Print

XClose

Restructuring of ICDS

The Ministry is implementing several schemes and programs like Anganwadi Services, Scheme for Adolescent Girls and Pradhan Mantri Matru Vandana Yojna under the Umbrella Integrated Child Development Services Scheme as direct targeted interventions to address the problem of malnutrition in the country. POSHAN Abhiyaan has been set up to act as an apex body for monitoring and guiding the nutrition related issues of various government schemes.                       

                       

Anganwadi Services scheme provides six child development related services i.e. Supplementary Nutrition, Pre-school Education, Health & Nutrition Education, Immunization, Health check-up and Referral Services. The services are provided at the Anganwadi Centres (AWCs) through Anganwadi Workers (AWWs) and Anganwadi Helpers (AWHs) to more than 8.75 crore beneficiaries. State-wise number of beneficiaries (including Kerala) under the Anganwadi Services Scheme is placed at Annexure-I.

          

Under Pradhan Mantri Matru Vandana Yojana (PMMVY), maternity benefit of ₹ 5,000/- is provided in three installments to eligible PW&LM during the period of pregnancy and lactation. The eligible beneficiary also receive the cash incentive as per approved norms towards maternity benefit under Janani Suraksha Yojana (JSY) after institutional delivery so that on an average, a woman gets ₹ 6,000/-. State-wise number of beneficiaries (including Kerala) is placed at Annexure-II.

 

Scheme for Adolescent Girls is implemented to improve the nutritional and health status of out of school adolescent girls of age 11-14 years and to upgrade their skills. The scheme is implemented in all the districts of the country w.e.f 01.04.2018. Nutrition support @ Rs. 9.5 per beneficiary per day for 300 days in a year is provided under the scheme.  In addition, to providing nutritional support to the adolescent girls, the scheme aims to motivate out of school girls to go back to formal schooling /skill training under its Non –Nutrition component. Information on health, hygiene and guidance on existing public services is provided under the scheme. State-wise number of beneficiaries (including Kerala) covered under the SAG is placed at Annexure-III.

 

Government has set up POSHAN Abhiyaan on 18.12.2017 for a three year time frame commencing from 2017-18. The goals of POSHAN Abhiyaan are to reduce stunting in children (0-6 years), under-nutrition (underweight prevalence) in children (0-6 years) and Low Birth Weight @2% per annum and reduce anaemia among young children (6-59 months), women and adolescent girls @3% per annum across the country. POSHAN Abhiyaan is not a beneficiary centric scheme. 

           

The revision/revamping of the ICDS Scheme is a continuous process.  In the beginning of 12th Five Year Plan, the Scheme was restructured with introduction of several components for strengthening and widening the scope of delivery of services. Further in 2017, a number of initiatives have been introduced i.e. construction of Anganwadi Centre Buildings in convergence with MGNREGS, provision of toilet and drinking water facilities in Anganwadi Centres. 

 

During the last 3 years and the current year, 36 complaints have been received regarding improper implementation of the Scheme. The details of the complaints have been tabulated as below:

 

S. No.	State/UT	2015	2016	2017	2018
1.	Assam	-	2	-	-
2.	Bihar	-	1	2	1
3.	Chandigarh	-	1	-	-
4.	Chhattisgarh	-	1	-	-
5.	Delhi	-	1	-	-
6.	Maharashtra	2	1	1	-
7.	Madhya Pradesh	-	5	3	1
8.	Meghalaya	-	1	-	-
9.	Odisha	-	1	-	-
10.	Uttar Pradesh	-	5	2	2
11.	Uttarakhand	-	2	1	-
	Total	2	21	9	4

                       

Since the Scheme is implemented by States/UTs, these complaints are referred to State Governments.  Any case involving serious allegation, the report is sought from the State Governments.       

 

Complaints as and when received are forwarded to States/UTs for taking suitable action as the States/UTs implement the Anganwadi Services.  However, no such survey has been conducted.

 

In order to reduce the infant mortality rate, besides Anganwadi Services and several programmes implemented by the Ministry of Health & Family Welfare, POSHAN Abhiyaan ensures convergence with various other programmes; IT enabled Common Application Software for strengthening service delivery and interventions; Community Mobilization and Awareness Advocacy leading to Jan Andolan - to educate the people on nutritional aspects and Capacity Building of frontline functionaries.

 

To reduce Infant Mortality Rate and improve child health practices, various programmes and schemes under National Health Mission are being implemented by States/ UTs. These are:

 

Promotion of Institutional deliveries through cash incentive under Janani Suraksha Yojana (JSY) and Janani Shishu Suraksha Karyakaram (JSSK) which entitles all pregnant women delivering in public health institutions to absolutely free ante-natal check-ups, delivery including Caesarean section, post-natal care and treatment of sick infants till one year of age.

 

Strengthening of delivery points for providing comprehensive and quality Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A) Services, ensuring essential newborn care at all delivery points, establishment of Special Newborn Care Units (SNCU), Newborn Stabilization Units (NBSU) and Kangaroo Mother Care (KMC) units for care of sick and small babies. Comprehensive Lactation Management Centres (CLMCs) at facilities with SNCU and Lactation Management Units (LMUs) at Sub-district level are made functional to ensure availability of Human Milk for feeding small new-borns. Home Based Newborn Care (HBNC) and Home Based Care of Young Children (HBYC) are being provided by ASHAs to improve child rearing practices.

 

Early initiation and exclusive breastfeeding for first six months and appropriate Infant and Young Child Feeding (IYCF) practices are promoted by Ministry of Health & Family Welfare in convergence with this Ministry. Village Health and Nutrition Days (VHNDs) are observed for provision of maternal and child health services and creating awareness on maternal and child care including health and nutrition education. Mothers’ Absolute Affection (MAA) programme for improving breastfeeding practices (Initial Breastfeeding within one hour, Exclusive Breastfeeding up to six months and complementary feeding up to two years) through mass media campaigns and capacity building of health care providers in health facilities as well as in communities.

 

Universal Immunization Programme (UIP) is being supported to provide vaccination to children against life threatening diseases such as Tuberculosis, Diphtheria, Pertussis, Polio, Tetanus, Hepatitis B and Measles, Rubella, Pneumonia and Meningitis caused by Haemophilus Influenzae B. “Mission Indradhanush and Intensified Mission Indradhanush” was launched to immunize children who are either unvaccinated or partially vaccinated i.e. those that have not been covered during the rounds of routine immunization for various reasons.

 

Name based tracking of mothers and children till two years of age (Mother and Child Tracking System) is done to ensure complete antenatal, intranatal, postnatal care and complete immunization as per schedule

 

Nutrition Rehabilitation Centres (NRCs) have been set up at public health facilities to treat and manage the children with Severe Acute Malnutrition (SAM) admitted with medical complications.

 

Iron and folic acid (IFA) supplementation for the prevention of anaemia among the vulnerable age groups, home visits by ASHAs to promote exclusive breast feeding and promote use of ORS and Zinc for management of diarrhoea in children.

 

Health and nutrition education through Information, Education & Communication (IEC) and Behaviour Change Communication (BCC) to promote healthy practices and create awareness to generate demand and improve service uptake.

 

Capacity building of health care providers: Various trainings are being conducted to build and upgrade the skills of health care providers in basic and comprehensive obstetric care of mother during pregnancy, delivery and essential new-born care.

Annexure-I

 

Annexure-II

 

State/UT-wise, including Kerala, details of number of beneficiaries enrolled, number of beneficiaries paid and total amount disbursed under the Pradhan Mantri Matru Vandana Yojana (PMMVY) (As on 16.07.2019)
Sl. No.	State/ UT Name	Number of Beneficiaries enrolled	Number of Beneficiaries Paid	Total Amount Disbursed (In Rupees)
	All India Total	1,01,68,924	88,80,383	34638565000
1	ANDAMAN AND NICOBAR ISLANDS	3,516	3,399	14452000
2	ANDHRA PRADESH	7,11,017	6,38,094	2640000000
3	ARUNACHAL PRADESH	8,262	6,969	26847000
4	ASSAM	2,59,107	2,25,357	781000000
5	BIHAR	5,76,751	4,19,841	1210000000
6	CHANDIGARH	13,040	12,237	48007000
7	CHHATTISGARH	2,72,439	2,34,038	807000000
8	DADRA AND NAGAR HAVELI	4,539	3,869	12991000
9	DAMAN AND DIU	2,623	1,913	6678000
10	DELHI	1,05,789	95,701	389000000
11	GOA	9,960	9,323	38369000
12	GUJARAT	4,78,555	4,44,898	1940000000
13	HARYANA	2,96,799	2,65,474	1110000000
14	HIMACHAL PRADESH	1,05,715	95,707	383000000
15	JAMMU AND KASHMIR	1,02,710	86,965	345000000
16	JHARKHAND	2,65,979	2,19,495	813000000
17	KARNATAKA	5,53,814	5,11,080	2180000000
18	KERALA	3,23,648	2,91,079	1140000000
19	LAKSHADWEEP	601	484	1546000
20	MADHYA PRADESH	12,28,862	11,37,985	4490000000
21	MAHARASHTRA	9,87,596	8,32,539	3510000000
22	MANIPUR	22,234	16,046	75355000
23	MEGHALAYA	8,476	7,828	29872000
24	MIZORAM	13,286	12,591	54297000
25	NAGALAND	7,729	6,076	27211000
26	ODISHA*	7	5	23000
27	PUDUCHERRY	11,050	9,279	38204000
28	PUNJAB	2,08,511	1,88,122	795000000
29	RAJASTHAN	8,37,518	7,51,332	2830000000
30	SIKKIM	5,031	4,672	19713000
31	TAMIL NADU	2,80,623	2,26,174	522000000
32	TELANGANA**	3	0	0
33	TRIPURA	36,922	30,083	106000000
34	UTTAR PRADESH	18,31,777	16,09,150	6240000000
35	UTTARAKHAND	84,676	77,871	294000000
36	WEST BENGAL	5,09,759	4,04,707	1720000000
*   The State is implementing its own Maternity Benefit Programme. The Ministry allows the State to implement PMMVY with State's Maternity Programme under co-branding.
**  The State is implementing its own Maternity Benefit Programme. The Ministry allows the State to implement PMMVY with State's Maternity Programme under co-branding. Technical integration has been tested.

 

Annexure-III
S.No.	States/UTs	Beneficiaries (11-14 out of school girls)
		2016-17	2017-18	2018-19
1	Andhra Pradesh	15261	14763	39181
2	Arunachal Pradesh	526	266
3	Assam	74727		54352
4	Bihar	492609	396805	130222
5	Chhattisgarh	14681	13673	16093
6	Goa	42	45	21
7	Gujarat	NR	NR	174620
8	Haryana	592	667	5066
9	Himachal Pradesh	944	939	630
10	Jammu & Kashmir	9480	NR	16963
11	Jharkhand	58568	63515
12	Karnataka	48971	28022	58670
13	Kerala	276	712
14	Madhya Pradesh	122230	125452	305000
15	Maharashtra	56936	45898	24478
16	Manipur	5079	5061	4056
17	Meghalaya	1801	1852	1655
18	Mizoram	1124	897	715
19	Nagaland	10326	6455	7320
20	Orissa	58217	56893
21	Punjab	4338	2143	4339
22	Rajasthan	NR	NR	173591
23	Sikkim	NR	6
24	Tamil Nadu	2453	2337
25	Telangana	8369		19410
26	Tripura	2930	971	56045
27	Uttar Pradesh	496000	NR	277000
28	Uttaranchal	NR	NR
29	West Bengal	1996	2842	43287
30	A&N Islands	31	25	21
31	Chandigarh	220	186	55
32	Daman & Diu	0	0	20
33	D & NH	652	NR
34	Delhi	5029	3383	2152
35	Lakshadweep	9	10	7
36	Pondicherry	16	18	22
	Total	1494433	773836	1414991

 

This information was given by the Minister of Women and Child Development, Smriti Zubin Irani, in a written reply in the Lok Sabha today.

***

MM/SB