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Three Decades of Integrated Child Development Services :

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Title: Three Decades of Integrated Child Development Services :


1
Three Decades of Integrated Child Development
Services An Appraisal
-A Presentation
2
OBJECTIVES
  • Assess the existing status of implementation of
    ICDS in terms of coverage, out reach,
    coordination, convergence, and innovations
  • Study the differences in implementation in
    rural, urban tribal, NGO and WB projects
  • Identify gaps and problems in the implementation
    of ICDS
  • Find out the perception of community and local
    bodies and support extended by them
  • Ascertain inter-linkages of ICDS with other
    development programmes and
  • Assess the benefits of ICDS on selected outcome
    indicators

3
UNIVERSE SAMPLE SELECTION
Universe
  • Sample was drawn only from blocks which were
    operational as on 01- 04- 2000 i.e. 4200
    projects 3177 rural, 273 urban and 750 tribal).
  • For the Study, 150 ICDS projects are selected as
    a sample i.e. roughly 4 of the total universe.

Sample
1st StageStratified Sampling Technique to decide
no. of projects statewise 2nd Stage
StratifiedPurposive ( Wherever, there was even
one project of rural, urban tribal category,
purposively selected). Selection of Districts
- Districts with maximum number of projects
selected Selection of Projects - Projects
with maximum number of AWWs selected Selection
of AWC villages - Randomly and at least from
two Supervisory circles Selection of
Beneficiaries - Randomly with the help of
AWCs record
4
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5
Tools
  • A-Interview Schedule for Beneficiaries No. per
    AWC
  • Schedule for Pregnant Women 4
  • Schedule for Nursing Mothers 4
  • Schedule for Mothers of 6m-3yrs. Children 5
  • Schedule for Mothers of 3-6yrs. Children 5
  • Schedule for Women (15-45yrs) 5
  • Household Schedule 23
  • B-Schedule for obtaining information related to
    support convergence
  • Schedule for Community Leaders
  • i) Members of PRIs 1
  • ii) School Teacher 1
  • C- Observation Schedules
  • CLCT( Child Learning Competency Test) 6
  • Observation schedule for AWC 1

6
Contd/-
  • D-Schedule for the Functionaries
  • No. of Schedule/Project
  • Schedule for CDPOs 1
  • Schedule for MO 1
  • Schedule for Supervisor 2
  • Schedule for LHV/ANM 1
  • Schedule for AWWs 25

Total No. of Respondents41,842
7
Data Quality
  • Measures taken
  • Preparation of detailed Guidelines
  • Preparation of Pre-coded Interview Schedules
  • Orient. Workshop of NIPCCD Faculty Regional
    Coordinators
  • Rigorous training to field staff
  • Editing to detect errors omissions in entries
    of the schedules
  • Data revalidation at the time of entry
    validation with the help of Clipper software
  • Checked range/consistency of every coded
    response
  • Manual checking of 10 entries

Computerization Analysis
  • New Concept Information System a Delhi based
    professional agency has been engaged for
    Computerization and data analysis

8
Highlights of Findings
9
ICDS Over the Years - Infrastructure (at AWC
level)
Type of Building of AWCs
10
ICDS Over the Years - Infrastructure (at AWC
level)
Availability of Equipment/ Kit in usable
Condition
11
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12
Training Status ( trained)
D.N.A. Data Not Available
13
Educational Qualification of AWWs ( age)
14
ICDS Over the YearsSupplementary Nutrition
15
Birth Weight of New Born Children
16
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17
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18
Disruption in Distribution of SN
19
PSE, Health Check-up IFA to Children
20
Place of Delivery (in percentage)
21
Birth Attended By
22
Percentage of Children Immunized
23
Appraisal of ICDS Management Input Variables
  • X1 of CDPOs in position
  • X2 of Supervisors in position
  • X3 of AWWs in position
  • X4 of trained CDPOs
  • X5 of trained Supervisors
  • X6 of trained AWWs
  • X7 No. of visit of CDPO
  • X8 No. of supervisory visits
  • X9 Coordination (as reported by CDPO) with
    Health Department
  • X10 Average No. of days SN supplied
  • X11 Availability of Weighing Scale
  • X12 Availability of PSE Kit
  • X13 Availability of NHEd Materials
  • X14 Availability of Medicine Kit

Based on above Input Variables Projects are rated
as Very Good63, Good 71, Poor16, Total150
24
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25
Appraisal of Output/Outcomes of Programme
  • Y1 Observation Score of AWCs
  • Y2 CLCT Score (Child Learning Competency Test)
  • Y3 of Children under Normal category
  • Y4 of Grade I Children
  • Y5 of Grade II Children
  • Y6 of Grade III and IV Children
  • Y7 No. of 3-6 years children attending PSE
    classes
  • Y8 No. of fully immunized (children)
  • Y9 No. of fully immunized (pregnant women)
  • Y10 Health check-up (No. of Women)
  • Y11 Health check-up (No. of children)
  • Y12 No. of NHEd sessions organized
  • Y13 No. of Referral Cases
  • Y14 No. of Pass out Children admitted to Primary
    School

Based on above Output/Outcome Variables Projects
are rated as Very Good43, Good 86,
Poor21 Total150
26
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27
Relationship Between Input, Output / Outcomes
Output / Outcomes (No. of Projects)
Input
28
  • Gap Areas

29
  • Infrastructure
  • a) No toilet facility 60 AWCs
  • b) Unsatisfactory toilet facility 17 AWCs
  • c) Non availability of Sub- 57 AWCs
  • Centres
  • d) Non-availability of
  • - Indoor Space 48.5 AWCs
  • - Outdoor 48.7 AWCs
  • e) No separate space for 50.0 AWCs
  • Storage

30
  • Equipments/Kits/Utensil
  • a) Non-availability of Weighing 9.29 AWCs
  • Scale
  • b) Non-availability of learning kit 44.1 AWCs
  • c) Non-availability of NHEd 37 AWCs
  • materials/aids
  • d) Non-availability of Utensils
  • - For cooking 28.7 AWCs
  • - For serving 33.6 AWCs

31
  • Coordination
  • Non-existence of Coordination Committee at
    Project level
  • Rural 20.0
  • Tribal 28.1
  • Urban 12.5

32
  • Services
  • SN a) Disruption in supply (Av.days) 41.3 days
  • b) Supply of Spoiled Food items 6.3
    projects
  • c) LBW Babies 29.0

33
  • Health Check-up
  • a) Health Check-up not done
  • - 0-3 years children 43.9
  • - 3-6 years children 53.3
  • b) Children not receiving IFA Tablets
  • - 6 months - 3 years 40.4
  • - 3 - 6 years 35.2
  • c) Children not immunized fully 34.0
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