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1 A FINAL PROJECT REPORT ON EVALUATION OF ICDS SNP SERVICE PROVIDED TO BENEFICEAIRES AT AGANWADI CENTERS (A bock level study conducted in Danapur block of Patna district, BIHAR) ICDS SUBMITTED BY: RAKHI Management trainee: ICDS Student of: BIRLA INSTITUTE OF TECHNOLOGY MESRA, RANCH
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Page 1: EVALUATION OF ICDS SNP SERVICE PROVIDED TO ...icdsbih.gov.in/ICDS_Admin/UploadFile/ICDS Internship...and Mr. Jaya Mishra (CDPO Danapur), without whose valued guidance, encouragement

1

A FINAL PROJECT REPORT

ON

EVALUATION OF ICDS SNP SERVICE PROVIDED TO

BENEFICEAIRES AT AGANWADI CENTERS

(A bock level study conducted in Danapur block of Patna district, BIHAR)

ICDS

SUBMITTED BY:

RAKHI

Management trainee: ICDS

Student of: BIRLA INSTITUTE OF TECHNOLOGY MESRA, RANCH

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ACKNOWLEDGEMENT

The spirit of summer internship program lies in not merely doing the program but to get a

firsthand experience of the Organization and to prepare ourselves for tomorrow’s managerial

needs.

I wish to express all my appreciation and thanks to all those with whom I have had the

opportunity to work and whose thoughts and insights have helped me in furthering my

knowledge and understanding of the subject.

My sincere gratitude goes to my organization guide Ms. Abha Prasad monitoring officer ICDS.

and Mr. Jaya Mishra (CDPO Danapur), without whose valued guidance, encouragement and

inspiration the completion of this project would never have been possible.

I am also indebted to Sri Praveen Kishore, IRS, Director ICDS for providing me an opportunity to

be a part of ICDS Bihar and to all the employees of the organization for giving me valuable

information during my project.

Thanking you,

RAKHI

Management trainee: ICDS, Bihar

Student of: BIT Mesra, Ranchi

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TABLE OF CONTENT

EXECUTIVE SUMMARY 4

INTRODUCTION 6

Background of ICDS 6

Introduction of SNP 9

Specific background for study 11

APPROACH AND METHODOLOGY 12

Objective of study 12

Scope of study 12

Methodology of study 12

AW covered and Sample size 12

Data collection tool 12

DATA ANALYSIS 13

FINDING AND OBSERVATION 21

RECOMMENDATION & SUGGESTIONS 23

STUDY LIMITATION 24

BIBLIOGRAPHY 24

ANNEXURE 25

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EXECUTIVE SUMMARY

TITLE OF THE STUDY

An evaluation of ICDS SNP service provided to beneficiaries at

AWCs.

MILESTONE OUTPUT

To improve the implementation of SN service at functional

level by identifying the constraint so that more enrollment and

coverage of targeted beneficiaries under this programme.

OBJECTIVE OF STUDY Finding the constraints of SNP scheme.

Identification of gap in implementation of this scheme.

Food distribution

Provide pointer for the criteria used for coverage of

poorest and marginalized group who are excluded.

METHODOLOGY OF STUDY

The study entailed the following tasks:

Study Planning

Random Selection of Samples

Preparation of comprehensive data-collection tools and

analysis framework.

Data collection on the basis of approved tools

Analysis of the data

Report writing

Sharing of report with the CDPO

Final report

Submission of the report

TIMEFRAME OF PROJECT

15TH

of may2012 to 2nd July 2012(7 weeks)

REPORTING

Final reporting to director, ICDS Bihar.

PLACE FOR CONDUCT OF

STUDY

Danapur block (Patna district)

FINDINGS AND DATA 60% of the AWCs select beneficiaries on the basis of

economic status, 10% each on the basis of nutritional

status and caste basis, 5% on first come first enroll

basis. And rest 15% of beneficiaries are selected

because of personal relationship with AWW

50% or less number of beneficiaries were present at

center during every visit.

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NOTE: it is found that nearly 50% of AWCs that attendance of

all absent students is marked as present.

85% AWCs nearly 1-5 days hot meal is not provided to

beneficiaries on scheduled day for hot meal.

80% of AWCs, AWW don’t plot the graph in growth

chart provided to them to keep record of weight of

beneficiaries.

18% of beneficiaries / community members reported

distribution of poor quality food and 29% reported that

quantity provided is less than quantity recommended.

43% is unsatisfied with Hot meal because of quality and

repetition of same food daily.

MAJOR RECOMMENDATION A committee is constituted of 5 members in which 2

AWW, 2 members from community and 1 officer is

appointed at district level to ensure full survey of

targeted beneficiaries with AWC coverage in a year

Transparency should be maintained at the functional

level

Ensuring uninterrupted supply of SN to beneficiaries.

Correctly estimation of monthly/yearly requirement.

Safety stock of 15 days SNF at any point of time at

AWC

Control the absence of AWW and closer of AWCs

without notice.

One employee should be provided in temporary to that

center if AWW is on leave.

Third party involvement (NGOs, Parents, community

representative) may be entrusted the responsibility of

distribution and quality assurance.

Better to have sub-contracted or at least contracted

professional field surveyors

More technical training should be provided to the

AWW, regarding weighing scale measurement kit,

growth chart and equipment’s related to growth

monitoring.

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INTRODUCTION

Background of Integrated Child Development Services

Integrated Child Development Services (ICDS) was launched in 33 Blocks on October 2, 1975, in response to

the challenge of meeting the holistic needs of the child. Today, ICDS is one of the world's largest and most

unique outreach Programmes for children. It is widely acknowledged that the young child is most vulnerable to

malnutrition, morbidity, resultant disability and mortality. The early years are the most crucial period in life, as

it is the time when the foundations for cognitive, social, emotional, language, physical/motor development and

life-long learning are laid.

It is in this context ? recognizing that early childhood development constitutes the foundation of human

development ? that the ICDS Programme was designed to promote all-round development of children under six

years, through the strengthened capacity of care-givers and communities and improved access to basic services

at the community level.

Objective of ICDS:

1) To improve the nutritional and health status of children in the age group 0-6years.

2) To lay the foundation for proper psychological, physical and social development of child.

3) To reduce the incidence of mortality, morbidity, malnutrition and school dropout.

4) To achieve effective co-ordination of policy and implementation amongst the various department to

promote child development and

5) To enhance the capacity of the mother to look after the normal health and nutritional need of the child

through proper nutrition and health education.

Implementation Status The Programme is being implemented at 80,211 anganwadi centres (AWCs) through 544 Child Development

Projects across the state.

Benefits and Eligibility the Programme aims to benefit children below six years, pregnant and lactating women in the reproductive age

group (15-45 years). The package of services delivered by the scheme includes:

Supplementary nutrition

Immunization

Health check-up services

Referral services

Pre-school non-formal education

Nutrition and health education.

Supplementary nutrition is provided to the children below 6 years and pregnant and lactating women to bridge

the caloric gap between the national recommended nutritional guidelines and actual intake by the women and

children of disadvantaged communities.

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Immunization of pregnant women and children is done to reduce the maternal and neonatal mortality. The

children are immunized against six childhood diseases namely poliomyelitis, diphtheria, pertussis, tetanus,

tuberculosis and measles.

Health Check-ups include health care of children less than six years, antenatal care of expectant mothers and

postnatal care of nursing mothers. The various health services provided for children by anganwadi workers and

Primary Health Centre staff, include regular health check-ups, recording of weight, immunization, management

of malnutrition, treatment of diarrhea, de-worming and distribution of simple medicines etc.

Referral Services are provided during health check-ups and growth monitoring, sick or malnourished children,

in need of prompt medical attention, are referred to the Primary Health Centre or its sub-center.

Pre-School and Non formal education for three-to six years old children in the anganwadi is directed towards

providing and ensuring a natural, joyful and stimulating environment, with emphasis on necessary inputs for

optimal growth and development.

Nutrition, Health and Education involves use of Behavior Change Communication strategy to build capacity of

women especially in the age group of 15-45 years – so that they can look after their own health, nutrition and

development needs as well as that of their children and families.

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ORGANISATIONAL STRUCTURE OF ICDS

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Introduction of SNP

This includes supplementary feeding and growth monitoring; and prophylaxis against vitamin A deficiency and

control of nutritional anemia. All family in the community are surveyed, to identify children below the age of

six and pregnant & nursing mothers. They avail of supplementary feeding support for 300 days in a year. By

providing supplementary feeding, the Anganwadi attempts to bridge the caloric gap between the national

recommended and average intake of children and women in low income and disadvantaged communities.

Growth monitoring and nutritional surveillance are two important activities that are undertaken. Children below

the age of three years of age weighed quarterly. Weight-for-age growth cards are maintained for all children

below six years. This to detect growth faltering and help in assessing nutritional status. Besides, severely

malnourished children are given special supplementary feeding and referred to medical services.

SUPPLEMENTARY NUTRITION NORMS:

Financial norms: the government of india has recently, revised the cost of supplementary nutrition for different

category of beneficiaries vide this Ministry,s letter No.F.No. 4-2/2008-CD.II DATED 07.11.2008, the details of

which are as under:

Sl.no Category Pre-revised rates Revised rates(per

beneficiary per day)

1 Children(6-72 months) Rs . 2.00 Rs.4.00

2 Severely malnourished children(6-

72 months)

Rs .6.00 Rs.6.00

3 Pregnant women and nursing

mothers

Rs . 2.30 Rs.5.00

NUTRITIONAL NORMS: revised vide letter No. 5-9/2005-ND-Tech Vol. 11 dated 24.2.2009

Sl.no Category Pre-revised

Calories protein

Revised

Calories protein

1 Children(6-72 months) 300kcal 8-10g 500kcal 12-15g

2 Severely malnourished children(6-

72 months)

600kcal 20g 800kcal 20-25g

3 Pregnant women and nursing

mothers

500kcal 15-20g 600kcal 18-20g

TYPE OF SUPLEMENTARY NUTRITION:

Children in age group 0-6 months: For children in this age group, Sates/UTs may ensure continuation of

current guidelines of early initiation (within one hour of birth) and exclusive breast-feeding for children for the

first 6months of life.

Children in the age group 6 months to 3years: For children this age group, the existing pattern of Take Home

Ration (THR) under the ICDS Scheme will continue. However, in addition to the current mixed practice of

giving either dry or raw ration (wheat and rice) which is often consumed by entire family and not the child

alone, THR should be given in the form that palatable to the child instead of the entire family.

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Children in the age group of 3-6 years: for the children if this age group, state/UTs have been requested to

make arrangement to serve Hot Cooked Meal in AWCs and miniAWCs under the ICDS scheme. Since the child

of this age group is not capable of consuming a meal of 500 calories in one sitting, the states/UTs are advised to

consider serving more than one serving hot cooked meal takes time, and in most of the cases, the food is served

around noon, sates/UTs may provide 500 Calories over more than one meal. States/UTs may arrange to provide

a morning snack in the form of milk/banana/egg/seasonal/fruits/micronutrient fortified food etc

Registration of beneficiaries: Since BPL is no longer criteria under ICDS, States have to ensure registration of

all eligible beneficiaries.

Type of Meal and Quantity Table 1: Menu and Days

Days Menu Child (40 nos) Adolescent Girl (3 nos)

HOT MEAL PER DAY ( 25 Days)

Monday Khichari 160 gm. 195 gm.

Tuesday Rasia 140 gm. 200 gm.

Wednesday Khichari 160 gm. 195 gm.

Thursday Halwa 130 gm. 155 gm.

Friday Pulao 155 gm. 195 gm.

Saturday Khichari 160 gm. 195 gm.

TAKE HOME RATION (THR) FOR 25 DAYS

Item Child (6 M-3yr.)-28 nos.

Severely malnourished Child (6M-3 Yr.)-12 nos.

Pregnant /Lactating Mother-16 nos.

Rice 2.5 KG 4 KG 3 KG

Chana Dal 1.25 KG 2 KG 1.5 KG

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Budgetary Provision for SNF Table 2: Budget for SNF

Specific background for the study

As compared to other states, Bihar has not only more poverty but the proportion of children in the overall

population is also more. Though Bihar’s share in India’s population is one-twelfth, it accounts for one-seventh

of those living below the poverty line, and one-sixth of the malnourished children. About four-fifths of children

in the age group 6 to 35 months in Bihar are anemic. The state government has taken several steps to improve

the nutritional status of the target beneficiaries and situation has improved considerably but still a lot has to be

done. The SNP programme is aimed to provide support to fill the nutritional gaps amongst the targeted

beneficiaries. To know the present status by evaluating and monitoring the implementation of Supplementary

Nutrition Programme of ICDS a pilot study covering randomly selected AWCs in Danapur block of Patna

district is being conducted so that impact of SNP programme can be measured at later stage and required steps

can be taken in filling the gap in the implementation of that programme so that more and more beneficiaries can

get benefit by this program and ICDS can achieve its objective.

Category No. under 99 model

Type of Food provided

Food Budget

Child 0-3 Years 40 (28+12)

THR Rs. 4 /day (normal) Rs. 6/ day (SM)

Pregnant Women 08 THR Rs. 5/day

Lactating Mother 08 THR Rs. 5 /day

Child 3-6 Year 40 Hot meal Rs. 4 /day

Adolescent Girl 03 Hot Meal Rs. 4/ day

TOTAL 99 Rs. 10,975 / Month / AWC

Monthly SN Budget per AWC is Rs. 10,975/- at full capacity of 99 beneficiaries

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APPROACH & METHODOLOGY

Objectives of the Study

To evaluate the SN service and its implementation at the functional level, in these area

1. Beneficiaries Covered

2. THR / Hot Meal Distribution

3. Growth monitoring

4. Attendance status

To identify constraints and bottlenecks;

Provide pointers in terms of best practices and also identifying gaps in implementation for the department to

improve the programme;

Scope of work

To evaluate the implementation of SN programme on the basis of sample study of selected AWCs.

Methodology of Study

The study entailed the following tasks:

Study Planning

Random Selection of Samples

Preparation of comprehensive data-collection tools and analysis framework.

Data collection on the basis of approved tools

Analysis of the data

Report writing

Sharing of report with the CDPO

Final report

Submission of the report

Sampling for primary data collection:

AWCs covered and the sample size-

For the collection of primary data AWCs were randomly selected from Danapur block of Patna district.

SAMPLE SIZE- 60 AWCs

Data collection tool:Primary data was collected by interview, schedules and observation fromAWCs , CDPO,

COMMUNITY. Secondary data was collected from (www.icdsbih.gov.in)

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DATA ANALYSIS AND INTERPRETATION

1 )What are the criteria followed to enroll the beneficiaries at AWC.

2) Detail of beneficiaries covered under SN.

CATEGORIES 6mnth – 3 yr 3yr – 6yr Pregnant women Nursing mother

Total current

enrollment(in

number)

40 40 8 8

Attendance at the

time of visit(in %)

0 50% 0 0

No. of

beneficiaries

enroll for Hot

meal(in number)

0 40 0 0

No. of

beneficiaries

enroll in THR(in

number)

40 0 8 8

No. of

beneficiaries visit/

present on THR

day(observed)(%)

40% 0 75% 75%

0

10

20

30

40

50

60

economic

status

nutritional

status

caste first come

first enroll

others

60

10 10

5

15

percentage

percentage

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*percentage of beneficiaries who are present/visit AWCs on THR days, shown in the chart of all the sample

size surveyed for study

3) No. of days that is scheduled for Hot meal, no food was supplied during a month to beneficiaries.

0%

10%

20%

30%

40%

50%

60%

70%

80%

40%

0

75% 75%

percentage

percentage

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

0 day 1-5 day more than 5

days

10%

85%

5%

percentage

percentage

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4) No of days hot meal is not provided as mentioned in menu.

5) Reason for interruption in supply of hot meal.

0%

10%

20%

30%

40%

50%

60%

70%

0 days 0-5 days more than 5

days

5%

70%

25%

percentage

percentage

0%

10%

20%

30%

40%

50%

60%

0%

20%25%

0%

55%

percentage

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6) Maintenance and plotting the weight on growth chart register regularly.

7) Monthly weight measurement of beneficiaries is conducted as per schedule?

0

10

20

30

40

50

60

70

80

yes no

20

80

percentage

0

10

20

30

40

50

60

yes no

40

60

Series 1

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8) Availability of equipment at AWC?

9) Proper training is given to AWW for maintenance and plotting of growth chart.

0

10

20

30

40

50

60

70

80

90

yes no

90

10

percentage

0

10

20

30

40

50

60

70

80

90

100

yes no

100

0

30

0

percentage

% of AWW have problem

in plotting growth chart

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10) Nutrition/growth status of beneficiaries according to weight-for-age-chart at AWC.

Data presented by AWW in the growth monitoring register at AWCs

category

6mnth-3yr 3yr -6yr

a) Normal (%)

70 100

b) Moderately

underweight(1 and 2

grade)(%)

30 0

c) Severely

underweight(3 and 4th

grade) (%)

00 0

Observed data at the time of survey of AWCs

11) Monitoring visits by CDPO and Supervisor quarterly of AWCs.

Visited not even

once

once twice More than two

time

CDPO 20 % 40% 25% 5%

Supervisor 5% 30% 50% 15%

category

6mnth-3yr 3yr -6yr

a) Normal (%)

70 60

b) Moderately

underweight(1 and 2

grade)(%)

30 35

c) Severely

underweight(3 and 4th

grade) (%)

00 5

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12) Response on SNP from community (parents, PRI, beneficiaries)

Satisfied Unsatisfied

On quality of food 82% 18%

On quantity 71% 29%

On THR distribution 60% 40%

On Hot meal 57% 43%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

quality of

food

quantity THR

distribution

Hot meal

82%

71%65%

57%

18%

29%35%

43%

satisfied

unsatisfied

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FINDING AND OBSERVATIONS

The study was conducted in the Danapur block of Patna district.

Name of CDPO- Stm. Jaya Mishra

NO.AWCs sanctioned- 213

No. AWCs functioning-207

The finding and observation is presented on the basis of survey conducted in the selected area and randomly

selected samples. So all the finding are based on data collected by interview, schedules and observation at the

time of survey visit.

1. Criteria for selection of beneficiaries which AWCs follows are, 60% of the AWCs select beneficiaries

on the basis of economical status, 10% each on the basis of nutritional status and caste basis, 5% on first

come first enroll basis. And rest 15% of beneficiaries are selected because of personal relationship with

AWW (this finding is the outcome of interview schedule from community).

2. It is observed in most of the AWCs that attendance status of beneficiaries is very poor. Only

approximately 50% or less number of beneficiaries were present at center during every visit.

NOTE: it is found that nearly 50% of AWCs that attendance of all absent students is marked as

present.

1.poor attendance at AWC 2. THR distribution at AWC

In Danapur block total enrolled beneficiaries of SNP is 19911, out of total eligible beneficiaries for

SNP i.e. 43630. In Bihar 96 beneficiaries model which include 56 THR and 40 Hot meal

beneficiaries is followed by each AWCs. So finding of beneficiaries covered under this program is

Enrollment of beneficiaries according to the enrolment register is 100% in Hot meal and for

THR.

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Percentage of beneficiaries present for Hot meal is 50%.

On an average 25 beneficiaries visit AWCs on THR day, in percentage term 40% of 6month-3

year, 75% each of pregnant and nursing mother visit AWCs for THR.

NOTE: But at the end of the day all beneficiaries are marked present for the THR.

3. In 85% AWCs nearly 1-5 days hot meal is not provided to beneficiaries on scheduled day for hot meal.

And in nearly 5% AWCs more than 5 days hot meal is not provided.

4. In 70% of AWCs Hot meal is not provided as per menu for 1- 5 days. In 25% of AWCs more than 5

days food is not supplied as per menu.

NOTE: in most of the center it is found that they cook khichri every day without caring about menu of

that day.

5. Interruption in supply of Hot meal caused due to these factors, 20% because AW were closed, 25%

because AWW are not present. Rest 55% is other reason. After interview from AWW they answer

mostly that their stock of food for particular menu of that day is finished that why they are not giving

any food to children.

6. In 80% of AWCs, AWW don’t plot the graph in growth chart provided to them to keep record of weight

of beneficiaries.

7. In 60% of AWCs, AWW don’t measure weight of 6 month-3 year beneficiaries and beneficiaries of

grade I, II,III and IV, In spite of 90% availability of measurement equipment at the AWCs.

8. 100% of AWW get training for weight measurement and plotting of weight-for-age chart, but still 30%

of them having problem in plotting the graph and in using weigh measurement kit, weighing scale and

equipment’s.

9. It is represent in growth monitoring register that 100% beneficiaries of age group 3-6year are of normal

weight but it is found during survey that 60% of them are normal weigh and 35% are of grade I and II

and 5% are severely malnourished. But AWW do not mention their name in growth monitoring register.

10. Visit of CDPO and supervisor is not regular to all AWCs, in 20% of AWCs which are in very interior

area not even once any visit of CDPO and nearly 5% of AWCs no visit of Supervisor is recorded.

11. When random interview is conducted in community (PARENTS, PRI, beneficiaries)for their response

for SNP these result are found:

# 18% of beneficiaries / community members reported distribution of poor quality food and 29% reported that

quantity provided is less than quantity recommended.

# 43% is unsatisfied with Hot meal because of quality and repetition of same food daily.

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RECOMMENDATION AND SUGGESTION

1. Improve the criteria for selection:

A committee is constituted of 5 members in which 2 AWW, 2 members from community and 1

officer is appointed at district level to ensure full survey of targeted beneficiaries with AWC

coverage in a year.

Beneficiaries should be selected on the basis of economic status and nutritional status only.

A unbiased selection of beneficiaries enhance the enrollment and coverage of targeted

beneficiaries under this programme.

2. Transparency should be maintained at the functional level i.e.

Public display of beneficiary covered at AWCs

Display of daily attendance register

Expenditure detail and MPR sharing with community.

Display of THR and hot meal distribution.

Regular audit of community should be done by a officer at district level.

3. Ensuring uninterrupted supply of SN to beneficiaries.

Correctly estimation of monthly/yearly requirement.

Safety stock of 15 days SNF at any point of time at AWC.

Menu of hot meal should displayed and daily community check should be done.

Control the absence of AWW and closer of AWCs without notice.

One employee should be provided in temporary to that center if AWW is on leave.

4. Strengthening of monitoring system.

Third party involvement (NGOs, Parents, community representative) may be entrusted the

responsibility of distribution and quality assurance.

Introduce videography at least on the day of THR distribution.

Web based monitoring should be introduced.

A monitoring team should be constituted at state level.

5. Quality of food should be improved by procure product of standard quality.

6. Centralize distribution from block level to all AWCs of all main items like rice, pulses, gram flour, oil

etc. of SN should be done.

7. More technical training should be provided to the AWW, regarding weighing scale measurement kit,

growth chart and equipment’s related to growth monitoring. Facility of on the job training should avail

to them at regular interval of 4 months.

8. Beneficiaries (3yr-6yr) enroll for hot meal programme, are also suffering from malnutrition so regular

growth monitoring should be carried for them. More nutritional food should be provided at AWCs to

them and they should also enroll for THR, unless their health impove.

9. Better to have sub-contracted or at least contracted professional field surveyors.

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LIMITATION OF STUDY

1. Limited in house manpower resources for field survey and data processing

2. Non availability of supporting documents to verify correctness of data recorded in the registers at the

AWCs

3. Poor community awareness on provisions under SNP.

BIBILIOGRAPHY

www.icdsbih.gov.in

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ANNEXURE

INTERVIEW SCHEDULE

Name of the AWC Code no of AWC Name of AWW

(SEWIKA)

Name of AWW

(SAHAIKA)

1)What are the criteria followed to enroll the beneficiaries at AWC. Specify.

a) Economic status

b) Nutritional status

c) Caste

d) First come first enroll

e) Other (specify)

2)Detail of beneficiaries covered under SN.

CATEGORIES 6mnth – 3 yr 3yr – 6yr Pregnant women Nursing mother

Total current

enrollment

Attendance at the

time of visit

No. of

beneficiaries

enroll for Hot

meal

No. of

beneficiaries

enroll in THR

No. of

beneficiaries visit/

present on THR

day

3) No. of days that is scheduled for Hot meal, no food was supplied during a month to beneficiaries

a) 0 day

b) 1-5 days

c) more than 5 days

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4) Reason for interruption in supply of hot meal.

a) non receipt of fund

b) AWC was closed

c) Absence of AWW

d) Nil attendance

e) Other (specify)

5) Maintenance and plotting the weight on growth chart register regularly,

a) Yes b) No

6) Monthly weight measurement of beneficiaries is counducted as per schedule?

a) Yes b) No

7) Availability of weight machine at AWC?

a) Yes b) No

8) Proper taining is given to AWW for maintenance and plotting of growth chart?

a) Yes b) No

9) Nutrition/growth status of beneficiaries according to weight-for-age-chart at AWC.

category

6mnth-3yr 3yr -6yr

d) Normal

e) Moderately

underweight(1 and 2

grade)

f) Severely

underweight(3 and 4th

grade)

10) Availability of fund for SN monthly at AWC on time?

a) Yes b) No

11) No of monitoring visits of AWCs by

Visited not even

once

once twice More than two

time

CDPO

Supervisor

12)Response on SNP from community(parents, PRI, beneficiaries)

Satisfied(remark 1) Unsatisfied(remark 2)

On quality of food

On quantity

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On THR distribution

On Hot meal


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