1. Introduction with historical perspective 2. Objectives 3. Strategies for implementation 4. Plan of action ( actual implementation

with the various components) 5. Infrastructure and administration set up

to run the programme. 6. Source of funding ( optional ) 7. Evaluation – built in indicators (

qualitative and quantitative ) { most often objectives are also the indicators }

08-07-2011 KIRAN CHANDRAN - 7th sem 1

BACKGROUND

Launched: 2nd October 1975.

Under aegis of Ministry of social and Women’s welfare.

In pursuance of National Policy for children.

To provide pre school education and break cycle of malnutrition, morbidity, mortality and school drop outs.

08-07-2011 KIRAN CHANDRAN - 7th sem 2

OBJECTIVES :

1. To improve nutritional and health status of children in the age group 0-6 years.

2. To lay foundation for proper psychological, physical and social development of the child.

3. To reduce incidence of mortality, morbidity, malnutrition and school dropouts.

4. To achieve effective co-ordination of policy and implementation among the various departments to promote child development.

5. To enhance capability of mothers to look after normal health and nutritional needs of children through nutrition and health education.

08-07-2011 KIRAN CHANDRAN - 7th sem 3

STRATEGIES FOR IMPLEMENTATION The objectives were sought to be achieved with the help of an integrated package of services like: 1) Supplementary nutrition. 2) Immunization. 3) Health check-up. 4) Referral services. 5) Pre-school non formal education. 6) Nutritional and health education.

08-07-2011 KIRAN CHANDRAN - 7th sem 4

SERVICES TARGET GROUP SERVICES PROVIDED BY

SUPPLEMENTARY NUTRITION

- Children < 6 years. - Pregnant and lactating mothers. ( PLM )

Anganwadi Worker and Anganwadi Helper.

IMMUNIZATION - Children < 6 years. - PLM.

ANM / MO

HEALTH CHECK-UP - Children < 6 years. - PLM.

ANM/ MO/ AWW

REFERRAL SERVICES - Children < 6 years. - PLM.

AWW / ANM / MO

PRESCHOOL EDUCATION - Children 3-6 years AWW

NUTRITION AND HEALTH EDUCATION

- Women ( 15-45 years ) AWW / ANM / MO

08-07-2011 KIRAN CHANDRAN - 7th sem 5

SUPPLEMENTARY NUTRITION

This includes –

Supplementary feeding and Growth monitoring.

Prophylaxis against Vit A deficiency.

Control of Nutritional Anaemia.

08-07-2011 KIRAN CHANDRAN - 7th sem 6

Target group identified from community.

They are provided supplementary feeding support for 300 days in a year.

Weight for age growth cards are maintained for all children < 6 years.

Severely malnourished children are given special supplementary feeding and referred to medical services.

08-07-2011 KIRAN CHANDRAN - 7th sem 7

SUPPLEMENTARY NUTRITION – Norms :

CATEGORY PER BENEFICIARY/DAY

CHILDREN ( 6-72 months ) 500 Kcal & 12-15 g protein.

SEVERELY MALNOURISHED CHILDREN ( 6-72 months)

900 Kcal & 20-25 g protein.

PREGNANT WOMEN & NURSING MOTHERS

600 Kcal & 18-20 g protein.

08-07-2011 KIRAN CHANDRAN - 7th sem 8

IMMUNIZATION

Pregnant women and children are immunized as per the National Immunization Scheme.

Immunization of children against 6 vaccine preventable diseases is being done.

For expectant mother’s, immunization against Tetanus is recommended.

08-07-2011 KIRAN CHANDRAN - 7th sem 9

HEALTH CHECK-UPS

This includes –

Antenatal care of expectant mothers.

Post natal care of nursing mother and care of newborn infants.

Care of children under age of 6 years.

08-07-2011 KIRAN CHANDRAN - 7th sem 10

Various health services provided for children by AW and PHC staff –

1. Recording of weight and height of children at periodic

intervals. 2. Watch over mile-stones. 3. Immunization. 4. General check up every 3-6 months to detect disease,

malnutrition, etc. 5. Treat diarrhoea, dysentery, RTI, etc. 6. De-worming. 7. Distribution of simple medicines. 8. Prophylaxis against Vit A deficiency and anaemia. 9. Refer serious cases to hospital.

08-07-2011 KIRAN CHANDRAN - 7th sem 11

NON FORMAL PRE-SCHOOL EDUCATION Considered to be backbone of ICDS programme. AWC- a village courtyard- is the main platform for

delivering these services. Set up in every village in our country- total number of AWC

would go up to almost 1.4 million. The early learning component of ICDS – a significant input

for lifelong learning and development. Contributes to universalization of primary education by- o providing child necessary input for primary schooling & o Offering substitute care to younger siblings, thus feeding

older one- especially girls- to attend school.

08-07-2011 KIRAN CHANDRAN - 7th sem 12

NUTRITION AND HEALTH EDUCATION

Key element of work of AW.

Forms part of BCC ( Behaviour Change Communication) strategy.

This has long term goal of capacity building:

Given to all women in age group 15-45 years, giving priority to nursing and expectorant mothers.

Improves ability of women to take care of the health and nutritional needs of themselves and their families.

08-07-2011 KIRAN CHANDRAN - 7th sem 13

INFRASTRUCTURE AND ADMINISTRATION

ICDS team comprises of :

Anganwadi worker.

Anganwadi Helpers.

Supervisors.

Child Development Project Officers ( CDPO’s).

District Programme Officers ( DPO ).

08-07-2011 KIRAN CHANDRAN - 7th sem 14

ANGANWADI WORKER

A lady selected from local community.

An agent of social change, mobilizing community support for better care of young children, girls and women.

She liases with medical officers, ANM and ASHA (Accredited Social Health Activist), thus achieving convergence of different services.

08-07-2011 KIRAN CHANDRAN - 7th sem 15

FUNDING

A centrally-sponsored scheme implemented through State Government/ UT administration.

Prior to 2005-06, 100% financial assistance for inputs other than supplementary nutrition by the centre.

50% of expenditure by states on supplementary nutrition. Govt of India partners with following International

Agencies to supplement intervention under ICDS. - UNICEF (UN International Children emergency Fund) - CARE (Co-operation for Assistance and Relief everywhere) - WFP (World Food Programme)

08-07-2011 KIRAN CHANDRAN - 7th sem 16

MONITORING FOR EVALUATION

Indicators for evaluation : a. Supplementary nutrition: no. of beneficiaries (

children 6 months- 6 years and Pregnant and lactating mothers) for Supplementary nutrition.

b. Pre-school education: no. of beneficiaries ( children 3-6 years) attending Pre-school education.

c. Immunization Health check-ups and Referral services: health indicators relating to immunization, health check-up and referral services under the scheme.

08-07-2011 KIRAN CHANDRAN - 7th sem 17