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Women and Child Development (ICDS)

Women and Child Development (ICDS). District : North Bastar Kanker. Government of India proclaimed a National Policy on Children in August 1974 declaring children as, "supremely important asset". 10 th Five Year Plan - The future of India lies in the future of Indian children

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Women and Child Development (ICDS)

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  1. Women and Child Development(ICDS) District : North Bastar Kanker

  2. Government of India proclaimed a National Policy on Children in August 1974 declaring children as, "supremely important asset". • 10th Five Year Plan - The future of India lies in the future of Indian children • 11th Five Year Plan – Inclusive Growth

  3. ICDS and MDGs ICDS is a unique programme, having potential to improve on many indicators

  4. IMR Source: SRS 2006

  5. Trend- prevalence of underweight (moderate and severe) Children < 3 yr Source: NFHS I, II, III Chhattisgarh has a challenge of reducing the underweight children.

  6. District’s indicators - Rural Institutional birth’s Exclusively breast fed children Anemic Children Women 15-49), ever married and anemic Marriage women < 18 yrs Women 20-24 yr, birth 2+ Mothers registered in first trimester 11.7 % 81 % 54.2 % NFHS 05-06 DLHS 07-08 20.8% 59.4 % DLHS 07-08 67.8 % 34.6 % NFHS 05-06 DLHS 07-08 DLHS 07-08 DLHS 07-08 • Progress in immunization is commendable . • Children age 6-35 months, anaemic, Chhattisgarh = 81(%), NFHS 05-06

  7. Objectives • Lay foundation for proper psychological development of child • Improve nutritional & health status of children 0-6 years • Reduce incidence of mortality, morbidity, malnutrition & school drop-outs • Enhance the capability of the mother and family to look after the health, nutritional and development needs of the child • Achieve effective coordination of policy and implementation among various departments to promote child development

  8. Present study Covers Findings based on information from WCD, Kanker and field visits The issues covered are : 1- Objectives of national programme 2- Coverage 3- Management Aspects (Human Resources, Anganwadi building, Growth Monitoring) 3- Implementation Issues (Nutrition, Pre- school education) 4- Issues of concerns Findings are preliminary, needs more evidences from fields

  9. COVERGAE

  10. Coverage(as on March, 2009)

  11. Coverage (Age <6 yrs beneficiary) • Ensuring service to every child’s is her/his right • Gaps reflected in graphs, needs field evidences • Urban area need to have access of the AWC • Scattered households/ habitation is a challenge New AWC’s, mini AWC’s being proposed now would fill up the gaps.

  12. Management Aspects

  13. Organogram (ICDS) DPO District ADPO DWCDO Janpad/ Project CDPO CDPO CDPO SS SS SS SS SS SS Cluster Village AWC AWC AWC AWC AWC AWC AWC AWC AWC AWC AWC AWC Post of 4CDPO and 24 Sector Supervisors are vacant .

  14. ICDS ( Aanganwadi) Inaccessibility may be addressed through scheme like NREGS etc

  15. Infrastructure – building(as on March, 09) Additional building , will also improve service quality for beneficiary.

  16. Implementation

  17. Prevalence of underweight (District ) • The data serves the recording/ reporting purposes (its use in field is a concerns) • Encouragement req. to promote honest reporting • Need of special treatment at Block PHC/ CHC (NRC/ CDC concept)

  18. Prevalence of underweight • AWC’s need to look their efforts link, with reducing malnutrition.

  19. Growth monitoring and sanitation • Improving in use of community growth monitoring charts – sharing with parents (esp. up 3 yr child) • Need to improve on the use of existing toilets • Need on improving the hygiene behavior of children Updating of the toilet facility, drinking water coverage status is in process

  20. Nutrition Mgt. – AWC’s role • Calibration standards vary • Feeding interruption due to supply of rice • Except for the 3-6 years, the distribution of THR has no variation during month • Food for 3-6 years given in one go • Role of counseling (issues counseling - setting priority, link with growth monitoring, use of the literature material, art of making it effective)

  21. Nutrition – SHG’s involvement • Generally through the SHGs • Ensuring quality because of rates • SHGs require to internalize significance of their role • Monitoring of nutrition by SHGs needs improvement • SHG’s role in counseling of parents

  22. Nutrition – Beneficiary’s involvement • Not able to response for imp. of taking THR , high dilution • Pregnant lady needs to increase frequency of diet in daily routine (family counseling is req.) • Need addressing to social traditions (son’s preference, women’s gender role etc) • Not able to link nutrition with growth monitoring • Nutrition, service quality are not on the priority Ms. Ramsila (weight – 40 kg.) from village Kulgaon, has 4 children already and she is looking for another one for male preference.

  23. Pre-school Education • Coverage is good but need to work on quality • Learning from exposure to the successful AWC • Improving on pre- school teaching planning by AWW • Need of developing age group wise (3-4, 4-5, 5-6), tentative learning standards (identify, read etc) • Need of refresher training for the AWW on the Pre-school education • AWW’s may self-decide on children’s learning outcome from the pre-school activity Probably work load of AWW is high, that affects the focus on PSE focus

  24. Other Services at AWCs Other services • Immunization; • Fixed immunization day • Children are immunized according to schedule • Pregnant women are immunized for the TT-I, TT-II. • Health Check Up: • Health check up at AWC is done by ANM on her visit • Necessary medication and suggestions are provided • Referrals; • The AWW/ Mitanins use to facilitate the process • Referral as per the cases (acute illness, pregnant lady’s symptoms etc)

  25. Recap – concerns Increasing Access – new AWCs (in urban too) Improving Management by- filling HR gaps Improving infrastructure – Own building, coverage update of toilet/ water facility, availability of baby weighing scale Use of the existing data in the village with household/ community(of growth monitoring, immunization, pre – school education…) Linking interventions with outcome by AWW and deciding self goal (as reducing malnutrition to …, children’s learning outcome for their age as……) Need of Provision/ mechanism of intensive treatment of the severely malnourished children

  26. Recap – concerns • 7. Improving Service quality by: • Reporting mechanism of interruption in supply of nutrition/ rice • Focus on developing habits (hygiene, toilet use etc) • Initializing & strengthening parent’s/ family feedback in growth monitoring • Counseling (use of growth monitoring, literature, involving male etc.) • Capitalizing SHG’s strength to address malnutrition issues

  27. Thank You

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