Transforming Nutrition: Ideas, Policy and Outcomes

Nayan Gupta
Jaipur
Rajasthan
Summary of District Nutrition Profile
August 2019

A joint initiative of

TATA TRUSTS &

Officials met
• Please enter the details of the officials met in the following format

Name of the official met Date Source of data

The District Collector

Additional Collector/ Chief Executive Officer 25/07/2019 Ms. Om Prabha

Director and Deputy Director, ICDS 16/07/2019 Mr. Ashish Sharma

Director and Deputy Director, National Health Mission

Director and Deputy Director, Swachh Bharat Mission

Director and Deputy Director, Department of

Education
District Program Officer, National Rural Livelihoods
Mission

President of the Zilla Panchayat

Demographic Details
Demographics Responses
State Rajasthan
District Jaipur
Number of Blocks 21
Total Population of the District (please mention the source of information and 66,00,000 (Census 2011)
year of publication)
Urban Population (%) 52.4
Tribal Population (%) 8
Is your District an Aspirational District? If yes, on what parameters has it been No
judged to be an Aspirational District?
Sex ratio of the district (please mention the source of information and year of 910 (Census 2011)
publication)
Birth rate (please mention the source of information and year of publication) 22.9 (http://jaipur.rajasthan.gov.in)
Death Rate (please mention the source of information and year of publication) 5.8 (http://jaipur.rajasthan.gov.in)
Infant Mortality Rate (please mention the source of information and year of 52 (http://jaipur.rajasthan.gov.in)
publication)
Maternal Mortality Rate 4.45 (http://jaipur.rajasthan.gov.in)
Major Occupations Agriculture, Household Industry
Status of ICDS and Anganwadis
• Please enter the details below in the mentioned format, based on the most recent Monthly Progress
Report (MPR)/ ICDS-CAS data

Structure of ICDS Responses

No of the Anganwadi visited 5
Number of Mini Anganwadis 0
No of Anganwadis with their own buildings 5
Average Population served by each Anganwadi/Mini Anganwadi 25
Operational Hours of Anganwadi 4
Are there growth monitoring devices available in the district as per yes
POSHAN Abhiyaan mandate?

Field visit insights Responses

In the Anganwadis visited, were there weighing scales and growth yes
charts available?
Are there toilets available in the Anganwadis? yes
What is provided as Supplementary Nutrition? a) Breakfast, b) Lunch, Take Home Rations
c) Take home Rations

What is the procurement and supply chain of the different food items Food is supplied through NGO called Akshay Patra
provided under Supplementary Nutrition?
Convergent Program Status
Functioning of Village Health, Sanitation and Nutrition days (VHSND) Responses
When are VHSN days organized in the district?
During your visit to VHSNDs, please observe and report on the
following:

a) Are women provided ante-natal checkups (ANC)?

b) Is the mother and child protection card available in the state/district
and is being filled periodically?

c) Are children being weighed, and their weights recorded on the MCP
card?
d) Is there availability of Iron and Folic Acid Tablets and of take home
rations? Are here any stock outs reported?
e) Are women being examined for blood pressure and haemoglobin?

Swachh Bharat Mission Responses

Has your district been declared as open defecation free? NO

During your field visits, did you observe open defecation? No

Convergent Program Status
Mid-day meals Responses
Are regular Mid-day meals being given to school children in your district? yes
What is the menu on offer? Mixture of dals and rajma along with rice

Scheme for Adolescent girls Responses

Identify the key schemes for adolescent girls under the MWCD and state
(such as SABLA)
What are the services/ benefits provided under the schemes?

Number of adolescent beneficiaries covered under the schemes

Role of PRI in POSHAN Abhiyaan Responses

What is the PRI structure in your district?
What is the role of PRI members in POSHAN Abhiyaan (if it has been
identified in the district)?
POSHAN Abhiyaan Status

Convergence Responses
Is the District Convergence Action Plan (D-CAP) Yes, next convergence meet on 10th September
completed?

Is the District Convergence Committee (DCC) formed? yes

Which are the key line departments who are part of

the DCC?

Common Application Software (CAS) Responses

Is CAS rolled out in your district? yes

If yes, in how many blocks? 21

If no, is there a plan for roll out in the next month

Poshyan Abhiyan Status
Incremental Learning Approach Responses
Have you become an SRG / DRG member yes

Is e-ILA introduced in your district? yes

What are the ILA modules completed in your district: DRG upto module 13
BRG upto module 9
• At the DRG level
• At the BRG level

Jan Andolan Responses

Has your district prepared the Jan Andolan calendar based on No
State Jan Andolan Action Plan?

Are funds available at your district for Jan Andolan? yes

What are the CBEs being conducted in your district every yes
month?

Have you opened a social media account as an SBP? no

Jaipur: Burden of Malnutrition
100

90

80

70

60

50

40

30

20

10

0
Stunting (<5 years) Wasting (<5 years) Underweight (<5 Anemia (<5 years) Low birth weight Anemia among
years) WRA
Jaipur: Immediate determinants of
malnutrition
100
90
80
70
60
50
40
30
20
10
0

Early initiation of breastfeeding

Exclusive breastfeeding
Timely introdution of complementary feeding
Adequate dite
Children with diarrhea in past two weeks
Acute respiratory infection in the last two weeks
Transforming Nutrition: Ideas,
Jaipur: Underlying/basic Policy and
determinants ofOutcomes
malnutrition
100
90
80
70
60
50
40
30
20
10
0
Women who Women with Girls married HH with HH using HH with Open
are literate >=10 years of before the age improved improved electricity defecation
education of 18 drinking water sanitation
source facility
Jaipur: Coverage of nutrition-specific
interventions

100
90
80
70
60
50
40
30
20
10
0
Action plan for the district
• Challenges
– High rates of Anemia and Stunting (causes)
• Diseases like Diarrhea
• Low adequate diet
• High rate of open defecation
• Early initiation of breastfeeding only 26.5%
• ≥4 ANC visits is only 53.4%

• Solution
• Ensure ORS Zodi is present in every anganwadi and AWWs have the knowledge of how to use it
• Ensure thet Take Home Rations are distributed and knowwwldgee on how to use it is given
• Ask the AWWs to tell the ill effects of Open defecation
• Institutional delivery to be ensured and ensure breastffeeding is started in first hour of birth
• Register more pregnant women for ANC checkups using Jan Andolan
Proposed Action plan for the key focus areas
Focus area Action planned Key stakeholders Platforms to be used under
POSHAN Abhiyaan

Anemia ORS Week, Posters for AWWs, Community, Community Media,

action to be taken by Teachers, SBPs, VHSN Day Individual
parents in case of Diarrhea

Exclusive Breastfeeding Suposhan Divas, ILA AWWs, VHSN Day, Convergence Meetings,
and Complementry Trainings, Encouraging Community, Government Individual, Community
Feeding Institutional Delivery, Media
Annaprashan Divas