good practices chhattisgarh 22/11/2013 bengaluru workshop

Good practices Chhattisgarh 22/11/2013 Bengaluru Workshop

Innovation Wajan Tyohar 2

Wajan Tyohar (Weighing Festival) Inaugurated by CM on 5 June 2012 Developing environment to fight against malnutrition. Empowering community with knowledge on malnutrition and malnutrition status. To know correct status of malnutrition in state to plan fight against it and to know the result of efforts. To know the status of under 5 disable children

Wajan Tyohar- Objectives (Weighing Festival- 2012 and 2013) Same day weighing of all the children on Wajan Tyohar Day. Entering the data in software- wcdchhattisgarh.co.in/a Generating reports and using it. 4

Wajan Tyohar 2012 - District Wise Mal Status of all 0-5 years age children (Provisional- Interim ) S.No.District Name No of AWC Sanctioned No of AWC Operational normal children Modrate malnourished Severely malnourished Total children Mal % Severe mal % 1 Balod14091390 30620179686551 5513944.47 11.88 2 BalodaBazar16771655 536682513712091 9089640.96 13.30 3 Balrampur1647 509792253012227 8573640.54 14.26 4 Bastar18491841 419802254912201 7673045.29 15.90 5 Bemetara1029 36013171778422 6161241.55 13.67 6 Bijapur11081046 1347152814720 2347242.61 20.11 7 BILASPUR2667 1080394521120288 17353837.74 11.69 8 Dantewada993992 1375560464543 2434443.50 18.66 9 Dhamtari1007 33862194657371 6069844.21 12.14 10 Durg1461 54147252999340 8878639.01 10.52 11 Gariyaband11671166 27311157897501 5060146.03 14.82 12 Janjgir-Champa1979 873153208712665 13206733.89 9.59 13 Jashpur29462903 46202224049950 7855641.19 12.67 14 Kanker18701863 30496157856773 5305442.52 12.77 15 Kawardha15781545 44110207919717 7461840.89 13.02 16 Kondagaon14451444 244371658710192 5121652.29 19.90 17 Korba2265 631762534210256 9877436.04 10.38 18 Koriya1357 32856126465493 5099535.57 10.77 19 Mahasamund1530 486842866912498 8985145.82 13.91 20 Mungeli1014 40556189598885 6840040.71 12.99 21 Narayanpur372 684835552066 1246945.08 16.57 22 RAIGARH126802674 632063171712254 10717741.03 11.43 23 RAIPUR18281825 755733655713708 12583839.94 10.89 24 Rajnandgaon24632429 579953358115874 10745046.03 14.77 25 Sarguja1747 470282024611101 7837540.00 14.16 26 Sukma915825 939533473607 1634942.53 22.06 27 Surajpur1760 49451194689976 7889537.32 12.64 28 State4376343433 1191173 564193260270201563640.90 12.91 5

Wajan Tyohar 2013 - District Wise Mal Status of all 0-5 years age children(Provisional- Interim ) S.No.District Name No of AWC Sanctioned No of AWC Operational normal children Modrate malnourished Severely malnourished Total childreMal % Sever mal % 1 Balod14091390337881752261915750141.24 10.77 2 BalodaBazar1677165566351255671295710487536.73 12.35 3 Balrampur1647 5435221549108898679037.38 12.55 4 Bastar184918414080819630100377047542.10 14.24 5 Bemetara1029 370601411756735685034.81 9.98 6 Bijapur1108104611923442833701972139.54 17.09 7 BILASPUR2667 108583422081664116743235.15 9.94 8 Dantewada99399212906540844232273743.24 19.45 9 Dhamtari1007 358621746966185994940.18 11.04 10 Durg1461 568662262674378692934.58 8.56 11 Gariyaband11671166274031312359524647841.04 12.81 12 Janjgir-Champa1979 71735243911069610682232.85 10.01 13 Jashpur29462903468251983381287478637.39 10.87 14 Kanker18701863292181400953724859939.88 11.05 15 Kawardha15781545532612170082318319235.98 9.89 16 Kondagaon14451444272981438877234940944.75 15.63 17 Korba2265 607522317394299335434.92 10.10 18 Koriya1357 322241110248284815433.08 10.03 19 Mahasamund1530 501732473096398454240.65 11.40 20 Mungeli1014 398511621569566302236.77 11.04 21 Narayanpur372 397321131101718744.72 15.32 22 RAIGARH268026746166125758117029912137.79 11.81 23 RAIPUR1828182581026339181139012633435.86 9.02 24 Rajnandgaon2463242972213358981558712369841.62 12.60 25 Sarguja1747 568341811297268467232.88 11.49 26 Sukma91582514674406130222175732.56 13.89 27 Surajpur1760 489261771489117555135.24 11.79 28State43763434331236546510762222629196993737.2311.30

Wajan Tyohar 2012 and 2013 Comparison of provisional (Interim) data as on 31 st Oct 2013 8

Wajan Tyohar- Objectives (Weighing Festival- 2012 and 2013) mn~ns'; Developing environment to fight against malnutrition. Empowering community with knowledge on malnutrition and malnutrition status. To know correct status of malnutrition in state to plan fight against it and to know the result of efforts. To know the status of under 5 disable children 9

Wajan Tyohar (Weighing Festival) Process Same day weighing of all the children on Wajan Tyohar Day. Entering the data in software- wcdchhattisgarh.co.in/a Generating reports and using it. 10

Wajan Tyohar 2012 and 2013 Malnutrition 3.41% drop in one year 6 June 2012 to 6 June 2013

Wajan Tyohar- Disability survey Code 123456789101112 DisabilityLVTBTB HIHI SIOICPMRMDLDASDDBNorma l Total June 2012 47222125578353625211083858632081129201119597512016772 June 2013 4249332833624284303662948103387119320871990421

Nawa Jatan Community Based Management of Malnourish Children

Why we need malnutrition reduction effort in Chhattisgarh?

Current Scinario- Malnutrition - StateNFHS III ( 2005-06)Rank India42-5 % Sikkim19-7 %1 Meghalay19-9 %2 Manipur22-1 %3 Keral22-9 %4 Madhya Pradesh 60 %29 Chhattisgarh47-1 % 25

Current scenario - Chhattisgarh Currently 52 NRCs in state- which can rehabilitate app 4000 SAM children in a year. NFHS III ( 2005-06)- Chhattisgarh In state 71% children are anemic. Timely initiation of Complementary feeding =50% Percentage of the children correctly receiving complimentary feeding as per IYCF= 26.5% Children those receiving IFA= 3.1 % Children receiving de-worming tablet= 6.7%

Nawa Jatan - Objectives 1. Empowering community with essential knowledge to fight against malnutrition. 2-To reduce malnutrition by community, for community. 3. To ensure inter-sectoral convergence especially on fight against malnutrition. 4. To ensure quality growth monitoring and soft ware based tracking. 5. To ensure capacity building of community and system 17

Nawa Jatan Key Strategies Malnutrition eradication through Psycho-social Behavioral change Selecting high burden Gram Panchayats i.e. Gram Panchayts which has got maximum number of malnourished children Baseline and endline survey through external agencies Implementation by local community- Women Self Help Groups, NGOs, community volunteers(Supo shan Mitra) Time bound and result oriented program Focus on key Interventions- Community based management of malnourish children

Nawa Jatan Key Strategies Result based payment process Online software based data entry and monitoring One tier training of all government and non - government functionaries to minimize transmission loss No purchase & infrastructure development System level quality support at all le vels 19 Targeting all moderate and severe malnourished children in selected Gram Panchayats

Training of following categories on Community Based Management of Malnourish Children through state level training team - Aanganwadi Workers Supervisors/CDPOs NGOs PRI members Community Volunteers- Suposhan Mitra Women Self help groups members. Facilitation of family level training of children parents/ care takers Direct training to all- ensuring zero training loss 20 Nawa Jatan Key Strategies

Community based management of malnourish children Management at Family level Management at AWC level Management of all nutrition related program/schemes Support/involvement of local community members/institutions Use of local nutritional food items Continuous growth monitoring 21 Nawa Jatan Key Interventions

Community based management of malnourish children Nutrient dense balanced diets and macro/micronutrients in balanced diets. Appropriate child care practices, with special focus on 1. Locally available foods and 2. Proper and correct use of ready to eat(RTE food ) nutritional supplement from Aanganwadi Centre. Their roles also included ensuring provision and consumption of locally available, nutrient dense, culturally appropriate foods to the under-weight children To ensure the immunization, IFA, Vit A and de- worming tablets to all the targeted malnourished children. Referral of children for medical opinion, treatment under Mukhyamantri Bal Sandarbh Yojana, and ensuring the services of NRC, if required. 22 Nawa Jatan Key Interventions

dqiksf"kr cPpksa dk y{; S.No Gram Panchayats Districts Targeted children Base line survey Endline survey 11842117277 UNICEF 22332392 Wajan Tyohar UNICEF 313312660 Wajan Tyohar UNICEF Total3402422329 UNICEF/ Wajan Tyohar UNICEF 23 Nawa Jatan First round Targeting (Preparatory phase March 2012 to May 12, Implementation 1 June to Feb 13, Evaluation March 13)

Nawa Jatan First round Target of community volunteers Target of WSHGsTarget of NGOs 3640542313266 Total targetTotal selected Gram Panchayats Total AWCsTotal sectors Total projects 22329340119421881 24

S.No. and Rank District Final target in end line evaluation No of children improved to normal status Children remained with malnutrition status % of children improved to normal status 1Dantewada67937730255.52 2J-Champa1911009152.36 3Kabirdham88843645249.10 4Baster39318321046.56 5Mungeli122536943.44 6Kondagaon28011204159742.98 7Korba103242760541.38 8Bemetara84030553536.31 9Sarguja95733961835.42 10Bilaspur136047288834.71 11Balrampur56218537732.92 12Garaiyaband122039982132.70 25

S.No. and Rank District Final target in end line evaluation No of children improved to normal status Children remained with malnutrition status % of children improved to normal status 13 Raigarh 60319540832.34 14 Narainpur 2297115831.00 15 Baloda Bazar 1745112329.31 16 Raipur 1763510125328.93 17 Koriya 39111327828.90 18 Durg 1477425105228.77 19 Rajnandgaon 1877531134628.29 20 Kanker 2567118527.73 21 Jashpur 56514841726.19 22 Mahasamund 64816947926.08 23 Dhamtari 60315744626.04 24 Balod 45011633425.78 25 State 2008170361299735.12 26

27 Base line status (May 2012) End line result (March 2013) No of moderate underweight children No of Severely underweight children Normal children No of Severely underweight children No of moderate underweight children 127847246 703639109084

Nawa Jatan First round- Result

S.NoGram Panchayat% of normal children 1 Indori69.94 2 Parsa70.13 3 Kasturpal70.95 4 Dashrangpur71.05 5 Balud71.93 6 Khamhria72.33 7 Belar72.41 8 Damgarh73.44 9 Utai74.37 10 Hardua75.76 11 Dullapur77.78 12 Bamhani77.84 13 Nariyara79.98 14 Kishungarh81.16 Nawa Jatan First round- Result Name of 14 Gram Panchayts, achieving MDG 29

Nawa Jatan First round Result Mukhyamantri Bal Sandarbh Yojana Nawa Jatan 2012&13 Initiation 30

Nawa Jatan First round Result- Rehabilitation of SAM children 31 Nawa Jatan 2012-13 Initiation

Only in training and publication head. Year wise expenditure Nawa Jatan First round Expenditure YearExpenditure 2011-12(Preparatory phase) 2-00 Cr 2012-13(Implementation and evaluation) 1-90 Cr 32

Recognition

Nawa Jatan First round- Media Hkkjr 'kklu }kjk otu R;kSgkj vj uoktru dh 'kalk GOI appritaited the Vajan Tyohar and Nawa Jatan initiative of WCD,CG and invited for the presentation at national level 35

Nawa Jatan First round- UNICEF appritiation ;wfulsQ ds daVh QhYM phQ }kjk uoktru dk;Zdze dk QhYM es voydu vj uoktru dh 'kalk Nawa Jatan program interventions are Innovative, Interesting and Promising. Ms Carrie Auer,Chief of Field Services, India Country Office UNICEF 36

Nawa Jatan Second round 2013-14 573 High burden Gram Panchayats (Those GPs where the no of malnourished children where maximum has been selected in all dsdricts) Targeting 42438 malnourish children (all 0 to 42 month Moderate and Severe malnourished children) Second round 37

S. N o Total Districts Total selected Gram Panchayat Total mal children targeted No of Suposhan Mitra No of WSHGs No of NGO 1275734273822359752 Nawa Jatan Second round 2013-14 Started on 1 Aug 2013 Second round started on 1 August 2013 38

Focusing Gram Panchayats under Nawa Jatan in LWE districts S.N o Nawa Jatan First round (1 June 2012 to March 2013) Nawa Jatan Second round (1 Aug 2013to 31 January 2014) Selected GPs (Sukama/Surajpur /Bijapur - Nil) Targeted malnourished children (all LWE district selected) Selected GPs Targeted malnourished children 1 228 (out of total 340 Gram Panchayats) 9912 (out of total 20033 children) 347 (out of total 573 Gram Panchayats) 42438 (out of total 20033 children) 2Result 3657 (37 %) children achieved normal status This round is ongoing 3 IN 2014-15, NJ third round 1000 GPs and 80000 to 1 lac malnourished children will be targeted, In LWE district preference will be given to more GPs 39

40 Focusing Gram Panchayats under Nawa Jatan in LWE districts

Mukhya Mantri Bal Sandarbha Yojna A special referral drive under the state sponsored Chief Minister Bal Sandarbh Yojana, in which specially identified severely malnourished children by AWW at AWCs are referred to CHCs on fixed two days in a month for each block, where the special hired doctor perform health checkup of the referred children and give medicines advice. In 2011-12 more than 28000 severely malnourished children received benefit under the scheme.

Components of Mukhya Mantri Bal Sandharbha Yojna ComponentProvision Organization of referral days2 Days / Project Medical check up of Severe Malnourished children@ 300 rupees/ child Consultation of private pediatrician@ 1500 / day Medical Camps@ 1500-2000/ camp Medication of SAM@ 500/ Child

Supplementary Nutrition Nutrition for 3 to 6 years old Children: Breakfast- According to fixed weekly menu- RTE, boiled and sprouted Bengal gram with jaggery, peanuts and jaggery Hot cook meal- Rice, Dal and Vegetable Double fortified salt Nutrition for underweight 3 to 6 years children: Additional RTE along with above mentioned menu item 43 SNP 1/5

Supplementary Nutrition Nutrition for 6 months to 3 year children and pregnant and lactating mothers: Ready to eat Murra Laddu Double fortified salt 44 SNP 2/5

State additional share As per ICDS Strengthening and Restructuring SNP norms have been revised but in phased manner and out of 27 districts only 17 high burden districts were covered in the year 2013-14. State decided to universalize these revised norms throughout the state, and state will bear the additional 8000 lakh rupees for the year 2013-14. SNP 3/5

SNP SHG model In Chhattisgarh we are providing RTE and Hot cook meal as follows Ready to eat by 1489 SHGs Hot cook meal by 18600 SHG, 500 Gram Panchayat 100% AWCs covered (No contractor system) 46

47 S.noIngredientsAmount (In grams) Protein (In grams) Calories (Kcal) 1Wheat556.49190.30 2Soybean52.1621.60 3Gram152.5654.00 4Sugar22-88.00 5Soybean oil3-27.00 Total10011-21380.90 Ingredients for 100gm Ready to Eat S.noIngredientsAmount (In grams) Protein (In grams) Calories (Kcal) 1 Rice 654-42224-25 2 Mix Dal 153-6752-20 3 Soybean oil 50-0045-00 4 Vegetable and spices 200-165-00 Total 1058-25326-45 Hot Cooked Meal Breakfast- Fixed weekly menu- RTE, boiled and sprouted Bengal gram with jaggery, peanuts and jaggery SNP 4/5

48 Supplementary Nutrition Financial and Nutritive Norms S.S. BeneficiaryFinancial norms per benf. Per day Supplementary nutrition provided (per day for 6 days) Nutrition Norms GOIStateGOIState 1 6 month to 3 years normal child RTE #- 6-00:- 5-69 Ready to eat 135 gm, Murra laddu 30 gm DFS/month/Kg Protein 12&15 gm 500 K. Cal. 16-31 gm 620-40 K. Cal. 2 6 month to 3 years malnourished RTE #- 9-00:- 7-96 RTE 211 gm, Murra Laddu 30 gm, DFS/month/kg DFS/month/Kg Protein 20&25 gm 800 K. Cal. 24-83 gm 909-80 K.Cal. 3 3 to 6 years normal child HCF+Snacks :- 6-00:- 5-81 Breakfast 54 gm Hot cooked meal 105 gm DFS/month/Kg Protein 12&15 gm 500 K. Cal. 14-56 gm 544-19 K.Cal. 4 3 to 6 years malnourished child HCF+Snacks :- 9-00:- 8-34 Breakfast 54 gm Hot cooked meal 105 gm 85 gm THR, DFS/month/kg Protein 20&25 gm 800 K. Cal. 24-09 gm 867-95 K.Cal. 5 Pregnant and Lactating Women RTE :- 7-00:- 5-92 RTE 165 gm, Murra Laddu 30 gm, DFS/month/kg Protein 18&20 gm 600 K. Cal. 19-67 gm 734-60 K. Cal. SNP 5/5

e-Docket.. Document Sharing & e-Library e-Governance Initiative ..

Why???????? Circulars/Orders do not reach the field units on time or go missing or are deliberately reported missing for malafide reasons. On analysis it was discovered that even after timely release nearly 5% of annual budget do not reach to the field on time leading to auto surrender in March No Record/Library/Archive of departmental circulars. Fax +Postage + Labour = cost escalates every year. Fax even after postage multiplies cost and labour Logger head situation during Vidhan Sabha. No acknowledgement for receiving by post - both the ends No disciplinary action can be taken for dormancy.

Concept.. Docket - of all inward & outward mails. Library - easy for reference any time - 24x7 Speed - In 3 seconds, 27 districts get the information { 3 sec. v/s 3 days (postage) } iCloud - use of latest technology. Cost - 7 times less than conventional method {Rs 5 (stamp) x Rs.50 (envelop) x Rs 01 (labour) } { Rs 6.50 + Rs 2 for fax } = Rs 8.50/- Rs 8.50 v/s Rs 1.50 ( print copy)

Screen Shot

Usage benefit. No Duplication of work - long Excel and Word files are sought in pdf or jpg formats. SMS instant mobile alert. Prop-up alert on computer screen. Notice board + Important Msg On Screen. Cost cut down drastically. Now we can know who has seen and taken print out of the material sent. They cannot evade responsibilities. DPO now demanding - making it Now DPOs are demanding its implementation upto block level

Cost Benefit Analysis Started on 1st of September 2012. On December 2012 5 GB data got uploaded - 7000 documents were on cloud. 10,000 SMS were utilised in just 4 months. 15 GB data has been uploaded till date. C B A 7000 documents x Rs 6.50 conventional cost 7000 documents x Rs 1.50/- print out cost = Rs. 35,000/- savings in four months Cost of Software Rs 25,000/- Savings of Rs 35000 in period of 4 months

Plan.. Phase - II Extension up to block level. First virtual directorate on Cloud backup - SDC -Synchronization Phase - III e-File Management Oracle CMD CHiPS

Pre School Education PSE activity book prepared PSE curriculum developed UDAAN Kit 56

Others Own AWCs buildings CDPO block offices, DPO offices, Supervisors sector offices Mobility support by providing bicycle to AWWs Uniform to AWC children Essential equipments provided to AWCs by state funds Model AWCs development

good practices chhattisgarh 22/11/2013 bengaluru workshop

Documents

wajan tyohar day

malnutrition status

innovation wajan tyohar

wajan tyohar objectives

district wise mal status

correct status of malnutrition

awc sanctioned

bengaluru workshop slide