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RAJIV GANDHI SCHEME FOR
EMPOWERMENT OF ADOLESCENT GIRLS (RGSEAG) ‘SABLA’
– THE SCHEME1
DEFINITION OF ADOLESCENT
WHO defines adolescents as individuals between the age group of 10-19 years
In India legal age of marriage is 18 years for girls and 21 years for boys
This scheme covers adolescent girls between the age group of 11-18 years
2
DEMOGRAPHIC PROFILE OF ADOLESCENT IN INDIA
According to Census , 2001
Adolescent Girls (11-18 years) constitute 16.75% of the total female population.
Female literacy rates are only 53.87%.
33% of the adolescent girls are undernourished
3
ADOLESCENT
A-adoption of healthy lifestyleD-develop appropriate IEC strategyO-organize adolescent friendly clinicsL-life skill training, legal supportE-educate about family life, safe sexS-safe, secure and supportive environment,
sensitization towards gender equalityC-clan spirit, courageous, confidenceE-enable, empower adolescents to be responsible
citizensN-nourish and nurtureT-training for income generation
4
WHY IS ADOLESCENCE A PERIOD OF SIGNIFICANCEIt is a significant period for physical, mental,
emotional and psychological growth
During this period, nutritional problems originating earlier can be partially corrected
It is a period to shape and consolidate healthy eating and lifestyle behaviour: preventing nutrition related diseases in future
5
EARLIER INITIATIVES BY GOVERNMENT
KISHORI SHAKTI YOJANA, 2000 aimed to improve the nutritional and health status of adolescent girls and to equip them to improve and upgrade their home-based and vocational skills
NUTRITION PROGRAMME FOR ADOLESCENT GIRLS (NPAG), 2002-03 identified 51 districts across the country to address the programme. Under this programme 6 kgs of free food grains per beneficiary per month are given to adolescent girls
6
OBJECTIVES OF SABLA SCHEME
1. Enable self-development and empowerment of AGs
2. Improve their nutrition and health status3. Spread awareness among them about health,
hygiene, nutrition, ARSH (Adolescent Reproductive and Sexual Health) and family and child care
4. Upgrade their home-based skills, life skills and vocational skills
5. Mainstream out of school AGs into formal/non formal education
6. Provide information/guidance about public services such as PHC, Post Office, Bank, Police Station
7
TARGET GROUP
The scheme covers all adolescent girls in the age group of 11-18 years under all ICDS projects under two categories:
1.11-14 years2.14-18 years
All out of school girls would assemble six days a week at AWC. Others school going girls would meet at the AWC at least twice a month and during vacation/holidays they will receive life skill education, nutrition and health education, awareness about other social-legal issues
8
SERVICES
1. Nutrition Provision2. IFA supplementation3. Health check-up and Referral Services4. Nutrition & Health Education5. Counselling/Guidance on Family Welfare,
ARSH, Child Care Practices and Home Management
6. Life Skill Education and accessing public services
7. Vocational training (for girls aged 16 and above) and skill development
9
NUTRITIONEach adolescent will be given 600 calories, 18-
20 grams of protein and micronutrients (approx. 1/3 of RDA) per day for 300 days in year
Supplementary Nutrition will be provided in the form of hot cooked meal or Take Home Ration (as feasible)
COST: Cost will be Rs. 5/- per beneficiary per day
10
IFA SUPPLEMENTATION
IFA tablets will be distributed to adolescent girls on Kishori Diwas
The state can procure these supplements if Health Department is unable to do it under the scheme
Adolescent girls will be given information on food fortification, dietary diversification and advantages of weekly supplementation for combating IFA deficiency by ANM/AWW
11
HEALTH CHECK-UP AND REFERRAL SERVICES
Kishori Diwas will be celebrated once in three months. On this day, a general health check-up will be done for all adolescent girls
Medical officer/ANM will provide de-worming tablets
Height and weight of the girls will be takenKishori cards will be prepared and
maintained by marking major milestone
12
NUTRITION AND HEALTH EDUCATION
Nutrition and health education will be given in AWC jointly by ICDS, health functionaries and resource persons/ field trainers from NGO’s
Objectives :Better health status of the girlLeading to an overall improvement in the family
healthBreaking the vicious integrated cycle of malnutrition
Education will include: safe drinking water, personal hygiene and sanitation, physical exercise, first-aid, balanced diet, increasing the nutrition value of locally available food, healthy cooking and eating habits, nutrition during various stages of life etc.
13
GUIDANCE ON FAMILY WELFARE, ARSH, CHILDCARE PRACTICES
AND HOME MANAGEMENT
This training will be provided at the AWC by the resource person from NGOs/CBO’s with the help of AWW, ASHA, ANM, and supervisor.
Age appropriate knowledge for 2 age groups of 11-14 and 14-18 years with respect to reproductive cycle, HIV/AID’s, contraception. Right age of marriage and pregnancy, child care and feeding practices will be imparted
14
LIFE SKILL EDUCATION AND ACCESSING PUBLIC
SERVICESLife Skill Education- deals effectively with the
demands and challenges of everyday life. The AGs will acquire knowledge and develop attitudes and skills which support and promote the adoption of healthy and positive behaviour in them
It will also include awareness talks and visits to public services and gathering information on the usage of it. The talks and visits will be arranged in collaboration with PRI members, NGOs, police personal, bank/post officials/health functionaries etc
15
VOCATIONAL TRAINING
It will be imparted to out of school girls above 16 years of age which will focus on non-hazardous income generating skills. Trades may include: book binding, health care, beauty culture, soft toys, mushroom cultivation, bio-fertilizers, repair and maintenance of watch, radio, TV etc.
The training will be given by Vocational Training Providers (VTPs) under various modules of National Skill Development programme (NSDP )
16
MODALITIES FOR IMPLEMENTATION
1. Kishori Samooh: A group of 15-25 AGs will be formed at AWC headed by Sakhi and assisted by 2 Sahelis. Sakhi & Sahelis will be imparted training as per module to serve as peer educator for others
2. Training Kit: It will be provided at every AWC to assist AGs to understand various health, nutrition, social, legal issues by conducting activities. This kit will have games and activities so that girls enjoy while learning 17
3. Kishori Diwas: Kishori Diwas will be celebrated once in three months on this day a general health check-up will be done for all adolescent girls
4. Kishori Cards: This will be maintained at AWC which will contain information about weight, height, BMI, IFA supplementation, de-worming, immunization etc.
5. Personnel: CDPO will be in-charge of the implementation of scheme at the project level. At village level AWW will act as the facilitator of the scheme and would be assisted by AWH, Sakhi-Saheli and partnering NGOs/Community Base Organization(CBO)
6. Role of NGOs/CBOs: These institutes will be identified for imparting Nutrition and Health Education, Life Skill Education, Vocational Training etc.
18
PATTERN AND FUNCTIONAL
RESPONSIBLITYRGSEAG will be a centrally sponsored schemeMWCD will be responsible for budgetary control
and administration of the schemeAt state level, the Secretary of Department of
Women and Child Development/Social Welfare dealing with ICDS will be responsible for overall direction and implementation of the scheme
The scheme will be implemented through AWC which will be the focal point for the delivery of services. AWW will survey and register all adolescent girls and will advise them to come to AWC
The CDPO will be responsible for implementing the scheme at field level 19
COST OF THE PROJECT
Rs. 3.8 lakh per project per annum will be provided by Government of India to States/UTs that will include maintaining ARC, training kit, NHE, Life Skill Education, vocational training, IEC, Health Cards and Referral slips
20
MONITORING, SUPERVISION , RECORDS
and EVALUATIONMonitoring & Supervision: will be set up under
ICDS at national, state and community level
Records to be maintained: register has to be maintained at AWC by AWW with assistance of Sakhi/Saheli. The supervisor will randomly check records of girls for accuracy. Project wise physical and financial progress report on quarterly/annual basis will be consolidated by CDPO
Evaluation: may be carried out by states periodically to access the impact and take corrective measures
21
TRAININGCapacity building of ICDS functionaries
(CDPOs, Supervisors & AWWs ) for all round development of AGs will be carried out
Separate training modules for ToTs, ICDS functionaries and identified AGs (Sakhi/Saheli)
NGOs may be involved in training of Sakhi/ Sahelis
22
COMMUNITY INVOLVEMENT AND
AWARNESS GENERATION
Sensitization programmes for parents and adolescents (boys & girls), community may be taken up under IEC by involving NGOs/ Civil Society Organizations. This may be taken on Kishori Diwas
To achieve this, involvement of panchayats in improving the awareness level of the community would be desirable
23
ACTIONS TO BE TAKEN BY STATE GOVERNMENT
State/UT will be responsible for implementing the scheme through the ICDS set-up
Organize State/District and Project level workshop to introduce the scheme to the personnel of ICDS and functionaries of line Ministries/Departments
Increase awareness/generate publicity about the scheme by developing IEC material
Set up a systematic monitoring system for analysis, interpretation and corrective action at appropriate levels to assess the effectiveness of the scheme
24
25
List of Districts Covered Under RGSEAG-SABLAS..N
oState Name Districts
1. Andaman and Nicobar Island
Andamans
2. Andhra Pradesh Mahbubnagar, Adilbad, Anantapur, Visakhapatnam, Chittoor, West Godavari, Hyderabad
3. Arunachal Pradesh Papum Pare, Lohit, West Kameng, West Siang
4. Assam Dhubri, Darrang, Hailakandi, Kokrajhar, Karbi Anglong, Dibrugarh, Kamrup, Jorhat.
5. Bihar Katihar, Vaishali, Paschim Champaran, Banka, Gaya, Saharsa, Kishanganj, Patna, Buxar, Sitamarhi, Munger, Aurangabad.
6. Chandigarh Chandigarh
7. Chattisgarh Surguja, Bastar, Raipur, Raigarh, Rajnandgaon.
8. Dadra & Nagar Haveli
Dadra & Nagar Haveli
26
S.No. State Districts
9. Daman & Diu Diu, Daman.
10. Delhi North West, North East, East.
11. Goa North Goa, South Goa.
12. Gujarat Banas Kantha, Dohad, Kachchh, Panch Mahals, Narmada, Ahmadabad, Jamnagar, Junagadh, Navsari.
13. Haryana Kaithal, Hisar, Yamunanagar, Ambala, Rewari, Rohtak.
14. Himachal Pradesh
Chamba, Kullu, Solan, Kangra
15. Jammu & Kashmir
Anantnag, Kupwara, Kathua, Jammu, Leh (Ladakh).
16. Jharkhand Giridih, Sahibganj, Garhwa, Hazaribagh, Gumla, Paschimi Singhbhum, Ranchi
17. Karnataka Gulbarga, Kolar, Bangalore, Bijapur, Bellary, Dharwad, Chikmagalur, Uttara Kannada, Kodagu
27
S.No. State Districts
18. Kerala Malappuram, Palakkad, Kollam, Idukki
19. Lakshadweep Lakshadweep
20. Madhya Pradesh Sheopur, Rajgarh, Sidhi, Neemuch, Jhabua, Tikamgarh, Rewa, Bhind, Damoh, Indore, Sagar, Jabalpur, Bhopal, Betul, Balaghat.
21. Maharashtra Bid, Nanded, Mumbai, Nashik, Gadchiroli, Buldana, Kolhapur, Satara, Amravati, Nagpur, Gondiya.
22. Manipur Chandel, Senapati, Imphal West.
23. Meghalaya West Garo Hills, South Garo Hills, East Khasi Hills
24. Mizoram Lunglei, Saiha, Aizwal
25. Nagaland Mon, Tuensang, Kohima
26. Orissa Koraput, Gajapati, Mayurbhanj, Sundargarh, Kalahandi, Bhadrak, Puri, Cuttack, Bargarh
28
S.No.
State Districts
27. Pondicherry Karaikal
28. Punjab Patiala, Faridkot, Gurdaspur, Mansa, Jalandhar, Hoshiarpur.
29. Rajasthan Bhilwara, Jodhpur, Banswara, Udaipur, Jhalawar, Dungarpur, Bikaner, Jaipur, Barmer, Ganganagar
30. Sikkim North, East
31. Tamil Nadu Salem, Tiruvannamalai, Cuddalore, Ramanathapuram, Madurai, Tiruchirappalli, Coimbatore, Chennai, Kanniyakumari
32. Tripura West Tripura, Dhalai
33. Uttar Pradesh Shrawasti, Bahraich, Mahrajganj, Lalitpur, Agra, Sonbhadra, Sitapur, Mirzapur, Chandauli, Deoria, Chattrapati Shahuji Maharaj Nagar, Mahoba, Pilibhit, Rae Bareli, Banda, Farrukhabad, Bulandshahar, Saharanpur, Jalaun, Bijnor, Lucknow, Chitrakoot
29
S.No. State Districts
34 Uttaranchal Hardwar, Uttarkashi, Chamoli, Nainital.
35 West Bengal Maldah, Puruliya, Nadia, Koch Bihar, Jalpaiguri, Kolkata.
30
Indira Gandhi Matritva
Sahyog Yojana
(IGMSY) -a Conditional Maternity
Benefit (CMB) Scheme
31
Status Of Pregnant and lactating women
•The condition of pregnant women belonging to
poor and economically deprived families is
Vulnerable
•Women continue to work up to the last days of
pregnancy and again resume it just after
delivery
•High levels of under nutrition and anaemia in
adolescent girls and women
32
• Under nutrition adolescent girls and women
results in increased susceptibility to infections,
slow recovery from illnesses, cumulative
growth and development deficits leading to
reduced productivity and a heightened risk of
adverse pregnancy outcomes for women
• Woman’s nutritional status has important
implications for her health as well as the
health and development of her children
33
• The pregnant and lactating mothers require
greater nutritional support, access to health
care services, enhanced food and nutrient
intake, family care, skilled counselling support
and a hygienic environment
• Therefore, it requires multi-sectoral, concerted,
convergent and supportive actions
34
OBJECTIVES
To improve the health and nutrition status of
pregnant, lactating women and infants by:
•Promoting appropriate practices, care and
service utilization during pregnancy, safe delivery
and lactation;
•Encouraging women to follow (optimal) IYCF
practices including early and exclusive
breastfeeding for the first six months;
•Contributing to better enabling environment by
providing cash incentives for improved health
and nutrition to pregnant and nursing mothers
35
TARGET GROUP
Pregnant Women of 19 years of age and above for first two
live births (benefit for still births will be as per the norms of
scheme)
All Government/PSUs (Central & State) employees will be
excluded from the scheme as they are entitled for paid
maternity leave.
36
SERVICES
• Cash transfer is provided to all pregnant and
lactating women in selected districts/blocks to
contribute towards supporting health and
nutritional needs of pregnant and lactating
mothers
• Contributes to partly compensate the woman
for the wage loss that she might incur while
caring for herself and the child
37
• Increase the demand for mother and child
health services by providing incentives based
on fulfillment of specific conditions relating to
mother and child health and nutrition
• Each pregnant and lactating mother will
receive a total cash incentive of Rs. 4000/-
between the second trimester till the child
attains the age of 6 months, subject to certain
conditions
38
Cash
Transfer
Conditions Amount
(In Rs.)
Means of
Verification
First (at
the end
of
second
trimester)
· Registration of Pregnancy
at AWC /
health centres within 4
months of
pregnancy
· At least one ANC with IFA
tablets and
TT
· Attended at least one
counselling
session at AWC / VHND
1500 Mother & Child
Protection Card
reflecting registration
of pregnancy by
relevant AWC/
Health
Centres and counter
signed by AWW
39
Second
(3
months
after
delivery)
· The birth of the child is
registered.
· The child has received:
_ OPV and BCG at birth
_ OPV and DPT at 6 weeks
_ OPV and DPT at 10 weeks
· Attended at least 2 growth
monitoring
and IYCF counselling
sessions within
3 months of delivery.
1500 Mother & Child
Protection Card,
Growth Monitoring
Chart and
Immunization
Register
*will also be
available for still
births and
infant mortality.
Cash
Transfer
Conditions Amount
(In Rs.)
Means of
Verification
40
Cash
Transfer
Conditions Amount
(In Rs.)
Means of
Verification
Third (6
months
after
delivery)
· Exclusive breastfeeding for six
months
and introduction of
complimentary
feeding as certified by the
mother
· The child has received OPV
and third
dose of DPT
· Attended at least 2 growth
monitoring
and IYCF counselling sessions
between 3rd and 6th months of
delivery.
1000 Self certification,
Mother & Child
Protection Card,
Growth Monitoring
Chart and
Immunization
Register
41
S..No State Districts
1. Andaman and Nicobar Island
South Andaman
2. Andhra Pradesh West Godavari, Nalgonda
3. Arunachal Pradesh Papum pare
4. Assam Kamrup, Goalpara
5. Bihar Vaishali, Saharsa
6. Chandigarh Chandigarh
7. Chattisgarh Dhamtari, Bastar
8. Dadra & Nagar Haveli
Dadra & Nagar Haveli
9. Daman & Diu Diu
10. Delhi West, North West
11. Goa North Goa
12. Gujarat Bharuch, Patan
List of Districts Covered Under IGMSY
42
S.No. State Districts
13. Haryana Panchkula
14. Himachal Pradesh Hamirpur
15. J & K Kathua, Anantnag
16. Jharkhand East Singh Bhumi, Simdega
17. Karnataka Kolar, Dharwad
18. Kerala Palakkad
19. Lakshadweep Lakshadweep
20. Madhya Pradesh Chindwara, Sagar
21. Maharashtra Bhandara, Amravati
22. Manipur Tamenglong
23. Meghalaya E.Garo Hills
24. Mizoram Lawngtlai
25. Nagaland Kohima
26. Orissa Bargarh, Sundargarh
43
S.No. State Districts
27. Pondecherry Yanam
28. Punjab Amritsar, Kapurthala
29. Rajasthan Bhilwara, Udaipur
30. Sikkim West Sikkim
31. Tamil Nadu Cuddalore, Erode
32. Tripura Dhalai
33. Uttar Pradesh Sultanpur, Mahoba
34. Uttarakhand Dehradun
35. West Bengal Jalpaiguri, Bankura
44
THANK YOU
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