1) Uttar Pradesh has a large population and faces significant nutrition challenges, with high levels of stunting, wasting, underweight, and anemia issues. 2) The state is taking actions under the Poshan Abhiyaan including establishing structures for convergence committees, annual budgets, and convergence action plans from village to state levels. 3) Key initiatives include revamping supplementary nutrition, strengthening governance and accountability, community mobilization efforts such as Suposhan Swasthya Melas and Suposhan Diwas celebrations, and capacity building for frontline workers.

1. UTTAR
PRADESH
GALVANISING
ACTIONS UNDER
POSHAN
ABHIYAAN

2. 228 mn- Population
18 Divisions
75 Districts
897 Projects
57,000 Gram panchayat
1,87,997 AWCs*
1,87,259 AWWs
1,53,153 helpers
3,832 Sector Supervisors
16 mn beneficiaries
Uttar Pradesh Matters
Largest Nutrition Community!!

3. Uttar Pradesh Progress Central to Achieving National
and Global Nutrition Targets
Indicators Global India UP*
Stunting
151 mn#
(22.2 %)
46 mn
(38.4%)
11mn
(46.8%)
Wasting
51 mn#
(7.5 %)
8 mn
(21%)
1.5 mn
(17.9%)
Underweight NA
40 mn
35.8 %
9.9 mn
39.5%
Anemia in Women
of Reproductive
Age Group
528.7 mn*
(29.4%)
165 mn
(53%)
24 mn
(52%)
Source:
India and UP % Prevalence NFHS-4
#WHO 2018
*WHO, 2011

4. Shifting Gears……

5. Establishing Structures to Drive Nutrition Agenda
Convergence
Committees
• State
• District
• Block level
Annual
Budgets
Convergence plans
• Village
• Block &
• District Convergence
Action Plans
At Scale
Trainings
• ILA
• CAS
• CAP trainings
SPMU FOR
POSHAN
ABHIYAAN

6. Revamping Supplementary Nutrition
Strengthening and Promoting Nutrition Governance
and Accountability
DoorstepDelivery
Fixed day, fixed site delivery
QualityAssurance
Supply Chain Management

7. Creating a Social Movement
for Nutrition
Going Beyond the Existing……

8. Supplementary Nutrition
Demonstrations
Recipe
Competitions
Innovation in Supplementary Nutrition- Taste & Variety

9. Creating Sustainable, Resilient food systems for healthy diet

10. Dietary Diversification

11. Scheme For Adolescent Girls
S.A.G.
53 districts
Black gram, yellow lentil,
millets, desi ghee
22 districts
Supplementary nutrition
in form of salty and
sweet porridge and
sweet laddos

12. First Wednesday at health
subcenters (Expanded VHNDs)
External Monitoring System
(UNICEF, TSU, Piramal)
100,000 Suposhan Swasthya Melas
organized in the state till Jan 2019
“After Suposhan Swaystha Mela, participation has increased,
people have become more aware about health, hygiene and
nutrition”
- ANM Lissy John, Khailar subcentre,Babina block, district Jhansi
Suposhan Swasthya Mela

13. Consolidated Monitoring by Development Partners
Total Sessions Monitored 704
1 SSM being held as per plan 72%
2 AAA available 74%
3 Sanitation Counter 39%
4 Nutrition Counter 72%
5 SHG/SRLM Counter
6 Any SSM IEC material visible 66%
7 Services being provided
Antenatal (Weighing, Hb, IFA distribution, MCP card being
filled) 87%
Child care (Immunization, Treatment and referral of illness,
zinc and ORS) 86%
Sanitation counselling/ demonstration 55%
Nutrition Counselling/ demonstration 84%
Weighing 82%
Screening for MUAC 51%
Adolescent counselling 58%
Complementary feeding demonstration using SNP 70%
SNP distribution 58%
8 Any govt official monitoring the session 40%
9 Caregivers aware of name of event 66%
10 Caregivers receive any counselling on Nutrition 83%
11 Caregivers receive any counselling on Sanitation 65%
12 Does caregivers notice any difference how activities are
organized now or past 72%
Suposhan Swasthya Mela Branding VHSNDs

14. Suposhan Diwas *
15th
20th
Mamta Diwas
Lactating Women
Annaprashan
6-7 months infants
Kishori Diwas
11-14 yrs Adolescents
Bachpan Diwas
0-5 years children
Godbharai
Pregnant Women
Laadli diwas
3-11 yrs girls
Mobilizing Communities
25th
30th
5th
8th

15. Capacity Building of Functionaries

16. Build skills based on understanding
of priorities among frontline workers,
through learning-by-doing approach.
Strengthen Supervisory structures
and skills through a similar
approach.
Enable coordinated functioning of
ICDS and Health programme to
achieve common goals.
Objectives of: Incremental Learning Approach (ILA)
Capacity Building- Enhancing Basic Skills

17. Major Topics Covered Under ILA Trainings
Birth preparedness for
home/institutional
delivery
Anemia
Care of sick
newborn and
KMC
Exclusive
Breastfeeding
Identification and
Management of SAM
Growth
Monitoring
Feeding
during illness
Complementary
Feeding & Diet
Diversity
ILA Modules

18. 91,581 staff trained in 18 ILA modules
Skill Upgradation initiated for 80,351
staff
3 modules completed
Training Status
30 DPODistrict
277 CDPOProject
2,138 SupervisorSector
89,136 AWWVillage
18 DPODistrict
227 CDPOProject
1,602 SupervisorSector
78,504 AWWVillage

22. Common Application Software
ICDS- CAS
Current
Scenario
Too much to remember,
No operational linkage,
Poor retention
Poor quality, unplanned,
No customization
Multiple data entry,
tedious job, poor data management
and loss of process, no outcome

23. 1. Inclusion of all the households in each AWC catchment
area.
2. Automated generation of lists for different services of
AWC beneficiaries in the AWC catchment area.
3. Real time capturing of information on AWC services
delivery to beneficiaries at centers by providing platform
for concurrent monitoring of the service delivery system.
4. Creating dashboards to provide real time reports and
information enabling employment and timely
interventions and fact-based decision making.
Objectives of CAS --- RTM

24. CAS App Individual
Login
Register
families
Real time service
input
How does ICDS - CAS work
Registration to Real-Time Service Delivery

25. ▪ 33,662 AWW trained
▪ 2,825 master trainers in 24
districts
▪ 31,240 AWW reporting on
dashboard
Capacity Building- Making big leap towards
digitization of data and information
No. 2
in the
country

26. CAS Training
AWWs working on
smartsphones
Poshan Sakhis configuring
phones

27. Capacity Building- Promoting identification of genuine
beneficiaries through “Aadhaar”
Director ICDS has been declared as Registrar
Roll out in 75 Districts
417 CDPOs, 2,853 Supervisors and 379 Pradhan
Sahayak and 289 Junior Sahayaks trained for the
activity
Process of Certification is going on - 340 functionaries in
field level in 13 Districts.

28. Leveraging State funds for Innovative Initiatives
Uttar Pradesh shows its commitment

29. 28 units at block level
Closer to the homes of affected children
Provide services of SAM* management
With support of health department at block CHC
Mukhyamantri Suposhan Ghar
10 districts
Aspirational districts HBDs
➢ Strengthen identification of SAM children and
follow-up of discharged cases through ICDS
department
➢ Establishment MSGs as counselling centers for
maternal and child nutrition.

30. CONVERGENCE
Supporting System to Deliver BETTER…

31.  A joint directive on Convergence of 6 departments-
Health, Education, ICDS, Food and Civil Supply,
Panchayati Raj and Rural Development issued on 31st
August 2018
 Convergence mechanism has been put in place from
State to Village level
Village Level: Suposhan Swasthya Mela; first
Wednesday of every month
Block Level: Convergence Commiittee chaired by
SDM, meets every month
District Level: District Nutrition Committee chaired
by DM, meets every month
State Level: Convergence Committee headed by
Chief Secretary, meets once in a
quarter.
6
Departments
ICDS
Health
Education
PRI
Rural
Development
Food &
Civil
Supplies
Inter – Departmental Coordination

32. Convergence Action Plan
Village
Block
District
State
Cascade Training Model
Convergence Action Plan (CAP)
formats standardized and issued
First round of district and block level
workshops held in all 75 districts and 820
blocks
Reporting of the convergence
meetings and CAP being uploaded on
website

33. Results through Convergence
Families of Undernourished
children
8,00,000 received Ration Card
5,67,000 received Job Cards
7,42,000 got toilets

34. Tracking progress- State Website
www.lakshyasuposhitup.in

35. Translating our Aspirations into a reality
“Suposhit Gaanv”
“Suposhit Gaanv”
(village with positive nutrition indicators)
•Progress mapped against 100
points
•2 core and 9 essential indicators
•Timeframe : 6 months
•Internal and external verification
of claims

36. Making Efforts to turn Promises into Impact…..
THANK YOU