1. Sorting Supply Chain and Bundling Multi Sectoral Interventions
Andhra Pradesh, the Sunrise State of India
Sorting Supply Chain and
Bundling Multi Sectoral Interventions
to improve Maternal Nutrition
NURTURING WOMEN│ NOURISHING WOMBS Conclave
5th December, 2017 Hyderabad

2. Pregnant and Lactating women
Anna Amrutha Hastham
(One Full Meal Scheme)
The state based flagship initiative under Supplementary Nutrition Program for
Pregnant and Lactating women

3. factors for initiation of ‘One Full Meal’ program
Prior to initiation of the spot feeding program (One Full Meal at Anganwadi) Take Home Ration was under implementation
The state has witnessed inadequate gestational weight gain (<8 kg)
Very high percentage of children with birth weight < 2500 gr
Source: RSoC 2014

4. Noon Meal: Rice, Dal, Vegetables
Expansion of the program
Noon Meal: Rice, Dal, Vegetables
Oil, Eggs &Milk
1053 Calories
33 gms Protein
500 mg Calcium
40% of the RDA
In compliance with National Food Security Act
55,607 Anganwadis covered
5.87 lakh PW & LM registered
Budget: 8 Billion INR

5. Gestational weight gain (>8kg) in pregnant women (in%)
the impact witnessed between Spot feeding and THR projects
Data Source: ICDS, MIS, NHTS
45% in all projects for the period July to Sept 2017 after expansion of the program across the state

6. Striving to improve Maternal Nutrition
The State Nutrition Mission
Striving to improve Maternal Nutrition
through ‘Multi-sectoral convergence’

7. Combating Anaemia among pregnant women
pilot study initiated in the state under convergence with Health, ITDA and PanchayathRaj departments
The challenge :
1 in 3 women in the state are Anaemic
The highest prevalence of anemia among women is in Vizianagaram (75.5 %)
The innovative & state based solution:
Ensuring 5 hundred to pregnant women
The Five hundreds are:
100 eggs
100 glass of milk
100 groundnut chikki (50 gr per day)
100 IFA tablets
100 Calcium tablets

8. Working with multiple stakeholders with in and outside Government
Health &
Family Welfare
PanchayathRaj
Rural Development
Tribal Welfare
Civil Supplies
Development
Urban
Agriculture dept
Horticulture dept
Fisheries dept
Poultry
Dairy Development corp
Planning dept
Agriculture University
Mahila University
Krishi Viagnana Kendras
Home Science Colleges

9. Improving convergence to deliver nutritional services at scale
with PanchayathRaj Department
Improving Anganwadi infrastructure facilities:
Rs.5000/- per AWC
Panchayaths providing running water supply, electricity and sanitation facilities
Improving governance:
PW, LM list is being shared every month to GP Office
Gram Panchayath Sarpanch, designated as Chairman of AAH committee
Anganwadi Workers and Helpers submit Aadhar enabled biometric attendance supported by Panchayath Office
Nutrition sensitive initiative with Gram Panchayaths:
Developing Nutri-Gardens in Panchayaths
Mahila Sisu Darshini
Anganwadi Worker will submit monthly report to Gram Panchayath on the profile of the AWC
Aiming to achieve 100% anganwadi centeres provided electricity, drinking water and saniation facilities by March 2018

10. Working jointly for implementation of PMMVY
Improving convergence to deliver nutritional services at scale
with Health & Family Welfare Department
Key nutrition services to PW&LM disseminated through 102 Call centre run by the department of HFW
To improve supply chain of IFA and Calcium through District deport to PHC to AWC connecting with OFM and Home Visits
Working jointly for implementation of PMMVY
Organizing joint review meetings at PHC level
Validating common health and nutrition indicators at Gram Panchayath level to improve service delivery as well accountability
Implementation of Weekly Iron Folic Acid Supplementation (WIFS)

11. Improving convergence to deliver nutritional services at scale
with Sarva Siksha Abhiyan, School Education and Collegiate Education Departments and NGOs
Joint procurement of Egg under ICDS and MDM & Bio-metric monitoring of weekly delivery of eggs to Anganwadi Centers across the state
Organizing Adolescent empowerment program ‘Kisori Vikasam’ a Peer Group interaction based program across the state

12. Improving convergence to deliver nutritional services at scale
with Tribal Welfare Department
‘Nutri-basket’ to support in ensuring nutritional security to the wage seeking families under 24 ICDS projects in ITDAs in the state. Annual estimated cost for this initiative is Rs.347 Cr

13. Improving convergence to deliver nutritional services at scale
with Real Time Governance through Chief Minister’s Office ‘1100’
mobile numbers of >85% pregnant and lactating women are registered and updated
Recorded voice messages are being sent to women to aware on the entitlements under nutrition program
Registered pregnant /lactating women are contacted by ‘1100’ (People First initiative by Government of Andhra Pradesh) to get feedback on the service quality
87% of the pregnant and lactating women are availing nutrition services under One Full Meal program
85% of the women felt they are comfortable attending spot feeding at AWC
92% of the Anganwadi centers are mapped with Geo-tagging

14. Improving convergence to deliver nutritional services at scale
with Home Science Colleges and Universities
Proposed menu for pregnant women (of those identified under severe anaemia (hb % <7 g/dl) and MUAC <21 cm
Ragi powder (20 gr) : 24 kcal energy; 5 g carbs; calcium; iron; dietary fiber
Jaggery (20 gr): 76.6 kcal energy; g carbs; g protein; 0.6 mg iron; minerals and vitamins
The intervention will be jointly implemented with tribal welfare, PanchayathRaj departments

15. Thank you one and all! Any questions?
You can find us at
Dept. of Women Development & Child Welfare, Government of Andhra Pradesh 2nd Floor, Jampani Towers, Lodge Center, Amaravathi Road, Guntur Ph: Websites: