Preface

Success is a continuous process of upliftment towards the

desired goal and Integrated Child Development service (ICDs)scheme (ICDs is an amazing approach to secure the nutritional status of our children, the future of our country. Launched on 2nd October 1975, ICDS Scheme represents one of the worlds largest and most unique programme for early childhood development. ICDS is the foremost symbol of Indias commitment to her children Indias response to the challenge of providing pre school education on one hand and breaking pre-school the vicious cycle of malnutrition, morbidity, reduced learnin learning capacity and mortality, on the other. In Bankura, 5541 AWC are sanctioned and in true sense, Bankura has fulfilled all the objectives of ICDS Scheme to a greater degree of extent in comparison to the other district of West Bengal. In this documentation we like to share this w the analytical details along with the strategic implementation to develop AWCs better to serve the community.

Introduction
The
i. ii. iii. iv. v. Integrated Child Development Services (ICDS) Scheme was launched in 1975 with the following objectives: to improve the nutritional and health status of children in to lay the foundation for proper psychological, physical and to reduce the incidence of mortality, morbidity, the age-group 0-6 years; social development of the child; malnutrition and school dropout; to achieve effective co-ordination of policy and implementation amongst the various ordination departments to promote child development; and to enhance the capability of the mother to look after the normal health and nutritional needs of the child through proper nutrition and health education. In Bankura district, we have made it possible to a greater extent in spite of all the odds that came as possible huddles in the road of our success. In January 2011, the weighing efficiency was 85.28% where in March 2012, it is 88.69 %. In case of the reduction of malnourished children, Bankura shows also a remarkable improvement. In January also 2011, the number of moderately malnourished children was 33.54 % where in March 2012; it becomes reduced to 26.44 %. The same picture is in case of severely malnourished children. In January 2011, the number of severe malnourished severely children was 4.81 % where in March 2012; it becomes reduced to 3.54 %. All the indicators pointed out above reflect the success story of the progress of ICDS in Bankura District. Several factors are working behind the Success of ICDS in Bankura district. These are:1) Positive Attitude of the district Administration toward the Development of ICDS Infrastructure 2) Convergence of Different Programme effective for Different Focus Group like PD Programme, IGMSY, 1000 Days etc 3) Emphasis on Quality of Food 4) Rigorous Home Visits by Responsible Authorities like CDPOs, Supervisors, PD Facilitators, G.P facilitators and so on 5) Community Mobilization by NCCS y 6) Emphasis on NUtrimix Distribution to Severe Children 7) Monthly Convergence Meeting on Regular Basis (From G.P Level to District Level)to Analyze the Progress (From Level) Routinely 8) Formation of Model ICDS Center 9) NGO Involvement in ICDS through 1000 days programme

Table of content
COMPARATIVE ACCOUNT MODEL ICDS NRDMS & ICDS ICDS & SHG LINKAGE CONVERGENCE ICDS & PD ICDS & IGMSY 1000 DAYS & ICDS NUTRIMIX & ICDS

COMPARATIVE ACCOUNT OF NUTRITIONAL STATUS IN BANKURA

TOTAL TOTAL WEIGHING MONTHS CHILDREN WEIGHT EFFICIENCY NORMAL MODERATE SEVERE (0-5y) (0-5 y) (%)

% OF % OF MODERATE SEVERE CHILDREN CHILDREN

Jan-11 Mar-12

297390 299023

253626 265204

85.283971 88.690168

153142 184368

85071 70132

12202 9412

33.5419082 4.811021 26.4445483 3.548966

Weighing Efficiency
89% 88% 87% 86% 85% 84% 83% Jan-11 March_2012

88.69%

Months January 2011 March 2011

Weighing Efficiency 85.28 % 88.69 %

85.28%

Weighing Efficiency

Moderate Children
40% 35% 30% 6.00%

Severe Children
5.00% 4.00% 3.00% 4.81% 3.54% Severe Children

33.54% 26.44%

25% 20% Jan-11 March_2012

Moderate Children

2.00% 1.00% 0.00% Jan-11 March_2012

Modal ICDS is an unique concept that Bankura District Administration have made in reality at Bisnupur Block. Through the Model ICDS, the ideal environment for the Child development as well as community empowerment are tried to set up. This may be an example. In this Model Center, the main emphasis given on:Well Developed Infrastructure with 13 (Thirteen) decimals of land Sanitation with water facility Own tube well for safe drinking Playing ground for the children Kitchen Garden within AWC campus Waste pit for garbage disposal Well planned drainage system to reduced the misuse of water Separate Kitchen Wall painting TLM for better rationalization for kids No drop out Practicing to maintain hygiene before and after food consumption SHG Linkage for the monitoring & facilitation Support

NRDMS & ICDS

IN BANKURA, ALL THE DATA OF THE INFRASTRUCTURE OF AWCS ARE UPLOADED FOR INTERNET ACCESS THROUGH NRDMS. RECENTLY PHOTO OF AWCS, THE PLACE OF COOKING, FOOD STORAGE AND BENEFICIARY ARE SUBMITTED IN NRDMS IN DISTRICT ADMINISTRATIVE ACCESS DISTRICT HOME. ALL AND OFFICE. THE THIS LINKAGE REAL THE MAY FACILITATE ALL THE PEOPLE TO DATA AND SITUATION OF OUR AWCS IN THE BANKURA ALSO VISUALIZE PROGRESS OF ICDS SERVICES SITTING AT

ICDS & SHG LINKAGE DIFFERENT SHG GROUPS LIKE SAYANSIDHYA,

SWANIRBHOR ETC ARE NOW LINKED TO THE AWC FOR SUPERVISING LOCALLY AND FOR ACTIVE PARTICIPATION IN DAILY ACTIVITIES IN THE ICDS CENTER LIKE HELPING TO WEIGHING, WASHING HANDS TO THE CHILDREN, ENCOURAGING MOTHER FOR COMPLETE AND TIMELY IMMUNIZATION AND SO ON. THATS WHY COMMUNITY PARTICIPATION IS GETTING INCREASED IN A NUMBER OF ICDS CENTERS IN BANKURA DISTRICT. AS A RESULT WE ARE GOING TO ACHIEVE SUSTAINABLE DEVELOPMENT IN OUR DISTRICT.

SHG Linkage at Bhurrudanga, Ranibandh

C O N V E R G E N C E
Meeting with CDPOs & Supervisors Orientation meeting with CDPOs & PD Facilitators on 1000 Days Orientation

For the betterment of services in the ICDS Centers, monthly convergence meeting of different level are organized such as :Sector Meeting with Panchayet & Health sansad wise AWW orientation on ICDS, PD, 1000 Days, IGMSY at G.P Level by Supervisors, PD Facilitators CHCMI and ICDS Supervisor Convergence in Block month-wise Review meeting with CDPOs at District-Level monthwise Review meeting with PD Facilitators at District-Level month-wise

ICDS & PD
Positive
deviance (PD) is implemented using ICDS platform in bankura district from 2006. And, it brings a new wave in the community participation and sustainable development. From july 2011, each and every G.P in Bankura were come under this programme. PD ensures the behavior change communication (bcc) practices with the community and PD focus on existing resources that are available to everyone in the community, instead of focusing needs requiring external aids. This ensures that sustainability of the programme continues because it depends on resources already found within the community. pd emphasizes on 0-3 years children because maximum brain development occurs at this stage. After introducing PD programme, the weighing efficiency increase, number of malnourished children decreases in the district.

AWWs training on PD By PD Facilitator to enrich the knowledge on community empowerment

Social Map to indicate resources and present nutritional status

Visualization nutritional status in Community meeting using community growth chart

Conceptual Framework of Designing a PD Approach at Bankura

Identification of Local Resources Village Health Committee Health Volunteers Formal and Non-formal Health Resources

Situational Analysis Of Malnutrition in Children

Baseline Nutrition Survey Focus Group Discussions Setting-up Program Goals

Positive Deviance Inquiry Identification of Successful Feeding, Caring and Health Seeking Practices

Design Of A NCCS Based On PDI Findings

NCCS Menu and Messages Positive Deviance Food Contribution NCCS Protocols Integration with Other Existing Programs

PD Components Counseling Caretakers GMP Program Vital Events Monitoring Community Management through NCCS

ICDS & IGMSY

INDIRA GANDHI MATRITYA SURAKSHYA YOJONA (IGMSY) IS CONDITIONAL BENEFITED SCHEME FOR PREGNANT WOMEN. THIS SCHEME EMPOWERS ICDS IN BANKURA DISTRICT FROM SEVERAL WAYS, SUCH THAT:STRENGTHEN MOBILIZATION INCREASING TIMELY AND COMPLETE IMMUNIZATION EMPOWERING MOTHERS MEETING BY COMMUNITY PARTICIPATION COMMUNITY PARTICIPATION IN IYCF REDUCING THE PERCENTAGE OF WORKING WOMEN DURING 2nd & 3rd TRIMESTER OF PREGNANCY EFFECT ON THE THOUGHT OF EARLY MARRIAGE VHND ENSURING COMMUNITY

THATS WHY THE PRINCIPLE OBJECTIVES OF ICDS PROGRAMME AT BANKURA ARE GOING TO FULFILL TO GREATER EXTENT.

1000 DAYS & ICDS

1000 days approach renews focus on 10 Essential Interventions for Children in the First Two Years of Life
1. Early initiation of breastfeeding within one hour of birth 2. Exclusive breastfeeding during the first six months of life 3. Timely introduction of complementary foods after six months 4. Age-appropriate, energy and nutrient appropriate, nutrientdense complementary foods for children 6 624 months of age with conti continued breastfeeding annual 5. Full immunization and bi-annual vitamin A supplementation (0-35 months) with de 35 de-worming 6. 7. Safe handling of complementary foods and hygienic complementary feeding practices Household using adequately iodized salt (> 15 ppm)

Training on 1000 Days

8. Frequent feeding and breastfeeding during and after illness, including oral rehydration uent therapy and zinc supplementation for children with diarrhea; 9. Improved food and nutrient intake for adolescent girls, particularly to prevent anemia; and 10. Access to care of severely acute malnourished children.

Orientation on 1000 Days Orientation with CDPOs & PD Facilitators & NGO Partners

The major areas that 1000 Days helps to strengthen, are leadership, resources, capacity and emergency response systems. Existing service delivery mechanisms of Health, ICDS & PRI need to be xisting strengthened in developing strategies for strengthening results based interventions with synergy among multiple imple implementation stakeholders.

NUTRIMIX & ICDS

In Bankura District, special food package for the malnourished children are going to distribute to enhance the overall nutritional status of the district. In Bankura I and Hirbandh block, nutrimix are already distributed. Block and District Administration dministration empathetically involve on this project. CHCMI groups, PD Facilitators, GP Facilitators on 1000 Days programme are engaged to supervise. S SHGs in the different panchayet are also involved.

DISTRIBUTION OF NUTRIMIX IN BANKURA I BLOCK