Indira Gandhi Matritva Sahayog Yojana (IGMSY): Indira Gandhi Matritva Sahayog Yojana (IGMSY) Dr. Gaurav J. Desai R-1, C ommunity Medicine SBKSMIRC : Introduction Conditional Cash Transfers Objectives Target group Programme and Services Flexi Fund Incentives to AWWs and AWHs Modalities and Implementation Proposed Budget Monitoring and Evaluation Roles and Responsibility of the ICDS project, AWCs and its personnel, ANM, ASHA Introduction : Introduction Maternal under nutrition Promotion of early and exclusive breastfeeding Maternal Mortality Infant and child mortality Antenatal care Immunization of children : Women married before the legal age of 18 years:- 58% Women (aged 25-49 years) gave first birth before the age of 18 years:- 30% Prevalence of anemia for ever married women:- 56% Prevalence of anemia in Children aged 6-59 months:- 69.5% [ mild- 26.3%, moderate- 40.2%, sever- 2.9% ] Anemia more prevalent in breast feeding and pregnant women than other women. : Babies initiated into breastfeeding within one hour of birth:- 25% Children under 5 month of age exclusively breastfed:- 46% [ Source NFHS-3 Survey 2005-06] Conditional Cash Transfer (CCT): Conditional Cash Transfer (CCT) Conditional Cash Transfers (CCT) is a departure from more traditional approaches to social assistance that represents an innovative and increasingly popular channel for the delivery of social services . The central tenet of CCT is the linking of cash to behaviour by providing money to poor families contingent upon certain verified actions. Objectives : Objectives To improve the health and nutrition status of pregnant & lactating women and infants by: Promoting appropriate practices, care and service utilisation during pregnancy , safe delivery and lactation. Encouraging the women to follow (optimal) IYCF practices including early and exclusive breast feeding for the first six months. Contributing to better enabling environment by providing cash incentives for improved health and nutrition to pregnant and lactating mothers. Target Group: Target Group Pregnant Women of 19 years of age and above for first two live births All Government/PSUs (Central & State) employees would be excluded from the scheme as they are entitled for paid maternity leave. Programme and Services: Programme and Services Using the framework of existing ICDS programme, the IGMSY would be implemented as a pilot intervention in selected 52 districts. It would be implemented through the existing District ICDS Cell. : Cash transfer Condition Amount (in Rs.) Means of Verification First (at the end of second trimester) Registration of pregnancy at AWC / Health Center within 4 month of pregnancy At least one ANC with IFA tablets and TT Attended at least one counseling session at AWC / VHND 1500 Mother and Child Protection Card reflecting registration of pregnancy by relevant AWC / Health center and counter signed by AWW Incentive under JSY JSY package for institutional delivery including early initiation of breastfeeding and ensure colostrum feed As per JSY norms Second (3 months after delivery) The birth of child is registered. The child has received: OPV and BCG at birth OPV and DPT at 6 weeks OPV and DPT at 10 weeks Attended at least 2 growth monitoring and IYCF counseling session within 3 month of delivery. 1500 Mother and Child Protection Card, Growth Monitoring Card and Immunization Register ( would also be available for birth and Infant mortality : Cash transfer Condition Amount (in Rs.) Means of Verification Third (6 months after delivery) Exclusive Breastfeeding for six months and introduction of complimentary feeding as certified by the mothers. The child has received OPV and third dose of DPT. Attended at least two Growth monitoring and IYCF couseling session between 3 rd and 6 th month of delivery. 1000 Self certification, Mother & Child Protection Card, Growth Monitoring Chart and Immunization Register. Flexi Fund : Flexi Fund The State would have flexi fund amounting to 2.5 per cent of total annual expenditure under the scheme that can be utilized for funding need-based interventions during the course of implementation of the scheme . These interventions would be undertaken after approval of Ministry of Women and Child Development. Incentive to AWWs and AWHs: Incentive to AWWs and AWHs AWW would receive a cash incentive of Rs.200/- per pregnant and lactating woman after all the due cash transfers to the beneficiary is complete . Similarly , a cash incentive of Rs.100/- would be provided to AWH per beneficiary. Modalities and Implementation: Modalities and Implementation M inistry of Women & Child D evelopment IGMSY section State ICDS cell District ICDS cell ICDS project AWCs Proposed Budget: Proposed Budget Each beneficiary women – 4000 Rs . Incentives to AWWs – 200 Rs . / per beneficiary Incentives to AWHs – 100 Rs . / per beneficiary Training, capacity Building, IEC – 3% of total cost (maximum) Contingency – 2% of total cost (maximum) Flexi Funds – 2.5% of total cost (maximum) : Staff pattern Central level (IGMSY section) State level (state ICDS cell) District level (district ICDS cell) 1 director 1 state coordinator 1 district coordinator 1 under secretory 1 Programme assistant 1 Programme assistant 1 section officer 1 accountant 1 UDC / LDC 1 PS for director 1 PS for under secretory 1 consultant ( on contractual basis ) 2 data operators ( on contractual basis ) 1 peon Monitoring and Evaluation: Monitoring and Evaluation Monitoring and Supervision Record to be maintained Evaluation Social Audit Roles and Responsibility: Roles and Responsibility CDPO: The CDPO heading the ICDS Project implementation would be responsible for the implementation of the IGMSY in his/her project. : At the Project level, the CDPO would act as the focal point for transferring the benefits of the scheme to pregnant and lactating mothers as well as ensuring the compliance of conditions laid down by the scheme. The CDPO would open a special IGMSY Bank account in a nationalized Bank and would be responsible for the disbursement of funds to the target beneficiaries through Bank transfers. : Supervisor: The Supervisors would help CDPO in regular monitoring of IGMSY implementation as well as compliance of conditions by selected pregnant and lactating mothers. For monitoring the compliance of conditions , the Supervisor would make periodic visits to a few randomly selected pregnant and lactating mothers receiving scheme benefits and submit a report to the CDPO. : Anganwadi Workers: Overall coordination and management of the activities of the IGMSY at the village level. Baseline survey establish number of beneficiaries. Resource mapping to identify resource at the local levels Health and nutrition education to pregnant and lactating women. : Ensure participation of community members and parents in programmes and activities of IGMSY through community and home visits. Registration of pregnant and lactating mothers under IGMSY and maintain necessary records. Coordinate with the health workers for timely health check-ups, ANC and immunization of pregnant and lactating women in the village/ward. : Provide appropriate referral services for pregnant women detected with complications related to pregnancy or child birth. Assist all pregnant and lactating mothers in opening an account in the nearest Post Office or Bank with help of Supervisor. Ensure compliance of conditions as well as timely disbursement of cash benefits to the pregnant and lactating mothers . : Maintain liaison with other institutions in the village/ward, viz., Panchayat , Mahila Mandals , Schools, Mothers and Parents Groups, Village Health and Sanitation Committee (VHSC), local organization etc. and seek their support and participation in IGMSY. Involve adolescent girls in various activities of IGMSY. Prepare and submit monthly report to the Supervisor. Any other task assigned by the CDPO or District ICDS Cell related to IGMSY. : Anganwadi Helper (AWH): The AWH would provide assistance to the AWW in discharging her duties for effective implementation of the IGMSY at the village level. She would support in collecting data/information on the pregnant and lactating women in the community, support health workers in carrying out health check-ups, ANC and immunization, bring pregnant and lactating mothers to the AWC on VHND, among other responsibilities. The AWH would also help the AWW in ensuring the compliance of conditions of the scheme and that the cash benefits are reaching to the actual beneficiary. : Auxiliary Nurse Midwife (ANM): Registration of pregnant women under IGMSY and maintain records. Provide information to AWW about registration of pregnant women at PHC/CHC / Sub Centre. Coordinate with the ASHA and the AWW. Ensure that the VHND is held regularly on time. Ensure that the supply of vaccines and other supplies reach the site well before the VHND. Timely health check-ups, ANC and immunization of pregnant and lactating women registered under IGMSY in the village/ward . :
Health and nutrition education to pregnant and lactating women including counselling for birth preparedness, care and appropriate feeding of new-born. Linking pregnant women registered under JSY with IGMSY and vis-e-versa. Primary health care and
to pregnant and nursing mothers.
: Referral for women with signs of complications during pregnancy and those needing emergency care, as and when required. Registration of new births. Ensure participation of community members and parents in programmes and activities of IGMSY through community and home visits. Any other task assigned by the CDPO or District ICDS Cell related to IGMSY. : ASHA: Make Home Visit in coordination with AWWs for identification and timely registration of pregnant women. Tracking of drop out cases and linking them with services under IGMSY. Facilitate ANC for all pregnant women registered under IGMSY . : Facilitate immunization of infants and young children. Ensure attendance of pregnant women on the VHND. Support AWWs in carrying out nutrition and health education. Community sensitization and awareness generation. Coordinate with the AWW and the ANM. : Thank You