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ICDS Andhra Pradesh, APIP 2014-15 Page 1

ICDS - ANDHRA PRADESH

ANNUAL PROGRAMME IMPLEMENTATION PLAN (APIP) 2014-15

SECTION I: SITUATIONAL ANALYSIS

A. Socio-Economic and Demographic profile of Andhra Pradesh

A.1 An Overview of Andhra Pradesh

Andhra Pradesh (AP), is the fourth largest State of the country with an area of

2,75,045 sq.km and accounts for 8.4% of Indias territory. In terms of population,Andhra Pradesh is the fifth largest State in the country. The capital of the State is the

vibrant and cosmopolitan city of Hyderabad popularly known as the City of Pearlsand symbolized by the Charminar. Hyderabad has in the past one decade become amajor IT hub and developed into a world class city.

Andhra Pradesh finds mention in many ancient works of literature. The first historical

records appear in the Buddhist text Anguttara Nikaya. Andhra has been mentioned in

the Sanskrit epics such as Aitareya Brahmana (800 BCE) and Mahabharata (400

BCE). The Natya Shastra written by Bharatha (1st century BCE) also mentions about

the Andhra people.

The region comprising Hyderabad and its surroundings was ruled by Chalukyas and

then by the Kakatiyas. Later, the region was under the Delhi Sultanate, the Bahamanis,

the Qutb Shahi dynasty, the Mughals and finally the Nizams.

The State has many places of cultural significance besides places of religious worshipincluding the world famous deity, Tirupati Balaji. Kuchipudi, a blend of music andabhinaya, is Andhra Pradesh's unique contribution to dance. Many festivals arecelebrated in the State, but the celebrations of Ugadi (Telugu New Year's day),Sankranti, Dasara, Vinayaka Chavithi and Batakamma Panduga in the State areunique.

The primary official language of Andhra Pradesh is Telugu and the co-official

language is Urdu. Other languages often spoken in the State include Hindi, Marathi,

Tamil, Kannada, Oriya and English.


Located in the southern region of the country, Andhra Pradesh shares its borders with

States of Orissa, Maharashtra, Karnataka and Tamil Nadu. Andhra Pradesh is endowed

with a variety of physiographic features ranging from high hills, undulating plains to a

coastal deltaic environment. Two major rivers, the Godavari and the Krishna, run

across the State. Andhra Pradesh has the second longest coastline (of 972 km) among

all the States of India, after Gujarat. Andhra Pradesh has some of the important ports

in the country and is thus of great importance with regard to trade.

The State is agrarian in character and is endowed with fertile land, water and

conducive agro-climatic conditions which has enabled it to be agriculturally-

prosperous. Andhra Pradesh is the largest producer of rice in India and is historically

called the Rice Bowl of India. It is also the leading producer of cash crops liketobacco, groundnut, chillies, turmeric, oilseeds, cotton, sugar and jute. It produces

some of the finest varieties of mangoes, grapes, guavas, sapotas, papayas and bananas.

Andhra Pradesh is a mineral rich State (ranking 2nd in the country) containing a vast

variety of mineral wealth particularly industrial minerals. Andhra Pradesh is engaged

in mining of 42 industrial minerals including limestone, mica, barytes, bauxite, beach

sands, steatite, quartz, feldspar, manganese, dolomite etc. A host of infrastructure

facilities are offered by the State that include industrial development areas, industrial

estates, growth centres, special economic zones and special complexes like chemical

complex, plastic complex, leather complex, games complex, financial district and

software technology parks.

The State has strong R & D infrastructure, with leading institutions like Centre for

Cellular and Molecular Biology (CCMB), International Crop Research Institute for

the Semi-Arid Tropics (ICRISAT), National Academy for Agricultural Research

Management (NAARM), National Institute of Agricultural Extension Management

(MANAGE) and National Institute of Rural Development (NIRD). The capital city

also has a number of defence and defence related organizations like Research Centre

Imarat (RCI), Defence Metallurgical Research Laboratory (DMRL), Defence

Research and Development Laboratory (DRDL), Bharat Dynamics Limited (BDL)

etc.

The State is also known for its progress in technical education particularly for

Engineering, Medicine and Agriculture. The students from AP are seen in IITs and

Medical colleges of the country. The success of IT revolution in the State and the


number of professionally qualified persons from the State working in other countries

is an indicator of the progress in technical education.

The State has focused on rural development, community and women empowerment

and thus on strengthening of women Self Help Groups (SHGs), Water Users

Associations, Watershed Committees, School Education Committees, Mothers

Committees, Rytumitra Groups (farmers clubs) and Vana Samrakshana Samithi (Joint

Forest Management).

The State has also focused on eliminating poverty by providing housing and pension

on a saturation mode, by providing interest subsidy to SHG members and scholarships

to the weaker sections. The State has also emphasized on providing universal access to

quality health and nutrition services especially to women and children.

According to the Planning Commission of India, Andhra Pradesh is the third largest

economy in India in terms of Gross State Domestic Product GSDP (Data book for

DCH, 2012). Compared to previous decades, the average growth rate of the State

economy in the last decade is substantially higher. During the last decade (2002-

2012), the economy grew at an average rate of 8.2%, with the average rate of growth

reaching a high of 8.4% in the last two years. While starting from a relatively low per

capita income, the State has managed to surpass the national average per capita

income about a decade ago. Two of the mega cities of the state Hyderabadand Visakhapatnam were listed among the top 15 cities contributing to India's overall

gross domestic product.

The State has 23 Districts, 1128 Mandals, 27800 Villages and 21,843 Gram

Panchayats. There are three regions in Andhra Pradesh viz. (1) Northern Circars or

Coastal Andhra comprising of 9 districts i.e. Srikakulam, Vizianagaram,

Visakhapatnam, East Godavari, West Godavari, Krishna, Guntur, Ongole and Nellore

districts; (2) Rayalaseema or Ceded districts comprising of 4 districts i.e. Kurnool,

Cuddapah (YSR), Chittoor and Anantapur districts; and (3) Telangana comprising of

10 districts i.e. Adilabad, Karimnagar, Warangal, Khammam, Nizamabad, Medak,

Nalgonda, Mahabubnagar, Rangareddy and Hyderabad districts.

On 1 November 1956, as per the States Reorganisation Act, the State of Andhra

Pradesh was formed by merging Andhra State with the Telugu-speaking areas of the

already existing Hyderabad State. The Marathi-speaking areas of Hyderabad State


were merged with Bombay State and the Kannada-speaking areas were merged

with Mysore State.

In February 2014, the Parliament of India has enacted legislation which will lead to

the formation of a new state to be known as Telangana with ten districts in north-

western Andhra Pradesh. Hyderabad will be the capital of the new State and will

continue to serve as capital of the residual Andhra Pradesh for a period of time not

exceeding 10 years. The new State will come into existence on 2nd June 2014.

A.2 Population Characteristics - Rural/Urban/SC/ST

Andhra Pradesh has a population of 8.46 corers as per 2011 census. The growth of

population which was below 15% until 1961, rose to 24.2% during 1981-91 which

was the highest ever recorded. Later, there was a significant decline in the growth rate

of population which was 14.59% during 1991-2001 and which further came down to

10.98% during 2001-11 and is lower than the all Indias growth of 17.68% during2001-11.

Decadal Variation of Population: 1961-2011 (AP)

*Source : as per Census data

The percentage of urban population to the total population in the State is 33.36% in2011 as compared to 27.30% in 2001. The percentage of rural population to the totalpopulation is 66.64% in 2011 as compared to 72.69% in 2001. The SC population tothe total population is 16.41% in 2011 as compared to 16.19% in 2001. The STpopulation to the total population is 7% in 2011 as compared to 6.57% in 2001.

20.923.1 24.2

14.5910.98

0

5

10

15

20

25

30

1961-71 1971-81 1981-91 1991-01 2001-11

Percent age


Population Characteristics (AP)

Description 2011 2001Population 84,580,777 76,210,007Male 42,442,146 38,527,413Female 42,138,631 37,682,594Decadal Population Growth 10.98% 14.59%Sex Ratio 993 978Child Sex Ratio 939 961Density / sq.km 308 277Area in sq.km 275,045 275,045Total child population (0-6 yrs) 9,142,802 10,171,857Male population (0-6 yrs) 4,714,950 5,187,321Female population (0-6 yrs) 4,427,852 4,984,536Rural 5,63,61,702 (66.64%) 55,401,067 (72.69%)Urban 2,82,19,075 (33.36%) 20,808,940 (27.30%)SC population 1,38,78,078 (16.41%) 1,23,39,496 (16.19%)ST population 59,18,073 (7%) 50,24,104 (6.59%)


A.3 Child Population and Child Sex Ratio

The child population in the age group of 0-6 years in the State as per Census, 2011 is9.14 million, out of which the rural child population is 6.15 million and urban is 2.9million. The child population has declined by 1 million in the State during 2001-11.

Child Population (AP)

Total / Rural /Urban

Population 0-6 years DecadalPercentageVariation2001 2011

Total 1,01,71,857 91,42,802 -10.11Rural 72,62,911 61,52,022 -15.3Urban 29,08,946 29,90,780 2.81


As per the ICDS household survey data (January 2013), the child population coveredin the age group of 0-6 years is 5.9 million of which Rural, Urban and Tribal areas is4.8 million, 0.8 million and 0.3 million respectively. The child population as per ICDSMPR for December 2013 is 6.14 million.


Child population covered by ICDS by Age Group (AP)

S.No Age group Rural Urban Tribal Total1 Below 6 months 622070 100576 41094 7637402 6m-1yr 626111 105419 50082 7816123 1yr -3yrs 1755303 315207 108305 21788154 3yrs-6yrs 1940430 359257 119422 2419109

TOTAL 4943914 880459 318903 6143276*Source : as per ICDS MPR of Dec-2013

As per Census 2011, Child Sex Ratio (CSR) in the age group of 0-6 years is 939 andhas fallen by 22 points during the decade. In rural areas the fall is significant i.e., by22 points (963 to 941) and in urban areas the fall is by 20 points (955 to 935) over thelast decade.

Decline in Child Sex Ratio (AP)

Census Total (0-6 yrs) Boys Girls CSR

2001 1,01,71,857 5187321 4884536 9612011 91,42,802 4714950 4427852 939

Decline -1029055 -22*Source : as per Census data

Decline in Child Sex Ratio- Rural and Urban (AP)

Residence 2001 2011 ChangeTotal 961 939 -22Rural 963 941 -22Urban 955 935 -20

* Source : as per Census data

A.4 Literacy Status

The States literacy rate has increased from 44.1% in 1991 to 60.47% in 2001 to67.02% in 2011, but the literacy rate is still lower than that of the all India literacy rateof 74.04%.

The male literacy rate has increased from 70.32% in 2001 to 74.88% in 2011 and thefemale literacy rate has gone up from 50.43% to 59.15% and the decadal change infemale literacy rate is 8.72%. Among the districts, Hyderabad has the highest literacyrate of 79.35% and Mahabubnagar District the least with 44.72% in 2011.


Literacy Status (AP)

Description 2011 2001Literacy 67.02% 60.47%Male Literacy 74.88% 70.32%Female Literacy 59.15% 50.43%Total Literate 50,556,760 39,934,323Male Literate 28,251,243 23,444,788Female Literate 22,305,517 16,489,535


B. Nutrition and Health status of Women and Children in the State

Among the nutrition and health outcomes, the most important is Infant MortalityRate (IMR). It reflects the health status, socio-economic development and the qualityof life of a country/State/region. In this respect Andhra Pradesh has still much toachieve. The IMR has reduced from 63 (per 1000 live birth) (SRS-1997) to 41 (SRS-2013) as against the all India decline from 71 (SRS-1997) to 42 (SRS-2013).Moreover, the IMR of the State is much higher than the IMR of Karnataka (32),Tamil Nadu (21), Kerala (12) as per SRS-2013. On the nutrition front, the State hastherefore introduced initiatives of Indiramma Amrutha Hastham (IAH) to reduceincidence of Low Birth Weight; Special care and Supervised feeding for SeverelyUnderweight (SUW)/ Severe Acute malnutrition (SAM) / Moderate AcuteMalnutrition (MAM) children under 5 years; Maarpu for making concerted effortsfor convergence with allied departments and SHGs and community apart frommaking efforts to improve the service delivery.

Another important indicator that reflects health status in general and women inparticular is Maternal Mortality Ratio (MMR). The performance of the State inreducing MMR has been better. The MMR declined from 220 (per 1 lakh live births)(SRS-1997) to 110 (SRS-2013) mainly as a result of increase in institutionaldeliveries. Nevertheless the MMR is still higher than that of Tamil Nadu (90) andKerala (66) as per SRS-2013. With regard to nutrition, efforts need to be made toreduce anaemia among pregnant women, improve compliance of pregnant women inconsumption of IFA tablets and increase the age at marriage.

Important aspects critical for the safe motherhood are Ante Natal Care (ANC), safedelivery and post-natal care for the mother. Most (95.9%) of the mothers in AndhraPradesh had received at least one ANC as per DLHS-3 (2007-08). However, thequality of antenatal care in terms of timing of first visit and number of visits are moreimportant. In this respect as per DLHS-3 (2007-08) 67.52% of mothers in the Statehad their first ANC visit within the first three months of their pregnancy (first


trimester) and 89.4% of the mothers had three or more ANC check-ups/visits in theState. With respect to safe delivery, about 71.8% of deliveries in the State as perDLHS-3 (2007-08) are registered as Institutional Deliveries - i.e. deliveries in anyhealth facility which is equipped with handling of the delivery. However, presentfigures of the Department of Health and Family Welfare, reveal that more than 95% ofdeliveries are registered as Institutional deliveries.

Low Birth Weight is a matter of concern since 90% of deaths occur among infantswith birth weight below 2500 g and hence the maternal nutritional status is the mostdecisive factor in preventing Low Birth Weight babies. The prevalence of Low BirthWeight children as per NFHS-3 (2005-06) in Andhra Pradesh is 19.4% which is thehighest among the other southern States viz. Karnataka (18.7), Tamilnadu (17.2) andKerala (16.1).

About one-third of children under three years of age in AP were identified as under-nourished as per NFHS-3 (2005-06). In particular, 29.8% children are Underweight,38.4% children are Stunted and 14.9% children are classified as Wasted. The Statehad witnessed only a marginal reduction in the level of under-nutrition between 1998-99 (NFHS-2) and 2005-06 (NFHS-3) by 4.4 points. About three-fourth of children inthe State are found to be anaemic. As per NFHS-3, 79.6% of the children below 3years in the State are anaemic which is slightly higher than the National average.

According to the DLHS-3, 47.8% of the total children below 3 years were breastfedwithin 1 hour of birth, while 43.9% of the total children 0-5 months wereexclusively breastfed and 55% of the children 6-9 months received complementaryfeeding (solid or semi-solid food and breast milk).

The nutritional status among the women in the State shows that 30.8% of themhave BMI below normal. Between 1998-99 (NFHS-2) and 2005-06 (NFHS-3), thedecline in the percentage of women who are having BMI below normal is by 6.6points only.

Anaemia, a leading cause for maternal mortality and low birth weight, is a widespread public health problem affecting infants, children, adolescent girls and womenof reproductive age. In Andhra Pradesh, the increasing incidence of anaemia amongwomen is an alarming concern wherein nearly half of the women in thereproductive age group (15-49) were anaemic in 1998-99 and it increased to two-thirdin 2005-06. The prevalence of anaemia increased from 49.8% (NFHS-2) to 62.9%(NFHS-3). This is alarming and also relatively high when compared to other southernStates.


Health and Nutrition Indicators AndhraPradesh

India

Nutritional status-Children < 3 Years (%) *Underweight 29.8 40.4Stunted 38.4 44.9Wasted 14.9 22.9Nutritional status-Children < 5 Years (%) *Underweight 32.5 42.5Stunted 42.7 48.0Wasted 12.2 19.8SAM 3.5 6.4Severe Under Weight 9.9 15.8Child Feeding Practices (%) **Children Under 3 years breastfed within one hour of birth 47.8 40.5Children age 0-5 months exclusively breastfed 43.9 46.8Children aged 6-35 month exclusively breastfed-six months 32.3 25.5Children age 6-9 months-solid/semi-solid food & breast milk 55.0 57.1Antenatal Care (%) **Mothers who had taken Antenatal care 95.9 75.2Mothers who had visited within the first three months of theirpregnancy

67.3 45.0

Mothers who had three or more ANC 89.4 49.8Mothers who had full antenatal check-up 40.6 18.8Mothers who consumed 100 IFA tablets 45.8 46.6Maternity Care & Child Health (%)Institutional delivery ** 71.8 47.0Children with diarrhea in the last 2 weeks received ORS ** 43.3 34.0Low birth weight * 19.4 21.5Vitamin A supplementation of children age 12-35 months * 28.7 24.9Children 12-23 months fully immunized ** 67.1 54.0Children 12-23 months measles vaccine PP ** 88.6 70.0Households with iodine content of salt (%) *Adequate (15 + ppm) 31.0 51.1None (0 ppm) 40.0 23.9Anaemia among Children & Women (%) *Children age 6-35 months 79.6 78.9Children age 6-59 months 70.8 69.5Children age 6-59 months Severe 3.6 2.9Women age 15-49 62.7 56.2


Pregnant women age 15-49 58.2 57.9Other Indicators (%)Women married before 18 years * 54.8 47.4Maternal Mortality Ratio (MMR) *** 110 178Neonatal mortality *** 27 29Infant Mortality rate (IMR) *** 41 42Under five mortality *** 43 52*NFHS-III (2005-06), ** DLHS-III (2007-08), ***SRS (2013)

C. ICDS in Andhra Pradesh

ICDS was started in AP in 1975 in the two projects of Utnoor (Adilabad District) andKambadur, (Ananthapur District). The State has since then witnessed tremendousincrease in the coverage year after year in terms of growing numbers of ICDS Projectsas well as the Anganwadi Centers (AWCs). The coverage has increased within theexisting Projects as well as in the newer areas. All the villages/ habitations as perpopulation norms of GOI are covered with AWCs in the State.

The table below shows the growth in the number of Projects and AWCs over a periodof time starting from 1975-76.

Progressive growth of ICDS projects and AWCs in A.P.

Sl.No.

Year Total (Cumulative)

Projects AWCs

1 1975-76 2 150

2 1980-81 17 1,3753 1985-86 89 17,4814 1990-91 141 23,8435 1995-96 209 33,5076 2000-01 251 40,7617 2005-06 376 73,8998 2010-11 387 91,3079 2012-13 406 91,307

At present there are 406 ICDS Projects and 91307 AWCs in the State. Details of thevarious Govt. orders sanctioning the projects, various posts and the AWCs are atAnnexure-1.


D. Status of operationalization of Blocks/AWCs/Mini-AWCs

All the 406 ICDS Projects are operationalized. Out of the 91,307 AWCs sanctioned,90,614 AWCs are operationalized. The State plans to operationalize the remaining 693AWCs by April 2014.

Operationalization of ICDS (AP)

Sl.No

Area ofthe

Projects

No. ofProjects

No. AWC Sanctioned No. AWC FunctioningMain Mini Total Main Mini Total

1 Rural 304 67316 7756 75072 67061 7715 747762 Urban 58 7917 100 8017 7960 104 80643 Tribal 44 5248 2970 8218 5201 2573 7774

Total 406 80481 10826 91307 80222 10392 90614*Source : ICDS MPR of Feb 2014

Operationalization of ICDS in the 3 high burdened districts of Srikakulam,Guntur and Karimnagar (AP)

Sl.No

Area ofthe

Projects

No. ofProjects

No. AWC Sanctioned No. AWC FunctioningMain Mini Total Main Mini Total

1 Rural 50 10430 879 11309 10424 785 112092 Urban 6 775 0 775 775 0 7753 Tribal 1 122 109 231 122 109 231

Total 57 11327 988 12315 11321 894 12215*Source : ICDS MPR of Feb 2014

E. Coverage of beneficiaries for Supplementary Nutrition Programme(SNP)

Tables below give the details of coverage of women and children for SNP as well asthe nutritional status of children.

Coverage of Women & Children for SNP (AP)

Year Pregnant &Lactating Women

Surveyed

Coverage % ChildrenSurveyed

(7 m- 6 Yrs)

Coverage %

2009 1139702 1077594 95 4649577 4371948 942010 1189013 1152160 97 4757279 4163475 882011 1410392 1362009 97 4860503 4263687 882012 1427511 1367501 95 4947140 4360480 882013 1467070 1390124 95 5099177 4472553 88

*Source : ICDS MPRs of December 2009 - 13


Classification of Nutritional Status of Children (0-6 yrs) (AP)

Year Normal % Grade-I % Grade-II

% GradeIII&IV

% %ChildrenWeighed

2009 2635795 51 1670526 32 878765 17 3652 0 892010 2678017 51 1677309 32 920027 17 4300 0 932011 2705755 53 1637355 32 784786 15 3556 0 852012 2779248 53 1669671 32 745355 14 4710 0 87

Nutritional status of Children (0-6 Yrs.) (AP) (as per WHO standards)Normal Moderate Underweight Severe

Underweight2013 3496725 64 1888617 34 97160 2 88

*Source : ICDS MPRs of December 2009-13

As per the new WHO growth standards, 54,82,502 (88%) children were weighed inthe age group of 0-6 years during 2013-14. Of these normal, moderate underweightand severe underweight children are 34,96,7254 (64%), 18,88,617 (34%) and 97,160(2%) respectively.

F. Coverage of beneficiaries in Early Childhood Education

The Pre-school activities are conducted in all AWCs as per the curriculum developedby the State in accordance with the guidelines of the National Policy on ECE. Therecent initiatives of extending Pre-school timings from 9:00 a.m to 4:00 p.m andintroduction of hot meal with snacks is likely to increase the enrollment in the AWCs.Special campaigns i.e. Anganwadi Bata are organized every year for one week inJune to motivate parents to admit children in AWCs.

Status of Pre-School Education in ICDS (AP)

Year ChildrenEnrolled

ChildrenAttended

%

2009 2098388 1969862 942010 1916496 1786580 932011 1871531 1751440 942012 1803876 1738606 962013 1827781 1705455 93

*Source : ICDS MPRs of December 2009-13

G. Infrastructure status of operational AWCs

Out of the 91,307 sanctioned AWCs (80,481 Main + 10,826 Mini) in the State, 90,614(80,222 Main AWCs and 10392 Mini AWCs) are operational. Out of these, 16,849AWCs are placed in own buildings, 14,725 AWCs are functioning in rent freeaccommodation and 59,040 AWCs are functioning from rented buildings (as per basicinformation system).


3,218 AWC Buildings are sanctioned under Restructured ICDS with total estimatedcost of Rs.4.50 lakhs per building in ratio of 75:25 during the year 2013-14. Out ofRs.4.50 lakhs, 75% i.e. Rs.3,37,500/- is GOI share and 25% i.e. Rs.1,12,500/- is theState share. The GOI released an amount of Rs.5430.38 lakhs i.e., 50% of CentralShare. The State Government vide G.O. Ms. No. 32, WCD&SC dt: 28.12.2013, G.O.Ms. No. 2, WCD&SC dt: 17.01.2014, G.O. Ms. No. 4, WCD&SC dt: 18.01.2014 andG.O. Ms. No. 5, WCD&SC dt: 24.01.2014 have sanctioned construction of 6436 AWCsby providing another Rs. 2 lakhs for each building so that the AWC buildings can havea plinth area of 650 sq.ft. The model plan of AWC building is enclosed at Annexue -2.

Upgradation of 3,218 existing AWC buildings is sanctioned under restructured ICDSwith total estimated cost of Rs.1.00 lakhs per building in ratio of 75:25 during the year2013-14. Out of Rs.1.00 lakh, 75% i.e. Rs.75,000/- is GOI share and 25% i.e.Rs.25,000/- is State share. The GOI released an amount of Rs.1206.75 lakhs i.e., 50%of Central Share. The State Government vide G.O. Ms. No. 3, WCD&SC dt: 17.01.2014and G.O. Ms. No. 6, WCD&SC dt: 24.01.2014 have sanctioned 6436 AWC buildingsfor upgradation.

A total of 37,424 AWCs have drinking water facility while 53,190 AWCs do not havedrinking water and 17,487 AWCs have sanitation facilities while 73,127 AWCs do nothave sanitation facilities (as per basic information system).

During the year 2012-13, the Government have issued Administrative Sanction Orderfor providing drinking water supply to 8302 AWCs functioning in Governmentbuildings with an estimated cost of Rs. 4137.59 Lakhs under NRDWP videG.O.Rt.No.134, PR&RD (RWS-II) Department Dt: 24.01.2013.

The Chief Secretary has been reviewing the construction of AWC buildings andavailability of facilities in the AWCs with the District Collectors through VideoConferences. The Chief Secretary has also addressed D.O. Letter to all Collectors toprovide funds from all the available schemes for construction of AWC buildings.

The State has prepared an action plan for construction of AWC buildings which arefunctioning under rented accommodation by dovetailing funds from various schemesincluding MGNREGS, RIDF, BRGF, IAP over a period of 4 years.

The National Bank for Agriculture and Rural Development, A.P Regional office,Hyderabad has sanctioned construction of 1976 AWC buildings by providing loanassistance under the Rural Infrastructure Development Fund-XIV (RIDF-XIV) in2008-09. Similarly construction of 1311 AWC buildings under RIDF-XVI(2010), and615 under RIDF-XIV (2013-14) have also been sanctioned.


H. States financial contribution to ICDS Implementation

The State Government contributes 10% for all components under ICDS and50% for the regular SNP for Children, Pregnant & Lactating women which mayapproximately come to Rs.80 crores for ICDS and Rs. 350 crores for SNPduring 2013 14.

In addition, the State also provides additional honorarium for all AWWs andAWHs, at the rate of Rs.1200/- and Rs.700/- per month respectively. FurtherRs. 250/- per month is given to AWHs working in 182 Indiramma AmruthaHastham projects wherein one full meal is provided for pregnant & lactatingwomen. The total contribution towards honorarium to AWCs and AWHs is Rs.205.56 crores per annum.

During 2013-14, the State Govt. has provided Rs. 177.88 crores in the budgetfor spot feeding of one full meal for 6.14 lakh Pregnant and Lactating womenunder Indiramma Amrutha Hastham (IAH) programme. Of this Rs. 135.18 croreis meant for diet charges, Rs. 30.24 crore as additional honorarium for AWHs,and Rs. 12.46 crores towards 10% service charges to Village Organizations forsupply of commodities.

The State Government is also contributing its own funds for providing eggs to72,670 women and children in 17 mandals of fluoride affected areas inNalgonda District.

The State Government has also come forward to support the construction takenup for AWC buildings under Restructured ICDS by contributing additionalRs. 2 lakhs for every AWC building over and above Rs. 4.5 lakhs providedunder ICDS. 6436 AWC buildings have been sanctioned in 2013-14.

I. State Nutrition Policy

The Government of Andhra Pradesh is committed to eliminating malnutrition inchildren, adolescents and women in the State. It is keen to adopt a comprehensiveNutrition Policy to address malnutrition with regard to the various dimensions afterconsulting all possible stakeholders from Government, experts in the field ofnutrition, academicians, NGOs and the civil society. In this context, a one dayConsultation for brainstorming on nutrition scenario in the State, challenges and wayforward for the development of a draft Policy document was conducted on 21st

February 2013.


The Consultation was jointly organized by the Department of Women Developmentand Child Welfare and UNICEF involving Principal Secretaries of Finance, Healthand Women and Child Welfare departments; senior officers from various departmentsviz., Tribal Welfare, Food & Civil Supplies, AP Foods, Dairy DevelopmentCorporation, Planning, Rural Development, APARD; representatives of the NGOsviz., Clinton foundation, CARE, World Vision etc. having presence in AndhraPradesh; representatives from academic and training institutes of Home Sciencecolleges, NIN, NIPCCD, IIHFW, TISS etc. Sri Bhan, Ex. Secretary, Department ofBio-Technology, GOI gave the key note address in the consultation meet. The draftState Nutrition Policy has been prepared and further inputs are being sought from allstakeholders to finalize the State Nutrition Policy.

In the meanwhile some of the critical interventions viz., (i) spot feeding of one fullmeal of pregnant women and lactating mothers under Indiramma Amrutha Hastham(IAH) has been introduced in 40% of the ICDS Projects which have the most adversehealth and nutrition indicators, (ii) revision of food models under SupplementaryNutrition Programme (SNP) has been made due to revision of cost norms ofRestructured ICDS and to make the food more local and acceptable, (iii) concertedefforts for convergence among allied departments and self-help groups andcommunity has been made under Maarpu, (iv) timings of Pre-school have beenextended from 9 am to 4 pm to enable more focus on early childhood developmentand to strengthen delivery of health and nutrition services and (v) Special care andSupervised feeding of children under 5 years categorized as SUM/SAM/MAM hasbeen rolled out. These have been explained in detail in other sections of this APIP.

J. Major gaps/constraints in programme implementation and interventionsenvisaged

1. Inadequate provision of SNP: The present cost norm is not sufficient to provideadequate, good quality and acceptable food models to the beneficiaries whichcould improve the present nutrition indicators in terms of percentage of LowBirth Weight, Underweight children and Anaemia among Pregnant and Lactatingwomen.

Intervention: With the enhanced cost norm under Restructured ICDS revisedFood Models have been introduced for the beneficiaries in all 23 districts. Therevised Food Models will meet the calorie, protein, and RDA requirements asper GOI norms. The State Government has in addition introduced one full mealunder Indiramma Amrutha Hastham programm for Pregnant and Lactatingwomen in 102 ICDS Projects during 2012-13 which was further extended toanother 63 projects and 17 bifurcated projects making a total of 182 ICDS


Projects. This meal provides for 40% of the days requirement of calories, proteinand calcium for the Pregnant and Lactating women. The spot feeding ensures fullconsumption of the food by the mothers and consumption of IFA Tablets.

2. Lack of Special care and Supervised feeding for SUW/SAM/MAMChildren: There are 1 lakh SUW/SAM/MAM children under 6 years and there isa need to adopt revised food model for additional supplementation withsupervised feeding in the AWC to address the nutritional requirements as per GOInorms and concerns of such children.

Intervention: In this regard a Model Menu for supervised feeding of theSUW/SAM/MAM children from 7 months to 3 years and 3 to 6 years of age haveseparately been developed. The Model Menus are based on 2 hourly feed ofcalorie dense food. As part of the Model Menu, there will be spot feeding ofcertain feeds at AWC for these children. Medical attention will also be providedto these children in coordination with the health department.

3. Limited focus on below 3 years: Monitoring of complementary feeding / SNPgiven to children below 3 years is very weak at present and with the presentinfrastructure available in AWCs and with one AWW and one AWH per AWC it isalso not possible to provide spot feeding for this category of children in AWCs.

Intervention: (i) It is proposed to start 1000 AWCs as creche centers and (ii) it isproposed to improve the counseling of mothers of 0 to 3 yrs by improvingcounseling skills of AWWs and with the help of link workers and nutritioncounselors who will be recruited under Restructured ICDS.

4. Decrease in Pre-school attendance: It is observed that the Pre-Schoolattendance is decreasing in the last few years. The fascination towards conventeducation, lack of infrastructure in AWCs, lack of play material, only 4 hours ofAWC timings are the main reasons for the decrease in the attendance.

Intervention: Every year Anganwadi Bata Campaign for one week in the monthof June is being organized to motivate the parents to join their children in AWCs.Activity based curriculum was developed and all AWWs are given training onconduct of Pre-school activities. Pre-school material is being developed inaccordance to the curriculum and being supplied to the AWCs. With theenhancement of Pre-school Kit amount under Restructured ICDS the playmaterial has also been improved. It is proposed to introduce 700-900 Englishwords related to the present curriculum to satisfy the desire of parents. Thetimings of AWCs has already been extended from 9 am to 4 pm and Pre-schoolchildren are now being provided hot meal with rice, dal, vegetables and eggs as


well as snacks. The ECCE days are being conducted once in a month underRestructured ICDS.

5. Low community participation: Despite having large number of Self HelpGroups in the State the participation of community is very poor.

Intervention: To enhance participation of Self Help Groups and VillageOrganizations in implementation of nutrition and health programmesGovernment has launched a new programme called MAARPU during 2012-13.This programme can make a major impact in reducing the IMR, MMR andmalnutrition.

6. Lack of inter-departmental coordination and convergence: The convergenceand co-ordination between various departments implementing flagshipprogrammes is lacking.

Intervention: In view of this, the Government has constituted a Group ofSecretaries for convergence of all flagship programmes for improvement ofHuman Development Index and achievement of Millennium Development Goals.The group is headed by Chief Secretary as the Chairperson.

7. Lack of infrastructure: 59,040 AWCs are not having own buildings and 53,190AWCs are not having safe drinking water facility and 73,127 AWCs are withoutsanitation facility. 245 CDPO offices are functioning from rented accommodationand even the CDPOs which function from own accommodation do not havesufficient space for storage of food commodities or space to conduct AWWmeetings. Many CDPO offices also do not have proper sanitation and drinkingwater facility.

Intervention: During 2013-14, sanction was accorded for construction of 6436AWCs under Restructured ICDS with the State contributing additionally Rs. 2lakhs per building. Similarly upgradation has been sanctioned for 6436 AWCsunder Restructured ICDS. The State also accorded approval for construction ofall the 245 CDPO offices and 8 PD offices which are in rented buildings.Drinking water and toilets are being provided with support from Rural WaterSupply and Sanitation department.

8. Lack of functional Weighing Scales: Due to lack of Adult Weighing Scales andBaby Weighing Scales growth monitoring was not taking place.

Intervention: With lot of persuasion made by the Department, NRHM providedAdult Weighing Scales to 80,423 AWCs and 23,948 Baby Weighing Scales. NGOs


have also recently provided 957 Adult Weighing Scales and 957 Baby WeighingScales.

9. Lack of Gas connection: Very limited number of AWCs have Gas connections.Due to non-availability / increased cost of fire wood in Urban/Rural areas, AWCsare facing difficulty in providing hot cooked meal.

Intervention: Under Restructured ICDS, funds have been released for gasconnections for almost all of the AWCs.

10. Vacancies in the cadre of Supervisors, AWWs and AWHs: There are 40% ofSupervisor vacancies in the State for the last several years. This is affecting theproper monitoring of AWCs. Due to vacancies of AWWs and AWHs the servicedelivery is also affected.

Intervention: Efforts have been made to fill up the Supervisor posts on a priority.302 Supervisors Grade-I were recruited through Service Commission and 851Supervisor Grade-II posts were filled up from the cadre of AWWs. Another 655posts of Supervisors Grade-I are notified to APPSC. Constant persuasion withCollectors has reduced the vacancies of AWWs and AWHs.

11. Lack of staff and support at Project Level: With the revised food models, focuson pregnant and lactating women and on SUW/SAM/MAM children, extendingtimings of Pre-School, it is necessary to strengthen the CDPOs offices.

Intervention: The additional posts/emoluments provided under RestructuredICDS will be used to strengthen the Project office for improving delivery ofnutrition and health services.

12. Insufficient monitoring / supervision / usage of IT: Non functional computersin many CDPO offices or availability of only one computer in the office, lack oftrained / technical persons in CDPO offices and PD offices and less number ofministerial staff (2 to 3) in CDPO offices and PD offices and vacancies in thecadre of Supervisors as well as ministerial staff has affected adversely thesubmission of the MPRs and other reports by the CDPOs and PDs. The usage ofIT is also weak due to lack of skills among Supervisors and CDPOs.

Intervention: Monthly Progress Reports (1 to 10) have been designed and arenow to be submitted online by the PD/CDPOs/Supervisors so as to use IT as aneffective monitoring tool. Further software for managing supply chain is beingdeveloped. Orders have been placed with APTS for supply of new computers forall CDPO offices.


SECTION II: VISION STATEMENT

To ensure holistic development of children, the State Government is committed to

provide for universal access and quality health and nutrition services for pregnant and

lactating women and children below 6 years as well as to provide opportunities for

early childhood growth and development.

The State considers ICDS as one of the key flagship programmes for realization of the

Millennium Development Goals (MDGs) particularly the MDG-1 (eradicating

extreme poverty and hunger), MDG-4 (reduction in the infant and child mortality rate)

and MDG-5 (improving maternal health and reducing maternal mortality rate). To this

end, the State envisages to make the Anganwadi Centers as the Focal Point of allwomen and child development activities and to make these centers as the First Pointof Contact for any health problems faced by women and children.

The State has proposed to achieve certain targets with respect to the following

indicators by 12th Five Year Plan.

Low Birth Weight

The prevalence of Low Birth Weight recorded in the State is 19.4% in 2005-06

(NFHS-3), and it is proposed to reduce it to 10% by the end of 12th plan (2016-17).

Underweight Children

There has been reduction in percentage of Underweight Children of the age group of

0 to 3 years from 34.2 % in 1998-99 (NFHS-2) to 29.8% in 2005-06 (NFHS-3). The

goal is to reduce it to 20 by the end of the 12th Plan (2016-17).

Anaemia

Anaemia is the leading cause for maternal mortality and low birth weight infants.

However anaemia has increased for women in reproductive age group from 49.8% in

1998-99 (NFHS-2) to 62.9% in 2005-06 (NFHS-3) and this is a major concern for the

State. The goal of the State is to reduce it to 30% by the end of 12th plan (2016-17).

Complete Immunization

Complete immunization of children has increased from 46% in 2005-06 (NFHS-3) to

67.1 % in 2007-08 (DLHS-3). The goal is to achieve 100 % immunization by the end

of the 12th plan (2016-17).


Infant Mortality Rate (IMR)

IMR has reduced by 20 points from 63 (per 1000 live births) in 1997 (SRS) to 41 in

2013 (SRS). The State proposes to reduce it further to 25 by the end of 12th plan

(2016-17).

Maternal Mortality Ratio (MMR)

MMR has reduced from 220 (per 1 lakh live births) in 1997 (SRS) to 110 in 2013

(SRS). However the goal is to reduce it to 80 by the end of 12th Plan (2016-17).

Strategies proposed to achieve MDGs and Early Childhood Development

1. To develop the State Nutrition Policy and to set up the State Nutrition Mission

for mission mode of functioning with active participation of all related sectors.

2. To strengthen the Maarpu programme for inter-department coordinationbetween ICDS, NRHM, Rural Development, Water & Sanitation and to work

along with SHGs and PRIs to achieve better results.

3. To focus on Pregnant and Lactating women by stabilizing the spot feeding of one

full meal under Indiramma Amrutha Hastham in the high risk ICDS projectsand thus improve maternal nutrition and reduce the incidence of Low Birth

Weight children.

4. To ensure growth monitoring of all children below 5 years and to ensure

systematic identification of children as Severely Underweight (SUW)/ Severe

Acute Malnutrition (SAM) / Moderate Acute Malnutrition (MAM).

5. To focus on SUW/SAM/MAM children below 5 years by the mechanism of

Special care and Supervised feeding of such children. It is proposed to provide3 feeds for 7 months to 3 years children and 5 feeds for 3 to 6 years children at

the AWC itself whereas the other feeds at the home will be supervised. Medical

attention will also be provided to these children and if necessary these children

will be referred to the Nutrition Rehabilitation Centres (NRCs).

6. To focus on children below 3 years by providing appropriate and acceptable

weaning food with milk powder as a constituent and which is packaged and by

effective counseling of the mothers to follow IYCF practices. The counseling

skills of the AWWs will be improved for this purpose.


7. To utlize the sevices of Link workers/ Nutrition Counsellors in the efforts to

focus on Pregnant and Lactating women, SUW/SAM/MAM children below 5

years and children below 3 years.

8. To ensure 300 days of SNP in all AWCs and to display the entitlements of

various categories of beneficiaries in all AWCs.

9. To increase the coverage of beneficiaries in 3-6 years category and Pregnant and

Lactating women.

10. To strengthen the conduct of Nutrition & Health Days for effective delivery of

health & nutrition services and to ensure that the two NHDs are conducted

regularly. NHD-1 is to be conducted on 1st of every month with focus on growth

monitoring and Take Home Ration is distributed on this day. NHD-2 is meant for

providing ANC and immunization services by ANM.

11. To review the Pre-school curriculum and revise it further as per the National

Policy on ECE and the local requirement.

12. To conduct ECCE day every month for improving Pre-school functioning.

13. To improve the Anganwadi infrastructure by constructing own buildings to the

extent possible and to make the existing buildings as child friendly AWCs.

14. To conduct Mahila Sishu Chaitanyam (IEC Campaigns) in all villages for one

week twice in a year in the months of July and January and to conduct MaarpuDarshini with the help of Community Resource Persons (CRPs).

15. To take up capacity building of Village Level Convergence Committees

(VLCCs) of Maarpu and Anganwadi Level Monitoring and Support Committee

(ALMSCs) of ICDS and the Indiramma Amrutha Hastham (IAH) Committee for

effective delivery of ICDS services.

16. To utilize the services of NGOs and Civil Societies in monitoring of service

delivery & functioning of AWCs.


17. To utilize the services of professional bodies like CESS /NIN / Home Science

College, to conduct evaluation studies and to utilize the services of Centre for

Good Governance for effective use of IT as a monitoring tool.

18. To prepare a retirement policy for AWWs / AWHs and to review the welfare

measures meant for them.

19. To strengthen the working of Project Offices by providing buildings with

adequate space for godown and meetings and by providing sufficient staff and

consultants.

20. To fill up vacancies at all levels i.e of AWHs /AWWs/ Supervisors/ CDPOs/

ADs/ PDs and RJDs.


SECTION III: ORGANIZATIONAL STRUCTURE OF ICDSPROGRAMME MANAGEMENT AT THE STATE / DISTRICT/PROJECT LEVEL

A. Organizational Set-up of ICDS in Andhra Pradesh

STATE LEVEL

REGIONAL LEVEL

DISTRICT LEVEL

PROJECT/BLOCK LEVEL

Honble Minister

Principal Secretary

Commissioner

JD (Adm. & Accounts)JD (ICDS, SNP, IT, IEC) JD (Trainings,Infrastructure, MIS)

Accounts Officer AD (Training),AD (Infrastructure, MIS)

AD (SNP), AD (SABALA)

RegionalJoint Directors (6)

Project Directors (ICDS) in the cadre ofDeputy Directors (23)

CDPOs (406)ACDPOs (275)

Total (681)

Supervisors Grade I (1903)Supervisors Grade II (1752)

Total (3655)

Main AWWs (80481)Mini AWWs (10826)

AWHs (80481)


B. ICDS Programme Management

Andhra Pradesh is among the few States, where a separate Department and a separate

Directorate are functioning to look after ICDS and other Women & Child Welfare

programmes. A separate cadre is recruited for ICDS for the CDPOs/ACDPOs (of

which 40% are by direct recruitment and the remaining are selected by promotion

from Supervisors Grade-I and Superintendents) and for the Supervisors Grade-I/

Grade-II (30% of Supervisors Grade-I are recruited by direct recruitment and the

remaining by promotion from Supervisors Grade-II). Supervisors Grade-II are

recruited by conduct of exam from among the eligible AWWs and other eligible

honorarium workers. The ADs, DDs and JDs are promoted from the cadre of CDPOs.

C. Office Infrastructure at State/District/Project Level

The State ICDS cell is situated in its own building at Vengalraonagar, Hyderabad. At

District level, 15 PD offices are functioning from own buildings and 8 offices are in

rented buildings. At Project level, out of 406 CDPO offices, 161 are in own buildings

and the remaining are in rented buildings.

Status of Buildings PD Offices CDPOOffices

Own + Rent free buildings 15 161Rented 8 245

TOTAL 23 406

Construction of 245 CDPO office buildings @30 Lakhs per building and 8 PD office

buildings @50 Lakhs per building has been approved by State Government during

2013-14 vide GO MS No.33, Department for Women, Children, Disabled and Senior

Citizens dt: 28.12.2013. The model plans for these buildings area at Annexure-3 and

Annexure-4.

D. Committees/Task Force

1. Government issued orders constituting State Level, District Level, Project Level

and Anganwadi Level monitoring and review committees vide G.O.Ms.No.38

Department for Women, Children, Disabled & Senior Citizens, dated 21.12.2012.

The State Level Committee consists of Secretaries of all line departments as

members and Chief Secretary as Chairperson. The District Level Committee

consists of district officials of line departments and 3 non officials as members and

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District Collector as Chairperson while the Committee at the Project/Block Level

consists of block officers of line departments and NGO representatives as members

and SDM as Chairperson. At Anganwadi Level, the ALMSC Committee consists

of 2 Mahila Mandals, ASHA, Sakhi under Sabla programme, 3 community

representatives and two representations from SHGs as members , Anganwadi

Worker as convener and Gram Panchayat/ Ward Member as Chairperson.

The Committees are expected to review the status of operationalization of

sanctioned projects, AWCs, coverage of habitations / hamlets and delivery of all

services at AWC, AWC infrastructure, Pre-School Education, SNP etc.

2. A Committee with Group of Secretaries consisting of Secretaries of Health and

Family Welfare, School Education, Family Welfare, Housing, Panchayat Raj and

Rural Development, Finance, Planning and Women Development and Child

Welfare as members and Chief Secretary as Chairperson was constituted vide

G.O.Rt.No.983 of Planning Department dated 23.08.2012.

The Committee is expected to take action for designing and improving the existing

programmes for improvement of outcome indicators as per the commitment of

MDGs particularly in the areas of IMR, MMR and Nutritional status of women

and children.

3. To enable allied departments to converge effectively so as to significantly improve

the pace of decline of MMR, IMR and Malnutrition, the Maarpu programme wasintroduced as per the GO MS No. 249 HM&FW Dept. dt: 24.09.2012. The

programme envisages the involvement of Self Help Groups (SHGs) and

Community in making the Health and Nutrition plan for each village, monitoring

the service delivery of Health and Nutrition activities in the village and to bring

about behavioural change in the community. This is expected to bring a shift from

programme driven service delivery to demand driven mode. As part of Maarpu, 20

key interventions including Ante Natal Checkups, Safe Motherhood, Post Natal

Checkups, Maternal & Child Nutrition, Gender Sensitization have been identified.

State level, District level, Cluster level and Village level convergence committees

are setup for monitoring and implementation of convergence efforts. The Village

level Convergence committee is the Village Health, Sanitation & Nutrition

Committee (VHSNC) as prescribed by GOI. It has the Sarpanch as Chairperson;

all SC/ST/women ward members, any women MPTC member/ZPTC


member/MPP President living in the village, president of village education

committee, ANM,AWW,ASHA as members and VO as member convener.

4. A seven member Committee called the Indiramma Amrutha Hastham Committeehas been constituted for each AWC in the 182 Projects (43,093 AWCs) where spot

feeding of one full meal is provided as per Govt. Memo No. 3462/ICDS/A1/2012

Dept. of WDD&SC dt: 20.12.2012 and Govt. Memo No. 872/ICDS/A1/2012 Dept.

of WD CD&SC dt: 10.06.2013. The VO Chairperson, one representative of SHG,

one Pregnant woman, one Lactating woman, one mother of 7 months to 3 years

child and one mother of 3 to 6 years child and AWW are the members of the

Committee.

The Committee is expected to monitor the day to day implementation of the IAH

programme and attendance of beneficiaries, mobilization of women for one full

meal, quality of food, hygiene, the menu etc.

5. Grievance Redressal committee for AWWs / AWHs at State / District / Project

Level is constituted to solve the grievances and day to day problems of AWWs and

AWHs as per G.O. RT No.171 WDCW&DW Dept. dt: 12.06.2008. The committee

at Project Level consists of all Supervisors of the project and one AWW & one

AWH representative from each sector as members and CDPO as Chairperson. At

District Level, 3 CDPOs and 3 Supervisors from the district and one representative

of AWW and AWH from each project are members and PD as Chairperson. The

State Level committee consists of JD/DD ICDS & SNP, representatives of State

Level AWWs and AWHs Associations as members and Director/Commissioner is

the Chairperson.

E. Devolution of powers at the State/District/Block levels(both administrative and financial, such as decentralized procurement of PSE kits atthe district level; procurement of food grains at the district/block level etc).

Administrative powers and financial powers have been suitably decentralized from

Commissioner to RJDs at regional level, PDs at district level, CDPOs at project level.

PDs and CDPOs are drawing and disbursing officer at district/project level for all

financial transactions.

The budget under SNP for procurement of food commodities, transport and fuel is

released to PDs and CDPOs. The cost of weaning food supplied to 7 months to 3

years by A.P. Foods is paid by Commissioner at State Level. Wheat and Rice are


lifted from FCI and Civil Supplies Corporation as part of WBNP. Dal, oil and eggs

are procured by calling tenders at district level in order to have economies of scale.

Milk is either procured locally or from Milk Cooperative Societies. Village

Organization (which are SHGs federated at village level) are involved in procurement

of eggs, milk, vegetables and condiments in 40% of total AWCs where spot feeding

of Pregnant and Lactating woman is being implemented under Indiramma Amrutha

Hastham (IAH) programme. In non-IAH ICDS Projects, AWWs procure the

vegetables, condiments and milk.

The PSE kits are developed at the State level. The appropriate material based on the

ECE syllabus is developed and procured by calling tenders at State level and supplied

to all AWCs as per GOI norms. Similarly the medicines kits are procured at the State

level and supplied to all AWCs as per GOI norms.

The budget under IEC is released to AWWs, CDPOs and PDs for conduct of

campaign activities and also utilized at State Level for supply of in-house monthly

magazine to all functionaries of ICDS; for printing of pamphlets/brochures;

development of IEC materials; and for conduct of planned mass media campaigns.

The Monitoring and Evaluation budget is utilized at State/district/project level for

payment of rental charges for SIMs provided for AWWs, printing of Registers for

AWCs, for procurement of computers, for data entry etc.

The flexi funds and contingencies amounts are released to PDs, CDPOs and AWWs

and also utilized at State level to meet certain gaps in the service delivery of ICDS

and SNP. Funds available for weighing scales, utensils, gas connections, equipment

and furniture are also released to PDs and CDPOs as per requirement and GOI norms.


SECTION IV: ANNUAL ACTION PLAN- PROGRAMCOMPONENTS

A.Human Resources

A.1 Recruitment process and promotional policy for different functionaries

The Joint Directors, Deputy Directors and Assistant Directors are promoted from thecadre of CDPOs. CDPOs (1st level gazetted) are appointed through direct recruitment(40%) by Service Commission and the remaining by promotion from the category ofSupervisors Grade-I and Superintendents. Supervisors Grade-I are appointed throughdirect recruitment (30%) and the remaining by promotion from Supervisors Grade-II.The Supervisors Grade-II are recruited from among eligible AWWs and otherhonorarium workers by conducting a written exam.

The AWWs / AWHs are selected by District Selection Committee headed by theDistrict Collector, and in ITDA areas by the ITDA Project Officer. The guidelines forselection of AWW & AWHs are issued by Government. To ensure transparency inselection new guidelines were issued in 2012 for giving weightage for marks in Xclass, training in pre-school course, to widows/ orphans/ differently abled etc. AlsoAWHs who have required educational qualification are appointed as AWWs if avacancy arises in the same village.

A.2 Manpower positions/vacancies of field functionaries at all levels in the field

Category of Posts Sanctioned In Position VacantRegional Joint Directors 6 6 0Deputy Directors 23 23 0CDPOs/ACDPOs* 684 459 225Supervisors*(Grade I) 1903 1060 843Supervisors*(Grade II) 1752 1695 57AWWs** 91307 86338 4969AWHs** 80481 76342 4139

* ICDS Administration Section** ICDS MPR Jan 2014

A.3 Plan for filling up vacancies

CDPOs /ACDPOs (225 posts vacant)- 107 posts notified to APPSC and examination was already conducted by

APPSC in May 2013. Results to be declared by APPSC.- 106 vacancies are notified to APPSC but APPSC couldnt issue notification

in view of the States bifurcation.- 12 retirement vacancies have arisen recently.


Supervisors (900 posts vacant)- 655 vacancies of Grade I Supervisors are notified to APPSC but APPSC

couldnt issue notification in view of the States bifurcation.- 188 + 57 retirement vacancies in Supervisor Grade-I & II have arisen

recently.

AWWs & AWHs (4969 + 4139 posts vacant)- Recruitment of AWWs and AWHs is under process in the districts.

A.4 Manpower position / vacancies at all Levels in the offices(Rs. in Lakhs)

State Level-ICDS Cell

Sl.No Name of the Category

Sanc-tioned

InPosition

Timelimit forfilling up

of thevacancies

Salary /Honorariumper month

Estimatedbudgetary

requirementfor the

financialyear

1 Director/Commissioner (ICDS)

1 1 -- Salary 18.00

2 Joint Directors 3 3 -- Salary 36.003 Asst. Director 4 4 Salary 30.004 Accounts Officers 1 1 -- Salary 6.005 Administrative Officer 1 1 -- Salary 5.506 Superintendents 7 7 -- Scale Post 29.407 Senior Assistant 10 10 -- Scale Post 32.008 Typist 1 1 -- Scale Post 2.409 Sr. Stenographer 1 0 -- Scale Post 3.0010 LD Steno 3 1 -- Scale Post 9.0011 Junior Assistant 6 3 -- Scale Post 15.8412 Driver 4 4 -- Scale Post 19.2013 Attender 3 2 -- Scale Post 10.8014 Data Entry Operator 14 14 -- Rs.9500/-

per month15.96

15 Jr. Steno 1 1 -- Rs.8400/-per month

1.01

District Level : Dist. ICDS Cell1 Dist. Programme

Officers (ProjectDirectors) in the cadreof Deputy Directors

23 23 --- Scale Post 106.16

2 Woman & ChildWelfare Officers asManagers of RegionalWare House in the

3 3 --- Scale Post 13.86


cadre of CDPO3 Superintendents 23 23 --- Scale Post 91.084 Senior Assistant 48 48 --- Scale Post 158.405 Junior Assistant 11 11 --- Scale Post 31.946 Typist 23 23 --- Scale Post 66.797 Driver 21 21 --- Scale Post 69.308 Attender 24 24 --- Scale Post 63.369 Watchman 18 18 --- Scale Post 47.5210 Health Instructor 3 0 --- Scale Post 5.9411 Nutritionist 3 0 --- Scale Post 5.9412 Social Worker 3 0 --- Scale Post 5.9413 Pre-School Instructor 3 0 --- Scale Post 5.94

Project /Block Level1 Woman & Child

Welfare Officers asCDPOs

406 427 --- Scale Post 1084.60

2 Woman & ChildWelfare Officer asACDPO

278 Scale Post 792.00

3 CDPOs/ACDPOs(Contract)

32 Rs 18000/-

4 Supervisor Gr.1 1903 1060 --- Scale Post 5709.005 Supervisor Gr.II 1752 1695 --- Scale Post 2180.906 Supervisors Gr.I

(Contract)-- 19 --- Rs 14000/-

per month 78.967 Supervisors Gr.II

(Contract)-- 368 --- Rs.10,500/-

per month 1121.408 Senior Assistant 246 246 --- Scale Post 811.809 Junior Assistant 292 292 --- Scale Post 770.8810 Typist 226 163 --- Scale Post 596.6411 Driver 254 171 --- Scale Post 1005.8412 Attender 326 326 --- Scale Post 860.6413 Watchman 150 136 --- Scale Post 396.0014 Medical Officer 58 58 --- Scale Post 344.5215 LHV 58 58 --- Scale Post 229.6816 ANM 313 313 --- Scale Post 1032.0017 DEO 284 284 --- Rs.9500/-

per month356.13

18 Jr. Asst. cumComputer Operator

112 112 --- Rs.8400/-per month

124.19

TOTAL 18401.46


A.5 States additional contribution for honoraria of AWWs and AWHs

The AWWs and AWHs are paid additional honoraria by the State Government from itsown budget. For the Main AWCs, AWWs are paid additional Rs 1200 per monthraising monthly honorarium to Rs. 4200/- from Rs. 3000/- and mini AWWs are paidadditional honorarium of 700/- per month raising their monthly honorarium to Rs.2950/- from Rs.2250/-. Similarly, the AWHs are paid additional honoraria of Rs. 700per month thus raising their monthly honorarium to Rs.2200/- from Rs. 1500/-. Inaddition AWHs who are working in IAH projects get another Rs.250/- per month sothat these helpers get monthly honorarium of Rs. 2450/-.

State Additional Contribution for honorarium (AP)

AWC Level State AdditionalContribution per

month

State AdditionalContribution per

annumAWWs (80,481) Rs.1200/- Rs.115,89,26,400/-AWWs (Mini AWCs-10,826) Rs.700/- Rs.909,38,400/-AWHs (80,481) Rs.700/- Rs.67,60,40,400/-AWHs (43,218)IAH Projects (One full Meal

programme)

Rs.250/- Rs.12,96,54,000/-

Additional Worker (if any) providedby the State

Nil Nil

Total Rs.205,55,59,200/-

A.6 LIC coverage and Welfare measures for AWWs & AWHs

All the AWWs & AWHs in the state are covered under Karyakarthi BimaYojana.

15 days of summer holidays are sanctioned to AWWs/AWHs in rotation in themonth of May. The AWC is thus not closed and one of the two members(Worker/Helper) is present for providing SNP during the summer holidays.

The eligible Anganwadi Workers and Helpers are given house sites, puccahouses, ration cards, subject to the condition laid down under the relevantschemes.

The children of Anganwadi Workers and Helpers are admitted in the WelfareHostels, subject to their eligibility.

The Anganwadi Workers are considered for appointment as non formaleducators wherever possible.

Maternity Leave to AWWs and AWHs is given for 180 days from 8th month ofpregnancy and is given 45 days in case of abortion/ miscarriage.


B. Procurement of Materials and Equipment

B.1 Status of supply of equipment, furniture, utensils, weighing scales, dari,storage boxes, computers/printers etc

All 406 Projects were supplied with computers much earlier and which hadbecome obsolete. During 2013-14, procurement of computers for all 406CDPOs is placed with APTS. The supply is under process.

All the districts offices are having functional laptops & computers. All sections in the State Cell are provided with computers and internet facility. All CDPO offices, PD offices and at State Level are provided with printers and

Xerox machines.

B.2 No. of functional vehicles at State, District and Project levels

Functional level No. of ownvehicles

No. of hiredvehicles

Total vehicles

State 4 3 7District 19 4 23ICDS Project 199 200 399

B.3 Utensils supplied

AWCs in IAH Projects were provided utensils during 2012-13 and 2013-14. 40128 AWCs were provided cookers during 2013-14

B.4 Gas Connections

An amount of Rs. 21.47 crores was released for procurement of Gas Connections for44,723 AWCs.

B.5 Number and percentage of AWCs (against total operational) havingfunctional baby and adult weighing scales (separately)

56,575 Salter (Baby) Weighing Scales were supplied to AWCs by Health andFamily Welfare Department through UNICEF during 2010-11. The Health andFamily Welfare Department have again supplied 80,423 Adult and 23,948Salter Scales during 2012-13 under NRHM.

Plan India an NGO has recently supplied 907 Adult Scales and 907 SalterScales for all AWCs in Hyderabad District.


B.6 Procurement of Materials and Equipment for 2014-15

Item No.available

inworkingcondition

No. to beprocured during

theyear 2014-15

Estimatedbudgetary

requirement2014-15

Timelineof supply

during2014-15

Means ofverification

(MPRs /DCs)

Remarks

State LevelPre-School Kit 80481 (Main)

10,826 (Mini)Rs. 2576.82

LakhsDecember

2014MPR

Medicine Kit 80481 (Main)10,826 (Mini)

Rs. 858.94Lakhs

December2014

MPR

Sarees (Uniform) 80481 (AWWs)80481 (AWHs)10,826 (Mini

AWWs)

Rs. 1030.72Lakhs

December2014

MPR

District LevelStationery and otheroffice needy items

Rs. 1,00,000to each Dist.

Cell

Yearly MPR

Block LevelStationery and otheroffice needy items

Rs. 60,000 toeach CDPO

Office

Yearly MPR Purchases are as per requirement andas per the rates approved by the DPC.

AWC LevelStationery and otherneedy items likebucket, mugs, durries,broom, food storagedrums, sitting matsetc.

Rs. 1000/- permain AWC,

500/- per miniAWC

Yearly MPR Purchases are as per requirement andas per the rates approved by the DPC.


Flexi Fund Rs. 1000/- perAWC

Yearly MPR/SOE To meet the transportation charges forICDS beneficiaries requiring urgentmedical care, unforeseen referralservices, emergency services and localinnovations, Community contactprogrammes, purchase of utensils, gapsin SNP etc.

Monitoring andEvaluation & ICT

1000/- perAWC

Yearly MPR/SOE For printing of registers / records,computerization and data entry,internet, e-mail, rental charges of SIMcards, community based monitoring,research studies, evaluations etc.

ICDS - Andhra Pradesh, APIP 2014-15 Page 35

C. Service Delivery

C.1 Supplementary Nutrition

C.1.1 New Initiatives under Supplementary Nutrition during 2013-14

Several initiatives were introduced under SNP to have the desired impact in reducingmalnutrition and to optimize utilization of the ICDS/SNP budgets. These initiativesare listed below:

Stabilization and extension of Indiramma Amrutha Hastam (IAH) programme:IAH involves spot feeding of one full meal to pregnant and lactating women at theAWC. The meal includes egg and 200 ml milk daily along with rice, dal andvegetables. The meal provides more than 40% of the days requirement of calorie /protein/calcium for the Pregnant and Lactating women. IAH is now implementedin 182 ICDS Projects with most adverse health and nutrition indicators and covers6.14 lakhs (i.e.40%) of pregnant and lactating women in the State. The programmeis implemented with the help of SHGs and their federations at the village level i.e.,the Village Organizations. The menu details, nutritive value and costing is includedin the next C.1.2 Section. The State Govt. had provided Rs.177.88 crore for IAHfrom its own budget in 2013-14. IAH is expected to improve the nutrition status ofpregnant and lactating women, reduce anaemia among them and reduce theincidence of low birth weight children.

Introduction of Balamrutham: The receipe of the Modified Therapeutic Food(MTF) for 7 months to 3 years was revised and soya was replaced by channa daland milk powder. The new MTF known as Balamrutham has been widely acceptedby the mothers and is being distributed in packets of 2.5kg per child per month.The mother is now more confident that the weaning food is meant only for herinfant. Balamrutham is fortified and serves both as a weaning food and as a caloriedense food to reduce malnutrition.

Revised Food Models: In view of the revised cost norms of SNP underRestructured ICDS and the need to have food models which are more acceptableto the target group, revised food models were introduced based on therecommendations of a Committee constituted for the purpose. The revised FoodModels are detailed at the next C.1.2 section. As such 7 months 3 years childrenare given Balamrutham packet monthly with 2 eggs per week; 3-6 years childrenare given hot meal with snack daily and 4 eggs per week; Pregnant and Lactatingwomen are given one full meal with egg and milk daily under IAH Projects or 3 kgof rice, 1 kg dal, ltr oil monthly and 4 eggs a week as THR in non IAH Projects.


Supervised feeding of Severely Underweight (SUW) / Severe Acute Malnutrition(SAM) / Moderate Acute Malnutrition (MAM) children: A very criticalintervention by way of supervised feeding of Severely Underweight (SUW) /Severe Acute Malnutrition (SAM) / Moderate Acute Malnutrition (MAM) childrenat AWC and at home has been introduced. A Model Menu for such children hasbeen designed to enable mothers to feed their children every 2 hours with caloriedense food. Among these feeds, certain feeds are given at the AWC itself. Thus, 3feeds of egg, milk, mini meal + 5 g of extra oil is given to 7 months to 3 years atthe AWC and the mother is advised to feed the child the entire 100 g ofBalamrutham at home in 2 feeds and to provide yet another two feeds as per theModel Menu. In the case of 3-6 years, 5 feeds of egg, milk, meal + 5 g of extraoil, snack and 50 g of Balamrutham are given at the AWC as the child is expectedto be enrolled for Pre-School. The remaining three feeds are to be provided athome as per the Model Menu. The details of the normal THR, additionalsupplementation, Model Menu for both the groups of 7 months to 3 years and 3to 6years are included in the next C.1.2 section. Medical attention is provided to allsuch children in coordination with the Medical Officer of PHCs.

Conduct of two NHDs: To focus on growth monitoring, two Nutrition and HealthDays (NHDs) are conducted in each AWC. The growth monitoring is done onNHD-1 and THR is also distributed on NHD-1. 1st of every month is fixed as theNHD-1. As a result the food supply chain is managed such that food stocks aremade available before 1st of every month. NHD-2 is the ANC and immunizationday and it is fixed as per the ANMs schedule.

Provision of utensils and gas connection: As such funds have been madeavailable to ensure availability of utensils, cookers and gas connections in allAWCs. This is meant to ensure that hot meal is provided with ease to thebeneficiaries.

C.1.2 Food Models for the various categories of beneficiaries:

A State Committee was constituted under the Chairmanship of Managing Director, APFoods with representatives from NIN, UNICEF, NGOs, Home Science College, Dept.of Women Development & Child Welfare, Nutrition experts etc. to study variousaspects of existing Food Models and the modifications to be made in view of therevised cost norms communicated by the GOI.

The State Committee suggested to implement only one Food Model for onecategory of beneficiaries and also suggested to consider adding 8 to 10 g of Milkpowder and increase sugar content in the present weaning food to improve


acceptability, palatability and nutritive value for Children below 3 years. As a resultBalamrutham was developed as the revised Modified Therapeutic Food by AP Foodsreplacing soya with channa dal and milk powder.

Also based on the recommendations, the Food Models were revised for all thecategories of beneficiaries and these are detailed in the tables below. The revised costnorms under Restructured ICDS are being followed for all districts in the State. Thedetails of these revised Food Models have been included in the comprehensive G.O.Ms. 14 WCD&SC (ICDS) department dt: 28.2.2014.

Food Models for additional supplementation for SUW/SAM/MAM children werealso revised to enable Special care and Supervised feeding of such children. Theguidelines for the supervised feeding were issued vide G.O. Ms. No. 15 of WCD&SC(ICDS) department dt: 28.02.2014.

I. Food Model for Take Home Ration (THR) of 7 months - 3 years Children (per beneficiary)

FeedingModel

Sl.No

ItemQuantityper day

TentativeCost perday (Rs)

Nutritive Value

Energy(kcal)

Protein(g)

Calcium(mg)

1 2 3 4 5 6 7 8THR 1 Balamrutham [Roasted

Wheat, Bengal Gram,Milk powder, Sugar &Oil]

100 g 4.58 414.00 11.00 367.00

SpotFeeding

2 Egg (2 per week) 16 g(Averageper day)

1.12 27.68 2.13 9.60

3 Transport 0.10

4 Fuel 0.20

TOTAL 6.00 441.68 13.13 376.60

Composition per 100 g of Balamrutham (fortified with vitamins & minerals)

Ingredients Parts(g)

Energy(kcal)

Protein(g)Roasted Wheat 55 190.3 6.4

Bengal Gram 5 18.0 1.0Skimmed Milk Powder 10 35.7 3.6Sugar 20 80 0Oil 10 90 0

TOTAL 100 414.0 11.0

Nutritive value per 100 g in Balamrutham


Sl.No.

GOI Norms Available Nutrients inNatural Ingredients

Fortification Total

1 Energy (kcal) 414 0 4142 Protein (g) 11 0 113 Calcium (mg) 167 200 3674 Iron (mg) 3.1 6 9.15 Vitamin A (g) 2.5 200 202.56 Vitamin B1 (g) 0.3 0.3 0.67 Vitamin B2 (mg) 0.2 0.35 0.558 Vitamin C (mg) 0.5 15 15.59 Folic Acid (g) 7.1 15 22.110 Niacin (mg) 2.3 4 6.3

II. Food Model for spot feeding of 3- 6 years Children (per beneficiary)

Sl.No.

Item

Rice + Dal with leafy vegetables/Rice + Sambar with vegetables or

same as IAH menuNutritive Value

Quantityper day

TentativeRate

per Kg/L(Rs)

TentativeCost

per day(Rs)

Energy(kcal)

Protein(g)

1 2 3 4 5 6 7A. Main Meal

1 Rice 75 g 4.00 0.30 258.78 5.102 Dal (Red Gram) 15 g 70.00 1.05 52.20 3.633 Vegetables 25 g 28.00 0.70 26.25 0.904 Condiments 0.255 Egg (4 per week)* 32 g

(Averageper day)

3.50/ egg 2.24 55.36 4.26

6 Oil 5 g 59.00 0.33 45.00 07 Transport 0.108 Fuel 0.20

B. Snack Food9 AP Food - Kurkure

(20 gms) / ChannaDal (15 gms) /Peanuts (15 gms)

0.83 80.00 2.40

TOTAL 6.00 517.59 16.29* Eggs to be given from Tuesday to Friday


III. Food Model for spot feeding of Pregnant & Lactating Women in IndirammaAmrutha Hastham (IAH) ICDS Projects (per beneficiary)

Sl.No.

ItemQuantityper day

TentativeCost per

day(Rs.)

Nutritive Value

Energy(kcal)

Protein(g)

Calcium(mg)

1 2 3 4 5 6 71 Rice 125 g 0.50 431.30 8.50 12.50

2 Dal (Red Gram) 30 g 2.10 104.40 7.25 22.50

3 Oil 16 g 1.00 144.00 - -

4 Transport 0.10 - - -

5 Cooking 0.30 - - -

6 Milk 200 ml 5.60 234.00 8.60 420.00

7 Egg 1 No. (50g) 3.50 86.50 6.65 30.00

8Vegetables(Leafy vegetables, Potato,Onion, Beans etc.,)

50 g 1.40 52.50 1.80 16.06

9 Condiments 0.50 - - -TOTAL 15.00 1052.70 32.80 501.06

Note : In addition to Rs.15/- per woman per day, flexible amount of Rs.2/- per womanper day is also permitted to meet local variations in prices

Model Menu for IAH is as follows:

Day Item 1 Item 2 Item 3 Item 4 Item 5

Day 1 Rice Sambar with vegetables - Egg Curry Milk

Day 2 Rice Dal Green leaf vegetable Curry Egg Milk

Day 3 Rice Dal with leafy vegetables - Egg Milk

Day 4 Rice Sambar with vegetables - Egg Curry Milk

Day 5 Rice Dal Green leaf vegetable Curry Egg Milk

Day 6 Rice Dal with leafy vegetables - Egg Milk


IV. Food Model for Take Home Ration (THR) for Pregnant & Lactating Women in non-Indiramma Amrutha Hastham (IAH) ICDS Projects and for THR for Adolescent Girlsin Sabla districts (per beneficiary)

FeedingModel

ItemQuantityper day

TentativeRate per

Kg/L(Rs.)

Quantityper month

TentativeCost permonth(Rs)

TentativeCost per

day(Rs)

Nutritive ValueEnergy(kcal)

Protein(g)

1 2 3 4 5 6 7 8 9

THR

1 Rice 120 g 4.00 3 kg 12.00 0.48 414.05 8.162 Red Gram

Dal *40 g 70.00 1 kg 70.00 2.80 139.20 9.67

3 Oil 18.2 g 59.00 1/2 L 29.50 1.18 163.80 -

SpotFeeding

4 Eggs(4 perweek) **

32 g(Averageper day)

3.50(Per Egg)

16 Eggs 56.00 2.24 55.36 4.26

5 Transport 2.50 0.106 Fuel 5.00 0.20

TOTAL 175.00 7.00 772.41 22.09* Dal should be distributed in 1kg packet** Eggs to be given from Tuesday to Friday

V. Food Model for Additional Supplementation for SUW/SAM/MAM children of 7months 3 years (over and above food model at IV for normal children) foradditional nutritional requirement and supervised feeding at AWC (per beneficiary)

Sl.No.

ItemAdditional

Quantity per day

TentativeCost(Rs)

Nutritive Value

Calories(kcal)

Protein(g)

Calcium(mg)

1 2 3 4 5 6 71 Eggs 34 g per day

(17 eggs Additionalper month)

2.38 58.82 4.52 20.40

2 Milk 100 ml 3.20 117.00 4.30 210.003 Mini Meal (1/2

of the mealgiven to 3-6years children)

60 g 1.33 191.12 4.81 13.40

i) Rice 37.5 g 0.15 129.39 2.55 3.75ii) Dal 7.5 g 0.53 26.10 1.81 5.63iii) Vegetables 12.5 g 0.35 13.13 0.45 4.02iv) Oil 2.5 g 0.17 22.50v) Condiments 0.13

4 Extra Oil 5 g 0.33 45.00TOTAL 7.24 411.94 13.63 243.80


The Additional Supplementation for SUW/SAM/MAM children of 7 months 3 yearsfor additional nutritional requirement and Supervised feeding at AWC has beenplanned as part of the Model Menu meant for such children. The Model Menu isas detailed in the table below. The Food Model for additional supplementation allowssupervised feeding at AWC with egg, milk, mini meal + extra oil to theSUW/SAM/MAM children of 7 months 3 years.

The Mothers of SUW/SAM/MAM children will be encouraged to follow the ModelMenu. However, local/appropriate variations may be made to the Model Menu bythe mothers depending on age of the child and food available for the family. TheModel Menu is designed to ensure 2-hourly feeding with calorie dense food items.

The mothers/care-givers have to bring the SUW/SAM/MAM children below 2-3 yearsto the AWC for the feeds at the centre. The remaining feeds at home will also besupervised by the AWW/AWH. Wherever present, the Nutrition Counsellor /LinkWorker will also help in the supervised feeding.

Model Menu for Severely Underweight (SUW) children of 7 months 3 years

Sl.No.

FeedingTime

ItemVenue

forfeeding

Quantityper day

Tentativecost

(Rs. perday)

Nutritive value

Energy(Kcal)

Protein(g)

Calcium(mg)

1 7:30 am Balamrutham Home 50g 2.29 207.00 5.50 183.50

2 9:30 am Egg AWC 50g 3.50 86.50 6.65 30.00

3 11:30 am Milk AWC 100 ml 3.25 117.00 4.30 210.00

4 12:15-1:00 pm

Mini Meal +Extra Oil(5g)*

AWC 65g 1.66 236.10 4.81 13.40

5 3:30 am MashedVeg./Fruit

Home 50g by family 52.50 1.80 16.06

6 5:30 am Balamrutham Home 50g 2.29 207.00 5.50 183.50

7 7:30 am Meal at home Home 65g by family 236.10 4.81 13.40

8 Demandfeeding

Breast Milk 600ml 402.00 6.60 168.00

Transport 0.10

Fuel 0.20

Total 13.24 1544.20 39.97 817.86


Sl.No Details of Mini Meal +Extra Oil (5g)* Nutritive Value

ItemQuantityper day

(g)

Cost perday(Rs.)

Energy(Kcal)

Protein(g)

Calcium(mg)

A Mini Meal1 Rice 37.5 0.15 129.39 2.55 3.75

2 Dal 7.5 0.53 26.10 1.81 5.63

3 Vegetables 12.5 0.35 13.13 0.45 4.02

4 Oil 2.5 0.17 22.50

5 Condiments 0.13

B Extra Oil 5 0.33 45.00Total 65 1.66 236.12 4.81 13.40

VI. Food Model for Additional Supplementation for SUW/SAM/MAM Children of3-6 years (over and above food model at III for normal children) for additionalnutritional requirement and supervised feeding at AWC (per beneficiary)

Sl.No.

ItemAdditional

Quantity per day

TentativeCost(Rs)

Nutritive Value

Calories(kcal)

Protein(g)

Calcium(mg)

1 2 3 4 5 6 71 Eggs 18 g per day

(9 eggs Additionalper month)

1.26 31.14 2.39 10.80

2 Milk 100 ml 3.20 117.00 4.30 210.003 Extra oil 5 g 0.33 45.00 0 04 Balamrutham 50 g 2.29 207.00 5.50 183.50

TOTAL 7.08 400.14 12.19 404.30

The Additional Supplementation for SUW/SAM/MAM children of 3 years 6 years foradditional nutritional requirement and Supervised feeding at AWC has been plannedas part of the Model Menu meant for such children. The Model Menu is asdetailed in the table below. The Food Model for additional supplementation allowsSupervised feeding at AWC with egg, milk, meal + extra oil, snack and Balamruthamto the SUW/SAM/MAM children of 3-6 years.

The Mothers of SUW/SAM/MAM children will be encouraged to follow the ModelMenu. However, local/appropriate variations may be made to the Model Menu bythe mothers depending on age of the child and food available for the family. TheModel Menu is designed to ensure 2-hourly feeding with calorie - dense food items.


SUW/SAM/MAM children of 3-6 years will be encouraged to enroll in the AWC so asto ensure that 5 of the 8 feeds are taken at the AWC. The remaining feeds at home willalso be supervised by the AWW/AWH. Wherever present, the Nutrition Counsellor/Link Worker will also help in the supervised feeding.

Model Menu for Severely Underweight (SUW) children of 3 years 6 years

Sl.No

FeedingTime

ItemVenue

forfeeding

Quantityper day

Tentativecost

(Rs. perday)

Nutritive value

Energy(Kcal)

Protein(g)

Calcium(mg)

1 7:30 am Tiffin + ExtraOil/Ghee (5g)

Home 100g by family 325.00 7.00 20.00

2 9:30 am Egg AWC 50g 3.50 86.50 6.65 30.00

11:30 am Milk AWC 100 ml 3.25 117.00 4.30 210.00

4 12:15-1:00 pm

Meal + Extraoil (5g)*

AWC 125g 2.96 427.20 9.50 26.78

5 3:30 am Snack AWC 15-20g 0.83 80.00 2.40 3.40

6 5:30 am Balamrutham(made intoLaddoo /Java)

AWC 50g 2.29 207.00 5.50 183.50

7 7:30 am Fruit + Snack Home 50g by family 200.00 3.00 20.00

8 8:30 am Meal + Extraoil /ghee(5g)

Home 125g by family 427.23 9.63 26.78

Total 12.83 1802.50 43.45 510.46

Transport 0.1

Fuel 0.2

Total 13.08 1869.96 48.11 520.46

Sl.No

Details of Meal + Extra Oil (5g)* Nutritive Value

ItemQuantityper day

(g)

Costper day

(Rs.)

Energy(Kcal)

Protein(g)

Calcium(mg)

A Meal1 Rice 75 0.30 258.78 5.10 7.50

2 Dal 15 1.05 52.20 3.63 11.25

3 Vegetables 25 0.70 26.25 0.90 8.03

4 Oil 5 0.33 45.00 0.00 0.00

5 Condiments 0.25

B Extra Oil 5 0.33 45.00 0.00 0.00

Total 125 2.96 427.23 9.63 26.78


C.1.3 Community Managed SNP

The Community Managed SNP is being implemented in two (2) ICDS Projects ofKarimnagar District viz. Siricilla and Vemulavada covering 43,271 beneficiaries.Mothers Committees procure raw material, prepare food and supply to the AWCs.They are supplying Jowar Mix containing Jowar, Groundnuts, Roasted Chana andSugar. In addition eggs are provided. Bala Amrutham for 7m 3yrs children is beingprovided by AP Foods.

M/s Naandi Foundation is supplying hot cooked supplementary nutritious food to thebeneficiaries in the age group 3-6 years children in 5 ICDS Projects of HyderabadDistrict covering 18,835 beneficiaries. The pregnant and lactating women and 7months 3 years children get the same THR as in other Projects.

M/s. Akshyapatra Foundation is supplying nutritious food to 3 6 yrs children andPregnant and Lactating women of AWCs in 04 ICDS Projects ie. Visakhapatnam (U)I, Visakhapatnam (U) II, Anakapalli of Visakhapatnam District and Sherlingampalli ofRangareddy District covering 29,914 beneficiaries. In addition Balamrutham issupplied to 7 months 3 years children.

C.1.4 Coverage of beneficiaries of SNP

The category wise coverage of beneficiaries as per January 2014 MPR is as follows.

TargetPopulation

(as persurvey)

TotalBeneficiary

Enrolled

TotalBeneficiary

Covered

Gap inEligible &Enrolled

Gap inEnrolled &

Covered

Children(7 months to 3 years)

2977956 2898746 2749723 79210 149023

Children (3 years to 6years)

2459921 2034354 1713117 425567 321237

Pregnant women 718951 710597 686529 8354 24068

Lactating women 765299 755709 729300 9590 26409Source : as per ICDS MPR, Jan, 2014

C.1.5 Quantum of food commodity approved for Wheat basedNutrition Programme (WBNP) and lifted and requirement for the Financial Year

Rice approved (2013-14) : 69,386 MTsWheat approved (2013-14) : 50.729 MTs (A.P. Food for Balamrutham and MTF)Rice lifted (2013-14) : 69,386 MTsWheat lifted (2013-14) : 28,466 MTsRice required (2014-15) : 86,245 MTsWheat required (2014-15) : 45,600 MTs (A.P. Food for Balamrutham and MTF)


C.1.6 Expenditure on supplementary nutrition during previous two years -Budgetary allocation and actual expenditure incurred

* For 2013-14, as on December 2013

C.1.7 Estimate budgetary requirement for the Financial Year 2014-15

Rs. 1078.94 crores (including VAT + Materials and Supplies) is required as perSummary of demand enclosed.

C.2 Growth Monitoring and Promotion

The new WHO growth registers are supplied to all main and mini AWCs. Training ofall functionaries i.e. CDPOs, Supervisors, AWWs has been organized by theDepartment. All AWCs are using the new WHO registers.

Growth monitoring is done mainly on NHD-1. The AWWs have been asked tocategorize all children below 5 years as SUW/SAM/MAM so as to take Special careand Supervised feeding of such children.

C.3 Pre-School Education (PSE)

C.3.1 States policy on Pre-School education in ICDS

Andhra Pradesh has developed an activity based Pre-school curriculum incoordination with ECE Resource Center of Andhra Mahila Sabha, NGOs and otherdevelopment partners to promote holistic development of children. Syllabus books,activity books and time table are developed as per this curriculum. The CDPOs/Supervisors/AWWs are also trained as per the curriculum.

Year Allocation(Rupees in crores)

Expenditure(Rupees in crores)

State Central State Central

2012-13 444.55 414.44 321.73 353.59

2013-14 444.55 556.00 338.12 338.12


C.3.2 Specific interventions on Pre-School Education

State Govt. has extended the timings of AWC from 9.00 a.m. to 4.00 p.m.and enhanced honorarium of Rs.500/- per month for the AWWs and Rs.250/-for the AWHs. Accordingly a new Pre-school time table was introduced as atAnnexure-5.

Organizations like Andhra Mahila Sabha, College of Home Science, KEKLtd., SODHANA, Pratham, Azimii Premji Foundation and World Vision arebeing involved actively to strengthen Pre-School activities in AWCs.

Workshops were organized twice during 2013-14 to review the presentsyllabus. Suggestions have been made to include more number of Englishsongs, more stories, more number of good habits etc. The revision is beingmade accordingly

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