AROGYA LAKSHMI A Journey towards Maternal Malnutrition-Free - - PowerPoint PPT Presentation

Department for Women Development and Child Welfare Government of Telangana

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AROGYA LAKSHMI

A Journey towards Maternal Malnutrition-Free Telangana

Key Nutrition Indicators: Telangana

39.3 58.2 52.8 49.8

Arogya Lakshmi: The beginning and scale up

Started One full meal scheme in 2013 to tackle Under-nutrition and Anaemia Universalized in 2015 with additional key features as Arogya Lakshmi

Total 3.7 lakhs Pregnant and Breastfeeding mothers are being served every month

Districts

ICDS Projects

AWCs

Arogya Lakshmi: the Objectives

• Reduce the prevalence of anemia & under-nutrition
• Bridge the gap between the Recommended Dietary

Allowance (RDA) and Average Daily Intake (ADI)

• Ensure micronutrients consumption, health check up and

immunization

• Reduce low birth weight among new born, also reduction

in wasting and stunting among children in the long run

Spot Feeding along with IFA supplementation and Nutrition and Health counseling Community participation and monitoring through Anganwadi Level Monitoring and Support Committees and Social Audit Mechanism ICT-based monitoring of commodity supply chain and beneficiary-wise tracking of nutrition

• utcomes

Key features

Arogya Lakshmi Platter Pregnant and Breastfeeding Mothers

One full meal consists of Rice, Dal, Oil, vegetables for 25 days a month One Boiled Egg for 30 days a month

• 200ml. Milk for 30

days a month

One full meal

Administration

• f

Micronutrients

(Iron, folic acid, calcium

Growth monitoring

Counselling

Key Elements of the Scheme

Increasing Investment on Maternal Nutrition

7 7 7 7 7 15 17 21

(50%)

(23%) (21%) (17%)

(50%)

(77%) (79%) (83%)

2012 2013 2014 2015

GoI Cost Norm Actual Cost GOI share State Share In Rupees

Seamless supply chain and building micronutrient interventions

Strengthening Convergence with HFW

• Joint orders for seamless supply chain and

building micronutrient interventions

• Joint meetings with AWTs, ASHAs and ANMs

Supply chain management

• Supply of IFA, Calcium and Albendazole for

pregnant women to AWCs

• Reporting on consumption shared with HFW by

WDCW Improving data quality

• Data integration with Health and Family Welfare
• Monitoring of NHD data at village level

Community participation and monitoring through ALMSCs and Social Audit Mechanism

Involvement of Stakeholders

Community Interface Coverage with Quality

• Community monitoring and support through Anganwadi

level monitoring and support committees (ALMSCs)

• Greater Involvement of PRI members – Conducted

Constituency Level Workshops

• Ensuring

supplementation micronutrients through community support

• AL creates a platform to get together and have peer

group discussion

• Flexible timings for noon-meal at AWCs
• Mobilization of beneficiaries for NHDs and pregnant

for early registration

• Conducting community events: Seemantham (baby

shower) for pregnant women and Annaprasana (initiation of CF for 6mths age children)

Process and Status

• TSSAAT, Telangana is facilitating Social Audit
• Involving
• f

community for awareness

• n

rights and entitlements

• Completed in 1,132 AWCs in 21 districts

Findings

• 98.9% aware of their entitlements
• 77.3% coming to eat at AWC
• Grading of AWCs based on infrastructure, food quality,

cleanliness, pre-school, punctuality, register maintenance

Social Audit for Awareness on Rights and Entitlements

ICT-based monitoring of commodity supply chain and beneficiary-wise tracking of nutrition outcomes

Improved MIS for Transparency and Accountability

• Online FCR (Commodity Supply Chain

Management)

• Tracks the actual Distributions, Receipts,

Utilisations and Balances of commodities at AWC level.

• Helps

in Timely placing

• f

indents, Releasing orders, Need based allocations and Timely supply

• Mobile App for Egg Supply
• Developed to mainstream the supply of

eggs to AWCs

• Online indents, OTPs to AWTs about no.
• f eggs

Improved MIS for Transparency and Accountability

• Nutrition and Health Tracking System

(NHTS)

• Name-wise

tracking

• f

pregnant and breastfeeding mothers and children below 6 years

• Aadhaar authentication and contact details

for each beneficiary registration

• Provides dynamic information related to

service delivery and reminders for service delivery

• Hosting of data in public domain; SMSs to

beneficiaries

Improved MIS for Transparency and Accountability

Improved MIS for Transparency and Accountability

Improved MIS

Way forward

• Inclusion of women in

preconception age

• Customized counseling using

standard tools to Adolescent Girls, Pregnant Women, Mothers Life Cycle Approach to Nutrition

• Fortification of Salt, Oil and Wheat/

Rice

• Introduction of millet based menu

Fortification and Diversification

• Active screening of children and

pregnant women for nutritional status (Use of MUAC) Active Screening

Way forward

• Strengthening Arogya Lakshmi Committees at

all levels

• Involvement of well-trained social capital from

SHGs

• Improving infrastructure and facilities &

Integration of WASH components

• Arogya Lakshmi Helpline
• Inbound – Grievances and redressal for

Stakeholders and AWTs

• Outbound – to Stakeholders to provide

information and get feedback on OFM

• Immediate counselling support for women
• n MIYCN

Increasing Stakeholder Involvement

Tha hank you nk you