ICDS System Strengthening & Nutrition Improvement Project ...edak.icdsbih.gov.in/PDF_DEST/L007/2014/4/2310_1.pdf• A mechanism for incremental learning and capacity building within

ICDS System Strengthening & Nutrition Improvement Project (ISSNIP)

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Annual Action Plan- 2014-15, SPMU, Bihar

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Contents:

Section 1: Brief Introduction of Project Objectives…………………………………………… 3

Project Components…………………….…………………………………………..4

Project Coverage……………………………………………………………............. 6

Project Allocation...…………………………………………………………………7

Triggers for Phase- 1………………………………..………………………..............7

Section 2: Review of Annual Action Plan- 2013-14 Status of All Project Related Approvals by the Competent Authority with Dates…... 8

Physical Progress in Respect of Implementation of Activities……………………… 8

Financial Progress………………………………………………………………….. 9

Status of Procurement of Goods for SPMU and DPMU………………………….. 10

Status of Establishment of SPMU and Hiring of Project Consultants……………... 10

Details of Proposed Pilots………………………………………………………… 11

Section 3: Annual Action Plan 2014-15 Component/Sub-Component Wise Description of Activities…………………….. 11

Summary Table of Estimated Budget: 2014-15................................................................ 21

Section 4: Template for Annual Action Plan 2014-15 (Annexure A)………………………… 21

Procurement Plan (Annexure B)…………………………………………………...21

Section 5: Annexure C Result Framework of Phase 1

Health and Nutrition Scenario in Bihar: A Demographic Snapshot

Details of Operational Blocks and Anganwadi Centre

Current District Wise Beneficiary Data

Map of ISSNIP Districts

State Innovations and Good Practices

Contact Details of State and Districts Project Team

Status of Immunization and Vitamin- A Supplementation in ISSNIP Districts


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¤ Section 1 ¤

rief Introduction: Integrated Child Development Services is the only major national program that

addresses the need of the children under the age of six years. It seeks to provide preschool children

with an integrated package of services, such as supplementary feeding, health care and preschool education.

There is need to revive the initial vision of ICDS as an integrated program. Some services, such as nutrition

counseling and preschool education have been deeply neglected and even virtually abandoned in some

cases. Integrated child Development scheme (ICDS) is a world’s largest scheme aims for improving health

and nutrition status of children below six years and women who are pregnant and breast feeding. The

Anganwadi (AWC) is a local unit of ICDS, literally the courtyard play centre, located within the village or

slum area. AWC is the focal point for the delivery of services at the community level to 0-6 years aged

children, pregnant and nursing mother and adolescent girls. It has been felt for improving service delivery

by ICDS field functionary, restructuring and re-programming in mission mode is required. Bihar being the

third most populous state having a large number of AWC (Approx 90,000), 534 projects across the state,

as well as high prevalence rate of mal-nutrition (54 percent) among the children in which approx 8 percent

are severely acute malnourished (SAM) are at high risk. To overcome the high burden of undernourished

children in the state there is urgent need to strengthen the ICDS service delivery system, nutrition

surveillance, monitoring and supervision. In this regards ISSNIP will play a vital role and will prove a mile

stone to improve the value added service delivery with the support and participation of community at large

scale.

ICDS System Systems Strengthening and Nutrition Improvement Project (ISSNIP) is a two-phased, seven

year project with the overarching goal of supporting the Government of India’s efforts to improve

nutritional outcomes of children in India. It promotes ‘learning-by-doing’ across the two phases. During the

first phase of three years, a number of systems in ICDS will be strengthened and new approaches/pilots will

be tested at different scales in selected areas. Phase- II, to commence on the successful achievement of pre-

defined triggers, will be implemented over a period of four year. This phase will support scale up of

successful pilots and applications of lessons taught during Phase- I to achieve nutrition improvements.

ISSNIP has been designed to supplement and provide value addition on the existing ICDS programme,

through a process of systems strengthening at different levels of programme implementation. It will also

facilitate at Bihar and in its selected districts and projects to experiment, innovate and conduct pilots of

potentially more effective approaches to achieve the early childhood education and nutrition outcomes and

offer evidences for scale up. The additional financial and technical support through the project is catalytic

and is an important dimension of MWCD’s overall efforts to strengthen and restructure the ICDS

programme. The project will, inter-alia, support building capacities of district and block level ICDS

functionaries for development of District ICDS Action Plans and results-oriented monitoring and

evaluation system.

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The project has been designed following Adaptable Program Lending (APL) approach of the World Bank.

It will be implemented in two phases – an initial preparatory/formative phase (Phase 1) of 3 years with

clearly defined benchmarks, followed by a 4 year full-scale implementation phase (Phase 2) upon meeting of

the agreed benchmarks.

roject Development Objectives (PDOs): The overall goal of the project is to contribute towards

improving the child development outcomes including the nutrition and early childhood education

outcomes in the areas with higher proportion of child under-nutrition. Phase 1 will be formative in nature

and will not have quantitative population level objectives for outcome indictors. Rather, its outcomes will be

learning and system strengthening that can shape and support full implementation during the next phase of

the project. Specific objectives of phase 1 of the project are:

• To strengthen the policy framework, systems and capacities of the ICDS to deliver quality services,

facilitate community engagement and ensure a focus on children under 3; and

• To strengthen coordinated and convergent actions for nutrition outcomes at the national

The key outcomes of phase 1 of the project are related to strategic learning and systems strengthening,

which will shape future strategies that can be implemented in phase 2 to address programme outcomes at

large scale. Activities and interventions proposed in phase 1 are expected to result into the following broad

outcomes:

• Strengthened ICDS policy and programme framework

• Revised monitoring system to measure the effectiveness of ICDS programme in project districts

fully operational

• A mechanism for incremental learning and capacity building within ICDS established at district and

block levels in project districts

• Viable approaches and models of community participation identified in project States based on

analysis of existing or past examples and outcomes of innovation pilots

• Effective BCC strategy and its implementation plans focusing on feeding and care of under-3s

developed and rolled out in the state

• Replicable models of convergent action for improving nutrition outcomes established in at least one

district in the state

roject Components: Keeping in view the above, activities that have been proposed during phase 1 of

the project, are briefly described below. A summary of activities that are proposed under the project

categorized as ‘strengthening the existing activities’, ‘scaling up of good practices’ and ‘pilots and

innovations’.

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Component 1: Institutional & Systems Strengthening This component aims at strengthening the existing systems in ICDS focused on the following six key areas:

i. Review and refinement/development of guidelines, standards, protocols and procedures in ICDS related to aspects

like human resource policy, decentralized planning, strengthening supplementary nutrition

component etc.

ii. Strengthening and expanding ICDS monitoring systems, including roll out of the revised MIS, development

of tools for programme management and supportive supervision, piloting new initiatives like

universal tracking of beneficiaries and computerization of MIS up to block level, etc.

iii. Strengthening training and capacity building systems, especially focused on Training Needs Assessment,

design and roll out of revised training modules, testing innovative mechanisms for ongoing

(incremental) capacity building and enhancing programme management and leadership skills of

ICDS officials.

iv. Strengthening convergence with NRHM - Activities include designing and implementation of models of

convergence, joint trainings, engagement of PRIs in strengthening convergence, etc.

v. Innovations and specific pilots including testing flexible models in ICDS specific to urban areas and pilot

testing approaches like second worker model in limited scale.

vi. Implementation support at district and block levels to enhance technical and operational capacities of ICDS

staff and to bring focus on critical interventions in ICDS at all levels through additional contractual

staff.

Component 2: Community Mobilization and Behavior Change Communication

A primary focus of the project is to re-align the priorities of ICDS towards the needs of 0-3 year olds. As 0-

3 years old are too young to come to the AWC, often reaching out to them requires outreach activities like

home visits for counselling parents. The project, therefore, proposes a number of initiatives to strengthen

(a) community mobilisation, and (b) behaviour change communication (BCC) in project areas. These

initiatives are expected to achieve some of the most critical programme outcomes, i.e., better caring and

feeding of children and better utilization of services for health, nutrition and child development.

i. Activities to enhance community mobilization and participation: Under this sub-component, activities will be

related to piloting of models for community engagement, community monitoring like social audits,

private public partnership and engagement of CSOs/ NGOs for carrying out community

mobilization. Other activities will include orientation of community based organizations to enhance

their engagement in ICDS and scaling up campaign approaches to community actions.

ii. Strengthening Behavior Change Communication: Evidence suggests that the key to overcoming

malnutrition is not so much in the provision of food but in the knowledge and practice of

nutritionally supportive and secure behaviours by the community. Recognizing this evidence,

activities are proposed to strengthen the Behavior Change Communication (BCC) component in

ICDS, mainly focusing on the Interpersonal Communication through home-visits by AWWs and


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synchronized conducting of other media activities in the community based on a comprehensive

BCC strategy that is responsive to local context.

Component 3: Piloting Convergent Nutrition Actions

Recognizing multiple determinants of nutrition, it is proposed to address problem of child malnutrition

through a comprehensive multi-sectoral response to influence some of the underlying causes. For these

testing of pilots and operational research is essential. The project proposes to develop viable frameworks

and tools to support inter-sectoral planning, coordination and monitoring at all levels, facilitating the

development of such action plans at the State and district level among different sectors and conducting

pilots. It also proposes to support the designing and implementation of pilots in select areas. The proposed

activities are expected to provide replicable models for multi-sectoral approaches to malnutrition reduction.

Component 4: Project Management, Technical Assistance, Monitoring and Evaluation

It is proposed to achieve this through a combination of a strong state project management structure at the

State level and an independent Technical Assistance Agency will provide the technical support at state and

regional level; where all 19 districts have been divided in ‘Four’ groups (Clusters) . While the former will

function within State Directorates, the latter is conceived as an independent Technical Assistance (TA)

Agency, which is responsible to provide a range of technical assistance at all levels. The project will establish

a strong monitoring and evaluation system in ICDS through introduction of periodic assessment of

programme outcomes at the district level and enhancing use of data in programme management and

supervision. The project will have a strong impact evaluation with baseline and end line surveys.

roject Coverage: In the state, the project is being implemented in all 432921 Anganwadi Centres of

281 Blocks/Projects in 19 high burden districts namely;

1 The Project has been approved for 43292 Anganwadi Centre’s but currently 49251 Anganwadi Centres are operational in the 19 ISSNIP districts of Bihar.

P Sl. No.

Districts No. of Blocks/Projects

Sl. No.

Districts No. of Blocks/Projects

1. Gopalganj 14 11. Munger 10 2. Buxar 10 12. Muzaffarpur 17 3. Jehanabad 07 13. Purnia 15 4. Bhagalpur 17 14. Saharsa 11 5. Darbhanga 19 15. Samastipur 206. East Champaran 28 16. Sitamarhi 18 7. Jamui 10 17. Supaul 11 8. Lakhisarai 06 18. Vaishali 17 9. Madhepura 13 19. West Champaran 17 10. Madhubani 21


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roject Allocation: The total project outlay for Bihar is Rs. 35022.00 Lakhs where Rs. 8184.00 Lakhs is

estimated for Phase- I whereas Rs. 26838.00 Lakhs has been estimated for Phase- II. Moreover 90% of

the total amount (Rs. 31519.80 Lakhs) would be provided by Govt. of India and the rest 10% (Rs. 3502.20

Lakhs) would be provided by the State.

The detailed component wise allocation for ISSNIP in Bihar has been provided in table below.

Sl. No.

Project Component

Phase - 1 Total (Phase 1)

Grand Total

Year- 1 Year- 2 Year- 3

GoI State Total GoI State Total GoI State Total GoI State

1 Institutional and System Strengthening

652.64 72.52 725.16 1965.62 218.40 2184.02 2199.58 244.40 2443.98 4817.84 535.32 5353.16

2 Community Mobilization and BCC

10.29 1.14 11.43 875.27 97.25 972.52 1048.73 116.53 1165.25 1934.28 214.92 2149.20

3 Piloting Convergent Nutrition Action

3.47 0.39 3.85 19.71 2.19 21.90 24.66 2.74 27.40 47.84 5.32 53.15

4 Project Management, TA and M& E

158.49 17.61 176.10 241.23 26.80 268.03 166.08 18.45 184.53 565.79 62.87 628.66

Total 824.89 91.65 916.54 3101.82 344.65 3446.47 3439.04 382.12 3821.16 7365.75 818.42 8184.17

riggers for Phase 1: The Intermediate Results (IR) Indicator for Phase 1 (Triggers) are as below:

i. 50% of project blocks will have to report information using the revised MIS in

ICDS (KEY) - 141 Project Blocks are targeted in the state.

ii. Guidelines for four of the six identified key areas of ICDS systems strengthening developed and

disseminated.

iii. 50% of project districts having established and trained district resource groups to

implement the incremental capacity building system (KEY) - 9 to 10 districts of the state.

iv. State having conducted at least one pilot to test the effectiveness of a system of joint planning

and review by ASHA, AWWs and ANMs at the health sub-center level in improving

quality and coverage of health and ICDS services (KEY).

v. Atleast 1 project district in the state having developed convergent nutrition action plans for

piloting at district level (KEY).

vi. Completion of baseline data collection for Phase 2 of the project in the state.

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¤ Section 2 ¤

eview of Annual Action Plan:

1. Status Of All Project Related Approvals by the Competent Authority:

Sl. No. Particulars Issuing Authority Date

1. Approval of Project- ISSNIP Planning Authorization

Committee, Govt. of Bihar vide letter no: 244

03.07.2013

2. Cabinet Approval Cabinet, Govt. of Bihar vide file no. ICDS/80010/01-2013

24.09.2013

3. Approval of 2013-14 and No Objection of Procurement Plan for first 18 Months

Govt. of India and World Bank through letter no. 3-2/2013-WBP

27.09.2103

4. Resolution (Sankalp) ICDS Directorate vide letter no.

5704 23.10.2013

5. Recruitment of Consultants for SPMU/DPMU and Project/Block

Department of Social Welfare, Govt. of Bihar vide file no. ICDS/80010/5-2014/1529

28.02.2014

2. Physical Progress in Respect of Implementation of Activities Against the Approved

Annual Action Plan 2013-14:

i. One day State Level Orientation workshop of All 19 DPOs and 2 CDPOs from each 19

ISSNIP districts was organised at Aapna

Ghar Conference Hall, Patna on 15th

January 2014 where representatives from

Central Project Management Unit (CPMU),

The World Bank, TA Agency, State Level

Officials from Department of Social

Welfare and ICDS as well as from the

Development Partners participated. In total,

101 participants attended the workshop

where the major agreed actions that evolved during the discussion are:-

Summary report of activities by ‘Development Partners’ working in ISSNIP districts

Development Annual Action Plan 2014-15 in support with all development partners working in the

field of Health & Nutrition

Development of Communications Strategy / Behavior Change Communications (BCC) Strategy of

Nutrition & Health for Bihar

Development of Early Childhood & Child Education Strategy for the state

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ii. One day orientation workshop for field

functionaries of ‘Development Partners’ under

ISSNIP (DFID, BTAST, UNICEF, CARE India

and BBC Media Trust) was organised at Hotel

Patliputra Ashoka, Patna on 06th February 2014

where 50 participants were present during the

workshop.

iii. One day orientation of all 19 DPOs and all

CDPOs of 19 ISSNIP districts was organised

for consecutive three days at Hotel Patliputra

Ashoka, Patna on 11th, 12th and 13th February

2104 where 100 participants on an average

actively participated in each day’s workshop.

3. Financial Progress:

Sl.

No.

Description Amount (Rs.

In Lakhs)

Remarks (If Any)

1. Fund received from Govt. of India in 2012-

13 73.85

Rs. 62.85 Lakhs withdrawn back byGoI vide letter: F.No. 4-2/2013-WBP

2. Fund Received from Govt. of India in

2013-14 2,620

3.

Creation of Budget for ISSNIP- Govt. of

India Share (90 percent)-

C2235021020620

--

4.

Creation of Budget for ISSNIP- State Share

(10 percent)-

P2235021020620

--

5.

Budget provision by the State Govt. for

ISSNIP in 2013-14

- Central Share: Rs. 8,21,42,000/-

- State Share: Rs. 91,27,000/-

Total:

912.69

Approval of Central Share vide letter no: 1030 dated: 11/02/2014 Approval of State Share Fund vide letter no: 1713 dated: 11/03/2014

6. Fund received by the Directorate from the

State Govt. --

7. Expenditure incurred till 31st March 2014 --

8. Submission of IUFR (Expenditure

Statement) to Govt. of India 4.39 ICDS/80010/07-2013/1744; Dated:

12/02/2014


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9. Authorization Letter from AG, Bihar NA Letter No: TM/20158 Dated: 25/03/2014

10.

Approval of Relaxation for Fund

Withdrawal by the Dept. of Finance, Govt.

of Bihar

912.69 Letter No: 3073 Dated: 29/03/2014

4. Status of Procurement of Goods for SPMU and DPMU:

Progress of procurement initiated by the SPMU and its progress are listed below:

i. Formation of Assessment Committee: A committee was formed comprising three members including

procurement officer to assess the requirement for SPMU on 24/02/2014 vide letter no:

ICDS/25010/01-2014/1387.

ii. The committee submitted the report clearly mentioning the goods approved in Annual Action

Plan 2013-14, may be purchased through shopping method and the furniture required for

SPMU may be purchased after the approval from Central Project Management Unit.

iii. Specification of electronic equipment and rates are obtained from BELTRON; dated:

27/03/2014 vide letter no: 1812/14.

iv. Rates from different reputed agency is being ontained.

v. Procurement committee of ICDS Directorate will review the rates and order will be placed.

5. Status of Establishment of SPMU and Hiring of Project Consultants:

The current status is as under:

i. Notification for establishment of SPMU and Director ICDS as the Project Director- ISSNIP

issued vide letter no: ICDS/80010/06-2013/687 dated: 28/01/2014.

ii. Notification for deputation of two Joint Project Coordinators (JPCs) issued vide letter no.

ICDS/80010/05-2014/1575 dated: 05/03/2014.

iii. Hiring of Project Consultants: The progress is as below.

Sl. No.

Activity Time Line Remarks

1. Advertisement appeared in State and National Daily News Papers

1st March 2014 Completed

2. Receiving of online application 21st March 2014 Completed

3. Receiving hard copy of application along with relevant certificate and experiences duly attested and signed by the Gazetted Officer

31st March 2014 Completed

4. Scrutiny of Applications for the position of Consultants in SPMU

15th April 2014 Planned

5. Scrutiny of Applications for the position of Consultants in DPMU

30th April 2014 Planned

6. Short listing of Candidate for Interview- SPMU Consultants 30th April 2014 Planned 7. Short listing of Candidate for Interview- DPMU Consultants 15th May 2014 Planned 8. Interview of SPMU Consultants 15th May 2014 Planned 9. Interview of DPMU Consultants 30th May 2014 Planned 10. Uploading the list of Final Selected Candidates and issuing of 1st June 2014 Planned


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Offer Letter- SPMU Consultants

11. Uploading the list of Final Selected Candidates and issuing of Offer Letter- DPMU Consultants 15th June 2014 Planned

11. All Consultants will be Onboard (Both SPMU & DPMU) 1st July 2014 Planned 12. Secretarial Assistant and DEO for SPMU will be onboard 1st June 2014 Planned

6. Details of Proposed Pilots:

--NA--

¤ Section 3 ¤

Component-1: Institutional & Systems Strengthening

1A. Review/refinement of policies guidelines/procedures:

Activity 1: State level adaptation and dissemination of revised/ refined policies guidelines/ procedures including state Infant and Young Child Nutrition (IYCN) policy- This activity will be undertaken at the ‘State’ level following the steps provided below:

• 6 Consultation meeting with key stakeholders for discussion of draft policy/ revised guidelines/ procedures at state level

• Undertaking modifications as appropriate to state context • Dissemination of revised guidelines/procedures at state level

Budget Provision: Rs. 50,000 per Consultation meetings.

Time Line: Most of the revisions are expected to happen at the CPMU level. Hence timelines are dependent on the progress at the national level.

Note: State also proposes to refine and adapt a ‘State IYCN’ policy.

Activity 2: State level task force on ICDS: A state level task force for ICDS will be constituted in order provide guidance for implementation of the policy framework as well as programme implementation for ICDS where ‘2 bi-annual meeting’ of the above mentioned task force have been proposed in the annual action plan.

Budget Provision: Rs. 35000/- per Bi-annual meetings.

Time Line: September 2014

1B. Strengthening and Expanding ICDS Monitoring Systems:

To strengthening the ICDS monitoring system the state will organize the following activities mentioned below: -

Activity1:

• Provide support in roll- out of the revised Management Information System (MIS) In which state will organize the 4 days Refresher training to SLMTs and all the trained SLMTs will provide training in all the 38 districts to DLMTs. DLMTs will provide the training to all the functional LS with the support of concerning DPOs and he will be responsible for review and progress of district level roll –out of MIS.


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• Piloting mechanisms to ensure AWC services to migrants: - For this activity the Pilot (Baseline implementation plan, end line, documentation and dissemination) will be designed for one district. Designing of pilot, preparation of manual, modus operandi, monitoring and tracking tools will devolped by TA agency with consultation of Development Partners and Acedemic Institutions.Implementation will be started be Aug. 2014 and Rs. 15 lakhs has been budgeted for this purpose.

Activity 2: • Training of ICDS functionaries (Supervisors/CDPOs) on using Web- based MIS and data analysis

software developed by Govt. of India: - The state is planning to organize this activity in four selected districts such as Muzaffarpur, Vaishali, Darbhanga and Bhagalpur. At First this training will be provided to DPOs and CDPOs and then the training of lady supervisors will be conducted. The training will be given only after finalization of NIC module. In this activity the state will identify or select the master trainers and trainings will be conducted in the above mentioned four districts to all block officials and supervisors on use of computer (Fundamental of Excel, Mail, basic information of Computer) and on MIS software and for entering monthly MIS data as well

as generating analytical reports for Refresher and poor performing / non – performing. • Basic Orientation Web based MIS roll- out: - This is an additional activity proposed to meet basic

computer literacy needs for CDPOs to improve specific project level monitoring mechanisms.

1C. Strengthening Training and Capacity Building:

To strengthen training on capacity building the state will organize the following activities mentioned below: -

Activity 1: TNA (Training needs Assessments):- The State is planning to Conduct TNA at the state level through Hiring of an external agency and it will be conducted soon after receiving tools and guideline from CPMU.

Activity 2: Piloting incremental capacity building approach:-

• SPMU and TA team will provide support in Identification, formation and in conducting orientation trainings to DRGs (8 per district) and BRGs (10 per block) across all districts as per guidelines/ criteria to be shared by CPMU.

• Formation / training of State Resource Group for training of DRGs and field monitoring as required. (SRGs to consist of about 5 exports local institutions). The Themes of this activity will be as Growth Monitoring, Supplementary Nutrition, Home visit planning, IYCF etc.

• Organizing ongoing capacity building session at district on identified themes • Organizing ongoing capacity building session at block on identified themes • Organizing ongoing capacity building session at sector level on identified themes

Note: - Guidance for ongoing Capacity Building approach to be provided by CPMU

Activity 3: Inter and Intra-State exposure/learning exchange visits by the Project Team/other ICDS functionaries:-

• Identify best practices (within and outside States) and Organize exposure visits:- Visit with in state-

To see and learn the best practices initiated by development partners such as CARE, BBC, B- TAST, UNICEF and adopted by the government. Visit outside of state-


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• Tamil Nadu- Functioning of additional AWW • A.P.- Best practices • West Bengal- Community level events • Chhattisgarh- Community level events • U.P – IYCF and Growth Monitoring

The purpose of the visits will be for Sharing of experience, findings and for building the capacity as well by field observations/ interactions.

Activity 4: Leadership building and programme management training for officials: - The CPMU will identity and finalize the design of pilots. The aim of the above mentioned activity is to strengthen the capacity of programme management at each level.

1D. Strengthening Convergence with NRHM:

Activity 1: Strengthening/Formation of State, District and Block Level Convergence Committees with NRHM for Review and Planning:

i. Issue joint directive (health and ICDS) about constitution of convergence committees at State, district and block levels

ii. Provide guidelines and broad agenda for meetings of convergence committees iii. Ensure quarterly meeting of committees at all levels

Activity 2: Piloting/scaling up of Sub-Centre level meetings of ASHA, AWW and ANM for joint planning and implementation:-

This is being done through NRHM resources across 38 districts of state. Hence the SPMU is proposing to add this fund into the next activity.

Activity 3: Joint training of Health and ICDS functionaries on common themes: - the Sector level meetings will be done twice in a quarter on different themes. Thematic capacity building will be delivered through Sub- centre meetings. ISSNIP proposes to deploy SLF/ BRG in each sector to support in conducting sector meetings (Incremental learning of AWWs and Health Sub- Centre meeting (IL of ASHA and AWW).

• Joint training on common themes will be given to ASHAs, ANMs and AWWs by Block Resource Groups. The selected themes will be Growth monitoring and promotion, maternal care including FP, IYCF, NBC, RI (Routine Immunization), Referral Services (IMNCI), Micro Nutrients - ViT-A, Iron, Adolescence Anemia (Work on modules and other experts will be done).

Activity 4: Engagement of PRI’s for strengthening convergence: - Sensitization of PRI members on nutrition concerns, motivating them. (Three event / per panchayat/ per Year)

i. Sensitization of PRI members on nutrition aspects and their possible roles ii. Orientation of PRI members on nutrition concerns, motivating them to support VHND and the AWC

and to provide support in mobilizing the community: - This will be the responsibility of sector supervisor to organize the meeting and coordinate with PRI members and AWWs.

iii. Piloting successful module and conversations (CPMU):- This will be initiated after receiving guidance of CPMU.

1E. Innovations & Pilots:


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Activity 1: Preparatory activities to initiate innovations/pilots:

A) For undertaking local innovations that is for better service delivery in ICDS system: Operational guideline & manual will be developed at central level outlining the criteria that will be used to select proposals from the districts including focus areas. One of the pilots proposed will be related to supportive supervision of IYCF implementation (in four district) Darbhnaga, Vaishali, Sitamarhi, Bhagalpur.

Budgetary Provision: @ Rs.25,00,000 per District X 4 District

B) Design and implement urban pilots in ICDS - To develop an urban strategy in ICDS that includes development and designing of pilots for testing approaches to implement urban ICDS project. Propose to implement in Muzaffarpur dist. Pilot design to be based on needs and opportunities identification. Baseline survey, process documentation and final evaluation after about 12 months of implementation. Budgetary Provision: A lump Sum amount of Rs.25,00,000 for this purpose. C) Piloting stimulation and cognitive activities for pr- school children- To strengthening the cogitative stimulation activities of the children attending the preschool education at AWCs. Each child in the age group of 3 to 6 yrs will be provided age specific activity books to promote early joyful learning for an average of 40 children per AWC. Piloting will in about 10% of AWCs in project district.

Budgetary Provision: @ Rs. 2,000 per AWC per year for the procurement of activity books.

D) Piloting second worker model- A Piloting second worker model in 5 % of AWCs in selected project blocks. Selection criteria will be based on 'Mahadalit tolas' & hard to reach areas. After selection of project/AWC for 2nd Worker, training will be conducted. Baseline & Endline survey will be carried outfor this pilot.

Budgetary Provision: For training @ Rs 500/ person.

For Honorarium @ Rs. 1,500/ person/ month. Total lump sum of Four crores this purpose.

1F. Implementation Support at District and Block level:

Activity-1: Establish district and block level support structure- Additional Human Resource- support to ICDS District & Block Office to provide support to project implementation. Two consultants will be support at district level and two will support at block level. Total 38 consultants will be hired at district level and 562 will be hired at block level. District level consultant will be on board from June 2014 and Block level consultant will be on board from Aug. 2014. Budgetary Provision: Honorarium for Dist. consultant Dist. Coordinator- @Rs. 30,000/ person X 19 Dist X 10 month Project Assistant - @ Rs. 15,000/ person X 19 Dist X 10 month Block Coordinator- @ Rs. 12,000/ person X 281 Projects X 8 month Project Assistant - @ Rs. 8,000/ person X 281 Projects X 8 month Office running expenses, District- Office establishment cost one time capital expenditure for computer, printer, furniture and telephone etc at DPMU. Budgetary Provision: Rs. 1,00,000 per district (One Time) Recurring cost – Printing & Stationeries, Repair & Maintenance, postage/ Courier, Telephone exp. & other day to day exp. for DPMU. Budgetary Provision: @Rs. 10,000/ month/ District


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Travel expenses, District- Travel expenditure to attend state level review meeting and training and travel within district for monitoring. Hiring of vehicles for District – One vehicle for each DPMU.

Budgetary Provision: @ Rs. 30,000/ month/ Vehicle. The budgeted amount for hiring of vehicle needs to be increase to @Rs. 30,000/ month/ Vehicle.

Office running expenses, Block- Printing & stationeries, Repair & maintenance, postage/ Courier, telephone exp. & other day to day exp.

Budgetary Provision: @Rs. 1,000/ month/ Project Block.

Travel expenses- Block- Travel exp. to attend dist. level review meetings and trainings and Intra- Block travel. Budgetary Provision: Rs. 67,44,000/- has been kept for this purpose and expenses will be met as per Admin Approval.

Component 2: Community Mobilization and Behaviour Channge Communication (BCC)

2A. Activities to Enhance Community Mobilization and Participation:

Activity 1: Assessment of capacities of Civil Society Organization (CSOs)/Community Based Organization (CBOs) for carrying out community engagement and BCC initiatives:-

In the above mentioned activity we have to Identify the concerning NGOs, academic institutions, SHGs, Mahila Mandals, youth groups to conduct assessment of capacities of CSO/CBO for community mobilization and BCC for all NGOs and academic institutions and for a sample of CSO/ CBOs (SHG federations etc. The activity will be implemented with the support of the teams of RM and DPO/ CDPO.

- All agencies are meant for conducting community events through effective partnership of NGOs

partnerships for community mobilization.

- . Activities to be done: - EOI to be published and application sought from NGOs/ institutions and CSOs.

- State TA agency to design assessment tools and methodology.

- The state will prepare a data base of the NGOs/CBOs selected. Further, state may utilise SHGs of

JEEVIKA and WDC.

Activity 2: Piloting models of community engagement:

• Community engagement models to be selected out of recommendations from SPMU (State proposes to pilot a model of Mother Support group to promote IYCF practices - pilot will be designed and implemented SPMU). Designing of Pilot will be implemented for a period of about 6-9 months and all data collection and process evaluations will be conducted through consultants/ agencies hired by

concerned 2 districts.

• The implementation training and review mechanisms will be developed as per the pilot design for conducting baseline, process monitoring and end line in intervention and control sites. The proposed pilot models with SHGs (mother support groups) and with PRI/ VHSNCs will be also developed.


16

Activity 3: Capacity building of CBOs/CSOs for engaging in ICDS: • The above mentioned village wise activity will be organized in all 19 Districts for which listing of CBO/

CSOs, SHGs, Mahila Mandals etc will be done. The modules and materials will be developed for the two rounds orientation in two days for AWWs. The activity will also proposed for creating coordination with CBOs/ CSOs on different themes and action of upcoming community events in which one of the themes will be IYCF.

• The first round of orientations will be held with ICDS supervisors being primary facilitators and basic content will be rolled out and the second round of orientations will be facilitated by the block coordinators.

Activity 4: Organization of community based events for sensitization on key health and nutrition issues: • SPMU has already developed the guideline for one traditional event such as Annaprashan and

instruction given to the District level Officers as well to organize meetings and sensitize the community on key health. SPMU is working on development of event calendar for organizing community events covering all key life- cycle contact periods. Altogether 8 events (2 per quarter) will be implemented during FY 2014-15.

Activity 5: Implementation of Social Audit and other community monitoring pilots: • The CPMU will develop the guideline of social Audit to suit state requirements Including

implementation of IYCF and management of malnutrition in social audit and other community monitoring mechanisms.

• Social audit will be organized and implemented through NGO partners, Either AWC wise audits or a collective audit of 4 different AWCs at Sector/ Block level. Attempt will be made to identify other models/ mechanisms of community monitoring. During 2014-15 social audits will be held in all the covering blocks that will have NGO partners.

Activity 6: Partnership with local NGOs/CSOs for supporting community mobilization and behaviour change activities: • For this activity SPMU will Identify NGOs/CSOs with expertise in community mobilization and

sensitization activities. Process of NGO contract is proposed to done for 6 months during 2014-15. Hence state proposes to have partnership in 50% of districts in the current year.

2B. Behaviour Change Communication (BCC):

Under this sub Component, the project will support to strengthening interpersonal communication and counseling through home visits by the front line workers and community support groups and development and implementation of contextually relevant awareness generation strategies like folk media, street play etc

Activity 2B.1 – Adaptation of national level BCC strategy and development of state-specific BCC plans: keeping in view that, communication methods should include traditional and local forms of communication and during preparation of material local practices and beliefs should be taken into consideration, it is proposed to carry out state specific formative research first to identify these contextual dimensions. During adapting the national policy and guideline on BCC strategies, these learning should be incorporated. Local agency should be contracted and will be paid a lump sum amount of Rs. 500000/- (Rs. Five Lakh Only) to carry out this formative research in selected districts.

For finalizing state specific BCC Plans two meetings with the stake holders will be undertake to seek their inputs and involvement in implementation.


17

Activity 2B.2 – Strengthening Home Contacts: In order to strengthen the effectiveness of the home visits by the AWWs following activities have been proposed

• Adaptation of communication materials for AWW to support in prioritizing home visit and to guide her at the time of counseling (Home visit planners have been distributed to all AWWs in the state). A lump sum amount of Rs. 250000/- (Rs. Twenty five lakh only) per year kept for this purpose

• Adaptation and printing of common package of messages for AWWs and ASHAs for use in home visits. As the home visits using a planner are already initiated in the state in all districts, the state proposes to use resources available in the project to distribute printed BCC material to 100% AWCs in year 2014-15 itself - instead of 50% in year 2 and 3. As home visit planners are already distributed in the state, Rs.50/ AWC (meant for printing it) is proposed to be added to the BCC material printing (150+50=200/ AWC), which cumulated in Rs. 9843000/- (Rs. Ninety eight lakh forty three thousand only)

• Implementation of pilot incentivizing home visits in selected districts. Steps involved o Review of experience of Team based goals and incentives (IFHI -CARE in Begusarai)

and its results in increasing home visits o Design of pilot on incentives (monitory and non-monitory) for home visits, will be

designed by June 2014 and implemented from August 2014. o conduct of baseline (in July,2014), process evaluation and end-line evaluation of the pilot o Implementation with different leave-at-home BCC materials and incentives. Incentive

will be decided based on final design of the pilot and Rs. 1250000/- (twelve lakh fifty thousand only) kept for this activity.

Activity 2B.3 – Designing, pre-testing and implementation of mid-media initiatives such as folk theatre, film shows etc : the first sub task under this activity is to organize workshops with senior artists, script writers and lyricists etc for developing content and shows for mid-media (Folk arts and film-shows) for BCC events. Identification of senior artists; script writers/ film creators etc will be done through development partners and from experiences of other departments - Prasar Bharati and other public sector people will also be included as appropriate.

2 initial workshops (one day each) will be arrange to orient and assign work to participants and Rs. 100000/- (Rs. one lakh only) per workshop has been kept. Costs of travel of participants; workshop venues; meals/ incidentals will be covered in this amount.

3 subsequent workshops to review and finalize content and shows/ designe of shows (2-3 days each) will be arranged. Rs. 100000/- (Rs. one lakh only) per workshop has been kept. Within June,2014 – August,2014 these events will be completed.

Next sub task will be Identification and training of troupes of performers for each block/districts and pre-testing of materials (2 trainings per district). Performing artists will be selected by the district coordinators and DPOs and trainings will be provided at regional/ cluster level. Rs. 35000/- (Rs. thirty five thousand only) is kept for each training. Total amount for 19 districts is Rs. 1330000/- (Rs. Thirteen lakh thirty thousand only).

The ultimate sub task is to implement BCC interventions with support of local CBOs and local artists. Mid media activities will be designed in a manner to consist of folk art forms and film shows to be delivered through a mobile team (in a Poshan-Rath) and effort will be made to synchronize the content with that of the community events being organized during the same period at AWC level. Rs. 180000/- (Rs. One lakh


18

eighty thousand only) is kept for each district, which cumulate in Rs. 6840000/- (Rs. Sixty eight lakh forty thousand only).

Activity 2B.4 – Advocacy and knowledge sharing: Under this activity, event will be organized to mobilize and create political and Administrative commitment on Nutrition policies and plan of action to address malnutrition and highlight IYCN practices at all level through periodic meeting and conference with MPs, MLAs and District Administrative officers.

One meeting each in State Assembly, State legislative Council and One meeting in each district panchayat will be organized, at least 9 districts by March 2015. Lump sum amount of Rs. 300000/- (Rs. Three lakh only) is kept for these meetings.


Activity 3.1- Development of State specific convergent Nutrition Action Plans, designing a Pilot based on the national guidelines and designing of multi-sectoral pilots. The following activities are proposed under this activity: i. Identification of districts/ project block/ panchayat for pilot through a consultation workshop with

officials of line department in state and if needed at district & Project. ii. Designing and preparation for the implementation of pilot as per the National guideline. iii. Orientation of stakeholders involved in piloting work at all level. iv. Selection of local NGO or other institution as implementation partners v. Developing modules, operational tools, facilitator guidebook, monitoring and evaluation tools as per the

national guideline. vi. Seeking advice and Co-operation from development agency.

Budgetary Provision: - Rs. 5, 40,000 for this purpose.

Activity 3.2-Strengthening inter- departmental Co-ordination mechanism. Under this sub head following activities are proposed:

I) Formation of state & district level Coordination committee under multisectorial Nutrition program. II) Organizing quarterly Coordination meeting at state level and monthly at district level.

Budgetary Provision: - A lump sum amount of Rs. 1, 60,000.

Activity 3.3- Implementation of multi-sectoral pilots in one district: Implementation of pilots may cover multiple panchayat in the selected district as per the design adopted by the state in alignment of national guideline.

Budgetary Provision: - Total Rs. 25,000/- provision for this purpose. Budget includes baseline survey, process evaluation and end line evaluation with approx 18 month of implementation cost besides this. Some of the other cost such as training of FLW of different department, Conducting village level planning/ beneficiary needs identification, establishing monitoring system etc.

Component 4- Project Management, Technical Assistance, Monitoring & Evaluation:

4A. Project Management:


19

Activity 1- Setting up SPMU- Purchase of equipment and furniture as per admin approval: Since procurement could not be completed within the timeline approved in annual action plan 2013-14, due to delayed in budgetary provision by finance department. Now the fund has been received by the directorate. Activity 2- Currently two Asst. directors of ICDS directorate are notified as JPC. Department of General Administration Government of Bihar has been requested to provide two full time JPC for the project on deputation basis.

Honorarium- Six Consultant / Accountant/ Secretarial Assistant and DEO-Considering they all will be on board from June, 2014.

Activity 3- 3.1 State level Orientation/ training of SPMU staff and TA agency together on the technical and programmatic issues will be held in the month of July 2014. 3.2 Training/ Orientation on World Bank procurement and Financial Management procedures for SPMU staff (Finance & Procurement official) at ASCII Hyderabad or NIFM Faridabad this activity currently needed for better and effective program management. 3.3 Training/ Orientation of District level staff on decentralized planning and Annual Action Plan 2014-15. Training orientation will be held in two batches (District Coordinator and Project Assistant separately) at State level Costing @ Rs. 2,000/ Participant/ day for four days including class room and field training. 3.4 Training/ Orientation of Block Coordinator and Project Assistant @ Rs. 3,000/ Project Block. Training will be organized at district level in Oct. 2014. Note: Total Training cost exceeded by Rs. 2, 32,000/- due to separate training for district & Block Level project staff under staff capacity strengthening. Activity 4- Monthly Planning and Review Meeting at State Level: Planning and review meetings with district team at state level (a) one meeting per month for one day duration. Costing @ Rs. 10,000/ meeting for 9 meetings. (b) Monthly Planning and review meeting at district level with block team. Budgetary Provision: @ Rs. 5,000/ meeting for 6 meetings. Activity 5- 5.1: Administrative Cost (Rent, Electricity, Security, Telephone and other administrative unseen needs.): - Considering the provision for year 1 and year 2 allocation in Admin Approval. The budget has been kept under this head to meet all requirement of administration.

5.2: Stationeries:

i. Budgetary Provision: @ Rs. 50,000/ month.

5.3: Vehicles for SPMU- Two vehicles for SPMU.

ii. Budgetary Provision: @ Rs. 40,000/ month/ Vehicle. The budgeted amount for hiring of vehicle needs to be increase to @Rs. 40,000/ month/ Vehicle.


20

Activity 6- 6.1- Visit Delhi to attend review/ Planning meeting/ Workshop. Costing @ Rs. 15,000/ person / Visit, as a travel cost and @ Rs. 3,000/ person for boarding & Lodging.

6.2- Monitoring and Supervision visit within the state.

Intra State travel for approx 5 days in a month by SPMU official (Including Consultant). Costing @ Rs. 1,000/ Person/ day as a travel cost and @ Rs. 1,500/ person / day for hotel and local expenses as per approved in admin guideline.

Activity-7: Contingency- As per approved in admin guideline Activity-8: Training workshop on De-centralised Planning- Training workshop on De-centralised Planning- One training in each district is proposed @ Rs 50,000 for 19 districts.

Activity -9-Districts and project block annual planning- such one decentralised annual planning at district level is proposed for all 19 districts @ Rs 100000 for each one.

4B. Monitoring and Evaluation:

Activity-4B.1: District level rapid assessment and ongoing internal assessment at sector level using

LQAS approach-For this purpose a agency will be hired for data collection, analysis and report writing as

well as dissemination of finding and planning program responses. Procurement of agency as per the

procurement guideline of WB.Rs 50,000 per districts has been kept for this purpose for five districts and

expenses for conducting meeting at state level and in selected districts as per the norms approved in admin

guideline

Activity-4B.2: Social Assessment and ethnographic studies in SC/ST/minority areas: under this

activity SC/ST/ Minority community areas and conducting Ethnographic studies (research designed to

explore cultural phenomena of a group) to access social-cultural practices of these communities that acts as

barriers of communication and access to service delivery. Based on the findings of this study, appropriate

communication strategies and material will be developed to facilitate universal outreach and addressing any

issues of exclusion due to social and cultural differences. This study will be an integral part of

communication action plan to be prepared by the State. For doing this study local agency will be contracted

and lump sum amount of Rs. 1000000/- (Rs. Ten lakh only) has been kept for study design, collection of

data, data analysis and preparation of reports.


21

Summary Table of Estimated Budget: 2014-15

Components/Sub-Components Estimated Budget for 2014-15 (in Rs.)

Component 1: Institutional and System Strengthening 1A: Review/refinement of policies, guidelines/procedures 3,70,000 1B: Strengthening and expanding ICDS monitoring systems 5,70,49,000 1C: Strengthening training and capacity building 3,47,44,000 1D: Strengthening Convergence with NRHM 4,45,36,000 1E: Institutional support for innovations and pilots 6,16,75,000 1F: Implementation support at district and block levels 7,67,52,000

Sub-Total (Component 1) 27,51,26,000 Component 2: Community Mobilization and Behaviour Change Communication (BCC) 2A: Activities to enhance community mobilization and participation

10,19,67,500

2B: Behaviour Change Communication (BCC) 2,06,88,000 Sub-Total (Component 2) 12,26,55,500


3A: Development of State-specific convergent nutrition action plans and designing of pilots 32,00,000

3B: Strengthening inter-departmental coordination mechanisms - 3C: Implementation and documentation of pilot -

Sub-Total (Component 3) 32,00,000 Component 4: Project Management, Monitoring and Evaluation 4A: Project Management 1,76,71,000 4B: Monitoring and Evaluation 35,40,000

Sub-Total (Component 4) 2,12,11,000

Grand Total 42,21,92,500

¤Section 4 ¤

emplate for Action Plan 2014-15:

Attached as Annexure A

rocurement Plan 2014-15:

Attached as Annexure B

T

P

mypc

Typewritten Text

Project Director ISSNIP

mypc

Typewritten Text

Sl.No Component/Sub-Component/Activity (as per

Admn Approval)

Sub-tasks /Steps/Processes Unit Cost Norms (wherever

applicable)

Physical target (as

applicable)

Estimated cost (Rs.) Level of implementation (State/District/Project/Sector/

AWC)

Timeline Remarks (if any)

A

1) Procurement plan for 12 months (to be attached with the AAP)

Detailed in Procurement Plan (Annexure B) attached.

2) Purchase of office equipments/furniture as per Procurement plan

15,00,000 State May-14 As per the Procurement Plan (Annexure B) attached

1) Notification of Joint Project Coordinators (JPCs) assigned to project - Payment of Salaries

No.

JPCs Rs. 50,000 per month

Account Rs. 40,000 Per month

4,00,000 June 2014 to March 15

Technical Specialists (Consultants) Rs. 60,000 Per month

6 positions for 10 months

36,00,000 June 2014 to March 15

Project Associates Rs, 25,000 per Month

2 for 10 months

5,00,000 June 2014 to March 015

Secretarial Assistant Rs. 15,000 Per month

1 for 10 months

1,50,000 June 2014 to March 15

Data Entry Operator (DEO) Rs. 15,000 Per month

1 for 10 months

1,50,000 June 2014 to March 15

1) Orientation training of SPMU Staff on project and AAP 2013-14 and field visits

No. of training- 01 (20 People x 7000)

1,40,000 State July, 2014

National

Annexure A: ICDS System Strengthening & Nutrition Improvement Project (ISSNIP)

Template for Annual Action Plan for 2014-15State: Bihar

4A: Project Management1 Activity-1: Setting up of

SPMU - Purchase of furniture and office equipments as per Admn approval

2 Activity-2: Staffing of SPMU - Salaries/Honorarium

Component - 4: Project Management, Monitoring & Evaluation

2 JPCs 12,00,000 State April 2014 to March, 2015

State

State

4 Activity-3: Staff training and orientations

2) Deputation of SPMU Staff to the Training on World Bank procurement procedures at ASCII/Hyd or NIFM/Faridabad

2 officials 1,00,000 June-Oct 2014

Training by ASCII at Hyderabad

3) Training orientation of District level support staff (19 x 2 Batches ) on decentralized planning - district annual plans

No. Of training- 01

Rs. 2000 per Participants x 4 days

38 (DC and PA)

3,04,000 State July, 2014

4) Training of Block coordinator / assistant 2 days Rs 3000/project 562 (BC and PA)

8,43,000 District Oct,2014 Rs 3000/project /block

2) Stationeries 6,00,000 April 2014 to March, 2015

1) Visit to Delhi to attend review/planning meetings/ workshops

Meeting 54,000 per training for two person

06 meetings 3,24,000 national level April-2014 to March, 2015

Intra state travel for about 5 days in a month by SPMU Officials (including Consultants)

Rs. 1000 per person per visit [3 visits per month for 5 days per visit - 2 officials together]

3,00,000

5 Activity-4: Monthly planning and review meetings at State and district levels

State level Meeting 10,000 per meeting

9 meetings 90,000 State July 2014 to March, 2015

District level Meeting 5,000 per meeting

06 Meetings per district (6 months)

5,70,000 District Oct 2014 to March 2015

State April 2014 to March 2015

Activity-5: Administrative costs

1) Rents, electricity, security, telephone, etc (as applicable)

25,20,000 State April 2014 to March, 2015

The amount for vehicle rental needs toll be increased to @40,000 per vehicle per month. Propsing for 2 vehicles for 12 months in the year

7 Activity-6: Monitoring & supervision visits - travel expenses

2) Monitoring & Supervision visits within State 7,50,000 June 2014 to March, 2015

6

3)Hiring of vehicles for SPMU vehicle per month

40,000 per vehicle per month

2 vehicles 9,60,000

Hotel and other local expenses during travel to districts

Rs. 1500 per day per person for 5 days field visits per trip

4,50,000

8 Activity-7: Contingency Expenses for utilities and other consumables for day to day office operations

10,000 per month for 12 month

1,20,000

9 Activity-8: Training workshop on De-centralised Planning

Training workshop on De-centralised Planning 1 Training in each districts

Rs. 50000 per district

19 districts 9,50,000

10 Activity-9: District and Block annual planning meeting

De-centralised Annual planning meeting for all district at District level

1 Meeting at each district

Rs. 1,00,000 per district

19 districts 19,00,000

Hiring of agencies for data collection, analysis and report writing

Rs. 5,00,000 per district per year

25,00,000 District Oct-14

Dissemination of finding and planning programme responses

Rs. 15000 per meeting at State and Rs. 5000 at District

40,000 State/Districts Jan-Mar 15

12 Activity-2: Social Assessment and ethnographic studies in SC/ST/minority areas

Hiring of agency for conducting assessments 1 Study Lump sump 10,00,000 State/Districts Oct14-Mar15

2,12,11,000 Sub-Total-1 (Component-4)

5 Districts

114B: Project Monitoring and EvaluationActivity 1: District Level Rapid Assessments and ongoing internal assessments at sector level using LQAS approach

5 Districts

B.

Activity 1: State level adaptation and dissemination of revised/ refined policies guidelines/ procedures including state IYCN policy

Steps will involve: - Consultation meeting with key stakeholders for discussion of draft policy/ revised guidelines/ procedures at state level- Undertaking modifications as appropriate to state context- Dissemination of revised guidelines/ procedures

50,000 per consultation

6 Events 3,00,000 State Sept 2014 to March 2015

5.40 fund available- Most of the revisions are expected to happen at CPMU. Hence timelines are dependent on the progress at national level. State proposes to refine and adapt a IYCN policy

14 Activity 2: State level task force on ICDS

Bi-annual meeting of state level task force 2 meetings Rs. 35000/- per meeting

70,000

1B: Strengthening and expanding ICDS Monitoring systemRefresher training on revised MIS of SLMTs (4 days training)

training (propose to add more trainers in SLMT)

Rs. 2000 x15 people x 4 days

2,00,000 State

DLMTs training on all 38 Districts training batches Rs. 500x 38x5x5 days

4,75,000 Clusters of ISSNIP (other districts to attend in these cities)

LS training at District level by ISSNIP fund (Training Guideline- induction plan)

2 batches per district

Rs.500 per day 30x2x 19x 8 days

45,60,000 district level (only in 19 districts). 2 batches per district

Review on progress of roll- out of revised MIS State and District level

one meeting 5000 per person/ per meeting

4,75,000 State level event for all 19 districts (SLMT also participate)State- 15, District - 19x 5= 95

Review on progress of roll- out of revised MIS State and District level L.S

1000 per person

11,40,000 district level events where LS are reviewed by DLMF19x60= 1140

Component 1: Institutional and Systems Strengthening1A: Review/refinement of policies guidelines/procedures – Adaptation by the

Activity-1: Support to roll-out of revised MIS across all districts/projects in the State

While the printing of registers in the state is pending, the state anticipates to complete this during early part of 2-14-15. - State and district level ToTs are planned for all 38 districts and Supervisors' trainings are planned for all 19 ISSNIP districts. - Propose to engage an external support (in the form of BRG- one per sector- to support roll out of revised MIS and also for facilitating IL at sector meetings and sub-centre meetings (being held by SHS funds)

Anticipate to undertake MIS roll out from August 2014 and complete (at least in ISSNIP districts) by Nov 2014.

13

15

Level one training on revised MIS ( for AWW in 4 phases , 10 - days))

100 per person 4,39,29,000 Sector level Training of AWWs on revised MIS: Funds for this are provided under induction training and the Admin Guidelines do not provide for this activity under ISSNIP, However considering the fund availability and need for quick and effective roll out in ISSNIP districts, the state proposes to use ISSNIP resources for this activity as well.

16 Pilot for ensuring ICDS services to migrants

Steps will include: Pilot designing with guidance from CPMU and assistance of TAA, selection of district/ blocks for the pilot (Preferably, origin and destination districts/ places within the state); Conduct of baseline survey, implementation of intervention; process assessments and documentation; end line survey and dissemination of findings to inform scale up decisions.

District 15,00,000 selected blocks/ AWCs of Origin and designation of migrants

Design by June and implementation from August 2014

Interventions may include provision of additional SNP to migrants in destination sites. Mechanisms like ID cards (card readers) to track movement of migrant families; short term human resource support to enroll migrants, orient migrant families and ICDS/ health staff in origin and destination sites about pilot interventions. Costs of baseline/ end line and process assessments to be covered as part of the pilot.

Organize trainings of DPO/ CDPOs on use of computers (Fundamentals of MS office; internet use and other basics of using computers) and

1500 per person

13,50,000 Trainings will be organized at cluster level for better oversight of RMs of TAA

Initial training on basics will be only for DPOs and CDPOs and the training for all DPO, CDPO And supervisors will be after finalisation of NIC module

Training of staff for Web based MIS roll- out 180,000 per District

34,20,000

5,74,19,000

18 Activity-1: Training needs assessments

Hiring of an external agency for conducting the first TNA Study

10,00,000Lumpsum

10,00,000 State July to Nov 2014

TNA will be conducted soon after receiving tools and guideline from CPMU

17 Activity-2: Training of ICDS Staff on use of MIS and data analysis (Web- based reporting on revised MIS)

1C Strengthening Training and Capacity Building

1) Identification of DRG (8 per district) and BRG (10 per block - 5 LS and 5 external resource persons) members as per guidelines/ criteria to be shared by CPMU2) Organize orientation trainings for DRG/ BRG members (DPOs being part of DRG and CDPOs in BRG) - to be facilitated by SPMU and TA teams (State Master trainers) - one round in the year, of 3 days duration

District / Project

19 districts281 blocks - 5 DRGs in each district and 10 BRGs in each block

1,80,00,000 State/ cluster level training of DRGs and district level training of BRG members - two rounds of trainings of 3 days each for DRGs and BRGs during the year- Rs.2000 per day per DRG and Rs. 1000 per day per BRG

July 2014 to Sept 2014

Incremental learning of AWWs and ASHA on common themes is already underway in the state through a joint directive of departments of health and social welfare at sub-centre level meetings, with financial support of SHS. Hence the other activity proposed under ISSNIP (sub-centre meetings - in about 50% of sub centers) is also getting implemented across 100% areas in the state.

- In light of these two facts, the State proposes a modified approach of 1) implementing incremental learning (focused only AWWs) through sector meetings and 2) providing facilitation support to sub-centre meetings through external BRG members (each sector will be provided a external facilitators, who will support LS in conducting IL for AWWs in sector meeting and support ANM in conducting IL for ASHA and AWWs in sector meetings).These BRG members will be paid a honorarium of about Rs. 300 per meeting they facilitate

Formation / training of State Resource Group for training of DRGs and field monitoring as required. (SRGs to consist of about 5 exports local institutions)

State 1000 per day , 5 days per month , travel cost 10,000 per month, lodging per-diem - 8000 per month

13,80,000 Themes will be as Growth Monitoring, Supplementary Nutrition, Home visit planning, IYCF and etc… (5000+10000+8000)*5*12

3) Organize ongoing capacity building sessions at Block level on identified theme

block @ 3000 per block per theme

281 Blocks

sub center @ 500 per sector per theme

4800 Sub- Centre

42,15,000 August 2014 to March

Assuming 5 sectors per block and 5 BRG persons (one per sector). Costs to increase based on # of

district August 2014 to March 2015

these are as per admin guidelines (only 6 cycles will be possible by March 2015)

these are as per admin guidelines (only 6 cycles will be possible by March 2015)

50,58,000 Block August 2014 to March 2015

19 Activity-2: Piloting incremental capacity building approach

2) Organize ongoing capacity building sessions at district level on identified theme (6 weekly cycle for all the following activities)

district @ 31500 per district theme

19 district 35,91,000

4) Organize ongoing capacity building sessions at Sector level on identified theme

20 Activity-3: Inter and Intra-State exposure/learning exchange visits by the Project Team/other ICDS functionaries

Identify best practice sites (within and outside States) and Organize exposure visits

Lumpsum 10,00,000

10,00,000 a.. Visit with in state- Care, BBC, B- TAST and UNICEF best practices b. Visit outside of state- • Tamilnadu- Functioning of additional AWW• A.P- Best practices • West Bengal- Community level events• Chhatisgadh- Community level events • U.P – IYCF and Growth Monitoring Purpose – Sharing of experience and findings

21 Activity-4: Leadership building and programme management training for officials

Lumpsum 5,00000

5,00,000

3,47,44,000

1) Issue joint directive (health and ICDS) about constitution of convergence committees at State, district and block levels (if it does not exist).

2) Provide guidelines and broad agenda for meetings of convergence committees

3) Ensure quarterly meeting of committees at all levels

21 Activity-2: Piloting/scaling up of Sub-Centre level meetings of ASHA, AWW and ANM for joint planning and implementation (in 20-30% Sub-centres in Year-1) This is being done thriugh NRHM resources acroos 38 districts of state. Hence we are proposing to add this fund into the next activity

Sub-center meetings are already happening in 100% area as part of NRHM PIPs. ISSNIP proposes to leverage these meetings as further incremental learning opportunities. Project funds are proposed to be used to pay honorarium to sector level facilitators (BRG members attached to each LS) to facilitate subcetner meetings in all 19 districts.

Blocks (5 sectors per block and about 4 sub-centers per sector)

Honorarium to BRG (SLF) Rs. 300 per sub-center meeting (+Rs.100 travel cost)

6 rounds of sub-center meetings after BRGs are on board (each BRG to facilitate 4 meetings in the sector

1,34,88,000 Sub-center level each BRG (SCF) to be attached with a LS to facilitate all sub center meetings in that sector

Joint training of LS and LHV/ BHM/ BCM etc by DRG members on selected themes (IYCF as an important theme)

Block Rs. 55,000 per block per year (2 trainings)

281 blocks 77,27,500 proposing to conduct one round across all blocks during the year 2014-15

Organize training of ASHAs, ANMs and AWWs by Block Resource Group on common themes

Project Rs. 51000 per block per year for 2 rounds

281 blocks 71,65,500 Block level Dec - 2013 to Jan 2015

One round during 2014-15

Activity-3: Joint training of Health and ICDS functionaries on common themes (in 10-20% AWCs/projects in Year 1) Joint training on common themes) Common themes -

22 Activity-1: Strengthening/formation of State, district and block level convergence committees with NRHM for review and planning

State / District / Block

Rs. 15,0000 per meeting State l & 5,000 district & 2,500 Block

State / District Quarterly meeting costs 1D Strengthening Convergence with National Rural Health Mission (NRHM)

19 District, 281 block

32,50,000

23

Sensitisation of PRI members on nutrition aspects and their possible role at community level

Block Rs. 5000 per block per year

281 blocks 14,05,000 Block level Sept 2014 - March 2015

New activity proposed to be undertaken at block level to create sensitization at higher levels of PRIs

Orientation of PRI members on nutrition concerns, motivating them to support VHND and the AWC and help mobilize the community

Panchayat Rs. 2000 per panchayat per year

Approx- 5000 panchayats

1,00,00,000 Block level (Rs. 1000 per year, per orientation)

Sept 2014 to March 2015

This will be the responsibility of sector supervisor to organize the meeting and coordinate with PRI members and AWWs. @1000/- =(5000*1000)

Piloting successful module and conversations (CPMU)

One District 15,00,000 This will be initiated after receiveing guidance of CPMU

4,45,36,000

Untied funds for high burdern district to pilot context specific innovations in ICDS

4 districts 25 lakhs per pilot per district

4 districts 1,00,00,000 State / district level

Design by August 2014 and initiate pilots by Oct 2014

One of the pilots proposed will be related to supportive supervision of IYCF implementation (in one district)(Darbhnaga, Vaishali, Sitamarhi, Bhagalpur)

Design and implement urban pilots in ICDS Pilot 25 lakhs per pilot per district (75% costs for FY 2014-15)

1 disttict 18,75,000 city level Design by June and implementation from August 2014

Propose to implement in one city - Muzaffarpur. Pilot design to be based on needs and opportunities identification. Baseline survey, process documentation and final evaluation after about 12 months of implementation.

Growth monitoring and promotion, maternal care including FP, IYCF, NBC, RI (Routine immunization, Referral services (MNCI), Micro Nurturance - VIT-A, Iron, Adolescence anemia, (Work on modules and other experts).

Activity-4: Engagement of PRI’s for strengthening convergence

1.E Innovations & Pilots (Funds are budgeted for year 2, but preparations needed in year 1)25 Activity 1: Preparatory

activities to initiate innovations/pilots beginning in year 2

24

Piloting stimulation and cognitive activities for pr- school children (up gradation of activity and play kits). Activity book (Designing, printing and distributing for 10% of AWCs in each phase)

AWCs Rs 2000 per AWC for activity books

10% of AWCs 98,00,000 Approximataly 10% of area Rs. 2000 per AWCs per year

Piloting second worker model 5 % of AWCs. Cost of selection, training, oniratiom ,monitrring and eveluation of the model

A lumpsum amount of 4 cr froi year 2 . Further details to be planned in a concept note

Lumpsum of Rs 4 crores proposed for the state (as per admin guidelines). Details of costs and norms will be shared for approval as part of concept note by May 2014

5% AWCs 4,00,00,000 selected blocks/ AWCs

Design to be compelted by May and implementation initiated by October 2014

i. Training of second level workers – 4 lac for first year , ii. Orientation of second level workers- 4 lac for second year, • Conduct base and end line survey, • Selection criteria, a. Mahadalit tolas, b. Hard to reach areas1

1F: Implementation Support at District and Block levelDistrict Coordinator - 1 per district (30000*19*10)

@ Rs. 30,000 per month

10 Months 57,00,000 June14-Mar15

5700000

Project Assisstant - District (1 per district)

@Rs.15,000 per month

10 Months 28,50,000 June14-Mar15

2850000

Block Coordinator - one in each block (Salaries) on contract

@ Rs. 12,000 per person per month

8 Months 2,69,76,000 Aug14-Mar15

26976000

Project Assisstant - Block (1 per Block)

@ Rs. 8000 per month

8 Months 1,79,84,000 Aug14-Mar15

17984000

Office running expenses- District District level office running expences budgeted only for 10 months =(100000*19)+(10000*19*10)

38,00,000 Dictrict June14-Mar15

3800000

Travel expences- District 19 Rs. 25000 per month

10 Months 47,50,000 District June14-Mar15

4750000

Hiring of vehicles for- District 19 Rs. 30000/- per meeting

57,00,000 District June14-Mar15

5700000

Office running expenses- Block District level office running expences budgeted only for 8 months (8000*281)

Rs. 1000 per month per block

22,48,000 Block Aug14-Mar15

2248000

Travel expences- Block 6744000 67,44,000 Aug14-Mar15

6744000

13,84,27,000 Sub-Total (Component-1)COMPONENT-2: COMMUNITY MOBILIZATION AND BEHAVIOUR CHANGE COMMUNICATION (BCC)

Additional Human Resource support to ICDS District Office to provide support to project implementation

District

Additional Human Resource support to ICDS Block Office

Block

Activity-1: Establish district and block level support structure

25

26 Activity-1: Assessment of capacities of Civil Society Organization (CSOs)/Community Based Organization (CBOs) for carrying out community engagement and BCC initiatives

Identify and map NGOs, academic institutions, SHGs, Mahila Mandals, youth groups and conduct assessment of capacities of CSO/CBO for community mobilization and BCC (to be done by teams of RMs and DPO/ CDPOs) for all NGOs and academic institutions and for a sample of CSO/ CBOs (SHG federations etc)- NGOs are effort partnerships for community mobilization (can also consider academic institutions)- All agencies are meant for conducting community events and

District Rs. 10,000 per district

NOGs/CBOs data base for all 19 districts

1,90,000 State June 2014 to Sept 2014

~ EOI to be published and application sought from NGOs/ institutions and CSOs.- State level identifies to work with either Jeevika or WDC groups and then districts assess a sample of them. - State TA agency to design assessment tools and methods

27 Activity 2: Piloting models of community engagement

Community engagement models to be selected out of recommendations from CPMU (State proposes to pilot a model of Mother Support group to promote IYCF practices - pilot will be designed and implemented jointly with UNICEF) - Design of pilot for select areas in 2 districts. - conducting baseline, process monitoring and end line in intervention and control sites. - implementing trainings and review mechanisms as per the pilot design

Further cost details will be worked out based on the design of the pilot as suggested by CMPU

Lummpsum Rs. 25 lakhs per year

25,50,000 2 districts Sept 2014 to March 2015

Pilot will be implemented for a period of about 6-9 months and all data collection and process evaluations will be conducted through consultants/ agencies hired by concerned districts. - Propose to pilot models with SHGs (mother support groups) and with PRI/ VHSNCs

2A Activities to enhance community mobilization and participation

23 Activity 3: Capacity building of CBOs/CSOs for engaging in ICDS

Village wise listing of CBO/ CSOs (SHGs, Mahila Mandals etc) in all districts - Developing orientation modules and materials for use at AWW level (two rounds in year 2) - ensure linkage of these orientations with themes and actions of upcoming community events

AWC Rs. 250 / AWC bi annual

49215 AWCs 2,46,07,500 AWC October 2014 to March 2015

First round of orientations will be held with ICDS supervisors being primary facilitators and basic content will be rolled out. - second round of orientations will be facilitated by the block coordinators

Develop guidelines for organization of traditional events to sensitize on key health and nutrition issues - Organize intervention specific events as opportunities for one-to-group communication with pre-identified segment of beneficiary population. - A detailed event calendar of community events covering all key life-cycle contact periods (critical behaviors) will be drawn up at the beginning of the year.

AWC 150 per AWC 49215 AWCs 5,90,58,000 AWC Apri 2014 to March 2015

8 events (2 per quarter) will be implemnted durinf FY 2014-15

29 Activity 5: Implementation of Social Audit and other community monitoring pilots

Adapatation of social audit guidelines (Developed by CPMU) to suit state requirements- Including implementation of IYCF and management of malnutrition in social audit and other community monitoring mechanisms.

Block or Sector level

5,62,000 Social audit will be implemented through NGO partners. Either AWC wise audits or a collective audit of 4 different AWCs at Sector/ Block level will be organized. Attempt will be made to identify other models/ mechanisms of community monitoring. During 2014-15 social audits will be held in blocks that will have NGO partners

Identify and partner with NGOs/CSOs with expertise in community mobilization and sensitization activities

50% of districts for 6 months

2,50,000 per district

1,50,00,000 Sept 2014 to March 2015

Process of NGO contracting is proposed to done for 6 months during 2014-15. hence state proposes to have partnerships in 50% of districts in the current year.

10,19,67,500

Conduct formative research to finalize locally appropriate communication material and to refine BCC strategy (as developed at national level)

State level (One/ two agency to be contracted)

500000 Lumpsum

Sampled districts

5,00,000

Undertake stakeholder consultation to finalize state specific BCC plans

two meetings 1,00,000

Sub-component 2B: Behavior Change Communication (BCC)31 Activity 1: Adaptation of

national level BCC strategy and development of state-specific BCC plans

28 Activity-4: Organization of community based events for sensitization on key health and nutrition issues:

30 Activity 6: Partnerships with local NGOs/CSOs for supporting community mobilization and behavior change activities

Adaptation of communication materials for AWW to support in home visits (Home visit planners have been distributed to all AWWs in the state. This adaptation is of BCC materials)

25,000 per state 25,000

Printing of BCC/ communication materials for AWW for use in home visits(As the home visits using a planner are already initiated in the state in all districts, the state proposes to use resources available in the project to distribute printed BCC material to 100% AWCs in year 2014-15.

150 per AWC + Rs. 50/ AWC

49215 AWCs 98,43,000 As home visit planners are already distributed in the state, Rs.50/ AWC (meant for printing it) is proposed to be added to the BCC material printing (150+50=200/ AWC)

To be designed by June 2014 and implemented from August 2014 (Baseline survey in July 2014).

selected blocks of one district (scale to be decided based on final design of the pilot)

12,50,000

32 Activity 2: Strengthening home contacts

Implementation of pilot incentivizing home visits in selected districts. Steps involved- Review of experience of Team based goals and incentives (IFHI -CARE in Begusarai) and its results in increasing home visits- Design of pilot on incentives (monetory and non-monetory) for home visits- conduct of baseline, process evaluation and end-line evaluation of the pilot- implementation with differnt leave-at-home BCC materials and incentives

Organize design workshops with senior artists, script writers and lyricists etc for developing content and shows for mid-media (Folk arts and film-shows) for BCC events. - 2 initial workshops (one day each) to orient and assign work to participants- 3 subsequent workshops (lesser number of participants) to review and finalize content and shows/ design of shows (2-3 days each).Costs of travel of participants; workshop venues; meals/ incidentals to be covered

State / workshop

100000/ per workshop

5,00,000 total 5 workshops June 2014 to August 2014

Identification of senior artists; script writers/ film creators etc will be done through development partners and from experiences of other departments - Prasar Bharati and other public sector people will also be included as appropriate

Identification and training of troupes of performers for each block/districts and pre-testing of materials (2 trainings per district)

District / Training

35,000/ per workshop

13,30,000 2 training per district

~ Sept - Oct 2014

performing artists will be selected by the district coordinators and DPOs and trainings will be provided at regional/ cluster level

Implement BCC interventions with support of local CBOs and local artists - Mid media activities will be designed in a manner to consist of folk art forms and film shows to be delivered through a mobile team (in a Poshan-Rath) and effort will be made to synchronize the contnet with that of the community events being organized during the same peiod at AWC level.

District 1,80,000 per district

68,40,000 19 districts - 2 rounds

Nov 2014 to March 2015

These will be done in 100% of districts over last six months of the year at least 2 rounds in the six months (instead of 25% as per admin guidelines). as the community events will be occuring in all 19 districts it is important to have mid-media events in as many places as possible

34 Activity 4: Advocacy and knowledge sharing

Organization of conferences and meetings for mobilization of political and administrative commitment to Nutrition policy and plan of action to address malnutrition and highlight IYCF practices at all levels- One meeting in State Assembly- One meeting in State legislative Council- One meeting in each district panchayat (at least 9 districts by March 2015)

lumpsum of 3 lakhs for all meetings (details to be developed)

3,00,000 2 meetings at state level and in about 9 districts in 2014-15

Sub-Total (Component-2) 2,06,88,000 Component 3 - Convergent Nutrition Action

35 Activity 1: Development of state specific convergent action plans and designing of a pilot based on the national guidelines

Designing of multisartorial pilots - Identification of district/ blocks and panchayats for pilot- Organize consultation with officials of different departments in Patna and in the selected district to orient and brainstorm on possible piloting ideas- Orientation of field staff of different departments and PRI functionaries of selected Panchayats to understand each others programs, to refine the pilot

33 Activity 3: Designing, pre-testing and implementation of mid-media initiatives such as folk theatre, film shows etc

Sub-component 3A: Piloting convergent nutrition actionsSupport of devleopment partners to be drawn and some of the local NGOs active in other departments (like agriculture/ RD) will be coopted to support. Close engagement with implemetation of multi-sectoral nutritoin project will be ensured to avoid duplication and to build synergy and mutual learning.

State/ district and panchayat level

Lumpsum 5,40,000 (further details of budget will be worked out)

5,40,000 June 2014 to Sept 2014 for completing the consultations/ orientations and design

36 Activity 2: Strengthening inter-departmental coordination mechanisms

Will integrate with the state and district level coordination bodies to be created under Multi-sectoral nutrition program of GoI. - No additional resources may be required for the meetings under ISSNIP.- However a lumpsum amount of Rs. 160,000 is proposed to be kept aside under this head to meet any addtional meetings' related costs

1,60,000 April 2014- March 2015

37 Acitivity 3: Implementation of multi-sectoral pilots in one district

~ pilot to cover multiple panchayats in the selected districts, as per the design adapted in the state- Costs will include conduct of baseline, process evaluation and end line evolution with about 18 months of implementation at lowest levelSome of the other costs include (not exhaustive)- cost of training FLWs of different departments on the pilot interventions, conducting village level planning/ beneficiary-needs identification; establishing monitoring systems; organizing regular community driven monitoring review meetings; providing resources for any gap-filling (if no departmental program is able to meet a particular nutrition related need of a community/ family)

Lump sum 25 lakh for the current FY (more details will be developed as the design of the pilot gets worked out in early part of 2014-15 - by June 2014)

25,00,000 June 2014 onwards

Baseline to be conducted in July 2014. Orientation and design of pilot to be completed up to village level by Sept 2014. Implementation of pilot to begin by Oct/ Nov 2014.

32,00,000 42,21,92,500

and to develop plans for implementation of pilot- one workshop at state level (one day)- two workshops at district level (one day each)- 3-4 workshops at Panchayat level (1-2 days each, depending on progress being made)

Sub-Total (Component-3)Grand Total

of pilot

Reference Description of Item QuantitiesUnit Cost (INR)@

Estimated Cost (INR)@

Total Estimated Cost (INR)@

Method of Procurement

Review by the Bank

Expected Date of Purchase Order (PO)

Expected Date of Delivery Comments/ Remarks

1 2 3 4 5 6 7 8 9 10 11

Desktop Computer with Printers & Scanners- 10 50000 500000Color Printer-2 30000 60000Printer cum Scanner (Multi function Machine)-02 25000 50000

SPMU G-2 Laptop 2 50000 100000 100000Shopping Post May-14 May-14 Procurement is Under

Process

SPMU G-3 Photo copier 1 280000 280000 280000Shopping Post May-14 May-14 Procurement is Under

ProcessEPABX System 1 100000 100000 May-14 May-14Fax Machine 1 50000 50000 May-14 May-14LCD Projector 1 50000 50000 May-14 May-14LCD Monitor 1 60000 60000 May-14 May-14

SPMU G-6 Computer Table 5 8000 40000 40000 Shopping Post May-14 May-14 Required ApprovalSPMU G-7 Office Chair 10 5000 50000 50000 Shopping Post May-14 May-14 Required ApprovalSPMU G-8 Excutive Chair 2 10000 20000 20000 Shopping Post May-14 May-14 Required ApprovalSPMU G-9 Secretarial Table 2 25000 50000 50000 Shopping Post May-14 May-14 Required ApprovalSPMU G-10 Almirah 2 25000 50000 50000 Shopping Post May-14 May-14 Required ApprovalSPMU G-11 Drawer Box 3 10000 30000 30000 Shopping Post May-14 May-14 Required ApprovalSPMU G-12 BSNL Connection 1 2000 2000 2000 Shopping Post May-14 May-14 Required ApprovalSPMU G-13 Broad Band (Wi-Fi) 1 8000 8000 8000 Shopping Post May-14 May-14 Required Approval

DPMU G-1

Office Stablishment: Computer/ Printer/ Telephone/ Furniture etc. for each DPMU 19 Dist. 100000 1900000 1900000

Shopping Post Jun-14 Jun-14 Required Approval

Grand Total 3400000

Annexure B: ICDS System Strengthening & Nutrition Improvement Project (ISSNIP)

Procurement of Goods

Desktop Computer Printer & Scanner

SPMU G01 610000 Shopping Post

Procurement is Under Process

May-14 May-14

Procurement is Under ProcessProcurement is Under Process

150000 Shopping PostSPMU G-4

110000 Shopping PostSPMU G-5

Reference Description of Item QuantitiesUnit Cost (INR)@

Estimated Cost (INR)@

Total Estimated Cost (INR)@

Method of Procurement

Review by the Bank

Expected Date of Purchase Order (PO)

Expected Date of Delivery

Comments/ Remarks

1 2 3 4 5 6 7 8 9 10 11

SPMU. OC.01 & OC.02 Hiring of Vehicle 2

40000 (for 12 months)

80000 (for 12 month) 960000 Shopping Post Apr-14 Apr-14

Procurement is Under Process

DPMU. OC-01 Hiring of Vehicle 1930000 (for 10 months)

30000 (for 10 months) 5700000 Shopping Post Jun-14 Jun-14

SPMU. OC.03

Maintenance of office equipments (Purchase against DGS&D rate contract)

5000 per month (for 12 month) 60000 60000 Shopping Post Apr-14 Apr-14

6720000


Operating Costs- Non- Consluting survices

Reference Description of ItemNo. of

Position

Total Monthly remuneration in INR

Estimated period in months

Estimated cost in INR

Selection Method

Expected Date of On Board

Review by the Bank Comments/ Remarks

1 2 3 4 5 6 7 8 9 10Technical Consultants @ Rs.60000 6 360000 10 3600000 Jun-14 PostAccountant @Rs. 40,000 1 40000 10 400000 Jun-14 PostProject Associates @ Rs. 25,000 2 50000 10 500000 Jun-14 PostSecretarial Assistant @ Rs. 15,000 1 15000 10 150000 Jun-14 PostData Entry Operator @ Rs. 15,000 1 15000 10 150000 Jun-14 PostDistrict Coordinator @ Rs. 30,000 19 570000 10 5700000 Jun-14 Post

Project Assistant@ Rs. 15,000 19 285000 10 2850000 Jun-14 Post

Block Coordinator @ 12,000 281 3372000 8 26976000 Aug-14 Post

Project Assistant@ Rs. 8,000 281 2248000 8 17984000 Aug-14 Post611 6955000 58310000


Procurement Plan for Consulting ServicesI. Individual Consultant

Under Process (Online Application and Receving of Hard copy of Application

has been completed)

SPMU. IC. O1

IC

Application process will be start after hiring of SPMU & DPMU consultant.

DPMU.IC.01

DPMU.IC.02

Reference Description of ItemEstimated cost in INR

Selection Method

Estimated period in months

Expected Date of Selection

Review by the Bank

Comments/ Remarks

1 2 3 4 5 6 7 8

1

Hiring of agencies for data collection, analysis and report writing District Level Rapid Assesments and ongoing internal assesments at sector level using LQAS approach 2500000 EOI 3 month Oct-14 Post

2Hiring of agency for conducting Social Assesment and ethnographic studies in SC/ST/minority areas 1000000 EOI 6 month Sep-14 Post

3Hiring of an external agency for conducting the first TNA Study on Training needs assessments 1000000 EOI 5 month Jun-14 Post

4

Hiring of an external agency for Conduct formative research to finalize locally appropriate communication material and to refine BCC strategy 500000 EOI 3 month Sep-14 Post

5Hiring of an external agency for Printing of BCC/ communication materials for AWW for use in homevisits 9843000 EOI Aug-14 Post

14843000


Hiring/ Procurement of External Agency


¤ Section 5 ¤

nnexure C:

Result Framework of Phase 1:

Performance Monitoring Indicators

Unit of Measure

Cumulative Target Value

Remarks

Yr 1 Yr 2 Yr 3 Indicator 1 Percentage of project

blocks reporting information using the revised ICDS management information system (MIS)

281 70 141 225 APL Trigger 1 Achievable target for Yr 2 is 75% (25% of Yr 1 + 50% of Yr 2), as yr 1 target was not achieved due to late initiation of the project at state level

Indicator 2 Percentage of project districts that have implemented the “incremental capacity building” system

19 0 8 15

Indicator 3 Number of project districts that have implemented and evaluated at least one community engagement pilot

19 0 10 19 Pilots may be restricted to a few ICDS project blocks (two or more) in a district

Indicator 4 Percentage of Anganwadi Centres (AWCs) implementing the Inter- Personal Communication (IPC) activities focused on IYCF practices, as defined in the state BCC Action Plans

49251 0 19700 34476

Indicator 5 Number of project Districts in which pilots of “convergent nutrition action” have been implemented and evaluated in at least one district

19 0 10 15 Pilots may be restricted to a few ICDS project blocks (two or more) in a district to develop a Multi-sectoral action plan for underlying causes of malnutrition

A

mypc

Typewritten Text


Inter Mediate Result Indicator Unit of Measure


Remarks

Yr 1 Yr 2 Yr 3 Component 1: ICDS Institutional & System Strengthening

IR 1.1 Guidelines for the identified key strategic areas of ICDS systems strengthening developed by MWCD and disseminated to the participating States and Districts

6 2 4 6 The six identified strategic areas for which guidelines are to be developed are: a) Decentralized (district) annual planning; b) HR Reform; c) Special strategies for urban areas; d) Engagement of Civil Society Organizations in ICDS; e) Public-Private Partnerships in ICDS; and f) Strengthening Supplementary feeding.

IR 1.2 Percentage of project districts generating estimates of caring/feeding behaviours using a system of periodic rapid, population- level assessments

19 0 4 6 The system could involve LQAS or other innovative population survey tools

IR 1.3 Number of project Districts that have adopted the operational guidelines, including a set of facilitators manuals, developed by MWCD for incremental capacity building

19 8 14 19 “Adopted” implies adaptation (with or without piloting), translation and reproduction of materials for use by districts

IR 1.4 Percentage of project districts with district resource groups established and trained to implement the incremental capacity building system

19 5 10 15 APL Trigger 3 Achievable target for Yr 2 is 75% (25% of Yr 1 + 50% of Yr 2), as yr 1 target was not achived due to late initiation of the project at state level

IR 1.5 Number of project Districts that have conducted at least one pilot to test the effectiveness of a system of joint planning and review by AWW, ASHA and ANM at the Health sub-centre level in improving quality and coverage of health and ICDS services

19 0 10 19 APL Trigger 4 Conducting a pilot includes design, implementation and rigorous monitoring and evaluation of the pilot

IR 1.6 Number of project Districts that have conducted at least one pilot to test the impact of introducing a second worker at the Anganwadi level in improving the quality and coverage of ICDS services

19 0 10 19 Pilots may be restricted to a few ICDS project blocks (two or more) in a district to conducted a pilot on the impact of introducing a second Anganwadi worker


Inter Mediate Result Indicator Unit of Measure


Remarks

Yr 1 Yr 2 Yr 3 Component 2: Community Mobilization Behaviour Change Communication

IR 2.1: Percentage of project districts that are working with a CSO partner on community engagement activities

19 5 10 15 Achievable target for Yr 2 is 75% (25% of Yr 1 + 50% of Yr 2), as yr 1 target was not achieved due to late initiation of the project at state level

IR 2.2: Number of project districts that have adopted the IPC guidelines and materials developed by MWCD for use by Anganwadi workers (AWWs)

19 0 10 19 "Materials” include newly produced or approved lists of messages and communication materials meant for IPC, in the state language. “Guidelines” include instruction manuals, training materials, etc that lay out how the materials should be used by frontline communicators

Component 3: Convergent Nutrition Action IR 3.1: No. of project Districts in

which convergent nutrition action plans for piloting at district level have been developed

19 0 10 19 APL Trigger 5 Convergent nutrition action plans must be approved by relevant district administration & restricted to a few ICDS project blocks

Component 4: Project Management and M&E IR 4.1: Percentage of proposed

project staff at Central, State and district level that are in position and trained

0 0 0 Project Directors, M&E, FM and procurement staff must be in position at all times

IR 4.2: Baseline data collection for Phase 2 of the project completed in all project states

APL Trigger 6 baseline indicators are identified, sampling design finalized, data collection outsourced and data collection completed by external agency


Health and Nutrition Scenario in Bihar: A Demographic Snapshot

Demographic and Health Indicators SRS (2012) Bihar India

Birth Rate 26.7 21.6 Death Rate 6.6 7.0 Decadal Growth 25.07 17.64 Population Density (Per Sq. KM) 1102 382 Total Fertility Rate (TFR) 3.6 2.4 Infant Mortality Rate (IMR) 43 42 Neo-Natal Mortality Rate (NNMR) 35 31

Demographic and Health Indicators SRS (2007-09) Bihar India

Maternal Mortality Ratio (MMR) 261 212

Social/ Gender/Education/Economic Indicators Census- 2011 Bihar India

Sex Ratio at Birth 916 940 Child Sex Ratio (0-6 Years ) 933 914 Total Literacy Rate 63.82 74.04 Literacy Rate (Male) in Percentage 73.39 82.14 Literacy Rate (Female) in Percentage 53.33 65.46 Female Work Participation Rate (%) 28.72 25.60 Per Capita Income Growth (%) 19.20 14.30

Maternal Heath Indicators (%) DLHS- 3 (2007-08) Bihar India

Girls married below age 18 45.9 21.5 Mothers who had three or more ANC 26.4 51 Institutional Delivery 27.7 47 Safe Delivery 31.9 52.6 Mothers who received post-natal care within two weeks of delivery 26.2 50.8

Mothers who received financial assistance for delivery under JSY 9.7 13.6 Children under 3 years breastfed within one hour of birth 16.2 40.2 Children age 06-35 months exclusively breastfed for at least 6 months 11.8 24.9

Children 12-23 months fully immunized 41.4 54.1 Current use of family planning methods (Any Modern Method) 28.4 47.3

Nutrition Indicators (%) NFHS- 3 (2005-06) Bihar India

Pregnant women age 15-49 who are anaemic 60.2 57.9 Children under 3 years who are stunted 42.3 38.4 Children under 3 years who are wasted 27.7 19.1 Children under 3 years who are underweight 58.4 45.9


Details of Operational Blocks and Anganwadi Centre: Sl

. No.

Name of District

Number of Projects

Number of AWCs Manpower position Supervisors AWWs

Sanctioned

Operational

Sanctioned

Operational

Sanctioned

In-position

Sanctioned In-position

1 Bhagalpur 17 17 2401 2401 65 50 2401 2002 2 Buxar 10 10 1529 1529 51 36 1529 1345 3 Darbhanga 19 19 3460 3460 134 107 3460 2979 4 Gopalganj 14 14 2464 2464 87 71 2464 2308 5 Jamui 10 10 1661 1661 54 40 1661 1384 6 Jehanabad 7 7 999 999 37 30 999 986 7 Lakhisarai 6 6 1010 1010 31 19 1010 881 8 Madhepura 13 13 2075 2075 59 49 2075 1519 9 Madhubani 21 21 3779 3779 135 64 3779 3288 10 Munger 10 10 1365 1365 43 35 1365 1130 11 Muzaffarpur 17 17 4006 4006 155 129 4006 3490

12 Pashchim Champaran 17 17 3486 3486 122 109 3486 2742

13 Purba Champaran 28 28 4612 4612 151 118 4612 3514

14 Purnia 15 15 2905 2905 99 72 2905 2844 15 Saharsa 11 11 1688 1688 61 50 1688 1464 16 Samastipur 20 20 3853 3853 131 121 3853 3430 17 Sitamarhi 18 18 2968 2968 106 73 2968 2237 18 Supaul 11 11 1983 1983 72 52 1983 1649 19 Vaishali 17 17 3007 3007 115 88 3007 2791

Total 281 281 49251 49251 1708 1313 49251 41983

Current District Wise Beneficiary Data:

Sl. No

.

Name of District

Population*

Decadal

growth

rate**

Average

Annual

growth

rate

Estimated

Population

2013-14

Estimated

Population

2014 - 15

Estimated

Population 0 -

3 yrs Childre

n

Estimated

Population 3- 6 yrs

Children

Total Beneficiary (0 - 6

Yrs)

Estimated

Pregnant Women

1 Bhagalpur 30,32,22

6 25.13 2.51 3186541

3266618 293996 293996 587991 107798

2 Buxar 17,07,64

3 21.77 2.18 1782803 1821615 163945 163945 327891 60113

3 Darbhanga 39,21,97

1 19.00 1.90 4072422

4149798 373482 373482 746964 136943

4 Gopalganj 25,58,03

7 18.83 1.88 2655280

2705279 243475 243475 486950 89274


Sl. No

.

Name of District

Population*

Decadal

growth

rate**

Average

Annual

growth

rate

Estimated

Population

2013-14

Estimated

Population

2014 - 15

Estimated

Population 0 -

3 yrs Childre

n

Estimated

Population 3- 6 yrs

Children

Total Beneficiary (0 - 6

Yrs)

Estimated

Pregnant Women

5 Jamui 1756078 25.54 2.55 1846924

1894094 170468 170468 340937 62505

6 Jehanabad 1124176 21.34 2.13 1172668

1197693 107792 107792 215585 39524

7 Lakhisarai 10,00,71

7 24.74 2.47 1050845

1076843 96916 96916 193832 35536

8 Madhepura 19,94,61

8 30.65 3.07 2118762

2183702 196533 196533 393066 72062

9 Madhubani 44,76,04

4 25.19 2.52 4704387

4822891 434060 434060 868120 159155

10 Munger 13,59,05

4 19.45 1.95 1412435

1439907 129592 129592 259183 47517

11 Muzaffarpur

47,78,610 27.54 2.75 504544

0 518439

2 466595 466595 933190 171085

12

Pashchim Champaran

39,22,780 28.89 2.89 415271

2 427268

4 384542 384542 769083 140999

13

Purba Champaran

50,82,868 29.01 2.90 538205

4 553818

7 498437 498437 996874 182760

14 Purnia 32,73,12

7 28.66 2.87 3463431

3562693 320642 320642 641285 117569

15 Saharsa 18,97,10

2 25.79 2.58 1996216

2047699 184293 184293 368586 67574

16 Samastipur 42,54,78

2 25.33 2.53 4473059

4586362 412773 412773 825545 151350

17 Sitamarhi 34,19,62

2 27.47 2.75 3610076

3709245 333832 333832 667664 122405

18 Supaul 22,28,39

7 28.62 2.86 2357776

2425255 218273 218273 436546 80033

19 Vaishali 34,95,24

9 28.58 2.86 3697892

3803578 342322 342322 684644 125518

Total 5,52,83,101

59688534 5371968 537196

8 10743936 1969722


Map of ISSNIP Districts:


State Innovations and Good Practices:

Health Sub-Centre Meetings:

It is realised that Health and ICDS Department has a shared vision and to achieve the objectives of this vision both the departments has to establish coordination at all the levels to provide better services related to Maternal and Child Health and Nutrition, to the families.

The experience in eight districts in Bihar in the last two years has demonstrated that a formal monthly meeting at the Health Sub-centre level, where all ASHA and AWW participate, can be a useful platform for supporting and supervising the work of the ASHA and AWW. The meetings are jointly facilitated by the ANMs of the concerned sub-centre and the concerned ICDS Lady Supervisor. Such meetings provide a platform for ongoing coordination on all matters related to maternal health, neonatal and child health, nutrition, immunization and family planning:

• Ongoing training and skill building of ASHA and AWW • Regular planning and review of the work of ASHA and AWW from month to month • Ensuring coordinated action between the ASHA and AWW • An opportunity for supportive supervision of the ASHA and AWW, in addition to the opportunities

that ANM and LS have during village visits

The experience has shown that, to maximize results, it is necessary to provide adequate support to all concerned workers:

• Ongoing training and support to the ANMs and the LS through the BHM, MOIC and CDPO at the block level

• Involvement of the BCM in providing support to ASHA during monthly block level meetings of ASHAs as well as through ASHA facilitators

• Appropriate tools and other materials to the ASHA and AWW, such as home-visit planner and health education materials

• Materials to the ANMs and LS necessary for conducting HSC meetings, such as agenda and detailed content for each meeting.

The main advantages of the sub-centre platform over other existing meeting platforms are: • The group of functionaries at a sub-centre is usually not more than 20-25, which is an ideal size for

program planning and review • Bringing together of ASHA and AWW regularly, which helps them work closely with each other • It enables both, Health/NRHM and ICDS programs to methodically track progress on small units

of population, such as covered by a sub-centre.

While it is currently being used for accelerating progress in the areas of maternal and child health, nutrition, immunization and family planning, the Sub-centre Meeting platform is a delivery platform that can be used for rapidly and reliably delivering any interventions for either Health/NRHM or ICDS.

Mobile Kunji:

Innovative Mobile Health Solutions – Shaping Demand and Practices-

The explosive growth of mobile telephony has opened up new avenues for communication. A mobile landscaping study in Bihar has revealed more than 85% of frontline health workers (FLWs) have access to


mobile phone and find it indispensable for their work. Therefore, mobile technology serves as a platform to reach our key target population for health communication.

Mobile Kunji (MK)-

Mobile Kunji is an audio-visual job aid designed for FLWs to use when interacting with families. Using a printed deck of laminated cards on a steel ring and an audio-based mobile service, Mobile Kunji delivers multimedia content without the need for expensive hardware. The phone-sized cards are illustrated with key messages on family health and planning, pregnancy and postnatal care for children up to two years old. In addition, each card has a unique mobile short code that corresponds to a specific audio message that can be played to the family which is delivered by a character – Dr Anita – created especially, for this service.

The Mobile Kunji is a toll-free service which can be accessed by any health worker in Bihar from any mobile handset, across five of the largest mobile networks in India – Airtel, Vodafone, Reliance, Idea and Tata. Calls are toll free for frontline health workers and cost an average of 40 paise per minute.

The three-day IPC training focuses on using the Kunji And improving the interpersonal and negotiation skills of FLWs is organised. The data from our auto generated MIS based on the call logs of Mobile Network Operators indicate that approximately 44% of ASHAs and AWWs in eight districts are using the Mobile Kunji IVR content on a monthly basis. Currently, content related to birth preparedness, family planning, complementary feeding and post natal care are being accessed more often. Field level interactions with FLWs indicate that Dr. Anita’s voice helped to enhance their credibility and acceptance at community level. They are not only seen as a health worker carrying Dr. Anita’s wisdom but also as someone who provides health tips to families which are similar to the ones told by Dr. Anita over phone.

In close association with State Health Society, Bihar and Directorate of ICDS (Dept. of Social Welfare), BBC Media Action and Pathfinder International have jointly delivered this three-day training to 38,512 ASHAs and Aanganwadi Workers (AWWs) in eight priority districts (Patna, Begusarai, Khagaria, Saharsa, Samastipur, East Champaran, West Champaran and Gopalganj) under Ananya.

Uddeepan Kendra:

The word Uddeepan means "to kindle, excite or stimulate". Uddeepan is a process to stimulate especially under two children through activities at AWCs. AWCs will be clustered under Gram Panchayat and upgraded to create an enhanced resource centre and opportunity for learning. One AWC will be selected to become as Nodal Centre, within 8 – 10 closely located centres. The objectives of Uddeepan Kendra are to promote cooperation, support, peer-learning and diffusion of best practices. Uddepan Kendra will encourage stronger focus on services for under threes (children, pregnant and nursing mothers) and will be a meeting and sharing platform for AWWs. This Kendra will facilitate data collection and use of information which intern will improve understanding and coverage of services. Regular interactions with CDPOs and LSs, meeting with PHED staffs and supportive supervision through these Kendra will support systematic capacity building of AWWs. Main feature of this Kendra will be an Uddeepika, additional Worker. She will Coordinate activities of the AWCs in the cluster, Bring focus on the under threes – children, P&L mothers, organise monthly learning meetings at the GP nodal centre, liaise with Health, water and sanitation workers to bring about convergence Process indicators:

• Complete listing of all beneficiaries in catchment area;


• Coverage of services this will include – o supplementary feeding (hot cooked meal and THR); o growth monitoring and counselling; o follow up and care of critical cases (malnourished, advanced cases of pregnancy) through

home visits and group meetings; o immunization maternal and infants; o preschool education; o participation of beneficiaries in VHNDs & mothers meetings; NHED sessions

• No. of pregnant women contacted each month • No. of mothers of children 0-6m contacted/ provided services; • Records of Daily, weekly monthly activities of AWC • MPR prepared on time and linked with records; (regular data validation process)

Gram Varta: Evidence from large scale trials in other parts of the country have shown that self help groups can be

sensitized and mobilized to improve health outcomes of infants and women; drawing on lessons and

experience from such studies SWASTH has already initiated an integrated community based approach

named “Gram Varta” which literally translates to Village dialogue; it is a process of sensitizing women to

issues of malnutrition, health, water and sanitation and helping them to find local solutions and adopt

appropriate actions for their children and families; the dialogue is carried out during the fortnightly

meetings of SHGs. The technical content is delivered using participatory techniques such as role plays,

games and storytelling

Through participation in the meetings, women are facilitated to identify and prioritise local health

problems, and develop strategies for action. The group meetings take a reflective approach which nurtures

women’s self-confidence, and solidarity among the group. This helps women to negotiate new practices

with family members, share information among their family and peer networks, and foster community

support for action. In so doing, the community mobilisation approach promotes healthier family practices,

raises demand for primary HNWASH services, and stimulates local action for change.

The process involves recruiting local women from the community as facilitators. Each facilitator will be

responsible for facilitating seven to twelve women groups, who will meet on a fortnightly basis (separate to

their existing weekly meetings). The facilitators receive training and support to facilitate meetings in a

participatory manner and they are provided with a manual to guide them through the nutrition PLA cycle.

The group members are actively encouraged and supported to evaluate their progress and identify areas for

Gram Varta – the village dialogue SWASTH – a Government of Bihar and DFID initiative

A single, relatively simple intervention that strengthens existing self-help groups/community can change

behaviours related to health, nutrition and WASH and promote community under-standing of the links

between the three sectors. This is more cost effective than creating new institutions. The PLA tools were


appreciated by facilitators and easily understood by participants, who remembered the innovative and

enjoyable games and the lessons they taught. Facilitators suggested one change to the programme, to

increase the time allocated for contraceptive information, as they feel this is important and there is a lot to

cover. Sustainability rests on the personal development of facilitators that has occurred and will remain.

New family behaviours will become the norm due to reinforcement through the continuing work of

groups and AWCs.

PLA Meeting:

Each process of PLA cycle development involves extensive literature review on the subject matter, deciding

topics for the PLA meetings under its four generic phases of Identification and Prioritisation of Problems,

Planning Strategies for solving the prioritised problems, Acting Together and evaluating their action. The

designing of the cycle also involves deciding the content of different meetings, deciding on appropriate

pedagogy for facilitation of the meeting e.g. role play, story-telling, picture cards etc., piloting and field

testing and finalisation of context specific meeting manual. In the process, it also organises consultation

with different stakeholders and community members. Each meeting builds on the previous meeting in such

a way that they are interlinked.

Scale up:

Scaling up has begun through WDC , Bihar Mahila Samakhya and JEEViKA, which will eventually cover

the 14 districts where self-help groups and block level federations exist. For other districts a different model

is proposed, using NGOs who will work with other existing local bodies, such as mothers’ committees. This

will need to be reviewed in the light of experience to see if adjust-ments are required, and it is hoped that it

may also encourage the formation of additional self-help groups.

Low Cost Iodized Salt through PDS:

One innovative pilot project “supply of low cost non-subsidized quality Iodized salt through PDS” to

provide iodine nutrition to BPL family. This is being done under PPP mode in all six districts (Muzafferpur,

Vaishali, Sitamarhi, Champaran East, Champaran West and Sheohar) of Tirhut division. The progress is

being monitored by State USI (Universal Salt Iodization) coalition comprising member from Health. ICDS.

WDC, Food and Civil supply, Institutions like AIIMS, Patna, PMCH and development partner such as

UNICEF, ICCIDD, GAIN, MII etc. In this regard the effort made by the state has been appreciated by

Department of Salt, GoI and Department of Community Medicine, AIIMS, New-Delhi.

Food Fortification:

Providing fortified food is being proposed by GAIN with collaboration with BRLP and NIDAN at

Khagaria and Begusarai districts. It is expected that production will be started from April, 2014.

Provision of Micro Nutrient: A pilot project is proposed under IFHI project (BMGF & CARE) at Champaran West to provide daily dose

of all essential micronutrient (Vitamin A, IFA, Iodine and Zinc) to the all children.

SABLA:

The Rajeev Gandhi Scheme for Empowerment of Adolescent Girls (SABLA) was launched in Bihar in March 2011 in 12 districts. The scheme among various other things aims at improvement of the nutritional and health status of adolescent girls in the age group of 11-18 years and empowering them by providing education in life-skills, health and nutrition. With UNICEF’s support a state level review mechanism was initiated for SABLA in the state, various issues were identified like:

1. Lack of program monitoring and review at state and district levels. 2. Not regular supply and procurement of IFA tablets at district and block levels. 3. Irregular and incomplete MPR reporting for SABLA. 4. Non – procurement of SABLA Kishori kits by most of the districts. 5. Planning, celebration and monitoring of KishoriDiwas.

Thereafter, strengthening of SABLA services occurred through focus on the following key areas-

1. Establishing and strengthening a regular program review mechanism- 2 review meetings held in July and December 2013.

2. District level review mechanism initiated in first quarter of 2014 where 10 districts held district review meetings for SABLA with focus on quality MPR reporting, planning and monitoring of KishoriDiwas in the districts.

3. Strengthening the data management and reporting system by initiation of online SABLA MPR reporting by the Directorate and capacity building of Data entry operators on MPR filling and online data entry. This orientation occurred at State and District levels and all DEOs of District and project were trained.

4. Strengthening of Kishoridiwas was done through various interventions as- a. Developing the state KishoriDiwas guidelines. b. Orientation of all CDPOs on KishoriDiwas celebrations and planning for

organizing and monitoring January 2014 Kishori Diwas with all the CDPOs from these districts.

c. Monitoring of KishoriDiwas activities.In January 2014, total 1031 planned KishoriDiwas were monitored and at 65% sites KishoriDiwas was found to be held. 31% sites monitored were in Mahadalit tolas. SABLA kits was available at 32% sites monitored. IFA tablets were available at 48% of sites monitored. Albendazole was available at 40% of sites monitored. BMI was being calculated in 34% of sites monitored. Kishori cards were available in 45% of sites monitored. The monitoring report was shared on weekly basis at the state level.

As a result of these interventions, the status of SABLA activities has shown improvement in term of quality of KishoriDiwas activities, SABLA MPR reporting, regular review mechanism established for SABLA in the state.


Contact Details of State and Districts Project Team:

State Team: Sl.

No. Name Designation Contact No.

Mail id.

1 Mr. Rajit Punhani Secretary,

Department of Social Welfare, Govt. of Bihar

+91 9473191460 [email protected]

2 Ms. Neelam Gupta State Project Director +91 9471002781 [email protected] 3 Mr. Ashok Kumar Joint Project Coordinator 1 +91 9431005019 [email protected] 4 Mr. Sunil Kumar Jha Joint Project Coordinator 2 +91 9431005010 [email protected] Ms. Nirupa Kumari Special Officer +91 9431005015 [email protected]

Technical Assistance Agency Team: Sl.

No. Name Designation Contact No.

Mail id.

1 Mr. Mantreswar Jha State Team Leader +91 9334131227 [email protected] 2 Mr. Prakash Singh Regional Manager +91 9334958876 [email protected] Mr. Rohit Kumar Regional Manager +91 9973943626 [email protected] 4 Mr. Saurav Dey Regional Manager +91 9748465833 [email protected] 5 Dr. Suparna Tat Regional Manager +91 9830267888 [email protected]

District Team: Sl.

No. Name Designation Name of

District Contact

No.

Email Id.

1 Ms. Sudha Gupta DPO Bhagalpur 9431005051 [email protected]

2 Mr. Ajit Kumar Jaiswal DPO Buxar 9431005024 [email protected] 3 Mr. Nandkishore Sah DPO Darbhanga 9431005040 [email protected] 4 Mr. Satish Chandra

Srivastava DPO Gopalganj 9431005033

[email protected]

5 Mr. Santosh Kumar DPO Jamui 9431005056 [email protected] 6 Mr. Ashutosh Kumar DPO Jehanabad 9431005028 [email protected] 7 Ms. Manju Prasad DPO Lakhisarai 9431005054 [email protected] 8 Mr. Rakesh Kumar DPO Madhepura 9431005045 [email protected] 9 Mr. Ashwini Kumar

Sinha DPO Madhubani 9431005042 [email protected]

10 Mr. Rajendra Das DPO Munger 9431005053 [email protected] 11 Mr. Monoj Kumar DPO Muzaffarpu

r 9431005034 [email protected]

12 Mr. Sashi kant Paswan DPO Pashchim Champaran

9431005037

13 Mr. Praveen Kumar DPO Purba Champaran

9431005038

[email protected]

14 Mr. Anand Prakash DPO Purnia 9431005046 [email protected] 15 Mr. Virendra Narayan

Pandey DPO Saharsa 9431005043 [email protected]

16 Mr. Akhilesh Kumar Singh

DPO Samastipur 9431005041 [email protected]

17 Mr. Balakant Pathak DPO Sitamarhi 9431005035 [email protected] 18 Mr. Ramesh Kumar Ojha DPO Supaul 9431005044 [email protected] 19 Mr. Ajay Kumar Singh DPO Vaishali 9431005039 [email protected]


Status of Immunization and Vitamin- A Supplementation in ISSNIP Districts

Immunization Status of ISSNIP Districts*

Sl. No. Name of District % of Fully Immunized

Children under 2 Years

1 Bhagalpur 65.7 2 Buxar 64.7 3 Darbhanga 60.4 4 Gopalganj 69.8 5 Jamui 38.8 6 Jehanabad 74.9 7 Lakhisarai 62.9 8 Madhepura 73.2 9 Madhubani 82.8 10 Munger 75.9 11 Muzaffarpur 58.0 12 Pashchim Champaran 52.2 13 Purba Champaran 42.0 14 Purnia 79.9 15 Saharsa 68.1 16 Samastipur 75.8 17 Sitamarhi 64.4 18 Supaul 70.5 19 Vaishali 70.3

*Ref: Annual Health Survey 2011 – 12

Figure 1 shows the Data of Fully Immunized Child under 2Yrs. From which it is clear that Madhubani district have the highest percentage of fully Immunized Child (82.8%) contrary Jamui having the lowest percentage (38.8%).

65.7 64.7 60.469.8

38.8

74.962.9

73.282.8

75.9

58.052.2

42.0

79.968.1

75.864.4

70.5 70.3

Fig.- 1: Percentage of Fully Immunized Children under 2 Years


Status of Vitamin- A Supplementation in ISSNIP Districts*

Sl. No. Name of District

Total Children Administered

(09 Month to 05 Yrs.) % of Coverage

1 Bhagalpur 392027 86.6 2 Buxar 213211 90.3 3 Darbhanga 403697 90.4 4 Gopalganj 296701 92 5 Jamui 234697 95.8 6 Jehanabad 152632 94.7 7 Lakhisarai 119719 91.7 8 Madhepura 223322 93.3 9 Madhubani 496413 96.2 10 Munger 170026 90 11 Muzaffarpur 530581 95.9 12 Pashchim Champaran 502284 94.1 13 Purba Champaran 532895 88.2 14 Purnia 486641 93.3 15 Saharsa 263016 95.5 16 Samastipur 568782 94.5 17 Sitamarhi 349462 92.7 18 Supaul 299041 90.2 19 Vaishali 396170 84.4

*Ref: State Health Society- Bihar, Vitamin- A, Bi-annual Programme, Round- II (2013)

Figure 2 shows the data of percentag coverage of children from 09 months to 05 years administered Vitimin- A suplimentation where is clear that again Madhubani district having the highest percentage of Vit.- A administered (96.2%) while Vaishali having the lowest percentage (84.4%).

86.6

90.3 90.492

95.8 94.791.7

93.396.2

90

95.994.1

88.2

93.395.5 94.5

92.790.2

84.4

Fig.- 2: % Coverage of Children Administered Vit A Supllimentation (09 months - 05 yrs)

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