toolkit: operational guidelines for multi sector ...€¦ · cpmu central program management unit...

1

Toolkit: Operational Guidelines for Multi

Sector Convergent Action Plan

Development and Monitoring

Submitted by

IPE Global Limited

Pub

lic D

iscl

osur

e A

utho

rized

Pub

lic D

iscl

osur

e A

utho

rized

Pub

lic D

iscl

osur

e A

utho

rized

Pub

lic D

iscl

osur

e A

utho

rized

2

List of Abbreviations

ANC Ante-natal care

ANM Auxiliary Nurse Midwife

APIP Annual Program Implementation Plan

ASHA Accredited Social Health Activist

AWC Anganwadi Centres

AWW Anganwadi Workers

BCAP Block Convergence Action Plan

BCC Block Convergence Committee

BEO Block Education Officers

CAP Convergence Action Plan

CAS Common Application Software

CDPO Child Development Project Officers

CMO Chief Medical Officer

CPMU Central Program Management Unit

DCAP District Convergence Action Plan

DCC District Convergence Committee

DM District Magistrate

DPO District Program Officer

DRDA District rural Development Authority

GO Government Order

HMIS Health Management Information System

ICDS Integrated Child Development Scheme

IFA Iron and Folic Acid

IIPS International Institute of Population Sciences

IMR Infant Mortality Rate

ISSNIP ICDS Systems Strengthening and Nutrition Improvement Program

JSY Janani Suraksha Yojana

LFM Log-Frame Matrix

MCTS Mother & Child Tracking System

MGNREGS Mahatma Gandhi National Rural Employment Guarantee Scheme

MIYCN Maternal Infant and Child Nutrition

MMR Maternal Mortality Ratio

MoCAFP&D Ministry of Consumer Affairs, Food & Public Distribution

MoDWS Ministry of Drinking Water & Sanitation

MoH&UA Ministry of Housing & Urban Affairs

MoHFW Ministry of Health and Family Welfare

MOIC Medical Officers In-Charge

MoRD Ministry of Rural Development

MoWCD Ministry of Women and Child Development

NFHS National Family Health Survey

NHM National Health Mission

NIPCCD National Institute of Public Cooperation and Child Development

NNM National Nutrition Mission

PDS Public Distribution System

3

PMSMA Pradhan Mantri Surakshit Matritva Abhiyan

SBCC Social Behavior change communications

SCAP State Convergence Action Plan

SCC State Convergence Committee

SDM Sub Divisional Magistrate

SDO Sub-Divisional Officer

SHG self-help groups

SPMU State Programme Management Unit

SRG State Resource Group

TT Tetanus Toxoid

VHND Village Health and Nutrition Day

4

I. Introduction:

The POSHAN Abhiyaan aims at reducing malnutrition, adopting a convergent, life-cycle and results

oriented approach. It focuses on adolescent girls, pregnant women, lactating mothers and children from

0 to 6 years of age. The first 1000 days of a child are the most critical in addressing undernutrition,

which includes the nine months of pregnancy, six months of exclusive breastfeeding and the period

from 6 months to 2 years with adequate complementary feeding. Timely interventions during this period

also contribute to improvements in birth weight and reduction in both Infant Mortality Rate (IMR) and

Maternal Mortality Ratio (MMR). An additional one year of sustained intervention (till the age of 3

years) would ensure that the gains of the first 1000 days are consolidated. And continued attention to

children in the age group of 3-6 years would contribute to their overall development. While several

services aimed at improving undernutrition are delivered through the Integrated Child Development

Scheme (ICDS) program or Anganwadi Centres (AWCs), the role of other programs is equally relevant.

Health care, water, sanitation, hygiene, mother’s education, poverty, are among some of the critical

factors that contribute to improved nutrition, and ensuring that all these services converge on a

household is essential for reducing undernutrition in the country.

A key pillar of the POSHAN Abhiyaan is convergence of all nutrition related schemes on the target

population. These include programmes such as the ICDS, Pradhan Mantri Matru Vandana Yojana,

Scheme for Adolescent Girls of MWCD; Janani Suraksha Yojana (JSY), National Health Mission

(NHM) of MoH&FW; Swachh Bharat Mission of Ministry of Drinking Water & Sanitation (DW&S);

Public Distribution System (PDS) of Ministry of Consumer Affairs, Food & Public Distribution

(CAF&PD); Mahatma Gandhi National Rural Employment Guarantee Scheme (MGNREGS) of

Ministry of Rural Development (MoRD); Drinking Water & Toilets with Ministry of Panchayati Raj

and Urban Local Bodies through Ministry of Urban Development.

These operational guidelines detail the approach adopted under the POSHAN Abhiyaan to bring about

this sectoral convergence for nutrition outcomes.

II. The Approach:

The POSHAN Abhiyaan will bring about convergence of various nutrition related schemes by

identifying and bringing under one framework key nutrition related interventions, indicators and targets

to be monitored and achieved by relevant line departments implementing the schemes. Convergence

committees will be constituted from the national to the village level to facilitate the operationalization

of this framework.

The role of these committees will primarily be three-fold.

a) Development of Convergent Action Plans in discussion with the related line departments; based

on issues, service delivery, gaps and interventions which have been identified and flagged as

indicators.

b) Monitoring and tracking progress along key indicators linked to these actions. (Pls. refer to the

Administrative Guidelines on National Nutrition Mission issued on February 26, 2018 which

provides details with a suggested list of key indicators to facilitate monitoring, evaluation and

identifying gaps).

c) Facilitating corrective actions based on periodic progress reviews and supporting line ministries

to address implementation gaps, where needed.

Policy-push for concerted planning efforts led by Convergence Committees provides an unparalleled

opportunity to facilitate a lasting and shared understanding amongst key ministries and stakeholders

on the importance of nutrition and its centrality in determining overall human development.

5

Convergence towards under the POSHAN Abhiyaan is focused on improving the service delivery and

bringing a renewed focus in responding to the malnutrition. The primary purpose of monitoring and

reviewing progress against identified multi-sectoral/multi-program actions and indicators will be to

support better and effective delivery of nutrition related interventions to the targeted beneficiaries. In

playing this role, the Committees will not impinge on the operational authority of any of the

participating Ministry/Department or Autonomous body. During this process of convergent action

planning and review, if the Committees identify a critical gap, they will have the authority to provide

funds to the relevant department from the POSHAN Abhiyaan to initiate interventions to address these

gaps. These gaps could either be a financing gap for an existing intervention, an intervention which is

relevant for nutrition but missing from the action plan, or an innovation that the state wants to undertake

to address the nutrition challenge.

III. Constitution of Convergence Committees

The Government has set-up mandatory institutional coordination structures and mechanisms such as

the convergence committees at the state, district and block levels integrating different Ministries and

line departments. At the National Level, convergence is addressed through the National Council under

the Chairmanship of the Vice-Chairman, NITI Aayog and the Executive Committee under the

Chairmanship of the Secretary, Ministry of Women & Child Development. Both Committees have

representation from all aligned Line Ministries, Partners, selected States and Districts. These

Committees are scheduled to meet every 3 months. A progress report is to be submitted to the Hon’ble

Prime Minister every 6 months.

The constitution of the convergence committees under POSHAN Abhiyaan will be as follows. (Pls.

refer to the Administrative Guidelines on National Nutrition Mission issued on February 26, 2018 which

details the constitution of these Committees). Diagrammatic representation of the constitution of the

convergence committees are presented here: Figure 1: Constitution Of Convergence Committees, Responsible for Delivering Convergent Nutrition Action1

1 Toolkit: Operational Guidelines for Multi-Sector Convergent Action Plan Development & Monitoring

6

1. State Convergence Committee.

1. Senior Most Principal Secretary of Line Department Chairperson

2. Secretary, Planning Member

3. Secretary, Finance Member

4. Secretary, Drinking Water and Sanitation Member

5. Secretary, Health and Family Welfare Member

6. Secretary, Rural Development and Panchayati Raj Member

7. Secretary, Education Member

8. Secretary, Food and Civil Supplies Member

9. State Mission Director, NHM Member

10. State NIPCCD Representative Member

11. Secretary, Women and Child Development Member

12. Director, Women and Child Development Member-Secretary

7

2. District Convergence Committee.

1. District Magistrate/District Collector Chairperson

2. Chief Executive Officer, Zila Parishad/DRDA Member

3. Sub-Divisional Magistrate Member

4. Chief Medical Officer, Health and Family Welfare Member

5. District Program Manager, NHM Member

6. District Education Officer Member

7. District Planning Officer Member

8. District Social Welfare Officer Member

9. District officer, Rural Development/Rural Livelihoods

Mission

Member

10. District officer, Water and Sanitation Member

11. District officer, Food and Civil Supplies Member

12. District Program Officer, ICDS Member-Secretary

3. Block Convergence Committee

1. Sub- Divisional Magistrate Chairperson

2. Block Development Officer Member

3. Block Medical Officer Member

4. Panchayat Samiti Chairperson Member

5. Block Education Officer Member

6. Block Social Welfare Officer Member

7. Block officer, Rural Development/Rural Livelihoods Member

8. Block officer, Water and Sanitation Member

9. Block officer, Food and Civil Supplies Member

10. Child Development Project Officer, ICDS Member-Secretary

IV. Convergence Action Plan Framework

The primary goal of the POSHAN Abhiyaan is to bring down stunting in children 0-6 years of age from

38.4% to 25% by the year 2022. Achieving this outcome requires improvement along multiple

dimensions among the target population – which is pregnant and lactating women and children up to 6

years of age.

The determinants of malnutrition are multi-sectoral and not just limited to immediate causes of

inadequate food intake and diseases. Thus, the response to fighting malnutrition must address the

8

underlying causes of household food insecurity,

maternal and child health practices, access to

health care services, availability of clean

drinking water, proper sanitation, and socio-

cultural inequities such as gender and caste.

A framework outlining the key interventions

and corresponding critical indicators addressing

these dimensions is provided in Annex 1.

Convergence Committees will be expected to

use this framework to track these key

interventions and their progress. In addition to

the key essential interventions outlined below,

committees will have the flexibility to add

additional interventions, draft corresponding

monitoring indicators and mechanisms to track

progress. Progress will be monitored quarterly at

the state level and monthly at the district and

block level.

The Committees will try and identify reasons for implementation gaps and provide both guidance and

necessary support to the relevant line departments to address these issues. Clear corrective actions will

be documented during the reviews and shared with the relevant line department for their follow up and

action.

9

V. Guideline for facilitation among the participants of the Convergence Committees

This guideline responds to the need for establishing a mechanism to facilitate discussion across sectors

from a nutrition perspective. Such a discussion can help clarify roles and provide a coordinated, unified

approach at the block, district and state levels. As a pioneering attempt within the ICDS system to

converge towards improved nutrition this guideline seeks to clarify the process of multi-sectoral

engagement. The CAP framework has identified the activities and indicators based on the existing

services that contribute towards improved nutrition. The CAP requires program managers to set targets

for the key indicators, identify bottlenecks, plan activities, and define monitoring mechanisms across

the key thematic areas. The facilitation process provides an opportunity to build capacities of program

managers and provide handholding support to in the development of CAP.

Many of the determinants affecting nutrition vary according to geographic and cultural differences

between districts and between blocks of a district. Local staff often have an intrinsic understanding of

these differences and can collectively highlight differences across villages about the most important

factors that may be contributing to undernutrition. The discussion might be centered around the

following five determinants of undernutrition on a life course, including adolescents, pregnant and

lactating women, and children 0-6 years.

• First, food has to be available. Without food, mothers cannot follow appropriate feeding

behaviors.

• Available food must be affordable. Malnutrition is strongly associated with poverty, and many

families live in poverty. Improving household purchasing capacity is challenging, but can

result in improving the family’s ability to provide adequate nutrition. The social welfare sector

(eg Ministry of Rural Development) is in a position to improve a households’ economic

situation, which when seen through a nutrition ‘lens’ can improve mother and child nutrition.

• Feeding behaviors must be appropriate when food is available and affordable. Families must

understand the importance of good nutrition and make the best choices with regard to

breastfeeding and complementary feeding, and for optimizing dietary diversity. Traditionally

the health sector works on improving these specific behaviors, though all sectors could

reinforce key messages.

• Food must be of optimal quality. It must have enough micronutrients, must have adequate

protein, and must be hygienic and safe. Micronutrients are addressed in many ways, including

supplementation (as in vitamin A or micronutrient ‘sprinkles’) and fortification (usually for

iron). However, the longer-term solution is to optimize the diet, which all sectors can contribute

to.

• Finally, infection needs to be minimized so the body properly utilizes food ingested. Both acute

and chronic infection reduce the body’s ability to absorb critical nutrients, and this may be a

critical issue. The health and water and sanitation sectors have the technical capacity to

improve this situation.

The objective of this is to stimulate discussion on the determinants affecting a given area across all

sectors in order to define ways in which each sector can contribute to improving the indicators as

highlighted in the CAP framework. This will help to clarify and coordinate roles and responsibilities

for each sector, under direction from the convergence committees. It will provide a mechanism for

developing an annual convergent action plan for nutrition, and a multisectoral strategy to reduce the

risk from all determinants.

The following steps outline an approach for supporting convergence committees to develop CAP:

• Introduce, sensitize and orient to establish the nutrition CAP framework as a vehicle for

discussion among the sectors represented in the convergence committees, chaired by the

relevant person

• Provide guidance to various sectors on reviewing available data to clarify the causes of

undernutrition

10

• Provide an approach for multisectoral convergent action plan designed to address the main

determinants contributing to undernutrition

A step wise facilitation guide is provided below to support the States and districts in developing their

CAPs in time.

STEP 1: State Level Orientation and Sensitization Consultation

A. Preparation/Requirements prior to State Level consultation

• Government Order (GO) from State ICDS Director (Nodal/Convening Authority) to all district

(District Magistrate) to ensure that the District and Block Level convergence committees are

formed and in place. The convergence committees should be formed by July-August. The GO

should set a date for State Level Consultation providing Districts time to prepare and ensure

participation.

• ICDS Director to oversee the development of the format for CAP development with

identification of key thematic areas and indicators based on the status of malnutrition in the

State.

• ICDS Director to oversee the development of an agenda, sessions plan with PPTs etc. required

for the consultation under the guidance of the Central Program Management Unit (CPMU)

under POSHAN Abhiyaan & MWCD and development partners working in the State in

nutrition sector.

B. Organizing a state level sensitization workshop.

• This workshop should be concluded between the months of August- September. This would be

a half day workshop organized at the State ICDS Directorate.

• Convener: POSHAN Abhiyaan nodal agencies- Principal Secretary WCD, ICDS Director

• Participants: Principal Secretary Department of Women and Child Development (WCD), ICDS

Director, District Magistrates, Chief Medical Officers, District Immunization Officers, District

Education Officers and District Program Officer (DPO), ICDS from all districts, development

partners working in nutrition/health/livelihood/sanitation etc.

• Objectives:

I. Sensitization workshop on the objectives and process of Convergent Action Plans

FIGURE 2: CAP DEVELOPMENT PROCESS

11

II. ICDS Director to facilitate shared expectations and understanding across sectors about

nutrition action and need for multi-sectoral convergent planning based on the CAP

framework. (Refer Table 1 for a suggested session plan)

III. Sharing of format for CAP development

Table 1: Suggested Session Plan for State Level Orientation

Sub-Session Activity Methodology

Introduction and

sharing on progress

so far

Mention about the objective of the session

Experiences sharing on CAP process (if

conducted), learnings, voices from district

Interactive

Meaning and

significance of CAP

What do you understand by CAP?

Why is it required?

Who is responsible/accountable?

Participatory &

Lecture method to

sum up

Principles of CAP Discuss principles of developing CAP for

individual district/block

Log frame Approach- Inputs, Process,

Output, Outcome & Impact (Example of

one impact indicator & its analysis on

LFM)

Slide-1: Presentation

on Principles of

CAP

Slide-2: Log frame

Matrix

Understanding on

Interventions/

Programs/ Schemes

How to calculate Indicators? Numerator &

Denominator, Source of information

Lecture

Format of CAP

Planning

Detailed Thematic

Areas & Indicators

Presentation of final Format, Target,

Timeline and Indicators on key

interventions and cross cutting themes

PPT presentation on

CAP Indicators on

different themes and

format

Group Exercise on

selected Thematic

Indicators &

Presentation

Divide the participants into six (6) groups;

Ask the group to nominate one lead person

who will present the group discussion in

Gallery Presentation

Gallery Presentation

SPMU-NNM team

to facilitate the

group work (15 min.

for group work and

15 min.

presentation)

SWOT Analysis Open discussion moderated by ICDS

Director

Useful for framing

discussions at

“problem-solving”

and brainstorm steps

towards the vision of

NNM

Conclusion & Way

forward

Thanking the participants for patience and

talk about how to take it forward, next

steps and timeline etc

Lecture

• Outputs:

I. District Magistrates to nominate members from each required department to be part of

the CAP meetings. Innovative communication channels like a mobile whatsapp group

can be used to contact each other and to share updates and information on a regular

basis.

II. Clarity on CAP development process, roles and responsibilities of ICDS and allied

departments and preparations required for the same

III. Inform districts on the calendar of the planned activities, timelines and deadlines

12

STEP 2: Districts Level Orientation Consultation

A. Preparation/Requirements prior to District Level consultation

• District Magistrate to ensure that the Block level convergence committees are formed by the

month of August-September.

• Planning for the forthcoming financial year, it is important that the committee are convened in

the month of October-November.

• Government Order (GO) from District Magistrate to all block convergence committee members

(covering all blocks in the district)- Child Development Program Officers (CDPOs), medical

Officer In- Charge (MOICs), Sub-Divisional Officer (SDOs), Block Education Officer (BEOs)

and others informing them of the district level consultation. The GO should set a date for

Consultation providing blocks time (1 month) to prepare and ensure participation. The GOs for

district level orientation for Gaya and Sitamarhi is provided in Annexure 3.

• Under the leadership of District Magistrate, DPO-ICDS to oversee the development of an

agenda, sessions plan with PPTs etc. required for the consultation under the guidance of the

SPMU.

B. Organizing a district level sensitization workshop.

FIGURE 3: PLANNING FOR CAP DEVELOPMENT

• This workshop should be concluded between the months of October-November. This would be

a half day workshop organized at the District Collectorate.

• Convening at the district level, under the leadership of DM

• Participants: District Magistrate, Chief Medical Officer, CDPOs, MOICs, and DPO, ICDS from

all districts, representatives from allied departments, development partners working in

nutrition/health/livelihood/sanitation etc.

• Co-facilitation by State Resource Group (SRG) members to ensure that the consultation is

engaging and participative

• Objectives:

I. Sensitization workshop on the objectives and process of Convergent Action Plans

II. Sharing of format for CAP development

III. DPO ICDS along with Chief Medical Officer (CMO) and other senior managers from

allied departments to facilitate shared expectations and understanding across sectors

about nutrition action and need for multi-sectoral convergent planning based on the CAP

framework. (Refer Table 1 for a suggested session plan.)

IV. The consultation to be focused on “doing”, filling the formats with the baseline and

targets, clarity on sources of data, activities planned, bottlenecks and challenges faced in

implementation.

• Outputs:

13

I. Key Task: Review of the objectives, indicators and planning process, and gain consensus

on the specifics and use of the tool to facilitate prioritization of nutrition activities across

sectors

II. Clarity on CAP development process, roles and responsibilities of ICDS and allied

departments and preparations required for the same

III. Inform districts on the calendar of the planned activities, timelines and deadlines

STEP 3: Block Level Consultation for CAP development exercise

• Convene block convergence committee and based on the indicators listed, each sector provides

data to complete the profile, making recommendations for further data collection if needed

• Additional data can be added from district specific data sets (e.g. district surveys) (There should

be ample room to take this opportunity to improve nutrition data—by tapping on partner

interests, and developing some simple mechanisms for districts to collect supplemental data on

behaviors, and on variables that may need validation)

• Develop draft budget for the agreed upon activities. These activities should be able to be funded

from the sector budget (as a priority activity under their annual work plan) or through a budget

entitled to be allocated by the Convergence Committees.

• Based on identified gaps in existing CAPs, plan for each block would be developed to address

specific gaps;

▪ Financing gaps for existing intervention by redirecting funds or identifying additional

sources of funds with the line department or through POSHAN Abhiyaan

▪ Service delivery gaps to identify relevant interventions that may be missing from

existing plan and would help the block/district to scale-up operations to reach greater

number of beneficiaries

▪ Identify innovative interventions that address specific nutrition challenge and ensure

FIGURE 4: BLOCK LEVEL CAP DEVELOPMENT PROCESS

14

that the strategic objectives are addressed, to strengthen reach among the underserved

groups or address vulnerabilities of gender and socio-economic deprivation may be

identified by the block or district.

• For the block level, it is recommended that as a planning discussion to be done at sub-divisional

level under the chairmanship of Sub Divisional Magistrate (SDM). This group would include

4-5 blocks under the sub-division. Logistically as well as programmatically, it would support

“learning by doing” and “hand-holding” to all the blocks in the sub-division. Certain districts

have more than 15 blocks which poses a logistical challenge for the SDM to be present in each

individually.

STEP 4: Consolidation of District convergent Action Plan

• After the development of block level plans, these would be submitted and collated at the district.

• After collation the district coordinating committee will be reconvened to discuss, finetune and

finalize CAP for the districts and blocks. (Please refer Annexure 4 for feedback and review

meeting called by DM Gaya for finalization of DCAP).

• Gain consensus on the most important determinants affecting nutrition for the area; identify

any weaknesses or gaps in knowledge helping to make this determination

• Review would be guided by the national recommendations in the CAP section of the

Administrative Guidelines of the NNM to help guide sectors in choices of activities.

• Development of a monitoring plan and calendar for quarterly and six-monthly review of

implementation. For each sector activity, discuss how the convergence committees will know

if the activity has been implemented successfully—based on a monitoring plan. The monitoring

plan should include process, output and outcome indicators with details on the sources,

accountability and means of verification.

• Collation and finalization of draft budget for the agreed upon activities. These activities should

be able to be funded from the sector budget (as a priority activity under their annual work plan)

or through a budget entitled to be allocated by the Convergence Committees.

STEP 5: Review meetings

• Reconvene the committees as mandated by the NNM (either monthly or quarterly) to review

progress with each sector activities

• Review process data on implementation for each sector activity, identify challenges and

recommend corrective actions

• Generate a progress report for future use and submittal to higher levels

A multi-sector convergent action plan to be developed out of this exercise should be in the format as

exemplified in Annex 1and Annex 2.

Expected Outputs of the above series of consultations is articulated below;

1- Program Managers sensitized towards convergent action for improved nutrition

outcomes

2- Actionable CAP - Proposed activities to address barriers and challenges, and budget

3- Monitoring protocols for CAPs

15

FIGURE 5: CAP - ORIENTATION, DEVELOPMENT & APPROVAL PROCESS

16

VI. Convergence Action Plan Development and Approval Process:

All committees will use the framework outlined in Section IV for the development of the convergence

action plan (CAP). The

CAP will be developed for

the period of one year and

should be finalized and

submitted as part of the

Annual Program

Implementation Plan by

end January for the

subsequent year.

A bottom up planning

process will be adopted in

the development of the

CAP, with block CAPs

being consolidated to form

district CAPs, and further

consolidated to form the

State CAP. The detailed

plan development and

approval process is

outlined below:

Block Convergence Action Plan (BCAP): The Block Convergence Action Plan will be prepared by

the Block Convergence Committee chaired by Sub Divisional Magistrate (SDM). It will incorporate

inputs from all relevant line departments, who are also committee members. The BCAP will be finalized

by 15th of December for the subsequent year, approved by the SDM and submitted to the District

Convergence Committee.

The plan will be developed based on:

1. An assessment of the status of key interventions at the Block level as outlined in the CAP

framework outlined in Section IV

2. Data informing this assessment will be provided by the relevant Block officials of the line

departments, who will collate this information from their existing MIS and through information

provided by their field functionaries

3. Once block level baseline data is input into the framework an assessment of the gaps and lagging

interventions will be undertaken by the Block Convergence Committee Members

4. The Committee will discuss and identify specific reasons for these gaps, identify clear actions to be

undertaken by the Department to address these gaps and set quarterly and annual targets to be

achieved.

5. If addressal of identified gaps requires additional state funding or the committee feels the need to

add an additional intervention or innovation to strengthen efforts to achieve nutrition outcomes, the

committee will recommend the addition of the intervention and funding for this.

6. The BCAP will be approved by the SDM and submitted to the district convergence committee for

inclusion in the DCAP

We understand Convergent Action Plans (CAP) as an amalgamation/integration of the line department plans

that focus on nutrition action. The CAP would include the details on the interventions planned, responsibility,

budget, monitoring plan with indicators and timelines. In addition, an annexure for additional activities which

may not be funded but identified by the convergence committees would also be part of the CAP.

17

District Convergence Action Plan (DCAP): The District Convergence Action Plan will be prepared

by the District Convergence Committee chaired by DM/DC/Collector. It will converge, consolidate and

streamline all the BCAPs to form a DCAP. The DCAP will be finalized by 31st December for the

subsequent year, approved by the DC/DM and submitted to the State Convergence Committee.


1. An assessment of the status of key interventions at the District level as outlined in the CAP

framework outlined in Section IV

2. Data informing this assessment will be collated from the BCAPs and be re-validated by the relevant

District officials of the line departments

3. Once district level baseline data is input into the framework an assessment of the gaps and lagging

interventions will be undertaken by the District Convergence Committee Members.

4. The Committee will discuss and identify specific reasons for these gaps, identify the blocks which

are performing poorly and on which parameters, identify clear actions to be undertaken by the

Department to address these gaps and set quarterly and annual targets to be achieved.



committee will recommend the addition of the intervention and funding for this.

6. The DCAP will be approved by the DC/DM and submitted to the state convergence committee for

inclusion in the SCAP

State Convergence Plan (SCAP): The State/UT Convergence Plan will be prepared by the State

Convergence Committee chaired by the senior-most Principal Secretary of the line departments. It will

converge, consolidate and streamline all the DCAPs to form a SCAP, however will include an annexure

that details out district level plans, with district wise baseline information on key indicators as defined

in the CAP framework. The SCAP will form part of the Annual Programme Implementation Plan

(APIP) of the State/UT under the Anganwadi Services of Umbrella ICDS Scheme which shall be put

up to State Empowered Committee/Central level for approval. It will be finalized by 31st January for

the consequent year and submitted to MWCD for consideration and approval.


1. An assessment of the status of key interventions at the State level as outlined in the CAP framework

outlined in Section IV

2. Data informing this assessment will be collated from the DCAPs and be re-validated by the relevant

State officials of the line departments

3. Once state level baseline data is input into the framework an assessment of the gaps and lagging

interventions will be undertaken by the State Convergence Committee Members.

4. The Committee will review the identified reasons for these gaps (based on submissions in the

DCAP), identify districts and blocks which are performing poorly and on which parameters,

identify clear actions to be undertaken by the Department to address these gaps and set quarterly

and annual targets to be achieved.



committee will include the specific recommendation/intervention in the SCAP and include a

separate budget line for this.

6. The SCAP Committee will submit this approved plan as part of the Annual Program

Implementation Plan (APIP) to the MWCD for approval

7. On approval of the SCAP by the MWCD, the State Convergence Committee will ensure timely

administrative and financial sanction of the plan along with the associated budget and communicate

the same to the relevant line departments/districts.

8. It will further ensure release of funds to the relevant department for action/implementation of the

SCAP interventions

9. It will follow up with the concerned line departments to ensure that funds for implementation of the

outlined interventions have been released to the districts concerned, wherever required.

18

VII. Convergence Action Plan Monitoring Dashboard:

To make monitoring of the CAP easy and efficient, a web-based dashboard listing the key nutrition

indicators outlined in the CAP framework will be created. This will enable all committee members to

easily access and review progress along key CAP indicators. Line Departments will be expected to enter

data on this system at the relevant block, district and/or state level. The department’s own data will be

used to assess progress to avoid contestations regarding data sources. This will not only ensure

ownership of the process but also entrust the responsibility of moving the needle on these indicators on

the relevant line departments.

This web-enabled system will be developed by the MWCD and all States will be expected to adopt it

when operationalized. In the interim, the paper-based framework outlined above will be used for

reporting and monitoring progress along CAP indicators.

The State Convergence Committees will meet quarterly, while the District and Block Convergence

Committees will meet monthly to review progress along the key indicators and provide relevant

feedback and input to the line departments.

VIII. Innovation

The Administrative Guidelines of the National Nutrition Mission (NNM) encourages States/UTs to

submit proposals to MWCD for conducting some innovation pilots to improve nutrition outcomes. The

States/UTs would be required to make detailed presentations of their proposals to MWCD in

Consultation with NNM team. They must clearly mention its objective aiming at one or more clearly

indicated nutritional outcomes to be achieved or significantly bettered. The proposals should also

indicate the target group and the benefits the implementation of innovative pilot is likely to accrue to

them.

It is expected that during facilitation for developing convergence action plans, the committees

recommend some innovative activities which will help to address the identified gaps/challenges for

enhancing nutritional status of children, adolescents and pregnant and lactating mothers. Innovative

activities can be further discussed at the State level and a final proposal developed and submitted for

review to the concerned authority.

IX. Budgetary Allocation:

It will be as per the rules as laid down in the Administrative Guidelines of the NNM.

19

Appendix 1: Framework for Convergent Planning Depart. Interventions/

Services

Service

delivered

by

/through

Indicators to

track progress

Denominator Numerator Frequency Source Baseline

(%)

Quarterly/

Monthly

Progress

(%)

Remarks/

action

1. MWCD 1) Growth

Monitoring and

promotion

AWW

(ICDS)

% of children 0 to

3 years who were

weighed during the

previous month

Total number of

registered

children in 0-3

years on ICDS-

CAS

Number of children 0 to

3 years who were

weighed during the

previous month

Monthly Numerator-

ICDS-CAS;

Denominator-

ICDS-CAS

2) Breastfeeding

and

complementary

feeding

counselling

AWW

(ICDS)

and

ASHA

% home visits to

households with

children 0 to 24

months to counsel

on appropriate

IYCF

Total number of

households with

children 0-24

months

registered on

ICDS-CAS

Total number of

households with

children 0 to 24 months

where primary care-

giver/mother received

counsel on appropriate

IYCF

Monthly Numerator-

ICDS-CAS;

Denominator-

ICDS-CAS

3) Counseling on

nutrition during

pregnancy

AWW

(ICDS)

and

ASHA

% home visits to

household with

pregnant mothers

to counsel on

appropriate

practices during

pregnancy

Total number of

registered

pregnant women

on ICDS-CAS

Total number of home

visits to household with

pregnant mothers that

received counseling on

appropriate practices

during pregnancy

Monthly Numerator-

ICDS-CAS;

Denominator-

ICDS-CAS

4) Take home

rations for

pregnant and

lactating women

and children

under 3

AWW

(ICDS)

% PLW and

children under 3

who received

mandated THR in

the previous month

Total number of

eligible

beneficiaries

registered on

ICDS- CAS

Number of PLW and

children under 3 who

received mandated

THR in the previous

month

Monthly Numerator-

ICDS-CAS;

Denominator-

ICDS-CAS

2. MoHFW 5) Immunization2 ANM

(NHM)

(% of children

less than one year

of age fully

immunized)3

(Total number

of registered

children in 9-11

months age)

(Total number of

registered children

immunized in 9-11

months)

(Quarterly)

(Numerator-

HMIS;

Denominator-

HMIS)

2 Definition of Full Immunization as per Annual Health Survey (AHS): Fully immunized child refers to infants who receive within 11-23 months BCG (Bacillus Calmette–Guérin) vaccination

against tuberculosis, three doses of DPT (Diphtheria, Poliomyelitis and Tetanus,), minimum three doses of polio vaccine and one dose of measles vaccine.

http://www.censusindia.gov.in/vital_statistics/AHS/AHS_report_part1.pdf 3 Recommending a change in the indicator to track immunization through Annual Health Survey conducted by Census of India

20

Depart. Interventions/

Services

Service

delivered

by

/through

Indicators to

track progress


(%)

Quarterly/

Monthly

Progress

(%)

Remarks/

action

Recommended:

% of children less

than one year of

age fully

immunized

Recommended:

Total number of

children in 12-

23 months

Recommended:

Number of children

(12-23 months) fully

immunized as per

norms

Annual Numerator-

Annual Health

Survey;

Denominator-

Annual Health

Survey

6) Vitamin A 4 ANM

(NHM)

(% of children 6 to

59 months who

received at least

one dose of

Vitamin A during

the last 6 months)5

% of children in 6 -

35 months who

have received at

least one dose of

Vitamin A during

last six months

(Total live

births)

Number of

children aged 6-

35 months

(Total number of

children 6 to 59 months

who received at least

one dose of Vitamin A

during the last 6

months)

Number of children in 6

-35 months who have

received at least one

dose of Vitamin A

during last six months

(Quarterly)

Annual

(HMIS)

Numerator-

Annual Health

Survey;

Denominator-

Annual Health

Survey

7) IFA

supplementation

ANM

(NHM)

and

AWW

% of pregnant

women who

received IFA

tablets in the

previous month

Total number of

pregnant women

Registered for

ANC

Number of Pregnant

women given 180 IFA

tablets

Quarterly HMIS

8) Iron

supplementation

for children6

ANM

(NHM)

(% of children 6

to 59 months who

were provided

recommended

dose of the syrup

during the

previous month)7

4 Definition of Vitamin A supplementation as per Annual Health Survey (AHS): Vitamin A is administered through oral doses every six months to children aged between 9 months and 5 years

to avoid its deficiency. 5 Recommend using a different indicator for Intake of Vitamin A in children, provided by Annual Health Survey 6 Definition of Iron and folic acid (IFA) supplementation for children: Iron and folic acid (IFA) is a supplementary nutrient administered as syrups or tablets to children beyond the age of six

months. http://www.censusindia.gov.in/vital_statistics/AHS/AHS_report_part1.pdf 7 Recommend using a different indicator for intake of IFA syrup in children, provided by Annual Health Survey

21


Services

Service

delivered

by

/through

Indicators to

track progress


(%)

Quarterly/

Monthly

Progress

(%)

Remarks/

action

% of children in 6 -

35 months who

have received at

least one dose of

IFA syrup during

last six months

Number of

children aged 6-

35 months

Number of children in 6

-35 months who have

received at least one

dose of Vitamin A

during last six months

Annual

Numerator-

Annual Health

Survey;

Denominator-

Annual Health

Survey

9) Deworming ANM

(NHM)

% of children 6 to

59 months who

received at least

one albendazole

tablet during the

last 6 months

No data source

available

10) ANC checkups ANM

(NHM)

% of pregnant

women in their

third trimester

who received at

least 4 ANCs8

Total number of

pregnant women

Registered for

ANC

Number of pregnant

women received 4 or

more ANC check ups

Quarterly HMIS

11) Management of

Acute

Malnutrition

ANM

(NHM)

% of SAM

children treated

appropriately at the

health

facility/community

level

No data source

available

# Number of

SAM children

treated at NRC

is available at

MoHFW

12) Diarrhea

Management

(ORS+Zn)

ANM

(NHM)

(% of children with

diarrhea 0 to 60

month who

received ORS &

zinc during the

previous month) 9

(HMIS

provides

Diarrhoea

treated in

Inpatients in

Children 0-5

Years of Age)

8 The indicator has been revised to 4 ANC check-ups. These are being tracked by the ANMs and reported through HMIS. 9 Diarrhea management using ORS and ZINC is not available on either HMIS or AHS. Recommend use of a proxy indicator such as availability of Zinc and ORS from ANM, PHC,

CHC and district hospital levels

22


Services

Service

delivered

by

/through

Indicators to

track progress


(%)

Quarterly/

Monthly

Progress

(%)

Remarks/

action

3. Ministry

of Water and

Sanitation

13) ODF villages % of ODF free

villages

Total number of

villages

Number of verified

ODF free villages

Quarterly Denominator:

Ministry of

Drinking

Water and

Sanitation

Numerator:

Ministry of

Drinking

Water and

Sanitation

14) Villages with

safe drinking

water supply

% of villages with

safe drinking water

supply

Total number of

villages

Number villages with

safe drinking water

supply

Annual Denominator:

Census 2011/

PHED

Numerator:

Census 2011/

PHED

4. Ministry

of Rural

Development

15) Self Help

Groups (SHGs)

oriented on

Health,

Nutrition,

Sanitation and

Hygiene

% of SHGs trained

on a package of

basic nutrition,

health, sanitation

and hygiene

behaviors

No data source

available

(Need to check

with ICDS and

Jeevika)

5. Ministry

of Education

16) IFA

supplementation

for adolescents

Jointly

managed

by ANM

& School

Teacher

% of adolescent

girls who received

IFA tablets in the

previous month

Total number of

eligible

adolescents

enrolled in the

school

Number of adolescent

girls who received IFA

tablets in previous

months


Ministry of

education

Numerator:

Ministry of

Health &

Family

Welfare

17) Deworming for

adolescents

% of adolescent

girls who received

at least one

albendazole tablet

during the last 6

months

Total number of

eligible

adolescents

enrolled in the

school

Number of adolescent

girls who received at

least one albendazole

tablet during the last 6

months


Ministry of

education

Numerator:

Ministry of

Health &

23


Services

Service

delivered

by

/through

Indicators to

track progress


(%)

Quarterly/

Monthly

Progress

(%)

Remarks/

action

Family

Welfare

24

Annex 2: Convergence Action Plan Format General Guidelines

1. The Block and District Plan will be for the Financial Year 2019-20

2. The same format is applicable for block and district

3. Achievable targets to be listed in the Plan; All targets must have a base and coverage versus

total must be outlined, meaning baseline and targets must be in percentage terms not in

numbers for an example: 20% AWCs have a functional toilet (baseline), the target could be

that in another 6 months there would be an increase of 10% taking the total to 30%. (20 out

of 100 in the baseline and now 30 out of 100 in the progress). While fixing targets; it would be

encouraged to take services to 100% which are universal in nature such as IFA

supplementation for pregnant women, SNP for children, pregnant and mothers and some will

be incremental such as AWC infrastructure. The baseline and target should have reference to

the same source of data. Example (SNP coverage will be from the ICDS MPR, ANC coverage

from the HMIS).

4. The baseline for activities will be of the last reporting month and targets will be based on the

baseline figure of last reporting month. (For an example: The Annaprashan event in AWCs of

month July is 60%, So the baseline for that indicator will be 60% and the target will be

increment over and above 60%).

5. Key activities to advance nutrition need to be prioritized in the plan. Such as Enabling

environment for children in AWC/Schools/ VHSND/ HSCs, Improving the coverage and quality

of key nutrition interventions such as Breastfeeding, complimentary feeding, micronutrient

supplementation, sanitation, health and hygiene etc. etc.

6. Converging departments priority will be to implement key nutrition actions in their

department and report back to the Committee on progress. Therefore, the focus must be

strengthening the existing nutrition actions in the department (increasing the coverage with

quality) and adding newer things which will further strengthen the nutrition actions. For an

example: In Arogya Diwas along with service delivery; the focus could be increased for

counseling on balanced diet during pregnancy and for children under the age of 2 years. In

Schools; the focus could be establishing a Nutri-garden for Nutrition awareness in children

and parents along with enrichment in Mid-Day meal.

7. The bottleneck to be mentioned in terms of enabling environment, equipment, supplies,

knowledge and capacity, financial resources ( for an example : space constraint in AWCs could

be an issue of enabling environment, un availability of a weighing scale could be an example

of equipment, absence of IFA tablets in the Arogya Diwas site could be of supplies, less

knowledge on diet diversity could be a capacity gap or knowledge gap and this could be with

the service provider or at the mother family member level, lack of budget provision or financial

resource could be a under the financial resource constraint).

8. Action to address could be local level meaning at the block level (example: Shifting of AWCs

to School premises, Panchayat Bhawans or any community centers), some actions will be at

the District level (example: Supply of essential micronutrients such as IFA etc) and some could

be from the State level (example could be: Budgetary provision for certain activities).

However, in the plan at the Block or District level, we must focus more on what could be done

at each level and list them first and then the actions from the District and State).

25

9. The convergent plan must be endorsed from the committee at Block and District level and the

follow up actions must be tracked on the basis indicators to register the progress.

10. In the convergent action plan, essential interventions have been suggested. This is a suggested

list not a final list. The Block and the District has the flexibility of adding activities to the list so

as to make it more context specific so that the plan helps to improve the nutritional status in

the Block/District ( For an example: In some blocks it might be felt to include the private

practitioners in advancing the nutrition action such as Breastfeeding in private nursing homes

or capacity development of traditional healers to refer children to government health facilities

or engaging the home sciences colleges to train the AWWs, ASHAs on complimentary feeding).

26

POSHAN ABHIYAAN: (NAME OF THE BLOCK) BLOCK CONVERGENCE PLAN

1. Demography

2. Service Institutions/ Infrastructure

Estimated Population of the Block

Estimated Population of 0-6 year children

• 0-2 years

• 3-5 years

Estimated Number of Children in 6-10 years

Estimated Number of Adolescents (10-19 years)

• Boys

• Girls

Estimated Number of Pregnant Women

Estimated Number of Mother under 6 months of

Children

Number of Panchayats

Number of Health Sub Centers

Number of Primary Schools

• Private

• Government

Number of Upper Primary Schools

• Private

• Government

Number of Secondary Schools

• Private

• Government

Madrasa or any other Schools

Number of Anganwadi centers

• Department Building

• Other government building

• Rented Space

Number of Arogya Diwas sites

Number of PDS Ration points

27

A. BREASTFEEDING PROMOTION

S

N

Catego

ry Indicator

Baseline

(NFHS-

4/HMIS/RRS/IC

DS-CAS)

Target 2019-

20

1 Desirab

le

% of mothers with 4-months old baby that

receive an ASHAs home visit and get

counseling on continued exclusive

Breastfeeding till 6 months

2 Vital % of mothers that deliver in health facilities

who also start breastfeeding within 1 hour.

3 Desirab

le

% Facilities have a functional Breastfeeding

corner

4 Desirab

le

% ASHAs conducting mothers meeting on

Breastfeeding under the MAA Programme

5 Desirab

le

% of Health Sub-committees of JEEViKA trained

on IYCF (Including Breastfeeding and age

appropriate complementary feeding)

Implementation bottlenecks and actions to address

1 Key bottlenecks

Specific Actions Indicator

Targ

et

End

Year

1

Driven By

(Departme

nt)

2

3

4

5

- Please include any relevant activities that the Block or District would implement in 2019-20

for reduction in Undernutrition rates.

- Please add any programmatic indicator that the departments are already tracking other than

the listed ones in the templates.

28

B. COMPLEMENATRY FOOD AND FEEDING

SN Indicator

Baseline

(NFHS-

4/HMIS/RRS/ICDS-

CAS)

Target

2019-20

1 % of Anganwadi centers that organized

Annaprashan Diwas

2

% mothers with children between 4-15

months who were visited by ASHA at least

once every two months to promote timely and

appropriate complementary feeding (dietary

diversity, frequent feeding, feeding hygiene

and early stimulation)

3

% children 6-36 months registered who

received SNP (THR) for 21 days in the last

month

4

% children 37-72 months registered who

received SNP (HCM) for 21 days in the last

month

5

% severely underweight children 6-72 months

registered who received double ration for 21

days in the last month

6 % AWCs trained on ILA modules (18 modules)


1 Key bottlenecks Specific

Actions Indicator

Target

End Year 1

Driven By

(Department)

2

3

4

5





29

C. IMMUNIZATION FOR CHILDREN

SN Indicator

Baseline

(NFHS-

4/HMIS/RRS/ICDS-

CAS)

Target 2019-20

1

% children below one year fully

immunized as per national

immunization schedule

2

3


1 Key bottlenecks Specific Actions Indicator Target

End Year 1

Driven By

(Department)

2

3

4

5

6

7





30

D. MICRONUTRIENT AND VITAMIN-A SUPPLEMENTATION AND ANTI-HELMINTH

FOR CHILDREN

SN Indicator

Baseline

(NFHS-

4/HMIS/RRS/ICDS-

CAS)

Target

2019-20

1 % children 6-59 months who received at least

one dose of Vitamin A in the last 6 months

2

% children 6-59 months provided 8-10 doses

(1ml) of iron and folic acid (IFA) syrup (Bi

weekly) in last month

3 % children 1-19 years covered with albendazole

in the first round in February

4 % children 1-19 years covered with albendazole

in the second round in August


1 Key

bottlenecks

Specific

Actions Indicator

Target

End Year 1

Driven By

(Department)

2

Ensure

counseling

of girls in

schools

3

4

5





31

E. GROWTH MONITORING & PROMOTION

SN Indicator

Baseline

(NFHS-

4/HMIS/RRS/ICDS-

CAS)

Target 2019-20

1

% of children 0-72 months in district/state

that had their weight measured every month

in the last quarter

2

% of children 0-72 months in district/state that

had their length/ height measured in the last

quarter

3

% children with growth faltering that were

visited in the last month by the ICDS Supervisor

and given advice for growth promotion

4 % of Anganwadi centers visited by the RBSK

team in last 6 months

5 % AWCs trained on CAS

6 % AWCs using CAS since last 3 months

7 % Blocks where the helpdesk for CAS

established


1 Key

bottlenecks

Specific

Actions Indicator

Target

End Year 1

Driven By

(Department)

2

3

4

5


Key bottlenecks Action to address





32

F. DIARRHOEA MANAGEMENT WITH ORAL REHYDRATION SOLUTION AND ZINC

SN Indicator

Baseline

(NFHS-4/HMIS/RRS/ICDS-

CAS)

Target

2019-20

1 % of children 0-60 months with diarrhoea who

received ORS

2 % of children 0-60 months with diarrhoea that received

zinc tablets



End Year 1

Driven By

(Department)

2

3

4

5

- Please include any relevant activities that the Block or District would implement in 2019-20 for reduction in

Undernutrition rates.

- Please add any programmatic indicator that the departments are already tracking other than the listed ones

in the templates

33

G. MANAGEMENT OF ACUTE MALNUTRITION

SN Indicator Baseline

(NFHS-4/HMIS/RRS/ICDS-CAS)

Target 2019-20

1 % of children 6-36 months screened for MAM and SAM during last month at the Arogya Diwas site

2 % children with SAM and medical complications treated at Nutrition Rehabilitation Centers (NRCs)

3 % of children with SAM and without medical complications treated at community level

Implementation bottlenecks and actions to address the bottlenecks


End Year 1

Driven By

(Department)

2

3

4

5

6

7

- Please include any relevant activities that the Block or District would implement in 2019-20 for

reduction in Undernutrition rates.

- Please add any programmatic indicator that the departments are already tracking other than the

listed ones in the templates.

34

H. IRON AND FOLIC ACID FOR ADOLESCENTS, IFA, CALCIUM & ALBENDAZOLE FOR

PREGNANT WOMEN

SN Indicator

Baseline

(NFHS-

4/HMIS/RRS/ICDS-

CAS)

Target

2019-

20

1

% of eligible adolescents 10-19 years who receive

at least 4 blue iron folate tablets through WIFS

program in last month

2 % of eligible pregnant women who received at

least 180 IFA tablets during antenatal period

3 % of eligible lactating mothers who received at

least 180 IFA tablets during postnatal period

4

% of Women of reproductive age 20-24 years who

received at least 4 Blue IFA tablet in the last one

month

5 % of eligible pregnant women who received at least

180 calcium tablets during antenatal period

6 % of eligible lactating mothers who received at

least 180 calcium tablets during postnatal period

7 % of pregnant women in 2nd trimester provided

Albendazole

8 % of adolescent girls receiving assistance for

sanitary napkin from education department

9 % of adolescent girls ( 11-14 years) receving THR

for more than 21 days in a month



Actions Indicator

Target

End Year 1

Driven By

(Department)

2

3

4

5





35

I. ANTENATAL AND POSTNATAL SERVICES

SN Indicator

Baseline

(NFHS-

4/HMIS/RRS/ICDS-

CAS)

Target

2019-

20

1 % mothers identified as High Risk Pregnancy and

referred to PMSMA/ Higher medical facilities

2 % of mothers receiving 4 ANC services from Arogya

Diwas/ ANC clinics/ PMSMY sites

3 % of mothers delivering in Institutions

4 % of mother receiving birth spacing products (OCP,

Condoms, Injectable)

5 % of mothers receiving at least 6 visits by ASHA

postdelivery

6 % of mothers delivering at home with SBA trained

ANM

7 % Arogya Diwas sites having Counseling Aid

8 % Pregnant women receiving THR for more than 21

days in a month

9 % Lactating mother receiving THR for more than 21

days in a month



End Year 1

Driven By

(Department)

2

3

4

5





36

J. PROMOTING SAFE DRINKING WATER

SN Indicator

Baseline

(NFHS-

4/HMIS/RRS/ICDS-

CAS)

Target

2019-

20

1 % of Anganwadis with adequate, functional and

safe drinking water supply facility in the Centre

2 % of health centres with adequate, functional and

safe drinking water supply

3 % of villages/wards with adequate, functional and

safe drinking water supply

4 % of Arogya Diwas sites with adequate and

functional safe drinking water facility

5 % of Schools with adequate and functional safe

drinking water supply facility

6

% of villages affected by Fluoride/ Arsenic/ Iron in

the Block/District and has been provided with safe

drinking water facility



Actions Indicator

Target

End Year 1

Driven By

(Department)

2

3

4

5





37

K. PROMOTING SANITATION…

D1. Promoting Personal Hygiene

7 % of Anganwadis with adequate and functional Handwashing

facilities with water and soap available

8 % of health centers with adequate and functional

Handwashing facilities with water and soap available

9 Essential % of Schools with Handwashing facilities in premises

with water and soap available



Actions Indicator

Target

End Year 1

Driven By

(Department)

2

3

4

5





38

J. ENABLING ENVIRONMENT FOR SERVICE DELIVERY

SN Indicator Baseline

(NFHS-4/HMIS/RRS/ICDS-CAS)

Target 2019-20

1 % of AWCs have required space for pre-school children and EECE activities

2 % AWCs have required utensils/ logistics for Hot cooked meal

3 % of Arogya Diwas sites have facilities and space available for conducting ANC check-up

4 % AWCs implementing the Double Fortified Salt in Hot Cooked meal

5 % Schools using Double Fortified Salt in Mid-Day meal Programme

6 % AWCs have Gas Stoves for preparation of Hot Cooked Meal

7 % Schools have Gas Stoves for preparation of Hot Cooked Meal

8 % of AWWs trained on Food safety and Hygiene

9 % of Cooks in Schools have been trained on Food safety and hygiene

10 % AWCs having electricity connection



End Year 1

Driven By

(Department)

2

3

4

5

6

7





39

K. SUPPLY CHAIN MANAGEMENT

SN Indicator Baseline (NFHS-

4/HMIS/RRS/ICDS-CAS)

Target 2019-

20

1 % of AWCs with no stock out of SNP

2 % AWCs having functional weighing scales

3 % AWCs having functional Infanto-meter

4 % AWCs having functional Stadiometer

5 % AWCs have required MCP cards

6 % AWCs have received Mobile phones

7 % LS have received the Tablet

8 % of Arogya Diwas sites with stock out of IFA

9 % of Arogya Diwas sites with stock out of Calcium

10 % of Arogya Diwas sites with stock out of Albendazole

11 % of Arogya Diwas sites with stock out of Vitamin-A syrup

12 % of Arogya Diwas sites with stock out of ORS

13 % of Arogya Diwas sites with stock out of Zinc tablets

14 % Schools with stock out of IFA tablets



End Year 1

Driven By

(Department)

2

3

4

5

6

7

8

9

10

11

12





40

N. Awareness generation for Behaviour Change

SN Indicator

Baseline

(NFHS-

4/HMIS/RRS/ICDS-

CAS)

Target

2019-

20

1 % of AWC’s organizing mother’s meeting on IYCF

(Breastfeeding & Complimentary feeding)

2

% of AWC’s displaying IEC/BCC materials at least

on breastfeeding, complimentary feeding,

WASH, diet diversity etc.

3 % AWCs having a community mobilization plan

(Jan Andolan)

4 % of AWC’s displaying citizen’s charter (Food

Menu) in the AWC

5

% of HSC, PHC displaying citizen’s charter (list of

essential drugs and services) what would be

data source?

6 % of Government school’s displaying food menu

in the Schools



Actions Indicator

Target

End Year 1

Driven By

(Department)

2

3

4

5




the listed ones in the templates

41

O. Social security schemes

SN Indicator

Baseline

(NFHS-

4/HMIS/RRS/ICDS-CAS)

Target

2019-20

1 % of priority households linked to PDS

2 % of SAM and severely underweight children

H/H to job employment NEREGA

3 % of food, insecure H/H distressed H/H linked

to FSF/ HRF of JEEViKA

4 % of PDS shop selling double fortified salt



Actions Indicator

Target

End Year 1

Driven By

(Department)

2

3

4

5




the listed ones in the templates

42

Annexure 3: GO for conducting District Level Orientation

GO for district level orientation at Gaya, Bihar

43

GO for district level orientation at Sitamarhi, Bihar

44

Annexure 4: Feedback and finalization of DCAP, Gaya

toolkit: operational guidelines for multi sector ...€¦ · cpmu central program management unit...

Documents