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ICDS
INTRODUCTION
    Launched on 2 nd October 1975, today,
     ICDS Scheme represents one of the
     world’s largest and most unique
     programmes for early childhood
     development. ICDS is the foremost symbol
     of India’s commitment to her children –
     India’s response to the challenge of
     providing pre-school education on one
     hand and breaking the vicious cycle of
     malnutrition, morbidity, reduced learning
     capacity and mortality, on the other.
OBJECTIVES
  The Integrated Child Development
   Services (ICDS) Scheme was launched
   in 1975 with the following objectives:
     to improve the nutritional and health
      status of children in the age-group 0-6
      years;
     to lay the foundation for proper
      psychological, physical and social
      development of the child;
   to reduce the incidence of mortality,
    morbidity, malnutrition and school
    dropout;
   to achieve effective co-ordination of
    policy and implementation amongst
    the various departments to promote
    child development; and
   to enhance the capability of the
    mother to look after the normal
    health and nutritional needs of the
    child through proper nutrition and
    health education
SERVICES
     : The objectives are sought to be
      achieved through a package of services
      comprising:
     supplementary nutrition,
     immunization,
     health check-up,
     referral services,
     pre-school non-formal education and
     nutrition & health education.
NUTRITION :
   This includes supplementary feeding and
    growth monitoring; and prophylaxis against
    vitamin A deficiency and control of
    nutritional anaemia. All families in the
    community are surveyed, to identify children
    below the age of six and pregnant & nursing
    mothers. By providing supplementary
    feeding, the Anganwadi attempts to bridge
    the caloric gap between the national
    recommended and average intake of children
    and women in low income and disadvantaged
    communities.
   Growth Monitoring and nutrition
    surveillance are two important
    activities that are undertaken. Children
    below the age of three years of age are
    weighed once a month and children 3-6
    years of age are weighed quarterly.
    Weight-for-age growth cards are
    maintained for all children below six
    years. This helps to detect growth
    faltering and helps in assessing
    nutritional status. Besides, severely
    malnourished children are given special
    supplementary feeding and referred to
    medical services
   IMMUNIZATION: Immunization of
    pregnant women and infants protects
    children from six vaccine preventable
    diseases-poliomyelitis, diphtheria,
    pertussis, tetanus, tuberculosis and
    measles. These are major preventable
    causes of child mortality, disability,
    morbidity and related malnutrition.
    Immunization of pregnant women
    against tetanus also reduces maternal
    and neonatal mortality.
   HEALTH CHECK-UP:
    This includes health care of children
    less than six years of age, antenatal
    care of expectant mothers and postnatal
    care of nursing mothers. The various
    health services provided for children by
    anganwadi workers and Primary Health
    Centre (PHC) staff, include regular
    health check-ups, recording of weight,
    immunization, management of
    malnutrition, treatment of diarrhoea,
    de-worming and distribution of simple
    medicines etc.
           Growth charts monitor children’s weight and
           height according to age
   REFERRAL SERVICES:
    During health check-ups and growth
    monitoring, sick or malnourished
    children, in need of prompt medical
    attention, are referred to the Primary
    Health Centre or its sub-centre. The
    anganwadi worker has also been
    oriented to detect disabilities in young
    children. She enlists all such cases in a
    special register and refers them to the
    medical officer of the Primary Health
    Centre/ Sub-centre.
   Non-formal Pre-School Education (PSE)
   Anganwadi Centre (AWC) – a village
    courtyard – is the main platform for
    delivering of these services. These AWCs
    have been set up in every village in the
    country. PSE focuses on total development
    of the child, in the age up to six years,
    mainly from the under privileged groups.
    Its programme is providing and ensuring a
    natural, joyful and stimulating
    environment, with emphasis on necessary
    inputs for optimal growth and
    development.
                Child playing at a anganwadi centre
   The early learning component of the ICDS
    is a significant input for providing a
    sound foundation for cumulative lifelong
    learning and development. It also contributes
    to the universalization of primary education,
    by providing to the child the necessary
    preparation for primary schooling and
    offering substitute care to younger siblings,
    thus freeing the older ones – especially girls –
    to attend school.
   Nutrition and Health Education:
    Nutrition, Health and Education (NHED)
    is a key element of the work of the
    anganwadi worker. This forms part of
    BCC (Behaviour Change Communication)
    strategy. This has the long term goal of
    capacity-building of women – especially in
    the age group of 15-45 years – so that they
    can look after their own health, nutrition
    and development needs as well as that of
    their children and families.
   THE ICDS TEAM:
The ICDS team comprises:
   the Anganwadi Workers,
   Anganwadi Helpers,
   Supervisors,
    Child Development Project Officers (CDPOs)
    and
   District Programme Officers (DPOs).
The medical officers :
   Auxiliary Nurse Midwife (ANM) and
   Accredited Social Health Activist (ASHA)
WOMEN&CHILD DEVELOPMENT
                                Minister, WCD

                        Principal Secretary, WCD

      Secretary (WCD) & Commissioner (Women Empowerment)

 Director, ICDS                                      Executive Director
                                                    Women SHG institute
 Dy. Director, (Distt. level)
                                          Project       Program Director
                                          Officer      Regional Resource
 CDPO, (Proj.         Project Officer                  Centre, (Divisional
   level)              (Distt. level)                        level)

 LS, (Sector level)         Precheta
                                                         Project Officer
                          (Block level)
  AWW, AWH
  (Village level)        Sathin (GPL)
 Anganwadi         Centre
Population Norms:
   For Rural/Urban Projects
    400-800 - 1 AWC
    800-1600 - 2 AWCs
    1600-2400 - 3 AWCs

    Thereafter in multiples of   800 1
      AWC

   For Mini-AWC
    150-400 -1 Mini AWC
   For Tribal /Riverine/Desert, Hilly and
    other difficult areas/ Projects
    300-800 - 1 AWC

   For Mini- AWC
    150-300 1 Mini AWC

   At present there are 54915
    Anganwadi Centres and 6204 Mini
    Anganwadi Centres in Rajasthan.
    (WCD, Rajasthan, Nov. ’10)
SUPPLEMENTARY NUTRITION
Beneficiary            Pre-revised        Revised w.e.f.
                                          Feb. 2009
                       Calories Protein   Calories Protein
                       (KCal)   (G)       (KCal)   (Gm)

Children (6-72         300      8-10      500      12-15
months)
Severely              600       20        800      20-25
malnourished children
(6-72 months)

Pregnant & Lactating   500      15-20     600      18-20
TRAINING
 INFRASTRUCTURE
   Anganwadi Workers Training Centers
    (AWTCs)
   Middle Level Training Centers (MLTCs)
   National Institute of Public Cooperation
    and Child Development (NIPCCD) and its
    Regional Centers
INTERNATIONAL
PARTNERS
       United Nations International
        Children’ Emergency Fund
        (UNICEF)
       Cooperative for Assistance and
        Relief Everywhere (CARE)
       World Food Programme (WFP)

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integrated child developmental scheme(ICDS)

  • 2. INTRODUCTION  Launched on 2 nd October 1975, today, ICDS Scheme represents one of the world’s largest and most unique programmes for early childhood development. ICDS is the foremost symbol of India’s commitment to her children – India’s response to the challenge of providing pre-school education on one hand and breaking the vicious cycle of malnutrition, morbidity, reduced learning capacity and mortality, on the other.
  • 3. OBJECTIVES The Integrated Child Development Services (ICDS) Scheme was launched in 1975 with the following objectives:  to improve the nutritional and health status of children in the age-group 0-6 years;  to lay the foundation for proper psychological, physical and social development of the child;
  • 4. to reduce the incidence of mortality, morbidity, malnutrition and school dropout;  to achieve effective co-ordination of policy and implementation amongst the various departments to promote child development; and  to enhance the capability of the mother to look after the normal health and nutritional needs of the child through proper nutrition and health education
  • 5. SERVICES  : The objectives are sought to be achieved through a package of services comprising:  supplementary nutrition,  immunization,  health check-up,  referral services,  pre-school non-formal education and  nutrition & health education.
  • 6. NUTRITION :  This includes supplementary feeding and growth monitoring; and prophylaxis against vitamin A deficiency and control of nutritional anaemia. All families in the community are surveyed, to identify children below the age of six and pregnant & nursing mothers. By providing supplementary feeding, the Anganwadi attempts to bridge the caloric gap between the national recommended and average intake of children and women in low income and disadvantaged communities.
  • 7. Growth Monitoring and nutrition surveillance are two important activities that are undertaken. Children below the age of three years of age are weighed once a month and children 3-6 years of age are weighed quarterly. Weight-for-age growth cards are maintained for all children below six years. This helps to detect growth faltering and helps in assessing nutritional status. Besides, severely malnourished children are given special supplementary feeding and referred to medical services
  • 8. IMMUNIZATION: Immunization of pregnant women and infants protects children from six vaccine preventable diseases-poliomyelitis, diphtheria, pertussis, tetanus, tuberculosis and measles. These are major preventable causes of child mortality, disability, morbidity and related malnutrition. Immunization of pregnant women against tetanus also reduces maternal and neonatal mortality.
  • 9. HEALTH CHECK-UP:  This includes health care of children less than six years of age, antenatal care of expectant mothers and postnatal care of nursing mothers. The various health services provided for children by anganwadi workers and Primary Health Centre (PHC) staff, include regular health check-ups, recording of weight, immunization, management of malnutrition, treatment of diarrhoea, de-worming and distribution of simple medicines etc. Growth charts monitor children’s weight and height according to age
  • 10. REFERRAL SERVICES:  During health check-ups and growth monitoring, sick or malnourished children, in need of prompt medical attention, are referred to the Primary Health Centre or its sub-centre. The anganwadi worker has also been oriented to detect disabilities in young children. She enlists all such cases in a special register and refers them to the medical officer of the Primary Health Centre/ Sub-centre.
  • 11. Non-formal Pre-School Education (PSE)  Anganwadi Centre (AWC) – a village courtyard – is the main platform for delivering of these services. These AWCs have been set up in every village in the country. PSE focuses on total development of the child, in the age up to six years, mainly from the under privileged groups. Its programme is providing and ensuring a natural, joyful and stimulating environment, with emphasis on necessary inputs for optimal growth and development. Child playing at a anganwadi centre
  • 12. The early learning component of the ICDS is a significant input for providing a sound foundation for cumulative lifelong learning and development. It also contributes to the universalization of primary education, by providing to the child the necessary preparation for primary schooling and offering substitute care to younger siblings, thus freeing the older ones – especially girls – to attend school.
  • 13. Nutrition and Health Education: Nutrition, Health and Education (NHED) is a key element of the work of the anganwadi worker. This forms part of BCC (Behaviour Change Communication) strategy. This has the long term goal of capacity-building of women – especially in the age group of 15-45 years – so that they can look after their own health, nutrition and development needs as well as that of their children and families.
  • 14. THE ICDS TEAM: The ICDS team comprises:  the Anganwadi Workers,  Anganwadi Helpers,  Supervisors,  Child Development Project Officers (CDPOs) and  District Programme Officers (DPOs). The medical officers :  Auxiliary Nurse Midwife (ANM) and  Accredited Social Health Activist (ASHA)
  • 15. WOMEN&CHILD DEVELOPMENT Minister, WCD Principal Secretary, WCD Secretary (WCD) & Commissioner (Women Empowerment) Director, ICDS Executive Director Women SHG institute Dy. Director, (Distt. level) Project Program Director Officer Regional Resource CDPO, (Proj. Project Officer Centre, (Divisional level) (Distt. level) level) LS, (Sector level) Precheta Project Officer (Block level) AWW, AWH (Village level) Sathin (GPL)
  • 16.  Anganwadi Centre Population Norms:  For Rural/Urban Projects 400-800 - 1 AWC 800-1600 - 2 AWCs 1600-2400 - 3 AWCs Thereafter in multiples of 800 1 AWC  For Mini-AWC 150-400 -1 Mini AWC
  • 17. For Tribal /Riverine/Desert, Hilly and other difficult areas/ Projects 300-800 - 1 AWC  For Mini- AWC 150-300 1 Mini AWC  At present there are 54915 Anganwadi Centres and 6204 Mini Anganwadi Centres in Rajasthan. (WCD, Rajasthan, Nov. ’10)
  • 18. SUPPLEMENTARY NUTRITION Beneficiary Pre-revised Revised w.e.f. Feb. 2009 Calories Protein Calories Protein (KCal) (G) (KCal) (Gm) Children (6-72 300 8-10 500 12-15 months) Severely 600 20 800 20-25 malnourished children (6-72 months) Pregnant & Lactating 500 15-20 600 18-20
  • 19. TRAINING INFRASTRUCTURE  Anganwadi Workers Training Centers (AWTCs)  Middle Level Training Centers (MLTCs)  National Institute of Public Cooperation and Child Development (NIPCCD) and its Regional Centers
  • 20. INTERNATIONAL PARTNERS  United Nations International Children’ Emergency Fund (UNICEF)  Cooperative for Assistance and Relief Everywhere (CARE)  World Food Programme (WFP)