ECD WHO 04-04-11

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EARLY CHILDHOOD DEVELOPMENT(ECD) in ICDS DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

EARLY CHILDHOOD DEVELOPMENT(ECD):

EARLY CHILDHOOD DEVELOPMENT(ECD) Term used to emphasis the comprehensive nature of development which takes place in the years before the child goes to school ECCD concerned with language, social, cognitive and physical development of child in first six years of life Includes nutritional and health care DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

What is ECCD:

What is ECCD ECCD is an Integrated Holistic Approach Within a rights perspective to ensure proper childcare Leading to survival, growth, full development and protection of the young child Through child centered, family focused and community based interventions DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

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0-6 Years – Critical Period in Child Development DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

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The brain growth curve Under ICDS – Two distinct group ( 0-3 years) and 3-6 years. 0-3 years - Early Stimulation & growth promotion Supplementary Nutrition & Primary Health Care to children of both groups 3-6 years - Non Formal Pre School Education DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

Integrated Child Development Services (ICDS):

Integrated Child D evelopment S ervices (ICDS) In pursuance of National Policy of Children (1972) ICDS was initiated in 1975. Identified as a Major Programme to provide integrated services for holistic development of children. One of the World’s Unique and Largest Outreach Programme Figures amongst Eight Flagship Programmes identified by GOI DR DINESH PAUL, DIRECTOR, NIPCCD Mother India is committed to provide ECD services to its 158.8 million Children 9 April 2011

Objectives of ICDS:

Objectives of ICDS to improve the nutritional and health status of children in the age-group 0-6 years; to lay the foundation for proper psychological, physical and social development of the child; to reduce the incidence of mortality, morbidity, malnutrition and school dropout; to achieve effective co-ordination of policy and implementation amongst the various 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. DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

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Activities at Anganwadi C entre DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

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In Lakhs Beneficiaries of ICDS DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

ECD - Role & Responsibilities of AWWs:

ECD - Role & Responsibilities of AWWs Providing Supplementary Nutrition to Children below 6 years & Pregnant & Lactating Mother (P&LM) Providing Immunization to Children below 6 years & Pregnant & Lactating Mother (P&LM) Growth Monitoring & Promotion Organization of PSE activities for 3 Hours Preparation of PSE aids from Locally available Material Establishing Links with Primary Schools Maintaining Records of PSE Attendance PSE Programme Planning Awareness Generation Among Parents DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

Guidelines on IYCF in ICDS:

Guidelines on IYCF in ICDS It is found that 60% of all death among children are due to inappropriate feeding practices ICDS guidelines on optimal IYCF practices help to ensure the best possible start to life It enhances good cognitive and social development of child It Provides development and learning opportunities to the infant also stimulating all five senses of the child – sight, smell, taste, touch, hearing It reveals the fact that breastfeeding fosters emotional security and affection with a lifelong impact on psychosocial development DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

ECD under Rajiv Gandhi National Creche Scheme :

ECD under Rajiv Gandhi National Creche Scheme Objectives: To provide comprehensive day care services to children (Birth -6 years) of working or other deserving (employed in un organized sector and belonging to BPL category )for their all round development Services under RGNCS includes : Supplementary Nutrition Health Care inputs – Immunization , basic health monitoring Stimulation activities Sleeping and rest facilities DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

Higher Under-nutrition Levels in Early Infancy:

Higher Under-nutrition Levels in Early Infancy Note : NFHS 3 - Using WHO 2006 International Reference population DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

Child Under-nutrition in India - WHO Standards:

Child Under-nutrition in India - WHO Standards 1998-99 % Children Under-3 years Note : Below -2 Standard Deviation units from the median of the WHO 2006 International Reference population 2005-06 DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

Severe Under-nutrition in Children Under-3:

Severe Under-nutrition in Children Under-3 1998-99 Using WHO Growth Standards % Children Under-3 years Note : Below -3 Standard Deviation units from the median of the WHO 2006 International Reference population 2005-06 DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

Mother Child Protection Card Package:

Mother Child Protection Card Package Mother Child Protection Card – was started in 1996 and finally released on 5 September 2008 Package also includes Mother Child Protection Card Guide Book for AWWs, ANMs Growth Monitoring Chart Register National Prototype of the mother child card (English /Hindi CDs) shared with states State specific adaptation and translation Growth charts- girls and boys DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

ICDS “Services” Covered in the MCP Package:

ICDS “Services” Covered in the MCP Package Services under ICDS : Supplementary nutrition Non-formal pre-school education Immunization Health Check-up Referral services Nutrition and Health Education DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

Why the Card:

Why the Card A tool for Community/families/individuals to learn, understand and follow positive practices for achieving good health of pregnant women, young mothers and children. Card helps them to know about various types of services which they need to access for the health and well being of women and children. The card empowers them to make decisions for improved health and nutritional status of young children DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

Users of the Card:

Users of the Card Family members For gaining knowledge related to children’s health, nutrition and development. For using all available services. For practicing optimal care behaviors. For monitoring and promoting growth and development of children . Village groups/Women ( Mahila Mandal ) groups As a discussion tool in the meetings. Monitoring effective service delivery in the area. DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

Contd.:

Contd. ANM / AWW /ASHA For educating families about optimal health, nutrition and care practices. For recording information on utilization of services. For appropriate referrals. Health and ICDS Supervisors The card is introduced to the targeted families; Its use is properly explained to the families with support materials There is effective and efficient delivery of services to the target families. DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

New WHO Child Growth Standards:

New WHO Child Growth Standards Child survival Physical growth Child development Use the Card not only to inform mothers and family members but also to enlist them as partners in promoting child survival, growth and development . DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

Mother Child Protection Card Package:

Mother Child Protection Card Package Family empowerment approach – family retained card Links Mother – Child from pregnancy – first 3 years Integrates health, nutrition and development, along a life cycle continuum Counseling tool for improving key family care behaviours from pregnancy- Under 3s Home Health Practices Infant and Young Child Feeding Psychosocial Care and Early Learning Care for Girls and Women Home Hygiene Practices DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

Mother Child Protection Card Package:

Mother Child Protection Card Package Improves utilization of services- ICDS, NRHM Supports Mother- child cohort tracking Janani Suraksha Yojna number Birth registration number Links with danger signs- health referrals Card usage is linked to critical contact points- fixed monthly village Mother- Child Health and Nutrition Day (NRHM) DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

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New WHO Child Growth Standards Integrating Mother Child Protection Card Package DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

Implications for New Child Growth Standards & Improved Counseling through MCP Card :

Implications for New Child Growth Standards & Improved Counseling through MCP Card Correct assessment of child undernutrition Gender Specific – link to improved care of the girl child Greater attention to Pregnant Mother’s Health & Early infancy - timely interventions Promote early and exclusive breastfeeding for the first six months of life & optimal Infant and Young Child Feeding Respond to improve care, feeding, health referrals – 40% underweight and 15.8 % severely underweight children Comparable with other national and international data DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

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DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

ECD Under IGMSY:

ECD Under IGMSY IGMSY is a special intervention designed to target pregnant and lactating mother on pilot basis with the objectives : to improve health & nutrition status of pregnant and lactating women and their infants by- promoting appropriate practices , care and service utilization during pregnancy, safe delivery and lactation Encouraging women to follow Optimal IYCF practices for the first 6 months Contributing to better enabling environment by providing cash incentives for improved health and nutrition to pregnant & lactating mothers DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

MCPC Card:

MCPC Card Mother and Child Protection Card would be used in ICDS for conditional cash transfer DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

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Cash Transfer Conditions Amount Means of Verification 1 st Installment (at the end of 2 nd trimester) Pregnancy registered within 4 months at AWC/ Health Centre Received at least one ANC Received IFA tablets Received at least one TT vaccine Received at least one counseling session at AWC/ VHND/Home Visit ` 1500 MCP Card IGMSY register Incentive under JSY JSY package for institutional delivery as per JSY norms; including promoting early initiation of breastfeeding and colostrum feeding IGMSY: TRANCHES ANC=Antenatal Checkup . IFA=Iron Folic Acid Tablets. TT=Tetanus Toxoid vaccination VHND=Village Health and Nutrition Day 6 DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

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Cash Transfer Conditions Amount Means of Verification 2 nd Installment (3 months after delivery) Birth registered at AWC/Health Centre Child received OPV & BCG Child received OPV & DPT-1 Child received OPV & DPT-2 Child weighed at least 2 times after birth Mother attended at least 2 counseling sessions at AWC/VHND/Home Visit for IYCF promotion ` 1500 MCP Card Growth Monitoring Register IGMSY register Benefits will also be available for still births and infant mortality IGMSY: TRANCHES (Contd.) OPV=Oral Polio Vaccine. IYCF=Infant and Young Child Feeding . VHND=Village Health and Nutrition Day 7 DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

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Cash Transfer Conditions Amount Means of Verification 3 rd Installment (6 months after delivery) Child exclusively breastfed for first 6 months Child introduced complementary foods on completion of age 6 months. Child received OPV & DPT-3 Child weighed at least 2 times b/w age 3 and 6 months Mother attended at least 2 IYCF counseling sessions organized at AWC/ VHND/ Home Visit on IYCF promotion b/w 3 and 6 months of lactation ` 1000 Self certification MCP Card Growth Monitoring Register AWW IGMSY register IGMSY: TRANCHES (Contd.) 8 OPV=Oral Polio Vaccine. IYCF=Infant and Young Child Feeding . VHND=Village Health and Nutrition Day DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

NIPCCD:

NIPCCD National Institute of Public Cooperation and Child Development, popularly known as NIPCCD, is a premier organization devoted to promotion of voluntary action research, training and documentation in the overall domain of women and child development. NIPCCD undertook lots of steps towards early childhood care and development. DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

Role of NIPCCD in ECD:

Role of NIPCCD in ECD Training Research Documentation DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

Training of ICDS Functionaries in ECD:

Training of ICDS Functionaries in ECD All ICDS Functionaries being Trained in ECD ( CDPOs/ACDPOs ,Supervisors and AWWs ) Job Training Training Refresher Skill Training of Trainers Training of voluntary workers of NGO’s DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

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THANK-YOU DR DINESH PAUL, DIRECTOR, NIPCCD 9 April 2011

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