State Annual Programme Implementation Plan of ICDS (APIP : 2012-13) Department of Women Empowerment...

State Annual Programme Implementation Plan of ICDS (APIP : 2012-13)

Department of Women Empowerment & Child Development,

Uttarakhand

16 July 2012

Situational Analysis


Indicators UttarakhandPopulation in million 101.17 Lakh*

Children 0-6 years 13.29 Lakh**: Census 2011 Provisional Data

Sex Ratio

936

962 963

920

940

960

980

1991

2001

2011*

Situational AnalysisSex Ratio (0-6 Years)

908

886

875

880

885

890

895

900

905

910

Sex Ratio (0-6 Years)

2001 2011


72.3

84.01

60.3

79.688.3

70.7

0

20

40

60

80

100

Person Male Female

2001 2011

Literacy Rate

Situational AnalysisInfant and Under-5 Mortality Rate


Status of Malnutrition

Situational AnalysisNutrition and Health Status of Women & Children in the State

Indicators Uttarakhand India

MMR per 100000 live births (SRS 2011-June) 359

UP/UK212

MMR per 100000 live births (AHS 2011) 188 -

IMR per 1000 live births (SRS 2011-December) 38 47

IMR per 1000 live births (AHS-2011) 43 -

TFR (NFHS-3) 2.6 2.68

Children under 5 years Underweight (NFHS-3) 31.7% 42.2%

Children under 3 years Breastfed within one hour of birth (DLHS-3)

63.4% 40.5%

Children under 3 years Breastfed within one hour of birth (NFHS-3)

32.9% 23.6%

Children under 5 months Exclusively Breastfed (DLHS-3)

52.6% 46.8

Children under 5 months Exclusively Breastfed (NFHS-3)

31.2% 46.3

Situational AnalysisNutrition and Health Status of Women & Children in the State

Indicators Uttarakhand India

Children (6-9 months) who received solid/ semi-solid food and breast milk (DLHS-3)

63.8% 57.1%

Children (6-9 months) who received solid/ semi-solid food and breast milk (NFHS-3)

51.6% 55.8%

Children 12-23 months Completely Immunized (DLHS-3)

62.9% 54%

Children 12-23 months Completely Immunized (NFHS-3)

60% 43.5%

Any Anemia among Children 6-35 months (NFHS-3) 69.2% 69.5%

Anemia in 15-49 years women—ever married (NFHS-3)

54.9% 53.3%

Situational AnalysisExpanse of ICDS in the State

ICDS ProjectsSanctioned

AWCsSanctioned Mini AWCsRural + Tribal Urban Total

91+6 = 97 8 105 14947 5120

Operational Status of AWCs and Mini AWCs

AWCs Mini AWCS

Sanc-tioned

Opera-tional

Operational (%)

Sanc-tioned

Opera-tional

Operational (%)

14947 13918 93.12% 5120 4059 79%

Situational AnalysisOwnership Status of AWC Buildings in the State

Particular No. of Operational AWCs

Departmental Building 1438

Other Govt. Buildings 7852

Rented Premises 6113

Others 2425

Infrastructure available at AWCs

Particular No. of AWCs Having the Facility

Potable Water Facility 5720

Medicine Kits 12926

PSE Kits 16183

Baby & Adult Weighing Scales 13294

Toilet 12807

CHALLENGES

• Difficult geographical terrain

• High mortality and morbidity rates

• Low awareness among community regarding health and

sanitation in the state.

• Gender imbalance in society/community

• Shortage of manpower

• High drudgery of women

Trends in Coverage of Beneficiaries


Particulars Uttarakhand India

Children aged 0 - 71 months who received anyservice

31.6% 32.9%

Children under age six who received supplementary Nutrition

27.9% 26.3%

Children under age six who received anyImmunization

14.3% 20.0%

Children aged 0-71 months who received healthcheck up

10.0% 15.8%

Children aged 36-71 months went for ECCE/PSEto an AWC

20.4% 22.8%

Children who were weighed 12.5% 18.2%

Source: NFHS-3 (2005-06)Source: NFHS-3 (2005-06)

CHILDREN


Particulars Uttarakhand India

Pregnant women who received SNP 18.9% 20.5%

Pregnant women who received Health Check Up 4.4% 12.3%

Pregnant women who received Nutrition Health Education

5.5% 10.9%

Lactating women who received SNP 14.1% 16.5%

Lactating women who received Health Check Up 4.6% 8.5%

Lactating women who received Nutrition Health Education

4.8% 8.3%

Source: NFHS-3 (2005-06)Source: NFHS-3 (2005-06)

WOMEN

VISION

Reducing prevalence of Malnutrition among Children, Adolescent

Girls, and Pregnant & lactating Women

Reducing the Prevalence of Anemia in Women and Children

Reducing Infant Mortality Rate

Reducing Maternal Mortality Rate

Ensuring Complete Immunization of 100% Children

Increasing the School Enrollment Rate of Children and Reducing

the Drop-out

Reducing Birth Rate

Reducing the Gap in Sex Ratio

Upgrading skill levels of Adolescent girls .

STRATEGIES Opening of new ICDS Centers and mini-centers in remote

and backward areas.

Establishing effective convergence with Health Department

Strengthening of Mothers Committees for effective service

delivery at AWC level and also for demand generation

Speeding up the process for filling up the manpower gaps

Establishing effective convergence with School Education

Department under ECCE .

Implementing innovative activities for strengthening ICDS

service delivery at grassroots level

Strengthening of the training component by organizing need

based trainings for grassroots functionaries

FUTURE PLAN

Establishing computerized MIS system up to Project

level with GoI support

Addressing manpower shortage

Establishment of Nutritional Rehabilitation Centres

(NRCs)

Identification and tracking of malnourished children and

addressing under nutrition and mal nutrition issues

Imparting life skills & vocational trainings to out of

school girls

Ensuring 100% IFA compliance

Program Component-wise Financial Estimates(Regular Activities)

Program Component-wise Financial Estimates

(Rs. In Lakh)

Sl.Programme Component

Interventions/Activities

Financial Estimate

1Human Resources

ICDS Staff at State, District, Project and Sector Level and Honorarium to AWWs/AWHs/Mini AWWs

12713.29

2Administration Cost

Traveling Allowance, Transfer Traveling Allowance, Office Expenditure, Electricity Bills, Water Bills, Stationery, Furniture, Telephone, POL, Vehicle Rent, Office/AWC Building Rent, Publications, Advertisements, Flexi Funds, Guest Expenditure, Machine & Tools, Medical Reimbursement, Goods & Supply, Other Expenditure

893.31

Program Component-wise Financial Estimates (Rs. In Lakh)



Financial Estimate

3 Procurement

PSE Kits, Medicine Kits, Weighing Scale, Sari for AWWs/AWHs, Utensils for main & Mini AWCs, Construction of AWCs, Vehicle Renting, Computers with Printers

6683.86

4Supplementary Nutrition

Children 0-6 yrs, Pregnant & Lactating Women

15425.41

5 IEC Activities Wall Writing, Pamphlets/Newspaper Advertisements, Leaflet/Booklet/Posters

175.05

Program Component-wise Financial Estimates (Rs. In Lakh)



Financial Estimate

6Monitoring & Evaluation

MIS & MPR 87.54

7Training & Capacity Building

Implementation of STRAP 248.46

TOTAL 36226.92

New Activities Proposed in the APIP


Sl. Activity Amount

1State-wide study to assess the status of malnutrition in children (0-6 years)

100.00

2 Establishing the State Nutrition Cell 8.90

3 Strengthening of State Women Mission 4.05

4Study on assessing the learning of children who attend the PSE sessions at AWCs

9.00

5Designing a specific course curriculum for the children attending PSE activities at AWCs

3.00

6Evaluating the NHED activities for their Quality, Content, Convergence, and Coverage

9.00

7 Developing a Module on Good Parenting 1.00

(Rs. In Lakh)


Sl. Activity Amount

8Capacity building of Anganwadi Workers on Effective NHED Delivery & Counseling Skills

25.00

9Organize Maternal & Child Health (MCH) Camps at the Project-level

20.00

10Organizing exhibition at various local fairs & festival and developing exhibition panels for the same

13.00

11

Hiring of creative agency for — Development of IEC material-Electronic & Print,

like Press Advts., Booklets, Hoardings, etc. Designing and implementing focused

communication campaigns

15.00

(Rs. In Lakh)


Sl. Activity Amount

12Evaluation of the implementation of six ICDS services at AWC level

12.00

13 Resource Mapping of ICDS Training Centers 5.00

14 Training Needs Assessment (TNA) 6.00

15 Training on PSE 25.00

16 Training of Mothers Committees 25.00

17Training of Mothers Committee Members and PRIs

25.00

TOTAL 305.95

(Rs. In Lakh)

Total Financial Outlay

Regular ICDS Activities 36226.92

Other/New Activities 305.95

GRAND TOTAL 36,532.87

Other Proposed Activities

Important Activities

Sl. Activity

1 1 MLTC for the State.

2 MIS & IT Cell in Directorate

3 Nutrition Cell in Directorate

4 Data Entry Operators in every ICDS Project & District offices

5 Food and Nutrition Board unit in Uttarakhand

6 NRCs in all districts of the State

7 Third Party Monitoring of NHED, PSE and VHND

8 Quality Testing of DFS and SNP

9 Developing a MIS on lines of the HMIS used under NRHM

contd…

Sl. Activity

10Development of Software for Tracking of Malnourished Children

11Development of Software for Tracking of IGMSY Beneficiaries

12Waiver of Swadhaar contribution for the State Government

Important Activities

Hot Cooked Food & THR Recipes

Annexure

THR RECIPIES THROUGH WFP

Category

Revised GoI Norms

Fortified Indiamix-75% Wheat & 25%

Soyabean

Total Obtained

Energy (K.Cal)

Protein

(Gm.)(Gm.)

Energy (K.Cal)

Protein (Gm.)

Children (6 months - 3 Years)

50012-15

140 521 15.00

Children (3-6 Years)

50012-15

140 521 15.00

Severely Malnourished Children

80020-25

210 800 24.00

Adolescent Girls 60018-20

175637.5

020.00

Pregnant Women 60018-20

175637.5

020.00

Nursing Mothers 60018-20

175637.5

020.00

Food ItemProtein (Gms)

Calorie (K.cal)

Fortified Blended Energy Dense Food – I (for the children in the age group of 6 months 3 years)

12.80 455.00

Paushtik Fortified Blended Energy Dense Food –II (for Adolescent Girls and Pregnant & Lactating Women)

13.50 441.37

Paushtik Fortified Blended Energy Dense Food – III (for Adolescent Girls and Pregnant % Lactating Women)

14.11 445.94

THR Recipes

For 3-6 years malnourished children Nutritional Norms: 800 kcal and Protein 20-25 gms

Financial norms: Rs. 6/day/beneficiary

Sl. Items Energy Protein

A Boiled Bengal gram+chana dal rice 815.00 28.45

B Boiled Bengal gram+ nutri nuggets rice 815.40 28.77

C Boiled Bengal gram+dalia 796.00 28.90

Combination-A

Combination-B


A Roasted gram+ nutria nuggets rice 800.00 32.37

B Roasted gram + dalia 797.10 30.56

For 3-6 years malnourished children Nutritional Norms: 800 kcal and Protein 20-25 gms


Combination-C

Nutrition Items Energy Protein

Snacks Roasted peanut + chana dal rice819.50 28.27

Cooked food

Dal riceRoasted peanuts + nutri nuggets rice 801.90 28.59

Roasted peanuts + dalia 807.50 27.85

Combination-D


A Poha + chana dal rice 800.80 20.09

B Poha+ nutria nuggets rice 823.60 23.61

C Poha + khichri 809.50 23.84

D Poha + dalia 882.70 21.94

For 3-6 Years normal childrenNutritional Norms: 500 kcal and Protein 12-15 gms


Combination-A


A Boiled Bengal gram + chana dal rice 513.40 17.86

B Boiled Bengal gram + nutria nuggets rice 509.20 17.08

C Boiled Bengal gram + khichri 508.60 18.60

D Boiled Bengal gram + dalia 502.00 18.04


A Roasted gram + chana dal rice 511.65 16.59

B Roasted gram + nutria nuggets rice 501.10 19.55

C Roasted gram + kichri 505.80 17.43

D Roasted gram +dalia 506.50 20.69

Combination-B

For 3-6 Years normal childrenNutritional Norms: 500 kcal and Protein 12-15 gms


Combination-CNutrition Items Energy Protein

Snacks Roasted peanut + Chana dal rice504.40 17.12

Dal rice

Cooked food

Roasted peanut + Nutri nuggets rice 500.20 16.34

Roasted peanut + khichri 499.60 16.92

Roasted peanut + Daliya 502.00 17.30

Items Energy Protein

Poha + Chana dal rice 547.70 13.28

Poha + Nutri nuggets rice 531.60 13.64

Poha + khichri 508.40 13.34

Poha + Daliya 616.00 15.13

Combination-D

State Annual Programme Implementation Plan of ICDS (APIP : 2012-13) Department of Women Empowerment...

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