1 Madhya Pradesh APIP 2012-13 Presentation by GoMP 3/10/12 Annual Project Implementation Plan for ICDS (APIP)

1

Madhya Pradesh

APIP 2012-13

Presentation by GoMP3/10/12

Annual Project Implementation Plan for ICDS

(APIP)

MADHYA PRADESH - Demographic ProfileArea (in sq.kms.) 308 thousand sq. K.M.

Population Census 2011 72597565

Male 37612920

Female 34984645

Scheduled Tribes 20.27 (Census 2001)

Scheduled Castes 15.17 (Cenus 2001)

Population (0-6 Years) 1.05 Cr

Development Blocks 313

Populated villages 54903

Gram Panchayats 23012

Literacy 70.6

Male 80.53

Female 60.02

Density of Population 236

Sex Ratio 930

Child Sex Ratio 9122

Health Indicators

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Madhya Pradesh INDIA

Current Status Current status

MMR 310(AHS 2010-11)

212 (AHS 2010-11)

IMR 62(SRS - 2011)

47(SRS - 2011)

U 5 MR 89(AHS- 2011)

98

TFR 3.2 (SRS 2010)

2.5(SRS 2010)

An Overview of ICDS Services

Total no. of Districts 50

Total no. of Blocks 313Total Projects ( ICDS ) 453Projects in Rural area 281Projects in Tribal area 99Projects in Urban slum 73Total no. of Anganwadi Centres 80160 (1231 newly

sanctioned AWCs)

Total no. of Mini AWCs 12070

Average no. of AWCs / project 174Additional no. of AWCs required for total 1.05 Cr children

20000

Facilities at AWCs (Infrastructure and Other facilities)

Total number of AWCs 78929

AWCs having their own buildings 22590 (28.2%)

AWCs functional in other Govt. buildings 16349(20.7%)

AWCs functional in other rented buildings 40266 (51.0%)

AWCs having toilet facilities 35457 (45.0%)

AWCs having electricity facility 24631 (31.2%)

AWCs having facility for drinking water 68617 (86.9%)

Service Outreach

Total Population of MP 7.25Cr.(2011)

Population of 0-6 yrs, Children,@ 14.5%

1.05 Cr

Eligible population 0-6 yrs to be enrolled 0.88 Cr (as per survey)

0.84 Cr (Actual enrolled)

Gap- 4.5%

Covered under ICDS (SNP) 0-6 yrs 0.72 Cr (86% of enrolled)

Gap- 14.3%

Population of P/L mothers @ 3 % of the total population

0.21Cr (Expected)

0.17 Cr (Enrolled)

Gap- 19.04%

Covered under ICDS(SNP) P/L 0.15Cr (Preg. and Lact.)

Gap- 11.8%

Total No. of Children Benefitted Under SNP 6 Months - 6 Years

7

In lacs

Total No. of Pregnant & Lactating Mother Benefitted under SNP

8

In lacs

9

% SNP Coverage 2006-2012

Status of Malnutrition - MPStatus of Malnutrition - MP

10

60.7

27.3 32.7

51.9

19.832.1

TOTAL UNDERWEIGHT SEVERE UNDERWEIGHT MODERATE UNDERWEIGHT

NFHS III(2005-06) NIN Survey(2009-10)

Weight for Age – Underweight (0-5 years %)

11

12

SEVERE UNDERWEIGHT – STATE AVERAGE <19.8% ABOVE

AVERAGE

BELOW AVERAGE

35

12.6

22.425.8

8.3

17.5

TOTAL WASTING SEVERE WASTING MODERATE WASTING

NFHS III(2005-06) NIN(2009-10)

Weight for Height – Wasting (0-5 years %)

13

14

SEVERE WASTING – STATE AVERAGE <8.3%

ABOVE AVERAGE

BELOW AVERAGE

Breastfeeding Indicator

0

10

20

30

40

50

60

70

80

Early Initiation Breast Feeding With in 1 hour

Execlusive Breast Feeding after 6

Months

13.321.6

26.4

7161.5

36.8

NFHS-III (05-06) NIN (09-10) AHS (10-11)

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ICDS – Challenges 100% Coverage of Children and Mothers (Universalization)

Opening of AWCs

Ensuring the presence of children and retaining them at AWCs

Growth Monitoring Ensuring proper distribution of breakfast , hot cooked meal & THR

Strategy for Community Based Care of SAM children

Capacity building

Monitoring & Evaluation

IEC& BCC Strategy 16

ICDS- Challenges

States Initiatives Mangal Diwas (community participation)

New WHO growth standard rolled out across the State

Mapping current nutritional status through NIN

Developed about 7000 AWCs across the State on BalA pattern to attract community and Children in collaboration with RSK

Reference manual for AWWs in collaboration with IGNOU and ECCE manual in collaboration with RSK

Setting up of 273 NRCs and 55969 SAM children have been rehabilitated (April 2011- March 2012), all blocks will be covered with NRC facility

Scaling up Sick New Born Care Units

Atal Bal Mission 17

Reducing U5MR from 94.2 to 60 per thousand live births by 2015

Reducing the percentage of underweight children under five years from 60% to 40% by 2015 and further from 40% to 20% by 2020

Reducing prevalence of SAM in children under 5 years from 12.6% to 5% by 2015 and to negligible by 2020

ABM Goals

• To fill in the gaps primarily in the State Health and Nutrition programs, including ICDS.

• To undertake evidence based pilots with a view to scale up on the basis of results.

• To serve as a platform for Convergence of Various Schemes of Different Departments.

• To promote decentralized planning through District Specific Action Plans.

ABM Strategy

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Decentralized planning by districts including following key

components -

•Provision of additional nutritious diet to SUW Children besides

SNP.

•Convergent Bottom-up Planning

•Capacity building of frontline workers revamped

•Community involvement through Atal Bal Mitra Yojana

•Culture-specific BCC initiatives

•Concurrent Monitoring and Evaluation

ABM - Key Components included in DAP

• Strengthening of MCTS• Linkage with Growth Monitoring and Health

services through MCP cards• Skill Enhancement trainings• Joint supportive supervision• Developing linkages between MIS of Health and

WCD for improved tracking of malnourished children

• Village wise online data capture of SAM Children

Convergent Efforts

Major Activities Proposed in APIP 2012-13• Human Resources i.

ii. Proposing a technical team of consultants (Nutrition,MIS,M&E) for

better implementation of the program both at State level as well as ICDS project level

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Level Sanctioned Position Filled in position Vacant

State level 98 98 0

District level 231 198 73

Block level 2673 1899 794Sector level

(Supervisors) 3157 2728 429

AWW 80160 77086 3074

AWH 80160 76188 3972

Mini AWW 1270 1270 0

• Procurement:i. Medicine Kit & Pre School Education will be supplied to all the AWCs

including Mini AWCs. ii. Equipments and supplies to strengthen field offices (From State to

Project office)iii. Essential supplies to AWCs (Weighing machines, MUAC, growth

monitoring charts, registers and storage boxes)

• Nutrition and Health Education i. Strengthening Village Health and Nutrition Days.ii. Observance of Special Days and weeks (Women’s day, Nutrition week,

Breastfeeding week etc).iii. Tracking of food commodity being distributed under SNP

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Major Activities Proposed in APIP 2012-13

• IECi. Use of Audio-video channels for mass awarenessii. Observance of important days and communication campaigniii. Capacity Building of staff on IEC, IPC etciv. Special IEC strategy for high burdened districts

• Monitoring and Evaluation:- i. Assessment of nutritional status of under five children were done by NIN

during 2012-13ii. Strengthening of Web enabled MISiii. Third party concurrent monitoring will be doneiv. Strengthening of supportive supervision at all levelv. Tracking of severely under weight children

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• Capacity Buildingi. Assessment and filling of position as per norms (all MLTCS and

AWTCs).ii. Establishing State training cell dedicated exclusively for trainings. iii. Roll out of new MIS across the state after training of ICDS

functionariesiv. Regular training of ICDS functionaries v. Renovations and establishing one new MLTC and 16 AWTCs with

the support from Development Partners.

• New Initiatives to strengthen ICDS i. Orientation for Community Participation in ICDS programii. Appointment of additional AWWs in selected AWCsiii. Mobile tracking system for program activities iv. GIS mapping of AWCs are in the process


Budgetary allocation and expenditure on SNP during 2008-2012 (in Rs. Lakhs)

Financial Year Budget

allocationActual

Expenditure % Utilization

2008 – 2009 27121.42 26388.69 97.29

2009 – 2010 56903.49 52215.22 91.76

2010 – 2011 92697.77 89736.40 96.81

2011-2012 90200.00 89365.76 99.07

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Physical Targets and Financial Estimates

S.N. Program Components

Intervention/ Activities Unit Norm Physical Financial

(Rs. Lakhs)

1 Human Resources

Filling of vacancies Targets

State level 98 100%

District level 231 (73 vacant) 100%

Block level 2673 (794 vacnt) 100%

Sector level (Supervisors)

3157 (429 vacant) 100%

AWC level

80160 AWW (3074 vacant)80160 AWH(3972 vacant)12070 AWW(Mini AWC)

100%100%100%

Salary of ICDS staff State 98 436.62District 231 709.82Block/Sector 5860 14905.80

AWC 172390 45003.6

SUB- TOTAL-1 61055.8527


Intervention/ Activities Unit Norm Time Line Physical Financial

(Rs. Lakhs)

2. Administrative cost

Rent/ Vehicle/Contingency

Rent

Rural/Tribal AWC 29517

Urban AWC 7875

Rs. 200/m 750/m

708.4708.75

Total 1416.8

Hiring of vehicles and POL

820.75

Contingency 714.1

SUB-TOTAL- 2 2951.65

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3.Supplementary Nutrition

Supply of SN to children, P & L women and AGs

Children 6 months- 6

yrs85,00,000 Rs. 4 x 300 102000 .00

P & L women

1410000 Rs. 5x 300 21150.00

Severe malnourished children

1.87,599 Rs. 6 x 300 3376.78

SUB- TOTAL -3 Note: 50% of cost of SNP to be borne by State 126526.78


S.N. Program Component

s

Intervention/ Activities

Unit Norm Physical Financial(Rs. Lakhs)

4. Procurement

Supply of material & equipments (see table 4B.1 at page 37)

PSE kit 80160 0.01 lakh/ kit 801.60

Medicine kit 80160 0.006 lakh/ kit 480.96

PSE kit (Mini AWC) 12070 0.005lakh/kit 60.35Medicine kit (Mini AWC) 12070 0.003lakh/kit 36.21

Weighing scales Salter scale 23537 0.0075 / scale 176.52

Baby weighing scale 51787 0.01 lakh / scale 517.87

Adult weighing scale 45485 0.01 lakh / scale 454.85Computers/ Printers and UPS @ Rs. .50 lacs each

State-10District- 10Block -200

0.50 110.0

Almirah/ Storage box/ Utensils, equipment, etc State to Block 124.15

AWC level@ 0.05 lakhs for furniture 51231 AWC 0.05 2561.55

SUB TOTAL – 4 5324.06




Unit Norm Physical Financial(Rs. Lakhs)

5. Training and capacity building

Regular training (induction/ job/ Refresher

1110.35

MPR /MIS training for ICDS staff 1753.95

Exposure Visit 10.0

SUB – TOTAL- 5 2874.3

6. IECMangal Diwas 80160 AWCs 0.025 2004.0

IEC per AWCs /yr 80160 AWCs 0.01 801.60

SUB - TOTAL- 6 2805.6

7. Monitoring & Evaluation

Routine monitoring through MPR 80160 AWCs 0.005 400.8

Register, records etc. (80160 +12070 mini AWC)

.005 461.15

SUB TOTAL-7 861.9530




Unit Norm Physical

Financial(Rs. Lakhs)

8 Others

Uniform to AWW/AWH

80160 AWCs +80160

AWHs+12070 Mini AWWs / =172390

Rs. 425 / worker 681.36

Convergent workshops 50 districts 1.0 lakh /

distric 50.0

Flexi Fund for the AWCs 92230 0.01 922.3

Travel 2297.0

Office expense 620.0

Special initiatives :See details at item 4 K at page 60 of the report.

1.Orientation workshops for PRI Members 665.0

2.Appointment of additional AWWs at 11000 AWCs 643.50

4. Training of AWWs and Supervisors in Inter-personal communication 267.95

5. Tracking system for program activities 1202.4

SUB- TOTAL-8 7349.51

GRAND TOTAL 209749.7031


Summary of Proposed Budget –APIP 2012-13

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S.N. Intervention/ ActivitiesProposed Budget

(Rs. Lakhs)

1 Human Resource (State to AWC) 61055.85

2

Administrative Cost ( Rent POL, Vehicle hiring, Computer, Furniture etc. 2951.65

3Supplementary Nutrition (Note: 50% of cost of SNP to be borne by State) 126526.78

4 Procurement 5324.06

5 Training and Capacity Building 2874.3

6 Information ,Education and Communication 2805.6

7 Monitoring and Evaluation 861.95

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Others (convergent workshops, Uniform for AWWs and AWHs, travel flexi fund for AWCs, office expenses and special initiatives like, workshops for PRI Members, Appointment of additional AWWs, IPC trainings and mobile tracking system)

7349.51

GRAND TOTAL 209749.70

Time line for Activities Proposed under APIP 2012-13

Activity Sub Activity Output Indicator Time line (Quarterly)

I II III IV

Human Resources

Assessment of Vacant positions at state, district, block, sector & AWC level

List of vacant positions ready

All Vacancies filled

Issuing directives to CDPOs for filling up the vacant positions of AWW/AWH with recommendations of Gram Sabha.

Directives issued

Advertise vacancies for supervisors, conduct test & hold selection (50% reservation for AWWs & 50% open)

Selection held

Advertise vacancies for CDPOs conduct test & Interview

Interview Conducted

Hold DPC for promotion of CDPOs to DPOs/DWCDO

DPC Held

Advertise vacancies for ASO/SA, conduct test & Interview

Interview Conducted

Appointment of additional AWWs in selected AWCs

Appointment made

Training & Honorarium to additional AWWs -Trainings completed

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I II III IV

Training & Capacity Building

Conduct Induction training for newly recruited AWWs & Helpers

Trainings CompletedNo. of AWWs & AWH trained

Training needs assessment for Job & Refresher training of AWW/Helper

Need assessment completed

Conduct Job & Refresher training of AWW/Helper as per STRAP

Trainings completed as per STRAP

No. of AWWs/AWHs trained

Preparation of training module & material on IPC

Module & Material prepared

All districts received the material

Development & printing of Flip books on IPC for AWWs

Flip book printedAll districts received the material

Training of Master trainers on IPCMaster Trainers

trainedNo. of Master trained

Training of trainers (supervisors) on IPC Supervisors trained No. of traines trained

Training of AWW on IPC AWWs trainedNo. of AWWs trained on IPC

Training of ICDS functionaries on MPR/MIS Training conducted No.of functionar

Exposure visit Exposure visit conducted

Best practices being rolled out

Organize orientation trainings for community opinion leaders(PRI, CBO, SMS, Mahila Mandal, SHG etc.)

Trainings of community opinion leaders organized

No. of functionaries trained 34


Activity Sub Activity Output Indicator Time line

(Quarterly)

I II III IV

3) SNP

Processing procurement of SNP for AWCs (THR)

SNP Procured No. of districts received SNP

Monitoring of SNP quality, quantity, frequency & beneficiaries covered ( at different levels)

Improvement in coverage

Coverage increased by 10% of current status

Monitoring of third meal programme for Severely Underweight Children through tracking & routine monitoring system

Improvement in coverage

100% SAM children receive third meal

4) Pre- School Education

Ensuring 100% children of 3-6yrs are enrolled & attend PSE

Improvement in enrollment & attendance

100% children are enrolled & 10% increase in attendance from the current level

Community Monitoring of PSE Programme for quality & regularity

Community monitoring system established

No. of villages with community monitoring system established

Organization of Parent-AWW meet every month for creating awareness about PSE

System of Parent AWWs meet established

No. of AWCs which started organizing regular meeting with parents

35


Activity Sub Activity Output Indicator Time line

(Quarterly)

I II III IV

Procurement

Procurement of PSE kit by DPOs as per purchase rules

Kits procuredNo. of AWCs received PSE kit

Procurement of Medicine kit by DPOs as per purchase rules

Kits procuredNo. of AWCs received Medicine kit

Place orders for procurement of Computers & Printers through LUN after finalizing the specifications at DWCD

Orders placedNo. of districts /blocks received supplies

5.4) Procurement of furniture & office equipments as per purchase rules

Procurement done

No. of districts /blocks received supplies

5.5) Assessment of requirement of serving utensils, boxes, dari, furniture etc for AWCs

Assessment of requirement made

No. of districts from where assessment received

5.6) Procurement of serving utensils, boxes, dari, furniture etc for AWCs as per purchase rules

Procurement done

No. of AWCs received supplies

IEC

Strengthen Mangal Diwas Programme

Mandal Diwas strengthened

No. of AWCs where all four Mangal Diwas are held regularly

Assess IEC needs & develop strategies & material

IEC strategy document developed

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I II III IV

Monitoring & Evaluation

Linking of Mobile tracking monitoring system & referral of SAM children

Development & Printing of New MPR formats, Checklist, Registers

Material developedNo. of districts started using new MPR & formats

Others

Procurement of Sarees & badges to AWW & AWH

Procurement madeNo. of AWWs & Helpers received Sarees & badges

Organizing Convergence workshops for improved interdepartmental coordination with health, RD, Education, Tribal departments

Convergence workshops for interdepartmental coordination initiated

No. of districts started organizing convergence workshops

Strengthen NHED sessions in convergence with health department

NHED sessions strengthened

No. of NHED sessions organized as per the protocols 37


I. Promotion of 14 ASOs to CDPOs, 7 APOs to CDPOs and 18 CDPOs to DWCDOs done, all the vacant post will be filled by March 2013

II. Procurement process of Pre-School Education Kit, Medicine Kit and uniform for AWWs and AWHs shall be completed by Jan.2013

III. Pilot for Community based management of SAM children is under consideration

IV. Pilot for providing one full meal to Pregnant and Lactating Women proposed

V. Training plan for induction of ICDS functionaries on revised MIS approved by GoI, and first SLMF training for three States being organized by MP

VI. Printing of reporting registers and formats are in the process and will be delivered to all projects by November 2012

VII. Project “SANJHA PRAYAS” in collaboration with Rural Development department in 20 -20 villages , of two blocks in two districts will be implemented soon on pilot basis.

An update . . .

THANKS

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Documents

1 Madhya Pradesh APIP 2012-13 Presentation by GoMP 3/10/12 Annual Project Implementation Plan for ICDS (APIP)