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INTEGRATED CHILD DEVELOPMENT SERVICES SCHEME

INTEGRATED CHILD DEVELOPMENT SERVICES SCHEME

 

     Introduction:

Keeping in view the vision that future of India is the future of the children, the Department is laying greater emphasis and making, well deserved concrete efforts in the implementation of all existing Government policies and programmes for the welfare and development of children which is an investment in itself, for their overall socio economic growth.
The Integrated Child Development Services Scheme was started in Karnataka on 2nd October 1975 with a pilot project at T.Narasipura in Mysore District with just 100 Anganwadi Centres. Since then, the programme has expanded to all the revenue taluks in the state. The welfare of pregnant women, nursing mothers, adolescent girls and children below 6 years has acquired a prime place in the programme.

 

Objectives
  • To improve the nutritional & health status of children (0-6 years).

  • To lay the foundation for proper physical, psychological and emotional development of the child.

  • To reduce incidence of mortality, morbidity, malnutrition and school drop-out.

  • To achieve effective coordination of policy and implementation among various departments to promote child development.

  • To enhance the capability of the mother to look after the normal health and nutritional needs of the child, through proper health and nutrition education.

ICDS Services

  

Services

Target Group

Provided in AWC through

Supplementary Nutrition

Children below 6 years; pregnant and lactating mothers, Adolescent girls

Anganwadi Workers (AWW) & Helpers

Immunization

Children below 6 years; pregnant women

ANM

Health Check-up

Children below 6 years; pregnant and lactating mothers

Doctors/ ANM/ AWW

Referral

Children below 6 years; pregnant and lactating mothers, adolescent girls

Doctors/ANM/ AWW

Pre-School Education

Children 3-6 years

AWW

Nutrition and
Health Education

Women (15-45 yrs), adolescent girls

AWW/ANM/LHV

Under the ICDS mission, the services have been restructured as follows: ICDS Services

Early Childhood Care Education & Development (ECCED)

Early Childhood Care and Education (ECCE)/ Pre-school Non - formal Education

0-3 years Parents/ Caregivers

Supplementary Nutrition

6m-3ys; 3-6yrs; P & L Mothers

Care and Nutrition Counseling

Infant & Young Child Feeding (IYCF) Promotion & Counseling

P & L mothers, mothers of Children under 3 yrs.

Care, Nutrition, Health & Hygiene Education

Maternal Care and Counseling

P & L Women

Community based care and Management of underweight children

Moderately and severely under-weight children & their mothers/ caregiver

Health Services

Immunization and micronutrient supplementation

0-3 years; 3-6 years ; P&L Mothers

Health Check Up

Referral Services

Community Mobilization, Awareness, Advocacy & IEC

IEC, Campaigns and Drives etc.

Families & Community

 

 

     At present 62580 AWCs and 3331 mini anganwadi centers are functioning in 204 ICDS projects in the State, covering all the 175 taluks (181 rural projects & 12 tribal & 11 urban projects). During 2017-18, 56.50 lakh beneficiaries availed benefits under the scheme.


a. Anganwadi Workers/Helpers uniform : As per GOI letter No.11-36/2016 CD-1 dated:23-11-2017 Anganwadi Workers/Helpers should be provided with 2 sarees each year worth Rs.800.
b. Pre-School Kit : Under ICDS administrative cost each AWC and Mini AWC is provided Rs 5000/- towards purchase of pre-school kit. To provide uniformity and to maintain quality of the pre-school kit in AWCs, a state level committee was formed with specialists in the field of education and also ICDS functionaries at various levels, and a Model Pre-school Kit was developed.
c. Medicine Kit : Under ICDS Administrative cost, medicine kits to 62580 anganwadi centres and 3331 mini anganwadi centres @ Rs. 1500/- for each Anganwadi Centre and Rs. 750/- for each mini anganwadi centre.

                                                                         

  Supplementary Nutrition Programme:

      GOI is reimbursing 50% of the expenditure incurred by the state government for SNP. Supplementary nutrition is provided to the beneficiaries under the ICDS programme with revised feeding norms of 500 calories of energy and 12-15 gms of protein to 0-6 years children, 600 calories of energy and 18-20 gms of protein to pregnant women/lactating mothers/adolescents girls, 800 calories of energy and 20-25 gms of protein to severely malnourished children as a supplement to their normal intake, as envisaged in the schematic guidelines. Supplementary nutrition is given for 300 days in a year.
As per GOI letter No.11-36/2016 CD-1 dated:23-11-2017 the unit cost has been revised to Rs. 8.00 per beneficiary per day for normal children and Rs. 9.50 per beneficiary per day for pregnant/nursing mothers/adolescent girls and Rs. 12.00 to severely malnourished children, after receiving administrative approval from government revised unit cost will be implemented.
In the State, 137 Mahila Supplementary Nutrition Production & Training Center’s (MSPTC) are promoted by DWCD for manufacture and supply of SNP food items to ICDS beneficiaries. Each MSPTC consists of women members ranging from 22-32 from the most vulnerable sections of the society such as widows, destitutes, physically challenged, mothers of the beneficiary children, poorest of the poor and the members of the Stree-shakti groups etc. The MSPTC functions at taluk level to facilitate easy distribution of SNP food items at AWCs.
The menu is selected by the committee constituted under the chairmanship of Deputy Commissioner of the district. The common menu provided at AWC is as follows:

  • 6 months – 3 yrs – Nutrimix, wheat rava, rice, greengram rice kichadi,ragi Payasa

  • 3-6 yrs - Chitranna, rava ladu, rice kichadi, sprouted greengram, rice sambar, chikki

  • Adolescent girls – Multigrain atta, chitranna, wheat, greengram & jaggery

  • Under Ksheera Bhagya scheme 6 months – 6 yrs children are provided 150 ml milk for 5 days a week (15 grams milk powder and 10 grams sugar)

  • 6 m – 3 yrs severely malnourished children are provided egg for 3 days, 3 – 6 yrs severely malnourished children are provided egg for 5 days and children who do not consume egg are provided 6 days milk.

  • 6 m – 3 yrs moderately malnourished children of 5 backward districts viz., Bidar, Kalburgi, Raichur, Koppal and Yadgir are provided egg for 3 days, 3 – 6 yrs children are provided egg for 5 days, children who do not consume egg are provided 6 days milk.

  • 3-6 yrs all children are provided egg for 2 days.

SRUSTI-Providing Egg

To improve the Nutritional status among children Dept is providing egg which is extremely nutritious, an excellent source of protein and provide essential nutrient. One large (53g) Grade A egg contains 6g of protein and only 70 calories. considers 2 eggs one serving from the Meat and Alternatives food group. which plays a unique role in stimulating muscle protein synthesis. Egg has high quality protein which helps built antibodies and repair muscles.

Eggs are provided to children under ICDS,

  • 2 Days egg to All Anganwadi Children of the State

  • 5 days egg to Severely Underweight children

  • 5 days egg to moderately underweight children from 5 backward Districts. (Raichur, Bider, Gulbarga, Koppal, Yadgeri).

Expected outcomes:

  • Optimal increase in weight of children

  • Reduction of Under weight

  • Reduction of wasting in children and Increase in enrolment of children

 

Ksheera Bhagya (Milk)

 

Milk is one of the most nutritious drinks. Not only is it rich in high-quality protein, it is also an excellent source of vitamins and minerals, such as calcium, vitamin B12, and riboflavin.

  • Ksheera Bhagya to benefit over 1 crore children across state from AWC and School

  • Children from 6 months to 6 years of age are provided whole milk for 5 days a week at AWC and School going children get milk at school At AWC children get

  • Normal Children- 150ml

  • Moderately underweight- 200ml

Mathrupoorna - One Full Meal Scheme (Maternal Nutrition)

 

Background


     Integrated Child Development Scheme (ICDS) is one of the major national flagship programme that is being implemented in the State for the past three decades. Under the Supplementary Nutritious Program, Pregnant and lactating women are provided with nutritious food which provide about 600 calories per day for six days a week. Despite the SNP program the improvement in the Maternal and Child Health indicators of Karnataka has been slow compared to the rest of the south Indian States.
Honorable Chief Minister during Independence Day speech addressed about providing nutritious food to pregnant and lactating women. In this scenario, to achieve the goals of DWCD, it was decided to take up focused interventions. One such intervention is to provide one complete Meal to Pregnant and Lactating mothers along with IFA Supplementation, Calcium and deworming followed by counseling.

  • To improve the nutrient intake of pregnant women through spot feeding by providing One Full Meal in order to reduce the incidence of low birth babies and undernutrition among women & children.

  • Enhance the quality and acceptability of supplementary nutrition by the Pregnant and Lactating women

  • Bridge the gap between the Recommended Dietary Allowance (RDA) and the Average Daily Intake (ADI) of pregnant and lactating women

  • Ensure early registration of pregnancy & improve the enrolment of mothers at Anganwadi Centers (AWCs).

  • Ensure Pregnant and Lactating women consume 100+ IFA tablets, Calcium tablets, deworming in 2nd trimester and receive health check-ups and immunization.

  • Reduce prevalence of anaemia among pregnant women

  • Reduce the incidence of IMR, MMR, low birth babies and malnutrition

Mathrupoorna (One Full Meal programme) is providing hot cooked meal to pregnant women and breastfeeding mothers through the existing system of Anganwadi Centers. On pilot basis the scheme is implemented from February 2017 in four most backward/Backward talukas of Karnataka (Raichur-manvi, Mysore-H.D.Kote, Bagalkote-Jamakhandi, Tumkur-Madhugeri) covering around 36313 pregnant and lactating women. This was first piloted in 4 above 4 blocks of Karnataka and extended to all 30 districts fron October 2017.

The one full meal consists of Rice, Dal with leafy Vegetables/sambar, vegetables for a minimum of 25 days, boiled Egg and 200ml. milk for 25 days in a month and chikke. The one full meal will meet 40-45% (RDA: 1342 Calories, 41gms Protein, 578mg Calcium)of the daily calorie, protein and calcium requirement per day of the pregnant and lactating mothers. Along with the meal, Iron Folic Acid (IFA) tablet will be administered & gestational weight monitoring will be ensured for pregnant women.
Based upon the previous experience in pilot blocks and positive response from the beneficiaries and visible results in some of the short term indicators, Govt. of Karnataka has scale up mathrupoorna scheme to all the Districts of Karnataka from 2nd October benefiting around 12 lakh pregnant and lactating women covering 65911 AWC.

Food Menu and Nutritional value

Sl. No.

Item

Nutritive Value

Energy (kcal)

Protein (g)

Calcium (mg)

1 Rice 517.56 10.2 15
2 Dal (Toor Dal) 104.4 7.25 22.50
3 Oil 144 0 0
4 Milk 273 10.03 490
5 Egg 100.92 7.76 35
6 Vegetables 52.5 1.8 16.06
7 Peanut Chikki 150 4 -
  1342.38 41.04 578.56

Key features that makes Mathrupoorna Unique

  • Flexibility in Menu; without altering the Nutrition values, which could be decided by District committee chaired by Deputy Commissioner.

  • Pregnant women are allowed to take the carriers with the help of family members during 9th month of Pregnancy (1 month ) and 45 days after delivery

  • Ensuring health services to pregnant & lactating women: IFA consumption, Calcium consumption and deworming pregnant women in 2nd trimester.

  • Flexibility in Menu; without altering the Nutrition values, which could be decided by District committee chaired by Deputy Commissioner.

  • Pregnant women are allowed to take the carriers with the help of family members during 9th month of Pregnancy (1 month ) and 45 days after delivery

  • Capacity building of Health Dept and ICDs staff on Maternal Nutrition, which involved trainings at state level, district level and at sector level. Satellite trainings were also conducted covering whole state.

  • For effective implementation and monitoring, Dept. is carrying Evaluation studies with support of Unicef and development partners. Ethnographic study, Process documentation, Cohort tracking and regular monitoring visit by state and district staff are conducted.

Expected outputs (Short term indicators)

  • Protein energy supplementation for 21 days a month

  • At least 100 IFA consumption during pregnancy

  • At least 7-8 kgs weight gain during pregnancy

  • Percentage women dewormed

Impact indicators

  • Reduction in Under nutrition among pregnant women

  • Reduction in prevalence of anaemia

  • Reduction in IMR and MMR

Expected outcomes (Long term indicators)

  • Percentage child born with weight < 2.5 kg

  • Percentage pregnant women availing 3 ANC

  • Percentage pregnant women registered for ANC and MathruPoorna in 1st trimester

  • Percentage Pregnant women with increased Hb count

  • Percentage Pregnant women counselled on MIYCN

  • Percentage Children with early initiation of Breast feeding

  • Initiation of Complementary feeding on completion of 6 months

ICDS Training Programme

  • Training is an integral part of the scheme for all levels of ICDS functionaries.

  • The CDPOs /ACDPOs are trained job training course for 32 days after appointment and 7 days refresher course once in two years at NIPCCD, Southern Regional Centre, Bangalore.

  • Supervisors are given job training and refresher training at the Middle Level Training Centres located at Ujire, Dakshina Kannada district.

  • The anganwadi workers are given 32 days job training after their initial recruitment and refresher course training is given once in 2 years, through 21 Anganawadi Workers Training Centres located in the State.

  • The anganwadi helpers are also given 8 days orientation training and 5 days refresher course training in these centres.

Construction of Anganwadi Buildings

A good building is the basic infrastructure to be provided for the smooth functioning of the anganwadi centre under ICDS, especially for indoor activities for anganwadi children and sufficient space for outdoor activities.
Out of 63030 Anganwadi centres and 3331 Mini AWCs functioning in the State, 41508 anganwadi centres have their own buildings, 1527 AWC function in Panchyat buildings, 3537 AWC function in community halls, 152 AWC function in Yuvak mandals & 94 in Mahila mandals, 4266 AWC function in schools, and 11956 AWC run in rented buildings and 2765 AWC run through other alternative arrangements.
Based on the availability of funds and land, the AW buildings are constructed with assistance from SDP, NREGA and other schemes .

 

Balasnehi

In its efforts to provide quality services in Anganwadi Centers, the Department of Women & Child Development, Karnataka, has taken an innovative initiative in the name of Balasnehi. Under the Balasnehi several interesting, joyful, colorful and content related visuals are created in the Anganwadi campus. The beauty of Balasnehi is that children learn without being taught and they do so joyfully. Balasnehi, is now consider a crucial component in efforts to make the Anganwadi a happy and joyful place for children.
Government of Karnataka, Dept. of women and child development, has develop 10000 Balasnehi anganwadi centers across Karnataka in 2016-17 with the intention of innovatively treating the space and the built elements to make the existing Anganwadi centers architecture more resourceful with higher educational value in a child friendly manner.
In 2017-18 proposed 5000 Balasnehi AWC to focus on strengthining Pre-school education and attracting children to anganwadi centers.

 Welfare measures for AWWs and AWHs:

  • Increase in honorarium of AWW from 6000 to 8000 and AWH from 3000 to 4000 respectively.

  • The Honorarium hike is seen as a move to bolster services by giving anganwadi workers honorarium that given them dignity and motivate them to cater to the development needs of children in the 0-6 years age group and lactating mothers.

  • 15 days summer holiday given during May every year.

  • Death relief fund of Rs.50,000 and medical reimbursement of Rs.50,000/- is given to anganwadi workers and helpers respectively.

  • 20 days casual leave per annum.

  • If anganwadi workers/helpers die while in service, or are suffering from severe ailments, their families are given some compensation and financial relief. A sum of Rs.20,000/- is sanctioned to the legal heir of the deceased anganwadi worker and Rs. 10,000/- is sanctioned to the legal heir of the deceased Anganwadi Helper as death relief fund. From September 2014 the death relief amount has been increased to Rs.50000/- for both AWW and AWH. AWWs/Helpers who have completed a minimum of one year of service are eligible for financial assistance under the scheme.

  • New Pension Scheme (NPS) Lite, A contributory pension scheme. In the scheme anganwadi workers and Helpers will contribute Rs.150/- and Rs.84/- as monthly contribution respectively and State government will contribute the same amount.

 

Meeting medical expenses for severely mal-nourished children:

Under this scheme Rs.2000/- is given to each severely malnourished child for meeting medical expenses and for therapeutic food as per doctor’s prescription so as to improve the child’s health and bring it to normalcy.

 

Scheme for Adolescent Girls (SAG)

Adolescence is a significant period for mental, emotional and physiological development of children. A need has emerged to formulate a new comprehensive scheme with richer content merging the erstwhile two schemes – Kishori Shakthi Yojana (KSY) and Nutrition Programme for Adolescent Girls(NPAG). This scheme called Rajiv Gandhi Scheme for Empowerment of Adolescent Girls (RGSEAG) SABLA, has been implemented in 9 districts (Kalburgi, Kolar, Bangalore®, Bellary, Vijapura, Dharwad, Chickmaglur, Uttar Kannada, Kodagu) of the state.
During 2017-18 the scheme has been revamped as Scheme for Adolescent Girls-SAG and it has extended to 11 more districts (Bagalkote, Bidar, Belgavi, Yadgir, Gadag, Chickballapur, Raichur, Shimoga, Haveri, Davangere and Koppal).
Supplementary Nutrition (SNP) and Non- Nutrition component services are provided to kishoris. GOI has directed to provide nutrition to 11-14 yrs out of school adolescent girls through ICDS network.
Under non-nutrition component, adolescent girls are provided with services like training on life skills, Nutrition & Health Education (NHEd), knowledge about family planning, child care practices, home management, reproductive & sexual health, vocational skill training.

 

Pradhana Mantri Matru Vandan Yojana -PMMVY

   2010-11 a new scheme called Indira Gandhi Matritva Sahayog Yojana (IGMSY) is being implemented on a pilot basis in 2 districts of the state , viz Dharwad and Kolar. Pregnant and nursing mothers are given nutrition and health education, health tips and IYCF guidance. AWCs are used as the main platform for implementation of the scheme in the piloted ICDS projects.
During 2017-18 the scheme has been extended to all districts of the state and renamed as Pradhana Mantri Matru Vandan Yojana. The scheme is a centrally sponsored with 60:40 assistance from GOI/GOK. The scheme would contribute to better environment by providing cash incentives for improved health and nutrition to pregnant and 0-6 months lactating mothers, thus enable them for breast feeding within one hour of delivery and exclusive breast feeding for six months along with other IYCF practices. Pregnant women would receive Rs. 1,000/- within 6 months of pregnancy, Rs. 2,000/- after six months of child birth and Rs.2,000/- after the child receiving first round of immunisation. An amount of Rs. 5,000/- is paid in 3 instalments through Direct Benefit Transfer to the beneficary account.The above beneficiaries are also eligible for financial assistance under Janani Suraksha Yojana (NRHM).

National Creche Scheme

  • National Creche Scheme is implemented in the state as a Centrl Secotro Scheme(CSF) where MWCD will provide 90% of the required funds for all components as per the norms of the scheme and the balance 10% is provided by the NGO's. This revised scheme aims to make a significant impact on the Early Care Services for children up to 6 years of age.

  • A Creche is a facility which enables parents to leave their children while they are at work and where chsildren are provided stimulating envirnonment for their holistic development.

Objectives

  • To provide day-care facilities for childlren (6 months to 6 years) of working mothers in the community.

  • To improve nutrition and health status of children.

  • To promote physical, congnitive, social and emotional development of children.

  • To educate and empower parents/caregivers for better child.

Services
The scheme will provide an integrated package of the following services.
  • Daycare facilities including Sleeping Facilities.

  • Early stimuation for children below 3 years and Pre-School Education for 3 to 6 years old children.

  • Supplimentary nutrition to be locally sourced.

  • Growth Monitoring.

  • Health Check-up and immunization.

 

Last Updated: 03-09-2022 04:47 PM Updated By: Admin



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