IMPACT OF BAL SANJEEVANI ON MALNUTRITION LEVELS

1
Management Information System on Integrated
Child Development Services (ICDS) Scheme April
24, 2006
2
MONITORING

• Previous Monitoring System (since inception)
• Anganwadi (Village) Level
• Six records/ registers prescribed at the AWCs
  viz.
• i) AW Survey Register
• ii) Immunization Register
• iii) Services for PLM
• iv) Services for Children
• v) AW Food Stock register (separate
  register for
• food and other items)
• vi) Diary-cum-visit book
• Growth chart and Health Cards (child card,
  pre-natal card, referral slip)
• MPR/ APR of the AWW
• MPR/ APR of the AWW revised on 1983
• AWWs Monthly Monitoring Report (MMR) on Health
  Inputs for monitoring health aspects through
  Central Technical Committee, AIIMS

3
MONITORING

• Previous Monitoring System (since inception)
• contd
• Block/ Sector/ District Level
• CDPOs MPR
• CDPOs APR
• CDPOs Distribution point Stock Register and
  Monthly Report
• M.O.s MPR on Sectoral monitoring and Continuing
  Education
• M.O. I/C PHC MMR
• District Advisers MMR
• Chief District Advisers Monthly Review Report

4
MONITORING

• Existing Monitoring System
• DWCD had revised the reporting system under ICDS
  on 30.4.1990 (F.No. 1-4/90-ME dt. 30.4.1990).
  There was no change in the AW registers, M.O.,
  M.O. IC/ PHC MMR, District Adviser MMR and Chief
  Advisers review report.
• The prescribed reporting formats vis-à-vis
  previous reporting formats are as under
• AWWs MPR/ HPR in place of AWWs MPR/ APR
• CDPOs MPR/ HPR in place of AWWs MPR/ APR
• Check-list of Supervisorss Visit (new)
• QPR for Special Nutrition Programme (new)
• QPR on Training of ICDS Functionaries (new)

5
MONITORING

• Existing Monitoring System
• Anganwadi (Village) Level
• Six records/ registers prescribed at the AWCs
  viz.
• i) AW survey register
• ii) Services for children
• iii) Services for PLM
• iv) Immunization register
• v) Stock register (separate register for
  food and other items)
• vi) Diary-cum-visit book
• Growth chart for each child (0-6 years) was
  prescribed at AWC to take stock of the
  nutritional status of children ina particular AWC
  in a given month (F.No. 1-12/ 93-CD-I dt.
  4.10.1993)

6
MONITORING contd.

• Existing Monitoring System
• Anganwadi (Village) Level
• AWWs Monthly Progress Report (MPR)/ Half Yearly
  Progress Reports (HPRs) have been prescribed
  following details are captured
• Population as per AW Survey registers
• Reported births and deaths of children (lt 6
  years) and death of women during pregnancy/
  delivery
• Beneficiaries of supplementary nutrition
• Nutritional Status of children (0-6 years)
• No. of children receiving pre-school education
• Information on Nutrition and Health Education
• Home visits by AWWs, Supervisors and CDPOs/
  ACDPOs
• No. of AWCs visited by CDPO/ ACDPO/ Supervisors
• Joint visits of AWCs by CDPO/ ACDPO with MO and
  Supervisors with ANMs/ LHVs
• No. of AWCs where Mahila Mandal constituted
• Health check-ups by ANM/ LHV/ MO
• No. of children referred to PHC/ CHC/ Sub-centre
• Immunization Status of Children and Pregnant
  women
• No. of SC/ ST beneficiaries of supplementary
  nutrition

7
MONITORING contd

• Existing Monitoring System
• Project/ Block Level
• CDPOs MPR/ HPR have been prescribed. These MPRs/
  HPRs captures all the information in MPR/ HPR of
  AWW.
• In addition, CDPOs MPR captures information on
• i) Sanctioned, in-position and vacancy position
  of ICDS functionaries
• ii) Various problems faced in implementation of
  an ICDS Project and
• iii) Project level supplies
• CDPO sends these MPR/ HPR to State Directorate of
  ICDS directly where District Programme Offices
  do not exist. In other projects, MPR/ HPR are
  routed through District Programme Officer. These
  MPR/ HPR are also received by GOI directly from
  CDPOs.

8
MONITORING contd

• Existing Monitoring System
• State Level
• State level block-wise consolidated MPR in
  Format-I II have been introduced (Vide Order
  F.No. 16-1/96-ME dt. 13.4.1999). All States have
  been requested to send block-wise consolidated
  MPR by 17th day of the following month
• States have also been requested to issue
  necessary instructions to CDPOs not to send the
  MPR/ HPR directly to GOI (vide F.No. 16.1.2004-ME
  dt.02.11.2004)

9
MONITORING contd

• Existing Monitoring System
• Central level
• Following data is collected on monthly basis
• sanction and operationalisation of ICDS Projects/
  AWCs
• Sanctioned and in-position ICDS functionaries
• details of population covered under ICDS
• beneficiaries of supplementary nutrition
• beneficiaries of pre-school education and
• nutritional status of children
• Supply of pre-school medicine kits
• Health Component
• By Ministry of Health Family Welfare
  Anganwadi
• specific data, however, is not available

10
MONITORING contd

• Existing Monitoring System
• Central level
• Monitoring of Social Component of ICDS NIPCCD
  (discontinued)
• Monitoring of health component - Central
  Technical Committee (CTC) (discontinued)

11
MONITORING contd.

• Proposed Monitoring System
• From 2005-06, thrust of the GOI has shifted from
  outlays to outcomes. The following indicators
  have been identified for monitoring
• No. of Operational Projects
• No. of operational AWCs
• No. of beneficiaries of supplementary nutrition
• No. of functionaries trained (job/ refresher
  training)
• No. of children (3-6 years) receiving
  pre-school education
• Nutritional Status of Children
• Joint Monitoring of ICDS RCH Programme at
  Central/ State/ District and Blocks level
• Revision of MIS formats
• Revival of monitoring of social component
  through NIPCCD

12
MONITORING (contd .)

• Proposed Monitoring System
• Three Tiered monitoring
• Community based monitoring by involving select
  Institutions like mothers committees, Mahila
  Mandal, Health Sanitation Committee of Village
  Panchayat etc.
• Continuous monitoring through MIS
• Monitoring Supervision through Supervision
  Missions/ external agencies

13
MONITORING (contd .)

• Proposed MIS Formats
• A Sub Group under the Chairmanship of Joint
  Secretary (CD) have been constituted on 15.9.2004
  to propose the revise formats and place the same
  for the Core Group.
• Two meeting of Sub Group were held on
  30.9.2004-1.10.2004 and 28.4.2005.
• The proposed MIS formats based on the sub-group
  meetings was put on web page of the department
  and all the States were requested to send
  comments by 8.3.2005.
• Three States i.e. Govt. of NCT of Delhi, Orissa
  and Uttaranchal have sent the comments

14
MONITORING (contd .)

• Proposed MIS Formats
• Department has constituted a Core Group under the
  Charipersonship of Secretary (WCD) on 13.9.2004.
  The members of the Core Group are TA (FNB),
  Secretary of Orissa, Tamil Nadu, U.P., Rajasthan
  and Uttaranchal (F.No. 4-2/ 2004-ME dt.
  13.9.2004)
• The proposed MIS formats were placed before the
  Core group 10.8.2005. Based on the suggestions/
  comments, the proposed MIS formats were again
  circulated to all State Secretaries on 23.9.2005
  with a request to send comments by 15.10.2005.
• Ten States, H.P., Chandigarh, Haryana,
  Chhattisgarh, Orissa, Karnataka, U.P., T.N., West
  Bengal and M.P., have sent their comments/
  suggestions so far
• Based on the comments/ suggestions of the States,
  Proposed MIS Formats have been revised again

15
MONITORING (contd .)

• Difference between existing and proposed MIS
  Formats
• The proposed MIS capture information on
• Gender-wise, SC/ ST-wise number of beneficiaries
  for supplementary nutrition
• No. of children exclusively breast-fed vs. no. of
  children completed six months during the
  reporting month
• No. of children (0-3 years) received due dosage
  of immuniation vs. no. of children (0-3 years)
  requiring immunization (absolute no. of doses
  given to target group under immunization have
  been removed from the existing AWWs MPR/ CDPOs
  MPR)
• Major reasons for infant deaths, childhood deaths
  and maternal deaths on annual basis
• Availability of Medicine/ Pre-school kits at AWCs
• Infrastructure facilities at the AWC

16
MONITORING (contd .)
Difference between existing and proposed MIS
Formats The proposed MIS do not consists the
obsolete items like information on use of colored
strip at the AWC for nutritional status of
children etc. Position of UNICEF supplies (as
UNICEF supplies has been limited to few items now)
17
Proposed Monitoring System Continued.