New innovations/good practices that have proven evidence to show results with detailed costing of such interventions and their scalability :
Nutrition Rehabilitation Centre (NRC) is a facility based care center to manage children with severe acute malnutrition –SAM (under 5 years) through
Creating field learning sites:
Background: NEDSF (an NGO) in partnership with UNICEF under the project ‘MANTHAN, CHILD DEVELOPMENT & NUTRITION’ in collaboration with department of Social Welfare has been successfully conducting community based innovation for child growth, development and nutrition since 2008 focusing ICDS blocks of five districts namely Barpeta, Morigaon, Darrang, Kamrup and Goalpara. NEDSF’s presence in the field has supported the AWWs of selected AWCs for community based innovations, use of tracking tool and organizing community gatherings to improve beneficiary coverage and adoption of infant care and feeding practices. In 2012, NEDSF under the same project has undertaken an initiative in developing their focus AWCs as ‘Field Learning Sites’ (FLS). These AWCs adopted as FLS had capacitated the nearby AWWs (10 AWCs per focus AWCs) focusing in the areas of their service delivery. The activities under FLS are undertaken with active involvement of concerned Supervisors and CDPOs under the guidance and support of the Directorate of Social Welfare, Assam.
Model AWC (adoption of 10 AWC by CDPOs) Background: With the view of developing AWCs provided with all facilities, it was initiated to create model AWCs in all the ICDS blocks. These AWCs will be developed focusing on effective delivery of services by upgrading the skills of the AWWs and AWHs through need based trainings and making available all the TLM/Charts and IEC materials/facilities in the centres. Adoption of AWCs will be done in a phased manner.
The ECCE curriculum has been presented for pilot testing in two ICDS projects. One in an Urban project and another in Rural project namely Guwahati (U) ICDS project (Kamrup district) and Bhurbandha ICDS project (Morigaon district) in 2012 under the technical guidance of NIPCCD and UNICEF, Assam.
Objectives: To capacitate CDPOs to develop AWC as model AWCs.
Group supervision in difficult areas:
Background: As Assam is widely diverse and complex in its topography from hilly terrain to uneven valley including hilly areas, char areas, tea garden areas, forest and border areas, riverine areas etc., AWCs located in these areas are not easily accessible for regular supervision by ICDS Supervisory cadre (Supervisors, CDPOs and DSWO). Therefore, regular supervision of these AWCs has posed a major challenge for the ICDS functionaries. To address this challenge, Group Supervision was initiated. This practice has been proved to be rewarding.
Objectives: To cover all the AWCs in difficult blocks/areas for regular supervision and ensure effective implementation of ICDS services.
Mother’s Support Group or Matri Sahayak Gut
Background: With the objective that the programmes and schemes focusing the development of Women & Children are implemented effectively through the Anganwadi centres, it was felt that mothers of the primary beneficiaries i.e. children below 6 years of age of the locality can be involved in management and operation of these schemes. Against this backdrop, the State Government have initiated, vide notification no. SWD.617/2011/61 dated 2nd March 2012, the constitution of ‘Mother’s Support Group (MSG) or Matri Sahayak Gut’ in each of the AWCs in all the ICDS projects of Assam w.e.f. 1st April, 2012.
Rationale: The mothers as stakeholders will be fruitful if involved in management and supervision of the scheme, mobilisation of beneficiaries and counselling.
Objectives: To involve mothers as the primary stakeholders in the management and supervision of the AWCs in addition to the Anganwadi Centre Management Committee.
Mothers of all the children registered at AWC, together form a group, designated as “Matri Mandal”. This matri mandal elect 7 mothers out of their group to constitute “Matri Sahayak Gut” (MSG). The president and the secretary will be made ex-officio members of VHSNC (under NRHM), and AWCMC.
The Matri Mandal meeting is to be held on 5th of each month, where MSG will discuss issues relating to AWC & performance of AWW. The secretary of MSG shall be responsible to keep record of proceedings of meetings. State resources will provide necessary funds for Matri Mandal meetings & events. Reports of performance of AWC shall be presented and discussed at Gaon sabha, VHSNC, AWCMC meetings. Performance of AWW & AWH to be assessed on parameters relating to attendance of AWC, timely opening of AWC, provision of good quality morning snacks, hot cooked meal & THR, maintenance of growth card/registers, VHND, RI etc on scale of outstanding, good and poor, and reports shall be submitted to CDPO/DSWO through concerned supervisor by 10th of each succeeding month.
Main responsibilities of MSG
MSG members are provided training under Sensitization programmes organized by ICDS supervisors, CDPOs, DSWOs by end of April, each year. The training programmes are interactive and cover topics viz. supplementary nutrition, Growth monitoring & use of MCP cards, , PSE and TLM from low cost no cost materials, common health problems pertaining to that area, personal hygiene, nutritional value of different local foods, orientation to performance assessment of AWW etc.
At the end of year MSG will assess their own performance, based on attendance of matri mitra, beneficiaries in VHND, RI etc, participation of president & secretary in Gaon Sabha and AWCMC meetings. The DSWO on basis of self assessment report submitted by MSG will recommend top 5 best performing MSG for citation and recognition by Deputy Commissioner on 15th August of each year.