11

Meeting with State Secretaries

Review of Integrated Child Development Services

(ICDS) Scheme

28th October 2010

Ministry of Women and Child DevelopmentGovernment of India

2

PART - I

ICDS : Universalization

3

ICDS: Universalization

• Operationalization : – Delay in operationalization ( against 14.0 lakh, operational 12.14

lakh• Target date for operationalisation was September 2010.

• Firm date of operationalisation may be given & ensured !

– ‘Operationalisation’ per se

• States/UTs to ensure Adherence to the revised population norm in total- ground

verification

Certification that all habitations are covered

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: Operationalisation of ProjectsSl. No.

Month of report

State/UT ICDS Projects Commitment of State Govt. In Dec. 2009Sanctioned

as on 31.3.10Opera-tional*

Pending

(1) (2) (3) (4) (5) (6) (7)1 08/10 West Bengal 576 414 162 07/102 07/10 Kerala 258 163 95 03/103 07/10 Chhattisgarh 220 163 57 06/104 08/10 Delhi 95 55 40 12/095 08/10 Rajasthan 304 280 24 07/106 08/10 Orissa 338 326 12 03/107 08/10 Haryana 148 137 11 8 12/09 Lakshadweep 9 1 8 9 07/10 Uttrakhand 105 99 6 02/10

10 07/10 Punjab 154 148 6 03/1011 08/10 Arunachal Pradesh 98 93 5 12 09/10 Mizoram 27 23 4 13 03/10 Assam 231 228 3 02/1014 07/10 Andhra Pradesh 387 385 2 06/1015 06 /10 Himachal Pradesh 78 76 2 03/1016 08/10 Sikkim 13 11 2 03/1017 03/10 Bihar 545 544 1 05/10

5

ICDS: Operationalisation of AWCs/ mini-AWC

Sl. No. Month of report

State/UT No. of Anganwadis/ mini-AWCs

Commitment of State Govt. In Dec. 2009Sanctioned

as on 31.3.2010

Opera-tional*

Pending

(1) (2) (3) (4) (5) (6) (7)1 08/10 Uttar Pradesh 187517 151092 36425 04/102 07/10 Chhattisgarh 64390 36395 27995 06/103 05/10 Maharashtra 110486 95814 14672 03/104 08/10 Orissa 72873 58842 14031 03/105 07/10 Uttrakhand 23159 10792 12367 02/106 03/10 Bihar 91968 80211 11757 05/107 07/10 Andhra Pradesh 91307 80101 11206 06/108 08/10 Haryana 25699 17445 8254 9 06/10 Madhya Pradesh 90999 84440 6559 01/10

10 08/10 West Bengal 117170 110644 6526 07/1011 03/10 Assam 62153 55642 6511 02/1012 08/10 Rajasthan 61119 56466 4653 07/1013 08/10 Delhi 11150 6606 4544 12/0914 12/09 Jammu & Kashmir 28577 24989 3588 03/10

6

ICDS: Operationalisation of AWCs/ mini-AWC

Sl. No. Month of report

State/UT No. of Anganwadis/ mini-AWCs

Commitment of State Govt. In Dec. 2009Sanctioned

as on 31.3.2010

Opera-tional*

Pending

(1) (2) (3) (4) (5) (6) (7)15 09/10 Gujarat 50226 48329 1897 02/1016 12/09 Manipur 11510 9654 1856 01/1017 07/10 Kerala 33115 32232 883 03/1018 06 /10 Himachal Pradesh 18925 18297 628 03/1019 07/10 Karnataka 63377 63016 361 12/0920 08/10 Arunachal Pradesh 6225 6028 197 21 08/10 Sikkim 1233 1103 130 03/1022 08/10 Puducherry 788 688 100 12/0923 05/10 Chandigarh 500 420 80 01/1024 08/10 Goa 1262 1210 52 02/1025 09/10 A & N Islands 720 697 23 12/0926 12/09 Lakshadweep 107 87 20 27 09/10 Meghalaya 5115 5096 19 28 12/09 Daman & Diu 107 102 5

7

ICDS: Location of AWCs

• 10 States namely Andhra Pradesh, Arunachal Pradesh, Assam, Madhya Pradesh, Maharashtra, Orissa, Delhi, Punjab, Tripura and Uttar Pradesh have uploaded information onto their website. They may also ensure that cen per cent information of all AWCs are uploaded.

• Remaining 25 States/UTs may upload the information onto their website and inform the website address by 30th November positively.

8

ICDS : Services

States not conforming to the revised nutritional norms: deficiencies

• Andhra Pradesh (50 Kcal)

• Himachal Pradesh (80 Kcal)

• Punjab (200 Kcal; 6 gm Pr)

• Jammu (200 Kcal; 3 gm Pr)

• Puducherry (200 Kcal; 3 gm Pr)

• Jharkhand (50 Kcal)

• Orissa (100 Kcal)

• Karnataka (150 Kcal; 3 gm Pr)

• West Bengal (100 Kcal)

• Assam ( 500 Kcal; 12 gm Pr)

• A & N Islands (4 gm Pr)

• Uttar Pradesh (50 Kcal)

• Kerala (100 Kcal)

• Chandigarh (200 Kcal; 3 gm

Pr)

Source: MPR , FNB

Deficiencies:

Recent Disruption in SNP

• Assam : No food supplies since Nov 2009

• Punjab : Insufficient ingredients

• Uttar Pradesh : disruption in HCM; Reduced ingredients due to price rise leading to low nutritive values

• Manipur: No feeding provided in 3 centres out of 7 centres visited (June 2010)

• Bihar : Out of 11 units visited in May 2010 only one provided SNP. In the month of September 14 centres did not provide any SNP.

SNP : Not as ICDS norms

THR (Hot cooked meal): • Chandigarh• Haryana• Himachal Pradesh • A & N Islands• West Bengal• Puducherry

THR (Dry food grains):• Goa• Bihar [target 40 children

(6m-3yrs) for SN, 8 pregnant & 8 lactating women]

• Jharkhand

States not providing morning snacks :

• Puducherry• West Bengal• Bihar• A & N Islands• Chandigarh

12

ICDS : Services• Supplementary Nutrition Programme (SNP):

Micronutrient fortification : The supplementary food may be fortified with essential micronutrients (energy and protein excluded) with 50% of RDA level per beneficiary per day

RECOMMENDED DIETARY ALLOWANCES, NUTRIENT INTAKES AND GAPS

Age group 1-3 years Age Group 4-6 years Pregnant Women Lactating Mothers

RDA Intake Gap RDA Intake Gap RDA Intake Gap RDA Intake Gap

Energy(Kcal) 1240 687 553 1690 978 712 2175 1654 521 2425 1852 573Protein (g) 22 18.6 3.4 30 26.5 3.5 65 45 20 75 46.7 28.3Iron (mg) 12 4.3 7.7 18 6.8 11.2 38 12 26 30 11.8 18.2Vitamin A (mcg)

400 56 344 400 66 334 600 111 489 950 107 843

Calcium (mg) 400 161 239 400 66 334 1000 352 648 1000 320 680Thiamin (mg) 0.6 0.4 0.2 0.9 0.6 0.3 1.1 1.0 0.1 1.2 1.2 0Riboflavin (mg) 0.7 0.3 0.4 1.0 0.3 0.7 1.3 0.5 0.8 1.4 0.6 0.8

Niacin (mg) 8.0 4.7 3.3 11.0 7.4 3.6 14.0 12.4 1.6 16 14.4 1.6Vitamin C (mg) 30 9 21 40.0 15.0 25 40 26 14 80 28 52Free Folic Acid (mg)

30 18 12 40 26 14 400 48 352 150 53 97

13

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 • Regular lifting position to be provided; Previous quarter

lifting by 70% for future allocation

14

ICDS : Weighment & Growth monitoring

• 8th & 9th December, 2009 States given commitment to roll out the new WHO Growth Standards by June 2010.

• RFD target 5000 projects for the WHO Growth Standards and Joint MCP Cards: 1536 Projects achieved.

• Most of the states have indicated printing stage and committed to roll out by December 2010 in all projects and AWCs.

• Must be ensured ; failing which constrained not to release funds;

• fortnightly monitoring by secretaries and reporting.

15

ICDS : Vacancies of SupervisorsSl. No. State/UT SUPERVISORS % Vacant

Sanctioned by GOI

In-position Vacant

1Bihar 3513 241 3272 93.14%2Uttrakhand 755 291 464 61.46%3Puducherry 36 16 20 55.56%4Himachal Pradesh 814 377 437 53.69%5West Bengal 5059 2482 2577 50.94%6Jharkhand 1288 673 615 47.75%7Haryana 1136 605 531 46.74%8Assam 2394 1294 1100 45.95%9Chhattisgarh 2446 1333 1113 45.50%

10Chandigarh 20 11 9 45.00%11Orissa 2811 1578 1233 43.86%12Sikkim 55 32 23 41.82%13Uttar Pradesh 7222 4217 3005 41.61%14Daman & Diu 5 3 2 40.00%15Karnataka 2666 1621 1045 39.20%16Punjab 1152 710 442 38.37%17Jammu & Kashmir 1174 747 427 36.37%

16

ICDS : Vacancies of SupervisorsSl. No. State/UT SUPERVISORS % Vacant

Sanctioned by GOI

In-positionVacant

18Rajasthan 2497 1620 877 35.12%19Mizoram 102 69 33 32.35%20Manipur 391 274 117 29.92%21Tripura 405 287 118 29.14%22Kerala 1462 1046 416 28.45%23Madhya Pradesh 3229 3047 182 5.77%24Maharashtra 4227 3265 962 22.76%25Tamil Nadu 1807 1415 392 21.69%26Delhi 250 196 54 21.60%27Gujarat 2275 1811 464 20.40%28Goa 65 53 12 18.46%29Dadra & N Haveli 11 9 2 18.18%30Meghalaya 190 170 20 10.53%31A & N Islands 31 28 3 9.68%32Arunachal Pradesh 265 261 4 1.51%33Nagaland 146 145 1 0.68%

17

ICDS : Vacancies of AWWsSl. No. State/UT No. of AWWs

Sanctioned by GOI as on 31.3.2010

Sanctioned by State Govt. as on

31.3.2010

In-position Vacant w.r.t. sanction by

SG

1West Bengal 117170 110644 87268 23376

2Maharashtra 110486 95814 84287 11527

3Tamil Nadu 54439 54439 44887 9552

4Madhya Pradesh 90999 84440 75349 9091

5Andhra Pradesh 91307 80101 72215 7886

6Karnataka 63377 63016 56802 6214

7Gujarat 50226 48329 45290 3039

8Rajasthan 61119 56466 53548 2918

9Orissa 72873 58842 56052 2790

10Uttar Pradesh 187517 151092 148593 2499

11Manipur 11510 9654 7621 2033

12Uttrakhand 23159 10792 8872 1920

13Jharkhand 38186 38296 36740 1556

14Tripura 9906 9906 8634 1272

15Meghalaya 5115 5096 3875 1221

16Punjab 26656 26656 25935 721

17Chhattisgarh 64390 36395 35936 459

18Himachal Pradesh 18925 18297 18035 262

18

ICDS : Vacancies of HelpersSl. No.

State/UT ANGANWADI HELPERSSanctioned by GOI

as on 31.3.2010Sanctioned by State Govt. as on 31.3.2010

In-position Vacant w.r.t.

sanction by SG

1West Bengal 117170 117170 85000 321702Chhattisgarh 55709 55709 33520 221893Uttar Pradesh 165331 165331 146005 193264Maharashtra 97475 97475 80002 174735Uttrakhand 18039 18039 8475 95646Andhra Pradesh 80481 80481 71372 91097Tamil Nadu 49499 49499 40735 87648Haryana 25187 25187 17060 81279Orissa 62657 62657 54880 7777

10Bihar 86528 86528 80211 631711Madhya Pradesh 78929 78929 74275 465412Delhi 11150 11150 6606 454413Gujarat 48641 48641 44288 435314Karnataka 60046 60046 55809 4237

19

ICDS : Vacancies of Helpers (Contd..)Sl. No. State/UT ANGANWADI HELPERS

Sanctioned by GOI as on

31.3.2010

Sanctioned by State

Govt. as on 31.3.2010

In-position Vacant w.r.t.

sanction by SG

15 Rajasthan 54915 54915 51002 391316 Jammu & Kashmir 28577 28577 25185 339217 Assam 56728 56728 53506 322218 Manipur 9958 9958 7621 233719 Jharkhand 35635 35635 34003 163220 Tripura 9878 9878 8963 91521 Kerala 32986 32986 32212 77422 Punjab 25436 25436 24722 71423 Himachal Pradesh 18386 18386 18023 36324 Arunachal Pradesh 6225 6225 6028 19725 Sikkim 1233 1233 1086 14726 Puducherry 788 788 685 10327 Goa 1262 1262 1182 8028 Chandigarh 500 500 420 80

20

ICDS: Management Manpower

• Vacancies: – Large vacancies at all levels in almost all States – Timeliness to fill up vacancies at all levels

[10% deduction from grant if vacancies of Supervisors , AWW s & AWHs 40% or more; 20% deduction if 50+%? ]

• Promotion:– AWW to Supervisor– AWH to AWW

• Dedicated cadre

• Tenure stability

• Disengagement of ICDS functionaries from non- ICDS related activities [10% deduction from grant if? ]

21

ICDS: Management Issues

• Fund flow mechanism

• Timely payment of honoraria: mechanism to be put in place

• 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 say 1000 per anum / per benef.)

22

ICDS: Management IssuesPending Construction of AWCs building sanctioned for NE States since 2001-02 till 2006-07:

S.No Name of the States

AWCs sanctioned for Construction since 2001-02

AWCs actually Constructed

Construction AWCs yet to be completed

1 Assam 29748 18618 111302 Manipur 3524 1401 21233 Meghalaya 2985 704 22814 Nagaland 2173 1729 4445 Tripura 5139 4328 8116 Sikkim 717 451 266

•No fund for ICDS general would be provided unless UCs and progress report is given along with any undertaking by the Secretary

23

ICDS : Services• Pre-School Non-formal Education:

• Pre-School Education Kits: 10 States/UTS viz. Andhra Pradesh, Bihar, Haryana, J&K, Jharkhand, Kerala, Chandigarh, Lakshadweep, Puducherry and Mizoram have not made any procurement during 2008-09 and 2009-10 on the PSE kits

• Ensure availability of PSE kits

• Usage of Local materials & effective communication

• Methods used for joyful learning and improve Quality

• 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

24

ICDS : Services

• Health and Nutrition Education:• Joint home visits

• Training

• IEC and campaign – Observation

25

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

26

ICDS – Infrastructure

• Construction of AWCs Buildings

• Tap MPLADS, MLALADS, BRGF, RIDF, PRI, State Plan including ACA, MSDP, BADP, etc for AWCs buildings (13% of total constructed )

• Construct good model buildings with full amenities

• Provide adequate space, other facilities and equipments

• State/UTS were requested to submit Action plans for strengthening quality of infrastructure at AWCs by September 2010.

No State has sent so far.

27

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; circular trg. intrasector/ intra project and inter project

• Make STRAP a meaningful exercise . Send proposal for 2011-12 by January 2010.

• State level Task Force• Peer group

WBNP

• States/ UTs lifted below 50% allotment (2009 - 10): Uttarakhand, Manipur, Maharastra, J & K, DN & Haveli, Arunachal Pradesh

• For 2011-12, allocation of foodgrains to States/ Uts will be made who have lifted lifted 70%+ of the foodgrains allotted so far (including revalidated quantities)

28

Statement indicating on Requirement, Allocation & Lifting (in MTs)

Years Requirement Allocation Lifting

2008 – 09 1,018,084 729,100 666,968

2009 - 10 1,168,831 967,584 757,310

2010 - 11 16,13,044 10,50,734 (till 3rd quarter)

1,88,261 (till June 2010)

29

ICDS: Review and field visits

Review of ICDS Scheme and field visits to AWCs from time to time

•MOS (I/c), MWCD visited Guwahati (Assam), Jhabua (M.P.), Sikkim and Uttrakhand

•Secretary, MWCD visited to AWCs in Haryana, Uttrakhand, Punjab, Chandigarh & U.P. And reviewed implementation of ICDS

•Area Officers are also reviewing the implementation and visiting AWCs

30

ICDS: Review and field visits (Contd..)

Major issues emerges:

• Operationalisation of pending AWCs/ mini-AWCs;

• Filling up of vacant posts;• Compliance of GOI directions on

supplementary nutrition as per revised norms;• Need to devise a normative approach for

reporting attendance;• Maintenance of WHO Growth Chart and

training to AWWs• Convergence with line departments on drinking

water, sanitation etc.

31

ICDS: Monitoring

• State level consolidated MPR in Format I & II to be sent with regularity

• Officer i/c Monitoring must be held responsible: Late submission cause for withholding the salary of concerned monitoring officer

• Revised MIS being Field tested in 6 blocks in 6 states.

• Revised records & registers at AWCs and MPRs/ ASRs being implemented from 1.4.2011

• Web based MIS being developed by NIC on revised MIS..

32

ICDS: Monitoring contd…

• CMU, NIPCCD in operation since 2009-2010. Medical Colleges, Home Science Colleges and School of Social Science involved in monitoring and supervision of ICDS

• Proposal to revise monitoring committees at all levels

• Check list for field visit for monitoring and supervision finalised.

• Proposal to involve National Level Monitors (NLMs) rtd civvil servants and defence personnels.

Draft Findings Evaluation of ICDS by NCAER (2009)

Summary Findings

A. Coverage of target groups – Children• 49% of the size of the eligible group (vide

census) are actually registered for ICDS benefits.

• At the national level, of those recorded in the delivery register for ICDS benefits:– 64% received Supplementary Nutrition (may not be for all 300

days), immunization and other benefits, – 12% received other benefits but not supplementary nutrition and – 24% have not received any benefits;

The proportion receiving all ICDS benefits varies across States:

• High Performers: More than 70% of the children receiving supplementary nutrition out of the total children recorded in the delivery register (not necessarily as per norms) are:

Andhra Pradesh, Assam, Chhattisgarh, Gujarat, Himachal Pradesh, Jammu & Kashmir, Jharkhand, Karnataka, Kerala, Tamil Nadu, Uttarakhand and West Bengal.

• Low Performers: Bihar (53%), Haryana (52%), Rajasthan (56%) and Uttar Pradesh (41%), Punjab (59%).

Coverage - Continued

A. AWC Buildings: • Overall 42.5% of sampled AWCs have their own buildings, 17.4%

are in rented buildings, 17.3% are located in primary schools and other 22.9% are running from AWW/AWH house, panchayat and community buildings.

• More than 60% AWCs run from their own buildings in the states of Tamil Nadu (85.6%), Chhattisgarh (92.6%), Assam (69.6%), Maharashtra (68.5%), Karnataka (65.3%), Kerala (65%) and Gujarat (61.5%).

• Space for indoor activities was found to be adequate in most AWCs (71.8%). Almost all States had similar dimensions of the AWC buildings.

• Average room area: 315 sq ft (average length : 20 ft, breadth: 15 ft), lowest being reported in Himachal Pradesh and J&K (160 sq ft).

Infrastructure

B. Drinking Water facility at AWCs: Country-wide, a total of about 87% AWCs (58.8% with hand-pump, 28.4% with pipe water facility) were found to have drinking water supply.

C. Sanitation Facility at AWCs: About half the AWCs across the states had toilet facilities in the premises. However, most AWCs (about 80%) in Bihar, UP and Orissa were without toilets.

D. Equipments/Kits at AWCs: 69% of sampled AWCs having functional baby weighing scale; 49% of AWCs having utensils; 48% of AWCs having cooking vessels; only 44% of AWCs having PSE kits and 62% of AWCS having medicine kits.

E. Overall Infrastructure Index (20 major States):• Top 5 States: Tamil Nadu, Kerala, Maharashtra, Andhra Pradesh and

Gujarat are ranked as top five states • Bottom 5 States: Rajasthan, UP, Punjab, J & K, and Bihar

Infrastructure (Contd.)

Service Delivery • 82% of AWWs reported to have been involved in other

government schemes during the last year with an average no. of days spent as 14 with 6 hrs/day. (Table 6.12 pp-64)

• Only 41.2% AWCs reported to have updated child growth chart (Table 6.16)

• 93.6% of sampled AWWs reported to have been adequately trained to conduct PSE (Table 6.17)

• Average visits made to AWC in six months: By Supervisors - 5 visits; By CDPOs – 1 visit. Their main focus during the AWC visits has been record keeping (pp-76).

• About 40% of AWWs reported getting some help from Panchayat with about 36% in monitoring and 34% in providing infrastructure (pp-83)

• 31% AWWs reported getting help from Village leaders/Committee with 41% in monitoring and 26% in providing infrastructure (pp-84)

Service Delivery (Contd.)• About 70% of the community leaders felt that the ICDS

programme was very useful to the community (pp-102);

• 51.2% children (12-23 months) were found to be fully immunized (pp-121);

• 49% of children were observed to be able to write alphabets/ words;

• Only 24% women reported to have attended NHE meetings;

• Average attendance of no. of children 3-6 yrs based on three sudden visits by the Research Team was found to be 14 (pp-121);

Programme Outcomes

• Intended behavioral changes of varied intensity observed in Kerala, Himachal Pradesh, Andhra Pradesh, Tamil Nadu, Maharashtra, West Bengal and Jharkhand; Bihar, Uttar Pradesh, Rajasthan, Haryana and Punjab ranked very low in terms of intended behavioral changes among ICDS beneficiaries.

• In general, the practice of breast feeding within an hour of birth is found to be more widespread among ICDS beneficiaries;

• ICDS has positively influenced formal school enrolment and reduction in early discontinuation among beneficiaries;

• At the national level, ICDS programme has impacted the immunization coverage, specially measles vaccination (Table 8.9).

• There is no significant difference in the nutritional status among children 7-60 months between ICDS and non-ICDS populations (Table 9.2, pp-146)

41

Changes Required for Better Performance

• Universalization Vs resources

• Job security and compensation of AWW

• AWC infrastructure

• Convergence of complementary services

• Monitoring and verification of office records

• Revision of per capita norms in keeping with inflation

Ranking of States : Overall Performance in ICDS

• Based on seven indicators:– Ave. no. of days SNP received in last 3 months,

– % of children 12-23 months fully immunized,

– % of children who are able to write alphabets/words,

– % of women reporting NHE meetings,

– % of mothers reporting seeking help from AWW when their child gets sick,

– % mothers reporting received deforming tablets from AWC, and

– Ave. attendance of 3-6 year old (based on 3 visits by NCAER)

• Top Six States: Karnataka, Maharashtra, Andhra Pradesh, West Bengal, Jharkhand and Tamil Nadu

• Bottom Six States: Punjab, Uttarakhand, Rajasthan, UP, Assam and Bihar

43

Components of Facility Index (FI)

Components Max Average

AWCs housed in owned buildings (%) 92.6 (Chh) 43.8

AWCs with adequate space for cooking (%) 92.6 (TN) 59.9

AWCs with adequate space for storage (%) 91.8 (TN) 59.8

Mean area of room in AWC (Sq Ft) 404.0 (Rajasthan) 299.8

AWCs having toilet with flush system (%) 60 .0 (TN) 15.6

AWCs having drinking water facility within premises (%)

88.1 (MP) 62.7

AWWs attended training (%) 100.0 (AP, Har, Raj, Jha)

82.8

AWCs with functional weighing scale of children (%)

95.5 (TN) 73.7

AWCs having adequate toys (%) 89.9 (HP) 37.1

AWCs having adequate posters (%) 94.2 (Uttarakhand) 57.0

AWCs having adequate PSE kits (%) 90.1 (HP) 47.1

AWWs whose education above middle school (%) 98.1 (Uttaranchal) 80.8

44

Mean SD of the Indicators used for Composite PI

Indicators Max Average

Average number of days received food 21.0 (Haryana, Karnataka, Maharashtra, Orissa, TN, WB)

16.9

Percentage of children (12-23 months) fully immunized

86.7 (TN) 58.9

Percentage of Children able to Write alphabets/words among those attending PSE

82.3 (Assam) 53.2

Percentage of women reporting attended NHE meetings

72.1 (Kerala) 27.9

Percentage of mother reporting seeking help from AWW when their child gets sick

28.5 (Andhra Pradesh) 11.2

Percentage of mother reporting received deworming tablets from AWC

92.8 (Madhya Pradesh) 59.9

Average attendance (number of children aged 3-6 years) based on 3 sudden visits by NCAER

20 ( Madhya Pradesh, Maharashtra)

13.6

45

Theory of change issues in ICDS: Program Restructuring

Hierarchy Causal chain-ICDS Observations-generalImpact Reduced mortality,

Increased weight for age in children

Impact conditional on Effective Coverage, AWC performance, quality spending, convergence of services.

Outcome Awareness, Behavioural changes in: hygienic/dietary habits, health/education seeking behaviour

Influenced by infrastructure, human resources, convergence of interrelated services, quality delivery of services.

Output Effective coverage, Quality of delivery of SN, PSE/NHE

Influenced by quality of spending, infrastructure, human resources

Activities Surveys, Coverage, Organising delivery of food/ration, PSE/NHE, Immunization etc.

Affected by infrastructure, overburdened/underpaid AWC; Monitoring weak; more emphasis on Record-keeping, data unrepresentative.

Input AWC infrastructure, Funds, Materials, Human resources

AWC not equipped, AWW –vulnerable, not trained & motivated, inadequate & untimely input;

46

PART - II

ICDS : Restructuring

47

ICDS: Restructuring

• ICDS Restructuring details provided in the agenda for 16th /17 th June: States were requested to provide suggestions by August 2010:

– Implementation in flexible mode – different models and institutional arrangements for delivery of services

– States/ UTs had to submit successful models after stakeholders consultation at various levels & validation

– [still pending]

• State PIPs for ICDS from 2011-12 with accountability for administration/ delivery arrangements; nutrition and early learning outcome.

• State to confirm constitution of Nutrition Council and State Nutrition Action Plan.

Nutrition Challenges

48

• State Nutrition Council•Executive Committee•District Level Council

• State and Multisectorial Nutrition Action Plan

49

Mother & Child Protection Card

THANK YOU

50

ICDS – Infrastructure

S. No Indicator(s) NCAER CMUThree

Decades of ICDS

Average

1 Ownership of AWC Buildings - Own building/State Govt. 42.5 27 28.5 32.67

- Primary school building/ Provided by Community free of Rent 17.3 7.2 33.2 19.23

- Rented building 17.4 28.1 19.7 21.73- Others 22.9 36.9 15.9 25.23

2 Facilities & Infrastructure available at AWCs

- Kuccha Buildings 9.4 23.9 16.65- Semi-Pucca Buildings 20.8 20.80

- Pucca Buildings 69.2 75.4 72.30- Open Space 0.6 0.7 0.65

3 AWC's having Separate Space/ Adequate Space

- For Cooking 55.6 48.4 48 50.67- For Storage 57.5 44.5 50.3 50.77

51

ICDS – Infrastructure (contd..)

S. No Indicator(s) NCAER CMUThree

Decades of ICDS

Average

4 AWC's having Adequate Space - For Outdoor Activities 68 51.3 39.77

- For Indoor Activities 71.8 66.8 51.5 63.375 Available with Toilet Facility 38.5 47.9 41 42.476 AWC’s with Water Sources

- Tap/ Piped Water 28.4 37.4 44.1 36.63- Hand Pumps 58.8 42.2 43.3 48.10

- Others 12.9 20.4 3.2 12.177 Avalability of Utensils

- For Cooking 48.3 73.4 60.7 60.80- For Serving 49 75.6 61.8 62.13

8 Available of Weighing Scale - Weighing Scale available &

Functional 68.9 83.8 77.476.70