Introduction

Why do we need? To combat

 Malnutrition
 Morbidity
 Infant mortality rate (44)
 Under 5 mortality rate (93)
 Decreased learning capacity
When? 2 October 1975
BY? Ministry of Women and Child Development – GOI
TO WHOM? Children <6 years, pregnant, nursing, adolescents
How many? 1,241,749 operational Anganwadi centres
Provided Services
Supplementary Nutrition

Medical Referral Services

Nutrition and health education for women

Non-formaleducation of children up to 6 years,

Immunisation

Health Check up
Population Norms

 The focal point under the ICDS scheme is the trained local woman
known as Anganwadi worker (AWW). Other functionaries are the
Child Development Project Officer (CDPO), who is in charge of
4 Supervisors (Mukhya Sevika} and 100 AWWs.
 Each Supervisor is responsible for 20-25 anganwadis and acts as
mentor to AWWs;

 Thereafter , one AWC for multiples of 800 population. For

 Mini-AWC – 1 for 150 to 400 population.
 For tribal/reverine/desert/hilly and other difficult areas
 1 AWC for 300-800 population
 1 Mini - AWC for 150-300 population
Objectives of ICDS
 To improve the nutritional and health status of children
in the age group 0-6 years;
 To lay the foundations for proper psychological physical
and social development of the child ;
 To reduce mortality and, morbidity, malnutrition and
school drop-out;
 To achieve an effective coordination of policy and
implementation among the various departments
 Working for the promotion of child development and
 To enhance the capability of the mother and nutritional
needs of the child through proper nutrition and health
education.
Supplementary Nutrtion
6-72 months
• 500 calories and 12-15
grams of protein

Severely • 800 calories and 20-25

malnourished
child 6-72 months grams protein

Pregnant and • 600 calories and 18-20

nursing woman grams of protein.
 Mandatory to provide more than one meal to the children
who come to AWCs for 300 days a year.
 Morning Snack - milk/banana/egg/seasonal
fruit/micronutrient fortified food.
 Below poverty line (BPL) is not a criteria for registration of
beneficiaries.
 Children are weighed every month
Degree of Malnutrition Recommended Care

1st Degree Nutrition and health education

2nd and 3rd Degree Supplementary nutrition (therapeutic

food)
4th Degree Hospitalization
2. Nutrition and health education

 Nutrition education and health education is given to

all Women in the age group 15-45 years, giving priority
to nursing and expectant mothers.
 It is imparted by specially organized courses in village
during home visits by anganwadi workers.
3. Immunization
 Immunization of children against 6 vaccine preventable
diseases is being done,
 While for expectant mothers,Immunization against
tetanus is done.
4. Health check-up
 (a) antenatal care of expectant mothers;
 (b) postnatal care of mother and care of newborn
(c) Care of children under 6 years of age.
Expectant mothers:
 Given iron and folic acid tablets with protein supplements.
 3 physical examinations.
 High risk mothers referred to higher institutions for care
Children under 6 years:
 1. Record of weight and height at periodical
intervals
 2. Watch over milestones
 3. Immunization
 4. General check-up every
3-6 months to detect disease, malnutrition etc.
 5. Treatment for disease like diarrhoea, dysentery, respiratory
tract infections etc. which are widely prevalent.
 6. Deworming
 7. Prophylaxis against vitamin A deficiency and anaemia.
 8. Referral of serious cases to hospital has also been provided

 Health records of the children, antenatal care and delivery card

etc. are maintained.
. Non-formal pre-school education
 Children between the ages 3-6
 Objective: Opportunities to develop desirable attitude,
values and behaviour pattern among children.
 Locally produced inexpensive toys and material are used
in organizing play and creative activity.
1. Kishori Shakti Yojana
2. Nutrition Programme for Adolescent Girls
3. Rajiv Gandhi Scheme for Empowerment
of Adolescent Girls - "SABLA”
4. Indira Gandhi Matrutva Sahyog Yojana (IGMSY)
 KSY - 11 to 18 years - needs of self development, nutrition and
health status, literacy and numerical skills, vocational skills
etc.
 Nutrition Programme- Undernourished adolescent girls in
the age group of 11 to 19 years – 6kg of food grains/month
(malnourished)
 SABLA & IGMSY - conditional cash transfer will be made to
pregnant and lactating mothers to improve their nutritional
and health status
Approaches towards adolescent health
 1.Educating and sensitizing key groups in society to
individual health and social development needs.
 2. Advocating appropriate policy, legislation and
programmes for promoting adolescent reproductive health.
 3. Using appropriate research to improve knowledge of the
factors that influence and determine young people's sexual,
contraceptive and reproductive decisions.
 4. Modifying, extending and services specially designed to
meet young people's needs.
 5. Mobilizing the energy, creativity and idealism of young
people in promoting health
 6. To extend education opportunities for girls.
 Reference:
 [Park’s Textbook of Preventive and Social Medicine,
23rd Edition]
 http://icds-wcd.nic.in/icds/
 Slides by Joseph Liyaskar,
 II MBBS – GMKMC Salem