          245
                                              214
                                  204
                      188
       167




 2001-02       2002-03      2003-04     2004-05     2005-06     2006-07
(End of IX
  Plan)

             % Increase during Xth Plan             SNP 88%
                                                    PSE 81%
The Challenge
• 46% of children 0-3 years are underweight
• Only 1% decrease in underweight prevalence
  between 1998-99 and 2005-06
• Undernutrition is an underlying cause of more
  than 50% of young child mortality
• 57 out of 1000 live births do not complete their
  first year of life
• 79 % children (6-35 months) are anaemic
• Only 44% infants are fully immunised
• Inadequate focus on Early Childhood education
 Source : SRS Bulletin 2006
          IIPS, NFHS-3, 2007
Disparities across states
      % Underweight Children – 0-3 years

                                                       NFHS - 3
    NFHS - 2


   India : 47.0                                      India : 45.9




                    Per cent
                           Less than equal to 25.0
                           25.1 - 40.0
                           40.1 - 50.0
                           More than 50.0
                           Missing Value
        MP                                               60.3
 Jharkhand                                              59.2
      Bihar                                             58.4
Chattisgarh                                      52.1
    Gujarat                                47.4
        UP                                 47.3
 Meghalaya                                46.3

     INDIA                              45.9

     Orissa                           44
  Rajasthan                           44
        WB                            43.5
   Haryana                          41.9
 Karnataka                         41.1
     Assam                       40.4
Maharashtra                      39.7
    Tripura                      39
Uttaranchal                   38
  Arunachal                  36.9
    Andhra                   36.5
   Himachal                  36.2
 Tamil Nadu               33.2
      Delhi               33.1

  Nagaland            29.7

       J&K            29.4
       Goa            29.3
    Kerala            28.8
    Punjab           27
                                                                                                     Underweight Children 0-3 yrs




   Manipur     23.8
     Sikkim   22.6
   Mizoram    21.6
                                                               % Underweight 0-3 yrs NCHS (NFHS 3)
ICDS – The Paradigm Shift

• Greater focus on reaching the more crucial and
  vulnerable younger child (prenatal-Under 3s)
  and mothers
• Extending from AW centre based to family care
  and community based empowerment
  approaches
• Flexi Untied funds at AWC/Project/district
  levels-local initiative/other innovations
• Child friendly Anganwadis
ICDS – The Paradigm Shift

•   Under 3s- Fixed monthly mother -child days -linked
    to NRHM monthly Village Health and Nutrition
    Days
•   3-6 yrs- Fixed monthly “Anganwadi Diwas” all
    AWCs, for improved inclusive early learning
    outcomes- linked to Sarva Shiksha Abhiyan
•   Creation of locally contributed AWC toy banks and
    activity corners
•   Convergent action with other flagship programmes
     National Rural Health Mission
     Sarva Shiksha Abhiyan
     Total Sanitation Campaign
ICDS – The Paradigm Shift



•   Enhanced technical, managerial support for AWCs
•   Priority to early childhood education
•   Anganwadis on demand
•   Web enabled monitoring and evaluation
•   Accreditation of AWCs
•   Focus on quality of services
•   Public Private partnerships
Proposed Areas for Strengthening Inter-Sectoral
convergence

 Strengthening of mechanism to ensure
  immunisation of beneficiaries under ICDS Scheme.
  Anganwadi Centres may be used as base for
  immunisation.

 Providing of incentives to Anganwadi Workers at
  par with ASHA/ANM as they are also associated
  with Strengthening and Monitoring of Institutional
  deliveries.

 Anganwadi Centre to serve as depot holder for
  drugs like Vitamin A, IFA tablets, Medicine kits ,
  Contraceptives.
Proposed Areas for Strengthening Inter-Sectoral
convergence


• Mosquito nets may also be supplied to Anganwadi
  Centres for distribution by ASHA to Pregnant
  Women & Lactating Mothers.

• Joint Training of AWW/ASHA/ANM for up gradation
  of their skills in Nutrition and Health Education.
Thank you

				
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posted:3/28/2012
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