1. GUJARAT STATE NUTRITION MISSION (GSNM)
Presentation to Hon’ble Chief Minister
Departments of H&FW and WCD

2. Agenda of the Meeting
Overview of the nutrition status in Gujarat-High incidence of undernutrition in Gujarat
Nodal Departments for Gujarat State Nutrition Mission- HFWD & DWCD.
To decide the Roles, Responsibilities and Structure of Nutrition Mission
To evolve Concept and Approach to achieve the objective :- 3 –Tier Approach.
Human and Financial resources for the Mission
Maharashtra & Other Models – successful case study.
Any other agenda items from the Chair
12-Apr-17
Health & FW

3. Nutrition Situation of various States of India
Gujarat
In Gujarat despite no major problem of food insecurity, poverty, systems, governance compared to other status, children underweight in Gujarat are close to U.P. & Rajasthan.
45 % Children (<5 Yrs) of Gujarat are underweight.
National Family Health Survey-3, 2005 – 06,Gujarat 3 3

4. Nutrition Situation in Gujarat
45% U5 underweight
50% Breastfed in 1st hr ***
45% Exclusively breastfed **
56% Initiate Complementary feeding months ***
24% Get adequate Proteins & Calories*
80% Anaemic (6-35 m)
56% HHs use Iodized salt
56% Vit A supplement**
But there is poor adoption of these 3 critical practices in all districts
NFHS
* NNMB (ICMR)
** DLHS – 2008
***CES, Unicef
DLHS-2, 4

5. Types of Malnutrition Underweight- A composite measure
Low Weight for Age
Stunting- An indicator of past growth failure
Low Height for Age
Wasting- Current or Acute malnutrition
Low Weight for Height
Micronutrient deficiencies- Iron(Anaemia), Iodine (Hypothyroidism, Cretinism-Mental retardation), Vit-A (Night Blindness)

6. Source:- NFHS- 3 (2005-06) Weight for Age criteria
Nutrition Status in Gujarat
Source:- NFHS- 3 ( )
Weight for Age criteria
Weight for Height criteria
55.4%
55.4%
Normal %
Normal %
[Green]
SUW/ MUW
44.6%
28.3%
25.9%
Moderate Under Weight % [Yellow]
Moderate Acute Malnutrition (MAM) %
18.7%
12.9%
16.3%
Severe Under Weight % (Red)
5.8%
Severe Acute Malnutrition (SAM) %
Underweight (%)
Wasting (%)

7. Weight for Age criteria Weight for Height criteria
Nutrition Status (Hungama Report- 2011)
As per the data of 100 focus districts of six states Bihar, Jharkhand, Madhya Pradesh, Orissa, Rajasthan and Uttar Pradesh
Weight for Age criteria
Weight for Height criteria
57.7%
57.7%
Normal %
Normal %
[Green]
SUW/ MUW
42.3%
25.9%
30.9%
Moderate Under weight % [Yellow]
Moderate Acute Malnutrition (MAM) %
11.4%
8.1%
16.4%
Severe Underweight % (Red)
3.3%
Severe Acute Malnutrition (SAM) %
Underweight (%)
Wasting (%)

9. Source:- NNMB Tribal Survey
Distribution (%) of 1-3 yrs children according to daily intake of Food stuffs as percent RDI
Source:- NNMB Tribal Survey
Percent of RDI (>=70%)
Kerala TN
Karnataka
Andhra Pradesh
Maharashtra
Gujarat MP
Orissa
West Bengal
Cereals & Millets
36.1 52
48.9
65.5
59.5
81.5
60.7 76
69.6
Pulses & Legumes
5.7 18 9
32.4
47.9
42.5
20.1
19.2
3.7
GLV
4.3
6.3
6.4
3.4 2
2.5
12.9
43.7
33.5 OV
22.2 32
28.7 28
39.6
24.4
36.6
34.6
R &T
56.1 43
35.1
48.8
24.2
53.5
38.4
50.1
70.2
M & MP
1.3
1.5
2.1
2.4
0.2
0.3 1
Fats & Oil
0.4
0.5
3.1
2.7
0.7
Sugar & Jaggery
0.9
13.8
6.1
15.2
Key Points:- The daily intake of food stuff for children age group 1-3 is higher than the average in case of Cereals &Millets , Pulses & Legumes , Other Vegetables and Roots &Tubers but less in case of Fats &Oils , Milk & Milk Products, Green Leafy Vegetables and Sugar & Jaggery . When compared to other States like Andhra Pradesh, Maharashtra and Orissa..

10. Source:- NNMB Tribal Survey
Distribution (%) of 4-6yrs children according to daily intake of Food stuffs as percent RDI
Source:- NNMB Tribal Survey
Percent of RDI (>=70)
Kerala TN
Karna AP
Maha
Gujarat MP
Orissa WB
Cereals & Millets >=70
27.4
55.6
43.3
78.4
67.9
71.2 58
84.2
86.8
Pulses 27
42.3
14.3
45.7
68.6
62.4
37.5
28.8
9.3
GLV
6.5
7.3
3.8
6.1
4.2 3
13.3
47.1
38.8 OV
29.1
51.6 41
34.5
21.1
35.2 29
39.2
35.3
R &T
52.6
26.2 31 43
21.3
49.4
46.7
43.8
74.8
M & MP
1.7
0.8
0.5
1.8
0.4
2.1
0.2
1.6
Fats & Oil 2 1
4.6
5.5
2.7
Sugar & Jaggery
8.1
16.5
0.3
Key Points:-
The daily intake of food stuff for children age group 4-6 is higher than the average in case of C&M, P& L, OV and R&T but less in case of F &O, M & MP, GLV and S&J. when compared to other States like Andhra Pradesh, Maharashtra and Orissa.

11. Focus Areas
Keeping in view insignificant improvement in SAM and MAM category of children, 3- tier approach seems to be necessary and desirable.
Focus needs to be on adolescents, pregnant and lactating mothers.
Need to strengthen micronutrient supplementation program .
Special focus on Infant Young Child Feeding Practices (Especially Initiation of Breastfeeding within one hour , Exclusive Breastfeeding up to 6 months & Initiation of Complementary Feeding after 6 month ).
Effective communication strategies to improve dietary practices and Life style .
Emphasize on deworming of children, adolescent girls and Pregnant Women to improve absorption of nutrients.

12. Acute Malnutrition - SAM/MAM
Severe Acute Malnutrition (SAM) if :
W/H-L < -3SD
&/or
MUAC** <11.5cm &/or
Bilateral pitting oedema
Moderate Acute Malnutrition (MAM) if :
W/H-L between <-2 and -3 SD
&/or
MUAC between 11.5 to <12.5 cm
Children with Severe Acute Malnutrition (SAM) have nine times higher risk of death.
**MUAC=Mid Upper Arm Circumference- an age independent screening tool
SOURCE:- WHO & IAP Protocols

13. SOURCE:- New WHO Growth Standards
Underweight - SUW/MUW
Severe Under Weight (SUW) if :
Weight for Age < -3SD
Moderate Under Weight (MUW) if :
Weight for Age < -2SD to -3SD
SOURCE:- New WHO Growth Standards

14. Ongoing Nutrition Interventions of H&FWD to tackle Malnutrition
Mamta Abhiyan- Health and Nutrition service delivery strategy i.e. Mamta Diwas
Micronutrient Supplementations – IFA supplements, Vitamin A supplements & Iodized salt
Conditional Cash Transfer Scheme- “Kasturba Poshan Sahay Yojana” implemented from
Facility based management of malnutrition-
(a) Child Development and Nutrition Centers (CDNC)
(No of Centers – 76 in 20 districts)- at CHCs and District Hospitals.
(b) Nutrition Counseling and Rehabilitation Centers.
( No of Centers – 6 )- at Medical College Hospitals.
c)Bal Gram Parivar Yojana (pilot), A community based malnutrition management program in three villages – Positive Deviance model .
12-Apr-17
Health & FW

15. Ongoing Nutrition Interventions of DWCD to tackle Malnutrition
Growth Monitoring
Supplementary Nutrition Program in the AWC for 6 month to 6 yrs old:
a) Energy dense Bal Bhog (3.5kg)/ month to 6 month to 3 yrs age.
b) Hot cooked food to 3 yrs to 6 yrs.
c) Energy dense Take Home Ration (THR) for severe underweight children 6m-3y – Bal Bhog (5kg)/month
d) Energy dense Take Home Ration (THR) for severe underweight children 3-6y – Bal Bhog (2kg)/month
Fruits to children 3- 6 yrs, twice a week
Doodh Sanjeevani Yojana 10 Blocks of 6 Tribal districts, to children 3-6 years, twice a week.
Mobile Anganwadi scheme for NREGA/Migrants population.
Nutri-Candy with micronutrients (Iron, Folic acid, Vitamin A and Vitamin C) for age group of 3 to 6 years
Conditional Cash Transfer Scheme- “Indira Gandhi Matratva Sahay Yojana (IGMSY) ” implemented in Bharuch and Patan.
12-Apr-17
Health & FW

16. Gujarat State Nutrition Mission
Concept and Approach
12-Apr-17
Health & FW

17. Gujarat State Nutrition Mission Structure
Autonomous and independent structure of the Mission
An independent structure with autonomy in decision making and planning-in the form of Society /Trust ?
Three Tier Approach
Mission Director/Director General – a dedicated senior official of the level of a Principal Secretary / Secretary & not on additional charge.
Joint responsibility of HFWD & DWCD
Convergence with other line departments – Education, Food & Civil Supplies, Water Supply, Panchayat and Rural Development, Urban Development etc.
12-Apr-17
Health & FW

18. Gujarat State Nutrition Mission Structure
The operational structure of the Mission should include
State Level –12 persons - Mission Director/Director General (IAS), Deputy Directors-3, Consultants and Project Officers -4, M&E Asst.-1, Data Entry Operators-2, Finance Asst.-1, Office Asst Aim is to have specialists on board.
District Level- 3 persons – District Nutrition Officer, Dist. M&E Asst., Data entry operator, reporting to both CDHO and PO- ICDS to ensure convergence.
Taluka Level- 2 persons – Taluka Nutrition Assistant, Date Entry Operator reporting to Taluka Health Officer and designate Taluka CDPO .
12-Apr-17
Health & FW

19. Gujarat State Nutrition Mission Structure
D. Urban Level –
(1) Corporation level- 3 persons – Corporation Nutrition Officer, Corporation M&E Asst & Data entry operator, reporting to both MO- Urban Health and PO- Urban ICDS to ensure convergence.
(2) Zonal Level- 2 persons – Zonal Nutrition Assistant and Date Entry Operator reporting to Corporation Nutrition Officer.
12-Apr-17
Health & FW

20. Gujarat State Nutrition Mission Organogram (State Level Team)
HFWD
DWCD
State Level
(12 members)
Mission Director/ Director General (IAS) (1)
Deputy Dir (Nutrition)
(1)
Deputy Dir (Health)
(1)
Deputy Dir (Mon)
(1)
Consultants/POs (Community Nutrition, Monitoring, IEC and Capacity building) -4
Monitoring and Evaluation Asst
(1)
Data Entry Operators
(1)
Finance Asst
(1)
Office Asst
(1)
12-Apr-17
Health & FW

21. Gujarat State Nutrition Mission Organogram (District & Taluka level Team)
DDO
Chief District Health Officer (Health)
District Program Officer (WCD)
District Level
(3 members)
District Nutrition Officer (1)
District M& E Asst (1)
Data Entry Operator (1)
Taluka Nutrition Assistant (1)
Taluka Level
(2 members)
Data Entry Operator (1)
12-Apr-17
Health & FW

22. Gujarat State Nutrition Mission Organogram (Urban)
Municipal Commissioner /DMC
Medical Officer (Urban Health)
Corporation level (3 members)
Corporation Nutrition Officer (1)
Corporation M& E Asst (1)
Corporation Data Entry Operator (1)
Zonal Nutrition Assistant (1)
CDPO
Zonal level
(2 members)
Data Entry Operator (1)
12-Apr-17
Health & FW

23. Focus of the Mission
To strengthen growth monitoring and evaluation system and bringing in subject specialist.
Ensuring growth monitoring and promotion by improving
Survey efficiency
Weighing efficiency
Plotting of weights on growth charts, and
Identification of undernourished children and detection of growth faltering and stagnation and focusing on the most vulnerable- SAM, MAM, SUW and MUW
Improving Infant and Young Child Feeding (IYCF) practices to reduce malnutrition.
Mass awareness (IEC) on nutrition related issues including IYCF and healthy food habits through a community based approach.
12-Apr-17
Health & FW

24. Malnutrition Screening Tools & Equipments
Weight for Height
SAM if W/H <-3SD
MAM if W/H <-2SD to -3SD
Digital Weighing Scale : Cost Rs 4000/-
Spring Scale Rs /-
Indigenous Board:- Rs 1000/-
12-Apr-17
Health & FW

25. Malnutrition Screening Tools & Equipments
Mid Upper Arm Circumference (MUAC)
SAM if MUAC <11.5cm
MAM if MUAC 11.5 to 12.5 cm
MUAC Tape - Low Cost Tool (Rs 3/-)
12-Apr-17
Health & FW

26. Plan of the Mission
Management of SAM and MAM Children (WASTED) through 3 - tier approach
1. To adopt and follow SAM and MAM Identification Criteria as per WHO Standards.
2. To establish demand based facilities at all levels
Village - Village Child Nutrition Centres (VCNCs) at AWCs. Duration of Program will be for 30 days. Cost approx Rs 40/child/day
PHC/CHC/SDH - Child Malnutrition Treatment Centres (CMTCs). Duration of Program will be for 21 days. Costs approx Rs 200/ child/ day (current CDNCs will function as CMTCs)
District Hospital/Medical College - Nutrition Rehabilitation Centers (NRCs). Duration of Program will be for 25 days. Costs approx Rs 250/ child/ day.
P12-Apr-17202
Health & FW

27. Hierarchy of 3- tier approach
NRC
(At District level)
CMTC
(At Taluka level)
VCNC
(At Village level)
Children admitted with defined SAM criteria with severe Medical Complications/ Oedema
Children admitted with defined SAM criteria with Medical Complications
Children admitted with defined SAM & MAM criteria without Medical Complications

28. Roles of HFWD and DWCD in the
3-Tier Approach
Screening at VHND
HFWD & DWCD
VCNC
CMTC
HFWD
NRC
HFWD

29. Village Child Nutrition Centre (VCNC)
Target Group:- Both SAM and MAM children
At Village level, at Anganwadi Centers managed by AWW, AWH & ASHA.
Incentive to AWW, AWH & ASHA.
Nutritional Supplements as per standard protocols
Stay will be for 30 days
Daily visit by an ANM
An expenditure of Rs 40/- per child/day: Rs 20 for Diet (Dynamic as per region) , Rs 10/- for Medicines and Rs.10/- for Incentives.
Follow a camp approach.
12-Apr-17
Health & FW

30. Child Malnutrition Treatment Centre (CMTC)
Target Group:- SAM Children with medical complication
At PHC / CHC / SDH level
Treatment as per standard protocols
Daily visit by a Trained Doctor.
Follow a camp approach for 21 days
Expenditure of Rs. 200 per child per day
Mother/guardian accompany and stay with the child throughout and compensated Rs 100 per day for wage loss.
Rs. 100 is expended on diet and medicines per day/ child (Diet- Rs 60 and medicines Rs 40 per child/ day).
12-Apr-17
Health & FW

31. Nutritional Rehabilitation Center (NRC)
Target Group:- SAM Children with severe medical complication
At District Hospital and Medical Colleges level
Treatment as per WHO standard protocols
Daily visit by a Trained Doctor.
Expenditure of Rs. 250 per child per day
Mother/guardian accompany and stay with the child throughout and compensated Rs 100 per day for wage loss.
Rs. 150 is for diet and medicines per day/ child (Diet- Rs 60 and medicines Rs 90 per child/day).
12-Apr-17
Health & FW

32. Financial Resources available for Mission Objectives
State Budget 12-13:- Rs.60 Crores for Nutrition Mission which includes –
Mission Structure.
Conditional Cash Transfer – Kasturba Poshan Sahay Yojana (GR already issued on ).
Anemia Management Package.
Innovative interventions.
Gujarat Integrated Nutrition Project – Out of 60 crores allocated as one time Central Assistance from GOI- Rs. 54 Crores is available ( Received in March 2010).
NRHM- Rs Crores proposed for
4/12/2017
Health & FW

33. Roles and Responsibilities of GSNM
To set-up the structure of the VCNC,CMTC,NRC through HFWD and DWCD
Organize trainings/orientation workshops for the staff
Review through meetings and workshops
Strengthen MIS, Data collation , analysis and regular feedback
Set-Up committees at State, District and Taluka level for effective monitoring and implementation of the Mission objectives.
12-Apr-17
Health & FW

34. Committees At Various Levels
State Level Gujarat State Nutrition Mission will have:
Steering Committee under Hon’ble Chief Minister
Monitoring Committee to be Chaired & Co-chaired by Hon’ble Ministers – HFWD and DWCD as per seniority
Governing Body, under Chief Secretary
Executive Committee- Chaired and Co-chaired by PS (PH&FW)/ PS DWCD as per seniority.
District level Committee under Dist. Collector and DDO as Chairman & Co-chairman respectively.
3. Taluka Level Nutrition Committee -Prant Officer (ATVT)
12-Apr-17
Health & FW

35. Leveraging Partnerships (Jan-Bhagidari)
Implement Positive Deviance approach by involving parents to share positive infant and young child feeding practices for making malnutrition-free village.
Build strong Jan-Bhagidari through Village Health, Sanitation and Nutrition Committees (VHSNC) and Pani Samities.
VHSNC/ RKS (Rogi Kalyan Samities) to be permitted to accept assistance by cheque/kind from public for this cause.
Social Audit and Monitoring through Samities.
Malnutrition-free village campaigns through Samities
Partnership with Home Science Institutions for advocacy, capacity building, monitoring and evaluation.
12-Apr-17
Health & FW

36. Assumptions/ Basis for estimates-
- Target Group:- 0 to 6 yrs
- SAM Children:- 5%
- MAM Children:- 10%
- Total (SAM and MAM)
Children:- 15%
-VCNC workload: (80% of SAM + 100% of MAM)
-Expenditure per child at VCNC= Rs 40/day x 30= Rs 1200
-CMTC workload: (15% of SAM with Medical Complications)
-Expenditure per child in CMTC = Rs 200/day x21 day= Rs 4200
-NRC workload (5% of SAM with Medical Complications) Expenditure per child in NRC= Rs 250/ day x 25 days= Rs 6250
NOR-MAL
(65%)
SUW/
MUW
(20%)
15%
MAM
(10%)
SAM
(5%)
12-Apr-17
Health & FW

37. Budget Estimates for different coverage scenarios
All 41 backward talukas + 1 taluka each from remaining 10 districts = 51 talukas
Anticipated Children: ; Budget Required:- Rs 23.7 Crores
Scenario 2
All 43 Vanbandhu talukas + 1 taluka each from remaining 14 districts = 57 talukas
Anticipated Children: ; Budget Required:- Rs 29.0 Crores
(c ) Scenario 3
Entire State
Anticipated Children: ; Budget Required:- Rs Crores
12-Apr-17
Health & FW

38. Estimated Workload SAM/MAM per Anganwadi Center(AWC)
Population covered under one AWC = 1000
Population of (0-6) years 12% of total pop=120
18 children
5 % = 6 children
10%=12 children
Estimated Children /VCNC /(AWC)= SAM +MAM=6+12=18
Initially cover all targeted children of age group 6 months- 6 years with gradual reduction leading to closure of VCNC (Camp Approach)
Also target entire population for nutrition awareness so that parents start correct feeding on their own so as to prevent onset of malnutrition.
12-Apr-17
Health & FW

39. Role of ASHA To create awareness about nutrition in the community.
To counsel on Infant and Young Child Feeding (IYCF) practices.
To mobilize the community to access health and nutrition services.
To escort mothers with their SAM/ MAM children for treatment to nearest VCNC / CMTC / NRC & to motivate mothers to stay for desired duration at CMTC/ NRCs.
To ensure that children are followed up at AWC /VCNC CMTC/ NRCs
Incentives to be paid under NRHM.
12-Apr-17
Health & FW

40. Malnutrition Management Programs of other states
Programs for Under Weight Children
Programs for SAM/ MAM Children
Remark
Maharashtra
  ICDS at AWC
(a) Total VCDC conducted ( At Village level): (b) Total CTC completed ( At Block level): (c ) NRC : ( At Medical College/ Super speciality)
3- tier approach for management of SAM/ MAM
Madhya Pradesh
    ICDS at AWC
NRC- 263 at District & Blocks for Management of SAM children
Community Based Mngt Program on SAM/ MAM in process for 2 districts
Management of SAM at District & Block level Health facilities
Jharkhand +
Dular Strategy implemented in 24 districts (At Village level)
NRC at DH/Sub DH/CHC/PHC- (81)
Community based management program ( CBMP) at Village/ AWC/ Community level to strengthen ICDS system
12-Apr-17
Health & FW

41. Malnutrition Management Programs of other states
Programs for Under Weight Children
Programs for SAM/ MAM Children
Remark UP
ICDS at AWC +
IYCF Counseling through Mother Support Groups in one district
NRC at DH/Sub DH/CHC/PHC- (19)
West Bengal
  ICDS at AWC
Positive Deviance (PD) approach (9 districts )
Positive Deviance (PD) approach (9 districts ) NRC at PHC/ CHC/ SDH/DH- (11)
People recognize and practice positive early childhood care in feeding, home health seeking, hygiene and psychosocial care .
Bihar
Dular Strategy implemented in 24 districts (At Village level)
NRC at DH/CHC- (34)
Community based management program ( CBMP) at Village/ AWC/ Community level to strengthen ICDS system
Andhra Pradesh
   ICDS at AWC
NRC - 2
Karnataka
Chhattisgarh
NRC - 25
12-Apr-17
Health & FW

42. Rajmata Jijau Mother –Child Health and Nutrition (RJMCHN) Mission, Maharashtra-Case Study
12-Apr-17
Health & FW

43. Operational Facets (Maharashtra)
Independent and autonomous Mission Structure.
Neither Society nor Trust, steering by CM
Headed by a very senior IAS Officer of PS/Secretary level on full time basis as Director-General of the Mission
Committed Officers (3 to 4) identified and posted in the Mission to assist the Director -General.
Champions (people willing to contribute) identified in all Depts.
Nodal Department is DWCD.
Funding from multiple sources like DWCD, NRHM, TSP, SCSP, District Planning Boards, etc.
12-Apr-17
Health & FW

44. Organogram (Maharashtra)
Director General (IAS,Senior) (1)
State Level
(11 members)
Deputy Director (Health) (1)
Director (MVS Cadre) (1)
Deputy Director (Diet)
(1)
Deputy Director (Monitoring) (1)
Coordinator (Training) (1)
Manager (MIS) (1)
Accounts Manager (2)
Supplementary Staff (2)
12-Apr-17
Health & FW

45. Levels of Intervention (Maharashtra)
Three tier approach adopted in Maharashtra:
Village Child Development Centres / Camps (VCDC) at AWCs- 30 days camp
Child Treatment Centres / Camps (CTC) – at PHC/ Sub-district/ district hospitals- 21 days camp on residential basis
Nutrition Rehabilitation Centres (NRC)- Medical College / super specialty hospitals- as per need.
12-Apr-17
Health & FW

46. Committee Structure (Maharashtra)
There are three committees :-
Mission Steering Committee : Headed by Hon. Chief Minister of Maharashtra
Mission Monitoring Committee : Headed by Hon. Minister, DWCD
Mission Advisory Committee : Headed by Hon. ACS (Health)
12-Apr-17
Health & FW

47. Village Child Development Camps /Centre (Maharashtra)
Both SAM and MAM children
At Village level, at Anganwadi Centres managed by AWW and Helper
Nutritional Supplements as per protocols
Incentive to AWW and AWH
Stay is for full 30 days
Daily visit by a Dr and an ANM
An expenditure of Rs 32/- per child/day: Rs 16 for diet (Dynamic as per region) , Rs 8/- for Medicines and Rs.8/- for Incentives.
Done in a camp approach.
12-Apr-17
Health & FW

48. Child Treatment Centre (Maharashtra)
Child Treatment Camps CTC
At PHC / CHC / SDH level
Treatment as per protocols
Mother/guardian accompany and stay with the child throughout and compensated Rs 60 per day for wage loss.
Follow a camp approach for 21 days
Expenditure of Rs. 160 per child per day
Rs. 100 is expended per day on the diet and medicines of the child and mother/ guardian
12-Apr-17
Health & FW

49. Efforts done on IEC/ BCC (Maharashtra)
IEC Action Plan of Rs crores covering activities from state to village level for campaign.
Rajmata Jijau Malnutrition- Free Village Campaign
Each village attaining malnutrition free status are selected for Malnutrition- Free village award scheme which comprises of award Rs.1000/- and Rs 100/child as award for bringing each child in normal category .
Rajmata Jijau Excellence award for first 3 Malnutrition Free Villages in each district i.e.
(a) -1st Prize- Rs 1,00,000 and Certificate.
(b) - 2nd Prize- Rs 50,000 and Certificate.
(c ) – 3rd Prize- Rs 50,000 and Certificate.
A budget of Rs 10 crores /annum has been provided for this initiative
12-Apr-17
Health & FW

50. Achievements of Rajmata Jijau Mother- Child Nutrition Mission
Year
Phase
No of Children admitted at VCTC
Children admitted in CTC
Severe Malnutrition Status
2002
Malnutrition Removal Campaign in Aurangabad
7.2%
2005
Maharashtra Nutrition Mission
Mr V. Ramani
Director General
Expansion
97813
18115
1.9 %
2011
2nd Phase
132283
12245
Mr Nand Kishore

51. Way Forward…..
Nodal Departments of Gujarat State Nutrition Mission- HFWD & WCD
A separate Nutrition Mission structure
Society Structure as suggested
A Full time Mission Director/Director General for Gujarat State Nutrition Mission
Screening criteria for SAM/MAM Children as per WHO Standard to be accepted in addition to SUW/MUW
3-Tier approach of Maharashtra namely VCNC, CMTC and NRC merits consideration.
Malnutrition- Free Village Campaign.
Strategy need to be separately workout by WCD and Health on Adolescent and Maternal Nutrition.
12-Apr-17
Health & FW

52. Thanks
12-Apr-17
Health & FW