Integrated Child Development Services

ICDS - By Dr. Sujatha Sathananthan

1. INTEGRATED CHILD DEVELOPMENT SERVICES (ICDS) DR.S.SUJATHA M.D., D.P.H ., Assistant Professor Chengalpattu Medical College

2. OBJECTIVES 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 ,morbidity, malnutrition and school drop-outs. To achieve an effective co-ordination of policy and implementation among the various departments working for the promotion of child development. To enhance the capability of the mother and nutritional needs of the child through proper nutrition and health education 4/29/2018 2 Chengalpattu Medical College

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4. ANGANWADI CENTRE For AWCs in rural/urban projects 1 AWC for 400-800 population 2 AWC for 800-1600 population 3 AWC for 1600-2400 population Thereafter one AWC for multiplies of 800 population. For Mini-AWC , the norm is 1 Mini-AWC for 150-400 population 4/29/2018 4 Chengalpattu Medical College

5. ANGANWADI CENTRE For tribal/ reverine /desert/hilly and other difficult areas 1 AWC for 300-800 population 1 Mini AWC for 150-300 population 4/29/2018 5 Chengalpattu Medical College

6. ADMINISTRATIVE UNIT Community development block in rural areas Tribal development block in tribal and a group of slums Rural /Urban project has a population of 100000 Tribal project – 35000 population Number of villages in rural project -100 Number of villages in tribal project -50 4/29/2018 6 Chengalpattu Medical College

7. ICDS PROJECT Child Development Project Officer[CDPO] 4 supervisors [ Mukiya Sevikas ] 100 AWW [ AnganWadi Workers] 4/29/2018 7 Chengalpattu Medical College

8. Anganwadi worker Trained local woman AWW Selected from the community Provides direct link to children and mother Assists CDPO in survey of community and beneficiaries Organizes non-formal education sessions Provides health and nutrition education to mothers Prepares the food daily and delivers to the beneficiaries Assists PHC staffs in providing health services Maintains records of Immunisation,feeding and preschool attendance Liaises with block administrator ,local school teachers,community leaders , health staff and community and works for community based activities ,like family planning. 4/29/2018 8 Chengalpattu Medical College

9. THE ICDS TEAM : The ICDS team comprises – the Anganwadi Workers, Anganwadi Helpers, supervisors, Child Development Project Officers (CDPOs) and District Program Officers. Besides, the medical officers, Auxiliary Nurse Midwife (ANM) and Accredited Social Health Activist (ASHA) form a team with the ICDS functionaries to achieve convergence of different service. 4/29/2018 9 Chengalpattu Medical College

10. ICDS Training Program : Training and capacity building is the most crucial element in the ICDS Scheme to achieve the program goals. Training under ICDS scheme is a continuous program and is implemented through National Institute of Public Cooperation and Child Development (NIPCCD) . 4/29/2018 10 Chengalpattu Medical College

11. Training Infrastructure Anganwadi Workers Training Centers (AWTCs) for the training of Anganwadi Workers and Helpers. Middle Level Training Centers (MLTCs) for the training of Supervisors and Trainers of AWTCs; National Institute of Public Cooperation and Child Development (NIPCCD) and its Regional Centers for training of CDPOs/ACDPOs and Trainers of MLTCs. NIPCCD also conducts several skill development training program. 4/29/2018 11 Chengalpattu Medical College

12. UNIFORM GIVEN TO ANGANWADI WORKERS 4/29/2018 12 Chengalpattu Medical College

13. ICDS SERVICES 4/29/2018 13 Chengalpattu Medical College

14. BENEFICIARY SERVICES 1.Pregnant women Health check-up Immunization against tetanus Supplementary nutrition Nutrition and health education 2. Nursing mothers Health check-up Supplementary nutrition Nutrition and health education 3. Other women 15-45 years Nutrition and health education 4. Children less than 3 years Supplementary nutrition Immunization Health check-up Referral services 5. Children in age group 3-6 years Supplementary nutrition Immunization Health check-up Referral services Non – formal education 6. Adolescent girls 11-18 years Supplementary nutrition Nutrition and health education 4/29/2018 14 Chengalpattu Medical College

15. DELIVERY OF SERVICES Supplementary nutrition Nutrition and Health Education Immunization Health check-up Non-formal pre-school education Medical referral services Schemes for Adolescent girls 4/29/2018 15 Chengalpattu Medical College

16. Supplementary nutrition BENEFICIARY ENERGY AND PROTEIN Each child 6-72 months of age 500 calories & 12 – 15 grams of protein ( finanacial norms of Rs. 4 /child/day) Severely malnourished child 6-72 months of age 800 calories & 20 – 25 grams of protein ( finanacial norms of Rs. 6/child/day) Each pregnant and nursing woman 600 calories & 18-20 grams of protein ( financial norms of Rs.5/beneficiary/day) 4/29/2018 16 Chengalpattu Medical College

17. Supplementary nutrition Given 300 days in a year Morning snack – milk/banana/egg/seasonal fruit/micro – nutrient fortified food followed by a HOT –COOKED MEAL 4/29/2018 17 Chengalpattu Medical College

18. Type of Supplementary Nutrition: Children in the age group 0 – 6 months : Continuation of current guidelines of early initiation and exclusive breast-feeding for children for the first 6 months of life. Children in the age group 6 months to 3 years : For children in this age group, the existing pattern of Take Home Ration (THR) under the ICDS Scheme will continue. THR should be given in the form that is palatable to the child . 4/29/2018 18 Chengalpattu Medical College

19. Children in the age group 3 to 6 years : 500 calories/day/children Since the child is not capable of consuming a meal of 500 calories in one sitting, the States/ UTs are advised to consider serving more than one meal to the children in the form of morning snacks and afternoon cooked meal. Bengal gram/Green gram 20 gms Tuesday) 3 boiled eggs per week (Mon ,Wed, Thursday)/banana for non egg eating children , Potato(Friday) 4/29/2018 19 Chengalpattu Medical College

20. Health check – up ( under 6 years) 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., 4/29/2018 20 Chengalpattu Medical College

21. Health check – up ( under 6 years) 5.Treatment for diseases like diarrhoea dysentry , respiratory tract infections which are widely prevalent. 6.Deworming 7.Prophylaxis against Vitamin A deficiency and Anemia 8.Referral of serious cases to hospital . 4/29/2018 21 Chengalpattu Medical College

22. INTRODUCTION OF WHO GROWTH STANDARDS IN ICDS The Ministry of Women and Child Development and Ministry of Health have adopted the New WHO Child Growth Standard in India on 15 th of August, 2008 for monitoring the Growth of Children through ICDS and NRHM. Implication The Anganwadi Worker with the help of New Growth Chart would be able to assess correctly severely underweight children The number of normal children would also increase i n all the Anganwadi Centers. The new charts would now help us in comparing growth of our children within projects, districts, states & also other countries. 4/29/2018 22 Chengalpattu Medical College

23. GROWTH CHART 4/29/2018 23 Chengalpattu Medical College

24. 4/29/2018 PSE - KIT Pre – School Education Kit Chengalpattu Medical College

25. PRE-SCHOOL EDUCATION 4/29/2018 25 Chengalpattu Medical College

26. 4/29/2018 Chengalpattu Medical College

27. HEALTH DEPARTMENT INTERVENTIONS Immunisation Vitamin A Supplementation IFA Supplementation for Adol.Girls and pregnant mothers Health awareness programmes Referral services to pregnant and lactating mothers Referral services to children below 5 years for early detection and disabilities, biannual deworming and iron deficiency disorder 4/29/2018 27 Chengalpattu Medical College

28. SUPPLY OF MEDICINE KITS Supply of medicines through TNMSC Medicine kit 4/29/2018 Chengalpattu Medical College

29. Nutrition Program for Adolescent Girls (NPAG) To address the problem of under-nutrition among adolescent girls Target Group : Adolescent girls (11-15 years) (weight < 30 Kg) and adolescent girls (15-19 years ) (weight <35 Kg) 4/29/2018 29 Chengalpattu Medical College

30. Services: (i) 6 kg of free food-grains (wheat/rice/Maize based on habitual consumption pattern of the state) /per month per beneficiary through PDS. (ii) Nutrition and Health Education to the beneficiaries and their families. 4/29/2018 30 Chengalpattu Medical College

31. Kishori Shakti Yojana This scheme is a redesign of the already existing Adolescent Girls (AG) Scheme being implemented as a component under the centrally sponsored Integrated Child Development Services (ICDS) Scheme. Objective: To improve the nutritional, health and development status of adolescent girls. Promote awareness of health, hygiene, nutrition and family care. Link them to opportunities for learning life skills. Going back to school. Help them gain a better understanding of their social environment and take initiatives to become productive members of the society.   4/29/2018 31 Chengalpattu Medical College

32. SABLA- RAJIV GANDHI SCHEME FOR EMPOWERMENT OF ADOLESCENT GIRLS A scheme for empowerment of adolescent girls, launched on International Women's Day this year, includes a complete nutrition program for adolescent girls in the age group of 11 to 19 years. The scheme launched through Integrated Child Development Scheme (ICDS) 4/29/2018 32 Chengalpattu Medical College

33. Rajiv Gandhi Scheme For Empowerment Of Adolescent Girls (RGSEAG)-SABLA Vocational training Adolescent girls were given SNP Kishori Samhoos formed. Adolescent girls were trained in life skill Education and Nutrition Education. 4/29/2018 Chengalpattu Medical College

34. Indira Gandhi Matritva Sahayog Yojana (IGMSY) This scheme has been approved by GOI which provides cash incentive of Rs.4,000/- to pregnant and Nursing mothers to compensate wage loss and get supplementary nutrition during pregnancy and delivery period. Scheme is piloted in Tamil Nadu in two districts of Erode and Cuddalore using ICDS platform Implemented In synergy with state scheme of Dr.Muthulakshmi Reddy Maternity Benefit Scheme 4/29/2018 34 Chengalpattu Medical College

35. INFORMATION EDUCATION AND COMMUNICATION( IEC) The communication contents will be built around the following themes : Early registration in AWC Timely initiation of breast feeding within 1 hr. of birth Exclusive breast feeding during the first six months of life. Timely introduction of complementary foods at six months Age appropriate foods for children six months to two years Introduction of Preschool education in time Hygienic feeding practices Immunization, Vitamin A supplementation with de-worming Education on prevention of illness to children Therapeutic feeding for children with severe acute malnutrition Adequate nutrition and health support for AN/PN mothers 4/29/2018 35 Chengalpattu Medical College

36. MONITORING AND EVALUATION Monitoring and Evaluation is done by Field visits- Supervisors , CDPOs, DPOs, District Collectors, State Officials and other line departments Review meetings - Monthly meetings by CDPOs, DPOs, Principal Secretary/Special Commissioner 4/29/2018 Chengalpattu Medical College

37. IMPACT OF THE PROGRAMME-INDICATORS Increased birth weight Reduced incidence of malnutrition Increased immunisation coverage Reduced infant and child mortality 4/29/2018 37 Chengalpattu Medical College

38. THANK YOU 4/29/2018 38 Chengalpattu Medical College