Transcript Uttarakhand - Department of Women and Child Development

State Annual Programme Implementation
Plan of ICDS
(APIP : 2012-13)
Department of Women Empowerment & Child Development,
Uttarakhand
16 July 2012
Situational Analysis
Situational Analysis
Indicators
Uttarakhand
Population in million
101.17 Lakh*
Children 0-6 years
13.29 Lakh*
*: 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
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
Status of Malnutrition
60%
53%
NFHS-2
50%
40%
NFHS-3
40%
36%
32%
30%
18%
20%
9%
10%
0%
Stunted (Low Height for
Age)
Wasted (Low Weight for Underweight (Low Weight
Height)
for Age)
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)
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
 Upgrading skill levels of Adolescent girls .
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

Addressing manpower shortage

Establishment
(NRCs)

Identification and tracking of malnourished children and
addressing under nutrition and mal nutrition issues

Imparting life skills & vocational trainings to out of
school girls

Ensuring 100% IFA compliance
of
Nutritional
Rehabilitation
Centres
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
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 & Counseling 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 focused
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
Important Activities
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
contd…
Important Activities
Sl.
Activity
10
Development of Software for Tracking of Malnourished
Children
11
Development of Software for Tracking
Beneficiaries
of IGMSY
12
Waiver of Swadhaar
Government
the
contribution
for
State
Annexure
Hot Cooked Food & THR
Recipes
THR RECIPIES THROUGH WFP
Category
Revised GoI
Norms
Fortified
Indiamix-75%
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