Transcript Nutrition as a national development agenda

Conference of
State Ministers and
Secretaries
16 June 2010
Integrated Child Development Services
(ICDS) Scheme
Ministry of Women and Child Development
Government of In11dia
1
PART - I
ICDS : Universalization
2
ICDS: Universalization
• Operationalization:
– Reach all habitations (14 Lakh AWCs) including SC/ST / minority
habitations & the unreached through Anganwadi –on-Demand (AoD).
– Manage the Spread and Outreach with Quality and Innovations:
dispersed population, nomads, difficult areas, slums – mobile AWC ?
– Status as on 31 May 2010
Sanctioned
Operationalised
Goal
Projects
7012
6542
7076
AWCs/ Mini
AWCs
13.67 Lakh
11.62 Lakh
14.00 lakh
– Completed: - Nagaland, Mizoram, DN & Haveli
– Defaulted:- Remaining States/ UTs
3
ICDS: Universalization
• Operationalization :
– Delay in sanction (UP, Haryana and others?)
– Delay in operationalization
– ‘Operationalisation’ per se
• States/UTs to ensure
 Adherence to the revised population norm in total
 Certification that all habitations are covered
 GIS mapping of AWCs to satisfy and micro plan for any gaps
 Upload a list of AWC locations on web sites of States/ UTs
 Full coverage of urban slums/ areas with local innovations
 Address issues of social exclusion
 Optimise coverage of all eligible beneficiaries
4
ICDS : Services
• Supplementary Nutrition Programme (SNP):
• Adoption
of norms
• Revised calorific and cost norms
• Morning snack & hot cooked meal for children 3-6 years
• THR for children below 3 yrs and P&L mothers
• Optimization of coverage: 729 lakh children receiving SN as
against 1195 lakh child (6 – 72 months) population as per AW
survey register
• Quality
• Age appropriate and palatable
• Local nutritious and varied recipes
• Micronutrients
5
ICDS : Services
• Supplementary Nutrition Programme (SNP):
• Management
• Supply chain
- commodity management
- uninterrupted distribution at AWC
• Regularity and timelines
• Adopt normative approach and reduce wastage
• WBNP:
•
States/ UTs to give basis and details of requirements of food grains
urgently
• Rationale for not availing food grains
• Capacity Building & Social Mobilization
• Supervision and monitoring
• Mothers’ group and community monitoring
6
ICDS : Services
• Pre-School Non-formal Education:
• Ensure availability of PSE kits
• Usage of Local materials & effective communication
• Methods used for joyful learning
• Optimize coverage of children (3-6 years) for PSE
• Ensure PSE activities on regular basis at all AWCs
• Assess and ensure school readiness (Section 11 of RTE) &
Leverage resources for strengthening ECE
• Linkage and leverage with RTE
• Use of ICT
7
ICDS : Services
• Weighing & Growth monitoring
• Arrangement for procurement of weighing scales
• Roll out of WHO Growth standards
• Adoption of joint mother and child protection card
• Health and Nutrition Education:
• Joint home visits
• Training
• IEC and campaign
8
ICDS : Services
• Coordination & Convergence:
• Health:
•
•
•
•
- Effective arrangement for health related services at AWCs
Immunization
Supply of IFA tablets and Vitamin “A”
Health check ups and referrals
Management of severally undernourished
- Reflect ICDS related services separately and categorically in
NRHM PIPs at all levels
- Holding of VHND
- Institutional arrangements for effective engagement of health
sector
• DDWS:
- Provision of safe drinking water
-Provision of child friendly toilet
- Awareness on sanitation and safe drinking water
9
ICDS – Infrastructure
• Construction of AWCs Buildings
• 80% AWCs Pucca buildings – 28% own building, 19% schools, 12%
in community building
• Tap MPLADS, MLALADS, BRGF, RIDF, PRI, State Plan including
ACA, MSDP, BADP, etc for AWCs buildings
• Construct good model buildings with full amenities
• Provide adequate space, other facilities and equipments
• State to submit Action plans for strengthening quality of infrastructure
at AWCs by September 2010
10
ICDS: Management
Manpower
• Vacancies:
– Large vacancies at all levels in all States
– Timeliness to fill up vacancies at all levels
• Promotion:
– AWW to Supervisor
– AWH to AWW
• Dedicated cadre
• Tenure stability
• Disengagement of ICDS functionaries from non- ICDS
related activities
11
ICDS: Management Issues
• Fund flow mechanism
• Timely payment of honoraria
• Motivation
– Additional honoraria by state
– Insurance coverage of LIC & other benefits
– Proposed Rastriya Swasthya Bima Yojana (possible sharing
75:25)
– Proposed pension scheme (Quantum of State share)
12
ICDS: Management Issues
• Community Participation
• Replication of Best practices
• Effective monitoring
• Training:
• Cross sectoral, horizontal and vertical integration of training
both in content and participation
• Make STRAP a meaningful exercise
13
ICDS: Universalization
• Improving Delivery, Visibility & Accountability:
– Operationalization
– Supplementary Nutrition
– Pre-School Education
– Growth Monitoring
– Monitoring & Supervision
– Convergence
– Community Awareness, Decentralization (PRI) & Participation
14
PART - II
ICDS : Restructuring
15
ICDS: Restructuring
• ICDS Restructuring – redesigning ICDS objectives, services and
outcomes
• Implementation in flexible mode – different models and institutional
arrangements for delivery of services
– States/ UTs to submit successful models by August 2010 after
stakeholders consultation at various levels & validation
• Key focus
– Reduction in undernutrition; children < 3 and maternal child nutrition
– Early Childhood Care and Education
• Strengthening AWC platform as a comprehensive village care centre
for young children, mothers & adolescent girls
• State /District PIPs with accountability for nutrition and early learning
outcome
• Discussions and Suggestions
16
THANK YOU
17
18
Ownership of the building Anganwadi housed in
45.0
42.5
40.0
36.9
33.2
35.0
Percent
30.0
27
28.5
28.1
25.0
22.9
19.7
20.0
17.4
17.3
15.9
15.0
10.0
7.2
5.0
0.0
Own building/State
Govt.
Primary school
building/Provided by
community free of rent
NCAER
(2010)
CMU
(2010)
Rented building
Three Decades of ICDS 2005
Others
19
20
AWCs having Adequate Space
80
71.8
70
68
66.8
60
51.5
51.3
Percent
50
40
30
20
10
0
For Outdoor activities
NCAER
(2010)
For Indoor activities
CMU
(2010)
Three Decades of ICDS 2005
21
Available with Toilet Facility
Three Decades of ICDS
2005
41
CMU (2010)
NCAER
47.9
(2010)
38.5
0
10
20
30
Percent
40
50
60
22
23
24
25
26
Mother & Child Protection Card
27
WBNP
• States/ UTs not taking food grains:
Assam, WB, Bihar, Delhi, Sikkim, Meghalaya, Puducherry, Chandigarh,
Lakshadweep, Daman & Diu
•Wheat @ Rs4.15 per Kg; Rice @Rs5.65 per Kg. Whereas
market rate – Wheat: Rs 12 – 15; Rice: Rs 15 – 20
• Rs 4 for SNP will fetch all most a Kg of wheat and about 800 gms of
rice; whereas at market rate it fetches about 250 – 300 gms of wheat
and rice.
•States/ UTs furnished information regarding the basis of
requirement of food grains: AP, TN, UP found OK, Goa, Haryana,
Kerala, Orissa & Tripura found to be sketchy
• Others have not submitted – to expedite.
• Allocation may not be made if no information
• Total requirement in MT per annum = (SNP grains (in gms) X No of
beneficiaries X 300 days)/ 10 lakh
• The quantum of food grains would vary on the composition and component of
28
food grains
WBNP
• Statement indicating on Requirement, Allocation &
Lifting (in MTs)
Years
Requirement Allocation Lifting
2007 – 08
867,056
544,000
538,821
2008 – 09
1,018,084
729,100
666,968
2009 - 10
1,168,831
967,584
757,310
• States/ UTs lifted below 50% allotment (2009-10):
Uttarakhand, Manipur, Maharastra, J & K, DN & Haveli, Arunachal
Pradesh
29