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Process Documentation of Initiatives/Innovations under ABM

Process Documentation of Initiatives/Innovations under ABM. Initiative by DWCD With technical support from MPTAST. Background. Atal Bal Arogya Evam Poshan Mission. Atal Bal Mission was established to strengthen and fill the gaps in the existing Integrated Child Development Scheme (ICDS).

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Process Documentation of Initiatives/Innovations under ABM

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  1. Process Documentation of Initiatives/Innovations under ABM Initiative by DWCD With technical support from MPTAST

  2. Background

  3. AtalBalArogyaEvamPoshan Mission AtalBal Mission was established to strengthen and fill the gaps in the existing Integrated Child Development Scheme (ICDS). The objective of this mission is to work in an integrated and coordinated manner to bring an improvement in the nutrition and health status of children in Madhya Pradesh State thus addressing the problem of child malnutrition in the state.

  4. District Action Plan The districts had immense scope in utilizing the funds to implement need based activities, take initiatives and apply innovative approaches to address malnutrition.

  5. Initial Review • Review meeting held from 17th – 26th September 2012 • Based on the presentations made by the District officials, thematic areas were identified for documentation and eighteen districts were identified for process documentation.

  6. Thematic areas • Third / additional meal to beneficiaries (pregnant women/lactating women/malnourished children) under ABM • Web-based tracking / monitoring • Strengthening nutrition counseling modalities / community participation • Periodic tests for assessment of AWWs skills/knowledge followed by need-based capacity building. • Other specific theme/s

  7. Process Documentation

  8. Objective • Identify and document the initiatives/innovations that can be scaled up across the state of Madhya Pradesh. • To assess the impact / change after implementing the initiative/innovation in the selected district/s. • Inclusion of successful initiative/innovation into the districts’ Annual plan (2013-2014) for implementation and scale-up across the state.

  9. Methodology • Finalization of list of Initiatives/Innovations and districts • Field-Assessments by a combined team of officials from DWCD, DoH&FW and MPTAST • Compilation and Screening • Inclusion in upcoming Annual Planning (2013-2014) • Implementation and Scale-up

  10. Template for field-assessments • Defining the Initiative/Innovation • Name of the Initiative/Innovation • Goal/Aim • Objective • Target Population/Group • Extent of Intervention (no. of village/AWC/sector/cluster etc.) • Areas of Intervention (specify the names) • Duration (start and end date) of Intervention • What was the need for this initiative/innovation beyond ICDS SNP program already being provided at AWCs? • Describe the intervention

  11. Template for field-assessments • Describing the various components / elements of Initiative/Innovation • Components of initiatives being provided Ex. Tiffin meal, pockets etc. • Constituents of food being provided • IngredientsQuantity of Ration per bens • Rationale behind using these ingredients • Anybody from the state directorate visited to see this intervention • Basis of the selection of ingredients (RDA/technical advice/local conditions/implemented in other areas) • Are the ingredients locally available? • Seasonal variations in the availability of any of the ingredients • Is there a rotational menu? Frequency of rotation of menu. • Procurement procedure and quality assurance

  12. Template for field-assessments • Storage facility • Place of storage • Prevention of dust/rodents/moisture infiltration • Pilferation issues • Distribution modalities • Quantity per beneficiary • Transportation and quality assurance • Prevention of dust/rodents/moisture infiltration • Place of distribution • Frequency of distribution • Containers for distribution • Pilferation issues

  13. Template for field-assessments • Consumption by the beneficiary (monitoring mechanism) • Preparation (Cooked) • Is hygiene ensured (Based on the field visit and observation) • Availability of water (running or stored) • Washing of ingredients and washing area • Cooking area • Cooking process • Storage • Others (Utensils, hands etc.) • Staff involved in this activity (Regular or additional staff) • Community involvement in this initiative • Describe various stages of community involvement

  14. Template for field-assessments • Monitoring and Financial aspects of implementation of the Initiative/Innovation • Monitoring mechanism and formats used? • Impact of this intervention • In the words of DPO, AWW, Community etc. What are their indicators for the impact • Any pre post assessment done to measure the impact (what is the change - mention numerator and denominator) • Data from the MIS available for analysis • Records available of the DPO for assessment • No. of beneficiaries till date • Monthly and annual expenditure on this activity? • No. of beneficiaries per month and year based on the above mentioned cost. • Cost per beneficiary • Did any of the beneficiaries drop out of the program?

  15. Template for field-assessments • Before summing up the detailed and collated information; value-add on by the field assessment team/evaluators based on the objectives of the assessment • Observations • Comments/Suggestions • Do you consider it as an innovation or initiative • Is it fit to be scaled up across the state • Do you think the intervention is in line with the set objectives if so, how and why. if not, why not. • It there a possibility that this initiative will also lead to achievement of other outcomes besides those that were envisaged. If so how and why. • Any other questions which have not been addressed above. • Conclusions.

  16. Template for field-assessments • Feedback by the community and summarizing the interactions with them • Please interact with at least three beneficiaries. • What is the profile of the beneficiaries? • age group literacy status assumed Socio economic status • Do the beneficiaries have an overview of the objectives of initiative/innovation? • Are they accessing the services of the initiative/innovation regularly, if not why? • Do they think the initiative/innovation has benefited them? • Describe how it has benefited them? • Any general comments about the initiative/innovation?

  17. List of Innovations

  18. List of Innovations

  19. Team

  20. Team

  21. Team

  22. Reflections From Field-Assessments

  23. Third/Additional Meal to Pregnant Women, Lactating Mothers and Malnourished Children

  24. Booster Meal • Eight children (SUW) identified for booster meal • 120 gms / child provided in the evening slot of 5-7 PM by AWW and AWH. • Weight monitoring every week and recorded. Corn-soya-wheat (salty) Corn-soya-wheat (sweet) Groundnut-soya-wheat Indore

  25. Complete meal to Pregnant women • Providing one complete meal to Pregnant women from 2nd trimester till delivery of the child. • Meal prepared by SHG based on day-to-day meal chart. Datia

  26. Day Care Center • 13574 SUW children identified and made to stay at AWC from 9 AM to 4 PM. • The meals included: Morning snack Hot cooked meal Rajgirladoo- third meal THR- fourth meal Atal balladoo- fifth meal October 2011- 13574 March 2012- 6259 November 2012- 2907 Chhindwara

  27. NutriCorner • Transparent box containing food ingredients based on weekly menu is kept in an identified corner in the AWC. Satna

  28. Stitched Pockets • Children have the habit of eating packet snacks available locally. • Pocket stitched in two dresses of identified SUW children and filled with roasted gram/groundnut and jaggery for three days. For 6 months to 3 yrs children powdered form in polythene packs provided to their mothers. Shajapur

  29. Tiffin System • Food was given to SUW children through tiffin. Managed through the SHGs. Timing: 3-4 PM • Atal Bal Mitr- link between AWW and households. Meethadalia Namkindaliakhichdi Chawalkheer 9419 SUW children number has reduced to 4274 in November 2012 Guna

  30. Adoption of underweight children • Community leaders like MLA, ward member, businessmen etc played a pivotal role in adopting the SUW/MUW children of the AWCs of their areas. • Sattu, Aid (multivitamin and half a spoon of coconut oil mixed in food) provided Ratlam

  31. Periodic tests for assessment of AWWs skills/knowledge followed by need-based capacity building.

  32. DakshataParikshan Mandsaur Shajapur An examination was first conducted for 1256 AWWs of the district. Second examination for AWWs including mini-AWCs was conducted (follow-up of) after imparting training. Year gap. • A test was conducted to assess the skills of the AWWs. • Based on results, AWWs who secured grade C&D were given training to refresh their knowledge.

  33. Blood transfusion to P/L mothers • Pregnant and lactating mothers who were anemic were referred to the district hospital for blood transfusion. • Main objective was to address LBW children and anemia in women • 14 bedded ward exclusively dedicated for anemic P&L mothers set up. Chhindwara

  34. UjjwalaAbhiyaan • Increase awareness among adolescent girls who are either school-going or are drop-outs on proper nutrition, hygiene, reducing anemia and increasing age of marriage. Neemuch

  35. Samarpan • Also called as “early intervention clinic”. • Is an initiative for early identification, screening, treatment and rehabilitation of children with developmental delay or physical disability. • Convergence of WCD, NRHM and DDRC • IPGMER developed questionnaire for screening. Hoshangabad

  36. Breastfeeding Counselor • Facility based counseling to the mother for colostrum feeding. • Addresses issues of newborn care practices, kangaroo care and institutional deliveries. Barwani • Job chart of breast feeding counsellors • ANC counselling at the time of admission • PNC counselling • Breast feeding counsellormust be present at the time of labour • Educate mother about the advantages of Kangaroo care and ensure the thermal care • Counselling on attachment between mother and new-born baby • Ensure early and exclusive breast feeding practices • Ensure colostrum feeding

  37. MorDubaliya Dindori 731 pregnant mothers have been felicitated with the kit that comprises relevant information and materials related to pregnancy care.

  38. Vatsalya Software • Software was developed with financial support from Red Cross Society. • Completely online. Has lots of data. • Has won e-global award Hoshangabad

  39. Counseling Bal Sanskar- Vidisha • Inviting parents to AWC quarterly and educating the parents on growth and development of child Vidisha

  40. THANKYOU

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