Presentation for APIP meeting

"Best Practices in Jharkhand"

Social Welfare Women, and Child Development Department, Jharkhand

ICDS in Jharkhand

Chalo Anganwadi Kendra Se Chalo Anganwadi Kendra Se Jude Hum Abhiyan in May Jude Hum Abhiyan in May

20132013

• Approx 3 lac children newly enrolled during this Abhiyan at the AWC

• This Abhiyan ensured 100 percent attendance of pre enrolled child at the AWC

• Effective participation of PRI members with ownership

• Social Audit of resources available at AWC

PLAN OF ACTIONSTATE LEVEL MEETING

DISTRICT LEVEL MEETING

SUB DIVISION MEETING

BLOCK LEVEL MEETING

CLUSTER LEVEL MEETING

DOOR TO DOOR SURVEY

Abhiyan Day

Abhiyan on Chalo Anganwadi kendra se Jude Hum

Department organized the statewide campaign on Chalo Anganwadi Kendra Se Jude Hum Abhiyan without involving any extra financial cost. The process involved during the campaign is as follows with following objectives

1. Ensuring 100 percent attendance of pre- enrolled children at the AWC

2. New enrollment between the target age group of 3 to 5 years at AWC within their catchment area

3. Social audit of the assets available at AWC like–medicine kit, pre-school kit, SABLA kit and other amenities provided at AWC

Preparatory phase

Phase 1: Strategy State Level

• The state level meeting called with all departmental officials for designing of Plan of Action (POA) for this campaign

• Meeting with development partners and NGO for usage of their resources in concerned areas

• Meeting with corporate agency (TATA, Jindal) for their support during the campaign

• POA developed and shared with all Deputy Commissioners, DSWOs and other partners

• Letter to interdepartmental secretaries for convergence during the campaign

• Letter issued to all deputy commissioner , DSWO, and DO letter to all PRI members for conducting meeting with field functionaries for making this event successful.

• The district level, divisional level, cluster level and block level meeting were held in each and every district with POA

Phase II - Preparation

Activities Expected support/Participation

District level meeting Meeting with all sub division and other convergence

district level official under the Chairmanship of Deputy

Commissioner

Sub division level meeting Meeting with all sub division and block level officials

including PRIs members under the Chairmanship of

SDO

Block level meeting Meeting with all block level functionaries including PRI

members, NGO and under Chairmanship of Pramuk

Panchayat Samiti

Cluster level meeting Meeting with all field level functionaries including Jal

Sahiya, Swasth Sahiya under the Chairmanship of Lady

Supervisor in presence of local PRI members

Phase III - Execution

Activities Expected support/Participation

Home visits and community

awareness

Home visits by Ward member, representatives of local PRI,

AWW, Lady Supervisor, Helper, ASHA, Jal sahiyyan for

inviting the target group child for enrolment on Abhiyan day

VHND at the AWC Ward member, representatives of local PRI, AWW, Lady

Supervisor, Helper makes joint call to the parents

‘Chalo Anganwadi Kendra se

jurey Hum’( let every child be

linked to the AWC) campaign

day

Officers/Supervisors/Workers authorised by District/

subdivision/block Ward member, representatives of local

PRI, AWW, Lady Supervisor, Helper will ensure 100%

presence and registration of all 3-6 years children of AWCs

catchment area.

Result (in %) On Abhiyan day 93% presence of already enrolled child observed

Source: District Report

Indelible marks of the campaign………………

AN INITIATIVE TO IMPROVE THE STATUS OF AN INITIATIVE TO IMPROVE THE STATUS OF CHILDREN WITH SEVERE ACUTE MALNUTRITION CHILDREN WITH SEVERE ACUTE MALNUTRITION

IN HAZARIBAGH DISTRICTIN HAZARIBAGH DISTRICT

Strategy adoption Malnutrition Treatment Center: Identified SAM children referred to MTC and receive treatment according to protocol. Children without medical complication adopted by the civil society along children discharge from MTC after treatment.

Sponsorship / adoption: To fight against Malnutrition district administration sensitize and involved Civil Society, Government Functionaries. Pooling resources at the local level to solve local calamity is an effort worth mentioning.

Jan Samvad: Officials of District Administration covered 500 villages as means of generating awareness on Malnutrition and ways and means of improving the status of malnourished children through the use of locally available energy dense/nutritional food. IEC:Song and Drama Division was roped in to spread the messages of ill effects of malnutrition and how families could keep their children healthy to avoid falling into the vicious cycle of malnutrition.

Strategy adoption Nutrition Package: During a workshop at the District level, representatives from UNICEF, shared the concept of making nutritious food with the locally available food materials. The District Administration suggested the same to the sponsors and shared the method of making the special packaged diet. The ingredients to make 100gm meal are;

Whole Wheat 30 gm Soybean 20 gm Bengal gram Flour (Sattu) 5 gm Sugar 35 gm Edible Refine oil 10 gm Total 100 gm

Field level Strategy

Sapath Patra During the Nutrition Week

During the Celebration of

Nutrition Week Department

took initiative towards launch of Sapath Patra

to ensure the up gradation of nutrition and

health status by community behavioural

changes

Adoption of AWC Under the Corporate Social Responsibility (CSR) Abhijit Group, Tata Steel, Usha Martin Ltd. has adopted Anganwadi Center's in Latehar, East Singhbhum and West Singhbhum district respectively. Following support and activities has been extended by them.

•Betterment of physical infrastructure in the AWC- Separate room ANC and Health checkup- Kitchen garden - Wall painting & indoor playing facility

at AWC- Outdoor playing space with swings

• Support in the supplementary nutrition programme in the AWC (providing nutritional food)

• Community mobilization in the catchment area of AWC

Establishment of Real-time- Monitoring Cell Real time monitoring cell was established at

the state level for monitor the services at Anganwadi Center

The cell was started in 2010-11 at the state level and decentralized at district level in 2012-13.

The cell telephonically monitor (direct call to AWW, PRI member etc) randomly selected AWC (on remote area) on daily basis

The results shows that regular opening of AWC and effective delivery of services at AWC

Real Time Telephonically Monitoring System

Daily Monitoring

100 AWC 20 L.S 5 C.D.P.O 5 D.S.W.O Villager/ PRIs member parents of beneficiaries

Preparation of Daily Monitoring Report

Direction/Suggestion to AWW for necessary correction Letter/E-mail/Telephonically direction by Director DSW for corrective steps on problematic areas to concern officer/AWW.

After getting information of correction report from field level officer, concern AWC monitored again to know the status of problem.

Real Time Monitoring Cell(Progress Report of Technology based Monitoring

System: Direct Approach to Beneficiaries)

Total AWC Monitored: 14538 (July- Sep 2013)

For better and most effective monitoring of the AWC, involvement of ALMSC and non-government members have been planned and its going to be executed.

Future strategies

Sneh Shivir

'A positive deviance approach with an objective of identifying solution to

community problem within the community'

State's Strategies

FOR WHOMFor the moderate and severely undernourished children between age of 6 month to 59 months along with their mothers/caregivers.

WHEREWhere there is a high prevalence of moderate and severe under nutrition amongst the children of the community . Out of a cluster of 4 to 5 Anganwadi's based on 4 A’s (Accessibility, Availability, Acceptability & Approachability) of the target group.

HOWDuration of Sneh Shivir will be a 12 days NCCS (Nutritional Counseling and Care Sessions) at AWCs followed by 18 days follow-up at the home of the children, who have attended the Sneh Shivir and the Nutrition, Health, Sanitation, personal health and hygiene would be the pillars of NCCS

Geographical Spread

12 high burden districts

22107 AWCs including Mini AWC

• Rs. 5950 per camp over a cluster of 4 AWCs • 3 camps (quarterly) in a year has to be conducted over a cluster of 4 AWC

12 days NCCS and activities Day Session/Activates

Day 1 Registration of Child in Sneh Shivir

Day 2 Identification of problem causing moderate and severe under nutrition with focused group discussion with target group

Day 3 A session on malnutrition, causes and its ill effects on the health of child

Day 4 Adequate nutrition and health care during pregnancy

Day 5 Counseling on breastfeeding (initiation exclusive breastfeeding and continuation of breastfeeding up to 2 years)

Day 6 Complementary feeding and its appropriateness

During these session there will be demonstration on the good and hygienic practices of cleanness as well as cooking practices by member of well to do families and civil society under positive deviance approach

Day Session/Activates

Day 7 Importance of Iodine in our daily diet

Day 8 Complete immunization

Day 9 Importance of Vitamin A for better health

Day 10 Regular deworming for the wholesomeness of better health and nutrition

Day 11 Personal Hygiene and Sanitation

Day 12 Briefing of previous days session and linking up with the ICDS services at AWCs

12 days NCCS and 18 days of follow up at the house hold level will lead to a Healthy and Smiling child ………….

What in case of absenteeism….. ?

Ex- if absent on day 3 & 8 the picture will look like…… and it will lead to lessening of absenteeism.

Thanks