ICDS

poerpoint presentaion on ICDS by Dr Trishna Mohanty, resident Community Medicine, Bharati Vidyapeeth DTU Medical College

1. ICDS Integrated Child Development Services Dr Trishna Mohanty JR I Department of Community Medicine 1

2. Specific learning objectives To enumerate the objectives of ICDS. To elaborate the beneficiaries of ICDS. To enumerate the services that are delivered to the beneficiaries. To acknowledge the administration unit of ICDS. 2

3. Integrated Child Development Services (ICDS) Launched on 2nd October, 1975. Currently there are 14 lakhs AWC in India, out of which 96% are operational. Aim : To provide services to pre-school children in an integrated manner so as to ensure proper growth and development of children in rural, tribal and slum areas. Source https :// icds-wcd.nic.in/Qpr0314forwebsite23092014/currentstatus.htm 3

4. Objectives of ICDS To improve the nutritional and health status of children in the age group 0-6 years; To lay the foundations for proper psychological, physical and social development of the child; To reduce mortality and, morbidity, malnutrition and school drop-out; To achieve an effective coordination of policy and implementation among the various departments working for the promotion of child development; and To enhance the capability of the mother and nutritional needs of the child through proper nutrition and health education. 4

5. Beneficiary Services Children (<3 years ) Supplementary nutrition, Immunization, Health check up, Referral services Children ( 3-6yrs) Supplementary nutrition Immunization Health check up Referral services Non-formal education Adolescent girls (11-18yrs ) Supplementary nutrition Health education Beneficiaries of ICDS Programme Beneficiary Services Pregnant women Supplementary nutrition Immunization, Health check up, Nutrition and Health education Nursing mothers Supplementary nutrition, Health check up, Nutrition & health education Other women ( 15-45yrs) Nutrition and health education 5

6. Delivery of Services: Supplementary nutrition : Target group : Type of meal or food (revised) Financial norms/day Children (6-36 months) Take home ration Rs 6 Malnourished Children (6-36 months) Take home ration + 800 cal and 20-25g protein Rs 9 Children (3-6yrs) Morning snacks + hot cooked meal Rs 6 Malnourished children (3-6yrs) Morning snacks + hot cooked meal + 300 cal and 8-10g protein Rs 9 Pregnant women and lactating mothers Take home ration Rs 7 Source : https://icds-wcd.nic.in/icdsimg/snrules2017.pdf 6

7. Supplementary nutrition is given 300 days in a year. Children are weighed every month. Problem Action taken 1st degree of malnutrition Nutrition education and health education 2nd and 3rd degree malnutrition Supplementary nutrition 4th degree malnutrition Hospitalization 7

8. Nutrition and health education : Target group : A ll women (15-45 years), giving priority to nursing and expectant mothers during home visits by anganwadi workers . Immunization : Target group: - C hildren against vaccine preventable diseases. -Expectant mothers against tetanus. Health check-up : Target group: - Expectant mothers- Antenatal care, Iron & folic acid and protein supplementation -Nursing mother and new born infants- Postnatal Care -Children < 6 years of age- Immunization A minimum of 3 physical examinations are done. High risk mothers are referred to appropriate institutions for special care. 8

9. - Children < 6yrs : 1.Record of weight and height of children at periodical intervals 2.Watch over milestones 3.Immunization 4.General check-up every 3-6 months to detect disease, malnutrition etc. 5.Treatment for disease like diarrhoea, dysentery, respiratory tract infections etc. which are widely prevalent and Referral of serious cases to hospital. 6.Deworming and Prophylaxis against vitamin A deficiency and anaemia . 9

10. Health records : Health records of the children, antenatal care and delivery card etc. are maintained. A card containing the health record of the child is given to the mother . Non-formal pre-school education : Target group : Children (3-6 years) The objective is to provide opportunities to develop desirable attitude, values and behaviour pattern among children. Locally produced inexpensive toys and material are used in organizing play and creative activity .   10

11. Name of the scheme Beneficiary Benefit Kishori Shakti Yojana Adolescent girls 11-18years self-development, literacy and numerical skills, vocational skills Nutrition Programme for Adolescent Girls Undernourished adolescent girls: - 11 to 15 years (weight < 30 kg ) -15 to 19 years ( weight < 35 kg ) 6 kg of free food grain per month Rajiv Gandhi Scheme for Empowerment of Adolescent Girls - "SABLA” Adolescent girls 11-18years nutrition and health status Indira Gandhi Matrutva Sahyog Yojana (IGMSY) pregnant and lactating mothers conditional cash transfer List of schemes being implemented at the ICDS level. 11 Scheme for adolescent girls Pradhan Mantri Matru Vandana Yojana

12. 12 Source- http://www.wcd.nic.in/schemes-listing/2404 3500 1500 Rajiv Gandhi National creche scheme For The children of Working mothers Children (6 mon-6 yrs ) of working women in rural & urban areas, employed for a minimum period of 15 days/month, or six months /year. Day care Facilities, Early Stimulation for children below 3 years and Pre-school Education for 3 to 6 years old children, Supplementary Nutrition, Growth Monitoring, Health Check-up and Immunization Name of the scheme Beneficiary Benefit Anganwadi Services Scheme (Enhanced from 1 st Oct 2018) Anganwadi worker and Anganwadi helper Beneficiary Previous Honarium /mon Enhanced Honarium /mon Main AWC AWW 3000 4500 Mini AWC AWW 2250 3500 AWH 1500 2250 + 250 performance linked incentives

13. Administration unit of ICDS Population norms under ICDS: Number of AWC in rural/urban projects Per population 1 400-800 2 800-1600 3 1600-2400 Number of AWC in tribal/ riverine/ desert/ hilly and other difficult areas Per Population 1 300-800 The administrative unit of an ICDS project : community development block in rural areas tribal development block in tribal areas and a group of slums in urban areas. 13

14. ICDS team comprises of: Child Development Project Officer ( CDPO ) who is in charge of 4 Supervisors ( Mukhya Sevika ) and 100 Anganwadi workers ( AWW ). Each Supervisor is responsible for 20-25 anganwadis . Function of AWW Assists CDPO in survey of community and beneficiaries Organizes non-formal education sessions Provides health and nutrition education to mothers Assists PHC staff in providing health services Maintains records of immunization Feeding and pre-school attendance Works for other community based activities - family planning Functions of supervisor Mentor and trains AWWs Assists in record keeping Visits of health personnel & organizes community visits 14

15.   Questions Which of the following is known as ‘Heart of ICDS system’? (a)Mother and Children (b)CDPO (c)Primary Health Centre (d)Anganwadi Administrative unit of the ICDS project in rural areas is: (a)PHC (b)Community development block (c) Zilla parishad (d)Gram p anchayat In ICDS all of the following are included except: (a)Immunization (b)Health Education (c)Prevention of iodine deficiency disorders (d)Supplementary nutrition ICDS does not cover: (a)Nutritional supplementation (b)Formal education (c)Health education (d)Immunization ANS (d) ANS (b) ANS (b) ANS (c) 15

16. THANK YOU 16