progress report of Bankura ICDS, west Bengal

Preface

SSSSuccess is a continuous process of upliftment towards the desired goal and Integrated is an amazing approach to secure the nutritional status of our children, the future of our country.ICDS Scheme represents one of the world’s largest and most unique programme for early childhood development. ICDS is the foremost symbol of India’s commitment to her children challenge of providing prethe vicious cycle of malnutrition, morbidity, reduced learnincapacity and mortality, on the other. In Bankura, sanctioned and in true sense, Bankura has fulfilled all the objectives of ICDS Scheme to a greater degree of extent in comparison to the other district of West Bengal. In ththe analytical details along with the strategic implementation to develop AWCs better to serve the community.

uccess is a continuous process of upliftment towards the

desired goal and Integrated Child Development service (ICDsis an amazing approach to secure the nutritional status of our children, the future of our country. Launched on 2ICDS Scheme represents one of the world’s largest and most unique

for early childhood development. ICDS is the foremost symbol of India’s commitment to her children – India’s response to the challenge of providing pre-school education on one hand and breaking the vicious cycle of malnutrition, morbidity, reduced learnincapacity and mortality, on the other. In Bankura, sanctioned and in true sense, Bankura has fulfilled all the objectives of ICDS Scheme to a greater degree of extent in comparison to the

district of West Bengal. In this documentation wthe analytical details along with the strategic implementation to develop AWCs better to serve the community.

uccess is a continuous process of upliftment towards the

Development service (ICDs)scheme is an amazing approach to secure the nutritional status of our

Launched on 2nd October 1975, ICDS Scheme represents one of the world’s largest and most unique

for early childhood development. ICDS is the foremost India’s response to the

school education on one hand and breaking the vicious cycle of malnutrition, morbidity, reduced learning capacity and mortality, on the other. In Bankura, 5541 AWC are sanctioned and in true sense, Bankura has fulfilled all the objectives of ICDS Scheme to a greater degree of extent in comparison to the

is documentation we like to share the analytical details along with the strategic implementation to

Introduction

TTTThe Integrated Child Development Services (ICDS) Scheme was launched in 1975 with the following objectives: i. to improve the nutritional and health status of children in the age-group 0-6 years; ii. to lay the foundation for proper psychological, physicalsocial development of the child; iii. to reduce the incidence of mortality, morbidity, malnutrition and school dropout; iv. to achieve effective co-ordination of policy and implementation amongst the various departments to promote child development; andv. to enhance the capability of the mother to look after the normal health and nutritional needs of the child through proper nutrition and health education. In Bankura district, we have made it poshuddles in the road of our success. In January 2011, the weighing efficiency was %. In case of the reduction of malnourished children, Bankura shows als2011, the number of moderately malnourished children was 33.54 % where in March 2012; it becomes reduced to 26.44 %. The same picture is in case of severely malnourished children. In January 2011, the number of severechildren was 4.81 % where in March 2012; it becomes reduced to 3.54 %. All the indicators pointed out above reflect the success story of the progress of ICDS in Bankura District. Several factors are working behind the Bankura district. These are:-

1) Positive Attitude of the district Administration 2) Convergence of Different Programme effective for Different Focus Group like PD Programme, IGMSY, 1000 Days

etc 3) Emphasis on Quality of Food 4) Rigorous Home Visits by Responsible Authorities like CDPOs, Supervisors, PD Facilitators, G.P facilitators and

so on 5) Community Mobilization by NCCS6) Emphasis on NUtrimix Distribution to Severe Children7) Monthly Convergence Meeting on Regular Basis (F

Routinely 8) Formation of Model ICDS Center 9) NGO Involvement in ICDS through 1000 days programme

ntroduction

he Integrated Child Development Services (ICDS)

Scheme was launched in 1975 with the following objectives: to improve the nutritional and health status of children in

to lay the foundation for proper psychological, physical and

to reduce the incidence of mortality, morbidity,

ordination of policy and implementation amongst the various development; and

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

In Bankura district, we have made it possible to a greater extent in spite of all the odds that came as In January 2011, the weighing efficiency was 85.28% where in March 2012, it is 88.69

%. In case of the reduction of malnourished children, Bankura shows also a remarkable improvement. In January 2011, the number of moderately malnourished children was 33.54 % where in March 2012; it becomes reduced to 26.44 %. The same picture is in case of severely malnourished children. In January 2011, the number of severechildren was 4.81 % where in March 2012; it becomes reduced to 3.54 %. All the indicators pointed out above reflect the success story of the progress of ICDS in Bankura District. Several factors are working behind the

Positive Attitude of the district Administration toward the Development of ICDS Infrastructure Convergence of Different Programme effective for Different Focus Group like PD Programme, IGMSY, 1000 Days

Rigorous Home Visits by Responsible Authorities like CDPOs, Supervisors, PD Facilitators, G.P facilitators and

y NCCS Distribution to Severe Children

Monthly Convergence Meeting on Regular Basis (From G.P Level to District Level)

NGO Involvement in ICDS through 1000 days programme

ordination of policy and implementation amongst the various

to enhance the capability of the mother to look after the normal health and nutritional needs

sible to a greater extent in spite of all the odds that came as 85.28% where in March 2012, it is 88.69

o a remarkable improvement. In January 2011, the number of moderately malnourished children was 33.54 % where in March 2012; it becomes reduced to 26.44 %. The same picture is in case of severely malnourished children. In January 2011, the number of severely malnourished children was 4.81 % where in March 2012; it becomes reduced to 3.54 %. All the indicators pointed out above reflect the success story of the progress of ICDS in Bankura District. Several factors are working behind the Success of ICDS in

the Development of ICDS Infrastructure Convergence of Different Programme effective for Different Focus Group like PD Programme, IGMSY, 1000 Days

Rigorous Home Visits by Responsible Authorities like CDPOs, Supervisors, PD Facilitators, G.P facilitators and

rom G.P Level to District Level)to Analyze the Progress

Table of contentable of contentable of contentable of content

� COMPARATIVE ACCOUNTCOMPARATIVE ACCOUNTCOMPARATIVE ACCOUNTCOMPARATIVE ACCOUNT

� MODEL ICDSMODEL ICDSMODEL ICDSMODEL ICDS

� NRDMS & ICDSNRDMS & ICDSNRDMS & ICDSNRDMS & ICDS

� ICDS & SHG LINKAGEICDS & SHG LINKAGEICDS & SHG LINKAGEICDS & SHG LINKAGE

� CONVERGENCECONVERGENCECONVERGENCECONVERGENCE

� ICDS ICDS ICDS ICDS & PD& PD& PD& PD

� ICDS & IGMSYICDS & IGMSYICDS & IGMSYICDS & IGMSY

� 1000 DAYS & ICDS1000 DAYS & ICDS1000 DAYS & ICDS1000 DAYS & ICDS

� NUTRIMIX & ICDSNUTRIMIX & ICDSNUTRIMIX & ICDSNUTRIMIX & ICDS

able of contentable of contentable of contentable of content

COMPARATIVE ACCOUNTCOMPARATIVE ACCOUNTCOMPARATIVE ACCOUNTCOMPARATIVE ACCOUNT

NRDMS & ICDSNRDMS & ICDSNRDMS & ICDSNRDMS & ICDS

ICDS & SHG LINKAGEICDS & SHG LINKAGEICDS & SHG LINKAGEICDS & SHG LINKAGE

CONVERGENCECONVERGENCECONVERGENCECONVERGENCE

ICDS & IGMSYICDS & IGMSYICDS & IGMSYICDS & IGMSY

1000 DAYS & ICDS1000 DAYS & ICDS1000 DAYS & ICDS1000 DAYS & ICDS

NUTRIMIX & ICDSNUTRIMIX & ICDSNUTRIMIX & ICDSNUTRIMIX & ICDS

85.28%

88.69%

83%

84%

85%

86%

87%

88%

89%

Jan-11 March_2012

Weighing Efficiency

Weighing Efficiency

33.54%

26.44%

20%

25%

30%

35%

40%

Jan-11 March_2012

Moderate Children

Moderate

Children

4.81%

3.54%

0.00%

1.00%

2.00%

3.00%

4.00%

5.00%

6.00%

Jan-11 March_2012

Severe Children

Severe

Children

COMPARATIVE ACCOUNT OF NUTRITIONAL STATUS IN BANKURA

Jan-11 297390 253626 85.283971 153142 85071 12202 33.5419082 4.811021

Mar-12 299023 265204 88.690168 184368 70132 9412 26.4445483 3.548966

MONTHS SEVERE

% OF

MODERATE

CHILDREN

% OF

SEVERE

CHILDREN

TOTAL

CHILDREN

(0-5y)

TOTAL

WEIGHT

(0-5 y)

WEIGHING

EFFICIENCY

(%)

NORMAL MODERATE

Months Weighing

Efficiency

January

2011

85.28 %

March

2011

88.69 %

Modal ICDS is an unique concept that Bankura District Administration have

made in reality at Bisnupur Block. Through the Model ICDS, the ideal

environment for the Child development as well as community empowerment

are tried to set up. This may be an example. In this Model Center, the main

emphasis given on:-

� Well Developed Infrastructure with 13 (Thirteen) decimals of land

� Sanitation with water facility

� Own tube well for safe drinking

� Playing ground for the children

� Kitchen Garden within AWC campus

� Waste pit for garbage disposal

� Well planned drainage system to reduced the misuse of water

� Separate Kitchen

� Wall painting TLM for better rationalization for kids

� No drop out

� Practicing to maintain hygiene before and after food consumption

� SHG Linkage for the monitoring & facilitation Support

IN BANKURA, ALL THE DATA OF THE

INFRASTRUCTURE OF AWCS ARE UPLOADED

FOR INTERNET ACCESS THROUGH NRDMS.

RECENTLY PHOTO OF AWCS, THE PLACE OF

COOKING, FOOD STORAGE AND BENEFICIARY

ARE SUBMITTED IN NRDMS IN DISTRICT

ADMINISTRATIVE OFFICE. THIS LINKAGE

MAY FACILITATE ALL THE PEOPLE TO

ACCESS ALL THE DATA AND REAL

SITUATION OF OUR AWCS IN THE BANKURA

DISTRICT AND ALSO VISUALIZE THE

PROGRESS OF ICDS SERVICES SITTING AT

HOME.

NRDMS & ICDS

DIFFERENT SHG GROUPS LIKE SAYANSIDHYA,

SWANIRBHOR ETC ARE NOW LINKED TO THE AWC FOR

SUPERVISING LOCALLY AND FOR ACTIVE PARTICIPATION

IN DAILY ACTIVITIES IN THE ICDS CENTER LIKE HELPING TO

WEIGHING, WASHING HANDS TO THE CHILDREN,

ENCOURAGING MOTHER FOR COMPLETE AND TIMELY

IMMUNIZATION AND SO ON. THAT’S WHY COMMUNITY

PARTICIPATION IS GETTING INCREASED IN A NUMBER OF

ICDS CENTERS IN BANKURA DISTRICT. AS A RESULT WE

ARE GOING TO ACHIEVE SUSTAINABLE DEVELOPMENT IN

OUR DISTRICT.

ICDS & SHG LINKAGE

SHG Linkage at Bhurrudanga, Ranibandh

For the betterment of services in the ICDS Centers, monthly

convergence meeting of different level are organized such

as :-

� Sector Meeting with Panchayet & Health sansad wise

� AWW orientation on ICDS, PD, 1000 Days, IGMSY at G.P

– Level by Supervisors, PD Facilitators

� CHCMI and ICDS Supervisor Convergence in Block

month-wise

� Review meeting with CDPOs at District-Level month-

wise

� Review meeting with PD Facilitators at District-Level

month-wise

C

O

N

V

E

R

G

E

N

C

E Orientation meeting with CDPOs & PD

Facilitators on 1000 Days Orientation Meeting with CDPOs & Supervisors

Positive deviance (PD) is implemented using ICDS platform in bankura district from 2006. And, it brings a new wave in the community

participation and sustainable development. From july 2011, each and every

G.P in Bankura were come under this programme. PD ensures the behavior

change communication (bcc) practices with the community and PD focus on

existing resources that are available to everyone in the community, instead of

focusing needs requiring external aids. This ensures that sustainability of the

programme continues because it depends on resources already found within

the community. pd emphasizes on 0-3 years children because maximum brain

development occurs at this stage. After introducing PD programme, the

weighing efficiency increase, number of malnourished children decreases in

the district.

ICDS & PD

AWWs training on PD By PD

Facilitator to enrich the knowledge

on community empowerment

Visualization nutritional status

in Community meeting using

community growth chart

Social Map to indicate

resources and present

nutritional status

Conceptual Framework of Designing a PD Approach at

Bankura

Identification of Local Resources

� Village Health Committee

� Health Volunteers

� Formal and Non-formal Health Resources

Situational Analysis Of Malnutrition in Children

� Baseline Nutrition Survey

� Focus Group Discussions

� Setting-up Program Goals

Positive Deviance Inquiry

� Identification of Successful Feeding,

� Caring and Health Seeking Practices

Design Of A NCCS Based On PDI Findings

� NCCS Menu and Messages

� Positive Deviance Food Contribution

� NCCS Protocols

� Integration with Other Existing Programs

PD Components

Counseling Caretakers

GMP Program

Vital Events Monitoring

Community Management through NCCS

INDIRA GANDHI MATRITYA SURAKSHYA YOJONA

(IGMSY) IS CONDITIONAL BENEFITED SCHEME FOR

PREGNANT WOMEN. THIS SCHEME EMPOWERS ICDS IN

BANKURA DISTRICT FROM SEVERAL WAYS, SUCH THAT:-

� STRENGTHEN VHND ENSURING COMMUNITY

MOBILIZATION

� INCREASING TIMELY AND COMPLETE IMMUNIZATION

� EMPOWERING MOTHER’S MEETING BY COMMUNITY

PARTICIPATION

� COMMUNITY PARTICIPATION IN IYCF

� REDUCING THE PERCENTAGE OF WORKING WOMEN

DURING 2nd & 3rd TRIMESTER OF PREGNANCY

� EFFECT ON THE THOUGHT OF EARLY MARRIAGE

THAT’S WHY THE PRINCIPLE OBJECTIVES OF ICDS

PROGRAMME AT BANKURA ARE GOING TO FULFILL TO

GREATER EXTENT.

ICDS & IGMSY

‘1000 days approach’ renews focus on ‘10 Essential Interventions’ for Children in

the First Two Years of Life

1. Early initiation of breastfeeding within

one hour of birth

2. Exclusive breastfeeding during the

first six months of life

3. Timely introduction of complementary

foods after six months

4. Age-appropriate, energy and nutrient

dense complementary foods for children 6

24 months of age with conti

breastfeeding

5. Full immunization and bi-annual vitamin

A supplementation (0-35 months) with de

6. Safe handling of complementary foods and hygienic complementary feeding practices

7. Household using adequately iodized salt (> 15 ppm)

8. Frequent feeding and breastfeeding during and after illness, including oral rehydration

therapy and zinc supplementation for children with diarrhea;

9. Improved food and nutrient intake for adolescent girls, particularly to prevent anemia;

and

10. Access to care of severely acute malnourished children.

1000 DAYS & ICDS

renews focus on ‘10 Essential Interventions’ for Children in

Early initiation of breastfeeding within

Exclusive breastfeeding during the

Timely introduction of complementary

appropriate, energy and nutrient-

dense complementary foods for children 6-

24 months of age with continued

annual vitamin

35 months) with de-worming

Safe handling of complementary foods and hygienic complementary feeding practices

Household using adequately iodized salt (> 15 ppm)

uent feeding and breastfeeding during and after illness, including oral rehydration

therapy and zinc supplementation for children with diarrhea;

Improved food and nutrient intake for adolescent girls, particularly to prevent anemia;

care of severely acute malnourished children.

1000 DAYS & ICDS

Training on 1000 Days

renews focus on ‘10 Essential Interventions’ for Children in

Safe handling of complementary foods and hygienic complementary feeding practices

uent feeding and breastfeeding during and after illness, including oral rehydration

Improved food and nutrient intake for adolescent girls, particularly to prevent anemia;

1000 DAYS & ICDS

Training on 1000 Days

The major areas that 1000 Days helps to

leadership, resources, capacity and emergency response systems.

Existing service delivery mechanisms of Health, ICDS & PRI need to be

strengthened in developing strategies for strengthening results based

interventions with synergy among multiple imple

stakeholders.

Orientation on 1000 Days Orientation

The major areas that 1000 Days helps to strengthen,


xisting service delivery mechanisms of Health, ICDS & PRI need to be


interventions with synergy among multiple imple

Orientation on 1000 Days Orientation with CDPOs & PD Facilitators & NGO Partners

strengthen, are


xisting service delivery mechanisms of Health, ICDS & PRI need to be


interventions with synergy among multiple implementation

& NGO Partners

In Bankura District, special food package for the

malnourished children are going to distribute to

enhance the overall nutritional status of the district. In

Bankura I and Hirbandh block, nutrimix

distributed. Block and

empathetically involve on this project. CHCMI groups,

PD Facilitators, GP Facilitators on 1000 Days programme

are engaged to supervise. S

panchayet are also involved.

NUTRIMIX & ICDS




Bankura I and Hirbandh block, nutrimix are already

distributed. Block and District Administration



are engaged to supervise. SHGs in the different

panchayet are also involved.

NUTRIMIX & ICDS

DISTRIBUTION OF

NUTRIMIX IN

BANKURA I BLOCK




are already

dministration



in the different

NUTRIMIX & ICDS

DISTRIBUTION OF

NUTRIMIX IN

BANKURA I BLOCK

Documents

progress report of Bankura ICDS, west Bengal