Multi-Sectoral Approach

Issues and Recommendations

Issues and Recommendations

Breaking the vicious cycle of CDI outcomes

Enhanced focus on outcomes- shift from inputs (schemes/programs) to outcomes related to the child at the micro-level (HHs, villages, slums)

Mapping priorities/services within each sector for the “whole child” by identifying and addressing critical gaps across each sub-stage (refer to Framework) of child development to optimize outcomes

Issues and Recommendations

Universalizing coverage through basic sub - sector programs (RCH, ICDS, SSA)

Increasing access to basic services for unreached areas, tribal and urban pockets

Mapping parallel private initiatives to share resources, “best practices” and expanding stakeholders base

Issues and Recommendations

Need for convergent planning, monitoring and budgeting from the national, to the community level (SSA and RCH II have already initiated decentralized planning, ICDS needs to initiate micro-planning)

Need for block grants (create community interest funds at village level, have provision for conditional cash transfers)

Issues and Recommendations

Constitute a National Advisory Group for Child Development

Create a common child data - base for the Advisory Group in order to provide information on critical cross - sectoral indicators based on the child development framework developed

Issues and Recommendations Strengthen technical support from

national and sub - national levels (for example, need to equip NCERT, NIEPA, NIPCCD, NIHFW to deal with monitoring and providing timely feedback on CDI - multi-disciplinary approach

National Level

Sector wise Centrally Sponsored Programs

(eg. ICDS, RCH, SSA, Total Literacy) Flexibly designed to accommodate village level, contextualized planning and child-based budgeting as in SSA

National Resource Group for Child Devpt Informs planning and designing of schemes to accommodate conceptual framework priorities through regular meetings

Technical Subgroup for M & EMonitors implementation & outcomes through network with state& district technical institutions (eg. DIET) /universities/

colleges of home science

VILLAGE PLAN FOR CHILDREN (prenatal--11+)Developed by VEC, panchayat, mothers’ groups/PTA, coordinated by a Child Facilitator/ NGO from

existing community workers

Resources

Plan

Tech support & M&E

PANCHAYAT Village plans

compiled

CLUSTER Further compilation

BLOCKCompiled plans aggregated and prioritized for convergence ► BLOCK PLAN

DISTRICTBlock plans prioritized and categorized according to needs and resources available through different schemes and

compiled as DISTRICT PLAN

State Society for Child Devpt*Flow of funds

*Appraisal of district plans

Issues and Recommendations

Coordinate planning in order to reduce duplication, resource mis - management and mapping work loads of grass-roots workers

Quality of human resource matter – untrained and overworked anganwadi workers and ANMs, and school teachers who are not oriented towards child health and nutrition need to be supported adequately through joint training, supportive supervision and IEC.

Issues and Recommendations

Need for additional resources and resource pooling (gap between requirement and provisions) - ICDS, Health and early education (particularly in poor performing states)

From Programs to Outcomes

PLAN DELIVER AND MONITOR FOR THE “WHOLE CHILD” NOT FOR HEALTH NUTRITION AND EDUCATION SEPERATELY