Integrated Child Development Services (ICDS)

A brief and concise presentation about Integrated Child Development Services (ICDS).

1. Integrated Child Development Services (ICDS) Dr. Abhijit Das

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

3. Introduction Launched on 2nd October, 1975 Department of Social Welfare Ministry of Women & Child Development Umbrella ICDS

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

5. Beneficiaries of ICDS Programme Children 0-6 years Pregnant & Lactating women Women (15-45)

6. Services under ICDS Supplementary Nutrition Pre-school non-formal education Nutrition & health education Immunization Health check-up Referral services Six services

7. 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 Beneficiary Services P r egn a nt women Supplementary nutrition Immunization Health check up Nutrition and Health education Nursing mothers Supplementary nutrition Health check up Nutrition & health education Other women ( 15 - 45 yrs) Nutrition and health education

8. institution Rural/ Urban 1 AWC for 400- 800 population 2 AWC for 800- 1600 population 3 AWC for 1600- 2400 population Thereafter AWC in multiples of 800 Mini-AWC for 150- 400 population Tribal/ Hilly 1 AWC for 300- 800 population Mini-AWC for 150- 300 population Anganwadi on Demand (AOD) Where a settlement has at least 40 children under 6 years of age but no AWC

9. Delivery of Services: Supplementary nutrition : Target group Type of meal or food (revised) Financial n o r m s/d a y Children (6- 72 months) Take home ration* + 5 00 cal. and 12- 15g protein Rs . 6 .00 Severely malnourished Children (SAM) (6 months- 72 months) Take home ration* + 800 cal . and 20- 25g protein Rs . 9 .00 Pregnant women and lactating mothers Take home ration + 6 00 cal. and 18- 20 g protein Rs . 7 .00

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

11. Health Check up Expectant mothers- Antenatal care, Immunization, Iron & folic acid and protein supplementation Nursing mother and new born infants- Postnatal Care Children < 6 years of age- Immunization, record of wt., deworming High risk mothers are referred to appropriate institutions for special care Maintaining Health record

12. 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.

13. Schemes for adolescent girls 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 for Adolescent “SABLA” Adolescent girls 11-18years Improve nutrition and health status, Vocational training

14. Umbrella ICDS Anganwadi Services Scheme Pradhan Mantri Matru Vandana Yojana National Creche scheme POSHAN abhiyaan Scheme for adolescent girls Child Protection scheme

15. Pradhan Mantri Matru Vandana Yojana (PMMVY) Indira Gandhi Matritva Sahyog Yojana- started in 2010; 2017 Incentives-compensation for wage loss, better health seeking behaviour Installment Condition Amount 1 st Early registration Rs. 1000 2 nd At least one ANC (claim after 6 months of pregnancy) Rs. 2000 3 rd Child birth is registered Child received first cycle of immunization Rs. 2000

16. MoHFW Director/ State Coordinator District Chief Medical Officer Medical Officer ANM/ MPW ASHA MoWCD Director District Program Officer CDPO Anganwadi Worker Mukhya Sevika/ Supervisor ORGANIZATIONAL STRUCTURE

17. 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

18. honorarium From Block, WCD office Beneficiary Amount/ month AWW Rs. 4500 AWW (mini) Rs. 3500 AW helper Rs. 2250 EXPENSES For supplementary nutrition North-Eastern States between 90:10, other States/UTs 50:50 Cost sharing ratio for other components- 75:25 , 90:10 for NER