Icds programme community medicine education.pptx

icds programme

1. ICDS Integrated Child Developmental Scheme

2. INTRODUCTION The project was launched on 2 nd October 1975, currently ICDS is the most important scheme in the field of child welfare. The blueprint was prepared by the Department of Social Welfare in 1975. The beneficiaries under the Scheme were children in the age group of 0-6 years, pregnant women and lactating mothers. Firstly it was taken up as an experimental basis with 33 projects in the year 1975-76 in 4 urban, 19 rural and 10 tribal areas. It was expanded later in 1982 to cover more areas. ICDS helps in tackling the challenge of providing pre-school education on side as well as improving malnutrition, morbidity, mortality and reduced learning status in our country.

3. OBJECTIVES T o improve the nutritional and health status of children in the age group 0-6 years T o lay the foundation for proper psychological, physical and social development of the child T o reduce the incidence of mortality, morbidity, malnutrition and school dropout T o achieve effective co-ordination of policy and implementation amongst the various departments to promote child development T o enhance the capability of the mother to look after the normal health and nutritional needs of the child through proper nutrition and health education.

4. INFRASTRUCTURE OF ICDS SCHEME

5. ORGANIZATION STRUCTURE Centre Ministry of women and child development Project Project officer In charge ICDS PO ICDS programme officer CDPO Child development project officer MS Mukhya sevika (Supervisor) AWW Anganwadi worker 4 mukya sevikas are headed by a CDPO 1 per 25000 population – one mukhya sevika for 20-25 anganwadis

6. In the year 2022, the Ministry of Women and Child development has reassigned the components under Umbrella ICDS into 3 MISSIONS. Anganwadi Services Scheme for Adolescent Girls POSHAN PMMVY National Creche Scheme Child Protection Scheme is a part of MISSION SAKSHAM ANGANWADI AND POSHAN 2.0 is a part of MISSION SHAKTI is a part of MISSION VATSALYA 6

7. Services Target Group Service provided by (i) Supplementary Nutrition  Children below 6 years, Pregnant & Lactating Mothers (P&LM) Anganwadi Worker and Anganwadi Helper [ MoWCD ] (ii) Immunization* Children below 6 years, Pregnant Women   ANM/MO [Health system, MoHFW ] (iii) Health Check-up* Children below 6 years, Pregnant & Lactating Mothers (P&LM)   ANM/MO/AWW [Health system, MoHFW ]   (iv) Referral Services Children below 6 years, Pregnant & Lactating Mothers (P&LM)   AWW/ANM/MO [Health system, MoHFW ] (v) Pre-School Education Children 3-6 years AWW [ MoWCD ] (vi) Nutrition & Health Education Women (15-45 years) AWW/ANM/MO [Health system, MoHFW & MoWCD ] SERVICES PROVIDED UNDER ICDS

8. 1. SUPPLEMENTARY NUTRITION Place of serving/distribution : Supplementary Nutrition shall be provided at AWC during working hours. It shall be provided to registered beneficiaries who visit their respective AWCs. Pregnant women, lactating mothers and children up to the age of 6 years residing even temporarily in the coverage area of the AWC shall be registered and provided supplementary nutrition and other services. Number of Days Supplementary Food to be Served : Supplementary Nutrition under the Scheme shall be served for a minimum of 300 days in a calendar year, i.e., on an average 25 days in a month with respect to Morning Snacks, Hot Cooked Meals (HCM) and Take-Home Ration. 8

9. 9 Supplementary Nutrition under Anganwadi Services 1. Children  (6-36 months) Take Home Ration Energy – 500 Kcal Protein – 12 to 15 g 2. Children  (3-6 years) Morning snack and Hot cooked Meal Energy – 500 Kcal Protein – 12 to 15 g 3. Severely malnourished children (3-6 years) Take Home Ration Energy – 800 Kcal Protein – 20 to 25 g 4. Pregnant women & Nursing mothers Take Home Ration Energy – 600 Kcal Protein – 18 to 20 g   Supplementary Nutrition under Scheme for Adolescent Girls 5. Adolescent Girls (14-18 years) Take Home Ration Energy – 600 Kcal Protein – 18 to 20 g NUTRITION NORMS

10. COST NORMS 10

11. GROWTH MONITORING Length/height & weight is essential for all children to obtain their status as Normal, Underweight, Stunted, SAM or MAM. Efforts shall be made for 100% measurement of the children. Efforts shall be made for 100% measurement of the children. Any child who could not be measured in a particular month has to be compulsorily measured in the following month as per the following schedule 11

12. POSHAN ABHIYAAN POSHAN Abhiyaan (or, National Nutrition Mission) is the Government of India’s flagship programme to improve nutritional outcomes for children, pregnant women and lactating mothers. Launched on March 8, 2018, with the motto ‘ Sahi Poshan Desh Roshan’, the acronym POSHAN (PM’s Overarching Scheme for Holistic Nourishment) spelt the Government’s commitment to tackle the issue of malnutrition with well-defined policies and support from the highest level. The programme aimed to ensure service-delivery and interventions by using technology, behavioural change through convergence and lays down specific targets to be achieved across different monitoring parameters over the next few years. 12

13. TARGETS OF POSHAN ABHIYAN 13

14. CORE PILLARS OF POSHAN ABHIYAAN For implementation of POSHAN Abhiyaan, the core strategy/pillars of the mission are: 14

15. COMPONENTS OF POSHAN ABHIYAAN Community Mobilization and Behavioural Change. Community Based Events (CBEs) Jan Andolan Poshan Maah and Poshan Pakhwada Incentives and Awards Technology – Procurement of remaining Smartphones and GMDs Convergence with Ministries/Departments/Organizations 15

16. COMMUNITY MOBILIZATION AND BEHAVIOURAL CHANGE Maintain a list of beneficiaries at each AWC and the total number of PWLM, Children up to the age of 6 years and Adolescent Girls in the age group of 14-18 years (in Aspirational Districts and NER) and monitor their nutritional status on a month-to-month basis Monitor the content and delivery of supplementary nutrition to beneficiaries at Anganwadi Centers and monitor the quality of THR and HCM Monitor the number and status of SAM/MAM children every fortnight and track progress of SAM children at NRCs Monitor the number of anemic women, children and adolescent girls in the community and the progress in their health status Motivate the community to actively participate in Poshan Jan Andolan for behavioral change Monitor the number of activities carried out and level of participation in Poshan Pakhwada and Poshan Maah Monitor the number of CBEs conducted. 16

17. COMMUNITY BASED EVENTS In order to strengthen processes for community engagement, empowerment of beneficiaries and behavioural change towards better nutrition, the POSHAN Abhiyaan will provide for the organization of Community Based Events (CBEs) twice per month by each Anganwadi Centre and supported with an amount of ₹250/- each. Under Community Based Events, Annaprashan Diwas , Suposan Diwas (specifically focused on orienting husbands), celebrating coming of age- getting ready for pre-school at AWC, messages related to public health for improvement of nutrition and to reduce illness, importance of hand-wash and sanitation, prevention of anemia, importance of nutritious food, diet diversity etc. will be covered. 17

18. POSHAN MAH AND POSHAN PAKHWADA Since the launch of POSHAN Abhiyaan in March 2018, these events have helped in reaching out to communities through the nation’s biggest nutrition-centric annual Jan Andolans . The month of September is celebrated as Rashtriya Poshan Maah across the country. Similarly, in/around March every year, Poshan Pakhwada is celebrated. The Poshan Maah and Poshan Pakhwada celebrated so far have witnessed wide participation and enthusiasm from convergent Ministries, States/UTs and field functionaries. Frontline workers, community groups, PRIs, staff at Block and District level, State departments and Ministries had exemplified diligent work towards triggering a Jan Andolan for POSHAN Abhiyaan. 18

19. INCENTIVES AND AWARDS There is a provision of incentives for the field functionaries against expected regular tasks as specified in guidelines issued to States/UTs by MoWCD . This remains continued @ ₹500/- and @ ₹250/- per month for AWW and AWH respectively. Under Saksham Anganwadi, there has also been provisioned an incentive for ‘ Kuposhan Mukt Villages’ @ ₹10 crore per annum which will be distributed to qualified villages/panchayats @ ₹1 lakh each. Ministry of Women and Child Development (WCD) recognizes significant contributions of various stakeholders especially the Field Functionaries. There has been provision for 100 awards for AWWs @ ₹50,000/- and 50 awards for AWHs @ ₹40,000/-. 19

20. Technology – Procurement of remaining Smartphones and GMDs The Abhiyaan empowers the frontline functionaries i.e. Anganwadi workers and Lady Supervisors by providing them with smartphones. The digital platform, viz., “ Poshan Tracker", will provide services and inter linkages and promote real time data with analytics. To equip the functionaries with required devices, there has been a provision of providing them with smartphones since the launch of POSHAN Abhiyaan. Similarly, each AWC has been provisioned to be equipped with Growth Monitoring Devices (GMDs) comprising Stadiometer, Infantometer , Weighing Scale for Infant and Mother & Child. Both the smartphones and set of 4 GMDs shall continue to be provided to remaining field functionaries and AWCs @ ₹8000/- each under Saksham Anganwadi and Poshan 2.0. 20

21. MULTISECTORAL INVOLVEMENT IN ICDS ICDS is a multi-sectoral program and involves several government departments. The program services are coordinated at the village, block, district, state and central government levels. The primary responsibility for the implementation of the programme is with the Ministry of Women and Child Development at the Centre and the nodal departments at the States may be Social Welfare, Rural Development, Tribal Welfare, Health and Family Welfare or Women and Child Development. h 21

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23. Convergence of different departments through Anganwadi Centres. 23

24. 2. IMMUNISATION For pregnant women two diphtheria Tetanus(Td) shots. For children under Health schedule all vaccines given.

25. 3. HEALTH CHECKUPS Healthcare for children less than 6 years. Antenatal care of expectant mothers. Postnata l care of nursing mothers. The various health services are provided by anganwadi workers and primary health centre staff. Regular health checkups, recording of weight, immunization, management of malnutrition, treatment of diarrhoea , de-worming and distribution of simple medicines.

26. Health Services offered Iron syrup for 6 months to 5-year-old child: 1 ml twice in a week IFA tablets during pregnancy and post-pregnancy 12 months to 5-year-old child: De-worming tablet once in 6 months Pregnant Women: 1 de-worming tablet during second trimester Vitamin A supplementation for 9 months to 5-year-old child bi-annually Diarrhea management: ORS, Zinc Supplementation.

27. 4. REFERRAL SERVICES Severely Malnourished (SAM) to be referred to hospital or Nutrition Rehabilitation Centre. Care of Sick children.

28. 5. NON FORMAL PRE-SCHOOL EDUCATION(PSE) Children between 3-6 years are imparted non formal pre school education. Anganwadi centre(AWC)- a village courtyard is the main platform for delivering these services. These AWCs have been setup in every village of the country with about 1000 population. PSE focuses on total development of the child, to provide opportunities to develop desirable attitude, values and behaviour pattern among children. Locally produced inexpensive toys and material are used in organising play and creative activity.

29. 6. NUTRITION AND HEALTH EDUCATION Key element of the work of the anganwadi worker. Done by home visits by anganwadi workers. Forms part of BCC( Behaviour Change Communication) stratergy . Main beneficiary are all women in the age group 15-45 years, giving priority to nursing and expectant mothers more.

30. SCHEME FOR ADOLESCENT GIRLS Under Poshan 2.0, the Scheme for Adolescent Girls has been revised and the targeted beneficiaries have been revised to Adolescent Girls in the age group of 14 to 18 years in Aspirational Districts of States including Assam and North Eastern States instead of out of school girls in the age group of 11-14 years, as in the earlier Scheme. 30

31. OBJECTIVE OF THE SCHEME – The revised scheme aims at providing nutritional support to adolescent girls in the age group of 14 to 18 years in the identified areas of the country for improving their health and nutritional status under the nutrition component and providing them IFA supplementation, Health check-up and Referral Service, Nutrition & Health Education and Skilling etc. under non-nutrition component of the Scheme. COVERAGE OF THE SCHEME - Adolescent girls in the age group (14-18 years) in Aspirational Districts of States including Assam and North-Eastern States shall be covered under SAG. ELIGIBILITY – The beneficiaries for the Scheme will be Adolescent Girls in the age group of 14-18 years who will be identified by the States concerned. All beneficiaries will require Aadhaar number to avail benefits under the scheme. 31

32. How a day in Anganwadi centre looks like?

33. A Visit to Anganwadi at Nand Nagri 33

34. IEC Material at Anganwadi Supplementary Nutrition at Anganwadi 34

35. Activity at Anganwadi 35

36. गोद भराई दिवस at Anganwadi 36

37. अन्नप्राशन at Anganwadi 37

38. Registers at Anganwadi 38

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40. A Visit to Anganwadi at Gazipur Village 40

41. Weighing Balance at Anganwadi Stadiometer at Anganwadi 41

42. IEC Material at Anganwadi Supplementary Nutrition at Anganwadi 42

43. Registers at Anganwadi 43

44. Thank you