The document summarizes India's POSHAN Abhiyaan nutrition program. It outlines the program's goals of reducing stunting, undernutrition, and anemia among children and women. It details the program's large scale, with coverage of over 100 million beneficiaries across India. It also describes the program's key pillars which include convergence of sectors, behavior change communication, capacity building, and use of technology for monitoring.
2. 151 Million Children Under 5 are Stunted across the world
Global Nutrition Report, 2018
3.
4. Investments in nutrition during the first 1000 days
build human capital and boost shared prosperity
SCHOOLING
Early nutrition programs
can increase school
completion by one year
EARNINGS
Early nutrition
programs can raise
adult wages by 5-
50%
POVERTY
Children who escape
stunting are 33% more
likely to escape poverty as
adults
ECONOMY
Reductions in stunting can
increase GDP
by 4-11%
Source: Shekar et al, Investment Framework for Nutrition, 2016
5. 01
02
03
Government of India has approved setting-up of POSHAN
Abhiyaan with a three year budget of
₹ 9046.17 Crore commencing from 2017-18.
The focus is on the first 1000 days of the child and
preventive care for adolescent girls, women and
mothers.
It also aims to reduce stunting from the existing
38.4% to 25% by 2022.
Launch of POSHAN Abhiyaan
8th March 2018
6. 6
Prevent and reduce Stunting in children (0- 6 years) @ 2%
per annum
Prevent and reduce under-nutrition (underweight
prevalence) in children (0-6 years) @ 2% per annum
Reduce Low Birth Weight (LBW) @ 2% per annum
Reduce the prevalence of anemia among young Children(6-
59 months) @ 3% per annum
Reduce the prevalence of anemia among Women and
Adolescent Girls in the age group of 15-49 years @ 3% per
annum
Targets
12. Women &
Child
Development
Health &
Family Welfare
Drinking Water
& Sanitation
Consumer
Affair, Food &
Public
Distribution
Rural
Development
Urban
Development
Tribal Affairs
Panchayati Raj
Dept. of School
Education &
Literacy , HRD
Information &
Broadcasting
Converge at
National
State
District
Block
Village
NITI Aayog
Convergence
13. Convergence Mechanism
• States and Districts Oriented a number of times
• CAP Guidelines released on 2nd November 2018
• Nutrition Based Converged Meeting to be held at State,
District & Block level every quarter.
National Council for Nutrition
Executive Committee
State Convergence Plan
District Convergence Plan
Block Convergence Plan
• 4 Meetings held – Last Meeting on 12th February 2019
• 5 Meetings held – Last Meeting on 22nd January 2019
Converged VHSN Day
at Village Level
14. District Convergence Plan
Chaired by DM/DC/Collector.
finalized by 31st Dec for the
consequent year.
Meets Quarterly.
Village Level
VHSN Day ,CBEs
State Convergence Plan
Chaired by Chief Secretary.CAP
Finalised by end Jan. Submitted to
MWCD.
Block Convergence Plan
Chaired by SDM.
Finalized by 15th Dec for the
consequent year.
Executive Committee
Headed by Secretary, MWCD.
Meets every six weeks.
National Council
Reports to PMO every 6
months. Meets every qtrly.
Convergence Action Plan (CAP)
15. Convergence Action Plan Implementation
• Block
• District
• State
• Infrastructure
• Service Delivery
• Interventions
• Supply Chain
• Behavioural Change
• Monitoring
Quarterly CAP Meetings
Block
District
State
Formulation of Annual CAP
Formulation of CAP Committees
Use of CAS Dashboard
16. Promoting Safe Drinking Water
Promoting Sanitation
ODF
Promoting Personal Hygiene
Handwash facility with Soap
• Households
• Anganwadi Centres
• Health Centres
• Schools
Multi Sectoral Convergence
Across
1
2
3
A
17. Growth Monitoring & Promotion
Management of Acute Malnutrition
Breastfeeding
• Within 1 hour of delivery
• Continued till 6 months
Monitoring Mechanisms
Complementary Feeding
Antenatal Check-ups
Institutional Deliveries
4
• Children 0-6 years
• Weight and Height
• SAM and MAM Children
Anaemia
• Initiated at 6 months of age
• Children
• Adolescent Girls
• Mothers
5
6
7
8
9
10
B
18. Deworming
Diarrhoea Management
Calcium Supplement
• Children from 6 to 59 months
• Adolescent Girls
• Women of reproductive Age
• Pregnant Women
Service Delivery and Interventions
Immunisation
Vitamin A Supplementation
Iron and Folic Acid
11
• Children till 1 year of age
• Actions Taken at State & District LevelFood Fortification
• Children from 6 to 59 months
• Children 1 to 19 years
• February & August every year
12
13
14
15
16
17
C
• Pregnant Women (360 Tablets)
• Oral rehydration Solution
• Zinc Supplementation
19. Platforms
CBE - Bi-Monthly
VHSN Day - Monthly
DAY NRLM - Weekly
Trans-Media Campaigns
Nutrition Assemblies
Nukkad Nataks
Festivals
Specific Days Like -
• Yoga Day
• Breastfeeding week
• Poshan Maah
Aligning FFs AWWs+LS+ASHA+ANM+SBPs – 24 Lacs DAY-NRLM – 47 Lacs Swachhagrahis – 4 Lacs
Behavioural Change & Jan Andolan
Centre/State/District/Block/Village
20. Capacity Building
• Maternal Nutrition
• Newborn care
• Breastfeeding
• Complementary Feeding
• Management of
undernourished children
Themes
21
Platforms
• State, District, Block
Resource Groups
• e-ILA
22. Key Action Points for DM/DC
• Conduct of Regular Quarterly Meeting CAP – As per 8 Aug Joint Advisory by 3
Ministries
• Dashboard monitoring - update on ICD-CAS.
• Monitoring of Aaganwadi Centers by surprise visit.
• Ensure Delivery of 6 Aaganwadi Services:
Supplementary Nutrition
Pre-school non-formal education
Nutrition & health education
Immunization
Health check-up and
Referral services
23. Refurbishment of Aaganwadi Centres (Model AWC)
• Minor Civil Work repairs
• Concept painting on wall
• Facility of Safe Drinking Water
• Provision of Electric Connection
• Availability of Basic furniture
• IEC Material
• Pre School Education Kit
• Small Play ground