Three Decades of Integrated Child Development Services :

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Three Decades of Integrated Child Development
Services An Appraisal
-A Presentation
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OBJECTIVES

• Assess the existing status of implementation of
  ICDS in terms of coverage, out reach,
  coordination, convergence, and innovations
• Study the differences in implementation in
  rural, urban tribal, NGO and WB projects
• Identify gaps and problems in the implementation
  of ICDS
• Find out the perception of community and local
  bodies and support extended by them
• Ascertain inter-linkages of ICDS with other
  development programmes and
• Assess the benefits of ICDS on selected outcome
  indicators

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UNIVERSE SAMPLE SELECTION
Universe

• Sample was drawn only from blocks which were
  operational as on 01- 04- 2000 i.e. 4200
  projects 3177 rural, 273 urban and 750 tribal).
  
• For the Study, 150 ICDS projects are selected as
  a sample i.e. roughly 4 of the total universe.

Sample
1st StageStratified Sampling Technique to decide
no. of projects statewise 2nd Stage
StratifiedPurposive ( Wherever, there was even
one project of rural, urban tribal category,
purposively selected). Selection of Districts
- Districts with maximum number of projects
selected Selection of Projects - Projects
with maximum number of AWWs selected Selection
of AWC villages - Randomly and at least from
two Supervisory circles Selection of
Beneficiaries - Randomly with the help of
AWCs record
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Tools

• A-Interview Schedule for Beneficiaries No. per
  AWC
• Schedule for Pregnant Women 4
• Schedule for Nursing Mothers 4
• Schedule for Mothers of 6m-3yrs. Children 5
• Schedule for Mothers of 3-6yrs. Children 5
• Schedule for Women (15-45yrs) 5
• Household Schedule 23

• B-Schedule for obtaining information related to
  support convergence
• Schedule for Community Leaders
• i) Members of PRIs 1
• ii) School Teacher 1

• C- Observation Schedules
• CLCT( Child Learning Competency Test) 6
• Observation schedule for AWC 1

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Contd/-

• D-Schedule for the Functionaries
• No. of Schedule/Project
• Schedule for CDPOs 1
• Schedule for MO 1
• Schedule for Supervisor 2
• Schedule for LHV/ANM 1
• Schedule for AWWs 25

Total No. of Respondents41,842
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Data Quality

• Measures taken
• Preparation of detailed Guidelines
• Preparation of Pre-coded Interview Schedules
• Orient. Workshop of NIPCCD Faculty Regional
  Coordinators
• Rigorous training to field staff
• Editing to detect errors omissions in entries
  of the schedules
• Data revalidation at the time of entry
  validation with the help of Clipper software
• Checked range/consistency of every coded
  response
• Manual checking of 10 entries

Computerization Analysis

• New Concept Information System a Delhi based
  professional agency has been engaged for
  Computerization and data analysis

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Highlights of Findings
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ICDS Over the Years - Infrastructure (at AWC
level)
Type of Building of AWCs
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ICDS Over the Years - Infrastructure (at AWC
level)
Availability of Equipment/ Kit in usable
Condition
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Training Status ( trained)
D.N.A. Data Not Available
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Educational Qualification of AWWs ( age)
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ICDS Over the YearsSupplementary Nutrition
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Birth Weight of New Born Children
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Disruption in Distribution of SN
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PSE, Health Check-up IFA to Children
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Place of Delivery (in percentage)
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Birth Attended By
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Percentage of Children Immunized
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Appraisal of ICDS Management Input Variables

• X1 of CDPOs in position
• X2 of Supervisors in position
• X3 of AWWs in position
• X4 of trained CDPOs
• X5 of trained Supervisors
• X6 of trained AWWs
• X7 No. of visit of CDPO
• X8 No. of supervisory visits
• X9 Coordination (as reported by CDPO) with
  Health Department
• X10 Average No. of days SN supplied
• X11 Availability of Weighing Scale
• X12 Availability of PSE Kit
• X13 Availability of NHEd Materials
• X14 Availability of Medicine Kit

Based on above Input Variables Projects are rated
as Very Good63, Good 71, Poor16, Total150
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Appraisal of Output/Outcomes of Programme

• Y1 Observation Score of AWCs
• Y2 CLCT Score (Child Learning Competency Test)
  
• Y3 of Children under Normal category
• Y4 of Grade I Children
• Y5 of Grade II Children
• Y6 of Grade III and IV Children
• Y7 No. of 3-6 years children attending PSE
  classes
• Y8 No. of fully immunized (children)
• Y9 No. of fully immunized (pregnant women)
• Y10 Health check-up (No. of Women)
• Y11 Health check-up (No. of children)
• Y12 No. of NHEd sessions organized
• Y13 No. of Referral Cases
• Y14 No. of Pass out Children admitted to Primary
  School

Based on above Output/Outcome Variables Projects
are rated as Very Good43, Good 86,
Poor21 Total150
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Relationship Between Input, Output / Outcomes
Output / Outcomes (No. of Projects)
Input
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• Gap Areas

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• Infrastructure
• a) No toilet facility 60 AWCs
• b) Unsatisfactory toilet facility 17 AWCs
• c) Non availability of Sub- 57 AWCs
• Centres
• d) Non-availability of
• - Indoor Space 48.5 AWCs
• - Outdoor 48.7 AWCs
• e) No separate space for 50.0 AWCs
• Storage

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• Equipments/Kits/Utensil
• a) Non-availability of Weighing 9.29 AWCs
• Scale
• b) Non-availability of learning kit 44.1 AWCs
• c) Non-availability of NHEd 37 AWCs
• materials/aids
• d) Non-availability of Utensils
• - For cooking 28.7 AWCs
• - For serving 33.6 AWCs

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• Coordination
• Non-existence of Coordination Committee at
  Project level
• Rural 20.0
• Tribal 28.1
• Urban 12.5

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• Services
• SN a) Disruption in supply (Av.days) 41.3 days
• b) Supply of Spoiled Food items 6.3
  projects
• c) LBW Babies 29.0

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• Health Check-up
• a) Health Check-up not done
• - 0-3 years children 43.9
• - 3-6 years children 53.3
• b) Children not receiving IFA Tablets
• - 6 months - 3 years 40.4
• - 3 - 6 years 35.2
• c) Children not immunized fully 34.0