INTEGRATED CHILD DEVELOPMENT SERVICES

IN INDIA

• DR.MAHESWARI JAIKUMAR

ICDS• Important scheme in the field of child

welfare.

• The blue print of the programme was prepared in 1975.

• Was taken up as a pilot project in 75 -76 in Delhi (4 urban & 19 rural areas & 10 tribal areas)

OBJECTIVES1. To improve the nutritional &

health status of children in the age group 0-6 yrs.

2. To lay the foundations for proper psychological, physical & social development of the child.

3. To reduce mortality & morbidity, malnutrition & school drop

out.4. To achieve an effective co

ordination of policy & implementation among various

departments working for the promotion of child

development.

5. To enhance the capability of the mother & nutritional needs of the child through proper

nutrition & health education.

HEALTH CARE DELIVERY SYSTEM

1.Implementd through ANGANWADI CENTRES.

2.revised norm for AWC rural & urban areas:

a.AWC for 400-800 pop. b.AWC for 800-1200 pop. c.AWC for 1600-2400 pop (for multiples

of 800 pop –MINI AWC for 150-400 pop)

FOR TRIBAL & HILLY AREAS

1 AWC for 300-800 pop.

1 MINI AWC for 150-300 pop

PACKAGE OF SERVICESBENEFICIARY SERVICES

PREGNANT WOMEN 1. Health Check up.2. Immunization against tetanus.3. Supplementary nutrition.4. Nutrition & Health Education.

NURSING MOTHERS 1. Health check ups.2. Supplementary nutrition.3. Nutrition & Health Education.

PACKAGE OF SERVICESBENEFICIARY SERVICES

OTHER WOMEN 15-45 yrs

1. Nutrition & Health Education.2. Supplementary nutrition.

CHILDREN < 3 YRS 1. Health check ups.2. Supplementary nutrition.3. Immunization4.Referral Services

PACKAGE OF SERVICESBENEFICIARY SERVICES

CHILDREN 3-6 YRS 1. Supplementary nutrition.2. Immunization.3. Health Check up.4. Referral services.5. Non formal education.

ADOLESCENT GIRLS 11-18 YRS

1. Supplementary nutrition.2. Nutrition & Health Education.

DELIVERY OF HEALTH SERVICES

SUPLEMENTARY NUTRITION• THE AIM IS TO SUPPLEMENT NUTRITIONAL

INTAKE AS FOLLOWS

1.Each child 6-72 Mo of age to get 500 Kcal & 12-15 gms of protein /child/day.

2.Severely malnourished child (6-72 Mo) to get 800 Kcal & 20-25 gms of protein /child/day.

3.Each pregnant mother & nursing women to get 600 Kcal & 18-20 gms of protein/mother/day.

1. Compulsory one meal to a child attending AWCs which includes providing a morning snaks in form of milk/bannana/egg/seasonal fruit/micro nutrient fortified food followed by cooked hot meal.

FOR CHILDREN < 3 YRS & PREGNANT & LACTATING MOTHER

1.“Take Home Ration” is provided.

2.All are eligible to avail services of ICDS

3.Supplementary nutrition is given for 300 days in a year.

4. Children are weighed every month.

5.Nutrition & Health education is given to mothers of children suffering from 1st degree malnutrition.

6.Therapeutic food is given to children suffering from 2nd & 3rd degree malnutrition

7.Children suffering from 4th degree

malnutrition are recommended hospitalization.

NUTRITION & HEALTH EDUCATION

• Nutrition education & Health Education is given to all women in the age group 15-45 yrs, giving priority to nursing & expectant mothers.

• It is imparted by specially designed courses in village during home visits by anganwadi workers

IMMUNIZATION• CHILDREN : Immunization of

children against 6 VPDs

• MOTHERS: immunization against tetanus

HEALTH CHECK UPINCLUDES:

1.Antenatal care of expectant mothers.

2.Post natal care & new born care.

3.Care of children < 6 yrs.

4.IFA supplementation along with protein for mothers.

5.A minimum of 3 physical examination.

6.Referral of High Risk Mothers

HEALTH CARE OF <6 YRS - COMPONENTS

1.Record of weight & height of children at periodical intervals.

2.Watch over mile stones.

3.Immunization.

4.General check up every 3-6 Mo.

5.Treatment for diseases like diarrhoea, dysentery, RTI.

6.Deworming.

7.Prophylaxis against Vit A deficiency & anaemia.

8.Referral of serious cases to hospital.

HEALTH RECORDS• Health records of children &

mothers are maintained.

• A card containing the health record of child is given to the mother.

NON FORMAL PRE - SCHOOL EDUCATION

• Children between 3 & 6 yrs are imparted non formal pre school education.

• The objective is to provide opportunities to develop desirable attitudes, values & behavioural pattern.

• Locally produced in expensive toys are used in organizing play & creative activity.

SCHEMES FOR ADOLESCENT GIRLS

• KISHORI SAKTHI YOJANA.

• NUTRITION PROGRAMME FOR ADOLESCENT GIRLS

KISHORI SHAKTHI YOJANA

• The scheme targets adolescent girls of 11 – 18 yrs.

• The programme addresses their needs of self development, nutrition & health status, literacy & numerical skills & vocational skills.

NUTRITION PROGRAMME FOR ADOLESCENT GIRLS

• Was approved in 2009-10.

• The project is implemented in 51 identified districts.

• Undernourished girls (11-15 yrs) < 30 kg & (15-19 yrs) < 35 kg are covered under the scheme

• 6 kg of free food grain is provided for each beneficiary per month.

• The programme is implemented through ICDS scheme at the state, Dt, block & Anganwadi centre level.

TWO MORE SCHEMES ARE ALSO IMPLEMENTED.

• 1.RAJIV GANDHI SCHEME FOR EMPOWERMENT OF ADOLESCENT GIRLS, &”SABLA” (11-18 YRS) to improve their nutritional health status.

• 2.GANDHI MATRUTVA SAHAYOG YOJNA (IGMSY) – Conditional cash transfer to pregnant women & lactating mothers to improve their nutritional status

ADMINISTRATIVE UNIT OF ICDS

1. COMMUNITY DEVELOPMENT BLOCK.

2. TRIBAL DEVELOPMENT BLOCK

THANK YOU