3Atal Bal Arogya Evam Poshan Mission Atal Bal Mission was established to strengthen and fill the gaps in the existing Integrated Child Development Scheme (ICDS).The objective of this mission is to work in an integrated and coordinated manner to bring an improvement in the nutrition and health status of children in Madhya Pradesh State thus addressing the problem of child malnutrition in the state.
4District Action PlanThe districts had immense scope in utilizing the funds to implement need based activities, take initiatives and apply innovative approaches to address malnutrition.
5Initial Review Review meeting held from 17th – 26th September 2012 Based on the presentations made by the District officials, thematic areas were identified for documentation and eighteen districts were identified for process documentation.
6Thematic areasThird / additional meal to beneficiaries (pregnant women/lactating women/malnourished children) under ABMWeb-based tracking / monitoringStrengthening nutrition counseling modalities / community participationPeriodic tests for assessment of AWWs skills/knowledge followed by need-based capacity building.Other specific theme/s
8ObjectiveIdentify and document the initiatives/innovations that can be scaled up across the state of Madhya Pradesh.To assess the impact / change after implementing the initiative/innovation in the selected district/s.Inclusion of successful initiative/innovation into the districts’ Annual plan ( ) for implementation and scale-up across the state.
9MethodologyFinalization of list of Initiatives/Innovations and districtsField-Assessments by a combined team of officials from DWCD, DoH&FW and MPTASTCompilation and ScreeningInclusion in upcoming Annual Planning ( )Implementation and Scale-up
10Template for field-assessments Defining the Initiative/InnovationName of the Initiative/InnovationGoal/AimObjectiveTarget Population/GroupExtent of Intervention (no. of village/AWC/sector/cluster etc.)Areas of Intervention (specify the names)Duration (start and end date) of InterventionWhat was the need for this initiative/innovation beyond ICDS SNP program already being provided at AWCs?Describe the intervention
11Template for field-assessments Describing the various components / elements of Initiative/InnovationComponents of initiatives being provided Ex. Tiffin meal, pockets etc.Constituents of food being providedIngredients Quantity of Ration per bensRationale behind using these ingredientsAnybody from the state directorate visited to see this interventionBasis of the selection of ingredients (RDA/technical advice/local conditions/implemented in other areas)Are the ingredients locally available?Seasonal variations in the availability of any of the ingredientsIs there a rotational menu? Frequency of rotation of menu.Procurement procedure and quality assurance
12Template for field-assessments Storage facilityPlace of storagePrevention of dust/rodents/moisture infiltrationPilferation issuesDistribution modalitiesQuantity per beneficiaryTransportation and quality assurancePlace of distributionFrequency of distributionContainers for distribution
13Template for field-assessments Consumption by the beneficiary (monitoring mechanism)Preparation (Cooked)Is hygiene ensured (Based on the field visit and observation)Availability of water (running or stored)Washing of ingredients and washing areaCooking areaCooking processStorageOthers (Utensils, hands etc.)Staff involved in this activity (Regular or additional staff)Community involvement in this initiativeDescribe various stages of community involvement
14Template for field-assessments Monitoring and Financial aspects of implementation of the Initiative/InnovationMonitoring mechanism and formats used?Impact of this interventionIn the words of DPO, AWW, Community etc. What are their indicators for the impactAny pre post assessment done to measure the impact (what is the change - mention numerator and denominator)Data from the MIS available for analysisRecords available of the DPO for assessmentNo. of beneficiaries till dateMonthly and annual expenditure on this activity?No. of beneficiaries per month and year based on the above mentioned cost.Cost per beneficiaryDid any of the beneficiaries drop out of the program?
15Template for field-assessments Before summing up the detailed and collated information; value-add on by the field assessment team/evaluators based on the objectives of the assessmentObservationsComments/SuggestionsDo you consider it as an innovation or initiativeIs it fit to be scaled up across the stateDo you think the intervention is in line with the set objectives if so, how and why. if not, why not.It there a possibility that this initiative will also lead to achievement of other outcomes besides those that were envisaged. If so how and why.Any other questions which have not been addressed above.Conclusions.
16Template for field-assessments Feedback by the community and summarizing the interactions with themPlease interact with at least three beneficiaries.What is the profile of the beneficiaries?age group literacy status assumed Socio economic statusDo the beneficiaries have an overview of the objectives of initiative/innovation?Are they accessing the services of the initiative/innovation regularly, if not why?Do they think the initiative/innovation has benefited them?Describe how it has benefited them?Any general comments about the initiative/innovation?
17List of Innovations S.No Component District Innovation 1. MIS Betul Web Based Monitoring / Atal Betul mix2.CounsellingVidishaBaal Chaupal KaryakramNeemuchUjjawala Abhiyan(Nutrition / Health)DewasElderly women (badi maa) for counselling to the families of undernourishedBarwaniBreast feeding counselors appointed by Health under ABMDindoriProject Protsahan3.TrainingMandsaurDakshata Parikshan
18List of Innovations S.No Component District Innovation 4. Nutrition ShajapurPocket stitched in dressesSatnaNutri-cornerKhandwaAkshay patra yojnaDharVatsalya KendraJhabuaAanchal KendraIndoreBooster MealGwaliorDugdh SanjivaniDatiaOne additional meal to pregnant womenGunaTiffin System5.HealthDindoriMor DubaliyaChhindwaraIdentification & Management of Anemia in P/L women and MCTS Tracking(Nutrition & MIS)HoshangabadProject Samarpan / Vatsalya software
19Team S.No. Cluster of districts Innovation / Initiative Component Documentation TeamVisiting Officials (DWCD)1HoshangabadVatsalya SoftwareMIS, Nutrition and HealthSreenivasan Kallam, Richa Som and Dr. Archana MishraMr. Mahendra Dwivedi-Deputy Director (MIS) + TeamProject SamarpanBetulWeb-based MonitoringAtal-Bal MixChhindwaraMCTS TrackingDay-Care CentreIdentification & Management of Anemia in P/L women
20Team S.No. Cluster of districts Innovation / Initiative Component Documentation TeamVisiting Officials (DWCD)2VidishaBal Chaupal KaryakramNutrition and HealthNaresh Ramnani and Pooja Madan KohliMr. Akshay Srivastava - Joint Director (ICDS)SatnaNutricornerDindoriProject ProtsahanMor Dubaliya3NeemuchUjjwala AbhiyanCapacity Building, Nutrition and HealthRisha Kushwaha and Kavita ChauhanMr. Vishal Meda – Asst. Director (ABM)MandsaurDakshata ParikshanShajapurPocket stitched in children’s dresses
21Team S.No. Cluster of districts Innovation / Initiative Component Documentation TeamVisiting Officials (DWCD)4GwaliorDugdha SanjivaniNutritionRajesh Shrivastav and Deepika Mr. Govind Raghuvanshi – Asst. DirectorGunaTiffin SystemDatiaAdditional Meal to Pregnant Women5DewasBadi-maa to families of under-nourishedCounseling and NutritionPragnya Das and HamzaMr. Sanjay Sisodia – Deputy Director (ABM)IndoreBooster MealDharVatsalya Kendra6BarwaniBreast-feeding counselors appointed by Health dept. under ABMDr. Ajay Khare, Ajay Reddy/Dr. Aboli GoreJhabuaAanchal Kendra
23Third/Additional Meal to Pregnant Women, Lactating Mothers and Malnourished Children
24Eight children (SUW) identified for booster meal 120 gms / child provided in the evening slot of 5-7 PM by AWW and AWH.Weight monitoring every week and recorded.Corn-soya-wheat (salty)Corn-soya-wheat (sweet)Groundnut-soya-wheatIndore
25Complete meal to Pregnant women Providing one complete meal to Pregnant women from 2nd trimester till delivery of the child.Meal prepared by SHG based on day-to-day meal chart.Datia
2613574 SUW children identified and made to stay at AWC from 9 AM to 4 PM. The meals included:Morning snackHot cooked mealRajgir ladoo- third mealTHR- fourth mealAtal bal ladoo- fifth mealOctoberMarchNovemberDay Care CenterChhindwara
27Transparent box containing food ingredients based on weekly menu is kept in an identified corner in the AWC.Nutri CornerSatna
28Stitched Pockets Shajapur Children have the habit of eating packet snacks available locally.Pocket stitched in two dresses of identified SUW children and filled with roasted gram/groundnut and jaggery for three days. For 6 months to 3 yrs children powdered form in polythene packs provided to their mothers.Stitched PocketsShajapur
29Tiffin SystemFood was given to SUW children through tiffin. Managed through the SHGs. Timing: 3-4 PMAtal Bal Mitr- link between AWW and households.Meetha daliaNamkin dalia khichdiChawal kheer9419 SUW children number has reduced to 4274 in November 2012Guna
30Adoption of underweight children Community leaders like MLA, ward member, businessmen etc played a pivotal role in adopting the SUW/MUW children of the AWCs of their areas.Sattu, Aid (multivitamin and half a spoon of coconut oil mixed in food) providedAdoption of underweight childrenRatlam
31Periodic tests for assessment of AWWs skills/knowledge followed by need-based capacity building.
32Dakshata Parikshan Mandsaur Shajapur A test was conducted to assess the skills of the AWWs.Based on results, AWWs who secured grade C&D were given training to refresh their knowledge.An examination was first conducted for 1256 AWWs of the district.Second examination for AWWs including mini-AWCs was conducted (follow-up of) after imparting training. Year gap.
33Blood transfusion to P/L mothers Pregnant and lactating mothers who were anemic were referred to the district hospital for blood transfusion.Main objective was to address LBW children and anemia in women14 bedded ward exclusively dedicated for anemic P&L mothers set up.Blood transfusion to P/L mothersChhindwara
34Ujjwala AbhiyaanIncrease awareness among adolescent girls who are either school-going or are drop-outs on proper nutrition, hygiene, reducing anemia and increasing age of marriage.Neemuch
35Samarpan Also called as “early intervention clinic”. Is an initiative for early identification, screening, treatment and rehabilitation of children with developmental delay or physical disability.Convergence of WCD, NRHM and DDRCIPGMER developed questionnaire for screening.SamarpanHoshangabad
36Breastfeeding Counselor Facility based counseling to the mother for colostrum feeding.Addresses issues of newborn care practices, kangaroo care and institutional deliveries.Breastfeeding CounselorBarwaniJob chart of breast feeding counsellorsANC counselling at the time of admissionPNC counsellingBreast feeding counsellor must be present at the time of labourEducate mother about the advantages of Kangaroo care and ensure the thermal careCounselling on attachment between mother and new-born babyEnsure early and exclusive breast feeding practicesEnsure colostrum feeding
37Mor DubaliyaDindori731 pregnant mothers have been felicitated with the kit that comprises relevant information and materials related to pregnancy care.
38Vatsalya SoftwareSoftware was developed with financial support from Red Cross Society.Completely online. Has lots of data.Has won e-global awardHoshangabad
39Counseling Vidisha Bal Sanskar- Vidisha Inviting parents to AWC quarterly and educating the parents on growth and development of childVidisha