CHHATTISGARH APIP 2012-13 DEPARTMENT OF WOMEN AND CHILD DEVELOPMENT APIP 2012-13 Department of Women and Child Development 2012-13 C HHATTISGARH Contents S.NO Subject Page 1. List of Tables 8 2. List of Annexure 10 3. List of Abbreviations 11 Section 1: Situation and Gap Analysis 1) Socio-Economic and Demographic profile of Chhattisgarh 13 a. Administrative units in the state 13 b. Demography 13 c. Socio Economic Situation 13 d. Population 14 e. Child Population 14 f. Districts, blocks (Rural/Urban/Tribal) 15 g. Female Literacy rate 15 h. Rural Connectivity: All weather, Seasonal road 15 i. Villages/Areas difficult to reach 16 2) State Nutrition Policy 19 a. Challenges 19 b. Factors contributing Malnutrition 19 c. Strategies for preventing Malnutrition 20 d. Activities undertaken in last two years 20 e. Follow up action 21 3) Inter- sector convergence for program implementation 21 a. Current Status of Inter-sector Coordination 22 4) Nutrition and Health Status of Women and Children in the State 25 a Breast Feeding 25 b. Ranking of Chhattisgrah by Breast Feeding 26 c. Progress of Chhattisgarh in terms of selected vital health indicators 27 d. Vitamin A supplementation Status 27 e. Nutritional status of the children 28 f. Anemia among children and women 29 g. Iodized Salt consumption 29 h. Infant Mortality rate 29 i. Ante natal care 30 j. IFA supplementation during pregnancy 31 k. Progress of Institutional deliveries 31 l. Progress of JSY Beneficiaries 32 m. Post natal care 33 n. Vaccination status 33 5) History of ICDS in Chhattisgarh 33 2 Chhattisgarh APIP 2012-13 Department of Women and Child Development S.NO Subject Page a. Year wise expansion of ICDS in the State 34 b. ICDS- Change in Efficiency of the AWCs year wise 35 6) State government financial contribution in quality implementation of 35 ICDS services a. Till now support by state government in the last two years 35 b. Budget provision by state government for 2012-13 38 c. Budget provision for central sponsored ICDS scheme 2012-13 39 7) Infrastructure status of all operational AWC Buildings 39 a. Sanctioned AWCs building in Chhattisgarh 40 b. Status of Construction 40 c. Availability of drinking water and Toilet facility in AWC 41 8) Status of operational blocks/AWCs/Mini-AWCs against sanctioned 42 9) Trends in coverage of beneficiaries for supplementary nutrition and 43 pre-school education 10) Training infrastructure – AWTCs, MLTCs 45 11) Major gaps/constraints in program implementation 46 a. Supplementary Nutrition Program 46 b. Preschool Education 46 c. Immunization and Health Checkup 47 d. Referral services 48 e. Health Nutrition Education 48 f. Current SNP arrangements 48 g. Kuposhan Mukti Abhiyan (Malnutrition Eradication Mission): 49 h. Village Health and Nutrition Day (VHND) 49 i. Others 49 12) Interdepartmental coordination (Particularly Health, Drinking Water, 50 Sanitation and Panchayat) Section-2 Vision Statement 51 Section-3 Organizational Structure of ICDS Program Management at State and District 54 Level a. Organizational Chart of the State Directorate & District Cell 54 b. Revised Population Norms for establishing AWCs under ICDS program 56 c. Office infrastructure at state, district and block level 56 d. Committees/Task force constituted by the State government 57 e. Devolution of powers at the state/ district/block levels 57 Section-4 Annual Action Plan Program Components 58 1) Human Resources 58 a. Recruitment Process 58 b. Process of Selection and Promotion of staff of ICDS 59 c. There exists specific cadre for CDPOs & Supervisor 59 d. Man positions/ Vacancies at all levels 59 3 Chhattisgarh APIP 2012-13 Department of Women and Child Development S.NO Subject Page e. State’s additional contribution for honoraria of AWWs and AWHs 64 f. Insurance coverage and welfare measures for the AWWs and AWHs 64 2) Procurement of Materials and Equipment 64 a. Status of supply of equipment 64 No .of AWCs having functional baby and adult weighing machines 64 No. and percentage of blocks with functional computers and printers 64 No. and percentage of District offices having functional computers/ printers 65 Functional vehicles at state, district and block level 65 b. Requirement during the Financial Year 65 3) Delivery of Services at AWCs 66 a. Supplementary Nutrition 66 i. Existing Mechanism for Procurement & distribution of Supplementary 66 Nutrition ii. Basic information about supplementary nutrition 67 A. Type of Supplementary Nutrition provided 67 B. Financial Norms for Beneficiaries 67 C. GOI’s Revised Feeding Norms 68 D. Comparative Table for Feeding Norms Practiced in State 69 iii. Nutrition Analysis of Food Samples 68 iv. Total and average beneficiary coverage 69 v. Special strategy for cut off area planning during monsoon 70 vi. Expenditure on supplementary nutrition during previous two years 70 vii. Quantum of food commodity approved for Wheat based Nutrition program 70 (WBNP) and lifted during 2010-11 and 2011-12 viii. Estimated budgetary requirements for the financial year 71 ix. Growth Monitoring & Promotion 71 x. Growth monitoring/ Promotion and Children’s Nutritional status 72 b. Pre-school Education 73 i. State Policy/guidelines/curriculum for Pre-school Education & Pre-School Kits 74 in ICDS ii. The strategy for preparing 3-6 children for school readiness 75 iii. Specific interventions on preschool education 76 iv. Contents of PSE Kits and supply positions 76 v. Number of AWCs received PSE kits 77 vi. Number of children graduated AWCs to formal Primary Schools 77 c. Nutrition and Health Education 77 i. State's strategy on nutrition and health education 77 ii. Status of implementation of national guidelines on infant and young child 78 feeding practices iii. Existing mechanism for counseling of mothers on nutrition and health issues 80 by AWW/Supervisor during home visit iv. Counseling on Adequate feeding during and after illness 80 v. NHED sessions during VHND/ NHD – use of IEC materials (tools) during NHEDs 81 4 Chhattisgarh APIP 2012-13 Department of Women and Child Development S.NO Subject Page and home visits vi. Monitoring mechanism 81 d. Immunization 81 i. Current immunization coverage rates 81 ii. Existing mechanism for immunization service 83 1 Village Health and Nutrition Days (VHNDs) 83 2 Shishu Sanrakshan Maah 83 e. Health Check-ups 84 i. Existing mechanism for health check-ups of pregnant women (antenatal care) 84 and children ii. Supply and composition of medicine kits during the last FY 85 iii. Status of coverage of at least three ANC check-ups of the pregnant women 85 iv. Supply of IFA tablets to pregnant women through RCH-II 86 v. State strategy to improve health check-ups 86 vi. Linkage with AYUSH 86 f. Referral Services 87 i. Existing mechanism for referral services (with health) 87 ii. NRCs in Chhattisgarh 87 iii. Constrains in effective referral services 89 iv. Strategy to improve referral services during the FY 89 g. Observance of Nutrition and Health Days 89 i. Mechanism for observance of monthly nutrition and health days 89 (VHND/NHDs) ii. Summary of activities that are taken up during the NHDs 90 iii. IYCF counseling 90 iv. The activities that are taken up during the NHDs 90 v. Support received from community/ PRIs for observance of NHD 91 vi. Specific intervention for tribal/rural/urban AWCs in conjunction with line 91 departments h. SABLA Scheme 92 i. Objectives of the scheme 92 ii. Target Group 92 iii. Activities 93 iv. MODALITIES OF THE SCHEME 93 v. Services under the Scheme 94 i. Information Education and Communication 94 a. Activities carried out under IEC component during last year 95 b. IEC materials that have been developed 96 c. Campaigns organized on nutrition and pre-school education 96 d. Activities that are planned during the current year 96 j. Monitoring and evaluation 98 a. Existing monitoring and supervision mechanism at different level 98 b. Constraints in monitoring and supervision 100 5 Chhattisgarh APIP 2012-13 Department of Women and Child Development S.NO Subject Page c. State's revised Management and Information System 102 d. Nutrition Surveillance System 102 e. State's strategy to improve the existing MIS 102 f. Community monitoring mechanism 104 g. Structured Feedback Mechanism 104 h. Key M&E activities as per the GOI guideline 104 k. Training and capacity building 105 i. Regular Training Program 105 ii. Other Training Program 106 iii. Capacity Building and ECE 107 iv. Training Calendar 107 v. MLTC 107 Vi Training need assessment of functionaries 108 vii. Available training resource center in the state 109 viii. Location of Training Centers 111 ix. Detailed Training Calendar 112 x. Training Structure 114 xi. Capacity Building 115 xii. ECE/ICE 116 xiii. Physical and Financial performance of the State in the year 2008-09 117 xiv. Physical and Financial performance of the State in the year 2009-10 118 xv. Physical and Financial performance of the State in the year 2010-11 119 xvi. Physical and Financial performance of the State in the year 2011-12 119 xvii. Financial Requirements of Funds (Regular Training) 2012-13 120 xviii. Financial Requirements of Funds (Other Trainings) 2012-13 121 i) Convergence with line departments 122 i. Existing mechanism for convergence and coordination with line departments 122 ii. Status of joint planning with health at district, block and village level 122 iii. Joint visits /review with health and other departments 122 j). Community participation and involvement of PRIs 123 i. Nawa Jatan 123 ii. Basic Features of the Scheme 123 iii. Expected Outcomes 124 iv. Existing mechanism for community participation 124 Recruitment of AWWs/AWHs 125 Supplementary food distribution 125 Regularity of opening of AWCs and Observance of VHNDs 125 Immunization 125 Construction of AWCs 125 Mobilization of community support to AWC 125 v.