HRISHT PUSHT RANCHI - Rai Mahimapat Ray Deputy Commissioner, - - PowerPoint PPT Presentation

HRISHT – PUSHT RANCHI

• Rai Mahimapat Ray

Deputy Commissioner, Ranchi

Indicators Ranchi Kerala National Average Children under 5 years of age who are stunted (%) 40.7 19.7 38.4 Children under 5 years who are wasted (%) 27.2 15.7 21.0 Children under 5 years who are severely wasted (%) 7.5 6.5 7.5 Children under 5 years who are underweight (%) 43.8 16.1 35.8 Institutional births (%) 76.9 99.8 78.9 Children under age 3 years breastfed within one hour of birth (%) 38.4 64.3 41.6 Pregnant women age 15-49 years who are anemic (%) 68.3 22.6 50.4 Children age 12-23 months fully immunized ( BCG, measles, OPV3 & DPT3) (%) 67.7 82.1 62 Mother’s who had at least 4 antenatal care visits (%) 39.9 90.1 51.2 Mothers who had antenatal check up in the first Trimester (%) 69.8 95.1 58.6

BACKGROUND

NFHS : 2015-16

Indicators District Data NFHS survey (2015-16) Best in India Mothers who had antenatal check-up in the first trimester (%) 75.91 69.28 98.26 Mothers who had at least 4 ante-natal care visits 13.3 39.9 83 Institutional birth (%) 95.4 76.9 100 Sex ratio 972 960 1000 Children fully immunized (%) 100 67.7 100 Children under 5 years who are underweight (%) 11.6 43.8 5.8 Children under 5 years who are stunted (%) 36.39 40.7 8.10 Children under age 3 years breastfed within one hour of birth (%) 100 38.4 80.5

DATA COMPARISON

Civic Infra

• Lack of basic

facilities like toilets, etc.

• Deplorable

condition of Anganwadi buildings Ambience

• Only a feeding

ground for the children

• Lack of local

language based pedagogy ECCE

• Implementation
• f ECCE is missing
• Bala concept is

almost missing JSLPS

• Lack of basic

understanding about nutrition

• Lack of co-
• rdination

between SHG’s & nutrition department

CMAM

• Community

Management to tackle acute malnutrition almost non- existent

• Basic information

about malnutrition is missing

Social Mobilization

• VHSND’s have

become another immunization day, rather a day to aware people

• Non-function of

Nutrition committee of Gram Sabha’s

AWW

• Lack of re-

training in consonance with the digital world

• Use of workers

in other unrelated activities ANM

• Lack of re-

training in consonance with the digital world

• Use of workers

in other unrelated activities

convergence

• Lack of

synchronized training between AWW & ANM

• Lack of co-
• rdination

between AWW & ANM

Collection

• Data

collection process is improper

• Lack of

training of people in data collection Analysis

• No

mechanism to analyze the data up to Panchayat level

• Lack of good

data analyst in the District 3rd Party Verification

• Lack of

mechanism to verify the data by the 3rd party

GAPS

Infrastructure Community Ground Workforce Data Analysis

Infrastructure

Civic Upgradation Pedagogy Transformation Nutritional Upgradation

Community

Community Management of Acute Malnutrition Social Audit Capacity Building RCH to Malnutrition training of SHG's

Ground Workforce

Coordination of AAA & Data reporting Accountability & ability upgradation Convergence at village, cluster & block level

Data Analysis & Monitoring

Strengthening the data collection process Monitoring of Health & Nutrition indicators up to panchayat level Deploying better analytical method

STRATEGY

• Setting up of Community

Based Management of Acute Malnutrition (CMAM)

• Training of SHG’s in nutrition
• Localized RUTF/RTE substitute
• Screening capacity of the

community (Social Auditing)

• Data Collection Process
• Dashboard up to Panchayat

level

• GIS mapping of all health &

ICDS infrastructure

• Third party auditing
• Upgradation of Civic

Infrastructure of Anganwadis

• Nutritional Upgradation of

Anganwadis in the form of Kitchen gardens

• Introduction BaLa in the

Anganwadis

• Capacity Building of AAA in

consonance with the Digital world

• Co-ordination of Health &

ICDS staff

• Pedagogy development of

Anganwadis

• Creation
• f

incentive structure for the prime workers

Internal Capacity Infrastructure Upgradation Community Capacity Building Data Quality & Augmentation

HELP REQUIRED