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Programmes and Schemes

Details of Programmes and Schemes:-

Integrated Child Development Services (ICDS)

Integrated Child Development Services (ICDS) in India is the world’s largest integrated early childhood programme and Odisha has around 71,000 sanctioned centers which provide the services throughout the State.
ICDS was launched in 1975 with the following objectives:
  • Improve the nutritional and health status of children in the age-group 0-6 years.
  •  Lay the foundation for proper psychological, physical and social development of the child.
  •  Reduce the incidence of mortality, morbidity a malnutrition.
  •  Achieve effective coordination of policy and implementation amongst the various departments to promote child development.
  •  Enhance the capability of the mother/care giver to look after the normal health and nutritional needs of the child through proper nutrition and health education.

ICDS Beneficiaries and Services

To achieve the above objectives, a package of six integrated services is provided in a comprehensive manner to meet the multi-dimensional and interrelated needs of the children. The Anganwadi Centre forms the focal point for the delivery of these services.

Services Target Group Service
Supplementary Nutrition Children below 6 years and Pregnant Et Lactating Women AWW
Immunization Children below 6 years and Pregnant Women (PW) ANM / MO
Health Checkup Children below 6 years and Pregnant Et Lactating Women ANM/MO/AWW
Referral Services Children below 6 years and Pregnant Et Lactating Women AWW/ANM/MO
Pre-School Education Children 3-6 years AWW
Nutrition & Health Education Adolescent Girls & Women (15-45 years) AWW/ANM/ASHA

The District Collector heads the ICDS Co-ordination Committee which should meet every month to discuss issues related to ICDS. Sub-Collectors are the Chairpersons of ICDS who provide support and guidance through reviews. At the village level, ward members, Jaanch Committee and Mothers Committee are involved in implementation and monitoring of the various activities.

Supplementary Nutrition Programme:

               With a view to improve the health and nutritional status of children below the age of 6 month to 6 years, Pregnant women and Lactating mothers, the Supplementary Nutrition Programme is considered as one of the most important components of the ICDS programme. Under the scheme, supplementary Nutrition is provided for a period of 300 days a year to children below 6 years and pregnant and lactating women.
In purchase of the orders of the Honorable Supreme Court in WPC 196/2001, Government of Odisha has decentralized procurement of all foodstuff except rice (which is issued by central government) to the village level throughout the state. Hot Cooked Meal. The GOI has fixed the per beneficiary cost, calorie and protein norm to be maintained across the states.
Type Eggs/Rasi Laddo Entitlement of ingredients per day (gms) Total quantity of ingredients to be used in preparation of chhatua Amount in 15 days (color coded packet) Net quantity of Chhatua per packet (after allowing 15% processing loss) Calorie (K. Cal) Protein (gms) Cost (in)
6 months to 3 Years Two boiled eggs per week 16 2 Kg 1.7 Kg 631 21 6
Pregnant Women & lactating Mother Two Boiled eggs per week 200 2.5 Kg 2.125 Kg 781 27 7
Severely Malnourished Children (6 months to 3 yrs) Two boiled eggs per week and on packet of Rasi Ladoo of 100 gms weight once in a month 240 3 Kg 2.550 Kg 950.60 31.3 9
Severely Malnourished Children (3 yrs to 6 Years) One packet of Rasi Ladoo of 100 Gms weight once in a month 80 2 Kg

Once a Month

1.7 Kg 329 10.3 3

Hot cook meal

Weighing and growth monitoring of children and counseling of mothers / caregivers by AWWs.

  • Each child in the age group of 0-5 years must be weighed at least once every month and plotted in the WHO New Growth Standards register.
  • If the growth trajectory is in green zone and above, the AWW must appreciate the mother/caregiver and advise her to maintain the feeding and hygienic practices which she has been following.

Pre-School Education:

          Pre-school Education is a crucial component of the package of services envisaged under the ICDS Scheme. It aims at universalization and qualitative improvement of primary education, by providing the child with the necessary preparation for primary school, especially in remote and socio-economically backward areas. It brings young children together at the Anganwadi Centre, where different activities relating to physical, cognitive, social, emotional, creative development of children are facilitated by the Anganwadi Worker. All children aged 3-5 years come under the ambit of pre-school education.” Nua Arunima Karyakram” was started for pre-school in the AWC. Pre-School kits were supplied to AWCs every year to support the pre-school activities.

Referral Services:

          During health check-ups, home visits and growth monitoring, sick or malnourished children, SAM children , at risk pregnant women and neonates in need of prompt medical attention are provided referral services through ICDS. The AWWs are also oriented to detect disabilities in young children and all such cases are referred to the Medical Officers. The effectiveness of this service depends on timely action, co-operation from health functionaries and the willingness of families to avail these services.

Immunization:

        Immunization of infants and children against six vaccine-preventable diseases protect children from – poliomyelitis, diphtheria, pertusis, tetanus, tuberculosis, Japanese encephalitis and measles. These are major preventable causes of child mortality, disability, morbidity and related malnutrition. Immunization of pregnant women against tetanus reduces maternal and neonatal mortality. The fixed immunization day for our State is Wednesday . The AWW assists the health functionaries in coverage of the target population for immunization. She helps in the organization of fixed-day immunization sessions, maintains the immunization register and follows up to ensure full coverage.

Health Check-up:

Health Check-up includes:-

  • Ante-natal care of all pregnant women
  • Post-natal care of nursing mothers and care of the new born and
  • Care of children less than six years of age.
       Various health services provided to the children by the Anganwadi Worker include the following – Regular health check-ups, recording of weight, management of malnutrition, Identification of Severe Acute malnourished children(SAM), treatment of diarrhoea, de-worming and distribution of medicines particularly on Village Health & Nutrition Day .

Nutrition and Health Education:

         Nutrition and Health Education (NHED.) Nutrition and Health Education (NHED) forms one of the key elements of the ICDS programmes. Women in the age group of 15-45 years should be given information on their health, nutrition and developmental needs. These are imparted through counseling sessions during home visits, fixed immunization days, VHND (Mamta Diwas), mothers meetings, Gram Sabha and during the panchayat meetings in the community.

Mamata Diwas-VHND:

         It is a joint initiative to strengthen the ongoing Mother and Child Health Services by the Department of Health and Family Welfare and DWCD. This is held throughout the State at AWCs once in a month either on Tuesday or Friday to provide the following services:
    • Health Promotion of Adolescent Girls
    •  Ante Natal Care and Post Natal Care services for pregnant women & lactating mothers
    •  Promotion of Infant and Young Child Feeding practices
    •  Growth Monitoring of children up to 6 years
    •  Identification, referral and follow-up of SAM & Malnourished children
    •  Management of common childhood illnesses 71,1
    •  Family Welfare services

Counseling on Health Promotion

Objective:

  •  To provide essential and comprehensive health and nutrition services to pregnant women, lactating mothers, children (0-5  yrs) and adolescent girls, underweight children, SAM children.
  •  To ensure early registration, identification and referral of high-risk children and pregnant women.
  •  To provide an effective platform for interaction between service providers and the community (through Gaon Kalyan Samiti or the mother’s group)
  •  To provide information to families on the care of mothers and children at the household and community level through discussion of various health topics (as envisaged in the Health Calendar).
  •  To ensure establishment of linkage between health & ICDS to promote maternal & child survival programmes

Nutrition Operation Plan:

           The Nutrition Operational Plan (NOP) supported by DFID (Department for International Development) has emerged as an evidence based plan to accelerate the pace of underweight reduction in Odisha.Nutrition Operation Plan focuses on the 15 ‘High Burden’ districts of Odisha viz. Angul, Bhadrak, Bolangir, Guajarati, Jharsuguda, Kalahandi, Kandhamal, Keonjhar, Koraput, Malkangiri, Nawarangpur, Nuapada, Rayagada, Sambalpur and Sundargarh.

Objectives:

Bring down malnutrition from current level of the children by four years.

  •  Underweight from 41 percent to 25 percent focusing on Scheduled Tribe with an average annual reduction of 3.5 percent.
  •  Stunting from 45 percent to 35 percent with an average annual reduction of 2.5 percent iii)Wasting from 20 percent to 10 percent with an average annual reduction of 2.5 percent.

MAMATA:

Details of the Scheme:

 A State Government Conditional cash transfer Maternity Benefit Scheme for Pregnant and Lactating Mothers called “ MAMATA”. The Scheme will provide monetary support to the Pregnant and Lactating Women which will enable them to seek improved nutrition and promote health seeking behavior. The beneficiary will receive a total incentive of Rs. 5000/- by e-transfer from the CDPO to the beneficiary account. With a objective that they are able to rest adequately during their pregnancy and after delivery.

Forms and procedure to apply :

To avail the benefits under the Scheme, a pregnant women has to register herself at the AWC/ Mini AWC to which she belongs.

  •  All such eligible women should open a bank account with her own name in a bank which has care banking facility.
  •  Most give a photo copy of the first page of the bank passbook and 2 copies of self-declaration from with two photograph & first page of MCP Card.

Whom to contact :-

      For Registration a beneficiary first contact to AWW of her own village AWC. As the AWW will sponsoring her name to the CDPO. If a benf will not get her entitlement with in due time. She can contacts with ICDS, Supervisors, CDPo at Project Level. Also a Grievance, Helpline, Maintained at District Level.

Service Provide:

        Pregnant & Lactating Women of 19 Years of age and above for the first two live births, except all Government/ Public Sector undertakings (Central and State) employees and their wives will be covered.

SABLA

Rajiv Gandhi Scheme for Empowerment of Adolescent girls(RGSEAG)

Empowerment of Adolescent Girls (RGSEAG) SABLA The scheme aims at covering all out-of-school Adolescent Girls in the age group of 11 to 18 years who would assemble at the Anganwadi Centre on a fixed day at regular interval. The others, i.e., school-going girls, meet at the AWC at least twice a month, and more frequently (once a week) during vacations/holidays. Here they receive life skills education, nutrition and health education, awareness about socio-legal issues, etc. This provides an opportunity for mixed group interaction between school-going and out-of-school girls, motivating the latter to also join school and help the school going to receive the life skills. This scheme mainly aims at reducing the dropout rate of Adolescent Girls by increasing their literacy rate and work participation.

Objective:

  •  Enable the Adolescent Girls for self-development and empowerment.
  •  Improve their nutrition and health status.
  •  Promote awareness about health, hygiene, nutrition, Adolescent Reproductive and Sexual Health (ARSH) and family and child care.
  •  Upgrade their home-based skills, life skills and tie up with National Skill Development Programmes (NSDP) for vocational skills.
  •  Mainstream out of school AGs into formal/non formal education.
  •  Provide information/guidance about existing public services such as PHC, CHC, Post Office, Bank, and Police Station.