Addressing Equity & Access Issues in ICDS

1. ICDS is a means for protecting the rights of children under six including
their right to nutrition, health and joyful learning.
2. Supreme Court issued orders that the ICDS should be universalized to
cover all settlements in the country, reaching out to every child under
six years of age, mother and adolescent girl with supplementary
nutrition, expressed as “Universalization of ICDS with Quality”
giving priority to the underprivileged group, specially to the working
and migrant population who do not find convenient time to attend the
centers.
 WHAT IS EQUITY?

•Equity in ICDS refers to fair distribution of services among different

individuals and groups in society.
•Equity in ICDS in West Bengal context mainly focuses on the nutrition status
of the vulnerable population.
•Exclusion from one service is often reproduced across others - resulting in
multiple deprivations and increasing vulnerability of the mother, infant or child
to disease, malnutrition, morbidity and death i.e no individual or group should
be left out.
 UNIVERSALIZATION OF ICDS
Universalization of ICDS clearly reflects equity:
•It mainly focuses on the nutrition status of the vulnerable population.
•No one should be left out, i.e inclusion of all.
•Universalization with quality must encompass every aspect of ICDS and not
just SNP.
•Need to pay attention to children under the age of three years because in this
critical period 90 per cent of the brain development takes place which
determines a child capability in every aspect in future and this should be an
integral part of the task “Universalization with Quality”.
 ACCESS

WHAT IS ACCESS?
Access pertains to the availability and acceptability of ICDS services. It
also refers to barriers faced by potential users mainly social and
geographical. Here services must be provided in appropriate time and
geographical setting and be responsive to the preferences of its
recipients.
“EQUITY AND ACCESS ISSUES CAN BE INTERPRETED
THROUGH ANALYSIS OF DEMAND-SUPPLY OF ICDS
SERVICES”
 SUPPLY & ITS MAJOR CONCERNS
Supply of ICDS services relates to the supply of supplementary nutrition
services, Vitamin A oil as part of Biannual Strategy, medicine kit and pre-
school education offered by DWCD.
Major concerns:
•Shortage of required infrastructure with adequate and functional equipment
and supplies for effective services.
•Irregular supply of commodity at the AWC level.
•Need based allocation not done.
•Supply of medicine kit irregularly.
 DEMAND & ITS MAJOR CONCERNS
Demand for ICDS services refers to the community’s felt and expressed
need for specific services.
Major concerns:
•Cultural, Religious and household barriers.
•Lack of information and knowledge among needy groups about
services, schemes, etc.
•Lack of inclusion of people, especially the underprivileged
communities /users groups in the identification and location of AWCs.
•Lack of inclusion of mothers and their children who cannot attend
AWC because of unsuitable timing.
 What are the questions that may be asked to initiate and
plan to address these issues?
•Who are the un-reached in a particular village?
•What is expected to be done to reach these groups/ individuals-prioritization of
services, outreach sessions?
•What are the efforts made to bring under 2 children to the centers?
•What are the efforts made to bring all pregnant and lactating mothers for
mothers’ meeting?
•What are the efforts made to make priority home visits?
•Do the AWW/ Supervisors have adequate knowledge of infant and young child
feeding, home based new born care and essential services available to address
these problems?
•Is there any communication to the communities about mothers’ meeting?
 VOICE OF COMMUNITY

The voice of community through feedback from the local

Panchayat, especially strengthening the fourth Saturday meeting
will enhance the quality of the program.
 MATRIX FOR AWC LEVEL INFORMATION &
PLANNING
Equity & Item in ICDS Implications for Checklist of
Access Issue addressing access information/ data
& equity issues
1. Accessibility Identification  Discussion on No. of special
of groups who who are the un- groups in the area/
are missed out reached in the reached by gender,
from the ICDS AWC catchment. caste, class, age,
services  Prioritize etc.
services for
women/children/
poor
families/under
served areas.
 Plans for
improved
outreach to cover
the above target.
Cont…
Equity & Access Item of ICDS Implications Checklist of
issue for information/
addressing data
access &
equity issue
2.Mandate of Identify number Improve No. of under
Supreme Court to of under two coverage of two children
provide children who are under two enrolled,
supplementary not coming to children. availed SNP
nutrition to all center. and weighed
regularly.
3.Voice of  Involvement Inclusion of No. of
Community of Panchayat groups and meetings held
 Interactions their specific and no. of
with women’s needs as participants
group/ NGOs. brough out from marginal
 Feedback from communities/
from the panchyat/ women in the
community SHGs meetings.