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