Slide 1

Program Outline

Started by the Government of India in 1975, theIntegrated Child Development Scheme (ICDS)has been instrumental in improving the health and wellbeing of mothers and children under 6 by providing health and nutrition education, health services, supplementary food, and pre-school education. The ICDS national development program is one of the largest in the world. It reaches more than 34 million children aged 0-6 years and 7 million pregnant and lactating mothers. Other programs impacting on under-nutrition include theNational Mid-day Meal Scheme, theNational Rural Health Mission, and thePublic Distribution System (PDS). The challenge for all these programs and schemes is how to increase efficiency, impact and coverage

Developing innovative communication approaches with mothers; Improving the monitoring and reporting systems; Providing essential supplies; Developing effective community-based early childcare interventions; Providing Iron-Folic Acid supplementation for adolescents; Providing Vitamin A supplementation for young children;Improving the training of childcare workers;In the area of Child Development and Nutrition, UNICEF assists the Government to further expand and enhance the quality of ICDS by;

Integrated Child Development Services is India's primary social welfare scheme to tackle malnutrition and health problems in children below 6 years of age and their mothers. The main beneficiaries of the programme were aimed to be the girl child up to her adolescence, all children below 6 years of age, pregnant and lactating mothers. The gender promotion of the girl child by trying to bring her at par with the male child is a key component of the scheme.

ICDS -sponsored by Indian Government

Objectives

To raise the health and nutritional level of poor Indian children below 6 years of ageTo create a base for proper mental, physical and social development of children in IndiaTo reduce instances of mortality, malnutrition and school dropouts among Indian ChildrenTo coordinate activities of policy formulation and implementation among all departments of various ministries involved in the different government programmes and schemes aimed at child development across India.To provide health and nutritional information and education to mothers of young children to enhance child rearing capabilities of mothers in India

Scope of Services

1.Immunization2.Supplementary nutrition3.Health checkup4.Referral services5.Pre-school non formal education6.Nutrition and Health information

IMMUNIZATION

SUPPLEMENTARY NUTRITION

HEALTH CHECK-UP

REFERRAL SERVICES

NON-FORMAL PRE SCHOOL EDUCATION

NUTRITIONHEALTH EDUCATION&

ServicesTarget GroupService Provided bySupplementary NutritionChildren below 6 years: Pregnant & Lactating Mother (P&LM)Anganwadi Worker and Anganwadi HelperImmunization*Children below 6 years: Pregnant & Lactating Mother (P&LM)ANM/MOHealth Check-up*Children below 6 years: Pregnant & Lactating Mother (P&LM)ANM/MO/AWWReferral ServicesChildren below 6 years: Pregnant & Lactating Mother (P&LM)AWW/ANM/MOPre-School EducationChildren 3-6 yearsAWWNutrition & Health EducationWomen (15-45 years)AWW/ANM/MO

Type of Supplementary Nutrition CHILDREN IN THE AGE GROUP 0-6 MONTHSCHILDREN IN THE AGE GROUP 0-6 MONTHSCHILDREN IN THE AGE GROUP 0-6 MONTHS

THE ICDS TEAMAnganwadi WorkersAnganwadi Helpers Supervisors Child Development Project Officers (CDPOs) & District Programme Officers (DPOs).

ICDS Training ProgrammeTraining under ICDS scheme is a continuous programme and is implemented through 35 States/UTs and National Institute of Public Cooperation and Child Development (NIPCCD) and its four regional centres.

During the 11thFive Year Plan, the Government of India has laid much emphasis on strengthening the training component of ICDS in order to improve the service delivery mechanism and accelerate better programme outcomes. An allocation of Rs. 500 crore has been kept for the ICDS Training Programme during the 11thFive Year Plan.

Existing Monitoring System under ICDS Scheme

Central Level

State Level

Block Level

Village Level (Anganwadi Level)

Evaluation of ICDS SchemeAccessible distanceInfrastructureMatriculate functionariesNeed of training (pre-service and in-service training) Assessment (observations, record reviews & personal interviews)Positive out-look of community leadersLess participation of women and adolescent girls

INTRODUCTION OF WHO GROWTH STANDARDS IN ICDSThe World Health Organization (WHO) based on the results of an intensive study initiated in 1997 in six countries including India has developed New International Standards for assessing the physical growth, nutritional status and motor development of children from birth to 5 years age. The Ministry of Women and Child Development and Ministry of Health have adopted the New WHO Child Growth Standard in India on 15thof August, 2008 for monitoring the Growth of Children through ICDS and NRHM.

Implications 1.Change in current estimatesincrease in total of normal weight childrenincrease in severely underweight childrenincrease in underweight children (mild/moderate and severe) in age group of 0-6 months.2. The Anganwadi Worker with the help of New Growth Chart would be able to assess correctly severely underweight children and number of such children would increase in each Anganwadi Centres. The number of normal children would also increase in all the Anganwadi Centres.3. The new charts would now help us in comparing growth of our children within projects, districts, states & also other countries.