Good practices Chhattisgarh 22/11/2013 Bengaluru Workshop

Innovation Wajan Tyohar

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.

Severely malnourished 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 Balod 1409 1390 30620 17968 6551 55139 44.47 11.88 2 BalodaBazar 1677 1655 53668 25137 12091 90896 40.96 13.30 3 Balrampur 1647 50979 22530 12227 85736 40.54 14.26 4 Bastar 1849 1841 41980 22549 12201 76730 45.29 15.90 5 Bemetara 1029 36013 17177 8422 61612 41.55 13.67 6 Bijapur 1108 1046 13471 5281 4720 23472 42.61 20.11 7 BILASPUR 2667 108039 45211 20288 173538 37.74 11.69 8 Dantewada 993 992 13755 6046 4543 24344 43.50 18.66 9 Dhamtari 1007 33862 19465 7371 60698 44.21 12.14 10 Durg 1461 54147 25299 9340 88786 39.01 10.52 11 Gariyaband 1167 1166 27311 15789 7501 50601 46.03 14.82 12 Janjgir-Champa 1979 87315 32087 12665 132067 33.89 9.59 13 Jashpur 2946 2903 46202 22404 9950 78556 41.19 12.67 14 Kanker 1870 1863 30496 15785 6773 53054 42.52 12.77 15 Kawardha 1578 1545 44110 20791 9717 74618 40.89 13.02 16 Kondagaon 1445 1444 24437 16587 10192 51216 52.29 19.90 17 Korba 2265 63176 25342 10256 98774 36.04 10.38 18 Koriya 1357 32856 12646 5493 50995 35.57 10.77 19 Mahasamund 1530 48684 28669 12498 89851 45.82 13.91 20 Mungeli 1014 40556 18959 8885 68400 40.71 12.99 21 Narayanpur 372 6848 3555 2066 12469 45.08 16.57 22 RAIGARH1 2680 2674 63206 31717 12254 107177 41.03 11.43 23 RAIPUR 1828 1825 75573 36557 13708 125838 39.94 10.89 24 Rajnandgaon 2463 2429 57995 33581 15874 107450 14.77 25 Sarguja 1747 47028 20246 11101 78375 40.00 14.16 26 Sukma 915 825 9395 3347 3607 16349 42.53 22.06 27 Surajpur 1760 49451 19468 9976 78895 37.32 12.64 28 State 43763 43433 1191173 564193 260270 2015636 40.90 12.91

Severely malnourished 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 childre Mal % Sever mal % 1 Balod 1409 1390 33788 17522 6191 57501 41.24 10.77 2 BalodaBazar 1677 1655 66351 25567 12957 104875 36.73 12.35 3 Balrampur 1647 54352 21549 10889 86790 37.38 12.55 4 Bastar 1849 1841 40808 19630 10037 70475 42.10 14.24 5 Bemetara 1029 37060 14117 5673 56850 34.81 9.98 6 Bijapur 1108 1046 11923 4428 3370 19721 39.54 17.09 7 BILASPUR 2667 108583 42208 16641 167432 35.15 9.94 8 Dantewada 993 992 12906 5408 4423 22737 43.24 19.45 9 Dhamtari 1007 35862 17469 6618 59949 40.18 11.04 10 Durg 1461 56866 22626 7437 86929 34.58 8.56 11 Gariyaband 1167 1166 27403 13123 5952 46478 41.04 12.81 12 Janjgir-Champa 1979 71735 24391 10696 106822 32.85 10.01 13 Jashpur 2946 2903 46825 19833 8128 74786 37.39 10.87 14 Kanker 1870 1863 29218 14009 5372 48599 39.88 11.05 15 Kawardha 1578 1545 53261 21700 8231 83192 35.98 9.89 16 Kondagaon 1445 1444 27298 14388 7723 49409 44.75 15.63 17 Korba 2265 60752 23173 9429 93354 34.92 10.10 18 Koriya 1357 32224 11102 4828 48154 33.08 10.03 19 Mahasamund 1530 50173 24730 9639 84542 40.65 11.40 20 Mungeli 1014 39851 16215 6956 63022 36.77 21 Narayanpur 372 3973 2113 1101 7187 44.72 15.32 22 RAIGARH 2680 2674 61661 25758 11702 99121 37.79 11.81 23 RAIPUR 1828 1825 81026 33918 11390 126334 35.86 9.02 24 Rajnandgaon 2463 2429 72213 35898 15587 123698 41.62 12.60 25 Sarguja 1747 56834 18112 9726 84672 32.88 11.49 26 Sukma 915 825 14674 4061 3022 21757 32.56 13.89 27 Surajpur 1760 48926 17714 8911 75551 35.24 11.79 28 State 43763 43433 1236546 510762 222629 1969937 37.23 11.30

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

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

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.

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

Wajan Tyohar- Disability survey Code 1 2 3 4 5 6 7 8 9 10 11 12 Disability LV TB HI SI OI CP MR MD LD ASD DB Normal Total June 2012 47222 1255 783 536 2521 108 385 863 208 1129 2011 1959751 2016772 June 2013 42493 3283 36 242 84 30 62 94 8103 3871 1932087 1990421

Community Based Management of Malnourish Children 4/15/2017 Nawa Jatan Community Based Management of Malnourish Children

Why we need malnutrition reduction effort in Chhattisgarh?

Current Scinario- Malnutrition 4/15/2017 Current Scinario- Malnutrition - State NFHS III ( 2005-06) Rank India 42-5 % Sikkim 19-7 % 1 Meghalay 19-9 % 2 Manipur 22-1 % 3 Keral 22-9 % 4 Madhya Pradesh 60 % 29 Chhattisgarh 47-1 % 25

Current scenario - Chhattisgarh 4/15/2017 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 4/15/2017 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

Nawa Jatan – Key Strategies 4/15/2017 Malnutrition eradication through Psycho-social Behavioral change Time bound and result oriented program Baseline and endline survey through external agencies Implementation by local community- Women Self Help Groups, NGOs, community volunteers(Suposhan Mitra) Focus on key Interventions- Community based management of malnourish children Selecting high burden Gram Panchayats i.e. Gram Panchayts which has got maximum number of malnourished children

Nawa Jatan – Key Strategies 4/15/2017 Result based payment process System level quality support at all levels One tier training of all government and non - government functionaries to minimize transmission loss No purchase & infrastructure development Online software based data entry and monitoring Targeting all moderate and severe malnourished children in selected Gram Panchayats

Direct training to all- ensuring zero training loss Nawa Jatan – Key Strategies 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

Community based management of malnourish children Nawa Jatan – Key Interventions 4/15/2017 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

Nawa Jatan – Key Interventions 4/15/2017 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.

Nawa Jatan First round Targeting (Preparatory phase March 2012 to May 12, Implementation – 1 June to Feb 13, Evaluation – March 13) S.No Gram Panchayats Districts Targeted children Base line survey Endline survey 1 184 21 17277 UNICEF 2 23 3 2392 Wajan Tyohar 133 2660 Total 340 24 22329 UNICEF/ dqiksf"kr cPpksa dk y{;

Total selected Gram Panchayats Target of community volunteers Nawa Jatan First round Total target Total selected Gram Panchayats Total AWCs Total sectors Total projects 22329 340 1194 218 81 Target of community volunteers Target of WSHGs Target of NGOs 3640 5423 13266

Nawa Jatan First round- Result 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 1 Dantewada 679 377 302 55.52 2 J-Champa 191 100 91 52.36 3 Kabirdham 888 436 452 49.10 4 Baster 393 183 210 46.56 5 Mungeli 122 53 69 43.44 6 Kondagaon 2801 1204 1597 42.98 7 Korba 1032 427 605 41.38 8 Bemetara 840 305 535 36.31 9 Sarguja 957 339 618 35.42 10 Bilaspur 1360 472 34.71 11 Balrampur 562 185 32.92 12 Garaiyaband 1220 399 821 32.70

Nawa Jatan First round- Result 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 603 195 408 32.34 14 Narainpur 229 71 158 31.00 15 Baloda Bazar 174 51 123 29.31 16 Raipur 1763 510 1253 28.93 17 Koriya 391 113 278 28.90 18 Durg 1477 425 1052 28.77 19 Rajnandgaon 1877 531 1346 28.29 20 Kanker 256 185 27.73 21 Jashpur 565 148 417 26.19 22 Mahasamund 648 169 479 26.08 23 Dhamtari 157 446 26.04 24 Balod 450 116 334 25.78 25 State 20081 7036 12997 35.12

Nawa Jatan First round- Result Base line status (May 2012) End line result (March 2013) No of moderate underweight children No of Severely underweight children Normal children 12784 7246 7036 3910 9084

Nawa Jatan First round- Result

Nawa Jatan First round- Result Name of 14 Gram Panchayts, achieving MDG S.No Gram Panchayat % of normal children 1 Indori 69.94 2 Parsa 70.13 3 Kasturpal 70.95 4 Dashrangpur 71.05 5 Balud 71.93 6 Khamhria 72.33 7 Belar 72.41 8 Damgarh 73.44 9 Utai 74.37 10 Hardua 75.76 11 Dullapur 77.78 12 Bamhani 77.84 13 Nariyara 79.98 14 Kishungarh 81.16

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

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

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

Recognition

CDPOs

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

Nawa Jatan First round- UNICEF appritiation ;wfulsQ ds daVªh QhYM phQ }kjk uoktru dk;Zdze dk QhYM es voy®du v©j uoktru dh Á'kalk Nawa Jatan program interventions are Innovative, Interesting and Promising. Ms Carrie Auer,Chief of Field Services , India Country Office UNICEF

Nawa Jatan Second round 2013-14 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)

Nawa Jatan Second round 2013-14 Started on 1 Aug 2013 S.No Total Districts Total selected Gram Panchayat Total mal children targeted No of Suposhan Mitra No of WSHGs No of NGO 1 27 573 42738 2235 975 2 Second round started on 1 August 2013

Focusing Gram Panchayats under Nawa Jatan in LWE districts S.No 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 2 Result 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

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 4/15/2017 Components of Mukhya Mantri Bal Sandharbha Yojna Component Provision Organization of referral days 2 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 SNP 1/5 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

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

State additional share SNP 3/5 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 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)

Ingredients for 100gm Ready to Eat SNP 4/5 S.no Ingredients Amount (In grams) Protein Calories (Kcal) 1 Wheat 55 6.49 190.30 2 Soybean 5 2.16 21.60 3 Gram 15 2.56 54.00 4 Sugar 22 - 88.00 Soybean oil 27.00 Total 100 11-21 380.90 Breakfast- Fixed weekly menu- RTE, boiled and sprouted Bengal gram with jaggery, peanuts and jaggery Hot Cooked Meal S.no Ingredients Amount (In grams) Protein Calories (Kcal) 1 Rice 65 4-42 224-25 2 Mix Dal 15 3-67 52-20 3 Soybean oil 5 0-00 45-00 4 Vegetable and spices 20 0-16 5-00 Total 105 8-25 326-45 47

Supplementary Nutrition Financial and Nutritive Norms SNP 5/5 Supplementary Nutrition Financial and Nutritive Norms S. Beneficiary Financial norms per benf. Per day Supplementary nutrition provided (per day for 6 days) Nutrition Norms GOI State 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 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 ≥ 14-56 gm ≥ 544-19 K.Cal. 4 3 to 6 years malnourished child HCF+Snacks :- 9-00 :- 8-34 85 gm THR, DFS/month/kg ≥ 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 ≥ 734-60K. Cal. 48

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

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.   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

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