Annual Project Implementation Plan for ICDS
(APIP)
Madhya Pradesh
APIP 2012-13
Presentation by GoMP
3/10/12
1
MADHYA PRADESH - Demographic Profile
Area (in sq.kms.)
308 thousand sq. K.M.
Population Census 2011
72597565
Male
37612920
Female
34984645
Scheduled Tribes
20.27 (Census 2001)
Scheduled Castes
15.17 (Cenus 2001)
Population (0-6 Years)
1.05 Cr
Development Blocks
313
Populated villages
54903
Gram Panchayats
23012
Literacy
70.6
Male
80.53
Female
60.02
Density of Population
236
Sex Ratio
930
Child Sex Ratio
912
2
Health Indicators
Madhya Pradesh
INDIA
Current Status
Current status
MMR
310
(AHS 2010-11)
212
(AHS 2010-11)
IMR
62
(SRS - 2011)
47
(SRS - 2011)
U 5 MR
89
(AHS- 2011)
98
TFR
3.2
(SRS 2010)
2.5
(SRS 2010)
3
An Overview of ICDS Services
Total no. of Districts
50
Total no. of Blocks
Total Projects ( ICDS )
313
453
Projects in Rural area
Projects in Tribal area
Projects in Urban slum
Total no. of Anganwadi Centres
281
99
73
80160 (1231 newly
sanctioned AWCs)
Total no. of Mini AWCs
12070
Average no. of AWCs / project
Additional no. of AWCs required for total
1.05 Cr children
174
20000
Facilities at AWCs
(Infrastructure and Other facilities)
Total number of AWCs
78929
AWCs having their own buildings
22590 (28.2%)
AWCs functional in other Govt. buildings
16349(20.7%)
AWCs functional in other rented buildings
40266 (51.0%)
AWCs having toilet facilities
35457 (45.0%)
AWCs having electricity facility
24631 (31.2%)
AWCs having facility for drinking water
68617 (86.9%)
Service Outreach
Total Population of MP
7.25Cr.(2011)
Population of 0-6 yrs, Children,@ 14.5% 1.05 Cr
Eligible population 0-6 yrs to be enrolled 0.88 Cr (as per survey)
0.84 Cr (Actual enrolled)
Gap- 4.5%
Covered under ICDS (SNP) 0-6 yrs
0.72 Cr (86% of enrolled)
Gap- 14.3%
Population of P/L mothers @ 3 % of the
total population
0.21Cr (Expected)
0.17 Cr (Enrolled)
Gap- 19.04%
Covered under ICDS(SNP) P/L
0.15Cr (Preg. and Lact.)
Gap- 11.8%
Total No. of Children Benefitted Under SNP
6 Months - 6 Years
In lacs
120
105
100
87
84
80
72
60
40
20
0
Total Children
Expected
Children
Actual enrolled SNP beneficiary
7
Total No. of Pregnant & Lactating Mother
Benefitted under SNP
In lacs
25
21
20
17
15
15
10
5
0
Expected beneficiary
Actual Enrolled
8
SNP Beneficiary
% SNP Coverage
2006-2012
120
100
95.6
87.4
79.4477.9
80
81.7
88.1
85.4
79.4
80.2
2011
2012
71.3 71.2 70.1
64.2
59.2 59.9
60
65.4 65.7
60.9
49.9
45.9 45.2
40
20
0
2006
2007
2008
6m-3y
2009
9
3-6y
2010
P&L
Status of Malnutrition - MP
70
60
60
51
50
50
51.9
48.9
45
40
30
19.8
20
12.6
8.3
10
0
Stunted (H/A)
NFHS-II (2003-04)
Wasted (W/H)
NFHSIII (2005-06)
Underweight (W/A)
NIN (2010)
10
Weight for Age – Underweight
(0-5 years %)
60.7
51.9
27.3
TOTAL UNDERWEIGHT
32.7
32.1
19.8
SEVERE UNDERWEIGHT MODERATE UNDERWEIGHT
NFHS III(2005-06)
NIN Survey(2009-10)
11
SEVERE UNDERWEIGHT – STATE AVERAGE <19.8%
ABOVE
AVERAGE
BELOW
AVERAGE
12
Weight for Height – Wasting (0-5 years %)
35
25.8
22.4
17.5
12.6
8.3
TOTAL WASTING SEVERE WASTING
NFHS III(2005-06)
MODERATE
WASTING
NIN(2009-10)
13
SEVERE WASTING – STATE AVERAGE <8.3%
ABOVE
AVERAGE
BELOW
AVERAGE
14
Breastfeeding Indicator
71
80
61.5
70
60
50
36.8
26.4
40
30
21.6
13.3
20
10
0
Early Initiation
Breast Feeding
With in 1 hour
NFHS-III (05-06)
Execlusive Breast
Feeding after 6
Months
NIN (09-10)
15
AHS (10-11)
ICDS- Challenges
ICDS – Challenges

100% Coverage of Children and Mothers (Universalization)

Opening of AWCs

Ensuring the presence of children and retaining them at AWCs

Growth Monitoring

Ensuring proper distribution of breakfast , hot cooked meal & THR

Strategy for Community Based Care of SAM children

Capacity building

Monitoring & Evaluation

IEC& BCC Strategy
16
States Initiatives
 Mangal Diwas (community participation)
 New WHO growth standard rolled out across the State
 Mapping current nutritional status through NIN
 Developed about 7000 AWCs across the State on BalA pattern to attract
community and Children in collaboration with RSK
 Reference manual for AWWs in collaboration with IGNOU and ECCE manual in
collaboration with RSK
 Setting up of 273 NRCs and 55969 SAM children have been rehabilitated (April
2011- March 2012), all blocks will be covered with NRC facility
 Scaling up Sick New Born Care Units
 Atal Bal Mission
17
ABM Goals
 Reducing U5MR from 94.2 to 60 per thousand live
births by 2015
 Reducing the percentage of underweight children
under five years from 60% to 40% by 2015 and further
from 40% to 20% by 2020
 Reducing prevalence of SAM in children under 5 years
from 12.6% to 5% by 2015 and to negligible by 2020
ABM Strategy
• To fill in the gaps primarily in the State Health and
Nutrition programs, including ICDS.
• To undertake evidence based pilots with a view to
scale up on the basis of results.
• To serve as a platform for Convergence of Various
Schemes of Different Departments.
• To promote decentralized planning through District
Specific Action Plans.
ABM - Key Components included in DAP
Decentralized planning by districts including following key
components • Provision of additional nutritious diet to SUW Children
besides SNP.
• Convergent Bottom-up Planning
• Capacity building of frontline workers revamped
• Community involvement through Atal Bal Mitra Yojana
• Culture-specific BCC initiatives
• Concurrent Monitoring and Evaluation
20
Convergent Efforts
• Strengthening of MCTS
• Linkage with Growth Monitoring and Health
services through MCP cards
• Skill Enhancement trainings
• Joint supportive supervision
• Developing linkages between MIS of Health
and WCD for improved tracking of
malnourished children
• Village wise online data capture of SAM
Children
Major Activities Proposed in APIP 2012-13
• Human Resources
i.
Level
Sanctioned Position
Filled in position
Vacant
State level
98
98
0
District level
231
198
73
Block level
Sector level
(Supervisors)
AWW
2673
1899
794
3157
2728
429
80160
77086
3074
AWH
80160
76188
3972
Mini AWW
1270
1270
0
ii. Proposing a technical team of consultants (Nutrition,MIS,M&E) for
better implementation of the program both at State level as well as
ICDS project level
22
Major Activities Proposed in APIP 2012-13
• Procurement:
i.
Medicine Kit & Pre School Education will be supplied to all the AWCs
including Mini AWCs.
ii. Equipments and supplies to strengthen field offices (From State to Project
office)
iii. Essential supplies to AWCs (Weighing machines, MUAC, growth
monitoring charts, registers and storage boxes)
• Nutrition and Health Education
i.
Strengthening Village Health and Nutrition Days.
ii. Observance of Special Days and weeks (Women’s day, Nutrition week,
Breastfeeding week etc).
iii. Tracking of food commodity being distributed under SNP
23
Major Activities Proposed in APIP 2012-13
• IEC
i.
ii.
iii.
iv.
Use of Audio-video channels for mass awareness
Observance of important days and communication campaign
Capacity Building of staff on IEC, IPC etc
Special IEC strategy for high burdened districts
• Monitoring and Evaluation:i.
Assessment of nutritional status of under five children were done by NIN
during 2012-13
ii.
Strengthening of Web enabled MIS
iii. Third party concurrent monitoring will be done
iv. Strengthening of supportive supervision at all level
v. Tracking of severely under weight children
24
Major Activities Proposed in APIP 2012-13
• Capacity Building
i.
Assessment and filling of position as per norms (all MLTCS and
AWTCs).
ii. Establishing State training cell dedicated exclusively for trainings.
iii. Roll out of new MIS across the state after training of ICDS
functionaries
iv. Regular training of ICDS functionaries
v. Renovations and establishing one new MLTC and 16 AWTCs with the
support from Development Partners.
•
New Initiatives to strengthen ICDS
i.
Orientation for Community Participation in ICDS program
ii. Appointment of additional AWWs in selected AWCs
iii. Mobile tracking system for program activities
iv. GIS mapping of AWCs are in the process
Budgetary allocation and expenditure on
SNP during 2008-2012 (in Rs. Lakhs)
Financial Year
Budget
allocation
Actual
Expenditure
% Utilization
2008 – 2009
27121.42
26388.69
97.29
2009 – 2010
56903.49
52215.22
91.76
2010 – 2011
92697.77
89736.40
96.81
2011-2012
90200.00
89365.76
99.07
26
Physical Targets and Financial Estimates
S.N.
Program
Components
Intervention/
Activities
Unit
Filling of vacancies
Block level
Sector level
(Supervisors)
1 Human Resources
AWC level
Salary of ICDS staff
State
District
Block/Sector
AWC
Physical
Financial
(Rs. Lakhs)
Targets
State level
District level
Norm
98
100%
231 (73 vacant)
100%
2673 (794
vacnt)
3157 (429
vacant)
80160 AWW
(3074 vacant)
80160 AWH
(3972 vacant)
12070 AWW
(Mini AWC)
100%
100%
100%
100%
100%
98
231
5860
436.62
709.82
14905.80
172390
45003.6
SUB- TOTAL-1
61055.85
27
Physical Targets and Financial Estimates
S.N.
Program
Components
Intervention/
Activities
Unit
Norm
Time Line
Rent/ Vehicle/Contingency
Rural/Tribal
AWC 29517 Rs. 200/m
Rent
Urban AWC
750/m
7875
2. Administrative cost
Total
Physical
Financial
(Rs. Lakhs)
708.4
708.75
1416.8
Hiring of
vehicles and
POL
820.75
Contingency
714.1
SUB-TOTAL- 2
Supplementary
3.
Nutrition
Supply of SN to children,
P & L women and AGs
Children 6
months- 6
85,00,000
yrs
P & L women
1410000
Severe
malnourishe
1.87,599
d children
SUB- TOTAL -3
2951.65
Rs. 4 x 300
102000 .00
Rs. 5x 300
21150.00
Rs. 6 x 300
3376.78
Note: 50% of cost of SNP to be borne by State
28
126526.78
Physical Targets and Financial Estimates
S.N.
Program
Component
s
Intervention/
Activities
Unit
Norm
Physical
Financial
(Rs. Lakhs)
Supply of material & equipments (see table 4B.1 at page 37)
4. Procurement
PSE kit
80160
0.01 lakh/ kit
801.60
Medicine kit
80160
0.006 lakh/ kit
480.96
PSE kit (Mini AWC)
Medicine kit (Mini
AWC)
Weighing scales Salter
scale
Baby weighing scale
12070
0.005lakh/kit
60.35
12070
0.003lakh/kit
36.21
23537
0.0075 / scale
176.52
Adult weighing scale
Computers/ Printers
and UPS @ Rs. .50
lacs each
Almirah/ Storage box/
Utensils, equipment,
etc
AWC level@ 0.05
lakhs for furniture
51787 0.01 lakh / scale
517.87
45485 0.01 lakh / scale
State-10
District- 10
0.50
Block -200
454.85
State to Block
51231 AWC
SUB TOTAL – 4
110.0
124.15
0.05
2561.55
5324.06
Physical Targets and Financial Estimates
S.N.
Program
Components
Training and
5. capacity
building
Intervention/
Activities
Unit
Norm
Physical
Financial
(Rs. Lakhs)
Regular training
(induction/ job/
Refresher
1110.35
MPR /MIS training for
ICDS staff
1753.95
Exposure Visit
10.0
SUB – TOTAL- 5
2874.3
Mangal Diwas
80160 AWCs
0.025
2004.0
IEC per AWCs /yr
80160 AWCs
0.01
801.60
6. IEC
SUB - TOTAL- 6
Routine monitoring
80160 AWCs
through MPR
7.
Monitoring &
Evaluation
Register, records
etc. (80160 +12070
mini AWC)
SUB TOTAL-7
2805.6
0.005
400.8
.005
461.15
861.95
30
Physical Targets and Financial Estimates
S.N.
Program
Components
Intervention/
Activities
Uniform to
AWW/AWH
Convergent
workshops
Flexi Fund for the
AWCs
Unit
Norm
Physica
l
Financial
(Rs. Lakhs)
80160 AWCs
+80160 Rs. 425 /
AWHs+12070 Mini worker
AWWs / =172390
1.0 lakh /
50 districts
distric
92230
681.36
50.0
0.01
922.3
Travel
8 Others
2297.0
Office expense
620.0
Special initiatives :
See details at item 4 K at page 60 of the report.
1.Orientation workshops for PRI Members
665.0
2.Appointment of additional AWWs at 11000 AWCs
643.50
4. Training of AWWs and Supervisors in Inter-personal communication
267.95
5. Tracking system for program activities
1202.4
SUB- TOTAL-8
7349.51
GRAND TOTAL
209749.70
31
Summary of Proposed Budget –APIP 2012-13
S.N.
Intervention/ Activities
Proposed Budget
(Rs. Lakhs)
2
Human Resource (State to AWC)
Administrative Cost ( Rent POL, Vehicle hiring, Computer,
Furniture etc.
3
Supplementary Nutrition (Note: 50% of cost of SNP to be borne
by State)
4
Procurement
5324.06
5
Training and Capacity Building
2874.3
6
Information ,Education and Communication
2805.6
7
Monitoring and Evaluation
861.95
1
8
Others (convergent workshops, Uniform for AWWs and AWHs,
travel flexi fund for AWCs, office expenses and special initiatives
like, workshops for PRI Members, Appointment of additional
AWWs, IPC trainings and mobile tracking system)
GRAND TOTAL
61055.85
2951.65
126526.78
7349.51
209749.70
32
Time line for Activities Proposed under
APIP 2012-13
Time line (Quarterly)
Activity
Sub Activity
Output
Indicator
I
Human
Resources
Assessment of Vacant positions at state,
district, block, sector & AWC level
List of vacant
positions ready
Issuing directives to CDPOs for filling up the
vacant positions of AWW/AWH with
recommendations of Gram Sabha.
Directives
issued
Advertise vacancies for supervisors, conduct
test & hold selection (50% reservation for
AWWs & 50% open)
Selection held
Advertise vacancies for CDPOs conduct test
& Interview
Interview
Conducted
Hold DPC for promotion of CDPOs to
DPOs/DWCDO
DPC Held
Advertise vacancies for ASO/SA, conduct
test & Interview
Interview
Conducted
Appointment of additional AWWs in
selected AWCs
Appointment
made
Training & Honorarium to additional AWWs
-
II
III
IV
All Vacancies
filled
Trainings
completed
33
Time line for Activities Proposed under
APIP 2012-13
Activity
Sub Activity
Conduct Induction training for newly
recruited AWWs & Helpers
Training needs assessment for Job &
Refresher training of AWW/Helper
Conduct Job & Refresher training of
AWW/Helper as per STRAP
Preparation of training module & material
on IPC
Training &
Capacity
Building
Output
Trainings Completed
Need assessment
completed
Trainings completed as
per STRAP
Module & Material
prepared
Indicator
I
III IV
No. of AWWs/AWHs
trained
All districts received
the material
Flip book printed
All districts received
the material
Training of Master trainers on IPC
Master Trainers
trained
No. of Master trained
Training of trainers (supervisors) on IPC
Supervisors trained
No. of traines trained
Training of AWW on IPC
AWWs trained
No. of AWWs trained
on IPC
Training of ICDS functionaries on MPR/MIS
Training conducted
No.of functionar
Exposure visit
conducted
Trainings of
community opinion
leaders organized
Best practices being
rolled out
Organize orientation trainings for
community opinion leaders(PRI, CBO, SMS,
Mahila Mandal, SHG etc.)
II
No. of AWWs & AWH
trained
Development & printing of Flip books on IPC
for AWWs
Exposure visit
Time line (Quarterly)
No. of functionaries
trained
34
Time line for Activities Proposed under
APIP 2012-13
Activity
3) SNP
Sub Activity
Processing procurement of SNP for AWCs
(THR)
Monitoring of SNP quality, quantity,
frequency & beneficiaries covered ( at
different levels)
Monitoring of third meal programme for
Severely Underweight Children through
tracking & routine monitoring system
Ensuring 100% children of 3-6yrs are
enrolled & attend PSE
4) PreSchool
Education
Community Monitoring of PSE
Programme for quality & regularity
Organization of Parent-AWW meet every
month for creating awareness about PSE
Output
Indicator
SNP Procured
No. of districts received SNP
Improvement
in coverage
Coverage increased by 10%
of current status
Improvement
in coverage
100% SAM children receive
third meal
Improvement
in enrollment
& attendance
100% children are enrolled
& 10% increase in
attendance from the current
level
Community
monitoring
system
established
System of
Parent AWWs
meet
established
Time line
(Quarterly)
I
II
III IV
No. of villages with
community monitoring
system established
No. of AWCs which started
organizing regular meeting
with parents
35
Time line for Activities Proposed under
APIP 2012-13
Activity
Sub Activity
Output
Time line
(Quarterly)
Indicator
I
Procurement of PSE kit by DPOs as
per purchase rules
Procurement of Medicine kit by DPOs
as per purchase rules
Procurement
Kits procured
Kits procured
III
IV
No. of AWCs received PSE
kit
No. of AWCs received
Medicine kit
Place orders for procurement of
Computers & Printers through LUN
after finalizing the specifications at
DWCD
Orders placed
No. of districts /blocks
received supplies
5.4) Procurement of furniture &
office equipments as per purchase
rules
Procurement
done
No. of districts /blocks
received supplies
5.5) Assessment of requirement of
serving utensils, boxes, dari, furniture
etc for AWCs
Assessment of
requirement
made
No. of districts from
where assessment
received
5.6) Procurement of serving utensils,
boxes, dari, furniture etc for AWCs as
per purchase rules
Procurement
done
No. of AWCs received
supplies
Strengthen Mangal Diwas
Programme
Mandal Diwas
strengthened
No. of AWCs where all
four Mangal Diwas are
held regularly
Assess IEC needs & develop
strategies & material
IEC strategy
document
developed
-
IEC
II
36
Time line for Activities Proposed under
APIP 2012-13
Time line (Quarterly)
Activity
Sub Activity
Output
Indicator
I
Monitoring &
Evaluation
Others
II
III
IV
Linking of Mobile tracking
monitoring system & referral of
SAM children
Development & Printing of New
MPR formats, Checklist,
Registers
Material developed
No. of districts started
using new MPR & formats
Procurement of Sarees &
badges to AWW & AWH
Procurement made
No. of AWWs & Helpers
received Sarees & badges
Organizing Convergence
workshops for improved
interdepartmental coordination
with health, RD, Education,
Tribal departments
Convergence
workshops for
interdepartmental
coordination
initiated
No. of districts started
organizing convergence
workshops
Strengthen NHED sessions in
convergence with health
department
NHED sessions
strengthened
No. of NHED sessions
organized as per the
protocols
37
An update . . .
I.
Promotion of 14 ASOs to CDPOs, 7 APOs to CDPOs and 18 CDPOs to
DWCDOs done, all the vacant post will be filled by March 2013
II. Procurement process of Pre-School Education Kit, Medicine Kit and
uniform for AWWs and AWHs shall be completed by Jan.2013
III. Pilot for Community based management of SAM children is under
consideration
IV. Pilot for providing one full meal to Pregnant and Lactating Women
proposed
V. Training plan for induction of ICDS functionaries on revised MIS
approved by GoI, and first SLMF training for three States being organized
by MP
VI. Printing of reporting registers and formats are in the process and will be
delivered to all projects by November 2012
VII. Project “SANJHA PRAYAS” in collaboration with Rural Development
department in 20 -20 villages , of two blocks in two districts will be
implemented soon on pilot basis.
THANKS
39