DISTRICT WELFARE OFFICE
Department for Women, Children, Disabled and Senior Citizens
District Welfare Office : Nirmal District
For the holistic development of the child, the Department has been implementing the world’s largest and most unique and outreach programme of Integrated Child Development Services (ICDS) providing a package of services comprising supplementary nutrition, immunization, health check up and referral services, pre-school non-formal education. There are 1437 Anganwadi Centers functioning in the State in 5 ICDS Projects. (1285) Main Centers and (152) Mini Centers.
1 |
|
District Welfare Officer |
|
2 |
|
Bala Raksha Bhavan [ACDPO] |
|
3 |
|
D.C.P.O. |
|
4 |
|
Senior Assistant |
|
5 |
|
Senior Assistant |
|
6 |
|
Junior Assistant |
|
7 |
|
Junior Assistant |
1 |
D.W.O. |
2. Functions:
3. Jurisdiction :
4. Accountability: Accountable to the Regional Deputy\Joint Director. |
2 |
C.D.P.O. & A.C.D.P.O . |
1. Assist to the Project Director. 2.Functions:
3. Jurisdiction :
4. Accountability: Accountable to the PD concerned. |
3 |
Superintendent |
1. Assist the Director/Commissioner in running the administration at Head of the Dept and at District Head Offices to the PDs and Regional Level to RDDs. 2. Functions:
3. Jurisdiction :
4. Accountability: Accountable to concerned Officer. |
4 |
Senior Assistant & Junior Assistant |
1. Assist to the Section Heads at Head of the Dept, District Head Office and Project Office. 2. Functions:
3. Jurisdiction : Entire office where they are working. 4. Accountability: Accountable to concerned Officer. |
5 |
Supervisors Grade –I & Grade – II |
1. Assist to the Child Development Project Officer. 2.Functions: 1.Plan the programme of Anganwadis. 2. Help, train and guide to the AWWs. 3. Supervise AWCs through regular visits. 4. Organize regular meetings with AWWs for reviewing progress of ICDS scheme. 5. Identifying malnutrition children. 6. Help AWWs in developing family contacts, making home visits and conducting village meetings. 7. Periodically check all records, registers, cash and accounts, stock and material in AWCs. 8. Guide the AWWs in organizing health and nutrition, education and programmes and establish links with the primary school. 9. Liaison between AWWs and CDPO and also PHCs staff. 10. Assist to the CDPO in various task of administration and programme implementation. 3. Jurisdiction : Entire ICDS Project where they are working. 4. Accountability: Accountable to the CDPO concerned and to the public. |
6 |
AWTs, Mini AWTs & AWHs |
1. Assist to the Supervisor and Public. 2. Functions:
3. Jurisdiction: Entire villages concerned. 4.Accountability: Accountable to Supervisor and Public. |
Departmental Major activities:
(“One Full Meal” For Pregnant and Lactating Women At The Anganwadi Centre)
An implementation of ICDS has resulted in improvement of the nutritional status of women and children in the state, the desired goals have not been achieved. The percent age of low birthweight babies, under weight children (<3 years)and pregnant women who are anaemic is still high. As a result, reduction of Infant Mortality Rate(IMR)and Maternal Mortality Rate (MMR)continues to be a challenge.
Scientific evidence shows that malnutrition starts early in life and its effects become irreversible after 2-3 years. Meeting the nutritional needs of Pregnant & Lactating women is there fore one of the critical windows of opportunity available to prevent malnutrition. Hence a need was felt to modify the nutrition programme of ICDS especially as the Take Home Ration (THR) provided to Pregnant and Lactating women under ICDS is not only too meagre but also gets shared by all members of the family.
In this regard, the State Government introduced ArogyaLaxmi Programme which involves spot feeding of “one full meal” for Pregnant and Lactating women at the Anganwadi centre along with administration of Iron & Folic Acid (IFA) tablet. The programme was started on 01.01.2013 in ICDS Projects with most adverse health and nutrition indicators
After state bifurcation 2015 onwards it was scaled up in 149 ICDS (100 %). ICDS Projects. Projects covering 31,897 Main AWCs and 4,076 Mini Anganwadi Centers in Telangana State. The one full meal consists of Rice, Dal with leafy Vegetables/sambar, vegetables for a minimum of 25 days, boiled Egg and 200ml. milk for 30 days in a month. The one full meal will meet 40-45% of the daily calorie and 40-45% of protein and calcium requirement per day of the pregnant and lactating mothers. Along with the meal, Iron Folic Acid (IFA) tablet is to be administered. For children between 7 months to 3 years are providing 16 Eggs per month where as children from 3-6 years were providing 30 Eggs per month.
Objectives of “Arogya Laxmi programme”
Enhance the quality and acceptability of supplementary nutrition by the Pregnant and Lactating women Ensure food supplied is consumed by only the Pregnant and Lactating women rather than the whole family Ensure that Pregnant and Lactating women consume 90+ IFA tablets.
Improve the enrolment of mothers at Anganwadi Centers (AWCs).
Eliminate or decrease number of Pregnant and Lactating women with anaemia/ who are undernourished.
Reduce the incidence of low birth babies and malnutrition among children.
Ensure that Pregnant and Lactating women receive health check ups and immunization.
Reduce the incidence of infant mortality and maternal mortality.
Operational guidelines for Arogya Laxmiprogramme
Government after careful examination hereby issue “Operational Guidelines” for One Full Meal Programme for improving nutritional status among Pregnant and Lactating Women and to reduce low birth weight and mortality of infants and children under 6 years.
One Full Meal Committee
Eleven members Committee called the “Anganwadi Level Monitoring & Support Committee” (ALMSC) shall be constituted for each AWC. This Committee consists the following members
- Surpanch or Ward member preferably women – Chairperson
- ASHA – Member
- Mothers (2 members on rotation pregnant &7m to 3y) – Members
- Community (Science Teacher/Retired Govt. officers/
- Parents of pre-school children-3) – Members
- Sakhi under SABLA programme/Adolescent girl – Member
- 2 Representatives from Village Organization – Members
- Anganwadi Worker
Responsibilities of Committee:
- The committee shall meet once in a month on the first Nutrition Health Day (i.e., the first of every month) and create awareness on One Full Meal Programme.
- Ensure correct demand and supply of food grains such as Rice, Dal, Oil, Eggs, Milk and Vegetables etc. to the AWCs.
- Identify Milk vendors or chilling centers where central procurement is not available.
- Mobilize all eligible beneficiaries to the AWC.
- Ensure no beneficiary carries the meal home or allows it to be consumed by any other family member.
- Fix the menu and timing of the spot feeding
- Ensure the attendance, quality, hygiene and other aspects of the programme
- Certify the attendance registers of Anganwadi Centers for accounts reconciliation.
1 |
Rice |
Civil Supplies |
2 |
Dal |
DPC Approval [HACA] |
3 |
Oil |
TS Oil Fed |
4 |
Milk |
DPC Approval [HACA] |
5 |
Eggs |
Poultry forms / NECC |
6 |
Vegetables |
AWTs / Mini AWTs |
7 |
Condiments |
AWTs / Mini AWTs |
8 |
Cooking gas / Firewood |
AWTs / Mini AWTs |
Implementation and Monitoring
-
- AWW, ASHA shall identify the target group and ensure early registration of the Pregnant women and enrolment of Pregnant and Lactating women in the Anganwadi Centres (AWCs). In addition AWWs will make house to house visit to survey, identify and make a list of the target group. All Pregnant and Lactating women will be issued MCP Cards during Village Health and Nutrition Day.
- Panchayat / ALMSC along with ICDS and health field functionaries will create the necessary awareness and will mobilize the Pregnant and Lactating women to receive the “One Full Meal” along with other health and nutrition services at AWCs.
- One Full Meal shall be served 25 days as spot feeding at AWC.
- 30 Eggs shall be served per month where 25 days during spot feeding at AWC and Eggs will be given as per the model menu to the beneficiary.
- Milk shall be served 25 days and another 5 days of milk will be served as curd along with rice and dal during spot feeding.
- Anganwadi Helper or in absence of the Anganwadi Helper a person identified by the ALMSC shall cook the “One Full Meal” and serve the food at the Anganwadi Centre.
- A permanent advance of Rs.1500/- shall be released to all AWWs at the beginning of the Programme and shall be maintained regularly by releases by the 5th of every month.
- The “Anganwadi Level Monitoring & Support Committee” (ALMSC) can decide the menu as per local conditions.
- IFA tablets shall be provided by ANM and will be administered along with the food by AWW.
- The growth monitoring of all pregnant and lactating women shall be done every month and birth weight of the new born will be recorded in the MCP Cards and registers.
- In the monthly meetings of Anganwadi Level Monitoring & Support Committee (ALMSC), Project Level Monitoring Committee (PLMC) and District Level Monitoring and Review Committee, the Anganwadi Workers, Supervisors / CDPOs and the PDs respectively will be invited for discussion on the implementation of the “One Full Meal” programme.
- Joint trainings and awareness campaigns shall be conducted for field functionaries, ALMSC members, others by the department.
- The community, PRIs, Civil Society, UNICEF, NIN and NGOs shall be involved in monitoring, training, capacity building, communication, community mobilization and service delivery of the programme. At least two NGOs will be involved in each District for this purpose.
- Monitoring and inspections shall be taken up by ICDS functionaries for the programme as detailed below:
- Child Development Project Officers / Supervisors shall inspect at least 20 AWCs under “One Full Meal” per month.
- Project Director shall inspect 10 villages from at least 5 projects per month.
- Regional Deputy Director shall inspect 10 villages from at least 5 projects per month.
- They shall monitor attendance, quality and quantity of the food, cleanliness in cooking and serving, weight gain of pregnant women, colostrum feeding, exclusive breast feeding and immunization etc.
-
- State level Monitoring Officer from HOD shall inspect at least 5 Projects and 15 AWCs in a month of their allotted Districts.
- In case of any food gaps, poor quality of food items, the CDPO and Supervisor of that particular project shall be held responsible and action shall be initiated accordingly.
- District Level Monitoring & Review Committee of ICDS shall be review the One Full Meal program at least once in a quarter by the District Collector chairmanship.
- One full meal program shall be an agenda in the GramaSabhas, General Body meetings of Mandal Parishad and ZillaParishad.
Day1 |
Rice |
Sambar with vegetables |
– |
Egg Curry |
Milk (200ml) |
Day 2 |
Rice |
Dal |
Green Leafy Vegetable Curry |
Egg |
Milk (200ml) |
Day 3 |
Rice |
Dal with Leafy vegetables |
Egg Curry |
Egg |
Milk (200ml) |
Day 4 |
Rice |
Sambar with vegetables |
100 Ml Curd |
Egg Curry |
Milk (200ml) |
Day 5 |
Rice |
Dal |
Green Leafy Vegetable Curry |
Egg |
Milk (200ml) |
Day 6 |
Rice |
Dal with Leafy vegetables |
100 Ml Curd |
Egg |
Milk (200ml) |
“Balamrutham” is the weaning food introduced under ICDS to provide improved supplementary nutrition to children between 7 months to 3 years. The weaning food is a preparation of wheat, chana dal, milk powder, oil and sugar. It is fortified and thus provides 50% of iron, calcium, vitamins and other RDA that children require per day. The composition and nutritive values of Balamrutham is indicated at Table-I and II respectively.
The recommended quantity is 100 gms which is to be given to children 3-5 times every day. For children below one year, Balamrutham can be served as porridge mixed with hot water and for older children, it can be given in the form of “Laddu”.
Balamrutham is distributed in packets of 2.5 Kg per child per month. It is distributed on first day of every month on Nutrition Health Day-1 to mothers of 7 months – 3 years children as Take Home Ration. Along with Balamrutham packet, these children also receive 2 eggs a week at the AWC under ICDS Food Model for 7months to 3 years under ICDS is at Table-III.
It is expected that Balamrutham will serve as an effective supplementary nutrition during the child’s crucial period of 7 months to 3 years and along with counseling to mother on IYCF practices will help to prevent incidence of chronic malnutrition.
Balamrutham serves not only as a weaning food but also as a caloric dense food to reduce malnutrition and is therefore used as part of Supervised feeding for malnourished children.
Roasted Wheat |
55 |
190.3 |
6.4 |
Bengal Gram |
5 |
18.0 |
1.0 |
Skimmed Milk Powder |
10 |
35.7 |
3.6 |
Sugar |
20 |
80 |
0 |
Oil |
10 |
90 |
0 |
TOTAL |
100 |
414.0 |
11.0 |
1 |
Energy (kcal) |
414 |
0 |
414 |
2 |
Protein (g) |
11 |
0 |
11 |
3 |
Calcium (mg) |
167 |
200 |
367 |
4 |
Iron (mg) |
3.1 |
6 |
9.1 |
5 |
Vitamin A (µg) |
2.5 |
200 |
202.5 |
6 |
Vitamin B1 (µg) |
0.3 |
0.3 |
0.6 |
7 |
Vitamin B2 (mg) |
0.2 |
0.35 |
0.55 |
8 |
Vitamin C (mg) |
0.5 |
15 |
15.5 |
9 |
Folic Acid (µg) |
7.1 |
15 |
22.1 |
10 |
Niacin (mg) |
2.3 |
4 |
6.3 |
- Supplementary Nutrition Programme(SNP) is the main component of ICDS to tackle malnutrition. SNP services are provided to the target groups of Pregnant & Lactating women and children between 7 months to 6 years.
- The cost norms for Supplementary Nutrition Programme, under “Restructured” ICDS were revised by Government of India (GOI), as per details given below
(i) Children(7-72 months) |
Rs.6.00 |
(ii) Severely Underweight children (7-72 months) |
Rs.9.00 |
(iii) Pregnant and Lactating women |
Rs.7.00 |
Calories(K Cal)Protein (g)
1 |
Children (7-72 Months) |
500 |
12-15 |
2 |
Severely underweight children (7-72 Months) |
800 |
20-25 |
3 |
Pregnant & Lactating women |
600 |
18-20 |
- With the revision of cost norms, food models were revised in consultation with stakeholders to provide for calories / protein/RDA as per GOI norms and to ensure that the Supplementary food is acceptable to the target groups.
- In brief, the supplementary nutrition provided for the various categories of target groups is as follows:
- Pregnant & Lactating women get “one full meal”under Arogyalaksmiwith one egg, 200 ml of milk, rice, dal and vegetable every day. 7 months to 3 years children receive weaning food i.e the fortified Balamrutham packet of 2 ½ kgs and 16 eggs in a month. This is distributed as THR to the mothers on 1st of every month (i.e on NHD-1)
- 3 to 6 years children as part of Pre-school get a hot meal of rice, dal, vegetables, egg, and Nutri snacks/chana dal/daily. Malnourished children i.e SUW/SAM/MAM children between 7 months to 3 years are given additional supplementation of 1 egg, 100 ml milk, mini meal+ extra oil daily at the Anganwadi centre.
- Malnourished children i.e SUW/SAM/MAM between 3 to 6 years are given additional supplementation of 1 egg, 100 ml milk, oil ( with hot meal), 50 gms of Balamrutham daily at the Anganwadi centre.
- Feeds for Malnourished children of age groups 7 months to 3 years and 3 to 6 years, are supervised and certain feeds are given at the AWC itself. Hence the additional supplementation are made part of model menus which are appropriate for the malnourished children. Detailed guidelines issued for the “Special care and Supervised feeding” of malnourished children upto 5 years include methodology of identification and categorization of children as Severely Underweight (SUW)/ Severe Acute Malnutrition(SAM)/ Moderate Acute Malnutrition (MAM) and the details of the Model Menus.
Quantity per dayTentative Rate per Kg/L(Rs)Tentative Cost per day(Rs)Energy (kcal)Protein(g)
A. Main Meal |
||||||
1 |
Rice |
75 g |
4.00 |
0.30 |
258.78 |
5.10 |
2 |
Dal (Red Gram) |
15 g |
70.00 |
1.05 |
52.20 |
3.63 |
3 |
Vegetables |
25g |
28.00 |
0.70 |
26.25 |
0.90 |
4 |
Condiments |
|
|
0.25 |
|
|
5 |
Egg (30 eggs per month) |
50 g |
3.50/egg |
3.50 |
86.50 |
6.65 |
6 |
Oil |
5g |
59.00 |
0.33 |
45.00 |
0 |
7 |
Transport |
|
|
0.10 |
|
|
8 |
Fuel |
|
|
0.20 |
|
|
B. Snack Food |
||||||
9 |
Telangana Food–Nutri snacks (20gms) /Channa Dal (15gms) |
|
|
0.83 |
80.00 |
2.40 |
TOTAL |
|
|
7.26 |
548.73 |
18.68 |
Calories (kcal)Protein (g)Calcium (mg)
1 |
Eggs |
18 g per day (9 eggs Additional per month) |
1.26 |
31.14 |
2.39 |
10.80 |
2 |
Milk |
100 ml |
3.20 |
117.00 |
4.30 |
210.00 |
3 |
Extra oil |
5 g |
0.33 |
45.00 |
0 |
0 |
4 |
Balamrutham |
50 g |
2.29 |
207.00 |
5.50 |
183.50 |
TOTAL |
|
7.08 |
400.14 |
12.19 |
404.30 |
Energy (Kcal)Protein (g)Calcium (mg)
1 |
7:30 am |
Tiffin + Extra Oil/Ghee (5g) |
Home |
100 g |
by family |
325.00 |
7.00 |
20.00 |
2 |
9:30 am |
Egg |
AWC |
50g |
3.50 |
86.50 |
6.65 |
30.00 |
3 |
11:30 am |
Milk |
AWC |
100 ml |
3.20 |
117.00 |
4.30 |
210.00 |
4 |
12:15-1:00 pm |
Meal + Extra oil (5g)* |
AWC |
125g |
2.96 |
427.23 |
9.63 |
26.78 |
5 |
3:00 pm |
Snack |
AWC |
15-20g |
0.83 |
80.00 |
2.40 |
3.40 |
6 |
4:00 pm |
Balamrutham (made into Laddoo /Java) |
AWC |
50g |
2.29 |
207.00 |
5.50 |
183.50 |
7 |
5:30 pm |
Fruit + Snack |
Home |
50g |
by family |
200.00 |
3.00 |
20.00 |
8 |
7:30 pm |
Meal + Extra Oil/Ghee (5g) |
Home |
125g |
by family |
427.23 |
9.63 |
26.78 |
|
|
Transport |
|
|
0.10 |
|
|
|
|
|
Fuel |
|
|
0.20 |
|
|
|
|
|
Total |
|
|
13.08 |
1869.96 |
48.11 |
520.46 |
- INTEGRATED CHILD PROTECTION SCHEME (ICPS)
- The Integrated Child Protection Scheme is to significantly contribute to the realization of Government/State responsibility for creating a system that will efficiently and effectively protect children. It is based on cardinal principles of “protection of child rights” and “best interest of the child”.
- The ICPS will provide preventive, statutory, Care and Rehabilitation services to vulnerable children including those from potentially vulnerable families and families at risk, children of socially excluded groups like migrant families, families living in extreme poverty, SCs, STs & OBCs families subjected to or affected by discrimination, minorities, children infected and/or affected by HIV/AIDS, orphans, child drug abusers, children of substance abusers, child beggars, trafficked or sexually exploited children, children of prisoners street & working children.
- The Registration of Society under Societies Registration Act-2001 has registered in the name of “Telangana State Society for Protection and Empowerment of Children”.
- CHILDLINE 1098 (free helpline) services are available in all Districts in the state except Nalgonda, Nizamabad and Ranga Reddy, through Child Foundation India by Government of India.
- Statutory structure i.e CWCs, JJBs constituted vide GO Ms.No.8 and G.O.Ms.No.9, dated 12/2/2014 in all districts and are functional
POSHAN Abhiyaan:
The Prime Minister’s Overarching Scheme for Holistic Nutrition or POSHAN Abhiyaan or National Nutrition Mission, is Government of India’s flagship programme to improve nutritional outcomes for children, pregnant women and lactating mothers. Launched by the Prime Minister on the occasion of the International Women’s Day on 8 March, 2018 from Jhunjhunu in Rajasthan, the POSHAN (Prime Minister’s Overarching Scheme for Holistic Nutrition) Abhiyaan directs the attention of the country towards the problem of malnutrition and address it in a mission-mode.
NITI Aayog has played a critical role in shaping the POSHAN Abhiyaan. The National Nutrition Strategy, released by NITI Aayog in September, 2017 presented a micro analysis of the problems persisting within this area and chalked out an in-depth strategy for course correction. Most of the recommendations presented in the Strategy document have been subsumed within the design of the POSHAN Abhiyaan and now that the Abhiyaan is launched, NITI Aayog has been entrusted with the task of closely monitoring the POSHAN Abhiyaan and undertaking periodic evaluations.
With the overarching aim to build a people’s movement (Jan Andolan) around malnutrition, POSHAN Abhiyaan intends to significantly reduce malnutrition in the next three years.
For implementation of POSHAN Abhiyaan the four point strategy/pillars of the mission are:
- Inter-sectoral convergence for better service delivery
- Use of technology (ICT) for real time growth monitoring and tracking of women and children
- Intensified health and nutrition services for the first 1000 days
- Jan Andolan
As a part of its mandate, NITI Aayog is required to submit implementation status reports of POSHAN Abhiyaan every six months to the PMO. The first bi-annual report was prepared and presented at third National Nutrition Council on India’s Nutrition Challenges (which is housed within NITI) in November 2018.
The task of implementation of POSHAN Abhiyaan is to be carried out through the Technical Support Unit (TSU) established at NITI Aayog which, in addition to the M&E, will also provide research, policy and technical support to the Abhiyaan.
POSHAN Abhiyaan COMPONENTS:
- Common Application Software
- Mobile Phones are provided to AWC for Real Time Monitoring this is due in our district.
- Capacity Building
- Incremental Learning Approach trainings (from DWO – AWT) at various levels.
- Incentives
- 80 – 90% weighting efficiency & height measurement efficiency
- Convergence
- Mandal Level & District Level
- Behavioural change & Jan Andolan
- Village level (POSHAN MASSAM / POSHAN PAKHWADA)
- Innovations
- Mandal Level & District Level
Stunting |
2% @ PA / 6% by 2022 |
Wasting |
2% @ PA / 6% by 2022 |
Underweight |
2% @ PA / 6% by 2022 |
Low Birth Weight |
2% @ PA / 6% by 2022 |
Anemia |
3% @ PA / 9% by 2022 |