Annual Programme Implementation Plan (APIP)

Bihar 2015-16

Directorate of ICDS
Department of Social Welfare
Government of Bihar
Contents
Section 1: Situation Analysis ................................................................................................... 3
Health and Nutrition Status of Women and Children in Bihar and priority interventions
in ICDS ............................................................................................................................ 4
History of ICDS in Bihar ..................................................................................................... 7
Section 2: Vision, objectives and results expected ................................................................ 10
Section 3: Annual Action Plan - Programme Components............................................... 14
Human resources ................................................................................................................ 14
Current ICDS program (Regular positions) ................................................................... 14
Additional HR under ICDS mission as part of Child Development Society ................. 14
Block ICDS Resource Centres (BIRCs) ........................................................................ 17
Administrative expenses, mobility costs for all levels and flexi funds for AWCs ............ 17
Procurement of Materials and Equipment ......................................................................... 18
Infrastructure: Creation and Up-grading ........................................................................ 18
Delivery of Services at AWCs ........................................................................................... 19
Supplementary Nutrition ................................................................................................ 19
Growth monitoring and promotion - including Community based care and Management
of underweight children ................................................................................................. 20
ECCE ............................................................................................................................. 22
Nutrition and Health Education (NHE) ......................................................................... 23
Health services ............................................................................................................... 24
Institutional arrangements .................................................................................................. 27
Setting up of institutional arrangements at state, district, project and village levels ..... 27
Community Mobilization &Communication ..................................................................... 28
Monitoring and Evaluation ................................................................................................ 28
Internal monitoring mechanisms.................................................................................... 28
External monitoring and evaluation ............................................................................... 30
Community based monitoring efforts ............................................................................ 30
Training and Capacity Building ......................................................................................... 30
Proposed Interventions for Trainings in 2015-16 .......................................................... 31
Financial Management and Funds Flow Mechanism ........................................................ 33
Summary budget ................................................................................................................ 34

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Annual Programme Implementation
Plan (APIP)/ Bihar (2015-16)
Section 1: Situation Analysis
Bihar, situated in Eastern India, is third-most populous state having a population of 103.8
million, one-twelvth of the country’s population (Census 2011).16.4 percent of population
belongs to the Scheduled Castes and many of them belong to the most vulnerable Maha-
Dalit communities. Bihar is densely populated state with density of 1,102 people per sq. km.
The decadal population growth rate (2001 and 2011) of Bihar (28.43 percent) is much
higher than the national average of 18.10 percent. Compared with the all India average,
Bihar has significantly high birth rate (21.6 versus 26.7) but a more favourable child sex
ratio (0-6 years) of 933 versus 947 girl children per 1,000 male children.

Bihar shares boundaries with

Uttar Pradesh and West Bengal
on west and east respectively;
Jharkhand in the south and has a
long international border with
Nepal to the north. The state of
Bihar was bifurcated in
November 2000 and the state
Jharkhand was carved out. The
state covers an area of 94,163 sq.
km, which accounts for
approximately 2.86% of the total
landmass of the country,
supporting more than 8% of
population. The state is
organized into nine
administrative divisions with 38 districts and 101 sub-divisions. There are 534 development
blocks, 8,471 Gram Panchayats and 45,103 villages. A total of 9 urban agglomerations and
130 towns are in the state. The major part of the state falls in the fertile Indo-Gangetic region
and a large portion of the state experiences repeated floods.

Nearly 89.5 percent of Bihar population lives in rural areas. Rural poverty in Bihar has been
estimated as 55.7 percent in 2004-05, compared to an all-India average of 41.8 percent.
Pockets of high level of poverty also exist in urban slums andperi-urban colonies.

Literacy rate in Bihar has seen an upward trend with 63.82 percent of population being
literate in 2011 (up from 47.5% in 2001). However rural literacy in 2011 is still 43.9%. And
3
 in rural areas the male literacy is 57.1%and female literacy 29.6%, which requires
differential approaches to communication.

Table-Demographic Indicators of Bihar vis-à-vis India

Indicators Bihar India
1
Population Density 1102 382
1
Sex Ratio 916 940
1
Child Sex Ratio (0-6 years) 933 914
3
Scheduled Caste 15.7% 16.2%
3
Scheduled Tribe 0.9% 8.1%
1
Literacy - Male 73.39% 82.14%
1
Literacy - Female 53.33% 64.46%
2
Crude Birth Rate (CBR) 28.1 22.1
2
Crude Death Rate (CDR) 6.8 7.2
3
Life Expectancy— Male 61.4 Years 65.6 Years
3
Life Expectancy— Female 59.5 Years 66.4 Years

Though the latest estimates from AHS (2012-13), 13.8% of girls in the State are reported to
get married before they attain 18 years of age, high inter district variation exists and in many
districts more than 50% girls are married before they are 18 years old. Early marriages often
end up with early age at first pregnancy, as per NFHS 3, in 2005-06, 57.8% of girls had
begun child bearing by the time they were 19 years old. Thiscontributes to poor maternal
and neonatal health outcomes.

Health and Nutrition Status of Women and Children in Bihar and priority
interventions in ICDS

Over the last decade, Bihar has experienced one of the fastest economic growths and several
social development indicators are showing considerable improvement. There have been
significant improvements in some of the health indicators between NFHS-2 (1997-98) and
NFHS-3 (2005-6) and also in the subsequent period as shown by more recent rounds of
Sample Registration Survey (SRS) and Annual Health Survey (AHS).

While maternal mortality and infant mortality are showing a steady decline, child mortality
and malnutrition (including childhood and maternal anaemia) are not showing similar
decline rates. Following points capture some of these critical outcomes and possible causes
as well as implementation priorities of state ICDS in the FY 2015-16.

Infant Mortality - Bihar has registered the sharpest fall in Infant Mortality Rate (IMR) over
the last decade. It stands at 42, as per latest round of Sample Registration Surveys (SRS

1
Source: *Census of India, 2011;
2Source: ** SRS 2011;
3Source: Census of India 2001

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2012), as against 52 (SRS 2009). While most of the reduction in infant deaths is contributed
by reduction in post-neonatal rate, neonatal deaths are being focused primarily. With rapidly
increasing institutional deliveries, there is increased scope for addressing the immediate
causes of neonatal deaths, especially birth asphyxia, which is mainly role of nursing staff at
clinics. However the community level work of ICDS and healthis recognized as significant
to prevent deaths due to other major causes, namely sepsis and prematurity. Essential home
based new born care for all births during the first week, (which includes early and exclusive
breast feeding; keeping the baby warm; and clean handling of the newborn) are being
ensured. At the community level in order to prevent deaths among pre-matures, all the low-
birth weight, weak and sick newborn babies are prioritized by AWWs and ASHAs to
provide extra warmth, extra care in clean-handling and additional focus to early and
exclusive breast feeding (expressed breast feeds if suckling is very weak). With such
focused interventions the state ICDS attempts to further reduce neonatal mortality.

Maternal Mortality - The Maternal Mortality Ratio has declined (312 in 2004-06 to 208 in
2011-13) in the state but it stillremains much higher than the national average of167. While
the recent increases in institutional deliveries have enhanced scope for timely intervention in
maternal emergencies, poor availability of Basic and Comprehensive Emergency Obstetric
Care (BEmOC and CEmOC) at public and private hospitals in the state continues to be a
barrier to further reduce mortality. State ICDS realizes that most of the community level
interventions during pregnancy contribute to better maternal health but do not contribute to
prevent maternal deaths, which is mostly the domain of complication management at health
facilities. However through the community level outreach services, attempt is being made to
increase ante natal care, reduce anaemia, birth preparedness and promote institutional
deliveries. State ICDS has prioritized frequent measurement of blood pressure during the
last trimester of pregnancy as a key intervention that could contribute to early detection of
cases of toxaemia of pregnancy, so that prevention of mortality due to this cause can be
further reduced. Focused work with health staff will be initiated in the FY 2015-16.

Fertility rate – As mentioned earlier, Bihar has been experiencing a very high total fertility
rate (TFR – 3.4 in 2013) compared to all other states of the country (All India 2.3). The rate
of decline is considerably lower than all other states. There are some pockets with much
higher fertility than the state average. While the state health programs are highly focused on
fertility reduction, most of the efforts are leading to adoption of limiting methods (female
sterilization, often after a high parity of 3 or more children). There is very little focus and
progress on spacing of pregnancies. State ICDS recognizes the valuable contribution it can
make to reduce fertility through the AWWs, complementing the efforts of ASHA and
ANMs. AWWs are being oriented and helped to integrate communication about timing and
spacing of pregnancies during their contacts with mothers during post-natal visits,
Immunization contacts and subsequent home visits. As discussed in subsequent sections,
ICDS program will further strengthen its focus on fertility reduction in collaboration with
health program.

Child mortality - In terms of under-5 Mortality Rate (U5MR) the rate of decline is slow (75
in 2008 to 59 in 2011) compared to IMR and Neonatal mortality in the state. Over the last
decade, in the state, immunization rates have consistently increased (recent data from AHS,

5
2012-13 stands at 69.9% for complete immunization) and availability of options to reduce
mortality due to childhood infections (especially in the informal non-qualified private
sector). Persistently high level of childhood malnutrition enhances incidence of mortality in
childhood illnesses and hence analyzing and addressing childhood malnutrition, both acute
and chronic forms, is very important priority of state ICDS.

Child Malnutrition – As in most other states of the country, the last available reliable data
on incidence of malnutrition is from NFHS 3 (2005-06), according to which almost half the
children under-5 are
malnourished and about 24%
Proportion of malnourished children with age are severely underweight for
until a peak at two years? their age. Similarly poor is the
status of stunting and wasting
in the state. Though the yet-
to-be published results from a
national surveyconducted in
2013-14 indicate significant
reduction in underweight and
slight reduction in stunting,
wasting (weight for height) is
still high and calls for
sustained effort to enhance
feeding practices and timely
management of childhood
illnesses.

As is the case in most other similar contexts, most of the malnourishment occurs in the state,
by the time children reach about 2 years age and it often starts to peak from 6 months age.
Nearly all children experience a considerable extent of growth faltering after 6 months age,
primarily due to inadequate quantities and quality of complementary feeding and frequent
illnesses.

Experience in use of growth charts adopting WHO standards indicates that weight for age of
all most all the children above 6 months age, in any AWC fall either in green, yellow or
orange areas and rarely any child falls above green area. This indicates that all most all
children are below minus 1-standard deviation (-1sd) from the mean weight, which is the
normal for that age. Between 6 and 12 months of age, though many of the children continue
to stay above the moderately malnourished status, their rate of weight gain is much slower
than expected and even a minor illness among such children deteriorates the nutrition status
and often brings them into the yellow and orange areas of the chart (-2sd and -3sd).
Subsequent failure to feed correctly contributes to stunting of the child and increases rate of
infection, often ending up as severe acute malnutrition (SAM). The state prioritizes to
collaborate with health department and enhance options for managing SAM either at clinics
or at community settings.

6
Data from several surveys indicates that most of the children are malnourished primarily
due to following causes:

- Poor rates of age appropriate complementary feeding

- Giving animal milk, water and other foods/ drinks before 6 months of age leading to
frequent illnesses in this age group
- High rates of childhood minor illnesses, with poor levels of timely attention and no
focus on feeding during and after illness
- Minimal hand washing and very low levels of sanitation practices

Analysis of NFHS data indicates that there has not been much improvement in the
nutritional status of children under three years of age till 2005-06 (last available data). The
percentage of children who are too short for their age (stunted) decreased from 54.9 percent
in NFHS-2 (1998-99) to 42 .3 percent in NFHS-3 (2005-06). In Bihar, the increase of 4.1
percentage points has been seen in underweight, from 54.3 to 58.4. Wasting (low weight-
for-height) among young children has actually become somewhat worse over time. It has
increased from 19.9 to 27.7 between the two surveys. The increase in wasting is a
consequence of the fact that there was a somewhat greater improvement in stunting than in
underweight during this period.

Though there is significant improvement in some of the infant feeding practices current
levels are grossly inadequate to impact on malnutrition status (especially the complementary
feeding quantities). For instance, early initiation of breastfeeding was 4% in NFHS3 2005-
06 and 37% in AHS 2012-13 and exclusive breastfeeding was 27.9 in NFHS 3- 2005-2006
was 31% AHS 2012-13.

Similarly, frequent childhood illnesses (mainly diarrhea and respiratory infections) are a
significant contributors to the burden of malnourishment. Timely treatment and feeding
during and after such illnesses are being prioritized by state ICDS. Water and sanitation
interventions being implemented through PHED will be leveraged keeping in view impact
of these interventions in reducing disease burden. Ensuring greater role of community
groups and PRIs for ensuring adoption of water and sanitation interventions at community
and household levels is being focused.

Maternal and Childhood Anemia: NFHS 3 (2005-06) the last available reliable estimate of
prevalence of anemia in the state indicates that two-thirds (67%) of women in the state are
anemic. About 17% of women are moderately or severely anemic. Among children of 6-36
months age, nearly 87% were anemic as per NFHS 3 findings. With poor intake of Iron in
the diets and high parasitic infestation rates the state ICDS prioritizes to focus on tackling
the problem of anemia in collaboration with health program. Streamlining supplies of Iron
folate supplements and promoting their consumption are important priorities for ICDS on
ground for 2015-16.

History of ICDS in Bihar

7
In Bihar, the ICDS program was launched in the year 1975 in 2 blocks, covering 277
Anganwadi Centres (AWCs) with assistance of Government of India.

 In September 1993, the ICDS program, in the undivided State of Bihar, received
support under the World Bank assisted ICDS-II Project. During this time a total of
355 projects were operational across 589 blocks in 56 districts.

 After the bifurcation of Jharkhand, the State of Bihar was left with 38 districts with
533 blocks and had 171 Projects with 34,925 Anganwadi Centres. Out of these 171
projects, a total of 84 projects were under the World Bank support. Thus, with a
population of around 83 million in the State, ICDS reached out to only around 35
million populations, that is, around 42%.

 In the year 2000-01, the State of Bihar received a sanction for 32 projects. This was
followed by a further sanction of 30 Projects in the year 2001-02. Thus, by the end
of year 2002, the State had a total of 233 projects with 34,925 Anganwadi Centres.

 The World Bank assisted ICDS-III Project was launched in October 2002. A total of
146 projects having 22,712 AWCs were covered under it. As training played a
pivotal role in effective delivery and in improving the quality of services to the
beneficiaries, the World Bank ICDS Project funds were utilized in improving the
infrastructure of the training centres, capacity building of trainers and in improving
the quality of training.

After 38 years of operation, ICDS today has 544 projects comprising of 91,677 sanctioned
AWCs providing nutrition and health services to 45 lakh children under six years, 9.5 lakh
women and 7.5 lakh adolescent girls in 38 districts across the state, as ICDS MPR of
November, 2014 reveals. The number of AWCs has increased more than two fold from the
year 2004-05 (34,925 AWCs) to 2014-15 (91,677 AWCs). During 2014-15, GoI has
sanctioned an additional 23,041AWCs and the
state ICDS is currently operationalizing all the 100000 AWCs in Bihar 91677
sanctioned AWCs. State ICDS has prioritised 79669 80797
setting up of AWCs in all the rural areas and 80000
allocation of AWCs based on electoral-wards 60153
60000
is being followed in rural areas. With the
available sanctioned AWCs the state ICDS 40000 34925
will be able to cover 1,12,272 wards out of the
20000
total 1,15,876 in the rural areas. In order to
saturate the rural population the state ICDS 0
will require 3,604 more AWCs. Coverage of 2004-05 2005-06 2006-07 2007-08 2009-10
urban population is planned after saturating
the rural population.

Department of Social Welfare is the Nodal Department for implementation of the Integrated
Child Development Services (ICDS) scheme in Bihar. ICDS Directorate under Social
Welfare Department (SWD) is mandated to run ICDS in the state targeted at children up to

8
the age of 6 years, adolescent girls, pregnant women, lactating mothers, providing essential
nutrition, health and other related services to the target population

Status of Operationalization
Operations Sanctioned Operational New AWCs planned
in 2015-16
Projects 544 544
Anganwadi Centres 86,237 86,237 21366
(AWCs)
Mini AWCs 5440 5440 1675
Total AWCs in FY 86,237+5440+21,366+1675= 114,718
2015-16

Status of Infrastructure and Facilities

ICDS Offices and Anganwadi Centres: In the districts, District Programme Officers
(DPO) operate from shared premises with other government departments. Most of the
CDPO offices are operating both in shared premises of government and rented buildings.

The Status at AWCs is as Follows (source: ICDS Data Centre)

Description No.
Operating in Government Buildings 32,018
Operating in Rented and Other 59,659
Buildings
AWCs have Drinking Water Facility 35,467
AWC have Functional Toilets 8,729

It may be noted that during the last financial year process of construction of 5126 AWCs has
been initiated under financial assistance of RIDF, MSDP, IAP, RSVY, BRGF, SSA,
Mukhymantri Vikash Yojana, Jila Parisad etc. The Panachayati Raj Department is
constructing 8884 AWC under the 13th Commission over the period of 2014-15.

9
Section 2: Vision, objectives and results expected

Bihar Integrated Child Development Services Society

Under ICDS Mission, it is proposed for a dedicated institutional mechanism to carry out the
functions of State ICDS. Bihar Integrated Child Development Society has been constituted
at the State level. The role of the Society is not only to strengthen administration and
systemic procedures of ICDS but also ensuring effective implementation of services under
ICDS. The Society has received approval of the State Cabinet and its registration process is
underway.

In the current scenario, all financial transactions are done through delegating the financial
responsibilities (drawing funds and disbursing funds) to CDPOs at the project level and all
allotments under ICDS scheme were drawn from the treasury by the CDPOs. It is envisaged
that from this year onwards, the funds received by Government of India will be transferred
by the state government through the new Society to respective projects.

The Governing Body and Executive Committee of the Bihar Integrated Child Development
Services Societyare being constituted this year. As suggested under the ICDS Mission,
District and project level societies will also be constituted during 2015-16.

The overall objectives of the society are:

 To improve health and nutrition status of 0-6 years of children.

 Advocate for overall psychological, sociological, educational development of
children
 To reduce child mortality, deficiencies, malnutrition, school drop out among 0-6
years.
 To provide supplementary nutrition to pregnant and lactating women and 0-6 years
children.
 To improve capacities of mothers through imparting Nutrition and Health Education
so that they could take adequate care of their children
 Facilitate inter-sectoral convergence with other sectoral departments
 To improve health and nutrition status of adolescent girls (11-18 years)
 To strengthen training centres by establishing new state and district training centres
and improving trainings of the existing ones for ICDS functionaries
 Provide strategic role in developing long-term road map for implementation of ICDS
Mission activities
 To promote pre-school education among 3-6 years of children and reduce drop outs
 Review of implementation of Annual State Action plan for ICDS Mission and
tracking progress towards achievement of nutrition outcomes
 Suggest mid-course correction under State ICDS Mission framework
 Suggest and approve proposals to facilitate institutional reform

10
Specific Activities planned for the Society
 Make rules and by-laws for the conduction of the affairs of the Society and add,
amend, vary or rescind them from time to time
 Raise funds and accept donations grants of money, securities and property of any
kind and undertake and accept the management of any endowment trust, fund or
donation.
 Meet out the funds of the society all expenses, which the society may incur with
respect to formation, registration and operation of the society
 Acquire, maintain, and dispose moveable, immoveable property with approval of
government.
 To get loans through nationalized banks, financial institutions and disburse it in the
interest of society
 Open regional branches/monitoring units at field level as per the need

Governing Body
The proposed permanent members of the Governing Body are:

S.No. Member Designation

1. Development Commissioner, Govt. of Bihar President
2. Principal Secretary/Secretary Department of Social Member
Welfare, Govt. of Bihar
3. Principal Secretary/ Secretary Planning and Member
Development, Govt. of Bihar
4. Principal Secretary/ Secretary Finance Department, Member
Govt. of Bihar
5. Principal Secretary/ Secretary Health Department, Govt. Member
of Bihar
6. Principal Secretary/ Secretary Public Health Member
&Engineering Department, Govt. of Bihar
7. Director, ICDS, Govt. of Bihar Member Secretary

Executive Committee
The Executive Committee will carryout functions related to administrative, financial and
establishment.

Principal Secretary/ Secretary, Social Welfare, Government will be the Chairperson of the
Executive Committee. The following are the members of the Executive Committee: -

S.No. Member Designation

1. Principal Secretary/Secretary Department of Social Chairperson
Welfare, Govt. of Bihar
2. Representative of Principal Secretary/ Secretary Member
Planning and Development, Govt. of Bihar
3. Representative of Principal Secretary/ Secretary Finance Member
Department, Govt. of Bihar
4. Representative of Principal Secretary/ Secretary Health Member
Department, Govt. of Bihar
5. Representative of Principal Secretary/ Secretary Public Member

11
 Health &Engineering Department, Govt. of Bihar
6. Representative of Principal Secretary/ Secretary Member
Education Department, Govt. of Bihar
7. CEO, Jeevika Member
8. Co-opted Associate Member Member
9. Co-opted Associate Member Member
10. Director, ICDS, Govt. of Bihar Member Secretary

Bal KuposhanMukt Bihar

During the year 2013-14, the Government of Bihar has constituted Mission ManavVikas as
a Cabinet Sub-Committee under the chairmanship of the Chief minister and membership of
related ministers. This multi-sectoral body is mandated to ensure fast-tracking and
synergistic implementation of various programs to ensure timebound improvements in key
human development indicators.

On August 15, 2014, Department of Social Welfare, Government of Bihar announceda

systematic effort named ‘Baal KuposhanMukt Bihar’ (BKMB) campaign with an
objective to bring down childhood malnutrition to below 30% by 2018. This initiative was
formally launched on October 11, 2014 and since then theGoB has brought some systemic
and long-term changes in implementation of ICDS within the state,prioritizing evidence
based nutrition interventions.

Some of the activities undertaken in Prioritized Evidence based Interventions under

FY 2014-15 under BKMB are listed BKMB
below: 1.Focus on 6 months to 3 years children
2.Promotion of age appropriate complementary
- Reconstitution of feeding
AnganwadiVikasSamiti (AVS)
3.Introduction of Egg in SNP for children,
-AWC level community
including for 6 months to 3 years children
management body. Ensured
active representation of 4.Exclusive breast feeding (without even
beneficiaries; PRI members; giving water) till six months of age
teachers and ASHAs 5.Hand-washing with soap and improving
- Utilization of financial sanitation and general hygiene practices
resources for SNP with joint 6.Regularized monthly measurement of weight and
responsibility of AWW and a focus on stunting
govt. schoolteacher under the 7.Introduction of boiling and filtering of water
overall guidance of the AVS. 8. Timely treatment of childhood illnesses: feeding
- Introduction of Egg in the menu during and after illness
of SNP for all children
- Provided resources for purchase of new weighing scales for all AWCs (through the
DFID supported state program named SWASTH)
- Provided resources for boiling of water and water filters (including additional cost of
fuel as required) at the AWC

12
 - Established a system of hand washing with soap before food at AWCs by
provisioning required consumables and durablesfor this purpose to all AWCs
- Instituted a structured supervisory monitoring format and ensuring regular inspection
visits by all managerial staff
- Initiated a mechanism of 4th Saturday meeting at Panchayat level for review of all
health and nutrition programs.
- Facilitated Inter-sectoral coordination
- Organized 2 day training of all AWWs on childhood malnutrition and BKMB
activities
- Launched a multimedia communication and community leadership sensitization
campaign involving use of folk and modern media and creating platforms for
nutrition centred dialogue with community leaders and women groups in all villages.

In order to implement these different initiatives under the umbrella of BKMB, resources
available as part of restructured ICDS; SWASTH programme and annual plan of
ISSNIPwere pooled. Most of the activities initiated under BKMB are being implemented
and will be continued in FY 2015-16.

Implementation of SABLA, IGMSY and other Women Empowerment programs:

Leveraging the platform of ICDS the state will continue to implement other related
programs of the Ministry of Women and Child Development, GoI in the state. The state
government will support with adequate and qualified officers to undertake the portfolio of
efforts leveraging ICDS platform.

Finalization and Approval of Bihar Nutrition Policy

During FY 2014-15, the Government of Bihar under ManavVikas Mission, has decided to
formulate a State Nutrition Policy to reduce malnutrition by 20 percent by 2018. The
Department of Social Welfare along with its Development Partners (BMGF/CARE,
UNICEF and DFID/ BTAST) is working towards finalization of the Nutrition Policy draft.
In line with the national nutrition policy and nutrition plan of action, the state nutrition
policy has established long-term and near-term goals to address nutrition in a multi-sectoral
approach. During 2014-15, different departments of government of Bihar have been
requested to provide their inputs regarding their programs/ initiatives that contribute
achieving nutrition goals. The Bal KuposhanMukt Bihar (BKMB), a statewide initiative to
address child malnutrition was launched under the ManavVikas Mission, as an approach to
initiate operationalization of key direct nutrition interventions that are critical to achieve
medium-term objectives of the draft State Nutrition Policy.

In FY 2015-16, inputs from different departments will be incorporated and a final draft
policy will be submitted for consideration of different departments and for cabinet approval
before adoption by the state government.

13
Section 3: Annual Action Plan - Programme Components
Human resources
Current ICDS program (Regular positions)

The State is following the recruitment guidelines of Government of India but there are few
changes required. In some districts Deputy Collectors of Bihar Administrative Service have
been given charge of DPOs. Although there is a cadre of CDPOs recruited through the Bihar
Public Service Commission, their cadre rules have not been formulated and there are less
promotional avenues, which result in low levels of motivation. State ICDS is pursuing with
the state government to establish cadre-management rules in ICDS. The policy for
promotion of AWWs to Supervisors and from Supervisors to CDPOs exists in the
state.Some of the related highlights are as below.

 State Government has proposed to have a cadre system in ICDS to facilitate their
career progression from the level of Supervisors to the DPO by inter-linking their
recruitments/promotion/appointment. This opportunity will motivate the existing
officials to become more productive. Department will work towards establishing
such system with approval of GoB and initiate process of promotions
 State is making rigorous efforts to fill all the vacant AWW and AWH positions.
 Requests have been made to the state government to allot officers for filling
positions at state level.
 In line with the GoIs guidance under Life Insurance Corporation’s Social Security
Scheme, all AWWs and AWHs are insured.
 Currently the honorarium of AWW and AWH stands at Rs. 3000 and 1500
respectively, as provided for by the GoI.
 State ICDS also makes provision for providing uniform/ sarees and badges for
AWWs and the budget for the same is made in the APIP.

Additional HR under ICDS mission as part of Child Development Society

Child development society, as part of ICDS Missionhas been approved by the state Cabinet.
Under the society approach of implementation, all the contractual positions will be filled at
different levels.

As per the ICDS Mission guidelines, a large number of new staff needs to be recruited for
state, district, block and AWC levels. The state program recognizes the challenge to recruit
large number of personnel of suitable quality and will attempt to establish clear process
guidelines to help districts and projects in this regard. Experience of recruiting state and
district level consultants under the World Bank supported ISSNIP project, completed
recently, as well as experiences from other states will be used to set up the recruitment
process under the mission. The state program also recognizes the importance of having an
intensive induction, clear work definition and closely engaged proper supervision system for
all new staff to be brought on board. There are a number of lessons to be learnt about

14
recruitment, supervision and retention of contractual staff at district and block levels from
other programs like NRHM and the state government plans to draw from these experiences
as well.

Considering the time required for constitution of the child development society, and
subsequent time required for completing the recruitment process for all levels of contractual
positions, the state ICDS anticipates that new staff can be on board for about 6months
during FY 2015-16.Hence salaries for different contractual positions are budgeted only for 6
months period.

The new positions planned to be filled and related tasks to be undertaken in FY 2015-16 are
as below:

 Recruitment and induction of contractual staff at state, district and project levels
 Recruitment and training of 10,000 additional AWWs in the 19 HBDs
 Identification, orientation and on boarding of 4,000 Link Workers in remaining 19
districts
 Recruitment and orientation of additional worker for crèches: A total of
4,500creches(5% of AWCs) will be established in the state.For FY15-16, the state
ICDS proposes to initiate 1,375 crèches. Though the state proposed to establish same
number of creches in 2014-15 APIP, due to delays in approval as well as limited
fund availability for this activity it is being proposed again for 2015-16. Crèche
Worker who will primarily be responsible for providing care and attention to
children under 3 at the center and for providing complementary feeding. The
honorarium of Crèche Worker is kept at par with AWW at the rate of Rs. 3,000/- per
month. Capacity building of the AWW and the additional staff would also be carried
out during the preparatory phase. Based on the outcome of the activity, decision to
scale up the same would be taken in subsequent years. Considering the need for
focusing on complementary feeding of 6 months to 3 years old children, even in
rural areas, and learning from experiences ofPhulwari inBilaspur(CG), a significant
proportion of 1,375 crèches will also be established in rural areas. The state ICDS
proposes to pilot test some models for operational feasibility in both rural and urban
areas and then scale up in next FY. Hence current year APIP proposes only for 1,375
Creches.

Nodal AWCs/ Uddipika model: Under the project SWASTH supported by DFID, nodal
AWCs (one per Gram Panchayat) have been selected in nine districts. Nodal AWWs named
Uddipika are being recruited and trained to support other 8-10 AWWs in their Panchayat.
Till date 1,025 workers have been recruited as Uddipikas and a total of 1,731
Uddipankendras will be established.
In light of the ground requirements to focus more on under 3s and enhanced emphasis on
interpersonal interactions for behaviour change with mothers and families, the state ICDS
plans to refine the Uddipika approach to engage the additional workers less for supervision
purposes but more for hand-on counselling, home visits and other BCC efforts. Based on an
assessment of effectiveness and lessons from the Uddipikapilot areas, the state ICDS intends
to come up with a model that rationalizes responsibilities of all additional HR under ICDS
15
mission (link workers, additional AWWs and Creche workers as well as the additional staff
at project level). Through such rationalization of responsibilities, effective components of
Uddipika’s work will be built into job-description of relevant new positions being created
under ICDS mission.

Recruitment for ICDS Mission at state, district and project

As indicated in the following table a large number of professional staff needs to be recruited
on contractual basis for management and technical positions at different levels. The state
ICDS considers that these are very important positions and the selection and recruitment
needs to be done cautiously, following due procedure.

The state ICDS will put in place a robust recruitment, induction and on-going supervision
system for all these additional contractual staff. As mentioned earlier in this section
innovative contracting and HR management modalities will be tried out to minimize threats
and to enhance quality of contribution of such technical staff at all levels. Support of
different development partners will be sought to design and test innovative modalities, as
required.
As this is the 4th year of restructured ICDS, the state proposes to have additional contractual
staff in all 38 districts, as per the guidance provided in framework for implementation.
Accordingly following are the positions proposed to be filled under ICDS mission-Child
development society.
Contractual positions to be filled under Child development Society

Positions No. of Posts

State level
Programme Manager 4
Sr. Consultant 10
Data Entry Operator 2
Total 16
District Level
District Coordinator(5) 190
Data Entry Operator 38
Total 228
Project Level
M& E and Nutritional Surveillance Coordinator 544
Nutrition Health Mobilizer 544
ECCE Coordinator 544
Total 1632
Block ICDS Resource Centre
Counsellor 55
Para-counsellor 55
Outreach worker cum Helpline Operator 55
Total 165

16
Block ICDS Resource Centres (BIRCs)
 Setting up, staffing and operating the Block ICDS Resource Centres (BIRCs)
in 10% of projects: In line with the guidelines the state proposes to set up BIRCs
in about 55 identified projects during 2015-16. Considering the intensity of
efforts required in the initial period, the state proposes to establish all these
BIRCs in partnership with NGOs or other appropriate institutions. However, the
project officials of concerned block will be closely engaged in the management
aspects. As per current plan the following level of staffing and salaries are
planned for BIRCs.
BIRC at Block level
Positions No. of Post
Counsellor 54
Para Counsellor cum
Helpline operator 54
Outreach Worker 54
Total 162

Administrative expenses, mobility costs for all levels and flexi funds for
AWCs
As part of ICDS Mission, estimates for administrative expenses and mobility costs for state,
district, project and AWC level are being proposed. Budget estimates for Flexi funds for
AWC and Mini-AWCs are also included in the current APIP budget. Travel Allowances for
AWWs, Mini-AWWs and additional AWWs to attend monthly review meetings at sector/
block level are also being proposed as part of the budget estimates.

Last year, State ICDS has utilized part of the Flexi-funds of FY 14-15 to enhance hand-
washing and hygiene practices among children. Being an important component of the Bal
KuposhanMukt Bihar Initiative of the government of Bihar, AWWs were provided with
material and equipment required at AWC for hand washing and personal hygiene among
children. AWW purchased bucket, mug, soaps and towels to promote hand washing and
nail-clipper; combs, mirror etc for ensuring general hygiene. State transferred funds to the
accounts of AnganwadiVikasSamitis (described in later sections). A similar approach to
utilize flexi-funds is proposed for 2015-16.

As part of the Swachhata-Abhiyaan, all AWWs and project offices undertook awareness
generation and cleaning of surroundings in a campaign approach and this was named as
Baal-SwachhataAbhiyan between 14 to19 November, 2014. In each village, especially
closer to the AWCs, areas around tube-wells were cleaned up and panchayats were
facilitated to construct platforms to ensure cleanliness around tube-wells. However all these
initiatives were limited to the week-long campaign period.

17
In order to sustain such cleanliness efforts at AWCs and in the villages as well as to
continue the hand-washing and general-personal hygiene practices, a higher level of
resources will be required. State requests MWCD to allocate additional resources for each
AWC as a fund for ensuring cleanliness and personal hygiene and to achieve objectives of
SwachhataAbhiyaan.

Procurement of Materials and Equipment

As part of BKMB campaign last year, much needed materials and equipment were procured
for use at AWC level. Resources from ICDS APIP and DFID’s Financial Assistance to
GoBwere pooled for these procurements.

Department will ensure availability of weighing scales especially for all the new AWCs that
will be made functional 2015-16. Funds for procurement of medicine kit will be transferred
to all AWCs with clear guidance and specifications. Procurement of PSE kits as per the
guidelines of MWCD, GoI is detailed in the subsequent sections. Funds for procuring Non-
recurring items such as furniture and fixtures and computers are being proposed in APIP for
2015-16.

Infrastructure: Creation and Up-grading

Based on the ICDS mission guidelines, the state ICDS proposes the following components
for infrastructure creation and up grading of existing infrastructure.

Construction of new AWC

Considering the budget guidelines and suggestions for convergence with other programs for
building new AWCs provided by GoI, the state ICDS proposes to build about 2,915 new
AWCs in FY 15-16, which is already approved in FY14-15 budget and funds are awaited
from the Centre.

While the prevailing unit cost of construction of AWC in the state is much higher than the
norm indicated in the restructuring guidelines, the state government is planning to mobilize
additional resources from other programs/ schemes like MNREGA, BRGF, Finance
Commission and other state resources.

One of the districts, Purnia, has come up with a model of AWC building which is built using
low cost material and technology and approximate cost estimate is about Rs. 8.5 lakhs. State
ICDS will adopt such a model and the additional resources required to bridge the gap will be
mobilized from other programs/ schemes.

18
Up gradation of AWCs and mini-AWC building including additional room for AWC
cum crèche

It is proposed to carry out an exercise of up-gradation of AWCs to AWCs cum crèche in

selected areas. These crèches, as part of the AWC would provide safety care and address the
learning needs of children between 6 months - 3 years of age. They would support in
complementary feeding and childhood stimulation.

During the FY 15-16 the state continues to upgrade the earlier approved 4,405 AWCs
located in own buildings to make them suitable to accommodate crèche (in 1375 AWCs)
and the rest to become child friendly.During the initial months, a systematic assessment of
existing AWCs across the state will be undertaken based on standards required to establish
crèche. Subsequently districts/ projects will undertake the up gradation activity in a timely
manner.

Maintenance costs for government owned AWC buildings

In order to make the AWCs child friendly and to increase their functional status, a
maintenance cost of Rs. 2,000 will be provided to about 25,000 AWCs that are currently
functioning in government buildings. Maintenance Costs are meant for those AWCs that are
run neither in government buildings or rented ones. Such AWCs are running in community
centre, home, schools, etc. To maintain such AWCs, Rs 2,000/ per year/ AWC has been
budgeted.

Delivery of Services at AWCs

Supplementary Nutrition

ICDS in the state provides Hot Cooked Meal and Take-Home Rations (THR) as part of the
supplementary feeding for pregnant women, lactating mothers and children aged 6 months
to 6 years.
While state implemented SNP for a fixed number of beneficiaries earlier, during the 2014-
15, under the Right to Food Act ICDS hasuniversalized the SNP component of ICDS.
Population based estimates of eligible beneficiaries is derived and is used for budgeting
purposes in this APIP, however allocations to district, projects and AWCs will be made on
actual number of beneficiaries surveyed.As mentioned in earlier sections the state ICDS will
make all the 1,14,718 sanctioned AWCs functional by April 2015 and will ensure universal
coverage with quality.

Proposed number of beneficiaries to be covered in SNP under universalized ICDS

While the ICDS program in the state was delivering supplementary nutrition component
only to limited number of beneficiaries per AWC in the past, in 2014-15 it has initiated

19
universal delivery to all eligible beneficiaries who want to access the service from the
existing AWCs. As the newly sanctioned AWCs become functional, the ability of state
program to reach to all beneficiaries will increase during 2015-16. In light of the
universalization of SNP, the state ICDS proposes to cover the following number of
beneficiaries in 2015-16.Wheat Based Nutrition Program (WBNP) is operational in 197
projects in the state.

Beneficiaries No of Estimated Unit Cost Budget

Eligible beneficiaries Requirement
Beneficiaries to be for Current
covered in FY (Lakh)
2015-16
Children 6 11116050 11116050 - Rs. 6 for Pre-School 2,94,797.65
Months - 6 Years Children & 6months to 3
years
Estimated SAM 1778568 1778568 - Rs. 7 for Pregnant and
Children (for lactating mothers
large rations) - Rs. 9 for Severely
Pregnant & 2223210 2223210 Malnourished
Lactating (in all 38 districts with 544
Mothers projects)
Adolescent Girls
Total 2,94,797.65

Growth monitoring and promotion - including Community based care and

Management of underweight children

Growth monitoring and promotion are important activities of ICDS. Children under three
are weighed once a month and children 3-6 years of age are weighed quarterly. As
mentioned earlier, the state ICDS has made provision to all AWCs to procure weighing
scales in 2014-15 and efforts were initiated to provide registers containing WHO growth
charts. However the growth registers are still to be distributed and the same is being
prioritized for 2015-16. WHO growth charts will be printed and distributed as part of ICDS
Mission, using theMnE funds allocated (about Rs. 500 per AWC).

Recognizing that the weighing efficiency in the state has been low and growth monitoring
and promotion skills of AWCs are very low, UNICEF has initiated an intensive
demonstration effort in select AWCs of Sherghati block of Gaya district to improve
weighing and counselling by AWWs.

Plans for FY 15-16

As part of the revised/ reformatted package of services of ICDS, state ICDS will adopt a
comprehensive approach to address severe and moderate forms of malnutrition, while
continuing to emphasize on prevention of malnutrition in the state. Some of the re-defined
and newly introduced components within the existing ICDS service package will be roled
out in a systematic manner across the state.

20
Community based care and Management of underweight children will be one of the
important areas of focus and will involve the following components:

1. 100% weighing of all eligible children and Identification of underweight

children
2. Referral to NRCs for children requiring medical attention
3. 12 day Nutritional counselling and care sessions for moderately and severely
underweight children (SNEHA SHIVIRs)
4. 18 day home care and follow up during home visit
5. Monitoring of weight gain after 12 days and 18 days

Along with the weighing of children, as part of BKMB trainings and guidelines, the state
ICDS oriented all functionaries on importance of tracking height for age as key measure of
malnutrition and has prepared ground for initiating tracking height for age for all children in
coming year/s. Simple measures for tracking height for age (stunting) and weight for height
(wasting) will be developed and tested during 2015-16 and scaled up across the state.

SnehaShivirs
Based on ICDS Mission guidelines, the state ICDS will initiate implementation of
SnehaShivirs during the FY 15-16. Adaptation of operational guidelines (received from
GoI) will be undertaken and communicated to all districts and projects. State proposes to
initiate the implementation of SnehaShivirs in select locations across the state and by end of
FY 15-16 this will be taken to scale across all HBDs as per GoI guidelines.
It is planned to organize Sneha Shiver in 49,251 AWCs of High Burden Districts. Each
camp will be planned over a cluster of 4 AWCs of HBDs and total 3 camps per year will be
organized in each cluster. Therefore, total 36,939 sneha shivers camps are planned for the
FY 2015-16 and each camp will cost Rs 5,950 for covering the cost of Nutrition, Medical
Facilities etc.
Following the model of SnehaShivir, the 12 day camp approach as well as 18 day home care
components will be implemented. And AWWs will be made responsible for regular contacts
during the home care period.
As part of the regular home visits the AWWs will be mandated to focus on monitoring
weight gain after the 12 days of SnehaShivir and the 18 day home care period.
Preferably the state proposes to initiate the implementation in districts that have Uddipikas
in place, so that additional support is available to learn and scale up. Based on the initial
testing of the concept of SnehaShivirs, detailed instructions for scale up as well as
appropriate recording and reporting systems will be established for adoption across state in a
standardized manner.

21
ECCE

Update of current program situation

In Bihar the Pre-school Education program in terms of content, curriculum and duration
follows MWCD, GOI guidelines. In the past, PSE program had not received adequate
attention under the ICDS program due to a number of reasons. The scenario is changing
considerably in recent years. There is now greater awareness among the community to
enroll children for pre-school education. The state has undertaken development of PSE kits
and curriculum in consultation with NIPPCD.

State ICDS through the state government resources provides uniform to all preschool
children on an annual basis (MukhyaMantriPoshakyojna). During 2014-15, cash (Rs. 250
per child) was given to parents of preschool children to purchase prescribed uniform. Same
approach will be followed in 2015-16 as well.

Plans for FY 15-16

In line with the revised package of ICDS services, the scope and approach of PSE in the
state will be refined over the coming 2-3 years period and it will be developed as an integral
part of the comprehensive Early Childhood Care Education & Development (ECCED)
intervention.

State ICDS plans to develop and adopt state ECCE policy in FY 2014-15 and a state ECCE
council will also be constituted.

ICDS in the state will modify the ongoing PSE component to make it a more holistic Early
Childhood Care and Education (ECCE) approach. These refinements will be initiated in FY
15-16 and will include improved services through AWC and beginning of interventions
beyond AWCs. Some of the components of ECCE especially the ones directed at children
under 3 years of age, will be primarily delivered as part of AWW’s home contacts through
the parents and care givers. AWC based activities will be age-specific activities using
improved PSE kits.

As per guidance of MWCD, GoI the state proposes to print and distribute the following for
each AWC in the state during 2015-16:
- Curriculum for PSE for different age groups
- Teaching learning material for each AWC
- Assessment card for each child
- Activity books for each child attending AWCs

PSE kits are being procured for all AWCs in the state in the current FY. As per the revised
norms, state ICDS will increase the cost per PSE kit from the current FY. Rs. 3,000 per kit
per AWC and Rs. 1,500 for each mini-AWC is planned for the current FY and the total
estimate is indicated in the budget.

22
Training of AWWs and LSs on ECCE will be undertaken in FY 2015-16 and the required
resources are proposed as part of Other-trainings in the training plan. State level master
trainers for this training has been completed in 2014-15.

Monthly ECCE Day

Organizing of monthly ECCE days will be initiated during the year across all districts and
based on early experiences the state ICDS will institutionalize ECCE days across all
AWWs. As per the indicated cost norms, Rs. 1,000 per AWC/ Mini-AWC will be
programmed during the FY for conduct of ECCE days. Guidelines for conduct of ECCE day
have been circulated to all AWWs.

As part of the routine work as well as through the monthly ECCE days, AWWs will
undertake monitoring and promotion of child growth and developmental milestones.

Nutrition and Health Education (NHE)

As discussed under the initiative of BKMB a number of new Nutrition and Health Education
(NHE) focused activities were undertaken in the state during 2014-15 and most of these are
being continued in 2015-16.

NHE will be delivered by AWWs at the AWCs through one to group activities and through
one-to one interpersonal interactions during home visits. Attempt is being made as part of
BKMB initiative to structure and sharpen focus of one to group and one to one interactions
specific to different age groups. Primary focus will be especially on complementary feeding,
hand washing, exclusive breast feeding and childhood illnesses.

Some of the NHE activities undertaken in 2014-15 and to be continued in 2015-16 are
discussed below:

- Feeding and recipe demonstration and spoon-bowl distribution for promoting

complementary feeding on a fixed day (19thof each month): Realizing the
importance of complementary feeding to reduce malnutrition, the state has
institutionalized system of feeding demonstration and recipe demonstration every
month at each AWC preferably 19th of each month. On the same day, all children
completing age of 6 months are being given a feeding bowl and spoon as a token of
initiation of complementary feeding to emphasize the requirement to feed from a
separate bowl. Over last 6-8 months AWWs were mandated to ensure regular focus
on age appropriate feeding quantities, responsive feeding techniques, seasonal and
culturally appropriate recipes for feeding children of different age and feeding
during and after illness during these monthly sessions. A resource allocation of
aboutRs. 100 per AWC per month has been made towards this activity out of the
IEC funds available for each AWC. Resources for organizing such community
events are being used from ISSNIP and the IEC resources under ICDS general

23
 budgets. However there is a need to streamline and support the organization of these
events as opportunities for one-to-group communication.
o During 2015-16, the state ICDS along with DPs plans to streamline these
community level events and develop communication materials for use during
such events. Stronger reporting and monitoring system will be established
and periodic change in focus of these events will also be built in. Along with
the current initiative on complementary feeding on 19th of every month for
more structured one-to-group communication activities.
- Mid-media events (NukkadNaatak and other events) were organized as part of
BKMB initiative on child malnutrition issues.
o Resources of ISSNIP and Nutrition Monitoring Unit (NMU under DFID
Financial Assistance) will be leveraged to organize such folk-media activities
on a need basis in select pockets of resistance and to create buzz around key
messages as and when required.
- Home visits to mothers and their familieswere undertaken by AWWs to counsel
during key life cycle periods. Such home visits proved to be the most critical
opportunities for IPC by AWWs. State ICDS has introduced home visit planner.
Through use of home visit planners AWWs identify priority households to be visited
and communicate information specific to the age group of the contact using the
ready-recknor provided in the planner. In selected districts, IEC material called
Mobile-Kunjiwas provided to AWWs by DPs (BMGF and DFID) for use during
home visits. The counselling cards coupled with pre-recorded voice messages (to be
heard using mobile phones) formed part of mobile kunji.
o In 2015-16, ICDS will further strengthen and make the home visits more
systematic and purposive to bring about behaviour change. Convergence
between ASHA and AWWs will be ensured so that mothers and families
across continuum of care will be covered.
- Through another pilot initiative of DFID’s SWASTH project (named Gram-Varta)
community level NHE sessions were systematically undertaken using community
groups mobilised as Self Help Groups (SHGs). Action learning cycles focused on
different health, nutrition and sanitation issues, adapted from the experiences of
Ekjut model, were used in the pilot areas over a period of 20 cycles. The project is
attempting to scale this initiative through other SHGs in selected districts and state
ICDS plans to understand the contribution of this approach to behaviour change in
the pilot areas.

Health services

As part of the revised ‘package of services’, Immunization, Health Check-ups and Referral
services are being consolidated as ‘health services’ and the state ICDS will ensure that all
three of these components are given due attention and adequate convergence with health at
all levels will be ensured to effectively deliver these 3 critical services to all beneficiaries in
the state.

24
Immunization

Immunisation for children and pregnant women is provided by the ANMs during the
immunisation sessions held at AWC and at sub-centres. The sessions are held on fixed days
of the month as per the micro-plan developed.

Plans for FY 15-16

As part of the ICDS Mission, the critical service of Immunization will be grouped as a
component under the ‘Health Services’ category and the scope will be explicitly enhanced
to include ‘Immunization and Micro nutrient Supplementation’.

Following components of ICDS program will be included as part of this section of the
package of services.
- Regular Fixed Monthly VHSNDs
- Primary Immunization and Boosters for pregnant women and children as per
GoI’s protocol for the state
- Vitamin A supplementation (9 months – 5 years)
- IFA supplementation (infants after 6 months of age and pregnant women)
- Deworming as per guidelines
- Counseling on all the above interventions

While sustaining the high immunization coverage rates in the state is an important joint
priority of health and ICDS, it is also critical to increase the full and timely immunization
rates to near universal levels. This requires a more robust tracking of individual mother and
child over the period starting at least from pregnancy till the first 2 years of life.
Coordinated functioning of ASHA and AWWs at the community level and use of tracking
tools like the home visit register and immunization registers by AWWs will enhance the
possibility of tracking and provision of timely immunization to all children.

Regular organization of VHSNDs and joint service delivery by health and ICDS will be a
priority for the state during the FY. While the overall improvements in immunization
coverage and regularity of service delivery through VHNDs are observed at state levels,
there continue to be geographical pockets and population groups that have low coverage
rates and challenges in regularity of service delivery. During FY 15-16ICDS along with
NRHM will develop tools and methods to undertake a disaggregated analysis and review of
immunization coverage and regularity of sessions up to sub-centre and AWC levels. With
support from relevant development partners, regular reach of immunization and other
critical child health services to all vulnerable pockets.

Continuing support to the current Vitamin A Supplementation (VAS) program, ICDS

functionaries will ensure that all children below 5 years will be given Vitamin A in a timely
manner. With the introduction of the new Vitamin A register as part of the revised ICDS
MIS, AWWs will be able to track and ensure complete coverage of VAS program in the
state.

25
While the guidelines for paediatric IFA supplementation are communicated to the
functionaries, the practice is not widely prevalent. Revised communications will be sent
jointly by state ICDS and NRHM providing more operational guidelines for administration
and collaboration with NRHM. District and project ICDS officers will be directed to focus
on the micronutrient and deworming components including adequacy and timeliness of
supplies on the ground. Convergence between ICDS and NRHM at the district and project
levels will be strengthened to identify and address supply problems in an on-going manner.

Health Check-ups

Over the years, ICDS has been delivering the service of health check ups for women and
children through AWCs. Primary focus of health check ups has been through ANC
examination during VHSNDs, PNC visits by AWWs that are targeted at post-partum
women and new born children, and facilitating health check ups of under nourished
children.

Substantial emphasis will be placed on timely treatment and referral for childhood illnesses.
State ICDS will ensure provision of medicine kits to all AWCs in a time bound manner so
that all childhood illnesses are managed in time. As per the norm, Rs, 1,000 per AWC is
budgeted in current APIP for supply of medicine kit.

ICDS functionaries will continue to collaborate with ANMs, ASHAs and other health
functionaries at PHCs to facilitate regular health check ups for women and children at the
community level.
Following areas are being prioritized for strengthening as part of the health check ups
component of ICDS during FY 15-16.
- Identification, timely management and referral if required for all childhood
illnesses.
- Identification of severely underweight children requiring medical attention
- Screening and identification of developmental delays and other abnormalities
in children for appropriate referral
- ANC period (including promotion of institutional deliveries and
communicating about JSY)
- PNC period – focused on identification of complications and danger signs in
the mother and newborn child to facilitate timely referrals and also for ensuring
appropriate feeding and newborn care practices

These services will be delivered through the regular ANC clinics at VHNSDs, screening in
ECCE days, home visits to postnatal mothers and sick children. AWWs will undertake
treatment of minor ailments using the medicine kit to be supplied.

26
Referral services

During the day to day course of work, through health check-ups and growth monitoring
sessions, sick and malnourished children as well as pregnant and lactating mothers in need
of prompt medical attention, are identified and referred to health facilities.
In the current FY, the state ICDS will prioritize following as critical sub-components of
referral-services and will develop effective approaches to achieve results on these areas in
close collaboration with health and other related departments.
 Referral of severely underweight to health facility/NRCs
 Referral for complications during pregnancy
 Referral of sick newborns
 Referral of sick children
While some AWWs are capacitated to undertake the identification and referral of the above
cases, most of them will require updating of information and skills for early recognition and
referral of newborn sicknesses and pregnancy danger signs. Easy to use and standard
protocols and approaches to recognize the cases in time for referral are required. AWWs
will also require guidance/ protocols on where to refer when and what to do before referring
in a particular situation. State ICDS in collaboration with health and other development
partners will identify already tested and established standard protocols and tools related to
the above four categories of cases and adapt them to the state context as appropriate. With
the involvement of the contractual technical staff to be recruited at district and project levels
skills and capacities of AWWs in identification and timely referral will be built.
Close convergence with health and other related sectors will be facilitated to develop and
implement a robust referral system that includes pre-referral care at community/ primary
facility level and effective referral transportation options.

Institutional arrangements

Setting up of institutional arrangements at state, district, project and village

levels
In line with the ICDS Mission guidelines the state proposes to set up suggested institutional
structures at state, district, project and village levels.
State level
As mentioned earlier, the state government has set up the Mission ManavVikas at the
highest level, headed by the Chief Minister, to ensure fast tracking of all human
development oriented programs and schemes and nutrition is one of the major points of its
agenda. This body is providingthe overall direction, policy guidance as well as
interdepartmental coordination for effective implementation of ICDS program in the state.
Mission ManavVikaswill form the governing body of the state ICDS mission and
functionsas the State Mission Steering Group– Chaired by the Chief Minister. In order to

27
carry out the functions of State ICDS Mission a state child development society is being
established.

District, block and village levels (yet to established)

- At district level a district ICDS mission and a district mission directorate will
be established
- At block level Block ICDS mission will be constituted
- At Village level VHSNC will be responsible for overall health and nutrition
efforts and in the state of Bihar the newly constituted AnganwadiVikasSamiti
will be responsible for all ICDS specific components.

The state government will ensure that all the relevant institutional structures are put in place
by appropriate authorities during FY 2015-16.

Community Mobilization &Communication

As part of the BKMB initiative, a series of community mobilization and communication

initiatives were initiated from October 11, 2014. As mentioned earlier under the section on
NHE, communication and community mobilization priorities of ISSNIP have been
integrated with similar efforts under restructured ICDS and by pooling of resources of all
three projects statewide saturation with community mobilization and communication efforts
will be achieved. Against the planned 1,140nukkadnaataks in 2014-15, state hassuccessfully
organized 1,140 nukkadnaataks reaching out to nearly 4320 villages.

Anganwadivikassamitis which have membership of PRI representatives as well as

community members will be strengthened during 2015-16. Greater role of PRIs in
supporting behaviour change and strengthening delivery of AWC services will be
facilitated. Social audit

Monitoring and Evaluation

In line with the restructured ICDS guidelines the state will adopt a three pronged MnE
approach which will have accountability as an essential component.
 Internal monitoring
 Concurrent external monitoring
 Community-based monitoring and accreditation

Internal monitoring mechanisms

Revised ICDS MIS

28
While the state’s printing of registers is stalled due to a judicial matter, the state has gone
ahead with creation of district level master facilitators and is planning to undertake LS
trainings (level 2). The state ICDS will complete all preparations for roll out of revised MIS
and the actual induction training of Level 1 will be undertaken as soon as printed registers
become available. Resources for roll out of revised MIS have been provided by GoI in
previous year and the same are being used for this purpose. ISSNIP’s annual action plan has
also proposed to provide resources for roll out trainings and the state ICDS would like to
utilise these funds for community mobilization and communication activities at state level.

Structured supervisory monitoring and review at all levels: A updated version of

supervision/ inspection tool is being developed by state ICDS which will enable every level
to access field situation related information in a realtime. AWC visits and monthly program
reviews by Supervisors, CDPOs and DPOs will be more structured and will involve use of
data from revised MIS.

Integrated Program Management System (IPMS): Incorporating the learnings on

technology based solutions for performance enhancement from the districts of Saharsa,
Jehanabad and Nalanda, state ICDS plans to design and roll out a mobile phone based
system to enhance performance. The main objectives are
a. To facilitate AWWs with an ICT tool to carry-out their day-to-day activities at
AWCs and during home visits of the beneficiaries;
b. Achieving internal efficiency & effectiveness of the ICDS functionaries in the state
by automating and optimizing the back office processes;
c. To provide online access to the current, complete and accurate information related to
the functions and services provided by AWCs to the beneficiaries;
d. Develop interface of the ICDS with other departments to facilitate seamless sharing
of information for better administration and governance.

To begin with it will be introduced in 4 districts and subsequently scaled to cover entire
state.
Five tier monitoring system: Following the GoI guidelines to establish 5 tier monitoring
and review system, the state has constituted committees at all levels, up to the AWC level.
During current FY, members of the review committees will be facilitated to undertake
monitoring activities as per guidance.

Grading and accreditation of AWCs: Using resources available for each district, an
exercise to grade AWCs based on their performance levels is underway and will be
completed in 2015-16. Performance in roll out of different initiatives under BKMB and
achieving of outputs in terms of increased contacts with mothers and families; effective
counselling for changing feeding behaviours and increasing sanitation practices will be
some of the measures used to grade AWCs. Instead of limiting to the building/
infrastructural aspects to assess and accredit AWCs, emphasis will be given to process of
delivery of key interventions even in the absence of AWC building etc.

29
External monitoring and evaluation

Concurrent monitoring and ongoing external evaluation of different kinds are being
undertaken in the state by development partners of ICDS. For example, SWASTH project’s
technical assistance involves a concurrent monitoring system. Similarly BMGF-CARE’s
technical support project has a component of concurrent monitoring, learning and evaluation
through which key health and nutrition information is collected from household and AWW
levels in an ongoing manner. Under ISSNIP, conducing of District level Rapid Assessments
and surveys using LQAS methodology (Lot Quality Assurance Sampling) are planned to be
implemented. A number of pilots/ innovations and operation’s research initiatives are
planned under ISSNIP and each of them will involve a baseline and end line surveys.

The state ICDS proposes to combine all these concurrent monitoring and evaluation
initiatives and to the extent possible, rationalize to ensure a uniform geographic spread and
coverage of all critical age groups and interventions. Attempt will be made to ensure
uniformity of definitions, investigation techniques and sampling methodologies across
different surveys/ assessments so that most of them are comparable with each other.

Community based monitoring efforts

Constitution of AngawadiVikasSamiti is a significant step in the direction of enhancing

community oversight on ICDS program implementation. This community group will
support in management of AWC performance and will also act as first level of community
monitoring.

The proposed 4th Saturday meeting at panchayat level will also play a significant role to
ensure community monitoring of key components of ICDS implementation at lowest level.

The state has initiated Social Audit at all AWCs twice a year on a fixed day across the state.
Last social audit was conducted on December 20, 2014 in all AWCs of the state. During this
round, PRI representatives were oriented on functioning of ICDS and their roles in social
audit functions. This has been found to be highly effective by the PRIs. State will continue
to conduct bi-annual Social Audits in this year.

Training and Capacity Building

Training and capacity building is a most critical element of ICDS which provides
opportunity to strengthen knowledge and skills at all levels for service providers to deliver
quality services in order to achieve predetermined objectives.
Since inception of the ICDS scheme, the Government of Bihar formulated a comprehensive
training operation plan for the ICDS functionaries with support of MWCD and GoI.
Training under ICDS scheme is a continuous programme and is being implemented in all
544 ICDS projects in Bihar.

Other than Regular Training programme, capacity building training on different issues
undertaken (2014-2015) through the Training division, ICDS as follows:

30
  The BKMB related training initiative for all level ICDS functionaries was being
coordinated with support of DFID –SWASTH programme
 The orientation on Social Audit process for all ICDS functionaries including Ward
members with support of DFID –SWASTH programme
 Training on MHM & Interpersonal skills in Communication to AWWs and AWTC
Instructors at total 10 pilot projects of Nalanda and Vaishali districts supported by
UNICEF.
 Training on SBCC-IPC to all AWTC Instructors supported by UNICEF.
 MDP (Management Development Programme) for all DPOs & CDPOs with support
of DFID –SWASTH programme
 15 days Special Job Training for Lady Supervisors with support of DFID –SWASTH
programme
 4 days Training on “Supportive Supervision and Communication” for state wide
Lady Supervisors with support of DFID –SWASTH programme
 State master trainers and district level master facilitators have been trained on
Revised MIS, coordinated by the training section.

Proposed Interventions for Trainings in 2015-16

Regular Training Program

The state facilitates and continues to plan and conduct regular training for the ICDS officials
and functionaries. Regular Job and Refresher training for AWWs, AWHs and Lady
Supervisors will be conducted through Anganwadi Training Centres (AWTCs) and
Middle Level Training Centres (MLTCs). Training Calendar will be prepared as per
training load and send to the Centres. Presently, total 64 AWTCs and 1MLTC are functional
in the state. The new cost norms for different levels of trainings and training institutions
suggested in the ICDS restructuring guidelines are being followed in estimation of the
required budget for these trainings in next FY. A separate State Training Action Plan
(STRAP) has been submitted and trainings are proceeding as per plan.

For the financial year 2015-16 Training Section of ICDS Directorate, Bihar proposed
training courses under Regular training Program with expected budget provision as follows:

 Aganwadi Workers:
The Job Course has been proposed for 28,000 AWWs for which Rs.1922 Lakhs is required.
Similarly Refresher Course has been proposed for planned 35,000 AWWs for which Rs. 595
Lakhs is required.
 Aganwadi Helpers:
The Orientation Course has been proposed for 26,000 AWHs for which Rs. 468 Lakhs is
required and Refresher Course has been proposed for planned 13,500 AWHs for which Rs.
179.5 Lakhs is required.
 Lady Supervisors:
31
The Job Course has been proposed for 500 Lady Supervisors for which Rs. 53.5 Lakhs is
required. Similarly Refresher Course has been proposed for 100 Lady Supervisors for which
Rs. 3.78 Lakhs is required.

So, Total Rs. 4502.3 Lakhs is required to execute Regular training for financial year 2015-
16.

Other Training Programs

 SWASTH Programme: Apart of regular training program need based training program
will be implemented under SWASTH (Sector wide Approach for Strengthening Health)
supported by DFID (BTAST) for capacity building of different level ICDS functionaries
on different relevant issues as follows-
1) Importance of First 1000 days of Life for addressing Malnutrition.
2) MDP (Management Development Programme) for all DPOs & CDPOs.
3) 15 days Special Job Training for Lady Supervisors.
4) Capacity Building Training of AWW on IPC (Interpersonal Communication) by using
Mobile Kunji.
 Training on ECCE: To develop the capacity of all workers, the training is proposed to
be conducted in a cascade model at three levels, first by the State Level Master Trainers
(SLMTs), Second by SLMT trained District Level Master Trainers (DLMTs) and at the
third level by the DLMTs to State-wide AWWs. The DLMTs will comprise of ICDS
functionaries namely DPOs, CDPOs and Lady Supervisors. A sum of Rs. 2132 Lakhs is
proposed for the capacity building activity in the APIP.
 Rolling out Revised MIS Training: Strengthening MIS is one of the key steps that the
Ministry has undertaken for the overall strengthening and restructuring of the ICDS
programme. Training for District level Master Facilitators, Lady Supervisors and AWWs
has been already planned and will be implemented by ISSNIP.
 Time to time other development partners of ICDS as UNICEF and CARE would support
in capacity building training programme for ICDS functionaries and AWTC instructors
on various issues.
 New work force (10000 additional AW counsellors, 4000 link workers over a cluster of 4
AWCs, 1375 Crèche workers, 282-nutrition counsellors/ ECCE coordinators/Helpline
operators) under state ICDS mission in 19/7 high burden districts will be trained.
 The SABLA and IGMSY training for all AWWs and AWHs have been planned.

Assessment/ Evaluation study of state wide Aganwadi Training Centre and Mid
level Training Centre

The detail study has been carried out with the support of BTAST (DFID). On the basis of
findings of submitted study report and random Monitoring visit to some centres, remedial
measures have been taken to strengthen institutions by the Training Section of ICDS as:

32
 1) Detail Action plan has been formulated with the support of BTAST (DFID) on
Human Resource, Infrastructure, Training Facilities and Training System &
Procedure.
2) Evaluation process is going on to implement of Training Management Information
System (TMIS) with the support of BTAST (DFID).
3) Initiative has been taken for with the support of BTAST (DFID).
 Training Equipment and Material support to all Institutions
 Formulation of Self-Performance Appraisal of Institutions
 Designing and preparation of Uniform Training Module.
 Preparation of State Training Policy (Zero Draft is Ready) and
 Establishment of State Training Cell at the Directorate
[Purpose- proper planning, implementation, monitoring and evaluation of
state wide training related activities by recruiting 4 personnel including State
Coordinator (Training), Programme Associate (Training), Programme
Assistant (Training) & Data Entry Operator (Training)]

Set up of NIPCCD Regional Training Centre

Allotment of land has been sanctioned by GoB for NIPCCD Regional Centre, at Bihata,
Patna. Meanwhile, efforts are being made to set up Regional NIPCCD Centre in a rented
building equipped with human resources and infrastructure. ICDS plans to operationalize
NIPPCD training centre as soon as possible.

Financial Management and Funds Flow Mechanism

From the current year, the state plans to follow fund transfer through newly constituted
Bihar Integrated Child Development Society. Till date, the state continues to follow existing
system of fund transfer from state to districts and below through the treasure route. As the
society has been constituted and once the process of registration is complete, the fund flow
will be initiated though the society as suggested in the ICDS Mission framework for
implementation.

In the last few years, state ICDS has been grappling with fund issues. The table below
reflects the status of approved funds by GoI vis-à-vis actual funds received by GoIto state in
respective FY. There has been reduction in the actual funds received from the Central
Government against the proposed state budget funds. Also, significant delays have been
experienced in transfer of funds from GoI to State. All these factors have impacted the
programme in terms of coverage and effective implementation of planned activities. Hence,
it is requested for timely approval of PIP budget and fund transfer so as to accomplish the
envisaged goals for FY 2015-16.

33
Status of Funds Over the Last 5 Years
Rs. In lakhs
Year APIP Budget GoI Actual funds Date of Date of Funds
requested to Approved transferred Submission of received from
GoI Budget by GoI to APIP budget GoI
state request

2011-12 APIP was not no submitted

2012-13 186041.39 165269.42 107957.00 September 2012 Up to 31st Mar 2013

2013-14 178321.27 165269.42 107074.86 June 2013 Up to 31st Mar

2014

2014-15 317735.37 161324.93 86436.11 May 2014 Up to Dec 2014

2015-16 262262.05 APIP is under consideration

Summary budget

Summary budget is provided in Annexure 1.

34
 SALIENT FEATURES OF STATE APIP FOR FY 2015-16
Sl. Basic Information
1 Name of the State BIHAR

2 Number of Districts 38

3 Number of High Burden Districts 19

4 Projects
No of Operationalised Projects AWCs Mini AWCs
In Operation In Operation
Sanctioned In Operation Sanctioned Sanctioned
with tagging with tagging

544 544 86237 86237 5440 5440

5 Number of Sectors/Projects
Rulral Urban Tribal High Burden
519 25 0 281
6 Human Resource
Designation Sanctioned Filled Vacant
CDPO 544 484 60

Supervisor 3278 2882 396

AWW 86237 81251 4986

AWH 86237 78369 7868

AWW Mini 5440 1951 3489

Addl. AWW in HBD- 10,000 0 10,000

Link Worker in Non 4,000 0 4,000

HBD-

Creche Worker In AWC 1,375 0 1,375

-cum-Creche
7 Nutrition & Health Status of Women & Children of the State

SRS SRS India Status

Indicators % Change (-)/+
2010-12 2011-13 SRS 2011-13
MMR 219 208 167

IMR 43 42 42

NNMR 28 28 28

NFHS 2 NFHS 3 NFHS 3

1998-99 2005-06 2005-06
Under Weight Children 54 58 40.4

Severly Malnourished 20 28 22.9

Children

Anemia Children 7-36 81.1 87.6 78.9

Months

8 SNP
format ICDS APIP- Summary 0f Demand for the Year.xlsx
 8
No of Beneficiaries FY 2014-15 FY 2015-16
Children 0-36 MOnths 2490796 6669630
Children 37-72 MOnths 3558280 4446420
Malnourished Children 1067484 1778568
P & L Monthers 1423312 2223210
9 Equipment Status
Description Approved In Operation Required
Weighing Scale Children 91677 72000 23041
Weighing Scale Adult 91677 72000 23041
PSE Kits 91677 - 114718
Medicine Kits 91677 - 114718
Unform & Badges 91677/86237 83202/78369 114718/107603
10 Status of construction of New AWCs and Upgradation of AWCs and AWC-cum-Creche
Description Approved Status Requred in 2015-
16
Construction of New AWC 2915 0 2915

Upgradation of AWC 4405 0 4405

AWC-cum-Creche 1375 0 1375
11 Financial Reporting Status
SOE Submitted up to 3 rd Quarter
Expenditure Reported and Demand for
Funds Rs. In Lakhs
Mojor Budget Heads Release by Expenditure Budget for 2015- Remarks
GOI for 2014- Reported for 16
15 2014-15 [GOI SHARE]
General with PSE Kit 38892.66 29503.34 99720.76 Released up to quarter III
Rs.39564.05 lac- excess
expenditure during FY 2013-
14 Rs. 671.39 lac
SNP 34093.67 39492.45 147398.82 Released up to quarter III
Rs.45895.89 lac- excess
expenditure during FY 2013-
14 Rs. 11802.22 lac

Training 654.37 146.73 5970.95 Released up to quarter III Rs.

976.17 lac- excess expenditure
during FY 2013-14 Rs. 321.80
lac
Capital Assets Nil Nil 2008.23 Rs. 6383.44 lac has been
released by GOI in FY 2013-14.

State Specific Programmes

(i) MIS 0 291.72 700.00

(ii) Uniform for AWC 0 8134.10 8895.70

Children

format ICDS APIP- Summary 0f Demand for the Year.xlsx

 ICDS APIP- Summary of Demand for the Year 2015-16
(Annual State Financial Requirment Plan)
Sl. Programme Components Type of Expense Unit/Month/Annu Cost Norm Centre:State Physical target Total fund GOI Share State Share (Rs. In
No m Sharing ratio (Rs in Lakh) (Rs In Lakh) Lakh)
1 2 3 4 5 6 7 8 9 10
Major Head- I: ICDS (G)
I.SALARY
I.I State Level
I.I.I Regular staff at State Level Recurring 12 Month Actual 90% : 10% 50 303.10 272.79 30.31
I.I.2. State level- Contractual Post under Recurring 12 Month Actual 75% : 25% 16 63.00 47.25 15.75
Restructuring of ICDS
I.2. District level
I.2.I.Regular staff at District Level Recurring 12 Month Actual 90% : 10% 255 808.40 727.56 80.84
1 I.2.2. Contractual Post under Retructuring of Recurring 12 Month Actual 75% : 25% 228 433.20 324.90 108.30
ICDS at District Level
I.3. Block/Sector level
I.3.I. Regular staff at Block Level Recurring 12 Month Actual 90% : 10% 6120 14,581.14 13,123.02 1,458.11
I.3.2. Contractual staff at Block Level Recurring 12 Month Actual 75% : 25% 1797 3,331.80 2,498.85 832.95
Retructuring of ICDS

Grand-total-A 19,520.64 16,994.37 2,526.26

2.I. Honorarium to AWW and Helper Recurring Month Rs/Month
1. AWW Recurring 1 Month 3000 90% : 10% 107603 38,737.08 34,863.37 3,873.71
2. AWH Recurring 1 Month 1500 90% : 10% 107603 19,368.54 17,431.69 1,936.85
3. AWW at Mini AWC Recurring 1 Month 2250 90% : 10% 7115 1,921.05 1,728.95 192.11
2 4. Additional Aww-cum-Nutrition Consellor in Recurring 1 Month 3000 75% : 25% 10000 3,600.00 2,700.00 900.00
High Burdened Districts (HBD)
5. AWW of Creche Recurring 1 Month 3000 75% : 25% 1375 495.00 371.25 123.75
6. Link worker in other districts (Non-HBD) Recurring 1 Month 750 75% : 25% 4000 360.00 270.00 90.00
Grand-total-B 64,481.67 57,365.25 7,116.42
Scheme Components
3.1 Rent Recurring
3.1.1. Project Level Recurring Per Annum 79200 75% : 25% 160 126.72 95.04 31.68
3.1.2 AWC-Rent
a. Rural/Tribal AWC/Mini AWC Recurring Per Month 750 90% : 10% 78487 7,063.83 6,357.45 706.38

b. Urban AWC Recurring Per Month 3000 90% : 10% 4213 1,516.68 1,365.01 151.67
3
c.Metropolitan Recurring Per Month 5000 90% : 10% 0.00 0.00 0.00 0.00
Total 8,707.23 7,817.50 889.73
3.1.3 Addl. Rent for Anganwadi cum creche, wherever applicable
a. Rural/Tribal AWC Recurring Per Month 500 75% : 25% 0.00 0.00 0.00 0.00
b. Urban AWC Recurring Per Month 1000 75% : 25% 0.00 0.00 0.00 0.00
c.Metropolitan Recurring Per Month 2000 75% : 25% 0.00 0.00 0.00 0.00
Total 0.00 0.00 0.00
Sub Total 8,707.23 7,817.50 889.73

format ICDS APIP- Summary 0f Demand for the Year.xlsx

Sl. Programme Components Type of Expense Unit/Month/Annu Cost Norm Centre:State Physical target Total fund GOI Share State Share (Rs. In
No m Sharing ratio (Rs in Lakh) (Rs In Lakh) Lakh)
1 2 3 4 5 6 7 8 9 10
3.2 Preschool Education Kit
1. PSE Kit for Main AWC Recurring Per Annum 3000 90% : 10% 107603 3,228.09 2,905.28 322.81
2. PSE Kit for Mini AWC Recurring Per Annum 1500 90% : 10% 7115 106.73 96.05 10.67
3. ECCE activities Recurring Per Annum 90% : 10% 2,500.00 2,250.00 250.00
Total 5,834.82 5,251.33 583.48
3.3 Medicine Kit
1. Medicine Kit for Main AWC Recurring Per Annum 1000 90% : 10% 107603 1,076.03 968.43 107.60
2. Medicine Kit for Mini AWC Recurring Per Annum 500 90% : 10% 7115 35.58 32.02 3.56
Total 1,111.61 1,000.44 111.16
3.4. Flexi funds at AWC Per Annum in Rs
1. Flexi Fund at Main AWC Recurring Per Annum 1000 90% : 10% 107603 1,076.03 968.43 107.60
2. Flexi funds at Mini AWC Recurring Per Annum 1000 90% : 10% 7115 71.15 64.04 7.12
Total 1,147.18 1,032.46 114.72
3.5 Uniform and Badges Per Annum in Rs
1. Uniform to AWW of Mini & Main AWC Recurring 2 sarees 600 75% : 25% 114718 688.31 516.23 172.08
2. Uniform to AWH of Main AWC Recurring 2 sarees 600 75% : 25% 107603 645.62 484.21 161.40
3. Uniform to Additional AWW Recurring 2 sarees 600 75% : 25% 10000 60.00 45.00 15.00
4. Badges to AWW Recurring 1 badge 25 75% : 25% 114718 28.68 21.51 7.17
5. Badges to AWH Recurring 1 badge 25 75% : 25% 107603 26.90 20.18 6.73
6. Badges to Additional AWW Recurring 1 badge 25 75% : 25% 10000 2.50 1.88 0.63
Total 1,452.01 1,089.00 363.00
3.6. Monitoring Recurring Per Annum Rs
1. Monitoring at AWC/Mini AWC Recurring Per Annum 1000 90% : 10% 114718 1,147.18 1,032.46 114.72
2. ICT for AWW Recurring Per Month 50 90% : 10% 114718 688.31 619.48 68.83
Total 1,835.49 1,651.94 183.55
3.7 Hiring of Vehicle & POL Recurring Per Annum in Rs
1. State with Vehicle Recurring Per Annum 120000 75% : 25% 2 2.40 1.80 0.60
2. District with Vehicle Recurring Per Annum 150000 75% : 25% 0 - - -
3. Project with Vehicle Recurring Per Annum 175000 75% : 25% 103 180.25 135.19 45.06
4. Hiring charges per vehicle at State Recurring Per Annum 215000 75% : 25% 484 1,040.60 780.45 260.15
Cell/Distt/Project
Total 1,223.25 917.44 305.81
3.8 IEC (Including IYCF Activities) Recurring Per Annum in Rs
1. IEC (Including IYCF Activities) at District Recurring Per Annum 100000 75% : 25% 38 38.00 28.50 9.50
2. IEC (Including IYCF Activities) at Project Recurring Per Annum 50000 90% : 10% 544 272.00 244.80 27.20

3. IEC (Including IYCF Activities) at AWC/Mini Recurring Per Annum 1000 90% : 10% 114718 1,147.18 1,032.46 114.72
AWC (operational)
Total 1,457.18 1,305.76 151.42

format ICDS APIP- Summary 0f Demand for the Year.xlsx

Sl. Programme Components Type of Expense Unit/Month/Annu Cost Norm Centre:State Physical target Total fund GOI Share State Share (Rs. In
No m Sharing ratio (Rs in Lakh) (Rs In Lakh) Lakh)
1 2 3 4 5 6 7 8 9 10
3.9 Admin Expenses Recurring Per Annum in Rs
3.9.1 Admin Expenses for the State. District, Project and AWC
1. Admin Expenses at State Level (<50 Recurring Per Annum 120000/160000/ 75% : 25% 1 2.00 1.50 0.50
project.>50<200 project>200 projects) 200000
2. Admin Expenses at District Level Recurring Per Annum 100000 75% : 25% 38 38.00 28.50 9.50
3. Admin Expenses at Project Level Recurring Per Annum 60000 75% : 25% 544 326.40 244.80 81.60
4. Admin Expenses at Main AWC Recurring Per Annum 1000 90% : 10% 107603 1,076.03 968.43 107.60
5. Admin Expenses at Mini AWC Recurring Per Annum 500 90% : 10% 7115 35.58 32.02 3.56
Total 1,478.01 1,275.24 202.76
3.10 ECCE Day Per Annum
Conduction of ECCE day at AWC/Mini AWC Recurring Per Annum 1000 75% : 25% 114718 1,147.18 860.39 286.80

3.11. Anganwadi cum creche in Rs

1. AWC-cum-creche already set up
1.1 Care items, soft toys, cleaning materials Recurring Per Annum 28000 75% : 25% 0.00 0.00 0.00 0.00
and cost of evening snack to children to AWC
cum Creche
2. New AWC-Cum-creche proposed for 2015-
16
2.1 Cost of Credles, additional bed and bed Non-Recurring once in 5 years 18000 75% : 25% 1375 247.50 185.63 61.88
linen (establishment cost)
2.2 Care items, soft toys, cleaning materials Recurring Per Annum 28000 75% : 25% 1375 385.00 288.75 96.25
and cost of evening snack to children to AWC
cum Creche
3.12 Sneha Shivir in High Burdened Districts Recurring per Camp over a 5950 75% : 25% 36939 2,197.87 1,648.40 549.47
(Cost of Nutrition, Medical Facilites and Misc. Culster of 4 AWCs
Camp requirements) (3 Camps per
Annum)
3.13 Weighing Scales Recurring replacement at 5000 90% : 10% 23041 1,152.05 1,036.85 115.21
15% AWC/Mini
AWC per annum
Total 5,129.60 4,020.01 1,109.59
3.14 Untied fund for Children with needs in Rs
1. Cost towards the Special needs for Recurring per Annum/per 2000 75% : 25% 0 0 0
Differently abled children children
Grand-total-C 29,376.36 25,361.13 4,015.22
Grand Total-1 (A+B+C) 1,13,378.66 99,720.76 13,657.91
Major Head-2: SNP
1.1 SNP days in Rs
1. Normal Children Recurring 300 6 50 :-50 11116050 2,00,088.90 1,00,044.45 1,00,044.45

2. Severely Undernourished Recurring 300 9 50 :-50 1778568 48,021.34 24,010.67 24,010.67

4
3.Pregnant & Lactating Women Recurring 300 7 50 :-50 2223210 46,687.41 23,343.71 23,343.71

Sub Total 2,94,797.65 1,47,398.82 1,47,398.82

4. Children
format ICDS JE 0faffected
APIP- Summary Demand for the Year.xlsx
Sl. Programme Components Type of Expense Unit/Month/Annu Cost Norm Centre:State Physical target Total fund GOI Share State Share (Rs. In
No m Sharing ratio (Rs in Lakh) (Rs In Lakh) Lakh)
1 2 3 4 5 6 7 8 9 10
Grand Total-2 2,94,797.65 1,47,398.82 1,47,398.82
5.1 Regular (Job) Training Recurring No of Batches- Batch cost in Rs. 90:-10 2,443.55 2,199.20 244.36
20/800/250 2,67,750/2,40,25
0/90,000
5.2 Refresher training No of Batches- Batch cost in Rs. 90:-10 778.33 700.50 77.83
5 4/875/270 94500/68000/66/
5.3 Other training (ECCE training) 500 90:-10 2,132.05 1,918.85 213.21

5.4 Fixed Cost for AWTC/MLTC 1684450/169845 90:-10 74/2 1,280.46 1,152.41 128.05
0
Total 6,634.39 5,970.95 663.44
Grand Total-3 6,634.39 5,970.95 663.44
Major Head-4: Capital Assets
1. Construction of new AWCs already Non-Recurring one time 450000 75:-25 2915 13,117.50 9,838.13 3,279.38
approved (2nd instalment if due)
2. Construction of new AWCs proposed for
2015-16
3. AWC up-gradation already approved (2nd Non-Recurring per annum 100000 75:-25 4405 4,405.00 3,303.75 1,101.25
instalment if due)
4. AWC upgradation proposed for 2015-16

5. AWC Maintenance of owned AWCs Recurring per annum/AWC 2000 75:-25 25000 500.00 375.00 125.00
applicable to Govt. owned and non rental
6 ICDS Buildings
Total 18,022.50 13,516.88 4,505.63
4. Cost of establishment in Rs
4.1 Equipments and Furnitures for State Districts and Project once in 5 years

4.1 State Level Non-Recurring once in 5 years 500000 (States) 75:-25 1 1.25 0.94 0.31
/200000 (UTs)
4.2 District Level Non-Recurring 400000 75:-25 38 38.00 28.50 9.50

4.3 Project Level Non-Recurring 200000 75:-25 544 272.00 204.00 68.00
4.4 AWC
a. Main AWC Non-Recurring once in 5 years 7000 90:-10 107603 1,883.05 1,694.75 188.31
b. Mini AWC Non-Recurring once in 5 years 5000 90:-10 7115 88.94 80.04 8.89
Total 2,283.24 2,008.23 275.01
Grand Total-4 20,305.74 15,525.10 4,780.64
Rewards Recurring Per annum 9000 100:-0 89 8.01 8.01 -
Grading & Accredition Non-Recurring Per 2.5 annum 250000 75:-25 38 95.00 71.25 23.75
Grand Total-5 103.01 79.26 23.75
Final Grand Total-(1+2+3+4+5) 4,35,219.45 2,68,694.90 1,66,524.55

format ICDS APIP- Summary 0f Demand for the Year.xlsx