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“ SuPoSHaN ”

ICDS MISSION. “ SuPoSHaN ”. Community Based Intervention - Curative Strategy : Sneha Shivir (VHNCCS) - Preventive Strategy : 20 Counseling sessions, 25 IEC Sessions 6 VHNDs. VIDEO CONFERENCE 31.01.14. CRITICAL INDICATORS.

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“ SuPoSHaN ”

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  1. ICDS MISSION “SuPoSHaN” Community Based Intervention - Curative Strategy : SnehaShivir (VHNCCS) - Preventive Strategy : 20 Counseling sessions, 25 IEC Sessions 6 VHNDs VIDEO CONFERENCE 31.01.14

  2. CRITICAL INDICATORS

  3. Age Group wise Percentage of Underweight Children (0-5 years)M.P. v/s India (NFHS-III 2005-06) • Undernutrition in the first 5 years (esp. first 2 years) of life needs special emphasis. • Lifelong adverse impact on growth and development • Higher risk of dying in infancy • Consequences are severe & often irreversible • Lifelong cognitive and physical deficits and chronic health problems Data Source: NFHS-3 (2005-06)

  4. VISION 2018 • iks"k.klq/kkjdsçHkkohgLr{ksi • dqiksf"krcPpksa dh ns[kHkkydsfy;sxzkeLrjijMs ds;jlsaVjLFkkfirdjusdsfy;sxzkevkjksX; dsUæksadsek/;e lsleqnk;dkslfEefyrdjuk • ifjokjvk/kkfjri)frlsdqiks"k.kdsdkj.kksadksnwjdjusgsrqcgq&{ks=d dsUækfHkeq[k xfrfof/k;ksadklapkyuA • fodsfUær ,oaçklafxdi)frlslkeqnkf;dxfrfof/k;ksa }kjkiks"k.klEcU/kh ;kstukvksadkdk;kZUo;uA • vkbZlhMh,ldsvarxZrcsgrjlsok,amiyC/k djkusdsfy;svkaxuokM+hdk;ZdrkZdksxzkelHkkLOkLF; xzkernFkZlfefrdsfodsUnzhd`rek/;e lslqfo/kkvksaesa c<+ksRrjhA • O;ogkjifjorZugsrqLoLFkf'k'kqizfr;ksfxrk] ekr`Ro ,oaf'k'kqlEesyutSlhxfrfo/k;ksadkvk;kstuA • iks"k.kxfrfof/k;ksa ds csgrjfØ;kUo;u ,oadqiks"k.kesadehykus ds iz;klksagsrqfo'ks"kfuxjkuhra= dh LFkkiukA

  5. “SuPoSHaN” Abhiyan OBJECTIVES Supportive Programme on Sustaining Health and Nutrition “SuPoSHaN”

  6. NUTRITIONAL STATUS OF CHILDREN (0-5 YEARS) Only 15% needs facility care WHO Growth Standards (2006): MODERATE = Median <-2 SD to ≥ -3 SD & SEVERE = Median <-3 SD

  7. “SuPoSHaN” ABHIYAN • ‘Abhiyan' for reduction and prevention of undernutrition • Conceptualized as a community based programme • Targeted convergent approach • Targeted to 14698 (70% undernutrition) AWCs - 4 or more SUWs • RastriyaBal SwasthyaKariyakram(RBSK) and C-NRC of NRHM • “SnehaShivir” , MangalDiwas, IEC, ABM • Adapted from globally acknowledged Positive Deviance Approach

  8. “SuPoSHaN” ABHIYAN • ‘Abhiyan' for reduction and prevention of undernutrition • Conceptualized as a community based programme • Targeted convergent approach • Targeted to 14698 (70% undernutrition) AWCs - 4 or more SUWs • RastriyaBal SwasthyaKariyakram(RBSK) and C-NRC of NRHM • “SnehaShivir” , MangalDiwas, IEC, ABM • Adapted from globally acknowledged Positive Deviance Approach

  9. What is Positive Deviance? • Every community has certain individuals or groups whose uncommon behaviors and strategies enable them to find better solutions to problems than their peers, while having access to the same resources and facing similar or worse challenges. • Based on problem-solving and community-driven approach that enables the community to discover these successful behaviors and strategies and develop a plan of action to promote their adoption by all concerned.

  10. STRATEGIES • Participatory Micro Planning at Village level • Community Mobilization • Facilities improvement • Weighingdrive • Village Mapping • Screening of children • Presence of health worker at 1stscreening • Provision of 1st round of medication during special VHNDs (17th – 24th) • Steered by AWW, Gram Swasthya Samiti and PoshanMitraTeam

  11. STRATEGIES • Curative • Participatory Micro Planning at Village level • Entry point to the village for accelerated reduction in moderate and severe under nutrition in children • Steered by Supervisor and PoshanSahyogini • Community Mobilization • Facilities improvement • Weighingdrive • Village Mapping • Screening of children • Presence of health worker at 1stscreening • Provision of 1st round of medication during special VHNDs (17th – 24th) • Steered by AWW, Gram Swasthya Samiti and PoshanMitraTeam

  12. Curative Strategy • SnehaShivir + C-NRC • 1st & 30th day Doctor completes screening, tracks status • 12 days camp for 10-15 children • Supervisors and PoshanSahyogini conduct the camp • 3 Supervised feeding of children • Focused counseling session of mothers with PD exemplars • Demonstrating local nutritious recipes - Mothers Learn by doing • Day to day child profiling • PoshanMitra, ASHA, AWW follow up by 18 home visits • Monthly follow up and weighing of children for 6 months • If required re-organize camp

  13. STRATEGIES • Curative • Preventive • Participatory Micro Planning at Village level • Entry point to the village for accelerated reduction in moderate and severe under nutrition in children • Steered by Supervisor and PoshanSahyogini • Empowering community to catalyze behavior change for taking out the village from the undernutrition trap • Steered by AWW, Gram Swasthya Samiti and PoshanMitra Team • Community Mobilization • Facilities improvement • Weighingdrive • Village Mapping • Screening of children • Presence of health worker at 1stscreening • Provision of 1st round of medication during special VHNDs (17th – 24th) • Steered by AWW, Gram Swasthya Samiti and PoshanMitraTeam

  14. Preventive Strategy • Life cycle approach for improving nutrition • Continuum of care beginning with adolescent girls to first 1000 days and till 5 years of age

  15. Pregnancy (9 months 30 x 9 = 270) Birth – 24 months ( 24 x30 = 720 days) Total = 1000 days To increase children’s chances of survival, improve development and prevent stunting, nutrition interventions need to be delivered during the mother’s pregnancy and the first two years of the child’s life. • FIRST 1000 DAYS

  16. Preventive Strategy • Life cycle approach for improving nutrition • Continuum of care beginning with adolescent girls to first 1000 days and till 5 years of age • Strengthen and streamline delivery of ICDS • Universal survey and enrolment of beneficiaries at AWC • VajanMela every every month 1st to 4th • Screening of children by health care providers and referrals • SwachhataAbhiyan every month 5th to 7th • Targeted activities Monday to Friday

  17. Targeted activities Monday to Saturday

  18. Support - "SuPoSHaN“ Abhiyan

  19. OUTCOME

  20. Phase Out Strategy • Success in a village will be assessed • by complete elimination of SUW • decrease in MUW • Exit strategy after 1 year of implementation of SnehaShivir in any village • Weighing all eligible children (0-5 yrs) • Third party would conduct the “audit” • If no cases of severe under nutrition and borderline moderate cases for a period of one year it may be decided to phase out SnehaShivir • Remaining MUW children would be rigorously monitored and care givers counselled on best practices at regular health education sessions and during home visits

  21. IMPERATIVES • Active involvement of Health, Panchayats, PHE, Agriculture, Food • Community participation through poshanmitra team, gram sabhaswasth gram tadarth samiti • Sensitive PoshanSahyogini • Quality training • Good Micro-planning and implementation • Intensive monitoring • Adequate and timely resources

  22. TIME LINES • March - 3035 camps in 1st phase in 2 cycles • Cycle 1 : March 1 to March 12 • Cycle 2 : March 24 to April 4 • January and February • Selection of villages, PoshanSahyogini and PoshanMitra • Trainings at all level • Microplanning • Preliminary screening of children and medication • April - Preparation for 2500 camps in May (1-12th) • May - Phase 2 camps and Preparation for 2500 camps in June (1-12th)

  23. Expectations From Collectors • Build and mobilize for enabling environment and community participation • Strengthening convergence with • Health for screening and monitoring • Panchayat for infrastructure, facilities and participation - employment • PHED for Safe drinking water and sanitation campaign • MDM for improved Hot supplementary nutrition given at AWC • Agriculture for minikits / Food for PDS • Monitor ICDSto ensure : • Universal survey, identification and weighing • Quality of training and inputs of Abhiyan • Delivery of services including THR • Provide administrative, technical and financial sanctions for the optimum usage of resources

  24. THANK YOU

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