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State Annual Programme Implementation Plan of ICDS (APIP : 2012-13) Department of Women Empowerment & Child Development, Uttarakhand Situational Analysis Situational Analysis Indicators Uttarakhand Population in million 101.17 Lakh* Children 0-6 years 13.29 Lakh* Population Density 963* *: Census 2011 Provisional Data 980 Sex Ratio 962 963 960 936 940 920 1991 2001 2011* Situational Analysis Sex Ratio (0-6 Years) 910 908 905 900 895 2001 890 2011 886 885 880 875 Sex Ratio (0-6 Years) Situational Analysis Literacy Rate 100 80 84.01 79.6 88.3 72.3 70.7 60.3 60 40 20 0 Person Male 2001 Female 2011 Situational Analysis Status of Malnutrition 60 56 57 50 42 40 38 30 20 10 0 Infant Mortality Rate NHFS-2 (1998-99) Under 5 Mortality Rate NFHS-3 (2005-06) Situational Analysis Infant and Under-5 Mortality Rate 60 56 57 50 42 40 38 30 20 10 0 Infant Mortality Rate NHFS-2 (1998-99) Under 5 Mortality Rate NFHS-3 (2005-06) Situational Analysis Nutrition and Health Status of Women & Children in the State Indicators Uttarakhand India 359 UP/UK 212 MMR per 100000 live births (AHS 2011) 188 - IMR per 1000 live births (SRS 2011-December) 38 47 IMR per 1000 live births (AHS-2011) 43 - TFR (NFHS-3) 2.6 2.68 Children under 5 years Underweight (NFHS-3) 31.7% 42.2% Children under 3 years Breastfed within one hour of birth (DLHS-3) 63.4% 40.5% Children under 3 years Breastfed within one hour of birth (NFHS-3) 32.9% 23.6% Children under 5 months Exclusively Breastfed (DLHS-3) 52.6% 46.8 Children under 5 months Exclusively Breastfed (NFHS-3) 31.2% 46.3 MMR per 100000 live births (SRS 2011-June) Situational Analysis Nutrition and Health Status of Women & Children in the State Indicators Uttarakhand India Children (6-9 months) who received solid/ semisolid food and breast milk (DLHS-3) 63.8% 57.1% Children (6-9 months) who received solid/ semisolid food and breast milk (NFHS-3) 51.6% 55.8% Children 12-23 months Completely Immunized (DLHS-3) 62.9% 54% Children 12-23 months Completely Immunized (NFHS-3) 60% 43.5% Any Anemia among Children 6-35 months (NFHS-3) 69.2% 69.5% Anemia in 15-49 years women—ever married (NFHS-3) 54.9% 53.3% Situational Analysis Expanse of ICDS in the State ICDS Projects Rural + Tribal Urban 91+6 = 97 8 Total Sanctioned AWCs Sanctioned Mini AWCs 105 14947 5120 Operational Status of AWCs and Mini AWCs AWCs Mini AWCS Sanctioned Operational Operational (%) Sanctioned Operational Operational (%) 14947 13918 93.12% 5120 4059 79% Situational Analysis Ownership Status of AWC Buildings in the State Particular No. of Operational AWCs Departmental Building 1438 Other Govt. Buildings 7852 Rented Premises 6113 Others 2425 Infrastructure available at AWCs Particular No. of AWCs Having the Facility Potable Water Facility 5720 Medicine Kits 12926 PSE Kits 16183 Baby & Adult Weighing Scales 13294 Toilet 12807 CHALLENGES • Difficult geographical terrain • High mortality and morbidity rates • Low awareness among community regarding health and sanitation in the state. • Gender imbalance in society/community • Shortage of manpower • High drudgery of women Trends in Coverage of Beneficiaries Trends in Coverage of Beneficiaries CHILDREN Particulars Uttarakhand India Children aged 0 - 71 months who received any service 31.6% 32.9% Children under age six who received supplementary Nutrition 27.9% 26.3% Children under age six who received any Immunization 14.3% 20.0% Children aged 0-71 months who received health check up 10.0% 15.8% Children aged 36-71 months went for ECCE/PSE to an AWC 20.4% 22.8% Children who were weighed 12.5% 18.2% Source: NFHS-3 (2005-06) Trends in Coverage of Beneficiaries WOMEN Particulars Uttarakhand India Pregnant women who received SNP 18.9% 20.5% Pregnant women who received Health Check Up 4.4% 12.3% Pregnant women who received Nutrition Health Education 5.5% 10.9% Lactating women who received SNP 14.1% 16.5% Lactating women who received Health Check Up 4.6% 8.5% Lactating women who received Nutrition Health Education 4.8% 8.3% Source: NFHS-3 (2005-06) Trends in Coverage of Beneficiaries Year SNP Beneficiaries PSE Beneficiaries 2002-03 1.02 Lakh 0.82 Lakh 2003-04 1.47 Lakh 1.54 Lakh 2004-05 4.58 Lakh 1.79 Lakh 2005-06 4.68 Lakh 1.82 Lakh 2006-07 6.79 Lakh 2.01 Lakh 2007-08 2.99 Lakh 2.00 Lakh 2008-09 6.87 Lakh 2.59 Lakh 2009-10 1.89 Lakh 1.96 Lakh 2010-11 6.93 Lakh 2.17 Lakh 2011-12 7.91 Lakh 2.61 Lakh Source: Yearly MPR Data VISION Reducing prevalence of Malnutrition among Children, Adolescent Girls, and Pregnant & lactating Women Reducing the Prevalence of Anemia in Women and Children Reducing Infant Mortality Rate Reducing Maternal Mortality Rate Ensuring Complete Immunization of 100% Children Increasing the School Enrollment Rate of Children and Reducing the Drop-out Reducing Birth Rate Reducing the Gap in Sex Ratio STRATEGIES Opening of new ICDS Centers and mini-centers in remote and backward areas. Establishing effective convergence with Health Department Strengthening of Mothers Committees for effective service delivery at AWC level and also for demand generation Speeding up the process for filling up the manpower gaps Establishing effective convergence with School Education Department under ECCE . Implementing innovative activities for strengthening ICDS service delivery at grassroots level Strengthening of the training component by organizing need based trainings for grassroots functionaries FUTURE PLAN Establishing computerized MIS system up to Project level with GoI support Establishment (NRCs) Identification and tracking of malnourished children Imparting life skills & vocational trainings to out of school girls Adopting DOTS like strategy for ensuring 100% IFA compliance of Nutritional Rehabilitation Centres Other Activities being Implemented/Proposed in the State Sl. Activity 1 Nanda Devi Kanya Yojna 2 LPG Gas Scheme 3 CM Cycle Yojna for Girls 4 Hostel for Working Women 5 Tender for SNP and DFS Program Component-wise Financial Estimates (Regular Activities) Program Component-wise Financial Estimates (Rs. In Lakh) Sl. Programme Component Interventions/ Activities Financial Estimate ICDS Staff at State, District, Project and Sector Level and Honorarium to AWWs/AWHs/Mini AWWs 12713.29 1 Human Resources 2 Traveling Allowance, Transfer Traveling Allowance, Office Expenditure, Electricity Bills, Water Bills, Stationery, Furniture, Telephone, POL, Vehicle Rent, Administration Office/AWC Building Rent, Publications, Cost Advertisements, Flexi Funds, Guest Expenditure, Machine & Tools, Medical Reimbursement, Goods & Supply, Other Expenditure 893.31 Program Component-wise Financial Estimates (Rs. In Lakh) Sl. Programme Component Interventions/ Activities Financial Estimate PSE Kits, Medicine Kits, Weighing Scale, Sari for AWWs/AWHs, Utensils for main & Mini AWCs, Construction of AWCs, Vehicle Renting, Computers with Printers 6683.86 3 Procurement 4 Supplementary Children 0-6 yrs, Pregnant & Lactating Nutrition Women 5 IEC Activities Wall Writing, Pamphlets/Newspaper Advertisements, Leaflet/Booklet/Posters 15425.41 175.05 Program Component-wise Financial Estimates (Rs. In Lakh) Sl. Programme Component Interventions/ Activities Financial Estimate 6 Monitoring & Evaluation MIS & MPR 87.54 7 Training & Capacity Building Implementation of STRAP 248.46 TOTAL 36226.92 New Activities Proposed in the APIP New Activities Proposed in the APIP (Rs. In Lakh) Sl. Activity Amount 1 State-wide study to assess the status of malnutrition in children (0-6 years) 2 Establishing the State Nutrition Cell 8.90 3 Strengthening of State Women Mission (Library) 4.05 4 Study on assessing the learning of children who attend the PSE sessions at AWCs 9.00 5 Designing a specific course curriculum for the children attending PSE activities at AWCs 3.00 6 Evaluating the NHED activities for their Quality, Content, Convergence, and Coverage 9.00 7 Developing a Module on Good Parenting 1.00 100.00 New Activities Proposed in the APIP (Rs. In Lakh) Sl. Activity Amount 8 Capacity building of Anganwadi Workers on Effective NHED Delivery & Counselling Skills 25.00 9 Organize Maternal & Child Health (MCH) Camps at the Project-level 20.00 10 Organizing exhibition at various local fairs & festival and developing exhibition panels for the same 13.00 Hiring of creative agency for — Development of IEC material-Electronic & Print, like Press Advts., Booklets, Hoardings, etc. Designing and implementing focussed communication campaigns 15.00 11 New Activities Proposed in the APIP (Rs. In Lakh) Sl. Activity Amount 12 Evaluation of the implementation of six ICDS services at AWC level 12.00 13 Resource Mapping of ICDS Training Centers 5.00 14 Training Needs Assessment (TNA) 6.00 15 Training on PSE 25.00 16 Training of Mothers Committees 25.00 17 Training of Mothers Committee Members and PRIs 25.00 TOTAL 305.95 Total Financial Outlay Regular ICDS Activities Other/New Activities GRAND TOTAL 36226.92 305.95 36,532.87 Other Proposed Activities Other Proposed Activities (Proposed for Administrative Sanction) Sl. Activity 1 1 MLTC for the State. 2 MIS & IT Cell in Directorate 3 Nutrition Cell in Directorate 4 Data Entry Operators in every ICDS Project & District offices 5 Food and Nutrition Board unit in Uttarakhand 6 NRCs in all districts of the State 7 Third Party Monitoring of NHED, PSE and VHND 8 Quality Testing of DFS and SNP 9 Developing a MIS on lines of the HMIS used under NRHM Other Proposed Activities (Proposed for Administrative Sanction) Sl. Activity 10 Development of Software for Tracking of Malnourished Children 11 Development of Software for Tracking of IGMSY Beneficiaries Annexure Hoot Cooked Food & THR Recipes THR RECIPIES THROUGH WFP Category Revised GoI Norms Ration Rate (Fortified Indiamix75% Wheat & 25% Soyabean) Total Obtained Energy (K.Cal) Protein (Gm.) (Gm.) Energy (K.Cal) Protein (Gm.) 500 12-15 140 521 15.00 500 12-15 140 521 15.00 800 20-25 210 800 24.00 Adolescent Girls 600 18-20 175 637.50 20.00 Pregnant Women 600 18-20 175 637.50 20.00 Nursing Mothers 600 18-20 175 637.50 20.00 Children (6 months - 3 Years) Children (3-6 Years) Severely Malnourished Children THR Recipes Food Item Protein (Gms) Calorie (K.cal) Fortified Blended Energy Dense Food – I (for the children in the age group of 6 months 3 years) 12.80 455.00 Paushtik Fortified Blended Energy Dense Food –II (for Adolescent Girls and Pregnant & Lactating Women) 13.50 441.37 Paushtik Fortified Blended Energy Dense Food – III (for Adolescent Girls and Pregnant % Lactating Women) 14.11 445.94 For 3-6 years malnourished children Nutritional Norms: 800 kcal and Protein 20-25 gms Financial norms: Rs. 6/day/beneficiary Combination-A Sl. Items Energy Protein A Boiled Bengal gram+chana dal rice 815.00 28.45 B Boiled Bengal gram+ nutri nuggets rice 815.40 28.77 C Boiled Bengal gram+dalia 796.00 28.90 Combination-B Sl. Items Energy Protein A Roasted gram+ nutria nuggets rice 800.00 32.37 B Roasted gram + dalia 797.10 30.56 For 3-6 years malnourished children Nutritional Norms: 800 kcal and Protein 20-25 gms Financial norms: Rs. 6/day/beneficiary Combination-C Nutrition Items Snacks Roasted peanut + chana dal rice Dal rice Roasted peanuts + nutri nuggets rice Cooked food Roasted peanuts + dalia Energy Protein 819.50 28.27 801.90 28.59 807.50 27.85 Combination-D Sl. Items Energy Protein A Poha + chana dal rice 800.80 20.09 B Poha+ nutria nuggets rice 823.60 23.61 C Poha + khichri 809.50 23.84 D Poha + dalia 882.70 21.94 For 3-6 Years normal children Nutritional Norms: 500 kcal and Protein 12-15 gms Financial norms: Rs. 4/day/beneficiary Combination-A Sl. Items Energy Protein A Boiled Bengal gram + chana dal rice 513.40 17.86 B Boiled Bengal gram + nutria nuggets rice 509.20 17.08 C Boiled Bengal gram + khichri 508.60 18.60 D Boiled Bengal gram + dalia 502.00 18.04 Combination-B Sl. Items Energy Protein A Roasted gram + chana dal rice 511.65 16.59 B Roasted gram + nutria nuggets rice 501.10 19.55 C Roasted gram + kichri 505.80 17.43 D Roasted gram +dalia 506.50 20.69 For 3-6 Years normal children Nutritional Norms: 500 kcal and Protein 12-15 gms Financial norms: Rs. 4/day/beneficiary Combination-C Nutrition Items Energy Protein Snacks Roasted peanut + Chana dal rice 504.40 17.12 Roasted peanut + Nutri nuggets rice 500.20 16.34 Roasted peanut + khichri 499.60 16.92 Roasted peanut + Daliya 502.00 17.30 Dal rice Cooked food Combination-D Items Energy Protein Poha + Chana dal rice 547.70 13.28 Poha + Nutri nuggets rice 531.60 13.64 Poha + khichri 508.40 13.34 Poha + Daliya 616.00 15.13