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Integrated child development services
- 1. Integrated Child Development Services( ICDS) k.Soundararajan K. Soundararajan, SRIHER 1
- 2. Objectives • Introduction • ICDS •Objectives of ICDS • Services • Key services • Nutritional & feeding Norms • Various National program • Mid – day meal program • Conclusion K. Soundararajan, SRIHER 2
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- 4. Introduction • on 2ndoctober, 1975 the Goverment of India initiated an integrated approach for delivery of health care as well as nutrition • Education service for health • Wellbeing of children aged from 0 to 6 Years of deprived population at the village level • In urban slums through centers called "Anganwadi centers" K. Soundararajan, SRIHER 4
- 5. ICDS • It isa National Program • It begans with 33 Projects • Now covers approximately 6284 Projects • It is world's largest program on "Early Child Development" K. Soundararajan, SRIHER 5
- 6. Objectives of ICDS •To improve the nutritional & health status of children 0-6 years of age • To lay the foundation for proper psychological development of the child • To reduce incidence of mortality, morbidity, malnutrition and school dropouts. • To enhance the capacity of the mother to look after the normal health • And nutritional needs of the child, through proper health & nutritional education K. Soundararajan, SRIHER 6
- 7. Continue ... • Toachieve effective coordination of policy • And implementation among various department to promote child development K. Soundararajan, SRIHER 7
- 8. Services • Children 0-3Years • Children 3-6 Years • Pregnant & lactating women • Adolescent girl • Women ( 15 - 45 Years ) K. Soundararajan, SRIHER 8
- 9. Key Service ofICDS • Nutritional and health education and information education and communication (IEC) • Growth promotion and monitoring • Iron- Folate supplements K. Soundararajan, SRIHER 9
- 10. Nutritional and healtheducation and information education and communication (IEC) Intensive innovative media campaign and IEC on key issue such as • Increased rest during pregnancy-especially in the last trimester • Appropriate new born care • Promotion of early and exclusive breastfeeding for first 6 months • Initiation of feeding on completion of 6 months of age along with breast milk • Personal hygiene & hand washing before feeding / after defecation K. Soundararajan, SRIHER 10
- 11. Continue … • Delayedpregnancy better birth spacing and adequate maternal care during pregnancy • Prevention of STDs and RTI ( to prevent low- birth weight) • Iron folate supplementation during pregnancy • Bi-annual vitamin A supplementation for all children 1-5 years of age • Twice annual de- worming for all (include school children, adolescent girls and adults) K. Soundararajan, SRIHER 11
- 12. Growth promotion andmonitoring • To strengthen the growth monitoring and promotion component, the project design will pay adequate attention on counseling skills • And quality of training of AWWs • Provide enough information skills and motivation to refer sick children & weak borns to health facilities also for counseling and outreach services K. Soundararajan, SRIHER 12
- 13. Others • Referral sickchildren & weak borns to health facilities ( referral card, transport vouchers for mother of sick children etc) • Iron folate supplement for adolescent girls • Convergence with NRHM (National Rural Health Mission). K. Soundararajan, SRIHER 13
- 14. Nutritional and FeedingNorms • Children 0 - 6 Months • Children 6 Months – 3 Years • Children 3 – 6 Years • For severely underweight children – in addition to above K. Soundararajan, SRIHER 14
- 15. Children 0 -6 Months • Early initiation (within 1 hour of birth) • Exclusive breast feeding for the first 6 months of life K. Soundararajan, SRIHER 15
- 16. Children 6 Months– 3 Years • Appropriate complementary feeding upon completion of 6 months • Continued breastfeeding for 2 years or beyond • ICDS supplementary nutritional program (SNP) • The supplements should provide 500 calories of energy, 12-15 g of protein per child per day • Existing pattern of taken home ration (THR)- small frequent meals to the child – ICDS SNP for severely underweight children • Locally appropriate feeding and care • Health referrals and interventions K. Soundararajan, SRIHER 16
- 17. Children 3 –6 Years • ICDS SNP supplements home feeding • 500 calories of energy • 12-15 g of protein per child per day • May provide as morning snacks and meal • Hot cooked meals at anganwadi centers K. Soundararajan, SRIHER 17
- 18. For severely underweightchildren – in addition to above • Additional 300 calories of energy • Additional 8-10 g of protein per child per day (THR) • Locally appropriate feeding and care • Health referrals and interventions. K. Soundararajan, SRIHER 18
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- 21. Mid – DayMeals Program • This was started in 1995 • Children between 6-11 years of age are given food supplementation in schools only • Each child gets 100g food grain/day • Cooked food like khichri, upma, rice, sambar etc are given • Food provides roughtly one-third of RDA for energy and one-half of RDA for protein K. Soundararajan, SRIHER 21
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- 26. Various National Programs •School Mid Day Meals Program • Kishori Shakti Yojana • Swarna Jayanthi Gram Swarozgar Yojana • Sampurna Gramin Rozgar Yojana • Mahatma Gandhi National Rural Employment Gurantee Program • Rajiv Gandhi Scheme for Empowerment of Adolescent Girls • National Rural Health Mission (NRHM) • National Urban Health Mission (NUHM) • Rajiv Gandhi Drinking Water Mission • Total Sanitation Campaign • Rashtriya Krishi Vikas Yojana • National Horticulture Mission • Food Security Act (FSA) • National Food Security Mission • National Food Security Bill K. Soundararajan, SRIHER 26
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