DEVELOPMENT SERVICES IN INDIA ICDS • Important scheme in the field of child welfare.
• The blue print of the programme was
prepared in 1975.
• Was taken up as a pilot project in 75 -76 in
Delhi (4 urban & 19 rural areas & 10 tribal areas) OBJECTIVES 1. To improve the nutritional & health status of children in the age group 0-6 yrs. 2. To lay the foundations for proper psychological, physical & social development of the child. 3. To reduce mortality & morbidity, malnutrition & school drop out. 4. To achieve an effective co ordination of policy & implementation among various departments working for the promotion of child development. 5. To enhance the capability of the mother & nutritional needs of the child through proper nutrition & health education. HEALTH CARE DELIVERY SYSTEM 1.Implementd through ANGANWADI CENTRES. 2.revised norm for AWC rural & urban areas: a.AWC for 400-800 pop. b.AWC for 800-1200 pop. c.AWC for 1600-2400 pop (for multiples of 800 pop –MINI AWC for 150-400 pop) FOR TRIBAL & HILLY AREAS
1 AWC for 300-800 pop.
1 MINI AWC for 150-300 pop
PACKAGE OF SERVICES BENEFICIARY SERVICES
PREGNANT WOMEN 1. Health Check up.
2. Immunization against tetanus. 3. Supplementary nutrition. 4. Nutrition & Health Education.
NURSING MOTHERS 1. Health check ups.
2. Supplementary nutrition. 3. Nutrition & Health Education. PACKAGE OF SERVICES BENEFICIARY SERVICES OTHER WOMEN 1. Nutrition & Health Education. 15-45 yrs 2. Supplementary nutrition.
CHILDREN < 3 YRS 1. Health check ups.
2. Supplementary nutrition. 3. Immunization 4.Referral Services PACKAGE OF SERVICES BENEFICIARY SERVICES CHILDREN 3-6 YRS 1. Supplementary nutrition. 2. Immunization. 3. Health Check up. 4. Referral services. 5. Non formal education.
ADOLESCENT 1. Supplementary nutrition.
GIRLS 11-18 YRS 2. Nutrition & Health Education. DELIVERY OF HEALTH SERVICES SUPLEMENTARY NUTRITION • THE AIM IS TO SUPPLEMENT NUTRITIONAL INTAKE AS FOLLOWS
1.Each child 6-72 Mo of age to get 500 Kcal & 12-
15 gms of protein /child/day.
2.Severely malnourished child (6-72 Mo) to get
800 Kcal & 20-25 gms of protein /child/day.
3.Each pregnant mother & nursing women to get
600 Kcal & 18-20 gms of protein/mother/day. 1. Compulsory one meal to a child attending AWCs which includes providing a morning snaks in form of milk/bannana/egg/seasonal fruit/micro nutrient fortified food followed by cooked hot meal. FOR CHILDREN < 3 YRS & PREGNANT & LACTATING MOTHER
1.“Take Home Ration” is provided.
2.All are eligible to avail services of ICDS
3.Supplementary nutrition is given for
300 days in a year. 4. Children are weighed every month.
5.Nutrition & Health education is given to
mothers of children suffering from 1st degree malnutrition.
6.Therapeutic food is given to children
suffering from 2nd & 3rd degree malnutrition 7.Children suffering from 4th degree malnutrition are recommended hospitalization. NUTRITION & HEALTH EDUCATION • Nutrition education & Health Education is given to all women in the age group 15-45 yrs, giving priority to nursing & expectant mothers.
• It is imparted by specially designed
courses in village during home visits by anganwadi workers IMMUNIZATION • CHILDREN : Immunization of children against 6 VPDs
• MOTHERS: immunization against
tetanus HEALTH CHECK UP INCLUDES:
1.Antenatal care of expectant
mothers.
2.Post natal care & new born care.
3.Care of children < 6 yrs.
4.IFA supplementation along with protein for mothers.
5.A minimum of 3 physical examination.
6.Referral of High Risk Mothers
HEALTH CARE OF <6 YRS - COMPONENTS 1.Record of weight & height of children at periodical intervals.
2.Watch over mile stones.
3.Immunization.
4.General check up every 3-6 Mo.
5.Treatment for diseases like diarrhoea, dysentery, RTI.
6.Deworming.
7.Prophylaxis against Vit A deficiency &
anaemia.
8.Referral of serious cases to hospital.
HEALTH RECORDS • Health records of children & mothers are maintained.
• A card containing the health record
of child is given to the mother. NON FORMAL PRE - SCHOOL EDUCATION • Children between 3 & 6 yrs are imparted non formal pre school education. • The objective is to provide opportunities to develop desirable attitudes, values & behavioural pattern. • Locally produced in expensive toys are used in organizing play & creative activity. SCHEMES FOR ADOLESCENT GIRLS
• KISHORI SAKTHI YOJANA.
• NUTRITION PROGRAMME FOR
ADOLESCENT GIRLS KISHORI SHAKTHI YOJANA • The scheme targets adolescent girls of 11 – 18 yrs.
• The programme addresses their needs
of self development, nutrition & health status, literacy & numerical skills & vocational skills. NUTRITION PROGRAMME FOR ADOLESCENT GIRLS • Was approved in 2009-10.
• The project is implemented in 51 identified
districts.
• Undernourished girls (11-15 yrs) < 30 kg &
(15-19 yrs) < 35 kg are covered under the scheme • 6 kg of free food grain is provided for each beneficiary per month.
• The programme is implemented
through ICDS scheme at the state, Dt, block & Anganwadi centre level. TWO MORE SCHEMES ARE ALSO IMPLEMENTED. • 1.RAJIV GANDHI SCHEME FOR EMPOWERMENT OF ADOLESCENT GIRLS, &”SABLA” (11-18 YRS) to improve their nutritional health status. • 2.INDIRA GANDHI MATRUTVA SAHAYOG YOJNA (IGMSY) – Conditional cash transfer to pregnant women & lactating mothers to improve their nutritional status ADMINISTRATIVE UNIT OF ICDS
A Study To Assess The Effectiveness of Planned Teaching Programme On Knowledge Regarding Eating Disorders Among Adolescent Girls in The Selected Schools of Jabalpur City, MP