Transcript IMPACT OF BAL SANJEEVANI ON MALNUTRITION LEVELS

Management Information System
on
Integrated Child Development Services
(ICDS) Scheme
April 24, 2006
MONITORING
Previous Monitoring System (since inception)
Anganwadi (Village) Level
 Six records/ registers prescribed at the AWCs viz.
i) AW Survey Register;
ii) Immunization Register
iii) Services for P&LM;
iv) Services for Children;
v) AW Food Stock register (separate register for
food and other items)
vi) Diary-cum-visit book
 Growth chart and Health Cards (child card, pre-natal
card, referral slip)
 MPR/ APR of the AWW
 MPR/ APR of the AWW revised on 1983
 AWW’s Monthly Monitoring Report (MMR) on Health
Inputs for monitoring health aspects through Central
Technical Committee, AIIMS
MONITORING
Previous Monitoring System (since inception)
contd…
Block/ Sector/ District Level
 CDPO’s MPR
 CDPO’s APR
 CDPO’s Distribution point Stock Register
and Monthly Report
 M.O.’s MPR on Sectoral monitoring and
Continuing Education
 M.O. I/C PHC MMR
 District Adviser’s MMR
 Chief District Adviser’s Monthly Review
Report
MONITORING
Existing Monitoring System
DWCD had revised the reporting system under ICDS on
30.4.1990 (F.No. 1-4/90-ME dt. 30.4.1990). There was no
change in the AW registers, M.O., M.O. IC/ PHC MMR,
District Adviser MMR and Chief Adviser’s review report.
The prescribed reporting formats vis-à-vis previous
reporting formats are as under :





AWW’s MPR/ HPR in place of AWW’s MPR/ APR
CDPO’s MPR/ HPR in place of AWW’s MPR/ APR
Check-list of Supervisors’s Visit (new)
QPR for Special Nutrition Programme (new)
QPR on Training of ICDS Functionaries (new)
MONITORING
Existing Monitoring System
Anganwadi (Village) Level
 Six records/ registers prescribed at the AWCs viz.
i) AW survey register;
ii) Services for children;
iii) Services for P&LM;
iv) Immunization register;
v) Stock register (separate register for food and
other items)
vi) Diary-cum-visit book
 Growth chart for each child (0-6 years) was
prescribed at AWC to take stock of the nutritional
status of children ina particular AWC in a given
month (F.No. 1-12/ 93-CD-I dt. 4.10.1993)
MONITORING contd….
Existing Monitoring System
Anganwadi (Village) Level

AWW’s Monthly Progress Report (MPR)/ Half Yearly Progress Reports
(HPRs) have been prescribed – following details are captured :
 Population as per AW Survey registers
 Reported births and deaths of children (< 6 years) and death of
women during pregnancy/ delivery
 Beneficiaries of supplementary nutrition
 Nutritional Status of children (0-6 years)
 No. of children receiving pre-school education
 Information on Nutrition and Health Education
 Home visits by AWWs, Supervisors and CDPOs/ ACDPOs
 No. of AWCs visited by CDPO/ ACDPO/ Supervisors
 Joint visits of AWCs by CDPO/ ACDPO with MO and Supervisors
with ANMs/ LHVs
 No. of AWCs where Mahila Mandal constituted
 Health check-ups by ANM/ LHV/ MO
 No. of children referred to PHC/ CHC/ Sub-centre
 Immunization Status of Children and Pregnant women
 No. of SC/ ST beneficiaries of supplementary nutrition

AWW sends these MPR/ HPR to CDPO
MONITORING contd…
Existing Monitoring System
Project/ Block Level
 CDPO’s MPR/ HPR have been prescribed. These
MPRs/ HPRs captures all the information in MPR/ HPR
of AWW.
 In addition, CDPO’s MPR captures information on :
i) Sanctioned, in-position and vacancy position of
ICDS functionaries;
ii) Various problems faced in implementation of
an ICDS Project; and
iii) Project level supplies
 CDPO sends these MPR/ HPR to State Directorate of
ICDS directly where District Programme Office’s do
not exist. In other projects, MPR/ HPR are routed
through District Programme Officer. These MPR/ HPR
are also received by GOI directly from CDPOs.
MONITORING contd…
Existing Monitoring System
State Level
 State level block-wise consolidated MPR in Format-I &
II have been introduced (Vide Order F.No. 16-1/96-ME
dt. 13.4.1999). All States have been requested to send
block-wise consolidated MPR by 17th day of the
following month
 States have also been requested to issue necessary
instructions to CDPO’s not to send the MPR/ HPR
directly to GOI (vide F.No. 16.1.2004-ME dt.02.11.2004)
MONITORING contd…
Existing Monitoring System
Central level
 Following data is collected on monthly basis :
 sanction and operationalisation of ICDS Projects/
AWCs
 Sanctioned and in-position ICDS functionaries
 details of population covered under ICDS
 beneficiaries of supplementary nutrition
 beneficiaries of pre-school education and
 nutritional status of children
 Supply of pre-school & medicine kits

Health Component
By Ministry of Health & Family Welfare – Anganwadi
specific data, however, is not available
MONITORING contd…
Existing Monitoring System
Central level
 Monitoring of Social Component of ICDS –
NIPCCD (discontinued)
 Monitoring of health component - Central
Technical Committee (CTC) (discontinued)
MONITORING contd….
Proposed Monitoring System

From 2005-06, thrust of the GOI has shifted
from outlays to outcomes. The following
indicators have been identified for monitoring :
 No. of Operational
Projects
 No. of operational AWCs
 No. of beneficiaries of supplementary nutrition
 No. of functionaries trained (job/ refresher
training)
 No. of children (3-6 years) receiving pre-school
education
 Nutritional Status of Children

Joint Monitoring of ICDS & RCH
Programme at Central/ State/ District and
Blocks level

Revision of MIS formats

Revival of monitoring of social component
through NIPCCD
MONITORING (contd ….)
Proposed Monitoring System
Three Tiered monitoring
• Community based monitoring by involving select
Institutions like mother’s committees, Mahila Mandal,
Health & Sanitation Committee of Village Panchayat
etc.
• Continuous monitoring through MIS
• Monitoring & Supervision
Missions/ external agencies
through
Supervision
MONITORING (contd ….)
Proposed MIS Formats

A Sub Group under the Chairmanship of Joint
Secretary (CD) have been constituted on 15.9.2004 to
propose the revise formats and place the same for the
Core Group.

Two meeting of Sub Group were held on 30.9.20041.10.2004 and 28.4.2005.

The proposed MIS formats based on the sub-group
meetings was put on web page of the department and
all the States were requested to send comments by
8.3.2005.

Three States i.e. Govt. of NCT of Delhi, Orissa and
Uttaranchal have sent the comments
MONITORING (contd ….)
Proposed MIS Formats
 Department has constituted a Core Group under the
Charipersonship of Secretary (WCD) on 13.9.2004. The
members of the Core Group are TA (FNB), Secretary of
Orissa, Tamil Nadu, U.P., Rajasthan and Uttaranchal
(F.No. 4-2/ 2004-ME dt. 13.9.2004)
 The proposed MIS formats were placed before the Core
group 10.8.2005. Based on the suggestions/ comments,
the proposed MIS formats were again circulated to all
State Secretaries on 23.9.2005 with a request to send
comments by 15.10.2005.
 Ten States, H.P., Chandigarh, Haryana, Chhattisgarh,
Orissa, Karnataka, U.P., T.N., West Bengal and M.P.,
have sent their comments/ suggestions so far
 Based on the comments/ suggestions of the States,
Proposed MIS Formats have been revised again
MONITORING (contd ….)
Difference between existing and proposed MIS Formats
The proposed MIS capture information on :
 Gender-wise, SC/ ST-wise number of beneficiaries for
supplementary nutrition
 No. of children exclusively breast-fed vs. no. of
children completed six months during the reporting
month
 No. of children (0-3 years) received due dosage of
immuniation vs. no. of children (0-3 years) requiring
immunization (absolute no. of doses given to target
group under immunization have been removed from
the existing AWW’s MPR/ CDPO’s MPR)
 Major reasons for infant deaths, childhood deaths and
maternal deaths on annual basis
 Availability of Medicine/ Pre-school kits at AWCs
 Infrastructure facilities at the AWC
MONITORING (contd ….)
Difference between existing and proposed MIS Formats
The proposed MIS do not consists the obsolete items like
information on use of colored strip at the AWC for
nutritional status of children etc.
Position of UNICEF supplies (as UNICEF supplies has
been limited to few items now)
Proposed Monitoring
System
Continued….