1 INTEGRATED CHILD DEVELOPMENT SERVICES ICDS Dr Navya

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INTEGRATED CHILD DEVELOPMENT SERVICES- ICDS Dr Navya N Assistant Professor Department of Community Medicine

INTEGRATED CHILD DEVELOPMENT SERVICES- ICDS Dr Navya N Assistant Professor Department of Community Medicine Yenepoya Medical College 2

Specific Learning Objectives Should be able to mention and explain : • The objectives

Specific Learning Objectives Should be able to mention and explain : • The objectives of ICDS • The beneficiaries of ICDS • The services provided by ICDS 3

FRAMEWORK • INTRODUCTION • OBJECTIVES • BENEFICIARIES • SERVICES PROVIDED • SUMMARY 4

FRAMEWORK • INTRODUCTION • OBJECTIVES • BENEFICIARIES • SERVICES PROVIDED • SUMMARY 4

INTRODUCTION • ICDS- Integrated Child Development Services • Most important scheme- field of child

INTRODUCTION • ICDS- Integrated Child Development Services • Most important scheme- field of child welfare • Government of India – 1975 • One of the largest child care programmes in the world • Aims at - child health, - hunger, - malnutrition and its related issues. 5

INTRODUCTION Population Norms : v Rural/ Urban Areas • 1 Anganwadi centre (AWC) –

INTRODUCTION Population Norms : v Rural/ Urban Areas • 1 Anganwadi centre (AWC) – 400 -800 population • 2 AWCs – 800 -1600 population • 3 AWCs – 1600 -2400 population v Tribal / other difficult areas • 1 AWC – 300 - 800 population • 1 Mini AWC – 150 -300 population 6

OBJECTIVES • Improve nutritional and health status of children - age group 0 -6

OBJECTIVES • Improve nutritional and health status of children - age group 0 -6 years • Lay foundation - proper psychological, - physical - social development of the child • To reduce – mortality - morbidity - malnutrition - school dropout. 7

OBJECTIVES • Achieve -effective coordination of policy and implementation among the various departments •

OBJECTIVES • Achieve -effective coordination of policy and implementation among the various departments • Enhance the capability of the mother to look after the nutritional needs of the child - proper nutrition health education 8

SERVICES PROVIDED 1. Supplementary Nutrition 2. Immunization 3. Health check up 4. Referral Services

SERVICES PROVIDED 1. Supplementary Nutrition 2. Immunization 3. Health check up 4. Referral Services 5. Nutrition and Health Education 6. Non formal – children upto 6 yrs and pregnant and nursing mothers – rural, urban, slums and tribal areas. 9

BENEFICIARIES • Pregnant Women • Nursing Mothers • Children : < 3 years of

BENEFICIARIES • Pregnant Women • Nursing Mothers • Children : < 3 years of Age • Children in the age group 3 -6 years • Adolescent girls: 11 - 18 years • Other women: 15 - 45 years 10

DELIVERY OF SERVICES I Supplementary Nutrition : • Children < 6 years • Expectant

DELIVERY OF SERVICES I Supplementary Nutrition : • Children < 6 years • Expectant mothers • Nursing mothers • Adolscent girls 11

Supplementary Nutrition Includes : • Supplementary feeding • Growth monitoring • Prophylaxis against vitamin

Supplementary Nutrition Includes : • Supplementary feeding • Growth monitoring • Prophylaxis against vitamin A deficiency • Control of nutritional anaemia 12

Supplementary Nutrition AIM : • Each child ( 6 - 72 months of age

Supplementary Nutrition AIM : • Each child ( 6 - 72 months of age ) – 500 calories, 12 -15 grams of protein. • Severely malnourished child ( 6 - 72 months of age ) – 800 calories, 20 – 25 grams of protein. • Pregnant and nursing woman – 600 calories, 18 -20 grams of protein 13

Supplementary Nutrition Feeding norms : • More than 1 meal – children attending AWC’s

Supplementary Nutrition Feeding norms : • More than 1 meal – children attending AWC’s Includes : Morning snack Hot cooked meal • Children below 3 years • Pregnant women • Lactating mothers take home ration/ food in the anganwadi 14

Supplementary Nutrition • 300 days in a year • Children – weighed every month

Supplementary Nutrition • 300 days in a year • Children – weighed every month • 1 st degree malnutrition : nutrition and health education to mothers of children • 2 nd and 3 rd degree malnutrition : Supplementary nutrition ( Therapeutic food) • 4 th degree of malnutrition : hospitalization 15

DELIVERY OF SERVICES II Immunization : • Children – Immunization against vaccine preventable diseases

DELIVERY OF SERVICES II Immunization : • Children – Immunization against vaccine preventable diseases • Pregnant mothers – Immunization against tetanus 16

DELIVERY OF SERVICES III Nutrition And Health Education : o Expectant mothers o Nursing

DELIVERY OF SERVICES III Nutrition And Health Education : o Expectant mothers o Nursing mothers o Women in the age group 15 - 45 years § Imparted by Anganwadi workers – home visits 17

DELIVERY OF SERVICES IV Health Checkup : 1. Antenatal checkups 2. Postnatal care and

DELIVERY OF SERVICES IV Health Checkup : 1. Antenatal checkups 2. Postnatal care and newborn care 3. Care of children under 6 years of age Antenatal care : a) Immunization + iron and folic acid + protein supplements b) Minimum- 3 physical examinations c) High risk mothers – referred for special care 18

IV Health Checkup Children under 6 years of age: 1. Record height and weight

IV Health Checkup Children under 6 years of age: 1. Record height and weight – periodic intervals 2. Watch over milestones 3. Immunization 4. Checkup – every 3 -6 months- detect disease, malnutrition etc 19

IV Health Checkup 5. Treatment – diarrhoea, dysentry, respiratory tract infections 6. Deworming 7.

IV Health Checkup 5. Treatment – diarrhoea, dysentry, respiratory tract infections 6. Deworming 7. Prophylaxis against vitamin A deficiency , anaemia 8. Serious cases – Referral • Health records maintained • Card – health record of child - mother 20

DELIVERY OF SERVICES V Non formal pre school education : • Children – 3

DELIVERY OF SERVICES V Non formal pre school education : • Children – 3 -6 years of age attending Anganwadi 1. Desirable attitude 2. Values 3. Behaviour patterns • Locally produced inexpensive toys and material 21

DELIVERY OF SERVICES VI Referral Services : • Sick or malnourished children- in need

DELIVERY OF SERVICES VI Referral Services : • Sick or malnourished children- in need of prompt medical attention • Referred - Primary Health Centre or its sub-centre. • Anganwadi worker - oriented to detect disabilities -young children. • She enlists all such cases - Special register Refers - to medical officer 22

SCHEMES FOR ADOLESCENT GIRLS • Kishori Shakthi Yojana • Nutrition Programme for Adolescent Girls

SCHEMES FOR ADOLESCENT GIRLS • Kishori Shakthi Yojana • Nutrition Programme for Adolescent Girls 23

Kishori Shakthi Yojana • Implemented using infrastructure of ICDS • Targets – adolescent girls

Kishori Shakthi Yojana • Implemented using infrastructure of ICDS • Targets – adolescent girls in the age group of 11 - 18 years • Addresses needs of – self development nutritional status health status Literacy vocational skills 24

Nutrition Programme for Adolescent Girls • Approved - year 2009 -10 • Implemented –

Nutrition Programme for Adolescent Girls • Approved - year 2009 -10 • Implemented – 51 districts • Target group – undernourished adolescent girls • Body weight - < 30 kgs ( 11 - 15 years ) < 35 kgs ( 15 - 19 years ) • 6 kg free foodgrain – per month 25

Other Schemes Under ICDS • Rajiv Gandhi Scheme for Empowerment of Adolscent Girls –

Other Schemes Under ICDS • Rajiv Gandhi Scheme for Empowerment of Adolscent Girls – “SABLA”- improve nutritional and health status • Indira Gandhi Matritva Sahyog Yojana ( IGMSY)conditional cash transfer 26

ADMINISTRATION Administrative unit : • Rural areas – community development block • Tribal areas

ADMINISTRATION Administrative unit : • Rural areas – community development block • Tribal areas and slums – tribal development block • Focal point of delivery of ICDS services- Anganwadi worker 27

ADMINISTRATION • Child development officer (CDPO) • 4 supervisors ( Mukhya Sevika) • 100

ADMINISTRATION • Child development officer (CDPO) • 4 supervisors ( Mukhya Sevika) • 100 Anganwadi workers 28

ADMINISTRATION • Supervisor – responsible – 20 -25 anganwadis - mentor to AWWs -

ADMINISTRATION • Supervisor – responsible – 20 -25 anganwadis - mentor to AWWs - assists in record keeping, visits of health personnel and organizing community visits - on the job training – AWWs 29

ADMINISTRATION • AWW- direct link – children and mother - Assists CDPO- survey –

ADMINISTRATION • AWW- direct link – children and mother - Assists CDPO- survey – communities and beneficiaries - organizes non formal education - health and nutrition education – mothers - assists PHC staff – providing health services - maintains record – immunization, feeding and preschool attendance - liases with block administrator, local school, health staff and community - works – other community based services (eg: family planning) 30

IMPACT OF PROGRAMME • Increased birth weight • Reduced incidence of malnutrition • Increased

IMPACT OF PROGRAMME • Increased birth weight • Reduced incidence of malnutrition • Increased immunization coverage • Reduced infant and child mortality rate – areas covered – ICDS 31

SUMMARY • ICDS initiated – 1975 • Aims at - child health, hunger, malnutrition

SUMMARY • ICDS initiated – 1975 • Aims at - child health, hunger, malnutrition and its related issues. • Mainly targets women and children below 6 years of age. • Services Provided : Supplementary Nutrition, Immunization, Nutrition and Health Education, Health check up, Non formal pre school Education , Referral Services. 32

FURTHER READING • Integrated child development Scheme. Ministry OF Women And Child Development. http:

FURTHER READING • Integrated child development Scheme. Ministry OF Women And Child Development. http: //wcd. nic. in/icds. aspx 33

QUICK RECALL 1. Two broad categories of Beneficiaries are ____and _____ 2. Supplementary food

QUICK RECALL 1. Two broad categories of Beneficiaries are ____and _____ 2. Supplementary food given to children below 3 years of age and expectant/ nursing mothers called _____ 3. Severely malnourished children are provided with ___ calories and _____ grams of protein 4. Two schemes for adolescents provided under ICDS are ____ and _____ 34

Thank you 35

Thank you 35