Good practices Chhattisgarh 22/11/2013 Bengaluru Workshop Innovation Wajan Tyohar 2 Wajan Tyohar (Weighing Festival) Inaugurated by CM on 5 June 2012 •Developing environment to fight against malnutrition. •Empowering community with knowledge on malnutrition and malnutrition status. •To know correct status of malnutrition in state to plan fight against it and to know the result of efforts. •To know the status of under 5 disable children Wajan Tyohar- Objectives (Weighing Festival- 2012 and 2013) • Same day weighing of all the children on Wajan Tyohar Day. • Entering the data in softwarewcdchhattisgarh.co.in/a • Generating reports and using it. 4 Wajan Tyohar 2012 - District Wise Mal Status of all 0-5 years age children (Provisional- Interim ) S.No. District Name No of AWC Sanctioned No of AWC Operational normal children 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Balod BalodaBazar Balrampur Bastar Bemetara Bijapur BILASPUR Dantewada Dhamtari Durg Gariyaband Janjgir-Champa Jashpur Kanker Kawardha Kondagaon Korba Koriya Mahasamund Mungeli Narayanpur RAIGARH1 RAIPUR Rajnandgaon Sarguja Sukma Surajpur State 1409 1677 1647 1849 1029 1108 2667 993 1007 1461 1167 1979 2946 1870 1578 1445 2265 1357 1530 1014 372 2680 1828 2463 1747 915 1760 43763 1390 1655 1647 1841 1029 1046 2667 992 1007 1461 1166 1979 2903 1863 1545 1444 2265 1357 1530 1014 372 2674 1825 2429 1747 825 1760 43433 30620 53668 50979 41980 36013 13471 108039 13755 33862 54147 27311 87315 46202 30496 44110 24437 63176 32856 48684 40556 6848 63206 75573 57995 47028 9395 49451 1191173 Modrate Severely malnourished malnourished 17968 25137 22530 22549 17177 5281 45211 6046 19465 25299 15789 32087 22404 15785 20791 16587 25342 12646 28669 18959 3555 31717 36557 33581 20246 3347 19468 564193 6551 12091 12227 12201 8422 4720 20288 4543 7371 9340 7501 12665 9950 6773 9717 10192 10256 5493 12498 8885 2066 12254 13708 15874 11101 3607 9976 260270 Total children Mal % Severe mal % 55139 90896 85736 76730 61612 23472 173538 24344 60698 88786 50601 132067 78556 53054 74618 51216 98774 50995 89851 68400 12469 107177 125838 107450 78375 16349 78895 2015636 44.47 40.96 40.54 45.29 41.55 42.61 37.74 43.50 44.21 39.01 46.03 33.89 41.19 42.52 40.89 52.29 36.04 35.57 45.82 40.71 45.08 41.03 39.94 46.03 40.00 42.53 37.32 40.90 11.88 13.30 14.26 15.90 13.67 20.11 11.69 18.66 12.14 10.52 14.82 9.59 12.67 12.77 13.02 19.90 10.38 10.77 13.91 12.99 16.57 11.43 10.89 14.77 14.16 22.06 12.64 5 12.91 Wajan Tyohar 2013 - District Wise Mal Status of all 0-5 years age children(Provisional- Interim ) S.No. District Name No of AWC Sanctioned No of AWC Operational normal children Modrate malnourished 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Balod BalodaBazar Balrampur Bastar Bemetara Bijapur BILASPUR Dantewada Dhamtari Durg Gariyaband Janjgir-Champa Jashpur Kanker Kawardha Kondagaon Korba Koriya Mahasamund Mungeli Narayanpur RAIGARH RAIPUR Rajnandgaon Sarguja Sukma Surajpur State 1409 1677 1647 1849 1029 1108 2667 993 1007 1461 1167 1979 2946 1870 1578 1445 2265 1357 1530 1014 372 2680 1828 2463 1747 915 1760 43763 1390 1655 1647 1841 1029 1046 2667 992 1007 1461 1166 1979 2903 1863 1545 1444 2265 1357 1530 1014 372 2674 1825 2429 1747 825 1760 43433 33788 66351 54352 40808 37060 11923 108583 12906 35862 56866 27403 71735 46825 29218 53261 27298 60752 32224 50173 39851 3973 61661 81026 72213 56834 14674 48926 1236546 17522 25567 21549 19630 14117 4428 42208 5408 17469 22626 13123 24391 19833 14009 21700 14388 23173 11102 24730 16215 2113 25758 33918 35898 18112 4061 17714 510762 Severely Total childre Mal % malnourished 6191 12957 10889 10037 5673 3370 16641 4423 6618 7437 5952 10696 8128 5372 8231 7723 9429 4828 9639 6956 1101 11702 11390 15587 9726 3022 8911 222629 57501 104875 86790 70475 56850 19721 167432 22737 59949 86929 46478 106822 74786 48599 83192 49409 93354 48154 84542 63022 7187 99121 126334 123698 84672 21757 75551 1969937 41.24 36.73 37.38 42.10 34.81 39.54 35.15 43.24 40.18 34.58 41.04 32.85 37.39 39.88 35.98 44.75 34.92 33.08 40.65 36.77 44.72 37.79 35.86 41.62 32.88 32.56 35.24 37.23 Sever mal % 10.77 12.35 12.55 14.24 9.98 17.09 9.94 19.45 11.04 8.56 12.81 10.01 10.87 11.05 9.89 15.63 10.10 10.03 11.40 11.04 15.32 11.81 9.02 12.60 11.49 13.89 11.79 11.30 State 12.91 Surajpur 12.64 37.32 22.06 Sukma 42.53 14.16 Sarguja 40 14.77 Rajnandgaon 46.03 10.89 RAIPUR 39.94 11.43 RAIGARH1 41.03 16.57 Narayanpur 45.08 12.99 Mungeli 40.71 13.91 Mahasamund 45.82 10.77 Koriya 35.57 10.38 Korba 36.04 19.9 Kondagaon Kawardha 13.02 Kanker 12.77 Jashpur 12.67 52.29 40.89 Severe mal % 42.52 Mal % 41.19 9.59 Janjgir-Champa 33.89 14.82 Gariyaband 46.03 10.52 Durg 39.01 12.14 Dhamtari 44.21 18.66 Dantewada 43.5 11.69 BILASPUR 37.74 20.11 Bijapur 42.61 13.67 Bemetara 41.55 15.9 Bastar 45.29 14.26 Balrampur 40.54 13.3 BalodaBazar 40.96 11.88 Balod 0 10 Wajan Tyohar 2013 District Wise Mal Status of all 0-5 years age children( Provision alInterim ) 40.9 44.47 20 30 40 50 60 7 Wajan Tyohar 2012 and 2013 Comparison of provisional (Interim) data as on 31st Oct 2013 50% 47% 40. 9% 45% 37.27% 40% 3.63 % drop in 1 year 35% 6 year s- 1% drop each year 30% 25% 20% 15% Chhattisgarh Malnutrition rate trend NFHS III 2005-06 Chhattisgarh Malnutrition rate trend Wajan Tyohar 2012 Chhattisgarh Malnutrition rate trend Wajan Tyohar 2013 10% 5% 0% NFHS III 2005-06 Wajan Tyohar 2012 Wajan Tyohar 2013 Chhattisgarh Malnutrition rate trend 8 Wajan Tyohar- Objectives (Weighing Festival- 2012 and 2013) mn~ns'; • Developing environment to fight against malnutrition. • Empowering community with knowledge on malnutrition and malnutrition status. • To know correct status of malnutrition in state to plan fight against it and to know the result of efforts. • To know the status of under 5 disable children 9 Wajan Tyohar (Weighing Festival) Process •Same day weighing of all the children on Wajan Tyohar Day. •Entering the data in software- wcdchhattisgarh.co.in/a •Generating reports and using it. 10 Wajan Tyohar 2012 and 2013 50% 47% 41.70% 45% 38.31% 40% 6 year s1% drop each 30% 25% 20% 15% Chhattisgarh Malnutrition rate trend NFHS III 2005-06 3.41 % drop in 1 year 35% Chhattisgarh Malnutrition rate trend Wajan Tyohar 2012 Chhattisgarh Malnutrition rate trend Wajan Tyohar 2013 10% 5% 0% NFHS III 2005-06 Wajan Tyohar 2012 Wajan Tyohar 2013 Chhattisgarh Malnutrition rate trend Malnutrition 3.41% drop in one year 6 June 2012 to 6 June 2013 Wajan Tyohar- Disability survey Code 1 2 3 4 5 Disability LV T B H I SI OI 6 7 8 9 CP MR MD LD 10 ASD 11 DB 12 Norma Total l June 2012 47222 1255 783 536 2521 108 385 863 208 1129 2011 1959751 2016772 84 30 36 62 94 8103 3871 1932087 1990421 June 2013 42493 3283 36 242 Nawa Jatan Community Based Management of Malnourish Children Why we need malnutrition reduction effort in Chhattisgarh? Current Scinario- Malnutrition - State NFHS III ( 2005-06) Rank India Sikkim Meghalay Manipur Keral Madhya Pradesh 42-5 % 19-7 % 19-9 % 22-1 % 22-9 % 60 % 1 2 3 4 29 Chhattisgarh 47-1 % 25 Current scenario - Chhattisgarh Currently 52 NRCs in state- which can rehabilitate app 4000 SAM children in a year. NFHS III ( 2005-06)- Chhattisgarh • In state 71% children are anemic. • Timely initiation of Complementary feeding =50% • Percentage of the children correctly receiving complimentary feeding as per IYCF= 26.5% • Children those receiving IFA= 3.1 % • Children receiving de-worming tablet= 6.7% Nawa Jatan - Objectives 1. Empowering community with essential knowledge to fight against malnutrition. 2-To reduce malnutrition by community , for community. 3. To ensure inter-sectoral convergence especially on fight against malnutrition. 4. To ensure quality growth monitoring and soft ware based tracking. 5. To ensure capacity building of community and system 17 Nawa Jatan – Key Strategies Malnutrition eradication through Psycho-social Behavioral change Focus on key InterventionsCommunity based management of malnourish children Time bound and result oriented program Selecting high burden Gram Panchayats i.e. Gram Panchayts which has got maximum number of malnourished children Baseline and endline survey through external agencies Implementation by local communityWomen Self Help Groups, NGOs, community volunteers(Supo shan Mitra) Nawa Jatan – Key Strategies Result based payment process System level quality support at all levels One tier training of all government and non - government functionaries to minimize transmission loss No purchase & infrastructure development Online software based data entry and monitoring Targeting all moderate and severe malnourished children in selected Gram 19 Panchayats Nawa Jatan – Key Strategies • Training of following categories on Community Based Management of Malnourish Children through state level training team • Aanganwadi Workers Direct training to • Supervisors/CDPOs all- ensuring zero • NGOs training loss • PRI members • Community Volunteers- Suposhan Mitra • Women Self help groups members. • Facilitation of family level training of children parents/ care takers 20 Nawa Jatan – Key Interventions Community based management of malnourish children •Management at Family level •Management at AWC level •Management of all nutrition related program/schemes •Support/involvement of local community members/institutions •Use of local nutritional food items •Continuous growth monitoring 21 Nawa Jatan – Key Interventions Community based management of malnourish children Nutrient dense balanced diets and macro/micronutrients in balanced diets.• Appropriate child care practices, with special focus on 1. Locally available foods and 2. Proper and correct use of ready to eat(RTE food ) nutritional supplement from Aanganwadi Centre. Their roles also included ensuring provision and consumption of locally available, nutrient dense, culturally appropriate foods to the under-weight children • To ensure the immunization, IFA, Vit A and deworming tablets to all the targeted malnourished children. • Referral of children for medical opinion, treatment under Mukhyamantri Bal Sandarbh Yojana, and ensuring the services of NRC, if required. 22 Nawa Jatan First round Targeting (Preparatory phase March 2012 to May 12, Implementation – 1 June to Feb 13, Evaluation – March 13) S.No Gram Panchayats Districts Targeted children Base line survey Endline survey 1 184 21 17277 UNICEF UNICEF 2392 Wajan Tyohar UNICEF 2660 Wajan Tyohar UNICEF 22329 UNICEF/ Wajan Tyohar 2 3 Total 23 133 340 3 1 24 UNICEF 23 Nawa Jatan First round Total target Total Total AWCs selected Gram Panchayats 22329 340 1194 Total sectors Total projects 218 81 Target of community volunteers Target of WSHGs Target of NGOs 3640 5423 13266 24 Nawa Jatan First round- Result S.No. and Rank District Final target in end line evaluation 1 2 3 4 5 6 7 8 9 10 11 12 Dantewada J-Champa Kabirdham Baster Mungeli Kondagaon Korba Bemetara Sarguja Bilaspur Balrampur Garaiyaband 679 191 888 393 122 2801 1032 840 957 1360 562 1220 Children % of children No of children remained with improved to improved to malnutrition normal status normal status status 377 100 436 183 53 1204 427 305 339 472 185 399 302 91 452 210 69 1597 605 535 618 888 377 821 55.52 52.36 49.10 46.56 43.44 42.98 41.38 36.31 35.42 34.71 32.92 32.7025 Nawa Jatan First round- Result No of Children % of Final target children remained children S.No. and District in end line improved to with improved to Rank evaluation normal malnutrition normal status status status Raigarh 13 603 195 408 32.34 Narainpur 14 229 71 158 31.00 Baloda Bazar 15 174 51 123 29.31 Raipur 16 1763 510 1253 28.93 Koriya 17 391 113 278 28.90 Durg 18 1477 425 1052 28.77 Rajnandgaon 19 1877 531 1346 28.29 Kanker 20 256 71 185 27.73 Jashpur 21 565 148 417 26.19 Mahasamund 22 648 169 479 26.08 Dhamtari 23 603 157 446 26.04 Balod 24 450 116 334 25.78 State 25 20081 7036 12997 35.12 26 Nawa Jatan First round- Result Base line status (May 2012) End line result (March 2013) No of moderate No of No of No of Normal underweight Severely Severely moderate children underweight children underweight underweight children children children 12784 7246 7036 3910 9084 27 Nawa Jatan First round- Result 25000 20030 20000 15000 12784 9084 10000 7246 7036 5000 3910 0 Targeted Moderate children children Endline status Severe children Normal status Moderate level Result Severe status Nawa Jatan First round- Result Name of 14 Gram Panchayts, achieving MDG S.No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Gram Panchayat Indori Parsa Kasturpal Dashrangpur Balud Khamhria Belar Damgarh Utai Hardua Dullapur Bamhani Nariyara Kishungarh % of normal children 69.94 70.13 70.95 71.05 71.93 72.33 72.41 73.44 74.37 75.76 77.78 77.84 79.98 81.16 29 Nawa Jatan First round Result Mukhyamantri Bal Sandarbh Yojana No. Of children 100000 28910 34247 15318 2009-10 2010-11 2011-12 2012-13 Nawa Jatan 2012&13 Initiation 30 Nawa Jatan First round Result- Rehabilitation of SAM children 4500 4200 4000 3500 3000 2500 NRC admission 2011-12 2000 NRC admission 2012-13 1500 Nawa Jatan 2012-13 Initiation 1000 500 260 0 2011-12 2012-13 NRC admission Nawa Jatan First round Expenditure • Only in training and publication head. • Year wise expenditure Year 2011-12(Preparatory phase) 2012-13(Implementation and evaluation) Expenditure 2-00 Cr 1-90 Cr 32 Recognition CDPOs Nawa Jatan First round- Media GOI appritaited the Vajan Tyohar and Nawa Jatan initiative of WCD ,CG and invited for the presentation at national level Hkkjr 'kklu }kjk otu R;kSgkj v©j uoktru dh Á'kalk 35 Nawa Jatan First round- UNICEF appritiation Nawa Jatan program interventions are Innovative, Interesting and Promising. Ms Carrie Auer,Chief of Field Services , India Country Office UNICEF ;wfulsQ ds daVªh QhYM phQ }kjk uoktru dk;Zdze dk QhYM es voy®du v©j uoktru dh Á'kalk 36 Nawa Jatan Second round 2013-14 Second round 573 High burden Gram Panchayats (Those GPs where the no of malnourished children where maximum has been selected in all dsdricts) Targeting 42438 malnourish children (all 0 to 42 month Moderate and Severe malnourished children) 37 Nawa Jatan Second round 2013-14 Started on 1 Aug 2013 S. N o 1 Total Total mal Total selected children Districts Gram targeted Panchayat 27 573 42738 No of No of No of Suposhan WSHGs NGO Mitra 2235 975 2 Second round started on 1 August 2013 38 Focusing Gram Panchayats under Nawa Jatan in LWE districts S.N o 1 2 3 Nawa Jatan First round (1 June 2012 to March 2013) Nawa Jatan Second round (1 Aug 2013to 31 January 2014) Selected GPs (Sukama/Surajpur /Bijapur - Nil) Targeted malnourished children (all LWE district selected) Selected GPs Targeted malnourished children 228 9912 347 42438 (out of total 340 Gram Panchayats) (out of total 20033 children) (out of total 573 Gram Panchayats) (out of total 20033 children) Result 3657 (37 %) children achieved normal status This round is ongoing IN 2014-15, NJ third round 1000 GPs and 80000 to 1 lac malnourished children will be targeted, In LWE district preference will be given to more GPs 39 25000 23437 20000 15000 10000 9912 Targeted malnourished children (all LWE district selected) Targeted malnourished children 5000 Focusing Gram Panchayats under Nawa Jatan in LWE districts 0 Targeted malnourished Targeted malnourished children (all LWE district children selected) 400 350 300 250 200 150 100 50 0 347 228 Nawa Jatan First round (1 June 2012 to March 2013) Selected GPs (Sukama/Surajpur /Bijapur - Nil) Selected GPs (Sukama/Surajpur /Bijapur - Nil) Selected GPs (1 June 2012 to March 2013) (1 Aug 2013to 31 January 2014) Nawa Jatan First round Nawa Jatan Second round Nawa Jatan Second round (1 Aug 2013to 31 January 2014) Selected GPs 40 Mukhya Mantri Bal Sandarbha Yojna • A special referral drive under the state sponsored Chief Minister Bal Sandarbh Yojana, in which specially identified severely malnourished children by AWW at AWCs are referred to CHCs on fixed two days in a month for each block, where the special hired doctor perform health checkup of the referred children and give medicines advice. In 2011-12 more than 28000 severely malnourished children received benefit under the scheme. • Components of Mukhya Mantri Bal Sandharbha Yojna Component Provision Organization of referral days 2 Days / Project Medical check up of Severe Malnourished children @ 300 rupees/ child Consultation of private pediatrician @ 1500 / day Medical Camps @ 1500-2000/ camp Medication of SAM @ 500/ Child SNP 1/5 Supplementary Nutrition • Nutrition for 3 to 6 years old Children: Breakfast- According to fixed weekly menu- RTE, boiled and sprouted Bengal gram with jaggery, peanuts and jaggery Hot cook meal- Rice, Dal and Vegetable Double fortified salt • Nutrition for underweight 3 to 6 years children: Additional RTE along with above mentioned menu item 43 SNP 2/5 Supplementary Nutrition • Nutrition for 6 months to 3 year children and pregnant and lactating mothers: Ready to eat Murra Laddu Double fortified salt 44 SNP 3/5 State additional share • As per ICDS Strengthening and Restructuring SNP norms have been revised but in phased manner and out of 27 districts only 17 high burden districts were covered in the year 2013-14. • State decided to universalize these revised norms throughout the state, and state will bear the additional 8000 lakh rupees for the year 2013-14. SNP SHG model • In Chhattisgarh we are providing RTE and Hot cook meal as follows – • Ready to eat by 1489 SHGs • Hot cook meal by 18600 SHG, 500 Gram Panchayat • 100% AWCs covered (No contractor system) 46 SNP 4/5 Ingredients for 100gm Ready to Eat S.no Ingredients Amount (In grams) Protein (In grams) Calories (Kcal) 1 Wheat 55 6.49 190.30 2 Soybean 5 2.16 21.60 3 Gram 15 2.56 54.00 4 Sugar 22 - 88.00 5 Soybean oil 3 - 27.00 100 11-21 380.90 Total Breakfast- Fixed weekly menu- RTE, boiled and sprouted Bengal gram with jaggery, peanuts and jaggery Hot Cooked Meal S.no Ingredients Amount (In grams) 65 Protein (In grams) 4-42 Calories (Kcal) 224-25 1 Rice 2 Mix Dal 15 3-67 52-20 3 Soybean oil 5 0-00 45-00 4 Vegetable and spices 20 0-16 5-00 Total 105 8-25 326-45 47 SNP 5/5 Supplementary Nutrition Financial and Nutritive Norms S . 1 2 3 4 Beneficiary 6 month to 3 years normal child RTE 6 month to 3 years malnourished RTE 3 to 6 years normal child HCF+Snacks 3 to 6 years malnourished child HCF+Snacks Financial norms per benf. Per day GOI State #- 6-00 :- 5-69 #- 9-00 :- 7-96 :- 6-00 :- 5-81 Supplementary nutrition provided (per day for 6 days) :- 8-34 GOI State Ready to eat 135 gm, Murra laddu 30 gm Protein 12&15 ≥ 16-31 gm 620-40 DFS/month/Kg RTE 211 gm , Murra Laddu 30 gm, DFS/month/kg DFS/month/Kg Breakfast 54 gm 500 K. Cal. Protein 20&25 gm 800 K. Cal. ≥ 24-83 gm ≥ 909-80 K.Cal. Protein 12&15 gm 500 K. Cal. ≥ 14-56 gm ≥ 544-19 K.Cal. DFS/month/Kg Breakfast 54 gm Hot cooked meal 105 gm Protein 20&25 gm 800 K. Cal. ≥ 24-09 gm ≥ 867-95 K.Cal. Hot cooked meal 105 gm :- 9-00 Nutrition Norms gm 85 gm THR, K. Cal. DFS/month/kg 5 Pregnant and Lactating Women RTE :- 7-00 :- 5-92 RTE 165 gm, Murra Laddu 30 gm, DFS/month/kg Protein 18&20 gm 600 K. Cal. ≥ 19-67 gm ≥ 734-60K. Cal. 48 e-Governance Initiative ….. e-Docket….. Document Sharing & e-Library Why…???????? Circulars/Orders do not reach the field units on time or go missing or are deliberately reported missing for malafide reasons. On analysis it was discovered that even after timely release nearly 5% of annual budget do not reach to the field on time– leading to “auto surrender” in March No Record/Library/Archive of departmental circulars. Fax +Postage + Labour = cost escalates every year. Fax even after postage – multiplies cost and labour Logger head situation – during Vidhan Sabha. No acknowledgement for receiving by post - both the ends – No disciplinary action can be taken for dormancy. Concept….. Docket - of all inward & outward mails. Library - easy for reference – any time - 24x7 Speed - In 3 seconds, 27 districts get the information { 3 sec. v/s 3 days (postage) } iCloud - use of latest technology. Cost - 7 times less than conventional method {Rs 5 (stamp) x Rs .50 (envelop) x Rs 01 (labour) } { Rs 6.50 + Rs 2 for fax } = Rs 8.50/Rs 8.50 v/s Rs 1.50 ( print copy) Screen Shot Usage benefit…. No Duplication of work - long Excel and Word files are sought in pdf or jpg formats. SMS – instant mobile alert. Prop-up alert on computer screen. Notice board + Important Msg – On Screen. Cost cut down drastically. Now we can know who has seen and taken print out of the material sent. They cannot evade responsibilities. Now DPOs are demanding its implementation upto block level DPO now demanding - making it Cost Benefit Analysis Started on 1st of September 2012. On December 2012 – 5 GB data got uploaded - 7000 documents were on cloud. 10,000 SMS were utilised in just 4 months. 15 GB data has been uploaded till date. CBA 7000 documents x Rs 6.50 conventional cost – 7000 documents x Rs 1.50/- print out cost = Rs. 35,000/savings in four months Cost of Software Rs 25,000/- Savings of Rs 35000 in period of 4 months Plan….. Phase - II Extension up to block level. First virtual directorate – on Cloud backup SDC Synchronization Phase - III • e-File Management – Oracle CMD – CHiPS Pre School Education • PSE activity book prepared • PSE curriculum developed • UDAAN Kit 56 Others • Own AWCs buildings • CDPO block offices, DPO offices, Supervisors sector offices • Mobility support by providing bicycle to AWWs • Uniform to AWC children • Essential equipments provided to AWCs by state funds • Model AWCs development