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Toolkit: Operational Guidelines for Multi
Sector Convergent Action Plan
Development and Monitoring
Submitted by
IPE Global Limited
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List of Abbreviations
ANC Ante-natal care
ANM Auxiliary Nurse Midwife
APIP Annual Program Implementation Plan
ASHA Accredited Social Health Activist
AWC Anganwadi Centres
AWW Anganwadi Workers
BCAP Block Convergence Action Plan
BCC Block Convergence Committee
BEO Block Education Officers
CAP Convergence Action Plan
CAS Common Application Software
CDPO Child Development Project Officers
CMO Chief Medical Officer
CPMU Central Program Management Unit
DCAP District Convergence Action Plan
DCC District Convergence Committee
DM District Magistrate
DPO District Program Officer
DRDA District rural Development Authority
GO Government Order
HMIS Health Management Information System
ICDS Integrated Child Development Scheme
IFA Iron and Folic Acid
IIPS International Institute of Population Sciences
IMR Infant Mortality Rate
ISSNIP ICDS Systems Strengthening and Nutrition Improvement Program
JSY Janani Suraksha Yojana
LFM Log-Frame Matrix
MCTS Mother & Child Tracking System
MGNREGS Mahatma Gandhi National Rural Employment Guarantee Scheme
MIYCN Maternal Infant and Child Nutrition
MMR Maternal Mortality Ratio
MoCAFP&D Ministry of Consumer Affairs, Food & Public Distribution
MoDWS Ministry of Drinking Water & Sanitation
MoH&UA Ministry of Housing & Urban Affairs
MoHFW Ministry of Health and Family Welfare
MOIC Medical Officers In-Charge
MoRD Ministry of Rural Development
MoWCD Ministry of Women and Child Development
NFHS National Family Health Survey
NHM National Health Mission
NIPCCD National Institute of Public Cooperation and Child Development
NNM National Nutrition Mission
PDS Public Distribution System
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PMSMA Pradhan Mantri Surakshit Matritva Abhiyan
SBCC Social Behavior change communications
SCAP State Convergence Action Plan
SCC State Convergence Committee
SDM Sub Divisional Magistrate
SDO Sub-Divisional Officer
SHG self-help groups
SPMU State Programme Management Unit
SRG State Resource Group
TT Tetanus Toxoid
VHND Village Health and Nutrition Day
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I. Introduction:
The POSHAN Abhiyaan aims at reducing malnutrition, adopting a convergent, life-cycle and results
oriented approach. It focuses on adolescent girls, pregnant women, lactating mothers and children from
0 to 6 years of age. The first 1000 days of a child are the most critical in addressing undernutrition,
which includes the nine months of pregnancy, six months of exclusive breastfeeding and the period
from 6 months to 2 years with adequate complementary feeding. Timely interventions during this period
also contribute to improvements in birth weight and reduction in both Infant Mortality Rate (IMR) and
Maternal Mortality Ratio (MMR). An additional one year of sustained intervention (till the age of 3
years) would ensure that the gains of the first 1000 days are consolidated. And continued attention to
children in the age group of 3-6 years would contribute to their overall development. While several
services aimed at improving undernutrition are delivered through the Integrated Child Development
Scheme (ICDS) program or Anganwadi Centres (AWCs), the role of other programs is equally relevant.
Health care, water, sanitation, hygiene, mother’s education, poverty, are among some of the critical
factors that contribute to improved nutrition, and ensuring that all these services converge on a
household is essential for reducing undernutrition in the country.
A key pillar of the POSHAN Abhiyaan is convergence of all nutrition related schemes on the target
population. These include programmes such as the ICDS, Pradhan Mantri Matru Vandana Yojana,
Scheme for Adolescent Girls of MWCD; Janani Suraksha Yojana (JSY), National Health Mission
(NHM) of MoH&FW; Swachh Bharat Mission of Ministry of Drinking Water & Sanitation (DW&S);
Public Distribution System (PDS) of Ministry of Consumer Affairs, Food & Public Distribution
(CAF&PD); Mahatma Gandhi National Rural Employment Guarantee Scheme (MGNREGS) of
Ministry of Rural Development (MoRD); Drinking Water & Toilets with Ministry of Panchayati Raj
and Urban Local Bodies through Ministry of Urban Development.
These operational guidelines detail the approach adopted under the POSHAN Abhiyaan to bring about
this sectoral convergence for nutrition outcomes.
II. The Approach:
The POSHAN Abhiyaan will bring about convergence of various nutrition related schemes by
identifying and bringing under one framework key nutrition related interventions, indicators and targets
to be monitored and achieved by relevant line departments implementing the schemes. Convergence
committees will be constituted from the national to the village level to facilitate the operationalization
of this framework.
The role of these committees will primarily be three-fold.
a) Development of Convergent Action Plans in discussion with the related line departments; based
on issues, service delivery, gaps and interventions which have been identified and flagged as
indicators.
b) Monitoring and tracking progress along key indicators linked to these actions. (Pls. refer to the
Administrative Guidelines on National Nutrition Mission issued on February 26, 2018 which
provides details with a suggested list of key indicators to facilitate monitoring, evaluation and
identifying gaps).
c) Facilitating corrective actions based on periodic progress reviews and supporting line ministries
to address implementation gaps, where needed.
Policy-push for concerted planning efforts led by Convergence Committees provides an unparalleled
opportunity to facilitate a lasting and shared understanding amongst key ministries and stakeholders
on the importance of nutrition and its centrality in determining overall human development.
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Convergence towards under the POSHAN Abhiyaan is focused on improving the service delivery and
bringing a renewed focus in responding to the malnutrition. The primary purpose of monitoring and
reviewing progress against identified multi-sectoral/multi-program actions and indicators will be to
support better and effective delivery of nutrition related interventions to the targeted beneficiaries. In
playing this role, the Committees will not impinge on the operational authority of any of the
participating Ministry/Department or Autonomous body. During this process of convergent action
planning and review, if the Committees identify a critical gap, they will have the authority to provide
funds to the relevant department from the POSHAN Abhiyaan to initiate interventions to address these
gaps. These gaps could either be a financing gap for an existing intervention, an intervention which is
relevant for nutrition but missing from the action plan, or an innovation that the state wants to undertake
to address the nutrition challenge.
III. Constitution of Convergence Committees
The Government has set-up mandatory institutional coordination structures and mechanisms such as
the convergence committees at the state, district and block levels integrating different Ministries and
line departments. At the National Level, convergence is addressed through the National Council under
the Chairmanship of the Vice-Chairman, NITI Aayog and the Executive Committee under the
Chairmanship of the Secretary, Ministry of Women & Child Development. Both Committees have
representation from all aligned Line Ministries, Partners, selected States and Districts. These
Committees are scheduled to meet every 3 months. A progress report is to be submitted to the Hon’ble
Prime Minister every 6 months.
The constitution of the convergence committees under POSHAN Abhiyaan will be as follows. (Pls.
refer to the Administrative Guidelines on National Nutrition Mission issued on February 26, 2018 which
details the constitution of these Committees). Diagrammatic representation of the constitution of the
convergence committees are presented here: Figure 1: Constitution Of Convergence Committees, Responsible for Delivering Convergent Nutrition Action1
1 Toolkit: Operational Guidelines for Multi-Sector Convergent Action Plan Development & Monitoring
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1. State Convergence Committee.
1. Senior Most Principal Secretary of Line Department Chairperson
2. Secretary, Planning Member
3. Secretary, Finance Member
4. Secretary, Drinking Water and Sanitation Member
5. Secretary, Health and Family Welfare Member
6. Secretary, Rural Development and Panchayati Raj Member
7. Secretary, Education Member
8. Secretary, Food and Civil Supplies Member
9. State Mission Director, NHM Member
10. State NIPCCD Representative Member
11. Secretary, Women and Child Development Member
12. Director, Women and Child Development Member-Secretary
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2. District Convergence Committee.
1. District Magistrate/District Collector Chairperson
2. Chief Executive Officer, Zila Parishad/DRDA Member
3. Sub-Divisional Magistrate Member
4. Chief Medical Officer, Health and Family Welfare Member
5. District Program Manager, NHM Member
6. District Education Officer Member
7. District Planning Officer Member
8. District Social Welfare Officer Member
9. District officer, Rural Development/Rural Livelihoods
Mission
Member
10. District officer, Water and Sanitation Member
11. District officer, Food and Civil Supplies Member
12. District Program Officer, ICDS Member-Secretary
3. Block Convergence Committee
1. Sub- Divisional Magistrate Chairperson
2. Block Development Officer Member
3. Block Medical Officer Member
4. Panchayat Samiti Chairperson Member
5. Block Education Officer Member
6. Block Social Welfare Officer Member
7. Block officer, Rural Development/Rural Livelihoods Member
8. Block officer, Water and Sanitation Member
9. Block officer, Food and Civil Supplies Member
10. Child Development Project Officer, ICDS Member-Secretary
IV. Convergence Action Plan Framework
The primary goal of the POSHAN Abhiyaan is to bring down stunting in children 0-6 years of age from
38.4% to 25% by the year 2022. Achieving this outcome requires improvement along multiple
dimensions among the target population – which is pregnant and lactating women and children up to 6
years of age.
The determinants of malnutrition are multi-sectoral and not just limited to immediate causes of
inadequate food intake and diseases. Thus, the response to fighting malnutrition must address the
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underlying causes of household food insecurity,
maternal and child health practices, access to
health care services, availability of clean
drinking water, proper sanitation, and socio-
cultural inequities such as gender and caste.
A framework outlining the key interventions
and corresponding critical indicators addressing
these dimensions is provided in Annex 1.
Convergence Committees will be expected to
use this framework to track these key
interventions and their progress. In addition to
the key essential interventions outlined below,
committees will have the flexibility to add
additional interventions, draft corresponding
monitoring indicators and mechanisms to track
progress. Progress will be monitored quarterly at
the state level and monthly at the district and
block level.
The Committees will try and identify reasons for implementation gaps and provide both guidance and
necessary support to the relevant line departments to address these issues. Clear corrective actions will
be documented during the reviews and shared with the relevant line department for their follow up and
action.
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V. Guideline for facilitation among the participants of the Convergence Committees
This guideline responds to the need for establishing a mechanism to facilitate discussion across sectors
from a nutrition perspective. Such a discussion can help clarify roles and provide a coordinated, unified
approach at the block, district and state levels. As a pioneering attempt within the ICDS system to
converge towards improved nutrition this guideline seeks to clarify the process of multi-sectoral
engagement. The CAP framework has identified the activities and indicators based on the existing
services that contribute towards improved nutrition. The CAP requires program managers to set targets
for the key indicators, identify bottlenecks, plan activities, and define monitoring mechanisms across
the key thematic areas. The facilitation process provides an opportunity to build capacities of program
managers and provide handholding support to in the development of CAP.
Many of the determinants affecting nutrition vary according to geographic and cultural differences
between districts and between blocks of a district. Local staff often have an intrinsic understanding of
these differences and can collectively highlight differences across villages about the most important
factors that may be contributing to undernutrition. The discussion might be centered around the
following five determinants of undernutrition on a life course, including adolescents, pregnant and
lactating women, and children 0-6 years.
• First, food has to be available. Without food, mothers cannot follow appropriate feeding
behaviors.
• Available food must be affordable. Malnutrition is strongly associated with poverty, and many
families live in poverty. Improving household purchasing capacity is challenging, but can
result in improving the family’s ability to provide adequate nutrition. The social welfare sector
(eg Ministry of Rural Development) is in a position to improve a households’ economic
situation, which when seen through a nutrition ‘lens’ can improve mother and child nutrition.
• Feeding behaviors must be appropriate when food is available and affordable. Families must
understand the importance of good nutrition and make the best choices with regard to
breastfeeding and complementary feeding, and for optimizing dietary diversity. Traditionally
the health sector works on improving these specific behaviors, though all sectors could
reinforce key messages.
• Food must be of optimal quality. It must have enough micronutrients, must have adequate
protein, and must be hygienic and safe. Micronutrients are addressed in many ways, including
supplementation (as in vitamin A or micronutrient ‘sprinkles’) and fortification (usually for
iron). However, the longer-term solution is to optimize the diet, which all sectors can contribute
to.
• Finally, infection needs to be minimized so the body properly utilizes food ingested. Both acute
and chronic infection reduce the body’s ability to absorb critical nutrients, and this may be a
critical issue. The health and water and sanitation sectors have the technical capacity to
improve this situation.
The objective of this is to stimulate discussion on the determinants affecting a given area across all
sectors in order to define ways in which each sector can contribute to improving the indicators as
highlighted in the CAP framework. This will help to clarify and coordinate roles and responsibilities
for each sector, under direction from the convergence committees. It will provide a mechanism for
developing an annual convergent action plan for nutrition, and a multisectoral strategy to reduce the
risk from all determinants.
The following steps outline an approach for supporting convergence committees to develop CAP:
• Introduce, sensitize and orient to establish the nutrition CAP framework as a vehicle for
discussion among the sectors represented in the convergence committees, chaired by the
relevant person
• Provide guidance to various sectors on reviewing available data to clarify the causes of
undernutrition
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• Provide an approach for multisectoral convergent action plan designed to address the main
determinants contributing to undernutrition
A step wise facilitation guide is provided below to support the States and districts in developing their
CAPs in time.
STEP 1: State Level Orientation and Sensitization Consultation
A. Preparation/Requirements prior to State Level consultation
• Government Order (GO) from State ICDS Director (Nodal/Convening Authority) to all district
(District Magistrate) to ensure that the District and Block Level convergence committees are
formed and in place. The convergence committees should be formed by July-August. The GO
should set a date for State Level Consultation providing Districts time to prepare and ensure
participation.
• ICDS Director to oversee the development of the format for CAP development with
identification of key thematic areas and indicators based on the status of malnutrition in the
State.
• ICDS Director to oversee the development of an agenda, sessions plan with PPTs etc. required
for the consultation under the guidance of the Central Program Management Unit (CPMU)
under POSHAN Abhiyaan & MWCD and development partners working in the State in
nutrition sector.
B. Organizing a state level sensitization workshop.
• This workshop should be concluded between the months of August- September. This would be
a half day workshop organized at the State ICDS Directorate.
• Convener: POSHAN Abhiyaan nodal agencies- Principal Secretary WCD, ICDS Director
• Participants: Principal Secretary Department of Women and Child Development (WCD), ICDS
Director, District Magistrates, Chief Medical Officers, District Immunization Officers, District
Education Officers and District Program Officer (DPO), ICDS from all districts, development
partners working in nutrition/health/livelihood/sanitation etc.
• Objectives:
I. Sensitization workshop on the objectives and process of Convergent Action Plans
FIGURE 2: CAP DEVELOPMENT PROCESS
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II. ICDS Director to facilitate shared expectations and understanding across sectors about
nutrition action and need for multi-sectoral convergent planning based on the CAP
framework. (Refer Table 1 for a suggested session plan)
III. Sharing of format for CAP development
Table 1: Suggested Session Plan for State Level Orientation
Sub-Session Activity Methodology
Introduction and
sharing on progress
so far
Mention about the objective of the session
Experiences sharing on CAP process (if
conducted), learnings, voices from district
Interactive
Meaning and
significance of CAP
What do you understand by CAP?
Why is it required?
Who is responsible/accountable?
Participatory &
Lecture method to
sum up
Principles of CAP Discuss principles of developing CAP for
individual district/block
Log frame Approach- Inputs, Process,
Output, Outcome & Impact (Example of
one impact indicator & its analysis on
LFM)
Slide-1: Presentation
on Principles of
CAP
Slide-2: Log frame
Matrix
Understanding on
Interventions/
Programs/ Schemes
How to calculate Indicators? Numerator &
Denominator, Source of information
Lecture
Format of CAP
Planning
Detailed Thematic
Areas & Indicators
Presentation of final Format, Target,
Timeline and Indicators on key
interventions and cross cutting themes
PPT presentation on
CAP Indicators on
different themes and
format
Group Exercise on
selected Thematic
Indicators &
Presentation
Divide the participants into six (6) groups;
Ask the group to nominate one lead person
who will present the group discussion in
Gallery Presentation
Gallery Presentation
SPMU-NNM team
to facilitate the
group work (15 min.
for group work and
15 min.
presentation)
SWOT Analysis Open discussion moderated by ICDS
Director
Useful for framing
discussions at
“problem-solving”
and brainstorm steps
towards the vision of
NNM
Conclusion & Way
forward
Thanking the participants for patience and
talk about how to take it forward, next
steps and timeline etc
Lecture
• Outputs:
I. District Magistrates to nominate members from each required department to be part of
the CAP meetings. Innovative communication channels like a mobile whatsapp group
can be used to contact each other and to share updates and information on a regular
basis.
II. Clarity on CAP development process, roles and responsibilities of ICDS and allied
departments and preparations required for the same
III. Inform districts on the calendar of the planned activities, timelines and deadlines
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STEP 2: Districts Level Orientation Consultation
A. Preparation/Requirements prior to District Level consultation
• District Magistrate to ensure that the Block level convergence committees are formed by the
month of August-September.
• Planning for the forthcoming financial year, it is important that the committee are convened in
the month of October-November.
• Government Order (GO) from District Magistrate to all block convergence committee members
(covering all blocks in the district)- Child Development Program Officers (CDPOs), medical
Officer In- Charge (MOICs), Sub-Divisional Officer (SDOs), Block Education Officer (BEOs)
and others informing them of the district level consultation. The GO should set a date for
Consultation providing blocks time (1 month) to prepare and ensure participation. The GOs for
district level orientation for Gaya and Sitamarhi is provided in Annexure 3.
• Under the leadership of District Magistrate, DPO-ICDS to oversee the development of an
agenda, sessions plan with PPTs etc. required for the consultation under the guidance of the
SPMU.
B. Organizing a district level sensitization workshop.
FIGURE 3: PLANNING FOR CAP DEVELOPMENT
• This workshop should be concluded between the months of October-November. This would be
a half day workshop organized at the District Collectorate.
• Convening at the district level, under the leadership of DM
• Participants: District Magistrate, Chief Medical Officer, CDPOs, MOICs, and DPO, ICDS from
all districts, representatives from allied departments, development partners working in
nutrition/health/livelihood/sanitation etc.
• Co-facilitation by State Resource Group (SRG) members to ensure that the consultation is
engaging and participative
• Objectives:
I. Sensitization workshop on the objectives and process of Convergent Action Plans
II. Sharing of format for CAP development
III. DPO ICDS along with Chief Medical Officer (CMO) and other senior managers from
allied departments to facilitate shared expectations and understanding across sectors
about nutrition action and need for multi-sectoral convergent planning based on the CAP
framework. (Refer Table 1 for a suggested session plan.)
IV. The consultation to be focused on “doing”, filling the formats with the baseline and
targets, clarity on sources of data, activities planned, bottlenecks and challenges faced in
implementation.
• Outputs:
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I. Key Task: Review of the objectives, indicators and planning process, and gain consensus
on the specifics and use of the tool to facilitate prioritization of nutrition activities across
sectors
II. Clarity on CAP development process, roles and responsibilities of ICDS and allied
departments and preparations required for the same
III. Inform districts on the calendar of the planned activities, timelines and deadlines
STEP 3: Block Level Consultation for CAP development exercise
• Convene block convergence committee and based on the indicators listed, each sector provides
data to complete the profile, making recommendations for further data collection if needed
• Additional data can be added from district specific data sets (e.g. district surveys) (There should
be ample room to take this opportunity to improve nutrition data—by tapping on partner
interests, and developing some simple mechanisms for districts to collect supplemental data on
behaviors, and on variables that may need validation)
• Develop draft budget for the agreed upon activities. These activities should be able to be funded
from the sector budget (as a priority activity under their annual work plan) or through a budget
entitled to be allocated by the Convergence Committees.
• Based on identified gaps in existing CAPs, plan for each block would be developed to address
specific gaps;
▪ Financing gaps for existing intervention by redirecting funds or identifying additional
sources of funds with the line department or through POSHAN Abhiyaan
▪ Service delivery gaps to identify relevant interventions that may be missing from
existing plan and would help the block/district to scale-up operations to reach greater
number of beneficiaries
▪ Identify innovative interventions that address specific nutrition challenge and ensure
FIGURE 4: BLOCK LEVEL CAP DEVELOPMENT PROCESS
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that the strategic objectives are addressed, to strengthen reach among the underserved
groups or address vulnerabilities of gender and socio-economic deprivation may be
identified by the block or district.
• For the block level, it is recommended that as a planning discussion to be done at sub-divisional
level under the chairmanship of Sub Divisional Magistrate (SDM). This group would include
4-5 blocks under the sub-division. Logistically as well as programmatically, it would support
“learning by doing” and “hand-holding” to all the blocks in the sub-division. Certain districts
have more than 15 blocks which poses a logistical challenge for the SDM to be present in each
individually.
STEP 4: Consolidation of District convergent Action Plan
• After the development of block level plans, these would be submitted and collated at the district.
• After collation the district coordinating committee will be reconvened to discuss, finetune and
finalize CAP for the districts and blocks. (Please refer Annexure 4 for feedback and review
meeting called by DM Gaya for finalization of DCAP).
• Gain consensus on the most important determinants affecting nutrition for the area; identify
any weaknesses or gaps in knowledge helping to make this determination
• Review would be guided by the national recommendations in the CAP section of the
Administrative Guidelines of the NNM to help guide sectors in choices of activities.
• Development of a monitoring plan and calendar for quarterly and six-monthly review of
implementation. For each sector activity, discuss how the convergence committees will know
if the activity has been implemented successfully—based on a monitoring plan. The monitoring
plan should include process, output and outcome indicators with details on the sources,
accountability and means of verification.
• Collation and finalization of draft budget for the agreed upon activities. These activities should
be able to be funded from the sector budget (as a priority activity under their annual work plan)
or through a budget entitled to be allocated by the Convergence Committees.
STEP 5: Review meetings
• Reconvene the committees as mandated by the NNM (either monthly or quarterly) to review
progress with each sector activities
• Review process data on implementation for each sector activity, identify challenges and
recommend corrective actions
• Generate a progress report for future use and submittal to higher levels
A multi-sector convergent action plan to be developed out of this exercise should be in the format as
exemplified in Annex 1and Annex 2.
Expected Outputs of the above series of consultations is articulated below;
1- Program Managers sensitized towards convergent action for improved nutrition
outcomes
2- Actionable CAP - Proposed activities to address barriers and challenges, and budget
3- Monitoring protocols for CAPs
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FIGURE 5: CAP - ORIENTATION, DEVELOPMENT & APPROVAL PROCESS
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VI. Convergence Action Plan Development and Approval Process:
All committees will use the framework outlined in Section IV for the development of the convergence
action plan (CAP). The
CAP will be developed for
the period of one year and
should be finalized and
submitted as part of the
Annual Program
Implementation Plan by
end January for the
subsequent year.
A bottom up planning
process will be adopted in
the development of the
CAP, with block CAPs
being consolidated to form
district CAPs, and further
consolidated to form the
State CAP. The detailed
plan development and
approval process is
outlined below:
Block Convergence Action Plan (BCAP): The Block Convergence Action Plan will be prepared by
the Block Convergence Committee chaired by Sub Divisional Magistrate (SDM). It will incorporate
inputs from all relevant line departments, who are also committee members. The BCAP will be finalized
by 15th of December for the subsequent year, approved by the SDM and submitted to the District
Convergence Committee.
The plan will be developed based on:
1. An assessment of the status of key interventions at the Block level as outlined in the CAP
framework outlined in Section IV
2. Data informing this assessment will be provided by the relevant Block officials of the line
departments, who will collate this information from their existing MIS and through information
provided by their field functionaries
3. Once block level baseline data is input into the framework an assessment of the gaps and lagging
interventions will be undertaken by the Block Convergence Committee Members
4. The Committee will discuss and identify specific reasons for these gaps, identify clear actions to be
undertaken by the Department to address these gaps and set quarterly and annual targets to be
achieved.
5. If addressal of identified gaps requires additional state funding or the committee feels the need to
add an additional intervention or innovation to strengthen efforts to achieve nutrition outcomes, the
committee will recommend the addition of the intervention and funding for this.
6. The BCAP will be approved by the SDM and submitted to the district convergence committee for
inclusion in the DCAP
We understand Convergent Action Plans (CAP) as an amalgamation/integration of the line department plans
that focus on nutrition action. The CAP would include the details on the interventions planned, responsibility,
budget, monitoring plan with indicators and timelines. In addition, an annexure for additional activities which
may not be funded but identified by the convergence committees would also be part of the CAP.
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District Convergence Action Plan (DCAP): The District Convergence Action Plan will be prepared
by the District Convergence Committee chaired by DM/DC/Collector. It will converge, consolidate and
streamline all the BCAPs to form a DCAP. The DCAP will be finalized by 31st December for the
subsequent year, approved by the DC/DM and submitted to the State Convergence Committee.
The plan will be developed based on:
1. An assessment of the status of key interventions at the District level as outlined in the CAP
framework outlined in Section IV
2. Data informing this assessment will be collated from the BCAPs and be re-validated by the relevant
District officials of the line departments
3. Once district level baseline data is input into the framework an assessment of the gaps and lagging
interventions will be undertaken by the District Convergence Committee Members.
4. The Committee will discuss and identify specific reasons for these gaps, identify the blocks which
are performing poorly and on which parameters, identify clear actions to be undertaken by the
Department to address these gaps and set quarterly and annual targets to be achieved.
5. If addressal of identified gaps requires additional state funding or the committee feels the need to
add an additional intervention or innovation to strengthen efforts to achieve nutrition outcomes, the
committee will recommend the addition of the intervention and funding for this.
6. The DCAP will be approved by the DC/DM and submitted to the state convergence committee for
inclusion in the SCAP
State Convergence Plan (SCAP): The State/UT Convergence Plan will be prepared by the State
Convergence Committee chaired by the senior-most Principal Secretary of the line departments. It will
converge, consolidate and streamline all the DCAPs to form a SCAP, however will include an annexure
that details out district level plans, with district wise baseline information on key indicators as defined
in the CAP framework. The SCAP will form part of the Annual Programme Implementation Plan
(APIP) of the State/UT under the Anganwadi Services of Umbrella ICDS Scheme which shall be put
up to State Empowered Committee/Central level for approval. It will be finalized by 31st January for
the consequent year and submitted to MWCD for consideration and approval.
The plan will be developed based on:
1. An assessment of the status of key interventions at the State level as outlined in the CAP framework
outlined in Section IV
2. Data informing this assessment will be collated from the DCAPs and be re-validated by the relevant
State officials of the line departments
3. Once state level baseline data is input into the framework an assessment of the gaps and lagging
interventions will be undertaken by the State Convergence Committee Members.
4. The Committee will review the identified reasons for these gaps (based on submissions in the
DCAP), identify districts and blocks which are performing poorly and on which parameters,
identify clear actions to be undertaken by the Department to address these gaps and set quarterly
and annual targets to be achieved.
5. If addressal of identified gaps requires additional state funding or the committee feels the need to
add an additional intervention or innovation to strengthen efforts to achieve nutrition outcomes, the
committee will include the specific recommendation/intervention in the SCAP and include a
separate budget line for this.
6. The SCAP Committee will submit this approved plan as part of the Annual Program
Implementation Plan (APIP) to the MWCD for approval
7. On approval of the SCAP by the MWCD, the State Convergence Committee will ensure timely
administrative and financial sanction of the plan along with the associated budget and communicate
the same to the relevant line departments/districts.
8. It will further ensure release of funds to the relevant department for action/implementation of the
SCAP interventions
9. It will follow up with the concerned line departments to ensure that funds for implementation of the
outlined interventions have been released to the districts concerned, wherever required.
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VII. Convergence Action Plan Monitoring Dashboard:
To make monitoring of the CAP easy and efficient, a web-based dashboard listing the key nutrition
indicators outlined in the CAP framework will be created. This will enable all committee members to
easily access and review progress along key CAP indicators. Line Departments will be expected to enter
data on this system at the relevant block, district and/or state level. The department’s own data will be
used to assess progress to avoid contestations regarding data sources. This will not only ensure
ownership of the process but also entrust the responsibility of moving the needle on these indicators on
the relevant line departments.
This web-enabled system will be developed by the MWCD and all States will be expected to adopt it
when operationalized. In the interim, the paper-based framework outlined above will be used for
reporting and monitoring progress along CAP indicators.
The State Convergence Committees will meet quarterly, while the District and Block Convergence
Committees will meet monthly to review progress along the key indicators and provide relevant
feedback and input to the line departments.
VIII. Innovation
The Administrative Guidelines of the National Nutrition Mission (NNM) encourages States/UTs to
submit proposals to MWCD for conducting some innovation pilots to improve nutrition outcomes. The
States/UTs would be required to make detailed presentations of their proposals to MWCD in
Consultation with NNM team. They must clearly mention its objective aiming at one or more clearly
indicated nutritional outcomes to be achieved or significantly bettered. The proposals should also
indicate the target group and the benefits the implementation of innovative pilot is likely to accrue to
them.
It is expected that during facilitation for developing convergence action plans, the committees
recommend some innovative activities which will help to address the identified gaps/challenges for
enhancing nutritional status of children, adolescents and pregnant and lactating mothers. Innovative
activities can be further discussed at the State level and a final proposal developed and submitted for
review to the concerned authority.
IX. Budgetary Allocation:
It will be as per the rules as laid down in the Administrative Guidelines of the NNM.
19
Appendix 1: Framework for Convergent Planning Depart. Interventions/
Services
Service
delivered
by
/through
Indicators to
track progress
Denominator Numerator Frequency Source Baseline
(%)
Quarterly/
Monthly
Progress
(%)
Remarks/
action
1. MWCD 1) Growth
Monitoring and
promotion
AWW
(ICDS)
% of children 0 to
3 years who were
weighed during the
previous month
Total number of
registered
children in 0-3
years on ICDS-
CAS
Number of children 0 to
3 years who were
weighed during the
previous month
Monthly Numerator-
ICDS-CAS;
Denominator-
ICDS-CAS
2) Breastfeeding
and
complementary
feeding
counselling
AWW
(ICDS)
and
ASHA
% home visits to
households with
children 0 to 24
months to counsel
on appropriate
IYCF
Total number of
households with
children 0-24
months
registered on
ICDS-CAS
Total number of
households with
children 0 to 24 months
where primary care-
giver/mother received
counsel on appropriate
IYCF
Monthly Numerator-
ICDS-CAS;
Denominator-
ICDS-CAS
3) Counseling on
nutrition during
pregnancy
AWW
(ICDS)
and
ASHA
% home visits to
household with
pregnant mothers
to counsel on
appropriate
practices during
pregnancy
Total number of
registered
pregnant women
on ICDS-CAS
Total number of home
visits to household with
pregnant mothers that
received counseling on
appropriate practices
during pregnancy
Monthly Numerator-
ICDS-CAS;
Denominator-
ICDS-CAS
4) Take home
rations for
pregnant and
lactating women
and children
under 3
AWW
(ICDS)
% PLW and
children under 3
who received
mandated THR in
the previous month
Total number of
eligible
beneficiaries
registered on
ICDS- CAS
Number of PLW and
children under 3 who
received mandated
THR in the previous
month
Monthly Numerator-
ICDS-CAS;
Denominator-
ICDS-CAS
2. MoHFW 5) Immunization2 ANM
(NHM)
(% of children
less than one year
of age fully
immunized)3
(Total number
of registered
children in 9-11
months age)
(Total number of
registered children
immunized in 9-11
months)
(Quarterly)
(Numerator-
HMIS;
Denominator-
HMIS)
2 Definition of Full Immunization as per Annual Health Survey (AHS): Fully immunized child refers to infants who receive within 11-23 months BCG (Bacillus Calmette–Guérin) vaccination
against tuberculosis, three doses of DPT (Diphtheria, Poliomyelitis and Tetanus,), minimum three doses of polio vaccine and one dose of measles vaccine.
http://www.censusindia.gov.in/vital_statistics/AHS/AHS_report_part1.pdf 3 Recommending a change in the indicator to track immunization through Annual Health Survey conducted by Census of India
20
Depart. Interventions/
Services
Service
delivered
by
/through
Indicators to
track progress
Denominator Numerator Frequency Source Baseline
(%)
Quarterly/
Monthly
Progress
(%)
Remarks/
action
Recommended:
% of children less
than one year of
age fully
immunized
Recommended:
Total number of
children in 12-
23 months
Recommended:
Number of children
(12-23 months) fully
immunized as per
norms
Annual Numerator-
Annual Health
Survey;
Denominator-
Annual Health
Survey
6) Vitamin A 4 ANM
(NHM)
(% of children 6 to
59 months who
received at least
one dose of
Vitamin A during
the last 6 months)5
% of children in 6 -
35 months who
have received at
least one dose of
Vitamin A during
last six months
(Total live
births)
Number of
children aged 6-
35 months
(Total number of
children 6 to 59 months
who received at least
one dose of Vitamin A
during the last 6
months)
Number of children in 6
-35 months who have
received at least one
dose of Vitamin A
during last six months
(Quarterly)
Annual
(HMIS)
Numerator-
Annual Health
Survey;
Denominator-
Annual Health
Survey
7) IFA
supplementation
ANM
(NHM)
and
AWW
% of pregnant
women who
received IFA
tablets in the
previous month
Total number of
pregnant women
Registered for
ANC
Number of Pregnant
women given 180 IFA
tablets
Quarterly HMIS
8) Iron
supplementation
for children6
ANM
(NHM)
(% of children 6
to 59 months who
were provided
recommended
dose of the syrup
during the
previous month)7
4 Definition of Vitamin A supplementation as per Annual Health Survey (AHS): Vitamin A is administered through oral doses every six months to children aged between 9 months and 5 years
to avoid its deficiency. 5 Recommend using a different indicator for Intake of Vitamin A in children, provided by Annual Health Survey 6 Definition of Iron and folic acid (IFA) supplementation for children: Iron and folic acid (IFA) is a supplementary nutrient administered as syrups or tablets to children beyond the age of six
months. http://www.censusindia.gov.in/vital_statistics/AHS/AHS_report_part1.pdf 7 Recommend using a different indicator for intake of IFA syrup in children, provided by Annual Health Survey
21
Depart. Interventions/
Services
Service
delivered
by
/through
Indicators to
track progress
Denominator Numerator Frequency Source Baseline
(%)
Quarterly/
Monthly
Progress
(%)
Remarks/
action
% of children in 6 -
35 months who
have received at
least one dose of
IFA syrup during
last six months
Number of
children aged 6-
35 months
Number of children in 6
-35 months who have
received at least one
dose of Vitamin A
during last six months
Annual
Numerator-
Annual Health
Survey;
Denominator-
Annual Health
Survey
9) Deworming ANM
(NHM)
% of children 6 to
59 months who
received at least
one albendazole
tablet during the
last 6 months
No data source
available
10) ANC checkups ANM
(NHM)
% of pregnant
women in their
third trimester
who received at
least 4 ANCs8
Total number of
pregnant women
Registered for
ANC
Number of pregnant
women received 4 or
more ANC check ups
Quarterly HMIS
11) Management of
Acute
Malnutrition
ANM
(NHM)
% of SAM
children treated
appropriately at the
health
facility/community
level
No data source
available
# Number of
SAM children
treated at NRC
is available at
MoHFW
12) Diarrhea
Management
(ORS+Zn)
ANM
(NHM)
(% of children with
diarrhea 0 to 60
month who
received ORS &
zinc during the
previous month) 9
(HMIS
provides
Diarrhoea
treated in
Inpatients in
Children 0-5
Years of Age)
8 The indicator has been revised to 4 ANC check-ups. These are being tracked by the ANMs and reported through HMIS. 9 Diarrhea management using ORS and ZINC is not available on either HMIS or AHS. Recommend use of a proxy indicator such as availability of Zinc and ORS from ANM, PHC,
CHC and district hospital levels
22
Depart. Interventions/
Services
Service
delivered
by
/through
Indicators to
track progress
Denominator Numerator Frequency Source Baseline
(%)
Quarterly/
Monthly
Progress
(%)
Remarks/
action
3. Ministry
of Water and
Sanitation
13) ODF villages % of ODF free
villages
Total number of
villages
Number of verified
ODF free villages
Quarterly Denominator:
Ministry of
Drinking
Water and
Sanitation
Numerator:
Ministry of
Drinking
Water and
Sanitation
14) Villages with
safe drinking
water supply
% of villages with
safe drinking water
supply
Total number of
villages
Number villages with
safe drinking water
supply
Annual Denominator:
Census 2011/
PHED
Numerator:
Census 2011/
PHED
4. Ministry
of Rural
Development
15) Self Help
Groups (SHGs)
oriented on
Health,
Nutrition,
Sanitation and
Hygiene
% of SHGs trained
on a package of
basic nutrition,
health, sanitation
and hygiene
behaviors
No data source
available
(Need to check
with ICDS and
Jeevika)
5. Ministry
of Education
16) IFA
supplementation
for adolescents
Jointly
managed
by ANM
& School
Teacher
% of adolescent
girls who received
IFA tablets in the
previous month
Total number of
eligible
adolescents
enrolled in the
school
Number of adolescent
girls who received IFA
tablets in previous
months
Quarterly Denominator:
Ministry of
education
Numerator:
Ministry of
Health &
Family
Welfare
17) Deworming for
adolescents
% of adolescent
girls who received
at least one
albendazole tablet
during the last 6
months
Total number of
eligible
adolescents
enrolled in the
school
Number of adolescent
girls who received at
least one albendazole
tablet during the last 6
months
Quarterly Denominator:
Ministry of
education
Numerator:
Ministry of
Health &
23
Depart. Interventions/
Services
Service
delivered
by
/through
Indicators to
track progress
Denominator Numerator Frequency Source Baseline
(%)
Quarterly/
Monthly
Progress
(%)
Remarks/
action
Family
Welfare
24
Annex 2: Convergence Action Plan Format General Guidelines
1. The Block and District Plan will be for the Financial Year 2019-20
2. The same format is applicable for block and district
3. Achievable targets to be listed in the Plan; All targets must have a base and coverage versus
total must be outlined, meaning baseline and targets must be in percentage terms not in
numbers for an example: 20% AWCs have a functional toilet (baseline), the target could be
that in another 6 months there would be an increase of 10% taking the total to 30%. (20 out
of 100 in the baseline and now 30 out of 100 in the progress). While fixing targets; it would be
encouraged to take services to 100% which are universal in nature such as IFA
supplementation for pregnant women, SNP for children, pregnant and mothers and some will
be incremental such as AWC infrastructure. The baseline and target should have reference to
the same source of data. Example (SNP coverage will be from the ICDS MPR, ANC coverage
from the HMIS).
4. The baseline for activities will be of the last reporting month and targets will be based on the
baseline figure of last reporting month. (For an example: The Annaprashan event in AWCs of
month July is 60%, So the baseline for that indicator will be 60% and the target will be
increment over and above 60%).
5. Key activities to advance nutrition need to be prioritized in the plan. Such as Enabling
environment for children in AWC/Schools/ VHSND/ HSCs, Improving the coverage and quality
of key nutrition interventions such as Breastfeeding, complimentary feeding, micronutrient
supplementation, sanitation, health and hygiene etc. etc.
6. Converging departments priority will be to implement key nutrition actions in their
department and report back to the Committee on progress. Therefore, the focus must be
strengthening the existing nutrition actions in the department (increasing the coverage with
quality) and adding newer things which will further strengthen the nutrition actions. For an
example: In Arogya Diwas along with service delivery; the focus could be increased for
counseling on balanced diet during pregnancy and for children under the age of 2 years. In
Schools; the focus could be establishing a Nutri-garden for Nutrition awareness in children
and parents along with enrichment in Mid-Day meal.
7. The bottleneck to be mentioned in terms of enabling environment, equipment, supplies,
knowledge and capacity, financial resources ( for an example : space constraint in AWCs could
be an issue of enabling environment, un availability of a weighing scale could be an example
of equipment, absence of IFA tablets in the Arogya Diwas site could be of supplies, less
knowledge on diet diversity could be a capacity gap or knowledge gap and this could be with
the service provider or at the mother family member level, lack of budget provision or financial
resource could be a under the financial resource constraint).
8. Action to address could be local level meaning at the block level (example: Shifting of AWCs
to School premises, Panchayat Bhawans or any community centers), some actions will be at
the District level (example: Supply of essential micronutrients such as IFA etc) and some could
be from the State level (example could be: Budgetary provision for certain activities).
However, in the plan at the Block or District level, we must focus more on what could be done
at each level and list them first and then the actions from the District and State).
25
9. The convergent plan must be endorsed from the committee at Block and District level and the
follow up actions must be tracked on the basis indicators to register the progress.
10. In the convergent action plan, essential interventions have been suggested. This is a suggested
list not a final list. The Block and the District has the flexibility of adding activities to the list so
as to make it more context specific so that the plan helps to improve the nutritional status in
the Block/District ( For an example: In some blocks it might be felt to include the private
practitioners in advancing the nutrition action such as Breastfeeding in private nursing homes
or capacity development of traditional healers to refer children to government health facilities
or engaging the home sciences colleges to train the AWWs, ASHAs on complimentary feeding).
26
POSHAN ABHIYAAN: (NAME OF THE BLOCK) BLOCK CONVERGENCE PLAN
1. Demography
2. Service Institutions/ Infrastructure
Estimated Population of the Block
Estimated Population of 0-6 year children
• 0-2 years
• 3-5 years
Estimated Number of Children in 6-10 years
Estimated Number of Adolescents (10-19 years)
• Boys
• Girls
Estimated Number of Pregnant Women
Estimated Number of Mother under 6 months of
Children
Number of Panchayats
Number of Health Sub Centers
Number of Primary Schools
• Private
• Government
Number of Upper Primary Schools
• Private
• Government
Number of Secondary Schools
• Private
• Government
Madrasa or any other Schools
Number of Anganwadi centers
• Department Building
• Other government building
• Rented Space
Number of Arogya Diwas sites
Number of PDS Ration points
27
A. BREASTFEEDING PROMOTION
S
N
Catego
ry Indicator
Baseline
(NFHS-
4/HMIS/RRS/IC
DS-CAS)
Target 2019-
20
1 Desirab
le
% of mothers with 4-months old baby that
receive an ASHAs home visit and get
counseling on continued exclusive
Breastfeeding till 6 months
2 Vital % of mothers that deliver in health facilities
who also start breastfeeding within 1 hour.
3 Desirab
le
% Facilities have a functional Breastfeeding
corner
4 Desirab
le
% ASHAs conducting mothers meeting on
Breastfeeding under the MAA Programme
5 Desirab
le
% of Health Sub-committees of JEEViKA trained
on IYCF (Including Breastfeeding and age
appropriate complementary feeding)
Implementation bottlenecks and actions to address
1 Key bottlenecks
Specific Actions Indicator
Targ
et
End
Year
1
Driven By
(Departme
nt)
2
3
4
5
- Please include any relevant activities that the Block or District would implement in 2019-20
for reduction in Undernutrition rates.
- Please add any programmatic indicator that the departments are already tracking other than
the listed ones in the templates.
28
B. COMPLEMENATRY FOOD AND FEEDING
SN Indicator
Baseline
(NFHS-
4/HMIS/RRS/ICDS-
CAS)
Target
2019-20
1 % of Anganwadi centers that organized
Annaprashan Diwas
2
% mothers with children between 4-15
months who were visited by ASHA at least
once every two months to promote timely and
appropriate complementary feeding (dietary
diversity, frequent feeding, feeding hygiene
and early stimulation)
3
% children 6-36 months registered who
received SNP (THR) for 21 days in the last
month
4
% children 37-72 months registered who
received SNP (HCM) for 21 days in the last
month
5
% severely underweight children 6-72 months
registered who received double ration for 21
days in the last month
6 % AWCs trained on ILA modules (18 modules)
Implementation bottlenecks and actions to address
1 Key bottlenecks Specific
Actions Indicator
Target
End Year 1
Driven By
(Department)
2
3
4
5
- Please include any relevant activities that the Block or District would implement in 2019-20
for reduction in Undernutrition rates.
- Please add any programmatic indicator that the departments are already tracking other than
the listed ones in the templates.
29
C. IMMUNIZATION FOR CHILDREN
SN Indicator
Baseline
(NFHS-
4/HMIS/RRS/ICDS-
CAS)
Target 2019-20
1
% children below one year fully
immunized as per national
immunization schedule
2
3
Implementation bottlenecks and actions to address
1 Key bottlenecks Specific Actions Indicator Target
End Year 1
Driven By
(Department)
2
3
4
5
6
7
- Please include any relevant activities that the Block or District would implement in 2019-20
for reduction in Undernutrition rates.
- Please add any programmatic indicator that the departments are already tracking other than
the listed ones in the templates.
30
D. MICRONUTRIENT AND VITAMIN-A SUPPLEMENTATION AND ANTI-HELMINTH
FOR CHILDREN
SN Indicator
Baseline
(NFHS-
4/HMIS/RRS/ICDS-
CAS)
Target
2019-20
1 % children 6-59 months who received at least
one dose of Vitamin A in the last 6 months
2
% children 6-59 months provided 8-10 doses
(1ml) of iron and folic acid (IFA) syrup (Bi
weekly) in last month
3 % children 1-19 years covered with albendazole
in the first round in February
4 % children 1-19 years covered with albendazole
in the second round in August
Implementation bottlenecks and actions to address
1 Key
bottlenecks
Specific
Actions Indicator
Target
End Year 1
Driven By
(Department)
2
Ensure
counseling
of girls in
schools
3
4
5
- Please include any relevant activities that the Block or District would implement in 2019-20
for reduction in Undernutrition rates.
- Please add any programmatic indicator that the departments are already tracking other than
the listed ones in the templates.
31
E. GROWTH MONITORING & PROMOTION
SN Indicator
Baseline
(NFHS-
4/HMIS/RRS/ICDS-
CAS)
Target 2019-20
1
% of children 0-72 months in district/state
that had their weight measured every month
in the last quarter
2
% of children 0-72 months in district/state that
had their length/ height measured in the last
quarter
3
% children with growth faltering that were
visited in the last month by the ICDS Supervisor
and given advice for growth promotion
4 % of Anganwadi centers visited by the RBSK
team in last 6 months
5 % AWCs trained on CAS
6 % AWCs using CAS since last 3 months
7 % Blocks where the helpdesk for CAS
established
Implementation bottlenecks and actions to address
1 Key
bottlenecks
Specific
Actions Indicator
Target
End Year 1
Driven By
(Department)
2
3
4
5
Implementation bottlenecks and actions to address
Key bottlenecks Action to address
- Please include any relevant activities that the Block or District would implement in 2018-19
for reduction in Undernutrition rates.
- Please add any programmatic indicator that the departments are already tracking other than
the listed ones in the templates.
32
F. DIARRHOEA MANAGEMENT WITH ORAL REHYDRATION SOLUTION AND ZINC
SN Indicator
Baseline
(NFHS-4/HMIS/RRS/ICDS-
CAS)
Target
2019-20
1 % of children 0-60 months with diarrhoea who
received ORS
2 % of children 0-60 months with diarrhoea that received
zinc tablets
Implementation bottlenecks and actions to address
1 Key bottlenecks Specific Actions Indicator Target
End Year 1
Driven By
(Department)
2
3
4
5
- Please include any relevant activities that the Block or District would implement in 2019-20 for reduction in
Undernutrition rates.
- Please add any programmatic indicator that the departments are already tracking other than the listed ones
in the templates
33
G. MANAGEMENT OF ACUTE MALNUTRITION
SN Indicator Baseline
(NFHS-4/HMIS/RRS/ICDS-CAS)
Target 2019-20
1 % of children 6-36 months screened for MAM and SAM during last month at the Arogya Diwas site
2 % children with SAM and medical complications treated at Nutrition Rehabilitation Centers (NRCs)
3 % of children with SAM and without medical complications treated at community level
Implementation bottlenecks and actions to address the bottlenecks
1 Key bottlenecks Specific Actions Indicator Target
End Year 1
Driven By
(Department)
2
3
4
5
6
7
- Please include any relevant activities that the Block or District would implement in 2019-20 for
reduction in Undernutrition rates.
- Please add any programmatic indicator that the departments are already tracking other than the
listed ones in the templates.
34
H. IRON AND FOLIC ACID FOR ADOLESCENTS, IFA, CALCIUM & ALBENDAZOLE FOR
PREGNANT WOMEN
SN Indicator
Baseline
(NFHS-
4/HMIS/RRS/ICDS-
CAS)
Target
2019-
20
1
% of eligible adolescents 10-19 years who receive
at least 4 blue iron folate tablets through WIFS
program in last month
2 % of eligible pregnant women who received at
least 180 IFA tablets during antenatal period
3 % of eligible lactating mothers who received at
least 180 IFA tablets during postnatal period
4
% of Women of reproductive age 20-24 years who
received at least 4 Blue IFA tablet in the last one
month
5 % of eligible pregnant women who received at least
180 calcium tablets during antenatal period
6 % of eligible lactating mothers who received at
least 180 calcium tablets during postnatal period
7 % of pregnant women in 2nd trimester provided
Albendazole
8 % of adolescent girls receiving assistance for
sanitary napkin from education department
9 % of adolescent girls ( 11-14 years) receving THR
for more than 21 days in a month
Implementation bottlenecks and actions to address
1 Key bottlenecks Specific
Actions Indicator
Target
End Year 1
Driven By
(Department)
2
3
4
5
- Please include any relevant activities that the Block or District would implement in 2019-20 for
reduction in Undernutrition rates.
- Please add any programmatic indicator that the departments are already tracking other than the
listed ones in the templates.
35
I. ANTENATAL AND POSTNATAL SERVICES
SN Indicator
Baseline
(NFHS-
4/HMIS/RRS/ICDS-
CAS)
Target
2019-
20
1 % mothers identified as High Risk Pregnancy and
referred to PMSMA/ Higher medical facilities
2 % of mothers receiving 4 ANC services from Arogya
Diwas/ ANC clinics/ PMSMY sites
3 % of mothers delivering in Institutions
4 % of mother receiving birth spacing products (OCP,
Condoms, Injectable)
5 % of mothers receiving at least 6 visits by ASHA
postdelivery
6 % of mothers delivering at home with SBA trained
ANM
7 % Arogya Diwas sites having Counseling Aid
8 % Pregnant women receiving THR for more than 21
days in a month
9 % Lactating mother receiving THR for more than 21
days in a month
Implementation bottlenecks and actions to address
1 Key bottlenecks Specific Actions Indicator Target
End Year 1
Driven By
(Department)
2
3
4
5
- Please include any relevant activities that the Block or District would implement in 2019-20 for
reduction in Undernutrition rates.
- Please add any programmatic indicator that the departments are already tracking other than
the listed ones in the templates.
36
J. PROMOTING SAFE DRINKING WATER
SN Indicator
Baseline
(NFHS-
4/HMIS/RRS/ICDS-
CAS)
Target
2019-
20
1 % of Anganwadis with adequate, functional and
safe drinking water supply facility in the Centre
2 % of health centres with adequate, functional and
safe drinking water supply
3 % of villages/wards with adequate, functional and
safe drinking water supply
4 % of Arogya Diwas sites with adequate and
functional safe drinking water facility
5 % of Schools with adequate and functional safe
drinking water supply facility
6
% of villages affected by Fluoride/ Arsenic/ Iron in
the Block/District and has been provided with safe
drinking water facility
Implementation bottlenecks and actions to address
1 Key bottlenecks Specific
Actions Indicator
Target
End Year 1
Driven By
(Department)
2
3
4
5
- Please include any relevant activities that the Block or District would implement in 2019-20 for
reduction in Undernutrition rates.
- Please add any programmatic indicator that the departments are already tracking other than
the listed ones in the templates.
37
K. PROMOTING SANITATION…
D1. Promoting Personal Hygiene
7 % of Anganwadis with adequate and functional Handwashing
facilities with water and soap available
8 % of health centers with adequate and functional
Handwashing facilities with water and soap available
9 Essential % of Schools with Handwashing facilities in premises
with water and soap available
Implementation bottlenecks and actions to address
1 Key bottlenecks Specific
Actions Indicator
Target
End Year 1
Driven By
(Department)
2
3
4
5
- Please include any relevant activities that the Block or District would implement in 2019-20 for
reduction in Undernutrition rates.
- Please add any programmatic indicator that the departments are already tracking other than the
listed ones in the templates.
38
J. ENABLING ENVIRONMENT FOR SERVICE DELIVERY
SN Indicator Baseline
(NFHS-4/HMIS/RRS/ICDS-CAS)
Target 2019-20
1 % of AWCs have required space for pre-school children and EECE activities
2 % AWCs have required utensils/ logistics for Hot cooked meal
3 % of Arogya Diwas sites have facilities and space available for conducting ANC check-up
4 % AWCs implementing the Double Fortified Salt in Hot Cooked meal
5 % Schools using Double Fortified Salt in Mid-Day meal Programme
6 % AWCs have Gas Stoves for preparation of Hot Cooked Meal
7 % Schools have Gas Stoves for preparation of Hot Cooked Meal
8 % of AWWs trained on Food safety and Hygiene
9 % of Cooks in Schools have been trained on Food safety and hygiene
10 % AWCs having electricity connection
Implementation bottlenecks and actions to address the bottlenecks
1 Key bottlenecks Specific Actions Indicator Target
End Year 1
Driven By
(Department)
2
3
4
5
6
7
- Please include any relevant activities that the Block or District would implement in 2019-20 for
reduction in Undernutrition rates.
- Please add any programmatic indicator that the departments are already tracking other than the
listed ones in the templates.
39
K. SUPPLY CHAIN MANAGEMENT
SN Indicator Baseline (NFHS-
4/HMIS/RRS/ICDS-CAS)
Target 2019-
20
1 % of AWCs with no stock out of SNP
2 % AWCs having functional weighing scales
3 % AWCs having functional Infanto-meter
4 % AWCs having functional Stadiometer
5 % AWCs have required MCP cards
6 % AWCs have received Mobile phones
7 % LS have received the Tablet
8 % of Arogya Diwas sites with stock out of IFA
9 % of Arogya Diwas sites with stock out of Calcium
10 % of Arogya Diwas sites with stock out of Albendazole
11 % of Arogya Diwas sites with stock out of Vitamin-A syrup
12 % of Arogya Diwas sites with stock out of ORS
13 % of Arogya Diwas sites with stock out of Zinc tablets
14 % Schools with stock out of IFA tablets
Implementation bottlenecks and actions to address the bottlenecks
1 Key bottlenecks Specific Actions Indicator Target
End Year 1
Driven By
(Department)
2
3
4
5
6
7
8
9
10
11
12
- Please include any relevant activities that the Block or District would implement in 2019-20 for
reduction in Undernutrition rates.
- Please add any programmatic indicator that the departments are already tracking other than the
listed ones in the templates.
40
N. Awareness generation for Behaviour Change
SN Indicator
Baseline
(NFHS-
4/HMIS/RRS/ICDS-
CAS)
Target
2019-
20
1 % of AWC’s organizing mother’s meeting on IYCF
(Breastfeeding & Complimentary feeding)
2
% of AWC’s displaying IEC/BCC materials at least
on breastfeeding, complimentary feeding,
WASH, diet diversity etc.
3 % AWCs having a community mobilization plan
(Jan Andolan)
4 % of AWC’s displaying citizen’s charter (Food
Menu) in the AWC
5
% of HSC, PHC displaying citizen’s charter (list of
essential drugs and services) what would be
data source?
6 % of Government school’s displaying food menu
in the Schools
Implementation bottlenecks and actions to address
1 Key bottlenecks Specific
Actions Indicator
Target
End Year 1
Driven By
(Department)
2
3
4
5
- Please include any relevant activities that the Block or District would implement in 2019-20 for
reduction in Undernutrition rates.
- Please add any programmatic indicator that the departments are already tracking other than
the listed ones in the templates
41
O. Social security schemes
SN Indicator
Baseline
(NFHS-
4/HMIS/RRS/ICDS-CAS)
Target
2019-20
1 % of priority households linked to PDS
2 % of SAM and severely underweight children
H/H to job employment NEREGA
3 % of food, insecure H/H distressed H/H linked
to FSF/ HRF of JEEViKA
4 % of PDS shop selling double fortified salt
Implementation bottlenecks and actions to address
1 Key bottlenecks Specific
Actions Indicator
Target
End Year 1
Driven By
(Department)
2
3
4
5
- Please include any relevant activities that the Block or District would implement in 2019-20 for
reduction in Undernutrition rates.
- Please add any programmatic indicator that the departments are already tracking other than
the listed ones in the templates
42
Annexure 3: GO for conducting District Level Orientation
GO for district level orientation at Gaya, Bihar
43
GO for district level orientation at Sitamarhi, Bihar
44
Annexure 4: Feedback and finalization of DCAP, Gaya
45