Title: Three Decades of Integrated Child Development Services :
1Three Decades of Integrated Child Development
Services An Appraisal
-A Presentation
2OBJECTIVES
- Assess the existing status of implementation of
ICDS in terms of coverage, out reach,
coordination, convergence, and innovations - Study the differences in implementation in
rural, urban tribal, NGO and WB projects - Identify gaps and problems in the implementation
of ICDS - Find out the perception of community and local
bodies and support extended by them - Ascertain inter-linkages of ICDS with other
development programmes and - Assess the benefits of ICDS on selected outcome
indicators
3 UNIVERSE SAMPLE SELECTION
Universe
- Sample was drawn only from blocks which were
operational as on 01- 04- 2000 i.e. 4200
projects 3177 rural, 273 urban and 750 tribal).
- For the Study, 150 ICDS projects are selected as
a sample i.e. roughly 4 of the total universe.
Sample
1st StageStratified Sampling Technique to decide
no. of projects statewise 2nd Stage
StratifiedPurposive ( Wherever, there was even
one project of rural, urban tribal category,
purposively selected). Selection of Districts
- Districts with maximum number of projects
selected Selection of Projects - Projects
with maximum number of AWWs selected Selection
of AWC villages - Randomly and at least from
two Supervisory circles Selection of
Beneficiaries - Randomly with the help of
AWCs record
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5TOOLS
- A-Interview Schedule for Beneficiaries No. per
AWC - Schedule for Pregnant Women 4
- Schedule for Nursing Mothers 4
- Schedule for Mothers of 6m-3yrs. Children 5
- Schedule for Mothers of 3-6yrs. Children 5
- Schedule for Women (15-45yrs) 5
- Household Schedule 23
- B-Schedule for obtaining information related to
support convergence - Schedule for Community Leaders
- i) Members of PRIs 1
- ii) School Teacher 1
- C- Observation Schedules
- CLCT( Child Learning Competency Test) 6
- Observation schedule for AWC 1
6Contd/-
- D-Schedule for the Functionaries
- No. of Schedule/Project
- Schedule for CDPOs 1
- Schedule for MO 1
- Schedule for Supervisor 2
- Schedule for LHV/ANM 1
- Schedule for AWWs 25
Total No. of Respondents41,842
7DATA QUALITY
- Measures taken
- Preparation of detailed Guidelines
- Preparation of Pre-coded Interview Schedules
- Orient. Workshop of NIPCCD Faculty Regional
Coordinators - Rigorous training to field staff
- Editing to detect errors omissions in entries
of the schedules - Data revalidation at the time of entry
validation with the help of Clipper software - Checked range/consistency of every coded
response - Manual checking of 10 entries
Computerization Analysis
- New Concept Information System a Delhi based
professional agency has been engaged for
Computerization and data analysis
8HIGHLIGHTS OF FINDINGS
9ICDS Over the Years - Infrastructure (at AWC
level)
Type of Building of AWCs
10ICDS Over the Years - Infrastructure (at AWC
level)
Availability of Equipment/ Kit in usable
Condition
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12Training Status ( trained)
D.N.A. Data Not Available
13Educational Qualification of AWWs ( age)
14ICDS Over the Years-Supplementary Nutrition
15Birth Weight of New Born Children
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18Disruption in Distribution of SN
19PSE, Health Check-up IFA to Children
20Place of Delivery (in percentage)
21Birth Attended By
22Percentage of Children Immunized
23Appraisal of ICDS Management Input Variables
- X1 of CDPOs in position
- X2 of Supervisors in position
- X3 of AWWs in position
- X4 of trained CDPOs
- X5 of trained Supervisors
- X6 of trained AWWs
- X7 No. of visit of CDPO
- X8 No. of supervisory visits
- X9 Coordination (as reported by CDPO) with
Health Department - X10 Average No. of days SN supplied
- X11 Availability of Weighing Scale
- X12 Availability of PSE Kit
- X13 Availability of NHEd Materials
- X14 Availability of Medicine Kit
Based on above Input Variables Projects are rated
as Very Good63, Good 71, Poor16, Total150
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25Appraisal of Output/Outcomes of Programme
- Y1 Observation Score of AWCs
- Y2 CLCT Score (Child Learning Competency Test)
- Y3 of Children under Normal category
- Y4 of Grade I Children
- Y5 of Grade II Children
- Y6 of Grade III and IV Children
- Y7 No. of 3-6 years children attending PSE
classes - Y8 No. of fully immunized (children)
- Y9 No. of fully immunized (pregnant women)
- Y10 Health check-up (No. of Women)
- Y11 Health check-up (No. of children)
- Y12 No. of NHEd sessions organized
- Y13 No. of Referral Cases
- Y14 No. of Pass out Children admitted to Primary
School
Based on above Output/Outcome Variables Projects
are rated as Very Good43, Good 86,
Poor21 Total150
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27Relationship Between Input, Output / Outcomes
Output / Outcomes (No. of Projects)
Input
28 29- Infrastructure
-
- a) No toilet facility 60 AWCs
- b) Unsatisfactory toilet facility 17 AWCs
- c) Non availability of Sub- 57 AWCs
- Centres
- d) Non-availability of
- - Indoor Space 48.5 AWCs
- - Outdoor 48.7 AWCs
- e) No separate space for 50.0 AWCs
- Storage
30- Equipments/Kits/Utensil
- a) Non-availability of Weighing 9.29 AWCs
- Scale
- b) Non-availability of learning kit 44.1 AWCs
- c) Non-availability of NHEd 37 AWCs
- materials/aids
- d) Non-availability of Utensils
- - For cooking 28.7 AWCs
- - For serving 33.6 AWCs
31- Coordination
- Non-existence of Coordination Committee at
Project level - Rural 20.0
- Tribal 28.1
- Urban 12.5
32- Services
- SN a) Disruption in supply (Av.days) 41.3 days
- b) Supply of Spoiled Food items 6.3
projects - c) LBW Babies 29.0
-
33- Health Check-up
- a) Health Check-up not done
- - 0-3 years children 43.9
- - 3-6 years children 53.3
- b) Children not receiving IFA Tablets
- - 6 months - 3 years 40.4
- - 3 - 6 years 35.2
- c) Children not immunized fully 34.0
34THANK YOU