It is a mission to improve the nutritional status of the mother and child by converging various schemes for child and mother together

1. National Nutrition Mission
Dr. Jayaramachandran S
Asst. Professor
Dept. of Community Medicine
MGMCRI

2. Content
• Introduction to NNM
• Objectives
• Elements
• 21 modules
• Planning & implementation
• Budget
• Supervision and evaluation

3. What is NNM? – Convergence
• Anganwadi Services
• Pradhan Mantri Matru Vandana Yojana
(PMMVY)
• Scheme for Adolescent Girls of this
Ministry (SAG)
• Janani Suraksha Yojana (JSY)
• National Health Mission (NHM)
• Swachh – Bharat Mission
• Public Distribution System (PDS)
• Food & Public Distribution
• Mahatma Gandhi National Rural
Employment Guarantee Scheme
(MGNREGS),
• Drinking Water & Toilets.

4. What is NNM? – Convergence

5. What is incremental learning approach?
• Breaking down the total learning agenda
• To build incrementally on small amounts of learning at a time – internalized -
regular practice - supportive supervisory
• By making such a system integral to routine programme implementation - new
and complex content and skills

6. Objectives
• Build skills based on understanding of priorities among frontline workers, through
a learning-by-doing approach
• Strengthen supervisory structures and skills through a similar approach
• Enable coordinated functioning of ICDS and health programmes to achieve
common goals.

7. Key elements
1. Structured supervisory interactions for ongoing learning, planning and review
2. Planned learning agenda with clearly defined outputs and outcomes
3. Use of evidence, drawing up on ICT-RTM data, for learning and improving
performance
4. Mechanisms for enabling convergent actions between ICDS and health
programmes
5. Cascading system of controlled monthly inputs.

8. Modules
S.No Sequence under NNM (ILA Module Name/Topic)
1 Mapping and enumeration: Survey and listing family details
2 Use of home visit planner to plan and record home visits
3 Planning and execution of community based events at Anganwadi Center

9. Modules
S.No Sequence under NNM (ILA Module Name/Topic)
4 Observation of breastfeeding – Breast Feeding
5 Identification and care of the weak new born – New born Care
6
Use of home – available variety in complementary feeding – Complementary
feeding

10. Modules
S.No Sequence under NNM (ILA Module Name/Topic)
7 Maternal anemia – IFA – Maternal Nutrition and Pre and post –Natal Care
8
Identification of under nutrition: weight and height measurement –
Management of Undernourished children
9
Complementary feeding – quantity and specificities – Complementary
feeding

11. Modules
S.No Sequence under NNM (ILA Module Name/Topic)
10 Support to exclusive breastfeeding – Breast Feeding
11 Care for weak new born – New born Care
12
Initiation of complementary feeding: home visits in 6th and 7th months –
complementary feeding

12. Modules
S.No Sequence under NNM (ILA Module Name/Topic)
13
Identification of MAM and action required – Management of
Undernourished children
14
Feeding during illness – Complementary Feeding + follow up on
Complementary Feeding – Complementary feeding
15 Supporting mothers with breastfeeding issues – Breast Feeding

13. Modules
S.No Sequence under NNM (ILA Module Name/Topic)
16 Kangaroo mother care for weak new born – Newborn Care
17 Identification and referral of the sick new born – New born Care
18 Hand-washing and hygiene – Complementary feeding

14. Modules
S.No Sequence under NNM (ILA Module Name/Topic)
19
Anemia in adolescent girls and children (split IL module 14) – Maternal
Nutrition and Pre and post – Natal Care
20
Preparation for institutional and home deliveries – Maternal Nutrition and
Pre and post – Natal Care
21
Preparedness during pregnancy for neonatal care + Family Planning -
Maternal Nutrition and Pre and post –Natal Care

15. Steps for Implementing ILA
Planning
Implementing
Monitoring
Supervising

16. Planning
•Financial norms, allocations, utilization certificates and reporting mechanisms
•Issue instructions/directives
•Constitute district (DRGs) and block resource groups (BRGs)
•Oriented & developed into master trainers by a technical team
•Constitute the State Resource Group (SRGs)

17. Planning
•Meetings needs to be planned for at least 4hours
•Venues need to be sufficient in size
•Ensure timely printing and supply of materials
•Communicate these plans to DRG and BRG members and AWWs
•Develop district and block level micro plans
•Financial approval systems that ensure timely availability of funds

18. Planning
•Knowledge tests drawing upon the e-ila modules
•This is critical to ensure the quality of IL sessions.
•Develop and implement a supervision and field monitoring plan
•Refreshments for participants
•Specific mode of facilitation for a session

19. IL Rollout – Cascade manner
1.Training of AWWs by the BRGs
1.Training of BRGs by the DRGs
1.Thematic modules monthly cycles by the SRG
1.Orientation training of DRGs on operational modalities

20. Micro planning
• Determining the requirement of additional/external facilitators and their
availability at each level
• Logistics of production and distribution of teaching-learning materials
• The mode of use of facilitation materials at each platform
• Ensuring that every level of meeting at block and lower levels is planned
• Venues of block, sector and HSC level meetings must be sufficient in size
• Participation of Supervisors and ANMs in making micro-plans
• Refreshments

21. Budget

22. Budget

23. Monitoring, Supervision and Evaluation
• The ICDS officials (DPOs/CDPOs) will be primarily responsible for
supervision and review of the IL sessions and their quality of
implementation. After every round of IL, structured review of process
will be done in the subsequent rounds at the block, district and State
levels.
• Officials/Consultants of the State ICDS Directorate will also undertake
regular review of the process in the field and during review meetings
at all levels as per the supervision and field visits plans. To assess
quality of IL sessions they will use quality checklists

24. Thank you….