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Overview of ICDS Services and Challenges in Madhya Pradesh

This presentation provides an overview of the Integrated Child Development Services (ICDS) in Madhya Pradesh, including demographic profiles, health indicators, and the status of malnutrition. It also highlights the challenges faced in implementing ICDS and the initiatives taken by the state government to address them. The Annual Project Implementation Plan (APIP) for 2012-13 is discussed, along with major activities proposed for the year.

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Overview of ICDS Services and Challenges in Madhya Pradesh

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  1. Madhya Pradesh APIP 2012-13 Presentation by GoMP 3/10/12 Annual Project Implementation Plan for ICDS (APIP)

  2. MADHYA PRADESH - Demographic Profile

  3. Health Indicators

  4. An Overview of ICDS Services

  5. Facilities at AWCs(Infrastructure and Other facilities)

  6. Service Outreach

  7. Total No. of Children Benefitted Under SNP 6 Months - 6 Years In lacs

  8. Total No. of Pregnant & Lactating Mother Benefitted under SNP In lacs

  9. % SNP Coverage 2006-2012

  10. Status of Malnutrition - MP

  11. Weight for Age – Underweight (0-5 years %)

  12. SEVERE UNDERWEIGHT – STATE AVERAGE <19.8% ABOVE AVERAGE BELOW AVERAGE

  13. Weight for Height – Wasting (0-5 years %)

  14. SEVERE WASTING – STATE AVERAGE <8.3% ABOVE AVERAGE BELOW AVERAGE

  15. Breastfeeding Indicator

  16. ICDS- Challenges ICDS – Challenges • 100% Coverage of Children and Mothers (Universalization) • Opening of AWCs • Ensuring the presence of children and retaining them at AWCs • Growth Monitoring • Ensuring proper distribution of breakfast , hot cooked meal & THR • Strategy for Community Based Care of SAM children • Capacity building • Monitoring & Evaluation • IEC& BCC Strategy

  17. States Initiatives • Mangal Diwas (community participation) • New WHO growth standard rolled out across the State • Mapping current nutritional status through NIN • Developed about 7000 AWCs across the State on BalA pattern to attract community and Children in collaboration with RSK • Reference manual for AWWs in collaboration with IGNOU and ECCE manual in collaboration with RSK • Setting up of 273 NRCs and 55969 SAM children have been rehabilitated (April 2011- March 2012), all blocks will be covered with NRC facility • Scaling up Sick New Born Care Units • Atal Bal Mission

  18. ABM Goals • Reducing U5MR from 94.2 to 60 per thousand live births by 2015 • Reducing the percentage of underweight children under five years from 60% to 40% by 2015 and further from 40% to 20% by 2020 • Reducing prevalence of SAM in children under 5 years from 12.6% to 5% by 2015 and to negligible by 2020

  19. ABM Strategy • To fill in the gaps primarily in the State Health and Nutrition programs, including ICDS. • To undertake evidence based pilots with a view to scale up on the basis of results. • To serve as a platform for Convergence of Various Schemes of Different Departments. • To promote decentralized planning through District Specific Action Plans.

  20. ABM - Key Components included in DAP Decentralized planning by districts including following key components - • Provision of additional nutritious diet to SUW Children besides SNP. • Convergent Bottom-up Planning • Capacity building of frontline workers revamped • Community involvement through Atal Bal MitraYojana • Culture-specific BCC initiatives • Concurrent Monitoring and Evaluation

  21. Convergent Efforts • Strengthening of MCTS • Linkage with Growth Monitoring and Health services through MCP cards • Skill Enhancement trainings • Joint supportive supervision • Developing linkages between MIS of Health and WCD for improved tracking of malnourished children • Village wise online data capture of SAM Children

  22. Major Activities Proposed in APIP 2012-13 • Human Resources i. ii. Proposing a technical team of consultants (Nutrition,MIS,M&E) for better implementation of the program both at State level as well as ICDS project level

  23. Major Activities Proposed in APIP 2012-13 • Procurement: • Medicine Kit & Pre School Education will be supplied to all the AWCs including Mini AWCs. • Equipments and supplies to strengthen field offices (From State to Project office) • Essential supplies to AWCs (Weighing machines, MUAC, growth monitoring charts, registers and storage boxes) • Nutrition and Health Education • Strengthening Village Health and Nutrition Days. • Observance of Special Days and weeks (Women’s day, Nutrition week, Breastfeeding week etc). • Tracking of food commodity being distributed under SNP

  24. Major Activities Proposed in APIP 2012-13 • IEC • Use of Audio-video channels for mass awareness • Observance of important days and communication campaign • Capacity Building of staff on IEC, IPC etc • Special IEC strategy for high burdened districts • Monitoring and Evaluation:- • Assessment of nutritional status of under five children were done by NIN during 2012-13 • Strengthening of Web enabled MIS • Third party concurrent monitoring will be done • Strengthening of supportive supervision at all level • Tracking of severely under weight children

  25. Major Activities Proposed in APIP 2012-13 • Capacity Building • Assessment and filling of position as per norms (all MLTCS and AWTCs). • Establishing State training cell dedicated exclusively for trainings. • Roll out of new MIS across the state after training of ICDS functionaries • Regular training of ICDS functionaries • Renovations and establishing one new MLTC and 16 AWTCs with the support from Development Partners. • New Initiatives to strengthen ICDS • Orientation for Community Participation in ICDS program • Appointment of additional AWWs in selected AWCs • Mobile tracking system for program activities • GIS mapping of AWCs are in the process

  26. Budgetary allocation and expenditure on SNP during 2008-2012 (in Rs. Lakhs)

  27. Physical Targets and Financial Estimates

  28. Physical Targets and Financial Estimates

  29. Physical Targets and Financial Estimates

  30. Physical Targets and Financial Estimates

  31. Physical Targets and Financial Estimates

  32. Summary of Proposed Budget –APIP 2012-13

  33. Time line for Activities Proposed under APIP 2012-13

  34. Time line for Activities Proposed under APIP 2012-13

  35. Time line for Activities Proposed under APIP 2012-13

  36. Time line for Activities Proposed under APIP 2012-13

  37. Time line for Activities Proposed under APIP 2012-13

  38. An update . . . • Promotion of 14 ASOs to CDPOs, 7 APOs to CDPOs and 18 CDPOs to DWCDOs done, all the vacant post will be filled by March 2013 • Procurement process of Pre-School Education Kit, Medicine Kit and uniform for AWWs and AWHs shall be completed by Jan.2013 • Pilot for Community based management of SAM children is under consideration • Pilot for providing one full meal to Pregnant and Lactating Women proposed • Training plan for induction of ICDS functionaries on revised MIS approved by GoI, and first SLMF training for three States being organized by MP • Printing of reporting registers and formats are in the process and will be delivered to all projects by November 2012 • Project “SANJHA PRAYAS” in collaboration with Rural Development department in 20 -20 villages , of two blocks in two districts will be implemented soon on pilot basis.

  39. THANKS

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