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Madhya Pradesh
APIP 2012-13
Presentation by GoMP3/10/12
Annual Project Implementation Plan for ICDS
(APIP)
MADHYA PRADESH - Demographic ProfileArea (in sq.kms.) 308 thousand sq. K.M.
Population Census 2011 72597565
Male 37612920
Female 34984645
Scheduled Tribes 20.27 (Census 2001)
Scheduled Castes 15.17 (Cenus 2001)
Population (0-6 Years) 1.05 Cr
Development Blocks 313
Populated villages 54903
Gram Panchayats 23012
Literacy 70.6
Male 80.53
Female 60.02
Density of Population 236
Sex Ratio 930
Child Sex Ratio 9122
Health Indicators
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Madhya Pradesh INDIA
Current Status Current status
MMR 310(AHS 2010-11)
212 (AHS 2010-11)
IMR 62(SRS - 2011)
47(SRS - 2011)
U 5 MR 89(AHS- 2011)
98
TFR 3.2 (SRS 2010)
2.5(SRS 2010)
An Overview of ICDS Services
Total no. of Districts 50
Total no. of Blocks 313Total Projects ( ICDS ) 453Projects in Rural area 281Projects in Tribal area 99Projects in Urban slum 73Total no. of Anganwadi Centres 80160 (1231 newly
sanctioned AWCs)
Total no. of Mini AWCs 12070
Average no. of AWCs / project 174Additional no. of AWCs required for total 1.05 Cr children
20000
Facilities at AWCs (Infrastructure and Other facilities)
Total number of AWCs 78929
AWCs having their own buildings 22590 (28.2%)
AWCs functional in other Govt. buildings 16349(20.7%)
AWCs functional in other rented buildings 40266 (51.0%)
AWCs having toilet facilities 35457 (45.0%)
AWCs having electricity facility 24631 (31.2%)
AWCs having facility for drinking water 68617 (86.9%)
Service Outreach
Total Population of MP 7.25Cr.(2011)
Population of 0-6 yrs, Children,@ 14.5%
1.05 Cr
Eligible population 0-6 yrs to be enrolled 0.88 Cr (as per survey)
0.84 Cr (Actual enrolled)
Gap- 4.5%
Covered under ICDS (SNP) 0-6 yrs 0.72 Cr (86% of enrolled)
Gap- 14.3%
Population of P/L mothers @ 3 % of the total population
0.21Cr (Expected)
0.17 Cr (Enrolled)
Gap- 19.04%
Covered under ICDS(SNP) P/L 0.15Cr (Preg. and Lact.)
Gap- 11.8%
Total No. of Children Benefitted Under SNP 6 Months - 6 Years
7
In lacs
Total No. of Pregnant & Lactating Mother Benefitted under SNP
8
In lacs
9
% SNP Coverage 2006-2012
Status of Malnutrition - MPStatus of Malnutrition - MP
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60.7
27.3 32.7
51.9
19.832.1
TOTAL UNDERWEIGHT SEVERE UNDERWEIGHT MODERATE UNDERWEIGHT
NFHS III(2005-06) NIN Survey(2009-10)
Weight for Age – Underweight (0-5 years %)
11
12
SEVERE UNDERWEIGHT – STATE AVERAGE <19.8% ABOVE
AVERAGE
BELOW AVERAGE
35
12.6
22.425.8
8.3
17.5
TOTAL WASTING SEVERE WASTING MODERATE WASTING
NFHS III(2005-06) NIN(2009-10)
Weight for Height – Wasting (0-5 years %)
13
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SEVERE WASTING – STATE AVERAGE <8.3%
ABOVE AVERAGE
BELOW AVERAGE
Breastfeeding Indicator
0
10
20
30
40
50
60
70
80
Early Initiation Breast Feeding With in 1 hour
Execlusive Breast Feeding after 6
Months
13.321.6
26.4
7161.5
36.8
NFHS-III (05-06) NIN (09-10) AHS (10-11)
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ICDS – Challenges 100% Coverage of Children and Mothers (Universalization)
Opening of AWCs
Ensuring the presence of children and retaining them at AWCs
Growth Monitoring Ensuring proper distribution of breakfast , hot cooked meal & THR
Strategy for Community Based Care of SAM children
Capacity building
Monitoring & Evaluation
IEC& BCC Strategy 16
ICDS- Challenges
States Initiatives Mangal Diwas (community participation)
New WHO growth standard rolled out across the State
Mapping current nutritional status through NIN
Developed about 7000 AWCs across the State on BalA pattern to attract community and Children in collaboration with RSK
Reference manual for AWWs in collaboration with IGNOU and ECCE manual in collaboration with RSK
Setting up of 273 NRCs and 55969 SAM children have been rehabilitated (April 2011- March 2012), all blocks will be covered with NRC facility
Scaling up Sick New Born Care Units
Atal Bal Mission 17
Reducing U5MR from 94.2 to 60 per thousand live births by 2015
Reducing the percentage of underweight children under five years from 60% to 40% by 2015 and further from 40% to 20% by 2020
Reducing prevalence of SAM in children under 5 years from 12.6% to 5% by 2015 and to negligible by 2020
ABM Goals
• To fill in the gaps primarily in the State Health and Nutrition programs, including ICDS.
• To undertake evidence based pilots with a view to scale up on the basis of results.
• To serve as a platform for Convergence of Various Schemes of Different Departments.
• To promote decentralized planning through District Specific Action Plans.
ABM Strategy
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Decentralized planning by districts including following key
components -
•Provision of additional nutritious diet to SUW Children besides
SNP.
•Convergent Bottom-up Planning
•Capacity building of frontline workers revamped
•Community involvement through Atal Bal Mitra Yojana
•Culture-specific BCC initiatives
•Concurrent Monitoring and Evaluation
ABM - Key Components included in DAP
• Strengthening of MCTS• Linkage with Growth Monitoring and Health
services through MCP cards• Skill Enhancement trainings• Joint supportive supervision• Developing linkages between MIS of Health and
WCD for improved tracking of malnourished children
• Village wise online data capture of SAM Children
Convergent Efforts
Major Activities Proposed in APIP 2012-13• Human Resources i.
ii. Proposing a technical team of consultants (Nutrition,MIS,M&E) for
better implementation of the program both at State level as well as ICDS project level
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Level Sanctioned Position Filled in position Vacant
State level 98 98 0
District level 231 198 73
Block level 2673 1899 794Sector level
(Supervisors) 3157 2728 429
AWW 80160 77086 3074
AWH 80160 76188 3972
Mini AWW 1270 1270 0
• Procurement:i. Medicine Kit & Pre School Education will be supplied to all the AWCs
including Mini AWCs. ii. Equipments and supplies to strengthen field offices (From State to
Project office)iii. Essential supplies to AWCs (Weighing machines, MUAC, growth
monitoring charts, registers and storage boxes)
• Nutrition and Health Education i. Strengthening Village Health and Nutrition Days.ii. Observance of Special Days and weeks (Women’s day, Nutrition week,
Breastfeeding week etc).iii. Tracking of food commodity being distributed under SNP
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Major Activities Proposed in APIP 2012-13
• IECi. Use of Audio-video channels for mass awarenessii. Observance of important days and communication campaigniii. Capacity Building of staff on IEC, IPC etciv. Special IEC strategy for high burdened districts
• Monitoring and Evaluation:- i. Assessment of nutritional status of under five children were done by NIN
during 2012-13ii. Strengthening of Web enabled MISiii. Third party concurrent monitoring will be doneiv. Strengthening of supportive supervision at all levelv. Tracking of severely under weight children
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Major Activities Proposed in APIP 2012-13
• Capacity Buildingi. Assessment and filling of position as per norms (all MLTCS and
AWTCs).ii. Establishing State training cell dedicated exclusively for trainings. iii. Roll out of new MIS across the state after training of ICDS
functionariesiv. Regular training of ICDS functionaries v. Renovations and establishing one new MLTC and 16 AWTCs with
the support from Development Partners.
• New Initiatives to strengthen ICDS i. Orientation for Community Participation in ICDS programii. Appointment of additional AWWs in selected AWCsiii. Mobile tracking system for program activities iv. GIS mapping of AWCs are in the process
Major Activities Proposed in APIP 2012-13
Budgetary allocation and expenditure on SNP during 2008-2012 (in Rs. Lakhs)
Financial Year Budget
allocationActual
Expenditure % Utilization
2008 – 2009 27121.42 26388.69 97.29
2009 – 2010 56903.49 52215.22 91.76
2010 – 2011 92697.77 89736.40 96.81
2011-2012 90200.00 89365.76 99.07
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Physical Targets and Financial Estimates
S.N. Program Components
Intervention/ Activities Unit Norm Physical Financial
(Rs. Lakhs)
1 Human Resources
Filling of vacancies Targets
State level 98 100%
District level 231 (73 vacant) 100%
Block level 2673 (794 vacnt) 100%
Sector level (Supervisors)
3157 (429 vacant) 100%
AWC level
80160 AWW (3074 vacant)80160 AWH(3972 vacant)12070 AWW(Mini AWC)
100%100%100%
Salary of ICDS staff State 98 436.62District 231 709.82Block/Sector 5860 14905.80
AWC 172390 45003.6
SUB- TOTAL-1 61055.8527
S.N. Program Components
Intervention/ Activities Unit Norm Time Line Physical Financial
(Rs. Lakhs)
2. Administrative cost
Rent/ Vehicle/Contingency
Rent
Rural/Tribal AWC 29517
Urban AWC 7875
Rs. 200/m 750/m
708.4708.75
Total 1416.8
Hiring of vehicles and POL
820.75
Contingency 714.1
SUB-TOTAL- 2 2951.65
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3.Supplementary Nutrition
Supply of SN to children, P & L women and AGs
Children 6 months- 6
yrs85,00,000 Rs. 4 x 300 102000 .00
P & L women
1410000 Rs. 5x 300 21150.00
Severe malnourished children
1.87,599 Rs. 6 x 300 3376.78
SUB- TOTAL -3 Note: 50% of cost of SNP to be borne by State 126526.78
Physical Targets and Financial Estimates
S.N. Program Component
s
Intervention/ Activities
Unit Norm Physical Financial(Rs. Lakhs)
4. Procurement
Supply of material & equipments (see table 4B.1 at page 37)
PSE kit 80160 0.01 lakh/ kit 801.60
Medicine kit 80160 0.006 lakh/ kit 480.96
PSE kit (Mini AWC) 12070 0.005lakh/kit 60.35Medicine kit (Mini AWC) 12070 0.003lakh/kit 36.21
Weighing scales Salter scale 23537 0.0075 / scale 176.52
Baby weighing scale 51787 0.01 lakh / scale 517.87
Adult weighing scale 45485 0.01 lakh / scale 454.85Computers/ Printers and UPS @ Rs. .50 lacs each
State-10District- 10Block -200
0.50 110.0
Almirah/ Storage box/ Utensils, equipment, etc State to Block 124.15
AWC level@ 0.05 lakhs for furniture 51231 AWC 0.05 2561.55
SUB TOTAL – 4 5324.06
Physical Targets and Financial Estimates
S.N. Program Components
Intervention/ Activities
Unit Norm Physical Financial(Rs. Lakhs)
5. Training and capacity building
Regular training (induction/ job/ Refresher
1110.35
MPR /MIS training for ICDS staff 1753.95
Exposure Visit 10.0
SUB – TOTAL- 5 2874.3
6. IECMangal Diwas 80160 AWCs 0.025 2004.0
IEC per AWCs /yr 80160 AWCs 0.01 801.60
SUB - TOTAL- 6 2805.6
7. Monitoring & Evaluation
Routine monitoring through MPR 80160 AWCs 0.005 400.8
Register, records etc. (80160 +12070 mini AWC)
.005 461.15
SUB TOTAL-7 861.9530
Physical Targets and Financial Estimates
S.N. Program Components
Intervention/ Activities
Unit Norm Physical
Financial(Rs. Lakhs)
8 Others
Uniform to AWW/AWH
80160 AWCs +80160
AWHs+12070 Mini AWWs / =172390
Rs. 425 / worker 681.36
Convergent workshops 50 districts 1.0 lakh /
distric 50.0
Flexi Fund for the AWCs 92230 0.01 922.3
Travel 2297.0
Office expense 620.0
Special initiatives :See details at item 4 K at page 60 of the report.
1.Orientation workshops for PRI Members 665.0
2.Appointment of additional AWWs at 11000 AWCs 643.50
4. Training of AWWs and Supervisors in Inter-personal communication 267.95
5. Tracking system for program activities 1202.4
SUB- TOTAL-8 7349.51
GRAND TOTAL 209749.7031
Physical Targets and Financial Estimates
Summary of Proposed Budget –APIP 2012-13
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S.N. Intervention/ ActivitiesProposed Budget
(Rs. Lakhs)
1 Human Resource (State to AWC) 61055.85
2
Administrative Cost ( Rent POL, Vehicle hiring, Computer, Furniture etc. 2951.65
3Supplementary Nutrition (Note: 50% of cost of SNP to be borne by State) 126526.78
4 Procurement 5324.06
5 Training and Capacity Building 2874.3
6 Information ,Education and Communication 2805.6
7 Monitoring and Evaluation 861.95
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Others (convergent workshops, Uniform for AWWs and AWHs, travel flexi fund for AWCs, office expenses and special initiatives like, workshops for PRI Members, Appointment of additional AWWs, IPC trainings and mobile tracking system)
7349.51
GRAND TOTAL 209749.70
Time line for Activities Proposed under APIP 2012-13
Activity Sub Activity Output Indicator Time line (Quarterly)
I II III IV
Human Resources
Assessment of Vacant positions at state, district, block, sector & AWC level
List of vacant positions ready
All Vacancies filled
Issuing directives to CDPOs for filling up the vacant positions of AWW/AWH with recommendations of Gram Sabha.
Directives issued
Advertise vacancies for supervisors, conduct test & hold selection (50% reservation for AWWs & 50% open)
Selection held
Advertise vacancies for CDPOs conduct test & Interview
Interview Conducted
Hold DPC for promotion of CDPOs to DPOs/DWCDO
DPC Held
Advertise vacancies for ASO/SA, conduct test & Interview
Interview Conducted
Appointment of additional AWWs in selected AWCs
Appointment made
Training & Honorarium to additional AWWs -Trainings completed
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Activity Sub Activity Output Indicator Time line (Quarterly)
I II III IV
Training & Capacity Building
Conduct Induction training for newly recruited AWWs & Helpers
Trainings CompletedNo. of AWWs & AWH trained
Training needs assessment for Job & Refresher training of AWW/Helper
Need assessment completed
Conduct Job & Refresher training of AWW/Helper as per STRAP
Trainings completed as per STRAP
No. of AWWs/AWHs trained
Preparation of training module & material on IPC
Module & Material prepared
All districts received the material
Development & printing of Flip books on IPC for AWWs
Flip book printedAll districts received the material
Training of Master trainers on IPCMaster Trainers
trainedNo. of Master trained
Training of trainers (supervisors) on IPC Supervisors trained No. of traines trained
Training of AWW on IPC AWWs trainedNo. of AWWs trained on IPC
Training of ICDS functionaries on MPR/MIS Training conducted No.of functionar
Exposure visit Exposure visit conducted
Best practices being rolled out
Organize orientation trainings for community opinion leaders(PRI, CBO, SMS, Mahila Mandal, SHG etc.)
Trainings of community opinion leaders organized
No. of functionaries trained 34
Time line for Activities Proposed under APIP 2012-13
Activity Sub Activity Output Indicator Time line
(Quarterly)
I II III IV
3) SNP
Processing procurement of SNP for AWCs (THR)
SNP Procured No. of districts received SNP
Monitoring of SNP quality, quantity, frequency & beneficiaries covered ( at different levels)
Improvement in coverage
Coverage increased by 10% of current status
Monitoring of third meal programme for Severely Underweight Children through tracking & routine monitoring system
Improvement in coverage
100% SAM children receive third meal
4) Pre- School Education
Ensuring 100% children of 3-6yrs are enrolled & attend PSE
Improvement in enrollment & attendance
100% children are enrolled & 10% increase in attendance from the current level
Community Monitoring of PSE Programme for quality & regularity
Community monitoring system established
No. of villages with community monitoring system established
Organization of Parent-AWW meet every month for creating awareness about PSE
System of Parent AWWs meet established
No. of AWCs which started organizing regular meeting with parents
35
Time line for Activities Proposed under APIP 2012-13
Activity Sub Activity Output Indicator Time line
(Quarterly)
I II III IV
Procurement
Procurement of PSE kit by DPOs as per purchase rules
Kits procuredNo. of AWCs received PSE kit
Procurement of Medicine kit by DPOs as per purchase rules
Kits procuredNo. of AWCs received Medicine kit
Place orders for procurement of Computers & Printers through LUN after finalizing the specifications at DWCD
Orders placedNo. of districts /blocks received supplies
5.4) Procurement of furniture & office equipments as per purchase rules
Procurement done
No. of districts /blocks received supplies
5.5) Assessment of requirement of serving utensils, boxes, dari, furniture etc for AWCs
Assessment of requirement made
No. of districts from where assessment received
5.6) Procurement of serving utensils, boxes, dari, furniture etc for AWCs as per purchase rules
Procurement done
No. of AWCs received supplies
IEC
Strengthen Mangal Diwas Programme
Mandal Diwas strengthened
No. of AWCs where all four Mangal Diwas are held regularly
Assess IEC needs & develop strategies & material
IEC strategy document developed
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Time line for Activities Proposed under APIP 2012-13
Activity Sub Activity Output Indicator Time line (Quarterly)
I II III IV
Monitoring & Evaluation
Linking of Mobile tracking monitoring system & referral of SAM children
Development & Printing of New MPR formats, Checklist, Registers
Material developedNo. of districts started using new MPR & formats
Others
Procurement of Sarees & badges to AWW & AWH
Procurement madeNo. of AWWs & Helpers received Sarees & badges
Organizing Convergence workshops for improved interdepartmental coordination with health, RD, Education, Tribal departments
Convergence workshops for interdepartmental coordination initiated
No. of districts started organizing convergence workshops
Strengthen NHED sessions in convergence with health department
NHED sessions strengthened
No. of NHED sessions organized as per the protocols 37
Time line for Activities Proposed under APIP 2012-13
I. Promotion of 14 ASOs to CDPOs, 7 APOs to CDPOs and 18 CDPOs to DWCDOs done, all the vacant post will be filled by March 2013
II. Procurement process of Pre-School Education Kit, Medicine Kit and uniform for AWWs and AWHs shall be completed by Jan.2013
III. Pilot for Community based management of SAM children is under consideration
IV. Pilot for providing one full meal to Pregnant and Lactating Women proposed
V. Training plan for induction of ICDS functionaries on revised MIS approved by GoI, and first SLMF training for three States being organized by MP
VI. Printing of reporting registers and formats are in the process and will be delivered to all projects by November 2012
VII. Project “SANJHA PRAYAS” in collaboration with Rural Development department in 20 -20 villages , of two blocks in two districts will be implemented soon on pilot basis.
An update . . .
THANKS
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