Indira Gandhi Matritava Sahyog Yojana (IGMSY) 28 th October, 2010 Ministry of Women & Child Development Government of India

BACKGROUND : SITUATIONAL ANALYSIS Mean age at effective marriage of females < 18 yrs yrs Mothers who consumed IFA Tablets for 90 days or more during pregnancy 22.3% Institutional birth 40.7% Women (age 15-49) with BMI below normal 33.0% Pregnant women (age 15-49) who are anaemic 57.9% [Source NFHS-3 Survey ]

THE SCHEME : OBJECTIVES  To improve the health & nutrition status of pregnant & lactating women and infants by : Promoting appropriate practices, care and service utilisation during pregnancy, safe delivery and lactation. Encouraging women to follow (optimal) IYCF practices including early and exclusive breast feeding for the first six months. Contributing to better enabling environment by providing cash incentives for improved health and nutrition to pregnant and lactating mothers.

THE SCHEME : TARGET GROUP Pregnant Women of 19 years of age and above for first two live births in selected 52 districts All government /PSU/SPSU employees will be excluded Approx lakh women in the first year (75% of P & L women registered under ICDS)

THE SCHEME : DISTRICT SELECTION 6 indicators concerned with women identified from DLHS-3 with equal weightages  11 districts each are good and weak performing  26 districts are median performing  4 are UTs  Expected 13.8 lakh beneficiaries

Cash Transfer ConditionsAmou nt (In Rs.) Means of Verification First (at the end of second trimester)  Registration of Pregnancy at AWC / health centres within 4 months of pregnancy  At least one ANC with IFA tablets and TT  Attended at least one counselling session at AWC / VHND 1500 Mother & Child Protection Card reflecting registration of pregnancy by relevant AWC/ Health Centres and counter signed by AWW Incentive under JSY  JSY package for institutional delivery including early initiation of breastfeeding and ensure colostrum feed. As per JSY norms

Cash Transfer ConditionsAmount (In Rs.) Means of Verification Second (3 months after delivery)  Registration of child birth  The child has received: OPV,BCG at birth and DPT at 6 & 10 weeks  Attended at least 2 growth monitoring and IYCF counselling sessions within 3 months of delivery. 1500Mother & Child Protection Card, Growth Monitoring Chart and Immunization Register [Note: Benefits will also be available for still births and infant mortality.] Third (6 months after delivery)  Exclusive breastfeeding for 6 months & introduction of complimentary feeding  The child has received OPV and DPT at 14 weeks  Attended at least 2 growth monitoring and IYCF counselling sessions between 3rd and 6th months of delivery. 1000Self certification, Mother & Child Protection Card, Growth Monitoring Chart and Immunization Register

Cash transfer to all P & L women in pilot districts to contribute :- towards supporting health and nutritional needs of pregnant and lactating mothers. to partly compensate the woman for the wage loss that she might incur while caring for herself and the child specially upto 6 months of exclusive breastfeeding. It will also increase the demand for health services as the incentives are based on fulfillment of specific conditions relating to mother and child health and nutrition

Funding pattern and functional responsibility  Centrally sponsored scheme with 100 percent funding from GOI.  The day to day implementation and administrative matters will be the responsibility of the State Government.

District Steering & Monitoring Committee Project level Implementation & Monitoring Committee Village H&N Committee State Steering & Monitoring Committee National Steering & Monitoring Committee

Additional staff  Central level (1 Director, I Under Secretary with one Section and Consultants as and when required).  Additional staff of two each at district (One district Coordinator and one Programme Assistant) and state level (one Coordinator & one Programme Assistant) Incentives to AWW and AWH  Incentives to AWW and AWH to motivate them to effectively implement the scheme. Rs.200 : AWW ; Rs.100: AWH per beneficiary on disbursement of all instalments

MINISTRY OF WOMEN AND CHILD DEVELOPMENT STATE GOVERNMENT IGMSY Special Account at State ICDS Cell IGMSY Special Account at District ICDS Cell IGMSY Special Account Maintained By ICDS Project Bank/ Post Office Account of Pregnant & Lactating Mother

Monitoring : Same as ICDS. Steering & monitoring committees at all levels Evaluation: Baseline and end-line surveys to measure the impact Assess its impact and take corrective measures through mid-term and final evaluations. Social Audit: Appropriate provision of social audit by external agencies would be made.

Items included in the Budget are:- Cost of Rs.4000 per beneficiary Incentive for Rs.300 per beneficiary Baseline & Resource Mapping IGMSY Section at MWCD State and district ICDS Cell Mid Term and Final Evaluation Training Capacity Building & 3% of total cost 2% of total cost Flexi 2.5% of the total cost

Regional workshops to sensitize officers upto the district level – GoI Baseline surveys to be done Budget head to be opened Mechanism for opening of account (bank / post office) to be established (since cash transfer only through accounts) Steering and monitoring committees to be set up Additional staff to be hired Mid-term and end-line evaluation strategy to be formulated

Thank you!