1. State Annual Programme Implementation Plan of ICDS (APIP : 2012-13) Department of Women Empowerment & Child Development, Uttarakhand 16 July 2012

2. Situational Analysis

3. IndicatorsUttarakhand Population in million101.17 Lakh* Children 0-6 years13.29 Lakh* *: Census 2011 Provisional Data Sex Ratio

4. Situational Analysis Sex Ratio (0-6 Years)

5. Situational Analysis Literacy Rate

6. Situational Analysis Infant and Under-5 Mortality Rate

7. Situational Analysis Status of Malnutrition

8. Situational Analysis Nutrition and Health Status of Women & Children in the State IndicatorsUttarakhandIndia MMR per 100000 live births (SRS 2011-June) 359 UP/UK 212 MMR per 100000 live births (AHS 2011)188- IMR per 1000 live births (SRS 2011-December)3847 IMR per 1000 live births (AHS-2011)43- TFR (NFHS-3)2.62.68 Children under 5 years Underweight (NFHS-3)31.7%42.2% Children under 3 years Breastfed within one hour of birth (DLHS-3) 63.4%40.5% Children under 3 years Breastfed within one hour of birth (NFHS-3) 32.9%23.6% Children under 5 months Exclusively Breastfed (DLHS-3) 52.6%46.8 Children under 5 months Exclusively Breastfed (NFHS-3) 31.2%46.3

9. Situational Analysis Nutrition and Health Status of Women & Children in the State IndicatorsUttarakhandIndia Children (6-9 months) who received solid/ semi- solid food and breast milk (DLHS-3) 63.8%57.1% Children (6-9 months) who received solid/ semi- solid food and breast milk (NFHS-3) 51.6%55.8% Children 12-23 months Completely Immunized (DLHS-3) 62.9%54% Children 12-23 months Completely Immunized (NFHS-3) 60%43.5% Any Anemia among Children 6-35 months (NFHS-3) 69.2%69.5% Anemia in 15-49 years women—ever married (NFHS-3) 54.9%53.3%

10. Situational Analysis Expanse of ICDS in the State ICDS Projects Sanctioned AWCs Sanctioned Mini AWCs Rural + TribalUrbanTotal 91+6 = 978105149475120 Operational Status of AWCs and Mini AWCs AWCsMini AWCS Sanc- tioned Opera- tional Operational (%) Sanc- tioned Opera- tional Operational (%) 149471391893.12%5120405979%

11. Situational Analysis Ownership Status of AWC Buildings in the State ParticularNo. of Operational AWCs Departmental Building 1438 Other Govt. Buildings 7852 Rented Premises 6113 Others 2425 Infrastructure available at AWCs ParticularNo. of AWCs Having the Facility Potable Water Facility5720 Medicine Kits12926 PSE Kits16183 Baby & Adult Weighing Scales 13294 Toilet12807

12. CHALLENGES Difficult geographical terrain High mortality and morbidity rates Low awareness among community regarding health and sanitation in the state. Gender imbalance in society/community Shortage of manpower High drudgery of women

13. Trends in Coverage of Beneficiaries

14. ParticularsUttarakhandIndia Children aged 0 - 71 months who received any service 31.6%32.9% Children under age six who received supplementary Nutrition 27.9%26.3% Children under age six who received any Immunization 14.3%20.0% Children aged 0-71 months who received health check up 10.0%15.8% Children aged 36-71 months went for ECCE/PSE to an AWC 20.4%22.8% Children who were weighed12.5%18.2% Source: NFHS-3 (2005-06) CHILDREN

15. Trends in Coverage of Beneficiaries ParticularsUttarakhandIndia Pregnant women who received SNP18.9%20.5% Pregnant women who received Health Check Up4.4%12.3% Pregnant women who received Nutrition Health Education 5.5%10.9% Lactating women who received SNP14.1%16.5% Lactating women who received Health Check Up4.6%8.5% Lactating women who received Nutrition Health Education 4.8%8.3% Source: NFHS-3 (2005-06) WOMEN

16. VISION  Reducing prevalence of Malnutrition among Children, Adolescent Girls, and Pregnant & lactating Women  Reducing the Prevalence of Anemia in Women and Children  Reducing Infant Mortality Rate  Reducing Maternal Mortality Rate  Ensuring Complete Immunization of 100% Children  Increasing the School Enrollment Rate of Children and Reducing the Drop-out  Reducing Birth Rate  Reducing the Gap in Sex Ratio  Upgrading skill levels of Adolescent girls.

17. STRATEGIES  Opening of new ICDS Centers and mini-centers in remote and backward areas.  Establishing effective convergence with Health Department  Strengthening of Mothers Committees for effective service delivery at AWC level and also for demand generation  Speeding up the process for filling up the manpower gaps  Establishing effective convergence with School Education Department under ECCE.  Implementing innovative activities for strengthening ICDS service delivery at grassroots level  Strengthening of the training component by organizing need based trainings for grassroots functionaries

18. FUTURE PLAN  Establishing computerized MIS system up to Project level with GoI support  Addressing manpower shortage  Establishment of Nutritional Rehabilitation Centres (NRCs)  Identification and tracking of malnourished children and addressing under nutrition and mal nutrition issues  Imparting life skills & vocational trainings to out of school girls  Ensuring 100% IFA compliance

19. Program Component-wise Financial Estimates (Regular Activities)

20. Program Component-wise Financial Estimates (Rs. In Lakh) Sl. Programme Component Interventions/ Activities Financial Estimate 1 Human Resources ICDS Staff at State, District, Project and Sector Level and Honorarium to AWWs/AWHs/Mini AWWs 12713.29 2 Administration Cost Traveling Allowance, Transfer Traveling Allowance, Office Expenditure, Electricity Bills, Water Bills, Stationery, Furniture, Telephone, POL, Vehicle Rent, Office/AWC Building Rent, Publications, Advertisements, Flexi Funds, Guest Expenditure, Machine & Tools, Medical Reimbursement, Goods & Supply, Other Expenditure 893.31

21. Program Component-wise Financial Estimates (Rs. In Lakh) Sl. Programme Component Interventions/ Activities Financial Estimate 3Procurement PSE Kits, Medicine Kits, Weighing Scale, Sari for AWWs/AWHs, Utensils for main & Mini AWCs, Construction of AWCs, Vehicle Renting, Computers with Printers 6683.86 4 Supplementary Nutrition Children 0-6 yrs, Pregnant & Lactating Women 15425.41 5IEC Activities Wall Writing, Pamphlets/Newspaper Advertisements, Leaflet/Booklet/Posters 175.05

22. Program Component-wise Financial Estimates (Rs. In Lakh) Sl. Programme Component Interventions/ Activities Financial Estimate 6 Monitoring & Evaluation MIS & MPR87.54 7 Training & Capacity Building Implementation of STRAP248.46 TOTAL36226.92

23. New Activities Proposed in the APIP

24. Sl.ActivityAmount 1 State-wide study to assess the status of malnutrition in children (0-6 years) 100.00 2Establishing the State Nutrition Cell8.90 3 Strengthening of State Women Mission4.05 4 Study on assessing the learning of children who attend the PSE sessions at AWCs 9.00 5 Designing a specific course curriculum for the children attending PSE activities at AWCs 3.00 6 Evaluating the NHED activities for their Quality, Content, Convergence, and Coverage 9.00 7Developing a Module on Good Parenting1.00 (Rs. In Lakh)

25. New Activities Proposed in the APIP Sl.ActivityAmount 8 Capacity building of Anganwadi Workers on Effective NHED Delivery & Counseling Skills 25.00 9 Organize Maternal & Child Health (MCH) Camps at the Project-level 20.00 10 Organizing exhibition at various local fairs & festival and developing exhibition panels for the same 13.00 11 Hiring of creative agency for —  Development of IEC material-Electronic & Print, like Press Advts., Booklets, Hoardings, etc.  Designing and implementing focused communication campaigns 15.00 (Rs. In Lakh)

26. New Activities Proposed in the APIP Sl.ActivityAmount 12 Evaluation of the implementation of six ICDS services at AWC level 12.00 13Resource Mapping of ICDS Training Centers5.00 14Training Needs Assessment (TNA)6.00 15Training on PSE25.00 16Training of Mothers Committees25.00 17 Training of Mothers Committee Members and PRIs 25.00 TOTAL305.95 (Rs. In Lakh)

27. Total Financial Outlay Regular ICDS Activities36226.92 Other/New Activities305.95 GRAND TOTAL36,532.87

28. Other Proposed Activities

29. Important Activities Sl.Activity 11 MLTC for the State. 2MIS & IT Cell in Directorate 3Nutrition Cell in Directorate 4Data Entry Operators in every ICDS Project & District offices 5Food and Nutrition Board unit in Uttarakhand 6NRCs in all districts of the State 7Third Party Monitoring of NHED, PSE and VHND 8Quality Testing of DFS and SNP 9Developing a MIS on lines of the HMIS used under NRHM contd…

30. Sl.Activity 10 Development of Software for Tracking of Malnourished Children 11 Development of Software for Tracking of IGMSY Beneficiaries 12 Waiver of Swadhaar contribution for the State Government Important Activities

32. Hot Cooked Food & THR Recipes Annexure

33. THR RECIPIES THROUGH WFP Category Revised GoI Norms Fortified Indiamix-75% Wheat & 25% Soyabean Total Obtained Energy (K.Cal) Protein (Gm.) (Gm.) Energy (K.Cal) Protein (Gm.) Children (6 months - 3 Years) 50012-1514052115.00 Children (3-6 Years) 50012-1514052115.00 Severely Malnourished Children 80020-2521080024.00 Adolescent Girls60018-20175637.5020.00 Pregnant Women60018-20175637.5020.00 Nursing Mothers60018-20175637.5020.00

34. Food Item Protein (Gms) Calorie (K.cal)  Fortified Blended Energy Dense Food – I (for the children in the age group of 6 months 3 years) 12.80455.00  Paushtik Fortified Blended Energy Dense Food –II (for Adolescent Girls and Pregnant & Lactating Women) 13.50441.37  Paushtik Fortified Blended Energy Dense Food – III (for Adolescent Girls and Pregnant % Lactating Women) 14.11445.94 THR Recipes

35. For 3-6 years malnourished children Nutritional Norms: 800 kcal and Protein 20-25 gms Financial norms: Rs. 6/day/beneficiary Sl.ItemsEnergyProtein ABoiled Bengal gram+chana dal rice815.0028.45 BBoiled Bengal gram+ nutri nuggets rice815.4028.77 CBoiled Bengal gram+dalia796.0028.90 Combination-A Combination-B Sl.ItemsEnergyProtein ARoasted gram+ nutria nuggets rice800.0032.37 BRoasted gram + dalia797.1030.56

36. For 3-6 years malnourished children Nutritional Norms: 800 kcal and Protein 20-25 gms Financial norms: Rs. 6/day/beneficiary Combination-C NutritionItemsEnergyProtein SnacksRoasted peanut + chana dal rice 819.5028.27 Cooked food Dal rice Roasted peanuts + nutri nuggets rice801.9028.59 Roasted peanuts + dalia807.5027.85 Combination-D Sl.ItemsEnergyProtein APoha + chana dal rice800.8020.09 BPoha+ nutria nuggets rice823.6023.61 CPoha + khichri809.5023.84 DPoha + dalia882.7021.94

37. For 3-6 Years normal children Nutritional Norms: 500 kcal and Protein 12-15 gms Financial norms: Rs. 4/day/beneficiary Combination-A Sl.ItemsEnergyProtein ABoiled Bengal gram + chana dal rice513.4017.86 BBoiled Bengal gram + nutria nuggets rice509.2017.08 CBoiled Bengal gram + khichri508.6018.60 DBoiled Bengal gram + dalia502.0018.04 Sl.ItemsEnergyProtein ARoasted gram + chana dal rice511.6516.59 BRoasted gram + nutria nuggets rice501.1019.55 CRoasted gram + kichri505.8017.43 DRoasted gram +dalia506.5020.69 Combination-B

38. For 3-6 Years normal children Nutritional Norms: 500 kcal and Protein 12-15 gms Financial norms: Rs. 4/day/beneficiary Combination-C NutritionItemsEnergyProtein Snacks Roasted peanut + Chana dal rice 504.4017.12 Dal rice Cooked food Roasted peanut + Nutri nuggets rice500.2016.34 Roasted peanut + khichri499.6016.92 Roasted peanut + Daliya502.0017.30 ItemsEnergyProtein Poha + Chana dal rice547.7013.28 Poha + Nutri nuggets rice531.6013.64 Poha + khichri508.4013.34 Poha + Daliya616.0015.13 Combination-D