Restructuring ICDS under Ministry of Women and Child Development

Minister of Women and Child Development, Smriti Zubin Irani, has informed that The Ministry is implementing several schemes and programs like Anganwadi Services, Scheme for Adolescent Girls and Pradhan Mantri Matru Vandana Yojna under the Umbrella Integrated Child Development Services Scheme as direct targeted interventions to address the problem of malnutrition in the country. POSHAN Abhiyaan has been set up to act as an apex body for monitoring and guiding the nutrition related issues of various government schemes.

Anganwadi Services scheme provides six child development related services i.e. Supplementary Nutrition, Pre-school Education, Health & Nutrition Education, Immunization, Health check-up and Referral Services. The services are provided at the Anganwadi Centres (AWCs) through Anganwadi Workers (AWWs) and Anganwadi Helpers (AWHs) to more than 8.75 crore beneficiaries. State-wise number of beneficiaries (including Kerala) under the Anganwadi Services Scheme is placed at Annexure-I.

          

Under Pradhan Mantri Matru Vandana Yojana (PMMVY), maternity benefit of ₹ 5,000/- is provided in three installments to eligible PW&LM during the period of pregnancy and lactation. The eligible beneficiary also receive the cash incentive as per approved norms towards maternity benefit under Janani Suraksha Yojana (JSY) after institutional delivery so that on an average, a woman gets ₹ 6,000/-. State-wise number of beneficiaries (including Kerala) is placed at Annexure-II.

Scheme for Adolescent Girls is implemented to improve the nutritional and health status of out of school adolescent girls of age 11-14 years and to upgrade their skills. The scheme is implemented in all the districts of the country w.e.f 01.04.2018. Nutrition support @ Rs. 9.5 per beneficiary per day for 300 days in a year is provided under the scheme.  In addition, to providing nutritional support to the adolescent girls, the scheme aims to motivate out of school girls to go back to formal schooling /skill training under its Non –Nutrition component. Information on health, hygiene and guidance on existing public services is provided under the scheme. State-wise number of beneficiaries (including Kerala) covered under the SAG is placed at Annexure-III.

Government has set up POSHAN Abhiyaan on 18.12.2017 for a three year time frame commencing from 2017-18. The goals of POSHAN Abhiyaan are to reduce stunting in children (0-6 years), under-nutrition (underweight prevalence) in children (0-6 years) and Low Birth Weight @2% per annum and reduce anaemia among young children (6-59 months), women and adolescent girls @3% per annum across the country. POSHAN Abhiyaan is not a beneficiary centric scheme. 

           

The revision/revamping of the ICDS Scheme is a continuous process.  In the beginning of 12th Five Year Plan, the Scheme was restructured with introduction of several components for strengthening and widening the scope of delivery of services. Further in 2017, a number of initiatives have been introduced i.e. construction of Anganwadi Centre Buildings in convergence with MGNREGS, provision of toilet and drinking water facilities in Anganwadi Centres.

During the last 3 years and the current year, 36 complaints have been received regarding improper implementation of the Scheme. The details of the complaints have been tabulated as below:

S. No.	State/UT	2015	2016	2017	2018
1.	Assam	–	2	–	–
2.	Bihar	–	1	2	1
3.	Chandigarh	–	1	–	–
4.	Chhattisgarh	–	1	–	–
5.	Delhi	–	1	–	–
6.	Maharashtra	2	1	1	–
7.	Madhya Pradesh	–	5	3	1
8.	Meghalaya	–	1	–	–
9.	Odisha	–	1	–	–
10.	Uttar Pradesh	–	5	2	2
11.	Uttarakhand	–	2	1	–
	Total	2	21	9	4

Since the Scheme is implemented by States/UTs, these complaints are referred to State Governments.  Any case involving serious allegation, the report is sought from the State Governments.

Complaints as and when received are forwarded to States/UTs for taking suitable action as the States/UTs implement the Anganwadi Services.  However, no such survey has been conducted.

In order to reduce the infant mortality rate, besides Anganwadi Services and several programmes implemented by the Ministry of Health & Family Welfare, POSHAN Abhiyaan ensures convergence with various other programmes; IT enabled Common Application Software for strengthening service delivery and interventions; Community Mobilization and Awareness Advocacy leading to Jan Andolan – to educate the people on nutritional aspects and Capacity Building of frontline functionaries.

To reduce Infant Mortality Rate and improve child health practices, various programmes and schemes under National Health Mission are being implemented by States/ UTs. These are:

Promotion of Institutional deliveries through cash incentive under Janani Suraksha Yojana (JSY) and Janani Shishu Suraksha Karyakaram (JSSK) which entitles all pregnant women delivering in public health institutions to absolutely free ante-natal check-ups, delivery including Caesarean section, post-natal care and treatment of sick infants till one year of age.

Strengthening of delivery points for providing comprehensive and quality Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A) Services, ensuring essential newborn care at all delivery points, establishment of Special Newborn Care Units (SNCU), Newborn Stabilization Units (NBSU) and Kangaroo Mother Care (KMC) units for care of sick and small babies. Comprehensive Lactation Management Centres (CLMCs) at facilities with SNCU and Lactation Management Units (LMUs) at Sub-district level are made functional to ensure availability of Human Milk for feeding small new-borns. Home Based Newborn Care (HBNC) and Home Based Care of Young Children (HBYC) are being provided by ASHAs to improve child rearing practices.

Early initiation and exclusive breastfeeding for first six months and appropriate Infant and Young Child Feeding (IYCF) practices are promoted by Ministry of Health & Family Welfare in convergence with this Ministry. Village Health and Nutrition Days (VHNDs) are observed for provision of maternal and child health services and creating awareness on maternal and child care including health and nutrition education. Mothers’ Absolute Affection (MAA) programme for improving breastfeeding practices (Initial Breastfeeding within one hour, Exclusive Breastfeeding up to six months and complementary feeding up to two years) through mass media campaigns and capacity building of health care providers in health facilities as well as in communities.

Universal Immunization Programme (UIP) is being supported to provide vaccination to children against life threatening diseases such as Tuberculosis, Diphtheria, Pertussis, Polio, Tetanus, Hepatitis B and Measles, Rubella, Pneumonia and Meningitis caused by Haemophilus Influenzae B. “Mission Indradhanush and Intensified Mission Indradhanush” was launched to immunize children who are either unvaccinated or partially vaccinated i.e. those that have not been covered during the rounds of routine immunization for various reasons.

Name based tracking of mothers and children till two years of age (Mother and Child Tracking System) is done to ensure complete antenatal, intranatal, postnatal care and complete immunization as per schedule

Nutrition Rehabilitation Centres (NRCs) have been set up at public health facilities to treat and manage the children with Severe Acute Malnutrition (SAM) admitted with medical complications.

Iron and folic acid (IFA) supplementation for the prevention of anaemia among the vulnerable age groups, home visits by ASHAs to promote exclusive breast feeding and promote use of ORS and Zinc for management of diarrhoea in children.

Health and nutrition education through Information, Education & Communication (IEC) and Behaviour Change Communication (BCC) to promote healthy practices and create awareness to generate demand and improve service uptake.

Capacity building of health care providers: Various trainings are being conducted to build and upgrade the skills of health care providers in basic and comprehensive obstetric care of mother during pregnancy, delivery and essential new-born care.

Annexure-I

 

Anganwadi Centres Sanctioned and Operational under Anganwadi Services  Scheme as on 31.03.2019
S. No	State/UTs	No. of ICDS Projects		No. of Anganwadi Centres		Beneficiaries of Supplementary Nutrition					Beneficiaries of Pre-school Education
		Sanctioned	Operational	Sanctioned	Operational	Children      (6 months – 3 years)	Children            (3 – 6 years)	Total Children       (6 months – 6 years)	Pregnant & lactating Mothers (P&LM)	Total Beneficiaries (Children 6 mo-6 years plus P&LM)	Boys                     (3 – 6 years)		Girls                         (3 – 6 years)	Total               (3 – 6 years)
1	Andhra Pradesh	257	257	55607	55607	1428615	835787	2264402	654975	2919377	425765		429366	855131
2	Telangana	149	149	35700	35634	950000	550000	1500000	400000	1900000	319213		320160	639373
3	Arunachal Pradesh	98	98	6225	6225	92437	96623	189060	24517	213577	48662		47961	96623
4	Assam	231	231	62153	62153	1450009	1580668	3030677	594296	3624973	798997		770373	1569370
5	Bihar	544	544	115009	99583	2458176	3511680	5969856	1404672	7374528	1322649		1359236	2681885
6	Chhattisgarh	220	220	52474	51215	1218800	997200	2216000	493800	2709800	383582		389108	772690
7	Goa	11	11	1262	1262	36098	16898	52996	14637	67633	8304		8459	16763
8	Gujarat	336	336	53029	53029	1697190	1407503	3104693	744902	3849595	731345		711848	1443193
9	Haryana	148	148	25962	25962	571150	268189	839339	263553	1102892	133976		134213	268189
10	Himachal Pradesh	78	78	18925	18925	242255	155857	398112	96365	494477	51275		51428	102703
11	Jammu & Kashmir	141	141	31938	29599	410165	388285	798450	159609	958059	133533		128803	262336
12	Jharkhand	224	224	38432	38432	1676737	1067818	2744555	718337	3462892	579557		654976	1234533
13	Karnataka	204	204	65911	65911	2314824	1633913	3948737	895465	4844202	756722		761405	1518127
14	Kerala	258	258	33318	33244	434574	380920	815494	304349	1119843	198866		182054	380920
15	Madhya Pradesh	453	453	97135	97135	3310508	3260935	6571443	1426266	7997709	1774542		1773200	3547742
16	Maharashtra	553	553	110486	110219	2583119	2613035	5196154	961743	6157897	1265417		1266428	2531845
17	Manipur	43	43	11510	11510	163401	177583	340984	67208	408192	89622		87961	177583
18	Meghalaya	41	41	5896	5896	208905	245214	454119	73879	527998	96680		95944	192624
19	Mizoram	27	27	2244	2244	72283	82939	155222	28150	183372	27851		28483	56334
20	Nagaland	60	60	3980	3980	133392	145418	278810	34366	313176	73028		71181	144209
21	Odisha	338	338	74154	72587	1871082	2047340	3918422	725129	4643551	1044813		1002527	2047340
22	Punjab	155	155	27314	27279	395846	275650	671496	186289	857785	140745		135223	275968
23	Rajasthan	304	304	62010	61974	1709488	957669	2667157	875613	3542770	478010		493403	971413
24	Sikkim	13	13	1308	1308	14500	10000	24500	5800	30300	6285		6215	12500
25	Tamil Nadu	434	434	54439	54439	1781128	659024	2440152	732488	3172640	558896		543460	1102356
26	Tripura	56	56	10145	9911	160446	171907	332353	69304	401657	86945		84962	171907
27	Uttar Pradesh	897	897	190145	187997	8334903	4057703	12392606	3548330	15940936	2146348		1911355	4057703
28	Uttrakhand	105	105	20067	20067	431166	165896	597062	177003	774065	77200		80506	157706
29	West Bengal	576	576	119481	116107	3063226	2848092	5911318	1366355	7277673	1388168		1335134	2723302
30	A & N Islands	5	5	720	720	7423	2168	9591	2375	11966	1079		1089	2168
31	Chandigarh**	3	3	450	450	21641	26906	48547	7231	55778	13991		12915	26906
32	Delhi*	95	95	10897	10897	302812	134234	437046	114264	551310	65895		68339	134234
33	Dadra & N Haveli	2	2	302	302	8888	10475	19363	3523	22886	5185		5290	10475
34	Daman & Diu	2	2	107	107	2762	2388	5150	1451	6601	1156		1232	2388
35	Lakshadweep	9	9	107	107	2607	843	3450	1148	4598	406		437	843
36	Puducherry	5	5	855	855	24210	2596	26806	9157	35963	1309		1287	2596
	All India	7075	7075	1399697               [1400000 earlier sanctioned by GOI]	1372872	39584766	30789356	70374122	17186549	87560671	15236017		14955961	30191978
Based on State/UTs  level consolidated report.
*253 AWCs surrendered by NCT of Delhi accepted in MWCD vide order no11-33/2015-CD-I Dated 16 November 2018.
** 50 AWCs surrendered by Chandigarh Administration accepted in MWCD vide order no.11-33/2015-CD dated 21 Dec., 2018

 

Annexure-II

State/UT-wise, including Kerala, details of number of beneficiaries enrolled, number of beneficiaries paid and total amount disbursed under the Pradhan Mantri Matru Vandana Yojana (PMMVY) (As on 16.07.2019)
Sl. No.	State/ UT Name	Number of Beneficiaries enrolled	Number of Beneficiaries Paid	Total Amount Disbursed (In Rupees)
	All India Total	1,01,68,924	88,80,383	34638565000
1	ANDAMAN AND NICOBAR ISLANDS	3,516	3,399	14452000
2	ANDHRA PRADESH	7,11,017	6,38,094	2640000000
3	ARUNACHAL PRADESH	8,262	6,969	26847000
4	ASSAM	2,59,107	2,25,357	781000000
5	BIHAR	5,76,751	4,19,841	1210000000
6	CHANDIGARH	13,040	12,237	48007000
7	CHHATTISGARH	2,72,439	2,34,038	807000000
8	DADRA AND NAGAR HAVELI	4,539	3,869	12991000
9	DAMAN AND DIU	2,623	1,913	6678000
10	DELHI	1,05,789	95,701	389000000
11	GOA	9,960	9,323	38369000
12	GUJARAT	4,78,555	4,44,898	1940000000
13	HARYANA	2,96,799	2,65,474	1110000000
14	HIMACHAL PRADESH	1,05,715	95,707	383000000
15	JAMMU AND KASHMIR	1,02,710	86,965	345000000
16	JHARKHAND	2,65,979	2,19,495	813000000
17	KARNATAKA	5,53,814	5,11,080	2180000000
18	KERALA	3,23,648	2,91,079	1140000000
19	LAKSHADWEEP	601	484	1546000
20	MADHYA PRADESH	12,28,862	11,37,985	4490000000
21	MAHARASHTRA	9,87,596	8,32,539	3510000000
22	MANIPUR	22,234	16,046	75355000
23	MEGHALAYA	8,476	7,828	29872000
24	MIZORAM	13,286	12,591	54297000
25	NAGALAND	7,729	6,076	27211000
26	ODISHA*	7	5	23000
27	PUDUCHERRY	11,050	9,279	38204000
28	PUNJAB	2,08,511	1,88,122	795000000
29	RAJASTHAN	8,37,518	7,51,332	2830000000
30	SIKKIM	5,031	4,672	19713000
31	TAMIL NADU	2,80,623	2,26,174	522000000
32	TELANGANA**	3	0	0
33	TRIPURA	36,922	30,083	106000000
34	UTTAR PRADESH	18,31,777	16,09,150	6240000000
35	UTTARAKHAND	84,676	77,871	294000000
36	WEST BENGAL	5,09,759	4,04,707	1720000000
*   The State is implementing its own Maternity Benefit Programme. The Ministry allows the State to implement PMMVY with State’s Maternity Programme under co-branding.
**  The State is implementing its own Maternity Benefit Programme. The Ministry allows the State to implement PMMVY with State’s Maternity Programme under co-branding. Technical integration has been tested.

Annexure-III
S.No.	States/UTs	Beneficiaries (11-14 out of school girls)
		2016-17	2017-18	2018-19
1	Andhra Pradesh	15261	14763	39181
2	Arunachal Pradesh	526	266
3	Assam	74727		54352
4	Bihar	492609	396805	130222
5	Chhattisgarh	14681	13673	16093
6	Goa	42	45	21
7	Gujarat	NR	NR	174620
8	Haryana	592	667	5066
9	Himachal Pradesh	944	939	630
10	Jammu & Kashmir	9480	NR	16963
11	Jharkhand	58568	63515
12	Karnataka	48971	28022	58670
13	Kerala	276	712
14	Madhya Pradesh	122230	125452	305000
15	Maharashtra	56936	45898	24478
16	Manipur	5079	5061	4056
17	Meghalaya	1801	1852	1655
18	Mizoram	1124	897	715
19	Nagaland	10326	6455	7320
20	Orissa	58217	56893
21	Punjab	4338	2143	4339
22	Rajasthan	NR	NR	173591
23	Sikkim	NR	6
24	Tamil Nadu	2453	2337
25	Telangana	8369		19410
26	Tripura	2930	971	56045
27	Uttar Pradesh	496000	NR	277000
28	Uttaranchal	NR	NR
29	West Bengal	1996	2842	43287
30	A&N Islands	31	25	21
31	Chandigarh	220	186	55
32	Daman & Diu	0	0	20
33	D & NH	652	NR
34	Delhi	5029	3383	2152
35	Lakshadweep	9	10	7
36	Pondicherry	16	18	22
	Total	1494433	773836	1414991