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POSHAN
ABHIYAAN
PRESENTER -
DR SHEEZA SHAIKH
DR PRAVEEN KUMAR
MODERATOR-
DR AJAYKUMAR SAHU
ASSISTANT
PROFESSOR
Prime Minister's Overarching
Scheme for Holistic
Nourishment
• INTRODUCTION
• ICDS
• GOALS AND OBJECTIVES
• POSHAN 2.O
• INSTITUTIONAL STRUCTURES
• COMPONENTS OF POSHAN 2.O
• NEED OF NNM, ITS IMPORTANT
FUNCTIONS
• JAN ANDOLAN-POSHAN PAKHWADA
• POSHAN TRACKER
• RECENT ONGOING ACTIVITY:
NATIONAL NUTRITION MONTH
2
ICDS
• Integrated Child Development Service (ICDS) was launched on 2nd October, 1975.
• The ICDS scheme was launched as a pilot in 33 projects.
• In the sixth five-year plan, it was further expanded and converted into a program,
covering the entire country.
• The scheme is implemented by the Ministry of Women and Child Development
through Anganwadi Centres (AWC). Repositioning the AWC as a vibrant "Early
Childhood Development (ECD) centre"
REFERENCE-IAPSM’S TEXTBOOK OF COMMUNITY MEDICINE 3
OBJECTIVES OF THE ICDS SCHEME
(a) To improve the nutritional and health status of children in the age group 0-6 years
(b) To lay the foundations for proper psychological, physical and social development of the child
(c) To reduce mortality and morbidity, malnutrition and school drop-out
(d) To achieve an effective coordination of policy and implementation among the various departments
working for the promotion of child development
(e) To enhance the capability of the mother and nutritional needs of the child through proper nutrition and
health education
4
BENEFICIARY
5
6
Presentation title 7
Presentation title 9
8
12
9.50
The ICDS scheme is implemented at the village level through the Anganwadi and mini
AWC according to population norms as follows:
• For rural/urban projects:
1 AWC for 400-800,2 AWCs for 800-1,600, 3 AWCs for 1,600-2,400
• For mini AWC: 1 mini AWC for 150-400 population
• For tribal and other difficult areas: 1 AWC for 300-800, 1 mini AWC for 150-300
population
10
REFERENCE-IAPSM’S TEXTBOOK OF COMMUNITY MEDICINE
KEY NUTRITION STRATEGIES
11
• IYCF (Infant and Young child feeding)
• Immunization
• Institutional Delivery
• WASH (Water, Sanitation and Hygiene)
• De-worming
• ORS-Zinc
• Food Fortification
• Dietary Diversification
• ECD (Early childhood development)
• ECCE (Early Childhood care and Education)
FUNCTIONS OF SERVICE PROVIDERS
• Anganwadi worker: She is responsible for enlisting the beneficiaries in her village and
providing all services in the ICDS package, maintaining records, treating common
ailments and referring to PHC/higher centre and enrolling children into schools.
• Mukhya Sevika: She is responsible for guiding, supporting and supervising the
AWWs in her sector, organizing monthly meetings for AWWs to discuss operational
problems if any, and maintaining liaison and developing linkages between AWW and
other functionaries.
REFERENCE-IAPSM’S TEXTBOOK OF COMMUNITY MEDICINE
12
• Child Development Project Officer: He/she is the leader of the program at the block
level and supervises its implementation, allocates targets, ensures maintenance of
records, arranges training and educational programs, keeps account of equipment and
materials and prepares and dispatches periodic reports of the project.
• Role of PHC and health infrastructure: Health check-up, referral services,
immunization, health and nutrition education, continuing education of ICDS and
health functionaries, monitoring of the health component of ICDS, support the AWW
and supply additional medicines to the kit of AWW, training of AWW
REFERENCE-IAPSM’S TEXTBOOK OF COMMUNITY MEDICINE
13
• 25 AWW under 1 MUKHYA SEVIKA
• 4 MUKHYA SEVIKA under 1 CDPO
• 1 CDPO for 1 ICDS PROJECT
• 100 AWW in 1 ICDS PROJECT
14
1 ICDS Project
1 CDPO
1MS 2MS 3MS 4MS
25AWW 25AWW 25 AWW 25 AWW
15
UMBERELLA ICDS
16
• ANGANWADI SERVICES SCHEME
• PRADHAN MANTRI MATRU VANDANA YOJANA
• NATIONAL CRÈCHE SCHEME
• SCHEME FOR ADOLESCENT GIRLS
• POSHAN ABHIYAAN
• CHILD PROTECTION SCHEME
17
18
Introduction
19
• Poshan Abhiyaan is a multi-ministerial convergence mission with the vision to ensure
attainment of malnutrition free India by 2022.
• Earlier it is called the "National Nutrition Mission"
• It was launched by Hon’ble Prime Minister Mr. Narendra Modi` on the occasion of
the International Women's Day on 8 March, 2018 in all states/UTs
• September month to be celebrated as Rashtriya Poshan Maah’.
• Purpose of celebrating "Poshan Maah" is to take message of nutrition to every nook
and corner of India and to focus on complimentary food
20
• The goals are to achieve improvement in nutritional status of children from 0-6 years,
adolescent girls, pregnant women and lactating mothers with fixed targets.
• It ensures convergence of various programmes like
a. Anganwadi services
b. Pradhan Mantri Matru Vandana Yojana
c. Schemes for adolescent girls of Ministry of Women and Child Development
d. Janani Suraksha Yojana
e. National Health Mission of Ministry of Health and Family Welfare
f. Swachh Bharat Mission of Ministry of Jal Shakti etc.
Reference-park’s textbook
The objectives and targets are
1. Prevent and reduce stunting in children (0-6 years)
2. Prevent and reduce under nutrition and underweight prevalence in children (0-6 year)
3. Reduce the prevalence of anaemia among children (6-59 months)
4. Reduce the prevalence of anaemia among girls and women in the age group (15-49 years)
5. Reduce low birth weight
6. Improving utilization of Anganwadi delivery Services
Reference-park’s textbook 22
NNM | Goal andObjectives
Presentation title 23
POSHAN 2.O
24
• Saksham Anganwadi and Poshan 2.0 (hereinafter referred to as Poshan 2.0) is an
Integrated Nutrition Support Programme.
• Poshan 2.0 shall focus on Maternal Nutrition, Infant and Young Child Feeding Norms,
Treatment Protocols for SAM/MAM and Wellness through AYUSH practices to reduce
wasting and under-weight prevalence besides stunting and anemia
• Delivery of package of essential nutrition interventions
Reference-Mission Saksham Anganwadi and Poshan 2.0 25
INTRODUCTION
• Focus on home visits, community based events, mid and mass media activities through
JAN ANDOLAN for behavior change
• Mobile based technology (ICDS-CAS) to monitor and track services and propose
corrective actions
• Converging key sectors - education, agriculture, water and sanitation among others, at
the district level
26
SAKSHAM Anganwadi
• Under Saksham Anganwadi, 2 lakh AWCs @ 40,000 AWCs per year shall be
strengthened, upgraded and rejuvenated across the country
• For improving nutrition delivery including Poshan Vatikas for stimulating the creative,
social, emotional, cognitive and intellectual development of children under 6 years of
age
• Providing more services with better infrastructure including internet/wifi connectivity,
LED screens, water purifier/installation of RO machine and Early Childhood Care and
Education with smart learning aids, audio-visual aids, child-friendly learning
equipment and art work (educational painting, practice board for children, information
board),etc.
27
• One of the important features in Saksham Anganwadi is installation of Rain Water
Harvesting System
• Keeping in view the increasing pressure on natural water resources, limited
availability of potable water, contamination of fresh water eco-system from
developmental activities and to make the "Jal Shakti Abhiyaan: Catch The Rain"
campaign successful, it has been approved to install Rain Water Harvesting Structures
in 2 lakh AWC buildings as Saksham Anganwadi across the country in 5 years.
28
OBJECTIVES
• To contribute to human capital development of the country
• Address challenges of malnutrition
• Promote nutrition awareness and good eating habits for sustainable health and
wellbeing
• Address nutrition related deficiencies through key strategies.
• Poshan 2.0 shall seek to optimize the quality and delivery of nutrition under the
Supplementary Nutrition Program
29
Roles and Responsibilities of Anganwadi
Workers
• To elicit community support and participation in running the Poshan2.0
• To learn to use and become proficient in the operations of the smartphone provided to
the AWC where she undertakes the voluntary work.
• To feed relevant beneficiary data in Poshan Tracker app on regular basis as instructed
from time to time and generate/submit reports/ returns as specified.
• To weigh each child every month, record the weight graphically on the growth card
• To carry out a quick survey of all the families`
• To organize supplementary nutrition feeding for children (0-6 years) and expectant
and nursing mothers by planning the menu based on locally available ingredients and
recipes.
• To provide health and nutrition education and counselling on breastfeeding
• To help pregnant and lactating mothers
• To undertake home visits for educating
• To maintain files and records as prescribed.
• To assist the PHC staff
• To assist ANM in the administration of IFA and Vitamin A
• To share information collected under ICDS Scheme with the ANM.
• To coordinate with other local institutions and involve lady school teachers and girls of
the primary/middle schools in the village which have relevance to her functions.
• To guide ASHA in the delivery of health care services and maintenance of records
under Poshan 2.0 (Anganwadi) Scheme.
REFERENCE- Saksham Anganwadi and Poshan 2.0
31
Roles and Responsibilities of Anganwadi
Helpers
• Cook and serve food to beneficiaries.
• Clean the Anganwadi premises daily.
• Ensure cleanliness in young children.
• Bring children from the village community to the Anganwadi centre.
• Help AWW in smooth discharge of her duties.
• In absence of AWW, the Anganwadi Helper shall carry out her functions and discharge
her responsibilities.
32
TRAINING FOR AWW
• The frontline workers in the Anganwadi ecosystem comprise of 3 tiers viz. Lady
Supervisors, Anganwadi workers, and Anganwadi Helpers, all of whose capacities
will have to be strengthened
33
CADRE EDU. QUALIFICATION AGE LIMIT
Lady Supervisor
Anganwadi Worker
Anganwadi Helper
12th Pass/Graduate
12th Pass
12th Pass
21-45 years
18-35 years
18-35 years
Presentation title 34
POSHAN ABHIYAAN 2.O
COMPONENTS
“
”
36
1. CAP
37
CAP
S.No. Ministry/ Department Activities Support from Ministries/Depts.
1. MeiTY –
NeGD, MyGOV
Aadhaar Seeding of Beneficiaries to
ensure last-mile tracking of Take-
Home Ration
Aadhaar-based migration of
Pregnant Women and Lactating
Mothers
SAM/MAM Tracker Module
Poshan Vatikas Module
MoWCD is extending financial
support of Rs 54 crore over 5 years.
2. Health & Family Welfare Immunization, Health Check-up, and
Referral Services under package of
6 services under Anganwadi service
s scheme) related to health shall
continue to be provided through
NHM & Public Health Infrastructure
by ASHA and ANM
(I) Integrate Poshan Tracker data
on nutritional status of PWLM,
adolescent girls of 14-18 years
of age
(II) Assign Digital ID to each
beneficiary
(III) IFA – Vitamin D
(IV) De-worming Immunization
services
38
S.No
.
Ministry/ Department Activities Support from
Ministries/Depts.
3. School Education To provide training to AWWs for preprimary
education of Children in the age-group 3-6 years.
Training/Skilling for
AWW/AWHs to be provided
as appropriate by DoSEL so
that child of the age group
of 5-6 years can be made
ready for formal schooling.
4. Rural Development Proposal is to construct 50,000 AWCs during
2021-22 to 2025-26, to target those AWCs which
are running in rented premises or in open spaces
50,000 AWC buildings to be
constructed during five year
period under Poshan 2.0.
5. M/o Panchayati Raj (I) Infant & Young Child Feeding Norms: Applied
Practice around feeding, wellness, hygiene,
safe water, sanitation etc
(II) Establish Poshan Vatikas as viable units
(jointly with MoEFCC, AYUSH and M/o
Agriculture)
(I) Poshan Panchayats to
play active role for
malnutrition-free India
through Jan Bhagidari
(II) Home visits, CBEs,
VHNDs and AWC visits
and coordination with
ASHA and AWW
(III) Counselling of Mothers’
Groups and other
grassroots functionaries
and stakeholders at
Poshan Panchayats on
S.No. Ministry/ Department Activities Support from
Ministries/Depts.
(IV) set up local groups e.g.,
Mothers Groups, BPL
women/any other to
maintain and monitor the
Poshan Vatikas
6. Environment & Forest Extend schemes of Social Forestry for
cultivating fruit trees in Poshan Vatikas and
household backyards in Gram Panchayat
areas.
Plant fruit trees in Poshan
Vatikas and household
backyards in convergence
with MoPRI, MoRD,
concerned State Govts.
7. Aayush - setting up nutri-gardens,
- creating nutritious local foods
- using AYUSH solutions for treating
anemia and improving digestion with the
help of ayurvedic formulations
- Integrating AYUSH foods within existing
guidelines
- Using products like Ashwagandha and
Chyavanprashavaleha etc., effectively
used in management of malnutrition and
poor immunity
7 lakh AYUSH registered
practitioners to converge
with MoWCD to derive
maximum benefits from
Poshan Vatikas
Anganwadi workers to be
encouraged to undergo the
short training programs for
“Ayurveda Poshan
Sahayak’ to strengthen
40
S.No. Ministry/ Department Activities Support from
Ministries/Depts.
8. M/o Agriculture Assist in creating structured
Poshan Vatikas through
provision of seeds for green
vegetables.
Plant seeds in Poshan
Vatikas
9. Food Safety and Standards Authority of India
(FSSAI)
(I) Periodic safety checks
of food items
(II) AWW’s are trained to
check the quality of food
items in nutritional
programmes
(I) FSSAI to build a strong
regulatory mechanism
in convergence with
Ministries and State
Governments, to ensure
quality of food
distributed
(II) Test Take-Home Ration
(not raw ration), in
FSSAI
owned/registered/empa
nell ed/accredited
laboratory
(III) Random testing to be
conducted by
41
S.No. Ministry/ Department Activities Support from
Ministries/Depts.
10. Alll States Govts/UT Administration s • Ensure nutrient rich food
is accessible and
affordable
• Promote diet diversity,
agro- climatic regional
meal plans
Meal plan guidelines to
meet energy, fat and macro-
micro nutrient requirements
for all age groups,
Use locally available and
culturally appropriate
ingredients
11. Jal Shakti Mission • Improve Drinking Water
and Sanitation facilities
at Anganwadi Centres
• Promote rain water
harvesting
Budgetary provision
proposed by MoWCD for
RWHs in Saksham
Anganwadis
12. Food & Public Distribution Food Fortification,
sustainable and affordable
way to address
micronutrient deficiencies
millets shall also be
popularized and targeted for
distribution through PDS
42
S.No. Ministry/ Department Activities Support from
Ministries/Depts.
13. MNRE Assist with setting up solar
panels as and when
decided
technical support for any
pilot project to be taken up
at Saksham Anganwadis for
clean energy. Monitor
performance of installations
and carry out
maintenance services
14. DoNER MoWCD, concerned State
Govts in NER and with field
functionaries, viz., AWWs,
CDPOs for effective
implementation of Poshan
2.0 and monitoring of SNP
for Adolescent Girls in age
group 14-18 years in NER.
Fund the construction of
Anganwadi Centres in NER
Identify Adolescent Girls in
various districts
15. Niti Aayog Assist in leveraging
schemes under Aspirational
Districts
Adolescent Girls in age
group 14-18 years in
aspirational districts.
43
S.No
.
Ministry/ Department Activities Support from
Ministries/Depts.
16. Ministry of Disability Affairs Converge activities under special schemes
for benefit of children beneficiaries under
various age groups at AWCs
Identify Children with
special needs for
convergence of activities to
address their requirements
at AWCs.
17. MoI&B Converge activities with MoWCD for
developing effective communication
strategies targeting women and children for
promoting practices that nurture heath,
wellness and immunity from malnutrition
Assist in developing
effective outreach through
social media platforms,
shorts and documentaries.
18. Ministry of Corporate Affairs Encourage corporates to raise awareness
on importance of nutrition and wellbeing
and promote healthy eating habits
Encourage social change through socially
and environmentally conscious
investments
• Drive initiatives that raise
awareness for non-
infectious diseases
• Sensitize Mother Groups
and Poshan Panchayats
on healthy eating habits
• Use profits to provide
medical treatments, 'safe'
drinking water and build
businesses to create jobs
44
45
2. ICDS-CAS(COMMON APPLICATION SOFTWARE)
MOBILE APPLICATION
REFERENCE-Administrative_Guidelines_NNM-26022018.pdf
`
Presentation title 46
• The ICDS-CAS has two components, namely the mobile application
which is made available to the field functionaries preloaded on mobile
phones and desktop dashboard
• The procurement and distribution of mobile devices is a part of the
project.
• The application is aimed to augment system strengthening in
Anganwadi Service Delivery and looks at improving the nutrition
outcomes through effective monitoring and timely intervention.
47
• 3. CBE(Community Based Events)-Organizing community based traditional
events to promote and support behaviour change to improve maternal and child nutrition
is one of the methods to increase awareness and set in change.
• 4. Information, Education & Communication (IEC) and Advocacy:
• IEC activities play a very important and strategic role in the area of public health.
• Aims to create awareness and disseminate information regarding the benefits and
health related government schemes and to guide the citizens on how to access them.
• The objective is also to encourage build-up of health seeking behaviour among the
masses in keeping with the focus on promotive and preventive healthcare
48
INCENTIVE TO STATES
• The incentives proposed are based on the population of the State
49
INNOVATIONS
• Funds have been earmarked for the development and implementation of
innovations and pilots particularly showing the convergent nutrition
action to achieve one or more desirable nutritional results
• It should have an unambiguous focus on nutrition outcomes and should
generate evidence of desired nutritional effect and feasibility of
implementation, so that the innovation-pilot shall be considered for either
further development or wider implementation
50
ILA
• The National Nutrition Mission (NNM) envisages establishing a system where
programme functionaries will become more effective by learning to plan and execute
each task correctly and consistently through methodical, ongoing capacity building,
called ‘Incremental Learning Approach (ILA)
• Such a system will use opportunities in the form of existing supervisory interactions at
different levels, through which practical and guided learning may be accomplished.
• Incremental Learning sessions or trainings will be planned and organized monthly at
the district, block and sector level.
51
52
INCREMENTAL LEARNING APPROACH (ILA)
• Learn by doing
• 21 modules available on
website
• 21 themes
• Master trainers will train
Lady Supervisor
/AWW/AWH
FEATURES
• The proposal consists of
- Mapping of various Schemes contributing towards addressing malnutrition.
- Introducing a very robust convergence mechanism.
- ICT based Real Time Monitoring system.
- Incentivizing States/UTs for meeting the targets.
- Incentivizing Anganwadi Workers (AWWs) for using IT based tools.
- Eliminating registers used by AWWs.
-Introducing measurement of height of children at the Anganwadi Centres (AWCs)
-Social Audits
53
MAJOR IMPACT
• The targets will strive to reduce the level of stunting, under-nutrition, anemia and low
birth weight babies.
• It will create synergy, ensure better monitoring, issue alerts for timely action.
• Encourage States/UTs to perform, guide and supervise the line Ministries
54
Structure of National Council on Nutrition Challenges
56
Institutional Arrangement – FUNCTIONS AT NATIONAL
LEVEL
57
National
Nutrition Mission
Steering Group
(NNMSG)
•Meet once in 6
months
Functions:
•Approval for
policy
programme
•Ensure effective
convergence
•Advice EPC
Empowered
Programme
Committee (EPC)
•Meet once in 3
months
Functions :
•Plan and monitor
•Frame rules and
procedure
•Approve annual
plans
•Track progress
National
Nutrition
Mission
Directorate
To carry out
functions
mandated by
NNMSG/EPC
National
Nutrition
Mission
Resource Centre
Provide Technical
Assistance
Reference-Administrative_Guidelines_NNM-26022018.pdf
Institutional Arrangement - functions
58
• State Level
- SMSG and SEPC
- Mobilize and
provide additional
resources to the
States/UT’s to enable
them to meet diverse
nutrition needs
District Level
-Serves as a district unit
of state nutrition society
Block Level
- It will incorporate
inputs from Health,
Sanitation, Drinking
Water
Village Level
- Village Health
Sanitation and Nutrition
Committee (VHSNC) :
Co-ordinating
nutritional related
activities
- Anganwadi : promoting
MCH, nutrition and
development activities
Reference-Administrative_Guidelines_NNM-26022018.pdf
8 THEMES
Presentation title 59
1
Scheduled Activities
• Convergence Action Plan
Meeting - State, District,
Block
• VHSND Day
• СВЕ
• ECCE Day
• DAY-NRLM Weekly
Meeting
• Home Visits by
ANM/ASHA/AWW – HBNC
• Gram Sabha Meeting
Suggested
ACTIVITIES
60
2
Suggested Activities
• Prabhat Pheri
• POSHAN Melas
• POSHAN Rallies & Walks
• Nukkad Nataks
• Yuva Shakti Rallies
• School Based Events
• Recipe Demonstration
• Public Events
OATH Ceremony
61
POSHAN TRACKER
• The ‘Poshan Tracker’ is a mobile based application rolled out by the Ministry of
Women and Child Development, Government of India on 1st March 2021 through
National e-Governance Division (NeGD), Poshan Tracker is an important governance
tool. Technology under Poshan Tracker is being leveraged for dynamic identification
of stunting, wasting, under-weight prevalence among children and last mile tracking
of nutrition service delivery.
• Job-aid to the Anganwadi worker for efficient delivery of services along with
reflection of their efforts.
• Critical and beneficiary-centric service delivery Application under POSHAN Tracker
Promote real time data with analytics.
REFERENCE-https://wcd.nic.in/
https://www.poshantracker.in/
62
JAN ANDOLAN
• Coordinates the delivery of Behavior Change Messages
• To reduce malnutrition, anemia and low birth weight
• To address under and over nutrition
• To ensure a bright future for INDIA
64
POSHAN PAKHWADA
65
-Poshan Maah and Poshan Pakhwada- Since the launch of POSHAN Abhiyaan in March
2018, these events have helped in reaching out to communities through the nation’s
biggest nutrition-centric annual Jan Andolans. The month of September is celebrated as
Rashtriya Poshan Maah across the country.
-Frontline workers, community groups, PRIs, staff at Block and District level, State
departments and Ministries had exemplified diligent work towards triggering a Jan
Andolan for POSHAN Abhiyaan.
66
• The Poshan Pakhwada aims to raise awareness about the importance of nutrition
and promote healthy eating habits through Jan Andolan and Jan Bhagidari.
• The theme of this year’s Poshan Pakhwada 2023 is "Nutrition for All: Together
Towards a Healthy India".
• The Ministry of Women and Child Development is marking the sixth edition of
Poshan Pakhwada, observed from March 9th to March 23rd, 2024, with an array of
activities across the nation.
• This Poshan Pakhwada will center around several key themes, including “Poshan
Bhi, Padhai Bhi” (PBPB)
• Aims to raise awareness and promote action on issues related to maternal and child
nutrition across the country
Referencxe - https://www.studyiq.com/articles/poshan-pakhwada/ 67
Poshan Pakhwada 2024 Objectives
• Raise awareness about nutrition, dietary practices, and women’s health.
• Promote positive behavioural changes related to nutrition and healthy lifestyles.
• Address malnutrition, especially among vulnerable groups like pregnant women
and children.
• Empower women to make informed decisions about their health and nutrition.
• Support holistic child development through adequate nutrition and care.
• Advocate for sustainable food systems, including the consumption of locally
sourced, nutritious foods.
Reference-https://www.studyiq.com/articles/poshan-pakhwada/
68
• Strengthen healthcare services for maternal and child health, including
growth monitoring.
• Foster community engagement and participation in nutrition-related
activities.
• Monitor progress and evaluate the impact of initiatives on nutrition
outcomes.
• Sustain momentum by integrating nutrition education into ongoing
programs and policies.
69
70
PROGRESS SO FAR………
• Stunting reduced from 38.4% to 35.5%
• Wasting declined from 21% to 19.3%
• Underweight prevalence reduced from 35.7% to 32.1%
71
REFERENCES
 PARK’S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE
 IAPSM’S TEXTBOOK OF COMMUNITY MEDICINE
 MINISTRY OF WOMEN AND CHILD DEVELOPMENT
 https://www.poshanabhiyaan.gov.in/
 ADMINISTRATIVE_GUIDELINES_NNM-26022018.PDF
72
Thank you

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POSHAN ABHIYAAN-Poshan 2.0 will concentrate on Maternal Nutrition, Infant and Young Child Feeding Norms, Treatment of MAM/SAM, and Wellness through AYUSH.

  • 1. POSHAN ABHIYAAN PRESENTER - DR SHEEZA SHAIKH DR PRAVEEN KUMAR MODERATOR- DR AJAYKUMAR SAHU ASSISTANT PROFESSOR
  • 2. Prime Minister's Overarching Scheme for Holistic Nourishment • INTRODUCTION • ICDS • GOALS AND OBJECTIVES • POSHAN 2.O • INSTITUTIONAL STRUCTURES • COMPONENTS OF POSHAN 2.O • NEED OF NNM, ITS IMPORTANT FUNCTIONS • JAN ANDOLAN-POSHAN PAKHWADA • POSHAN TRACKER • RECENT ONGOING ACTIVITY: NATIONAL NUTRITION MONTH 2
  • 3. ICDS • Integrated Child Development Service (ICDS) was launched on 2nd October, 1975. • The ICDS scheme was launched as a pilot in 33 projects. • In the sixth five-year plan, it was further expanded and converted into a program, covering the entire country. • The scheme is implemented by the Ministry of Women and Child Development through Anganwadi Centres (AWC). Repositioning the AWC as a vibrant "Early Childhood Development (ECD) centre" REFERENCE-IAPSM’S TEXTBOOK OF COMMUNITY MEDICINE 3
  • 4. OBJECTIVES OF THE ICDS SCHEME (a) To improve the nutritional and health status of children in the age group 0-6 years (b) To lay the foundations for proper psychological, physical and social development of the child (c) To reduce mortality and morbidity, malnutrition and school drop-out (d) To achieve an effective coordination of policy and implementation among the various departments working for the promotion of child development (e) To enhance the capability of the mother and nutritional needs of the child through proper nutrition and health education 4
  • 6. 6
  • 9. The ICDS scheme is implemented at the village level through the Anganwadi and mini AWC according to population norms as follows: • For rural/urban projects: 1 AWC for 400-800,2 AWCs for 800-1,600, 3 AWCs for 1,600-2,400 • For mini AWC: 1 mini AWC for 150-400 population • For tribal and other difficult areas: 1 AWC for 300-800, 1 mini AWC for 150-300 population 10 REFERENCE-IAPSM’S TEXTBOOK OF COMMUNITY MEDICINE
  • 10. KEY NUTRITION STRATEGIES 11 • IYCF (Infant and Young child feeding) • Immunization • Institutional Delivery • WASH (Water, Sanitation and Hygiene) • De-worming • ORS-Zinc • Food Fortification • Dietary Diversification • ECD (Early childhood development) • ECCE (Early Childhood care and Education)
  • 11. FUNCTIONS OF SERVICE PROVIDERS • Anganwadi worker: She is responsible for enlisting the beneficiaries in her village and providing all services in the ICDS package, maintaining records, treating common ailments and referring to PHC/higher centre and enrolling children into schools. • Mukhya Sevika: She is responsible for guiding, supporting and supervising the AWWs in her sector, organizing monthly meetings for AWWs to discuss operational problems if any, and maintaining liaison and developing linkages between AWW and other functionaries. REFERENCE-IAPSM’S TEXTBOOK OF COMMUNITY MEDICINE 12
  • 12. • Child Development Project Officer: He/she is the leader of the program at the block level and supervises its implementation, allocates targets, ensures maintenance of records, arranges training and educational programs, keeps account of equipment and materials and prepares and dispatches periodic reports of the project. • Role of PHC and health infrastructure: Health check-up, referral services, immunization, health and nutrition education, continuing education of ICDS and health functionaries, monitoring of the health component of ICDS, support the AWW and supply additional medicines to the kit of AWW, training of AWW REFERENCE-IAPSM’S TEXTBOOK OF COMMUNITY MEDICINE 13
  • 13. • 25 AWW under 1 MUKHYA SEVIKA • 4 MUKHYA SEVIKA under 1 CDPO • 1 CDPO for 1 ICDS PROJECT • 100 AWW in 1 ICDS PROJECT 14
  • 14. 1 ICDS Project 1 CDPO 1MS 2MS 3MS 4MS 25AWW 25AWW 25 AWW 25 AWW 15
  • 16. • ANGANWADI SERVICES SCHEME • PRADHAN MANTRI MATRU VANDANA YOJANA • NATIONAL CRÈCHE SCHEME • SCHEME FOR ADOLESCENT GIRLS • POSHAN ABHIYAAN • CHILD PROTECTION SCHEME 17
  • 17. 18
  • 19. • Poshan Abhiyaan is a multi-ministerial convergence mission with the vision to ensure attainment of malnutrition free India by 2022. • Earlier it is called the "National Nutrition Mission" • It was launched by Hon’ble Prime Minister Mr. Narendra Modi` on the occasion of the International Women's Day on 8 March, 2018 in all states/UTs • September month to be celebrated as Rashtriya Poshan Maah’. • Purpose of celebrating "Poshan Maah" is to take message of nutrition to every nook and corner of India and to focus on complimentary food 20
  • 20. • The goals are to achieve improvement in nutritional status of children from 0-6 years, adolescent girls, pregnant women and lactating mothers with fixed targets. • It ensures convergence of various programmes like a. Anganwadi services b. Pradhan Mantri Matru Vandana Yojana c. Schemes for adolescent girls of Ministry of Women and Child Development d. Janani Suraksha Yojana e. National Health Mission of Ministry of Health and Family Welfare f. Swachh Bharat Mission of Ministry of Jal Shakti etc. Reference-park’s textbook
  • 21. The objectives and targets are 1. Prevent and reduce stunting in children (0-6 years) 2. Prevent and reduce under nutrition and underweight prevalence in children (0-6 year) 3. Reduce the prevalence of anaemia among children (6-59 months) 4. Reduce the prevalence of anaemia among girls and women in the age group (15-49 years) 5. Reduce low birth weight 6. Improving utilization of Anganwadi delivery Services Reference-park’s textbook 22
  • 22. NNM | Goal andObjectives Presentation title 23
  • 24. • Saksham Anganwadi and Poshan 2.0 (hereinafter referred to as Poshan 2.0) is an Integrated Nutrition Support Programme. • Poshan 2.0 shall focus on Maternal Nutrition, Infant and Young Child Feeding Norms, Treatment Protocols for SAM/MAM and Wellness through AYUSH practices to reduce wasting and under-weight prevalence besides stunting and anemia • Delivery of package of essential nutrition interventions Reference-Mission Saksham Anganwadi and Poshan 2.0 25 INTRODUCTION
  • 25. • Focus on home visits, community based events, mid and mass media activities through JAN ANDOLAN for behavior change • Mobile based technology (ICDS-CAS) to monitor and track services and propose corrective actions • Converging key sectors - education, agriculture, water and sanitation among others, at the district level 26
  • 26. SAKSHAM Anganwadi • Under Saksham Anganwadi, 2 lakh AWCs @ 40,000 AWCs per year shall be strengthened, upgraded and rejuvenated across the country • For improving nutrition delivery including Poshan Vatikas for stimulating the creative, social, emotional, cognitive and intellectual development of children under 6 years of age • Providing more services with better infrastructure including internet/wifi connectivity, LED screens, water purifier/installation of RO machine and Early Childhood Care and Education with smart learning aids, audio-visual aids, child-friendly learning equipment and art work (educational painting, practice board for children, information board),etc. 27
  • 27. • One of the important features in Saksham Anganwadi is installation of Rain Water Harvesting System • Keeping in view the increasing pressure on natural water resources, limited availability of potable water, contamination of fresh water eco-system from developmental activities and to make the "Jal Shakti Abhiyaan: Catch The Rain" campaign successful, it has been approved to install Rain Water Harvesting Structures in 2 lakh AWC buildings as Saksham Anganwadi across the country in 5 years. 28
  • 28. OBJECTIVES • To contribute to human capital development of the country • Address challenges of malnutrition • Promote nutrition awareness and good eating habits for sustainable health and wellbeing • Address nutrition related deficiencies through key strategies. • Poshan 2.0 shall seek to optimize the quality and delivery of nutrition under the Supplementary Nutrition Program 29
  • 29. Roles and Responsibilities of Anganwadi Workers • To elicit community support and participation in running the Poshan2.0 • To learn to use and become proficient in the operations of the smartphone provided to the AWC where she undertakes the voluntary work. • To feed relevant beneficiary data in Poshan Tracker app on regular basis as instructed from time to time and generate/submit reports/ returns as specified. • To weigh each child every month, record the weight graphically on the growth card • To carry out a quick survey of all the families` • To organize supplementary nutrition feeding for children (0-6 years) and expectant and nursing mothers by planning the menu based on locally available ingredients and recipes. • To provide health and nutrition education and counselling on breastfeeding
  • 30. • To help pregnant and lactating mothers • To undertake home visits for educating • To maintain files and records as prescribed. • To assist the PHC staff • To assist ANM in the administration of IFA and Vitamin A • To share information collected under ICDS Scheme with the ANM. • To coordinate with other local institutions and involve lady school teachers and girls of the primary/middle schools in the village which have relevance to her functions. • To guide ASHA in the delivery of health care services and maintenance of records under Poshan 2.0 (Anganwadi) Scheme. REFERENCE- Saksham Anganwadi and Poshan 2.0 31
  • 31. Roles and Responsibilities of Anganwadi Helpers • Cook and serve food to beneficiaries. • Clean the Anganwadi premises daily. • Ensure cleanliness in young children. • Bring children from the village community to the Anganwadi centre. • Help AWW in smooth discharge of her duties. • In absence of AWW, the Anganwadi Helper shall carry out her functions and discharge her responsibilities. 32
  • 32. TRAINING FOR AWW • The frontline workers in the Anganwadi ecosystem comprise of 3 tiers viz. Lady Supervisors, Anganwadi workers, and Anganwadi Helpers, all of whose capacities will have to be strengthened 33 CADRE EDU. QUALIFICATION AGE LIMIT Lady Supervisor Anganwadi Worker Anganwadi Helper 12th Pass/Graduate 12th Pass 12th Pass 21-45 years 18-35 years 18-35 years
  • 35. 36
  • 37. CAP S.No. Ministry/ Department Activities Support from Ministries/Depts. 1. MeiTY – NeGD, MyGOV Aadhaar Seeding of Beneficiaries to ensure last-mile tracking of Take- Home Ration Aadhaar-based migration of Pregnant Women and Lactating Mothers SAM/MAM Tracker Module Poshan Vatikas Module MoWCD is extending financial support of Rs 54 crore over 5 years. 2. Health & Family Welfare Immunization, Health Check-up, and Referral Services under package of 6 services under Anganwadi service s scheme) related to health shall continue to be provided through NHM & Public Health Infrastructure by ASHA and ANM (I) Integrate Poshan Tracker data on nutritional status of PWLM, adolescent girls of 14-18 years of age (II) Assign Digital ID to each beneficiary (III) IFA – Vitamin D (IV) De-worming Immunization services 38
  • 38. S.No . Ministry/ Department Activities Support from Ministries/Depts. 3. School Education To provide training to AWWs for preprimary education of Children in the age-group 3-6 years. Training/Skilling for AWW/AWHs to be provided as appropriate by DoSEL so that child of the age group of 5-6 years can be made ready for formal schooling. 4. Rural Development Proposal is to construct 50,000 AWCs during 2021-22 to 2025-26, to target those AWCs which are running in rented premises or in open spaces 50,000 AWC buildings to be constructed during five year period under Poshan 2.0. 5. M/o Panchayati Raj (I) Infant & Young Child Feeding Norms: Applied Practice around feeding, wellness, hygiene, safe water, sanitation etc (II) Establish Poshan Vatikas as viable units (jointly with MoEFCC, AYUSH and M/o Agriculture) (I) Poshan Panchayats to play active role for malnutrition-free India through Jan Bhagidari (II) Home visits, CBEs, VHNDs and AWC visits and coordination with ASHA and AWW (III) Counselling of Mothers’ Groups and other grassroots functionaries and stakeholders at Poshan Panchayats on
  • 39. S.No. Ministry/ Department Activities Support from Ministries/Depts. (IV) set up local groups e.g., Mothers Groups, BPL women/any other to maintain and monitor the Poshan Vatikas 6. Environment & Forest Extend schemes of Social Forestry for cultivating fruit trees in Poshan Vatikas and household backyards in Gram Panchayat areas. Plant fruit trees in Poshan Vatikas and household backyards in convergence with MoPRI, MoRD, concerned State Govts. 7. Aayush - setting up nutri-gardens, - creating nutritious local foods - using AYUSH solutions for treating anemia and improving digestion with the help of ayurvedic formulations - Integrating AYUSH foods within existing guidelines - Using products like Ashwagandha and Chyavanprashavaleha etc., effectively used in management of malnutrition and poor immunity 7 lakh AYUSH registered practitioners to converge with MoWCD to derive maximum benefits from Poshan Vatikas Anganwadi workers to be encouraged to undergo the short training programs for “Ayurveda Poshan Sahayak’ to strengthen 40
  • 40. S.No. Ministry/ Department Activities Support from Ministries/Depts. 8. M/o Agriculture Assist in creating structured Poshan Vatikas through provision of seeds for green vegetables. Plant seeds in Poshan Vatikas 9. Food Safety and Standards Authority of India (FSSAI) (I) Periodic safety checks of food items (II) AWW’s are trained to check the quality of food items in nutritional programmes (I) FSSAI to build a strong regulatory mechanism in convergence with Ministries and State Governments, to ensure quality of food distributed (II) Test Take-Home Ration (not raw ration), in FSSAI owned/registered/empa nell ed/accredited laboratory (III) Random testing to be conducted by 41
  • 41. S.No. Ministry/ Department Activities Support from Ministries/Depts. 10. Alll States Govts/UT Administration s • Ensure nutrient rich food is accessible and affordable • Promote diet diversity, agro- climatic regional meal plans Meal plan guidelines to meet energy, fat and macro- micro nutrient requirements for all age groups, Use locally available and culturally appropriate ingredients 11. Jal Shakti Mission • Improve Drinking Water and Sanitation facilities at Anganwadi Centres • Promote rain water harvesting Budgetary provision proposed by MoWCD for RWHs in Saksham Anganwadis 12. Food & Public Distribution Food Fortification, sustainable and affordable way to address micronutrient deficiencies millets shall also be popularized and targeted for distribution through PDS 42
  • 42. S.No. Ministry/ Department Activities Support from Ministries/Depts. 13. MNRE Assist with setting up solar panels as and when decided technical support for any pilot project to be taken up at Saksham Anganwadis for clean energy. Monitor performance of installations and carry out maintenance services 14. DoNER MoWCD, concerned State Govts in NER and with field functionaries, viz., AWWs, CDPOs for effective implementation of Poshan 2.0 and monitoring of SNP for Adolescent Girls in age group 14-18 years in NER. Fund the construction of Anganwadi Centres in NER Identify Adolescent Girls in various districts 15. Niti Aayog Assist in leveraging schemes under Aspirational Districts Adolescent Girls in age group 14-18 years in aspirational districts. 43
  • 43. S.No . Ministry/ Department Activities Support from Ministries/Depts. 16. Ministry of Disability Affairs Converge activities under special schemes for benefit of children beneficiaries under various age groups at AWCs Identify Children with special needs for convergence of activities to address their requirements at AWCs. 17. MoI&B Converge activities with MoWCD for developing effective communication strategies targeting women and children for promoting practices that nurture heath, wellness and immunity from malnutrition Assist in developing effective outreach through social media platforms, shorts and documentaries. 18. Ministry of Corporate Affairs Encourage corporates to raise awareness on importance of nutrition and wellbeing and promote healthy eating habits Encourage social change through socially and environmentally conscious investments • Drive initiatives that raise awareness for non- infectious diseases • Sensitize Mother Groups and Poshan Panchayats on healthy eating habits • Use profits to provide medical treatments, 'safe' drinking water and build businesses to create jobs 44
  • 44. 45 2. ICDS-CAS(COMMON APPLICATION SOFTWARE) MOBILE APPLICATION REFERENCE-Administrative_Guidelines_NNM-26022018.pdf
  • 46. • The ICDS-CAS has two components, namely the mobile application which is made available to the field functionaries preloaded on mobile phones and desktop dashboard • The procurement and distribution of mobile devices is a part of the project. • The application is aimed to augment system strengthening in Anganwadi Service Delivery and looks at improving the nutrition outcomes through effective monitoring and timely intervention. 47
  • 47. • 3. CBE(Community Based Events)-Organizing community based traditional events to promote and support behaviour change to improve maternal and child nutrition is one of the methods to increase awareness and set in change. • 4. Information, Education & Communication (IEC) and Advocacy: • IEC activities play a very important and strategic role in the area of public health. • Aims to create awareness and disseminate information regarding the benefits and health related government schemes and to guide the citizens on how to access them. • The objective is also to encourage build-up of health seeking behaviour among the masses in keeping with the focus on promotive and preventive healthcare 48
  • 48. INCENTIVE TO STATES • The incentives proposed are based on the population of the State 49
  • 49. INNOVATIONS • Funds have been earmarked for the development and implementation of innovations and pilots particularly showing the convergent nutrition action to achieve one or more desirable nutritional results • It should have an unambiguous focus on nutrition outcomes and should generate evidence of desired nutritional effect and feasibility of implementation, so that the innovation-pilot shall be considered for either further development or wider implementation 50
  • 50. ILA • The National Nutrition Mission (NNM) envisages establishing a system where programme functionaries will become more effective by learning to plan and execute each task correctly and consistently through methodical, ongoing capacity building, called ‘Incremental Learning Approach (ILA) • Such a system will use opportunities in the form of existing supervisory interactions at different levels, through which practical and guided learning may be accomplished. • Incremental Learning sessions or trainings will be planned and organized monthly at the district, block and sector level. 51
  • 51. 52 INCREMENTAL LEARNING APPROACH (ILA) • Learn by doing • 21 modules available on website • 21 themes • Master trainers will train Lady Supervisor /AWW/AWH
  • 52. FEATURES • The proposal consists of - Mapping of various Schemes contributing towards addressing malnutrition. - Introducing a very robust convergence mechanism. - ICT based Real Time Monitoring system. - Incentivizing States/UTs for meeting the targets. - Incentivizing Anganwadi Workers (AWWs) for using IT based tools. - Eliminating registers used by AWWs. -Introducing measurement of height of children at the Anganwadi Centres (AWCs) -Social Audits 53
  • 53. MAJOR IMPACT • The targets will strive to reduce the level of stunting, under-nutrition, anemia and low birth weight babies. • It will create synergy, ensure better monitoring, issue alerts for timely action. • Encourage States/UTs to perform, guide and supervise the line Ministries 54
  • 54. Structure of National Council on Nutrition Challenges 56
  • 55. Institutional Arrangement – FUNCTIONS AT NATIONAL LEVEL 57 National Nutrition Mission Steering Group (NNMSG) •Meet once in 6 months Functions: •Approval for policy programme •Ensure effective convergence •Advice EPC Empowered Programme Committee (EPC) •Meet once in 3 months Functions : •Plan and monitor •Frame rules and procedure •Approve annual plans •Track progress National Nutrition Mission Directorate To carry out functions mandated by NNMSG/EPC National Nutrition Mission Resource Centre Provide Technical Assistance Reference-Administrative_Guidelines_NNM-26022018.pdf
  • 56. Institutional Arrangement - functions 58 • State Level - SMSG and SEPC - Mobilize and provide additional resources to the States/UT’s to enable them to meet diverse nutrition needs District Level -Serves as a district unit of state nutrition society Block Level - It will incorporate inputs from Health, Sanitation, Drinking Water Village Level - Village Health Sanitation and Nutrition Committee (VHSNC) : Co-ordinating nutritional related activities - Anganwadi : promoting MCH, nutrition and development activities Reference-Administrative_Guidelines_NNM-26022018.pdf
  • 58. Scheduled Activities • Convergence Action Plan Meeting - State, District, Block • VHSND Day • СВЕ • ECCE Day • DAY-NRLM Weekly Meeting • Home Visits by ANM/ASHA/AWW – HBNC • Gram Sabha Meeting Suggested ACTIVITIES 60 2 Suggested Activities • Prabhat Pheri • POSHAN Melas • POSHAN Rallies & Walks • Nukkad Nataks • Yuva Shakti Rallies • School Based Events • Recipe Demonstration • Public Events
  • 60. POSHAN TRACKER • The ‘Poshan Tracker’ is a mobile based application rolled out by the Ministry of Women and Child Development, Government of India on 1st March 2021 through National e-Governance Division (NeGD), Poshan Tracker is an important governance tool. Technology under Poshan Tracker is being leveraged for dynamic identification of stunting, wasting, under-weight prevalence among children and last mile tracking of nutrition service delivery. • Job-aid to the Anganwadi worker for efficient delivery of services along with reflection of their efforts. • Critical and beneficiary-centric service delivery Application under POSHAN Tracker Promote real time data with analytics. REFERENCE-https://wcd.nic.in/ https://www.poshantracker.in/ 62
  • 62. • Coordinates the delivery of Behavior Change Messages • To reduce malnutrition, anemia and low birth weight • To address under and over nutrition • To ensure a bright future for INDIA 64
  • 64. -Poshan Maah and Poshan Pakhwada- Since the launch of POSHAN Abhiyaan in March 2018, these events have helped in reaching out to communities through the nation’s biggest nutrition-centric annual Jan Andolans. The month of September is celebrated as Rashtriya Poshan Maah across the country. -Frontline workers, community groups, PRIs, staff at Block and District level, State departments and Ministries had exemplified diligent work towards triggering a Jan Andolan for POSHAN Abhiyaan. 66
  • 65. • The Poshan Pakhwada aims to raise awareness about the importance of nutrition and promote healthy eating habits through Jan Andolan and Jan Bhagidari. • The theme of this year’s Poshan Pakhwada 2023 is "Nutrition for All: Together Towards a Healthy India". • The Ministry of Women and Child Development is marking the sixth edition of Poshan Pakhwada, observed from March 9th to March 23rd, 2024, with an array of activities across the nation. • This Poshan Pakhwada will center around several key themes, including “Poshan Bhi, Padhai Bhi” (PBPB) • Aims to raise awareness and promote action on issues related to maternal and child nutrition across the country Referencxe - https://www.studyiq.com/articles/poshan-pakhwada/ 67
  • 66. Poshan Pakhwada 2024 Objectives • Raise awareness about nutrition, dietary practices, and women’s health. • Promote positive behavioural changes related to nutrition and healthy lifestyles. • Address malnutrition, especially among vulnerable groups like pregnant women and children. • Empower women to make informed decisions about their health and nutrition. • Support holistic child development through adequate nutrition and care. • Advocate for sustainable food systems, including the consumption of locally sourced, nutritious foods. Reference-https://www.studyiq.com/articles/poshan-pakhwada/ 68
  • 67. • Strengthen healthcare services for maternal and child health, including growth monitoring. • Foster community engagement and participation in nutrition-related activities. • Monitor progress and evaluate the impact of initiatives on nutrition outcomes. • Sustain momentum by integrating nutrition education into ongoing programs and policies. 69
  • 68. 70
  • 69. PROGRESS SO FAR……… • Stunting reduced from 38.4% to 35.5% • Wasting declined from 21% to 19.3% • Underweight prevalence reduced from 35.7% to 32.1% 71
  • 70. REFERENCES  PARK’S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE  IAPSM’S TEXTBOOK OF COMMUNITY MEDICINE  MINISTRY OF WOMEN AND CHILD DEVELOPMENT  https://www.poshanabhiyaan.gov.in/  ADMINISTRATIVE_GUIDELINES_NNM-26022018.PDF 72

Editor's Notes

  1. Overarching-its includes everything Holistic-encompassing whole a thing and not just the part
  2. Also adolescent girls 11-18 years and other women 15-45 years for nutrition and health education
  3. Supplementary nutrition is given for 300 days in a year 1st degree malnutrition-nutrition education and health education 2nd and 3rd degree malnutrition-supplementary food 4th degree malnutrition-hospitalization Referal services-Refer to phc or subcentres
  4. 8,12,9.50 rupees 1. Compulsory one meal to a child attending AWCs which includes providing a morning snaks in form of milk/banana/egg/seasonal fruit/ micro nutrient fortified food followed by cooked hot meal. 2. "Take Home Ration" is provided.
  5. Liaison-communication or cooperation between two organization
  6. 100 aww in 1 icds project MS-MUKHYA SEVIKA
  7. Anganwadi Services--Supplementary Nutrition , Pre-School Education, Nutrition & Health Education ,Immunization, Weighing of Children, Measuring height of Children Pradhan Mantri Matru Vandana Yojana-Conditional Cash Transfer to Pregnant Women & Lactating Mothers. National Creche Scheme -Providing day care services to the children of working women Scheme for Adolescent Girls-Nutrition and health education
  8. Swachh Bharat Mission of Ministry of Jal Shakti –To accelerate the efforts to achieve universal sanitation coverage and to put the focus on sanitation. Janani Suraksha Yojana-Safe motherhood reducing maternal and neonatal mortality by promoting institutional delivery
  9. 1.By 2 percent per year 2. 1.By 2 percent per year 3.3 percent per year 4. 3.percent per year 5.2 percent per year
  10. CAS-common application software
  11. CAP-CONVERGENCE ACTION PLAN CBE-COMMUNITY BASES EVENT-Organizing community based traditional events to promote and support behaviour change to improve maternal and child nutrition is one of the methods to increase awareness and set in change IEC-Information, Education & Communication ( and Advocacy: IEC activities play a very important and strategic role in the area of public health. The objective is also to encourage build-up of health seeking behaviour among the masses in keeping with the focus on promotive and preventive healthcare. The IEC activities mostly will be done through the following methods. (a) Print Media. (b) Television. (c) All India Radio. (d) Social Media Campaigns
  12. MEITY-MINISTRRY OF electronics and info technology Negd-national e governance division Mowcd- ministry of women n child development
  13. DOSEL-dept of school education n literacy Vhnds-village health n nutrition Moefcc-ministry of environment forest and climate change m/o-ministry of agriculture
  14. Bpl-below poverty line Mopri- ministry of panchayat raj Mord-ministry of rural development
  15. Doner-dept of development of north eastern region Mnre-ministry of new and renewable energy
  16. Moi and b-ministry of information and broadcasting
  17. How to use Poshan Calculator Select Gender Enter Date of Birth Enter Height in centimeter Enter Weight in Kilogram Click on Show Result
  18. PRIS-PANCHYAT RAJ INSTITUTIONS
  19. 14 nights