ICDS in Delhi:
A Reality Check
Prepared by Delhi FORCES
This study is an outcome of a lot of dedicated work and thinking by a team of persons
from different fields and organizations (Neenv), committed to making a difference in the
lives of young children. Even though the ICDS programme has been in position for the
last 30 years, field experiences showed that there was little or no evidence of its
existence nor was there any awareness about the programme amongst the people.
The study was planned to assess the ground reality in a focused way so that it could
then serve as an important advocacy tool to lobby with the Government as also
generate an interest on the issue amongst the stakeholders.
In fact during the interface with all the stakeholders for data collection itself, the process
of creating interest was initiated. This was subsequently sustained through the follow-up
awareness campaigns and as part of the Bal Adhikaar Yatra in November-December
This is just a beginning and we hope that this well designed meticulous piece of work
will be used to fulfill address the mandate for which it was created.
Delhi FORCES (Neenv)
1. Preface 1
2. Abbreviations 4
3. Executive Summary 5
4. Chapter 1: ICDS and Our Children 10
5. Chapter 2: The Study 12
6. Chapter 3: Findings of the Study 15
7. Chapter 4: Role of Functionaries and Issues Pertaining to their 27
8. Chapter 5: Role of the Community and their Participation 32
9. Chapter 6: Conclusion 35
10. Bibliography/References 38
11. Annexures 39
National FORCES came together in 1989 to focus attention on the most critical years of
the child, between 0-6 years and advocate for childcare services for poor women
working in the unorganised sector. The network comprises of research and academic
institutions, women’s organizations, trade unions and grassroot NGOs working in Delhi
slums with focus on health, urban services and child rights issues. Under the
convenorship of Mobile Crèches, the National Secretariat of FORCES from 1996 to
2001 felt the need to develop a Delhi chapter and Neenv emerged out of this exercise in
2002. Working with diverse groups in Delhi and with National FORCES, Neenv has
established itself as a strong advocating network for the rights of the young child in
All member organizations of Neenv felt that there was a need to be equipped with data
on the status of the young child in Delhi, particularly, on the question of access to, and
quality of services available for children. As a Network, it recognised that the case for
Early Childhood Care and Development had to be built on sound evidence, technical
knowledge and would require interaction with the political and state establishment. The
Study on ICDS in Delhi was thus planned to strengthen the hands of grassroot
advocates to raise the issues of children’s entitlements, their access to services and the
issue of quality necessary to bring about change.
This study would not have been possible without the support of Ms. Rashmi Singh,
Director, ICDS and Mr. Anil Agarwal, Deputy Director, who accorded us permission for
carrying out the study. We would also like to extend our heartfelt thanks to all CDPOs,
MOs, Supervisors, ANMs, Anganwadi Workers and Anganwadi Helpers, for their active
interest, patient listening and participation in our meetings and discussions. All of them
have contributed substantially with their valuable insights and inputs.
We gratefully acknowledge the contributions of Mr. Surendra Pal Ratawal, MLA, Karol
Bagh and Ward Councillors from different parts of Delhi. We express our deep
appreciation towards the patient cooperation of mothers of the child beneficiaries of
AWCs who never said no, be it answering our long questionnaires or participating in
community meetings or six consecutive visits to their homes for case studies.
Grateful thanks are due to Oxfam India, the donor organisation for financially supporting
This study would not have been complete but for the untiring efforts put in by the
committed team of consultant, coordinators and research investigators – Devika Singh,
Hemlata Kansotia, Sudeshna Sen Gupta, Kanwaljeet Virdi, Jyoti Sinha, Abishak, Tultul
Hazra, Sheetal, Rajender Kumar, Sajida Khanam, Madan Lal, Mohd. Gulzar and
Sawan Kumar Suman. We extend our gratitude to all our member organisations for their
cooperation and inputs in making this year long effort successful.
A special thanks to Mobile Crèches for extending full cooperation and support for this
very useful exercise.
Neenv, Delhi FORCES
Date: Nov. 2007
Partners who were directly involved in this year-long exercise includes:
Mobile Creches – Convenor
EFRAH – Co-Convenor
Nirmaan – Co-Convenor
Bhalaswa lok shakti manch
Action Community and Training
Bal Vikas Dhara
Chetana Welfare Society
Dr. A. V. Baliga Memorial Trust
Initiative for Social Upliftment (ISU)
Labour Education and Development Society
M.T. Bavjyoti Development Society
Sarthak Yuva Kendra
Sneh Bandhan Society
Social Action and Training
Jhuggi Jhpori Ekta Manch
Mahila Kalpana Shakti
Women and Children Upliftment Programme (WACUP)
Prerana Mahila Sangathan
Abbreviations used in this Report
ANM - Auxiliary Nurse Midwife
AWC - Anganwadi Centre
AWH - Anganwadi Helper
AWW - Anganwadi Worker
CDPO - Child Development Project Officer
CIRCUS - Citizens Initiative for the Rights of Children Under Six
CMR - Child Mortality Rate
ECCD - Early Childhood Care and Development
FOCUS - Focus on Children under Six
ICDS - Integrated Child Development Services
IMR - Infant Mortality Rate
MLA - Member of the Legislative Assembly
MO - Medical Officer
MWCD - Ministry of Women and Child Development
NFHS - National Family Health Survey
NGO - Non-Government Organizations
NHE - Nutrition and Health Education
NSSO - National Sample Survey Organization
PHC - Primary Health Centre
SNP - Supplementary Nutrition Programme
UFMR - Under Five Mortality Rate
UP - Uttar Pradesh
WCD - Women and Child Development
The Integrated Child Development Scheme (ICDS), is the only programme for the under
sixes offered by the Government. Hence, it was important for Neenv, a hardcore grass-
root network advocating for the under sixes, to find out how the programme is
performing on the ground level.
The Study on Status of ICDS in Delhi was thus planned with the broad objective of
looking into the performance of ICDS in the city of Delhi with respect to infrastructure,
coverage, distribution of supplementary nutrition, health and pre-school education and
to understand the linkages of health, drinking water and sanitation facilities from the
perspectives of the functionaries and beneficiaries.
The study was conducted using different methods viz. questionnaires, interactive
surveys, one-to-one interviews, focus group discussions as well as non-participatory
observations. The interactions between data collection team, Neenv partners and
communities have yielded valuable insights on the status of ICDS in Delhi
Out of a total 28 ICDS projects in Delhi 27 were covered. 242 Anganwadis were
covered during the study. About 2970 beneficiaries and functionaries were surveyed
using questionnaires, 11 Focus Group Discussions were conducted and also a one-to-
one interview with one MLA (although it was decided to meet three MLAs but only one
gave an appointment). Ten children were followed for six months which constitute a
significant source of information as case studies. The completion of the study took two
Some of the major findings are as follows:
Centres suffer from inadequacy of space, low and irregular payment of rent,
inadequate arrangement of drinking water and toilets and scarcity of equipment
like weighing machine, teaching aids etc.
There is a glaring contrast between the enrollment recorded in the registers of
AWCs and the number of children actually found attending.
The surveys by AWWs are irregular. There are centers where no survey has
been carried out for more than three years consecutively.
Exclusion is becoming an issue of great concern. The Supreme Court in the decision of
13th December 2006 drew special attention to it. In this context, exclusion of a range of
vulnerable children from ICDS in Delhi is a matter of utmost concern.
Children with disability are not found registered in any of the AWCs surveyed in
Children of rag-pickers, construction workers, migrant labourers, street children
and homeless children are left out.
Supplementary Nutrition Programme
The food does not reach the centres in time and the quantity distributed is not
Irregularity in the distribution of SNP was observed.
76% beneficiaries share the food with family members.
Health and Nutrition
Only 17% AWCs had records on malnutrition
Only 25% children below six years and .9% pregnant women are weighed (as
per beneficiaries’ survey).
Discrepancies in the data related to immunization and weighing were found.
Monitoring and Supervision
66% AWWs said the CDPO had not visited the centre in the last six months.
Low participation in pre-school activities.
No maintenance of children’s growth chart and absence of records of children
with malnutrition have all gone unnoticed and unattended.
Supervisors are used for election and other duties which interfere with the entire
system of monitoring. Supervisors are also given responsibility of two, and
sometimes three projects, making supervision almost impossible.
The AWW does not enjoy an employee status. She is hired on an ad hoc basis
and receives a fixed honorarium.
There is no security of job. The payments do not come regularly. These factors
affect the morale of the workers and quality of services.
Participation of Community and Leaders
6% AWWs have said that MLAs have visited the centre and only 10% said they
had received support from the Pradhans.
Only 40% AWCs received support and help from the beneficiaries. Parents are
largely unaware of the objectives and services of ICDS.
Based on the above, a list of recommendations was drawn up which focus on essential
actions that are required to improve the quality of the services and to ensure that basic
entitlements and needs of young children are met.
Norms: Norms for infrastructure should be specified and based on the space
required for activities, storage, kitchen, independent toilet. Availability of drinking
water must be compulsory.
Rent Allocation and payment: Rent allocation must be adequate to cover cost of
the above specified space in urban areas. Regular payment of rent is absolutely
necessary to save AWWs and Supervisors from harassment.
ii. Supplementary Nutrition Programme and Malnutrition:
Allocation and Utilisation: To intervene in malnutrition of young children, both
issues of allocation and spending needs to be addressed. Government of Delhi
has spent Rs. 0.52 per day per beneficiary (as per Delhi government’s estimate
for number of children receiving SNP in the month of May 2006) which is far
below central norms of Rs. 2 per day per child.
Distribution of SNP: It is recommended that distribution of SNP takes place at
fixed time mutually convenient to AWW and beneficiaries, every day in the
prescribed quantity. To meet nutrition targets, it is recommended that
beneficiaries eat at the centre so that food is not shared with the family, as found
in a large number of cases.
Special intervention for children with malnutrition: All children with malnutrition
must be given double rations and for those in Grade III or IV, medical
intervention must also be provided.
Awareness: Nutrition awareness for families is strongly recommended.
iii. Health and Nutrition Monitoring:
Growth Charts: Weight must be taken on a monthly basis for children under
two years and on a three monthly basis for all the rest as per norms. Growth
Charts for all children must be maintained
Monitoring and Supervision of Records: Records of growth charts, malnutrition
interventions and immunization need to be carefully kept, supervised and
Capacity building and awareness: AWW’s capacity to keep accurate records
must be developed and families made aware of the importance of accurate
records. Quality control of nutrition and health can be brought about by involving
Mahila Mandals and AWWs should be required to monitor participation and
enhance attendance of community at meetings.
iv. Pre-School Education:
Space: AWCs must have adequate space for pre-school activities to be carried
out for 40-50 children.
Two Worker Model: AWCs need a worker trained to focus on pre-school needs
of 3-6 age groups. This necessitates a second worker to address health and
learning needs of under 3’s registered with the AWC.
Rights Framework: The legal framework for the under 6’s must be strengthened
by bringing the ECCD under the Fundamental Rights Section of the Constitution
by ensuring adequate budgets and systems.
Inclusion: Inclusion of children with disability in surveys and their registration
should be clearly spelt out in the guidelines.
Training for Inclusion of children with disability: AWW’s training programmes
should have comprehensive inputs on disability.
vi. Monitoring, Supervision and Support:
Regularity, Feedback and Action: CDPOs, Supervisors, need to monitor AWCS
regularly and providing feedback on reports and support for problem solving.
Records need to be checked and action taken for reports without proper
Follow Norms of Supervision: The number of centres to be supervised should be
in accordance with norms. When the number of centres to be supervised
exceeds norms, supervision is ineffective.
Community Support and Supervision: To strengthen this vital component it is
recommended that a well thought out programme of awareness by interest,
need and participation of community be institutionalized. A dedicated budget
should be allocated for the above.
vii. The Anganwadi Worker:
Employee Status: Employee status for the AWW along with regular payment of
honorarium. This will boost the morale of AWWs and improve the quality of
viii. Community Participation: Community leaders as well as community in general,
should be mobilized to take the quality issue of AWCs on as part of their political
and social agenda. It is preferable to have NGOs acting as pressure groups and not
act as implementers of programmes.
ICDS and Our Children
The Integrated Child Development Services (ICDS) Scheme was conceived in 1975
with an integrated delivery package of early childhood services. It is the only major
national programme that addresses the needs of children under the age of six years.
The Scheme aims to improve the nutritional and health status of vulnerable groups
including pre-school children, pregnant women and nursing mothers through providing a
package of services including supplementary nutrition, pre-school education,
immunization, health check-up, referral services and nutrition and health education. The
programme provides an integrated approach for converging basic services through
community-based Anganwadi workers and helpers.
As per 2001 census, India has around 157.86 million children, constituting 15.42% of
India's population, who are below the age of 6 years. Of these 157.86 million children,
75.95 million children are girls and remaining 81.91 million children are boys. The sex
ratio among children (0-6 years) as per Census 2001 is 927 i.e. 927 females per 1000
males. The investment in ICDS has been growing. In the 10th Five Year Plan (2002 –
2007) it was Rs. 116845 million against an expenditure of Rs. 26012.8 million in the 8th
Five Year Plan (1992-1993 to 1996-1997). Despite this huge expenditure and
Government of India’s commitment for children at national as well as international fora1,
the following facts about the status of the children in India indicate the pathetic condition
of the children. One out of sixteen children die before they attain one year of age
One out of 11 dies before they attain five years of age.
One in every three malnourished children in the world lives in India.
79% of our children suffer from anaemia.
Sex selective abortion has brought down the sex ratio to an alarming ratio of
1000 boys is to 927 girls for the 0-6 age group
Around 33% of the total number of children have an access to ICDS the major
government program for the young child
Only 46% children breastfed within an hour of birth
56% of 12-23 month year olds are not fully vaccinated
35% of children have birth registration
Source: Status of Children in India Inc – HAQ and Centre for Child Rights and FOCUS Report
India has ratified Convention for the Rights of the Child way back in 1992. Our Constitution and National Plan of
Action articulates our intentions of putting children first, but the reality is as above.
1.1.1 Children in Delhi and ICDS:
Delhi, the capital city of India, is one of the fastest growing states in terms of economy.
The per capita income of Delhi is 2.5 times the national average and in economic terms
it is one of the most developed parts of the country. Though Delhi is projecting itself as
a world class city with shopping malls, metro rails and super facility hospitals, it suffers
from problems of rapid urbanization, heavy migration and a proliferation of unauthorized
slums all of which affect the status of children. NFHS-III data reveals high IMR, CMR
and poor outreach of the services for the under sixes. (See table-1)
Table 1: Status of Young Child in Delhi
% of children covered by ICDS 24
% of children suffering from malnutrition 33
% of children suffering from anaemia 63
Children born underweight 30
% of children covered by Vitamin A Supplementation 17
% of children exclusively breastfed for first 5 months 34
Source: NFHS III, 2003
In addition to the concerns on the poor health status of young children, the issue of lack
of child care support services for women is also a major concern, particularly for
families who have been moved out to the periphery of the city and those who live in the
2.1 OBJECTIVES OF THE STUDY:
To assess the performance of ICDS in the city of Delhi with respect to its service
To understand the challenges faced by functionaries like AWW, Supervisors and
CDPOs and their roles and responsibilities impacts the effectiveness of the
To find out the level of participation of the community in this major government
To understand whether resource allocation is adequate in the context of the
To identify the major challenges to achieve “universalisation with quality”.
The scope and depth of the study required the use of various methods to collect data.
Government reports, papers by academicians and NGO reports were consulted initially
to understand the situation and then to compare the primary data collected from the
field for report writing. Primary data was collected using schedule, case studies,
personal interviews and Focus Group Discussions
In order to follow the continuity of service delivery from the AWC and the impact on
growth, development and participation, 10 children (5 children below 3 years and 5
between 3-6 years) were selected from 10 different projects for case studies and
followed for a period of six months to assess the regularity of the services offered by the
Table 2: Coverage of Stakeholders through schedule
Category of beneficiary No. of stakeholders No. of stakeholders Total no of
per AWC per Project Questionnaires were
Mothers of children below 3 30 810
three years of age
Mothers of children between 3 30 810
3 to 6 years
Pregnant women 2 20 540
Lactating mothers 2 20 540
Adolescent girls 1 10 270
Supervisors 1 27
AWW 1 10 270
ANMs 2 54
Focus Group Discussions:
o FGDs were conducted in 11 projects (10 projects were selected from the 27
projects covered through questionnaires and one project was identified from
projects where AWCs have been newly sanctioned).
o Groups of 20 to 25 stakeholders (Beneficiaries, Community Leaders and
Members, CDPOs, Supervisors, AWW, Helpers, MOs, ANMs, representatives
from partner NGOs) participated in the discussion and shared their concern with
the team of researchers.
One to one interview with one MLA was carried out to understand the community
leader’s perspective and participation (though interviews were planned with three MLAs
but only one gave an appointment.
Out of total 28 projects, the study was
conducted in the 27 Projects2 (25 in
Urban3 Area and two in Rural4 Area).
After the pilot testing of the research
design, the team decided to drop
Madanpur Khadar as a project as it
AWCs in that area had just opened and
there was hardly any registration or
The team also decided to cover only 5
AWCs in Najafgarh area as the distance between the AWCs were long and difficult
The study was designed in such a way to cover all the stake holders i.e.
beneficiaries, all levels of functionaries, and community leaders as well as partner
NGOs (Please refer to table-2).
Location of these projects are mapped against the density of slum population in Annexure IV
Alipur, Anand, Parvat, Jama Masjid Jahangirpuri Narela Mehrauli Mongolpuri,
Bagh Kare Khan, Geeta Khanpur Nabi Wazirpur Karim, Okhla, Sultanpuri, Nizamuddin, Seemapuri,
Colony, Govindpurti, Nand Nagri Tilak Vihar, Shakkarpur, Trilokpuri, Shahdhara
Sangam Vihar Inderpuri, Shakurpur,
The study took eleven months to complete from March 2006 to February 2007. The
pilot testing began in March 2006 and collection of primary data, Focus Group
Discussions and data entry continue till 2006. The analysis was completed by
Problems faced while collecting data: Location of the AWCs was a real challenge as
the awareness among community about its existence was low. The ICDS functionaries
d cooperated with the investigators only after they were shown a letter of permission
from the director of ICDS.
Findings of the Study
“I was searching for the Anganwadi of Mangolpuri in the middle of August, 2006, but no one
could give any clue from the address I had in my hand.
After a long time I could identify a group of women sitting outside.
“Can you please tell me where the Anganwadi is?” I asked.
“What is that?”
“Anganwadi is where dal, chana etc, are distributed to children.”
“OK, two houses to the left”
“Don’t your children go to the Anganwadi?”
“No, but my sister- in- law’s sons go. There!” she pointed out to a lady washing clothes at one of
the municipality taps.
I approached her and said, “Does your child go to Anganwadi?”
“No, but I bring the khichdi or dalia for him,” she answered.
“How does it taste? Does your child enjoy it?”
“Not at all! Its so watery, the dalia swims in the water.”
I reached the anganwadi centre and could find only the landlady at around 11 am. It certainly did
not look like one. It was just a room with no children, no charts and no toys.
Only two big empty drums were lying there…
Sheetal, Field Investigator (Her experience during the study)
3.1.1 Location and Space
There were no complaints regarding location and accessibility of the AWCs
other than those in
Khanpur: A Centre with no space In Khanpur, the place used
Govindpuri, Khyala and as the premises of the AWC centre: is a 4 ft x 7 ft garage where
Jahangirpuri areas where the landlord keeps his motorcycle. There is no toilet, no
drinking water facility. During summer and monsoon, it is
AWCs were located on difficult to have activities outside. Generally the activities are
carried out in the open space which actually meant only for
3rd or 4th floor making the distribution of SNP, whose quality was questioned by everyone
access difficult and present in the meeting, including functionaries and
58% AWWs complained of space constraint both for storage and for carrying out
activities. In most centres, due to the inadequacy of space, the number of
children registered is only 20-25 whereas, according to the norms, the number
should be 40 for children between 3 to 6 years.
10% of the AWCs have either kutcha infrastructure or they operate from jhopris.
These centres have serious lack of space and cleanliness
As per our survey, 96%
centres are on rent. The
allocation of rent is very low
Rs.500. (the revised provision
of rent since June 1, 2006)
This is a matter of serious
concern according to 90%
Aanganwadi Workers and as
communicated in 8 out of 10
FGDs. All the functionaries
have expressed the opinion
FGD outside an AWC that operates from a
that “the rent should be raised
4’X7’ Scooter Garage
to Rs.1000/- at least”.
96% AWWs functioning from rented centres said that rent is irregular.
As the rent is irregular, the landlords prefer not to give out premises exclusively for
use of the Aanganwadi, so the centre cannot be locked. In these circumstances,
the worker and supervisor do not feel it is safe to keep equipment inside. If the
landlord has guests, or if someone in the house is not well, the centre cannot be
This poses a challenge for the regular functioning of the centre. There have also
Comparison between Neenv Study, Delhi and FOCUS Report* been instances of
(Data on Active and Dormant States) Data on Infrastructure
Active Delhi Dormant Supervisors and
States Neenv States
(FOCUS ) Study (FOCUS)
Own building 44% 0% 22% being harassed by
Kitchen 48% - 29%
Storage 57% 42% 55% the landlord on the
facilities ground of irregular
Drinking 65% 57% 70%
water payment of rent.
Toilets 20% 58% 20%
Note:* FOCUS Report
The table shows that Delhi lags behind even the dormant States
studied in the FOCUS Report as regards infrastructure
3.1.3 Drinking water and sanitation
Only 57% of the centres have toilets, rests of the centre have common toilet
(shared with landlords), 58% centers have access to clean drinking water
sometimes the neighbours provide drinking water to the centre.
3.1.4 Scarcity of equipment
82.23% of AWWs said there was scarcity of equipment like weighing machines,
education kits, toys even jugs and buckets for water storage.
The study of ICDS in Delhi throw-up many issues of concern. Based on the fact finding,
discussion and interviews some recommendations are given below:
Norms should be specified for infrastructure. Tamil Nadu is already in the
process of defining quality indicators for this component. There is already a
checklist suggested by CIRCUS (Annexure III).
For Delhi, it is suggested that there should be a minimum area prescribed for an
AWC with demarcation of space for activities, storage and kitchen and with
compulsory availability of independent toilet and drinking water.
Pressure groups can be formed at the community level to monitor the availability
of proper infrastructure and equipments in the centre.
Allocation for rent in Delhi for AWCs should be enough to pay for adequate,
exclusive space in urban areas. It is also vital that rent is paid regularly in order
to save harassment of workers and supervisors.
This section records the attendants in AWC on the day of the survey.
Table 3: Attendance
Beneficiary Average no. per Registered as per Attendance
centre as per survey AWW’s register (avg no./ centre)
done by AWWs (avge no./centre) as observed on
the day of survey
Children between 7 months to Boys 35 27 9
3 years Girls 31 25 9
Children between 3-6 years Boys 25 16 7
Girls 23 15 6
Pregnant ladies 10 9 3
Lactating mothers 11 8 3
Adolescent girls 3 Not even 1 Not even 1
The average has been Children with Disability and ICDS
arrived by dividing the The survey team could not come across even one AWC
total number of boys with a child with disability. Only 2.89% AWWs had special
and girls by the number training on Disability. Inclusion of children with disabilities is
of centres covered. As national mandate. The system in ICDS does not stress
importance of fulfilling this mandate.
can be seen, there is a
glaring contrast between the enrolment recorded in the registers of AWCs and
the number of children actually found attending. It was also found that the
surveys made by AWWs are irregular in Delhi. There are centres where no
survey has occurred for more than three years in a row.
Poverty groups like street children, rag pickers or children from the construction sites
were not found attending AWCs during data collection. During an FGD in the
Nizamuddin area it was noticed that rag pickers (they are considered to be Bangladeshis
as they spoke Bengali and were Muslim in religion) living in that area are not given
access to the centre though they lived in the same compound. Such vulnerable groups
were found to be excluded either intentionally or because of the poor quality of service
3.3 SUPPLEMENTARY NUTRITION PROGRAMME
3.3.1 Food Quality
Cooked food was started from July 2006. The comments from the beneficiaries and
AWWs are as follows:
o It was observed that in summer food became rotten as it was cooked early in
o Dry ration was preferred to cooked food as it can be stored and also shared
within the family.
o Mothers expressed concerns over the caste of the cook.
o Complaints of poor quality came from 39% of the centres.
o Najafgarh area has specifically complained of insects and dirt found in the food
The sub-section on exclusion is the record of the facts that emerged from focused group discussions
3.3.2 Quantity of SNP distribution
The children followed over six months in the case studies have been receiving food
from the AWC regularly. Some described the quantity as “one katori” some as “two
karchi”. Only one mother specifically mentioned 200 grams. On the days, when the
numbers of beneficiaries are more, less quantity of food is distributed.
Observation and Finding on SNP: There is 100% coverage of SNP in Delhi, the
concerns about regularity and quality is large.
Status of SNP: Comparison between Neenv Study and the FOCUS States
Active Neenv Study Dormant
States (Present States
(FOCUS ) study) (FOCUS)
% of AWCs where SNP 94 100 93
% of AWW who feel food 95 74 54
distribution is regular
% of AWW who feel food 2 39 35
is of poor quality
3.3.3 Regularity/irregularity in distributing SNP
26% of the centres who had complained about irregular food supply were mainly
surveyed before cooked food was initiated. However, during the days of polio
vaccination, irregularity was observed. One major problem faced was that there was no
Complaints about quality of food are higher than those
fixed time of supply. There have been days when food has come after 1 pm.
from the dormant states in the FOCUS Report.
3.3.4 Coverage of pregnant women and lactating mothers
On an average only 17 women under this category are to be registered in an AWC. On
an average 3 to 4 pregnant women and lactating mothers are found to be attending the
3.3.5 Sharing of SNP
Only 82 out of 2861 i.e 2.87%, beneficiaries interviewed are taking food in the centre,
76% beneficiaries are sharing SNP with their family members, and rest of them ie.
Around 21% are taking SNP to their home and consuming it themselves.
Supplementary Nutrition Programme
Cooked food should be distributed at a fixed time, mutually convenient for
AWWs and beneficiaries, every day in the quantity specified as per norms.
Beneficiaries should be encouraged to eat food at the centre so that the nutrition
targets are met and the problem of low birth weight babies and prevalence of
anaemia among pregnant women can be brought down. This should be made
All children suffering from malnutrition should receive double nutrition. The
children belonging to Grade III and Grade IV category, who are getting double
nutrition, require medical intervention as well.
Spending on nutrition and resource allocation for SNP in Delhi has emerged as
an important concern. As per data provided on the website of WCD Ministry
Delhi has spent Rs. 737 lakh in 2005-06 and Rs.694.29 lakh by 2006 May for
SNP, which comes to 0.52 paise per day per beneficiary (all categories of
beneficiaries included and assuming food is distributed 300 days a year). This is
far below the Central Guideline of Rs.2/- per child. Delhi Government requires
an amount of Rs.2326.84 lakhs a year to distribute SNP worth Rs 2 for same
number (as per Delhi government’s estimate for number of children receiving
SNP in the month of May 2006) of beneficiaries for 300 days a year.
If the government aims to intervene in the current status of malnutrition and
anaemia and ensure food security to young children, (15% of population),
adequate resource allocation becomes a priority.
Awareness of beneficiaries on nutrition needs of the children: The Focus
Group Discussions revealed that a large number of beneficiaries were sharing
SNP with other family members and were indifferent about the quantity of SNP
served. This showed the lack of awareness on nutrition needs of children.
3.4 HEALTH AND NUTRITION MONITORING
The following Table gives a comparison between secondary data from the Ministry’s
Website and Neenv Findings on Immunization Status in Delhi.
Table 4: Status of Immunization in Delhi
Immunization Secondary data from % of children 0-3 % of children 3-6 % of Pregnant
WCD Ministry (%) years (Neenv Study) years (Neenv Study) ladies
BCG 87 98 98
Polio 79 88 88
DPT I 71.7 98 98
DPTII 98 98
DPT III 96 97
Measles 78 86 94
MMR - 49 68
TT to PL - 88
Vitamin A 17.1 25%
Table 4 indicates that coverage of immunization in Delhi is good. However the NFHS
data shows that the number of children fully immunized in Delhi has declined. 85% of
the immunizations are done by the ANMs in Primary Health Centres and Dispensaries.
This underlines the importance of the AWC-PHC linkage.
3.4.2 Weighing and Growth Monitoring
Table-5 below compares the information collected from AWWs and beneficiaries’ on
weighing. The data on weighing is not encouraging. It was found that most centres
shares the weighing machines as they either did not have it or the place to keep them.
Table 5: Status of Weighing of the Beneficiaries as per Information provided by the
AWWs and the Beneficiaries
Item As per As per Active Dormant
AWW’s beneficiary’s Focus Focus
survey survey states states
% of 0-3 years children 81% 25% 82% 47%
% of 3-6 year old children 68% 25%
% of Pregnant women 1.2% 0.9%
The data thus reveals neglect of growth monitoring and interventions for malnutrition
and support to pregnant women.
The case studies on children that were followed give the following information:-
Among the ten children followed for five to six months, 5 of them had not been
weighed during these six months.
The sixth child (who migrated to UP as a result of his father losing his job due to
sealing drive in Delhi) also was not weighed.
The reasons given were non-availability of weighing machine or the weighing
machine not being in working condition.
Out of these10 children, one nineteen-month old child suffered from calcium
deficiency. He had received intervention at the PHC. Another 5-year old girl,
who is weighed every three months, is only 14 kgs at the age of 5 years,
whereas the average weight of an Indian girl at the age of 5 years should be
17.7 kgs. The child is yet to receive any intervention on malnutrition.
Another four-year old child who is weighed regularly is only 11 kg. She is in
Grade II of malnutrition and is treated at the MCD Centre. She is also identified
as an anaemic child and has been given blood at the MCD hospital.
Identification of malnutrition, records on malnutrition and interventions were found to be
inadequate. Among all other centres surveyed, only 4 centres had data on grade III and
IV malnutrition. 17% of the centres had data on Grade I and 17% on Grade II
malnutrition. Only one centre has offered medical intervention and around 9% offered
double SNP to the malnourished children. 55% of the 27 projects covered could not
provide us any data on malnutrition. This raises doubts about the accuracy of the
number of malnourished children quoted by Delhi Government.
The Coverage of the issue of malnutrition in AWW’s training programmes was also
found inadequate. Out of the 242 AWWs interviewed, 27% had special training on AIDS
but only 18% on nutrition.
The monitoring and supervision mechanism of the scheme demands data on
malnutrition from both the AWW’s report as well as the CDPO’s report. However, that
the absence of data for so many projects goes unnoticed is a proof of negligence in the
monitoring mechanism of malnutrition for the children of the capital. The mothers who
participated in FGDs are largely unaware of the issue of malnutrition.
Discrepancy between data provided by AWWs and that by beneficiaries:
o 87% AWCs had data on immunization for the children below 3 years and only
67% for the 3-6 year old children.
o As per AWW data, 46% reported TT immunization of pregnant women where
as the data collected from beneficiaries shows 88% pregnant women are
o 88% of beneficiaries said that they have received iron tablets from PHCs. The
AWWs records, however, have no data on iron tablet distribution which
indicates that the AWWs records are not updated or there is a gap in linkage.
o Coverage of Vitamin A distribution: Data on Vitamin A distribution is available
in 9% of the centres but the survey on beneficiaries reveals that 25% of the
children below 6 have received Vitamin A. This shows that though
immunization is good, Vitamin A distribution has remained low.
3.4.4 Support of Senior Functionaries such as MO and ANM
84% of AWWs have said that the MO had not visited the centre for more than six
months. ANMs are more regular visitors. 51% of them visit centres once a month. But
as per the AWW’s experience only 28.5% have been supportive.
Monitoring of Health Status (Growth Chart)
Growth charts for all children should be maintained and weight taken on a
monthly basis for children below two years and on a three monthly basis for the
rest as per norms. Monitoring and supervision on this record keeping needs to
be tightened up.
There is need to build the capacity of both AWWs and the beneficiaries,
especially the parents of children below six, on this issue
Proper records of children suffering from malnutrition and the records of the
impact of intervention should be kept.
The record on all immunization of all children in the survey area should be
recorded in the AWWs’ records
There is no attention to disability. AWWs survey to include disability and
registration of children with disability should be specified in the guidelines of the
Scheme. Training programmes of AWWs must have comprehensive inputs on
The monitoring system leaves much to be desired. Its proper implementation
requires urgent attention.
Quality control of Nutrition Health Education component of the Scheme can be
brought about by consciously involving the Mahila Mandals. AWWs to keep a
track on whether mothers are regularly attending NHEs and take necessary
steps to ensure participation.
3.5 PRE-SCHOOL EDUCATION
Pre-school activities lack focus and priority and are few and irregular. There is
inadequate space for pre-school activities and inadequate teaching aids. 0-3
age group is left out and mothers of children below three years do not receive
any input on learning needs of this age group.
In 44% centres on the day of the survey (the entire survey lasted 8 months) no
children were found attending pre-school. The 45.62% AWCs had an average of
14 children and in the remaining 11% centers no children were found despite
three visits to the Anganwadi.
An average of 14 children was observed attending the centres for pre school
education. The attendance register in more than 70% cases show attendance
varying from 5 to 20 children on the previous day but 43.38% centres recorded
no attendance on the day of the survey.
57.83% Anganwadis reported space constraint for activities. Most of the AWCs did not
have the place to seat 40 children. Focus group discussions brought out that on some
days classes are carried out in open spaces as there is no space the centre.
Table 6: Attendance in Pre-School
Registered as Average no of Attending as per the Average no of
per AWW’s children attendance recorded by children attending
record registered per the surveyor on the day per centre
centre of the survey
Boys 4234 16 1746 7
Girls 3930 15 1618 6
Total 8164 31 3364 13
None of the Anganwadis provide any ECCE inputs to children below 3 years of age.
The mothers are also not given any inputs on stimulating exercises for children below
three years of age.
AWCs should have enough space for pre-school education so that at least 40 to
50 children can be registered and every day learning activities can be carried
out for 3-4 hours a day
The AWWs require focused training on pre-school with detailed inputs on
playway methods and skills to use teaching aids. The current time allotted to the
pre school component in AWW’s training is only 7days in three months.
All centres need to be provided with quality teaching aids. The AWW can also
make teaching aids from waste materials to make learning joyful. Swaran Park,
Kanjhawla’s example can be shared with other AWWs. The Local MLA’s Fund
can be utilized to equip the centre with teaching aids. Elders of the community
can be encouraged to participate in story telling sessions and opportunities
created to involve them in making teaching aids from waste materials.
Each AWC needs to have two AWWs. One trained worker needs to focus on
pre-school age group, while the second worker needs to focus on 0-3 age group
to address their learning needs as well as other issues like SNP, growth
monitoring, counseling etc. The two worker model will help in coverage of the
entire age group 0-3 and 3-6 years.
Early Childhood Care and Development (0-6 years) must be brought under the
Fundamental Right to Education. That will firmly place health, education and
nutrition under state responsibility and ensure attention to budgets and adequate
During the ICDS study, I visited four projects (Govindpuri, Nazafgarh, Jahangirpuri and Tilak
Nagar). I faced several problems in these projects and also understood the functioning of
these projects. All the four projects did not at all reveal the motive of the government with
which it had been started and this left me with a negative impression about these projects. I
visited the Nazafgarh Project, which is a rural project, I could not see any children, though
after sometime the helper managed to call a few of them. As this project is located at the
fringes of Delhi I reached the Anganwadi centre around noon, and found the centre closed.
Here one person told me that this centre usually opened at this hour. He also gave the
address of the worker which was just behind the centre. I went and knocked at the door but to
my dismay no one opened the door and so I proceeded to the next Anganwadi centre which
also was in the same condition. Here the workers were not in the centre and were found
chatting in a nearby area. When I spoke to them, they told me that the supervisor does not
visit the centre for months and the CDPO never visits.
It is clear from this that the administrators themselves do not take any initiative and so the
community also does not show interest.
FGD in an AWC Compound under Nizamuddin Project
Role of Functionaries and Issues Pertaining to their Role
4.1 THE ANGANWADI WORKER
The Anganwadi is the place through
which services reach the beneficiary
families of the community and the
AWW is primarily responsible for
service delivery. She is the link
between the community and ICDS,
the health functionaries and ICDS
and also between primary education
and pre school education. The AWW
has perhaps the most important role
in service delivery of this largest
government programme for children
below six years. MO, Supervisors, AWW at an FGD
4.1.1 Background and Training
Of the 242 workers interviewed, 33% are in the age group of 30-40 years and, 46% in
the age group of 40-50 years. 32% of the 242 AWWs are Xth pass, 40% XIIth pass and
28% are graduates. 93% have received job training and 82% have received the week-
long refresher course. Apart from that, 10% are trained on RCH, 27% on AIDS and 18%
4.1.2 Ad hoc Status – Late payment of honorarium
AWWs do not enjoy an employee status and there is no security of job. They are
hired on an ad hoc basis and receive a fixed honorarium of Rs. 1500 per month
(Rs 1000fromCentral Goverenment and Rs 200-500 from the state). One of the
AWWs met during FGDs said, “The scheme is “sarkari” (government), all
functionaries except us are “sarkari”. We are the only ones in this scheme which
is “gair-sarkari” (private)”
The honorarium is not paid regularly. 96% of the AWWs interviewed said they
do not receive payment on time. This is a serious issue and affects the morale.
The worker does not feel motivated to come to the centre everyday since the
government is not serious about paying their honorarium every month.
At times AWWs even have to purchase registers, earthen pots and water
containers with their own money. Sometimes the AWWs have paid the rent in
order to get rid of the landlord’s harassment.
4.1.3 Level of support the AWWs have received from other functionaries and
14% have expressed that they have received support from CDPOs
40% from beneficiary families
12% have received support from Mahila Mandals
6% from local MLAs.
All the AWWs have said that they have received support from the Supervisors
4.1.4 Extra Responsibilities
Giving polio drops (a small payment is given for this task), carrying out surveys for
widows’ pension, poverty surveys and all information related to schemes concerning
women and children are some of the extra tasks they are required to perform. As the
priority has always been on these surveys, the activities of AWCs apart from SNP
distributions take a back seat during these days.
4.1.5 Irregularity in attendance of AWWs
Majority of the AWWs are very irregular as they are demoralized due to low wages,
untimely payments and family pressure resulting from this. The following diagram
explains the vicious circle that is generated out of this neglect and de-motivation.
Ad hoc status and meager, irregular payment, problems of
day to day functioning go unattended and non-supervised.
AWWs feel neglected and de-motivated
De-motivated and under
Senior Functionaries feel AWCs are supervised, AWW is irregular in
not wanted by people, hence neglect attendance and not committed to
supervision and trouble shooting quality in delivering services
A non sensitized Community receiving
low quality service is uninterested in the
functioning of AWC. There is no
demand generated from the ground and
children miss out on their entitlements
4.2 THE HELPER
The helpers are playing a very major role in AWCs. In most of the days the study team
found only the helper at the AWC distributing food. As per their role definition, they are
supposed to cook the food. However, as NGOs are mainly distributing cooked food in
Delhi, their role has become distribution of food. They also make home visits.
4.3 CDPOs AND SUPERVISORS
4.3.1 Monitoring and Supervision by CDPOs and Supervisors
The mechanism of monitoring and supervision and the forms devised for monthly
reporting of CDPOs Supervisors and AWWs as per the Scheme is comprehensive
enough. Yet large gaps were observed in the status of monitoring.
The Supervisor is the functionary who is supposed to provide support to the AWW on a
regular basis. From the Focus Group Discussions, it was found that there are many
CDPOs who are willing to provide the required support to the supervisors and AWWs
but cannot do so as they have too many centres to manage. The norm is 100 centres
per CDPO but, in more than 80% cases, the average number of centres supervised by
the CDPO was more than 120. They are not able to do justice to their responsibilities.
Some CDPOs were supervising more than one Project. There are Supervisors who
monitor more than 50-80 centres (20-25 is the number specified by the ICDS norm).
Hence the centres remain unvisited and records unchecked. Supervisors are given
election duties and other office duties for a long period of time. Hence they are forced to
ignore their roles as ICDS Supervisors and give their ad hoc roles a priority. The
Anganwadi Worker hence remains largely unsupervised as a result the field workers
were unable to meet AWWs in 28 centres in spite of making three visits.
4.3.2 Lacunae in the chain of supervision: The chain supervision, between CDPO,
Supervisor and Anganwadi Workers is not functioning properly.
66% of AWWs said the CDPOs have not visited the centre for more than 6 months
14% AWWs have said that they have received support from the CDPO.
4.3.3 Lacunae in monitoring record keeping: Malnutrition data was missing in all 10
centres surveyed in 15 out of 27 projects. This shows that record keeping has gone
unsupervised. With a 63% prevalence of anaemia among Delhi’s children, this
negligence cannot be justified in any way.
In order to strengthen the service delivery system of ICDS, there is a need to
strengthen the chain of support; the worker receives from ANM, Supervisors and
CDPOs. There should be regular monitoring and supervision of health records.
This will have an impact on the performance. The AWWs need to receive
regular feedback from the CDPOs and Supervisors on their work and their
problems need to be listened to.
o There should be monthly visits by CDPOs to share their feedback on the
monthly report with the AWWs. They should also interact with the
community to address their concerns.
o Records need to be checked more frequently by CDPOs and Supervisor.
Reports without proper information should be looked into and disciplinary
actions should be taken. The whole system needs to be tightened up.
o Number of centres monitored by Supervisors and CDPOs should be as
per the norms of the Scheme in order to make supervision more effective
Providing the AWW an employee status is very important and payment
should be regular. It will contribute towards self-esteem and motivation and
assist in improving the quality of the service.
The community starting from the local leaders to the local residents needs to
play a supportive role. In order to do so, a systematic and well thought out
awareness programming is necessary which has institutionalized norms of
participation and specific budget.
The system of using the AWW for duties unrelated to ICDS needs to be stopped
The researchers observed a tone of hopelessness about the system in the
functionaries. Some even felt Delhi does not need AWCs as there is hardly any
poverty. To end this chapter in a positive note we quote, one CDPO who felt that our
initiative to study the ICDS with the objective of improving it was important as the
Scheme is very good but is not reaching the people in its full capacity. She said,” Hum
log ummid kar sakte hain aur aplog kaushish kar sakte hain”
Role of the Community and their Participation
5.1 COMMUNITY PARTICIPATION AND AWARENESS
Community participation is confined to the parents of the child beneficiaries who
help in the distribution of food and drinking water for the centre.
The rest of the community has remained mainly non-participatory. The
community mostly views the AWCs as food-distributing centres.
The mothers do not participate regularly in the Mahila Mandal meetings and are
also not aware about malnutrition, anaemia, growth monitoring and the role of
nutrition in improving health conditions even though the Nutrition and Health
Education (NHE) meetings have sensitized the community on these aspects.
Lack of knowledge on a Scheme which has been in existence for 33 years can
only be explained by lack of interest on the part of both the community and the
AWW with the children in the Swarn Park AWC under Kanjhawala Project
5.1.1 Involvement of community members
The 242 AWWs interviewed said that 40% centres have received support from
the beneficiary families.
Role of Community in making the Anganwadi
Only 6% centres said the function in Khanjhawala Block.
local MLA has visited the The community in Khanjhawala has shown great
initiative and come forward on their own to help the
centre and 10% have Anganwadi worker. This was the first AWC that the
Study Team found running well. Despite the problems
received support from the of low budget, irregular supplies etc., the community
local Pradhan. It was found were able to assist the Anganwadi worker to run a
lively Anganwadi with good activities, clean
from the Focus Group environment, personal hygiene of children, up-to-date
records, mother’s meetings and functional pre-school
Discussion that absence of etc. The surveyor also found all the material required
interest of local leaders and for pre-school education.
The above reveals the potential ICDS has of fulfilling
weaker sections are Child Rights when local communities come forward and
take an interest.
together are responsible for
low demand and participation from the community. The MLA interviewed felt that
his area (Karol Bagh) did not require anganwadi centres. He felt that AWCs are
more relevant for villages. He felt Delhi requires a proper survey and relocation
of centres according to need. He had not spent any amount of his development
fund on AWCs. It is apparent that the young child was no priority on the political
agenda and therefore, the Scheme has been neglected.
Advantages and disadvantages of NGO-run AWC in a New Resettlement Colony:
The Bawana AWC was handed over by the government to NGOs. This provided the team an
opportunity to look at the advantages and disadvantages of NGO-run ICDS centres which was
introduced by the state in 2006. However, the findings revealed that NGO’s involvement may not
actually result in quality improvement. It was found that there are no health services provided by
the NGO center and no linkage was established with health departments. The beneficiaries
access nearby hospitals independently for health check ups and immunization. The centers also
did not have teaching aids and were very unclean. Moreover, the only group of beneficiaries was
the twenty children in the age group of 3 to 6 years. It is therefore evident that that the system of
NGO-run AWCs have problems that need to be addressed. Additionally, the community does not
appear to express its dissatisfaction with the centre as NGOs are considered a private domain.
Not much had been done to sensitize the community on the programme. The NGOs role as
implementers of the programme has actually eliminated the role of the community as a partner
Awareness, sensitization and community participation is a major task which
needs to be addressed. Mahila Mandals, AWWs and ANMs need to work on
developing active participation of mothers, pregnant women and adolescent girls
so that they are all sensitized on the importance of nutrition and on the issues of
malnutrition and anaemia.
There is a need to build the capacity of the community leaders on the issue of
importance of Early Childhood and the ICDS programme. Only then will
community leaders take up the quality issues of AWCs as part of their political
agenda and become a part of community monitoring. Advocacy efforts with the
community leaders should be initiated to encourages use of MLA funds to equip
AWCs in their area.
The objectives and services of ICDS need to be communicated and discussions
held with the community so that they can demand good implementation. This will
require putting in place a good awareness programme.
Information on ICDS needs to be communicated by government on a scale
similar to that adopted for the polio programme.
The State needs to review its policy on handing over AWC to NGOs. NGO role
as community mobilisers, trainers etc will be of benefit. State systems need to
be responsible for implementation of services and accountability to the people.
A quality control group comprising CDPO, Supervisor, AWW, community
leaders, representatives from families of beneficiaries, representatives from local
youth groups, Mahila Mandal Members,and representatives from local NGOs
can be formed to discuss quality issues and sort out problems at local levels.
CDPOs or community leaders can take up issues that demand attention of
higher authorities and the team can regularly follow up till action is taken.
The Study raises many implementation issues which require urgent attention,
particularly in the context of both NFHS III data and the context of Supreme Court
Orders to Universalise ICDS and reach all the six components of the programme to
children under six.
Concern about the rights of under six’s are widespread and debated across the country
within the right to food campaign of which Neenv is a partner. An expert group6 draws
up a framework for action for the 11th Plan under which some key recommendations
have been outlined. They are as follows:
Universalisation with Quality:
“Universalisation with quality” should be the overarching goal for ICDS in the 11th Plan.
This would include raising the number of Anganwadis to a minimum of 14 lakhs (with
priority to disadvantaged groups), extending all ICDS services to all children under six
and all eligible women, and improving the quality of services.
Focus on Children Under Three:
ICDS should give much greater priority to children under the age of three years. This
would include providing adequate incentives to ASHAs for the relevant services
(including home-based neonatal care, breastfeeding and nutrition support), provision of
nutritious take-home rations (THR), better training on issues related to children under
three, and the adoption of “two-worker” model.
Adequate care of children under three combined with effective pre-school education for
children aged 3-6 years cannot be achieved without the involvement of two Anganwadi
workers (along with the Anganwadi helper).
Crèches ensure that adequate care and development opportunities are available to
children, whose mothers go for work outside the home (especially if there are no adult
Strategies for Children under Six: A Framework for 11 th Plan, June 2007.
carers at home). Crèches are required for children, in both the 0-3 and the 3-6 age
groups, for the entire day. The Anganwadi centres can provide this service in the
village. To begin with it is recommended that 10% of all Anganwadis be converted into
Anganwadi-cum-creches. This would mean that these centres are open full time, both
the workers are present all day and are given additional training on running a crèche.
For children aged 3-6 years, pre-school education should be the primary focus of ICDS
activities. Aside from adoption of two worker model, this requires appropriate training,
infrastructure, equipment, supervision and support.
For children in the age group of 3-6 years, the Supplementary Nutrition Programme
(SNP) should be based on hot, cooked, nutritious meals, along the same lines (and with
the same financial norms) as the “mid-day meal” scheme in primary schools. For
younger children, it should be based on carefully-designed “take-home rations” (THR),
combined with nutrition counseling.
The Supreme Court, in its landmark judgment in December 2006,( PIL…) has given the
deadline of December 2008 to achieve universalisation of ICDS, which in absolute term
implies having 14 lakh operational Anganwadi Centres across the country by December
2008. The country needs to plan the operationalising of more than 6 lakh centres across
the country within a span of 24 months in accordance with this Supreme Court order.
Key orders of the Supreme Court are as follows:
Government of India shall have to sanction and operationalise a minimum of 14
lakh AWCs in a phased manner by December 2008.
The universalisation involves extending all ICDS services to every child under
the age of six, all pregnant women and lactating mother and all adolescent girls.
All the State Governments and Union Territories shall fully implement the ICDS
by allocating Rs. 2/- per child per day, Rs. 2.70 per severely malnourished child
and Rs. 2.30 for every pregnant woman, nursing mother and adolescent girl on
Chief Secretaries of all State Governments/UTs are directed to submit affidavits
of all habitations with a majority of SC/ST households and provide plan of action
for ensuring that all these habitations have functioning AWCs within two years.
Contractors shall not be used for supply of nutrition in AWCs and preferably
ICDS funds are spent by making use of village communities, self-help groups
and Mahila Mandals for buying grains and preparation of meals.
While maintaining the upper limit of one AWC per 1000 population, the minimum
limit for opening a new AWC is a population of 300 may be kept in view.
Keeping the findings of the Neenv Study in mind and the many implementation and
quality issues it raises, the state machinery will have to gear up to comply not only with
Supreme Court Orders but also to address the status of children in Delhi. Unfortunately,
the budget of 2007-08 is only 50% of the estimation7 given by the National Advisory
Committee in 2004. The vast gap of quality and coverage is to be filled up and will
require attention to infrastructure, monitoring, community participation training,
workforce morale and other closely related issues. It is hoped that the findings of the
Study will be useful in addressing the above.
The National Advisory Committee (NAC) headed by Ms. Sonia Gandhi assessed a requirement of Rs. 9600 crore for
universalisation in the year 2004
Delhi Human Development Report 2006
Economic Survey of Delhi 2005- 2006
FOCUS on Children under Six
National Plan of Action for Children 2005
Report of Working Group on Development on Children for the Eleventh Five Year Plan
Strategies for Children under Six, A Framework for the 11th Plan
Status of the World’s Children 2006
Strong Foundations - Early Childhood Care and Education EFA Global Monitoring
Report – 2006
Website of Ministry of Women and Child Development -
Website of Delhi Government
Website of NFHS India
ICDS in India and Delhi
Operational Projects in 2005 5635 29
Funds released in 2005 Rs. 1995564.80 L Rs. 1222.57 Lakhs (.87p per child
No. of Child beneficiaries 0-3 18165501 L 238423
No. of child beneficiaries 22589909 149384
AWC Sanctioned 956060 4428
AWC Operational 748229 3852
Children 0-6 46717707 387807
Women 9500401 76933
Total 56218108 464740
Preschool Beneficiaries 24492450 (avg of 34 per AWC) 151554 ( Avg of 39-40 per AWC)
Source: Website of Ministry of Women and Child Development
Some of the Millennium Development Goals and National Plan of Action
Commitments related to health (NPA – Chapter on Child Survival)
Reducing IMR – To reduce IMR to below 30 per 1000 live births by 2010
Reducing CMR – To reduce CMR to 31 per 1000 live births by 2010
Reducing MMR – To reduce Maternal Mortality Rate to below 100 per 100000 live births
To reduce Neonatal Mortality Rate to below 18 per 1000 live births by 2010
Reducing Malnutrition among children – To eliminate malnutrition as a national priority
To reduce under five malnutrition and low birth weight by half by 2010
To ensure adequate neo-natal and infant nutrition
To reduce moderate and severe malnutrition among preschool children by half
To reduce chronic under nutrition and stunted growth in children
Improving water and sanitation coverage both in rural and in urban areas
Addressing Anemia and Vitamin A deficiency
How much we spend nationally
Year % share of
Child Health in Central Child
Source: GOI Expenditure Budget 2004-05, 2005-06, 2006-07 (Vols 1&2) and HAQ: Centre for Child Rights,
Location of the 27 ICDS Projects in Delhi (blue dots are showing location of
projects) where the Study was conducted against the density of slum population
(Source: Census, 2001)