Visit to Anganwadi Centres- State Specific Report (2017-18) Central Monitoring Unit, Monitoring & Evaluation Division National Institute of Public Cooperation and Child Development 5, Siri Institutional Area, Hauz Khas, New Delhi – 110016 Visit to Anganwadi Centres- State Specific Report (2017-18) List of Contents Page No. Abbreviations 1 Number of AWCs Visited during 2017-18 2 Total 3-5 Andhra Pradesh 6-7 Arunachal Pradesh 8-9 Assam 10-11 Bihar 12-13 Haryana 14-15 Jammu & Kashmir 16-17 Jharkhand 18-19 Karnataka 20-21 Kerala 22-23 Madhya Pradesh 24-25 Maharashtra 26-27 Manipur 28-29 Meghalaya 30-31 Nagaland 32-33 Puducherry 34-35 Rajasthan 36-37 Tamil Nadu 38-39 Telangana 40-41 Tripura 42-43 Uttar Pradesh 44-45 West Bengal 46-47 Major Observations and Recommendations 48-80 Annexure 81-189 Visit to Anganwadi Centres- State Specific Report (2017-18) ANM Auxiliary Nurse Midwife AWC Anganwadi Centre AWW Anganwadi Worker BRGF Backward Regions Grant Fund CSR Corporate Social Responsibility GOI Government of India GOVT. Government HCM Hot cooked Meal ICDS Integrated Child Development Services MGNREGA Mahatma Gandhi National Rural Employment Guarantee Act MLALAD Member of Legislative Assembly Local area Development MPLAD Members of Parliament Local Area Development MSDP Multi Sectoral Development Programme MS Morning Snacks NRC Nutrition Rehabilitation Centre P&LM Pregnant Women & Lactating Mother PHC Primary Health Centre PRI Panchayti Raj Institution PSE Pre School Education RIDF Rural Infrastructure Development Fund SN Supplementary Nutrition THR Take Home Ration UT Union Territory WHO World Health Organization 1 Visit to Anganwadi Centres- State Specific Report (2017-18) Number of Anganwadi Centres visited in the year 2017-18 S.No Name of the No. visited in the year 2017-18 State/UT Districts Projects AWCs 1 Andhra Pradesh 4 5 25 2 Arunachal Pradesh 3 6 137 3 Assam 7 13 434 4 Bihar 1 4 30 5 Haryana 2 14 555 6 Jammu & Kashmir 1 7 239 7 Jharkhand 4 17 411 8 Karnataka 1 1 5 9 Kerala 3 7 167 10 Madhya Pradesh 4 4 20 11 Maharashtra 5 6 31 12 Manipur 5 7 200 13 Meghalaya 2 2 17 14 Nagaland 2 2 10 15 Puducherry 1 1 13 16 Rajasthan 9 17 491 17 Tamilnadu 1 3 15 18 Telangana 2 2 10 19 Tripura 2 2 10 20 Uttar Pradesh 8 8 40 21 West Bengal 3 23 206 Total 70 151 3066 2 Visit to Anganwadi Centres- State Specific Report (2017-18) ALL INDIA (TOTAL) No. of Projects/ AWCs Sanctioned Operational No. Of ICDS Projects 7075 7075 No. of AWCs/ Mini AWCs 1400000 1362847 No. of District Visited No. Of ICDS Projects Visited No. of AWCs Visited 70 151 3066 IMPLEMENTATION OF ANGANWADI SERVICES SCHEME At the grass root level, the services under Anganwadi Services Scheme are delivered by AWCs/Mini AWCs. The Target Groups of Anganwadi Services Scheme are children below 6 years, Pregnant & Lactating Mothers and all eligible women in the reproductive age group. There are 13.62 lakh operational AWCs out of 14.00 lakh sanctioned AWCs in the country. Of these 3066 AWCs in 151 ICDS Projects of 70 districts in 21 States/UTs were visited by Officials of CMU, M.E Division, NIPCCD during 2017-18.Out of 3066 visited AWCs, 2525 AWCs were found open and remaining 541 (17.65%) AWCs were found closed. INFRASTRUCTURE Out of 2525 opened AWCs, 1971 (78.06%) AWCs were located in pucca building and remaining 554 (21.94%) AWCs need to be progressively shifted in pucca buildings. 1575 (62.38%) AWCs were found running in their own buildings and remaining 950 (37.62%) AWCs need to be shifted in their own buildings respectively. The adequate availability of outdoor and Indoor space was found in 1651 (65.39%) AWCs and 1818 (72%) AWCs. The availability of separate cooking space (Kitchen) was found in 1243 (49.23%) AWCs. The concerned State Govt. and UT Administration have been requested to construct AWC buildings by leveraging funds in convergence with other schemes like MPLADs, MLALADs, Tribal Development, Multi Sectoral Development Programme (MSDP) of Ministry of Minority Affair, MGNREGA, RIDF and BRGF etc. The availability of drinking water facility was noticed in 1852 (73.35%) AWCs. 1069 (42.34%) AWCs had usable toilets and remaining 1456 (56.66%) AWCs may be provided toilet facilities. State Govt./UT administration have been requested to take necessary action in providing Safe Drinking Water & Toilet Facilities at AWCs by effective convergence with Department of Drinking Water and Sanitation by leverage funds under Fifteenth Finance Commission etc. TRAINING AND PERSONAL PROFILE Out of 2525 sanctioned posts of Anganwadi Workers, 2469 (97.78%) AWWs were found present during visit. Of these, 2134 (86.43%) AWWs had received job training. State Govt./UT Administration have been requested to review the training status of AWWs and arrange for Job/Refresher Training of untrained AWWs for the smooth functioning of Anganwadi Services Scheme. 3 Visit to Anganwadi Centres- State Specific Report (2017-18) SUPPLEMENTARY NUTRITION As per schematic norms of Anganwadi Services Scheme, AWCs are required to provide Supplementary Nutrition to the beneficiaries of target groups. Take Home Ration, Morning Snacks and Hot Cooked Meal was distributed by 69.78 percent, 52.20 percent and 73.19 percent of the visited AWCs to the beneficiaries respectively. Interruption was seen in distribution of Supplementary Nutrition during last six months in 1443 (57.15%) AWCs. It was found that out of 66402 registered children (3-6 years), 44106 (66.42%) children received SN. Similarly, out of 73527 registered children (6 months to 3 years), 62772 (85.37%) children received SN at AWCs. Out of 945 registered Severely Underweight children, 910 (96.30%) children were found availing SN and remaining 35 Severely Underweight children have not been provided SN as per norms of the scheme. Out of 15852 pregnant women registered for SN, 14167 (89.37%) pregnant women received SN and similarly, 14944 (87.39 %) lactating mothers were found availing SN out of 17100 registered. State Govt./UT Administration have been requested to optimize coverage of beneficiaries of SN under Anganwadi Services Scheme. The concerned State Govt. has also been requested to provide SN to beneficiaries, with no interruption, as per prescribed nutritional and cost norms under the Anganwadi Services Scheme. GROWTH MONITORING AND PROMOTION Baby weighing scale and New WHO Growth Charts have been prescribed for children to detect malnourishment among them. Similarly, adult weighing scale has been prescribed for pregnant women & lactating mother (P&LM) to monitor their weight during pregnancy and delivery. 1187 AWCs (47.01%) had baby weighing scale and 971 AWCs (38.46%) had adult weighing scales. The availability of new WHO child growth charts has been reported at 1690 (66.93%) AWCs. The concerned State Govt./UT Admn. have been requested to arrange for availability of baby & adult weighing scales and new WHO child growth charts at AWCs. AVAILABILITY OF KITS AND MATERIALS The programme content of pre-school activities for children needs to be largely centered on organization of play activities. The availability of PSE kits has been reported from 1558 (61.70%) Anganwadi Centres. Medicine Kits was available only in 670 (26.53%) AWCs. State Govt./UT Administration have been requested to arrange and ensure the supply of PSE Kits & Medicine Kits and other materials at AWCs as prescribed. PRE-SCHOOL EDUCATION Out of 66402 registered children (3-6 Years) for Pre School Education, 44106 children (66.42%) attended PSE at AWCs on the day of visit. State Govt./UT Administration has been requested to put efforts to increase the attendance of the pre- school children. In this regard it was suggested that all the AWCs must be equipped with contextualized ECCE Curriculum, age specific activity books and child assessment card along with adequate Teaching Learning Materials. 4 Visit to Anganwadi Centres- State Specific Report (2017-18) IMMUNIZATION AND HEALTH CHECK-UP Immunization and health check - up services under Anganwadi Services Scheme are provided by Health Department. Out of total 18273 children who completed one year, 14161 children (77.5%) were fully immunized. States/UT have been requested to review immunization status of children in coordination with Health Department to immunize cent percent children in the Anganwadi area. 5 Visit to Anganwadi Centres- State Specific Report (2017-18) STATE: ANDHRA PRADESH No. of Projects/ AWCs Sanctioned Operational No. Of ICDS Projects 257 257 No. of AWCs/ Mini AWCs 55607 55606 No. of District No. Of ICDS Projects No. of AWCs Visited Visited Visited 4 5 25 IMPLEMENTATION OF ANGANWADI SERVICES SCHEME INFRASTRUCTURE Out of 25 AWCs, 16 (64%) AWCs were located in pucca building and remaining 9 (36%) AWCs need to be progressively shifted in pucca buildings. 10 (40%) AWCs were found running in their own buildings and remaining 15 (60%) AWCs need to be shifted in their own buildings respectively. The adequate availability of outdoor and Indoor space was found in 19 (76%) AWCs and 16 (64%) AWCs respectively. The availability of separate cooking space (Kitchen) was found in 21 (84%) AWCs. State Govt. has been requested to construct AWC buildings by leveraging funds in convergence with other schemes like MPLADs, MLALADs, Tribal Development, Multi Sectoral Development Programme (MSDP) of Ministry of Minority Affair, MGNREGA, RIDF and BRGF etc. The availability of toilet and drinking water facility was noticed in 72 percent and 88 percent of the AWCs. There is a need to provided toilet facilities in 28 percent of the AWCs. State Govt. has been requested to take necessary action in providing Safe Drinking Water & Toilet Facilities at AWCs by effective convergence with Department of Drinking Water and Sanitation by leverage funds under Fifteenth Finance Commission etc.