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1. INTEGRATED CHILD DEVELOPMENT SERVICES SCHEME

 Keeping in view the vision that future of India is the future of the children, the Department is laying greater emphasis and making, well deserved concrete efforts in the implementation of all existing Government policies and programmes for the welfare and development of children which is an investment in  itself,  for their overall socio economic growth.

The Integrated Child Development Services Scheme was started in Karnataka on 2nd October 1975 with a pilot project at T.Narasipura in Mysore District with just 100 Anganwadi Centres. Since then, the programme has expanded to all the revenue taluks in the state. The welfare of pregnant women, nursing mothers, adolescent girls and children below 6 years has acquired a prime place in the programme.

Objectives of ICDS

l  To improve the nutritional & health status of children  (0-6 years)

l  To lay the foundation for proper physical,  psychological  and emotional development of the child

l  To reduce incidence of mortality, morbidity, malnutrition and school drop-out

l  To achieve effective coordination of policy and implementation among various departments to promote child development

l  To enhance the capability of the mother to look after the normal health and nutritional needs of the child, through proper health and nutrition education

 

ICDS Services

Services

Target Group

Provided in AWC through

Supplementary Nutrition

Children below 6 years; pregnant and lactating mothers, Adolescent  girls

Anganwadi Workers (AWW) & Helpers

Immunization

Children below 6 years; pregnant women

ANM

Health Check-up

Children below 6 years; pregnant and lactating mothers

Doctors/ANM/ AWW

Referral

Children below 6 years; pregnant and lactating mothers, adolescent girls

Doctors/ANM/ AWW

Pre-School Education

Children 3-6 years

AWW

 

Nutrition & Health Education

Women (15-45 yrs), adolescent girls

AWW/ANM/LHV/         FNB personnel

 

Under the ICDS mission, the services have been restructured  as follows:

ICDS Services







Early Childhood Care Education & Development (ECCED

 

 

Early Childhood Care and Education (ECCE)/Pre-school Non - formal Education


0-3  yearsParents/Caregivers


 






Supplementary Nutrition


6m-3ys;3-6yrs;P & L Mothers






Care and Nutrition Counseling

 

Infant & Young Child Feeding (IYCF) Promotion & Counseling


P & L mothers ,mothers of Children under 3 yrs.




Maternal Care and Counseling


P & L Women




Care, Nutrition, Health & Hygiene Education


P & L mothers, mothers of Children under 3 yrs.




Community based care and Management of underweight children


Moderately and severely under-weight children & their mothers/caregiver












 

Immunization and micronutrient supplementation


0-3 years;3-6 years ; P&L Mothers






Health Services

 

Health Check Up


0-3 years;3-6 years ; P&L Mothers






Referral Services


0-3 years;3-6 years ; P&L Mothers






Community Mobilization, Awareness, Advocacy & IEC

 

IEC, Campaigns and Drives etc.


Families & Community

At present 61187 AWCs and 3331 mini anganwadi centers are functioning in 204 ICDS projects  in the State, covering all  the 175   taluks (181 rural projects & 12 tribal  & 11 urban   projects).  During 2015-16, 54.83  lakh beneficiaries  availed  benefits under the  scheme.

 

  1. a. Administrative cost :

 The salaries, honoraria, monitoring and evaluation, AWC rent,  PSE and medicine kits  are met.  As per revised guidelines of ICDS administrative cost State ICDS cell/Dist cell/Project cell(contigency, POL, Office rent, Establish cost), uniform, badge the sharing pattern of GOI is 60 and GOK share is 40 from the year 2015-16.

 b. Anganwadi Workers/Helpers uniform: As per GOI guidelines dated:22-10-12  Anganwadi Workers/Helpers should be provided with 2 sarees worth Rs.300 each year. For purchase of  Anganwadi Workers/Helpers uniform for the year 2014-15, order has been issued to KHDC to supply 2 sarees will be to AWW/Mini AWW/AWH  who are  actually functioning.

 

c. Pre-School Kit: Under ICDS administrative cost   each AWC and Mini AWC is provided Rs 3000/- & Rs.1500/- respectively towards purchase of pre-school kit.   To provide uniformity and to maintain quality of the pre-school kit in AWCs,   a state level committee was formed with specialists in the field of education and also ICDS functionaries at various levels, and a Model Pre-school Kit was developed.  Work order has been issued to M/s Vijayavani Printers  for supply  of PSE kits for the year 2015-16.

Under ICDS Administrative cost, work order is given to Karnataka Antibiotic and Pharmaceticals Ltd Bangalore for supply of medicine kits to 61187  anganwadi centres and 3331 mini anganwadi centres @ Rs. 1000/- for each Anganwadi Centre and Rs. 500/-  for  each  mini anganwadi centre.

 

2. ADDITIONAL HONORARIUM TO ANGANWADI WORKERS ANDHELPERS:

 Anganwadi workers, though grass root level workers, are the most visible workers at the village level. In recognition of their services to the community, the state government is paying additional honorarium of Rs 3000/- to each Anganwadi worker and Rs 1500/-  to each  helper per month,   out of state funds. The head of account is merged so that AWW/AWH will be able to get central and state salary at once.

 

3. SUPPLEMENTARY NUTRITION PROGRAMME:

GOI is reimbursing 50% of the expenditure incurred by the state government for SNP. Supplementary  nutrition  is   provided  to   the   beneficiaries under the ICDS  programme  with revised feeding norms of 500 calories of energy and 12-15 gms  of  protein to 0-6 years children, 600 calories of energy and  18-20 gms  of  protein to pregnant women/lactating mothers/adolescents girls, 800 calories of energy and 20-25 gms  of  protein to severely malnourished children as a supplement to their normal intake, as envisaged in the schematic guidelines. Supplementary nutrition is given for 300 days in a year at a cost of Rs. 6.00 per beneficiary per day for normal children and Rs. 7.00 per beneficiary per day for pregnant/nursing mothers/adolescent girls and Rs. 9.00 to severely malnourished children .

In the State, 137 Mahila Supplementary Nutrition Production & Training Center’s (MSPTC) are promoted by DWCD for manufacture and supply of SNP food items to ICDS beneficiaries.  Each MSPTC consists of women members ranging from 22-32 from the most vulnerable sections of the society such as widows, destitutes, physically challenged, mothers of the beneficiary children, poorest of the poor and the members of the Stree-shakti groups etc. The MSPTC functions at taluk level to facilitate easy distribution of SNP food items at AWCs. Through MSPTC,  ready to eat/ ready to cook  food is provided to all beneficiaries  for  6 days in a week.

 The menu is selected by the committee constituted under the chairmanship of Deputy Commissioner of the district, namely

 

  • 6 m – 3 yrs                         – wheat rava, rice, greengram rice kichadi, ravaPayasa
  • 3-6 yrs                                  - chitranna, rava ladu, rice kichadi, sproutedgreengram,  rice   sambar

       Pregnant ,nursing mothers& adolescent girls  – Multigrain atta, chitranna, wheat, greengram &  jaggery, rice sambar

 Under Kshera Bhagya scheme 6 months – 6 yrs children    are  provided 150 ml milk for 3 days a week  (15 gms skimmed powder and 10 gms sugar)

  • Severely malnourished  children are  provided egg  for 3 days and 200 ml milk for 3   days , children who do not consume egg are provided 6 days milk.
  • Moderately  malnourished  children of 5 backward districts viz., Bidar, Gulbarga, Raichur, Koppal and Yadgir are  provided egg  for 3 days and 200 ml milk for 3   days , children who do not consume egg are provided 6 days milk.

 

4. ICDS TRAINING PROGRAMME

Training   is an integral part of the scheme for all levels of ICDS functionaries. The CDPOs /ACDPOs are trained at NIPCCD, Southern Regional Centre, Bangalore and Supervisors are given job training and refresher training at the Middle Level Training Centres located at Ujire, Dakshina Kannada district. The anganwadi workers are given 32 days job training after their initial recruitment and refresher course training is given once in 2 years, through 21 Anganawadi Workers Training Centres located in the State. The anganwadi helpers are also given orientation training and refresher course training   in these   centres. From  2013-14 the training programmes are conducted as per GOI revised guidelines.

Refresher training was given to  825 Supervisors, JTC was given to 2240 AWWs and 10125 AWWs were trained for RC, 4000 AWH were trained for orientation course and 9250 AWHs were trained for  RC during 2015-16. Rs.789.20 lakhs has been released out of which Rs.781.78 lakhs has been utilised for training programme.

5. ANGANWADI WORKERS & HELPERS DEATH RELIEF FUND

Anganwadi workers and Helpers are working on an honorary basis in ICDS projects. If anganwadi workers/helpers die while in service, or are suffering from severe ailments, their families are given some compensation and financial relief.  A sum of Rs.20,000/- is sanctioned to  the   legal heir  of the deceased anganwadi worker and Rs. 10,000/- is sanctioned to the legal heir of the deceased  Anganwadi Helper as death relief fund. From September 2014 the death relief amount has been increased to Rs.50000/- for both AWW and AWH. AWWs/Helpers who have completed a minimum of one year of service are eligible for financial assistance under the scheme.

 

During 2015-16 the families of 134 Anganwadi workers and 168 helpers were  given death relief/medical reimbursement fund of Rs.107.96 lakhs.

 6. CONSTRUCTION OF ANGANWADI BUILDINGS

A good building is the basic infrastructure to be provided for the smooth functioning of the anganwadi centre under ICDS, especially for indoor activities for  anganwadi children and sufficient space for outdoor activities.

 Out of 61227 Anganwadi centres and 3331 Mini AWCs functioning in the State, 40645 anganwadi centres have their own buildings, 1472 AWC function in Panchyat buildings, 3498 AWC function in community halls, 171 AWC function in  Yuvak mandals & 121 in  Mahila mandals,  4141 AWC function in schools,  and 11747 AWC run in rented buildings and 2228 AWC run  through other  alternative arrangements.

 Based on the  availability of funds and land, the AW buildings are constructed with assistance  from NABARD under RIDF scheme, under SDP,   with Departmental funds and  funds from other schemes .

i) Construction of Anganwadi Buildings (NABARD assistance)  :

Considering the imperative need of providing buildings to run anganwadi centres, NABARD is extending financial support in the form of loan for their construction.  In the construction of buildings,  NABARD share is 85% and   15% is borne by the GOK .The GOK has to refund the loan to NABARD within 7 years.

 

2015-16 NABARD:

During the year 2015-16 Rs.40.01 crores budget has been earmarked for Anganwadi building construction under RIDF scheme of NABARD works.

During 2014-15 under RIDF 20 NABARD has approved 723 buildings at the unit cost of  Rs.9.17 lakhs with matching grants of central government, administrative approval has been given for total amount of  Rs.6629.91 lakhs for construction. Among these to construct 442 buildings Rs.2558.54 lakhs funds has been released in order dated 6-1-2016.

Under RIDF 21 administrative approval granted for construction of 435 buildings at unit cost Rs.9.17 lakhs. Out of which amount released to 93 buildings. Total expenditure incurred is Rs.3069.57 lakhs.

 ii)  AW building construction under  Special Development Programme:

According to Dr. Nanjundappa report on Regional Imbalances, 114 backward taluks have been identified as backward, more backward and most backward taluks. These are given priority in construction of AW buildings under special development programme.

During 2015-16 annual budget Rs.400.00 lakhs is earmarked under special development programme. Administrative approval given on 23-1-2016 to construct 44 buildings and Rs.400.00 lakhs state fund released to Zilla Panchyat. Expenditure incurred is Rs.372.49 lakhs.

 iii) Maintainence of Anganwadi Buildings with Departmental funds and other

Contributions:

During 2015-16 in Zilla Panchyat scheme under department wise programme Rs.2053.00 lakhs budget has been allocated for maintenance of anganawadi buildings, Rs.2042.62 lakhs  budget has been released. This budget will be utilized  for purchase of fan/electricity/ repair of buildings, Rs.1982.51 lakhs expenditure incurred as on Mar 2016.

iv) Maintainence of  Anganwadis:State Sector

During 2015-16, Rs.800.00 lakhs budget has been allocated  under scheme Maintenance of Anganwadis.  Approval asked to implement new  scheme to  provide Rs.2000/- for  annual maintenance   of each   Anganwadi buildings which is included in2015-16 APIP. Approval not yet accorded by Government of India.

Rs.518.25 lakhs unspent amount released in last year for Upgradation of Anganwadi buildings is renewed for the year 2015-16 and released in this Head of  account vide G.O dt.30.7.2015. Expenditure incurred Rs.576.33 lakhs up to Mar 2016.

v) Upgradation of  Anganwadi Buildings :State Sector

During 2015-16, Rs.1948.50 lakhs budget has been allocated  for the  scheme Upgradation  of Anganwadi Buildings unde new Head of Account 4235-02-102-1-03-059. An amount of Rs.1226.25 lakhs released by GOI for upgradation of Anganadi buildings during 2014-15 and state share to the same amounting to Rs.722.25 lakhs totaling to Rs.1948.50 lakhs. Expenditure incurred Rs.1894.03 lakhs upto Mar 2016.

7. MEETING MEDICAL EXPENSES FOR SEVERELY MALNOURISHED  CHILDREN

During 2007-08 a new scheme was introduced by the Government of Karnataka wherein Rs. 750/- is given to each severely malnourished child for meeting medical expenses and for therapeutic food  as per  doctor’s prescription so as  to improve the child’s health and bring it to normalcy.  For 2015-16  Rs.214.80  lakhs has been spent for assisting  28640 severely malnourished children to meet the medical expenses.

During 2010-11,  a sub scheme under the main scheme namely Bala Sanjeevini was  conceived and implemented.   This scheme covers BPL families   wherein 0- 6 yr children who are registered in AWC and suffering from acute diseases  requiring  tertiary treatment are treated free in 33 selected   hospitals in the State namely;

  1. Indira Gandhi Institute of Child Health, Bangalore
  2. Bowring hospital, Bangalore
  3. Victoria hospital, Bangalore
  4. Vanivilas hospital, Bangalore
  5. Shanthi Hospital, Bagalkot
  6. Dhanus Hospital, Bagalkot
  7. Sri Hangal Kumareshwar Hospital, Bagalkot
  8. Dr.Prabhakar kore free  Hospital, Belgaum
  9. Belgaum children hospital, Belgaum

10. Salgeri Children's hospital, Chikkodi

11. Vijaynagar Institute of medical science, Bellary

12. B.M.Patil medical college hospital, Bijapur

13. Dr. Bidari Ashwini hospital, Bijapur

14. Sanjeevini Superspeciality hospital, Bijapur

15. Sri Basaveshwara Medical College hospital, Chitradurga

16. Kasturba Medical College, Mangalore

17. Yanapoe hospital, Mangalore

18. Bapuji Children's  Hospital, Davangere

19. S.S.M hospital , Davangere

20. Sri Dharmastala Manujatheshwar Hospital, Dharwad

21. Mahatma Gandhi Multispeciality Hospital & Research center, Gadag

22. Vatsalya healthcare, Gadag

23. MR Medical College Gulbarga

24. C.A.S.I Redfrin hospital , Hassan

25. R.L.Jalappa Medical college hospital, Kolar

26. Adichuchagiri Institute of medical science, Mandya

27. Cheluvamba hospital, Mysore

28. Navodaya Hospital, Raichur

29. K.M.C hospital, Manipal, Udupi

30. Sridevi Hospital, Tumkur

31. Nanjappa hospital, Shimoga

32. Shivajyothi hospital, Haveri

33. Kannur Hospital, Ranebennur, Haveri

 

Rs. 35000 to children who require tertiary care and for new born treatment Rs 50,000 is given as medical expenses.  During 2015-16 till Mar 2016  Rs 1785.15 lakhs has been spent to treat 8514 children.

8. KISHORI SHAKTI YOJANA

Kishori Shakti Yojana is being implemented in 143 ICDS projects of 21 districts where SABLA is not being implemented. Under KSY, 180 Adolescent Girls in each project are given 5-days residential training every year, from funds released exclusively for the scheme (along with the administrative cost)  and Supplementary Nutrition is being provided to 2 adolescent girls in each anganwadi centre for 300 days in a year. During 2015-16 Rs.125.44 lakhs has been spent till Mar 2016.

9. RAJIV GANDHI SCHEME FOR EMPOWERMENT OF ADOLESCENT

GIRLS (RGSEAG)  -    SABLA

Adolescence is a significant period for mental, emotional and physiological development of children.   A need has emerged to formulate a new comprehensive scheme with richer content merging the erstwhile two schemes – Kishori Shakthi Yojana (KSY) and Nutrition Programme for Adolescent Girls(NPAG). This scheme called Rajiv Gandhi Scheme for Empowerment of Adolescent Girls (RGSEAG)   SABLA, has been implemented in 9 districts (Gulbarga, Kolar, Bangalore®, Bellary, Bijapur, Dharwad, Chickmaglur, Uttar Kannada, Kodagu) of the state.

Under SABLA, Supplementary Nutrition (SNP) and Non- Nutrition component services are provided to kishoris. GOI has directed to provide nutrition to 11-14 yrs out of school and all 15-18 yrs all adolescent girls through ICDS network.

Under non-nutrition component,  adolescent girls are provided with services like training on life skills,  Nutrition & Health Education (NHEd), knowledge about family planning, child care practices, home management, reproductive & sexual health, vocational skill training. During the year 2015-16 Rs.250.98 lakhs has been released for out of which 123.86 lakhs has been spent  by the districts till Mar 2016.

 

10. ANGANWADI WORKERS/ HELPERS CONTRIBUTORY PENSION SCHEME

The retirement age  of  Anganwadi Workers/ Helpers in Karnataka is fixed  as 60 yrs.   As on 31.3.2011, Anganwadi Workers/ Helpers who have completed  60 yrs or more have been given retirement from the service,  will get lump sum amount of Rs. 50,000 /- and get Rs. 30000 as pension benefit from the state respectively.  The AWWs/AWHs who are in the age group of 56 – 60 yrs  will  also get the  same benefit as above when they retire.

Under this scheme the AWW/AWH in the age group of 18 – 55 yrs are required   to contribute Rs. 150 and Rs. 84 respectively as monthly instalment and an equal amount is contributed by GOK. During 2015-16  Rs.1557.00 lakhs budget was allocated out of which Rs.1557.00 lakhs has been spent for 106000 AWW/AWH till Mar 2016.

11. INDIRA GANDHI MATRITVA SAHAYOG  YOJANA (IGMSY)

From 2010-11 a new scheme called Indira Gandhi Matritva Sahayog Yojana (IGMSY)  is being  implemented on a pilot basis in 2 districts of the state , viz Dharwad and Kolar. Pregnant and nursing mothers are given nutrition and health education, health tips and  IYCF guidance.  AWCs are used as the main platform for implementation of the scheme in the piloted ICDS projects.

IGMSY is a centrally sponsored scheme with 100% assistance from GOI. The scheme would contribute to better environment by providing cash incentives for improved health and nutrition to pregnant and 0-6 months lactating mothers, thus enable them for breast feeding within one hour of delivery and exclusive breast feeding for six months along with other IYCF practices. An amount of  Rs. 6,000/- is paid in 2 instalments. Pregnant women would receive Rs. 3,000/-  within 6 months of pregnancy,  Rs. 3,000/-  after six months of child birth.  The above  beneficiaries are also eligible  for financial assistance under Janani Suraksha Yojana (NRHM).

After disbursing the  due amount to the beneficiary as per schematic guideline, the AWW & AWH would receive a cash incentive of Rs. 200/- and    Rs. 100/- respectively.  During 2015-16 Rs. 2370.00 lakhs was allocated and Rs. 1456.46  lakhs   has been released out of which Rs.1454.97 lakhs has been spent for 45514 beneficiaries till Mar 2016.

12.Sneha Shivir

A new component  named “Sneha Shivir”- a community based care and nutrition counseling initiative especially for mothers/care givers, introduced by the GOI. Rehabilitation of the malnourished children through camps and household visits is the main objective of this schemes. The scheme will be implemented in 4 high burden districts viz Bagalkot, Kalburgi, Kolar and Bellary districts. 4 Anganwadi centres in a cluster are selected and parents and care-givers of severely and moderately malnourished children in these centres come for supervised feeding for 12 days in a month in one centre.  Further, the follow-up is done for rest 18 days in the month, wherein, the training is implemented at their homes and observed for change in the household childrearing practices. During 2015-16  Rs.106.00 lakhs has been allocated, amount not released.

12. Multi- Sectoral Nutrition programme

A new scheme has been proposed by GOI called  "Multi- Sectoral Nutrition programme to address the maternal and child malnutrition in selected High burden districts.The main aim of the scheme is to ensuring strong nutritional focus through Institutional and programattic convergence and empowering families and communities for improved care behaviors.   The district nutrition council will be formed in all the 4 high burden districts. For this Rs.39.00 lakhs has been allocated, during 2015-16, but amount not released.

 

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