HRISHT – PUSHT RANCHI - Rai Mahimapat Ray Deputy Commissioner, Ranchi
BACKGROUND Indicators Ranchi Kerala National Average Children under 5 years of age who are stunted (%) 40.7 19.7 38.4 Children under 5 years who are wasted (%) 27.2 15.7 21.0 Children under 5 years who are severely wasted (%) 7.5 6.5 7.5 Children under 5 years who are underweight (%) 43.8 16.1 35.8 Institutional births (%) 76.9 99.8 78.9 Children under age 3 years breastfed within one hour of 38.4 64.3 41.6 birth (%) Pregnant women age 15-49 years who are anemic (%) 68.3 22.6 50.4 Children age 12-23 months fully immunized ( BCG, 67.7 82.1 62 measles, OPV3 & DPT3) (%) Mother’s who had at least 4 antenatal care visits (%) 39.9 90.1 51.2 Mothers who had antenatal check up in the first 69.8 95.1 58.6 Trimester (%) NFHS : 2015-16
DATA COMPARISON Indicators District NFHS Best in India Data survey (2015-16) Mothers who had antenatal check-up in the first 75.91 69.28 98.26 trimester (%) Mothers who had at least 4 ante-natal care visits 13.3 39.9 83 Institutional birth (%) 95.4 76.9 100 Sex ratio 972 960 1000 Children fully immunized (%) 100 67.7 100 Children under 5 years who are underweight (%) 11.6 43.8 5.8 Children under 5 years who are stunted (%) 36.39 40.7 8.10 Children under age 3 years breastfed within one hour of 100 38.4 80.5 birth (%)
GAPS Infrastructure Community Data Analysis Ground Workforce • Lack of basic • Lack of basic • Lack of re- • Data facilities like understanding training in collection toilets, etc. about nutrition consonance Civic process is • Deplorable • Lack of co- with the digital condition of improper Infra ordination world JSLPS between SHG’s & Anganwadi • Lack of Collection • Use of workers nutrition buildings AWW training of in other department people in data unrelated collection activities • Community • Lack of re- • No • Only a feeding Management to training in mechanism to tackle acute ground for the consonance analyze the malnutrition children with the digital data up to almost non- • Lack of local world existent Panchayat Ambience language based • Use of workers CMAM ANM • Basic information level Analysis pedagogy in other about • Lack of good unrelated malnutrition is data analyst activities missing in the District • Lack of synchronized •VHSND’s have training become another between AWW • Implementation immunization • Lack of & ANM of ECCE is missing day, rather a day mechanism to • Lack of co- convergence to aware people Social • Bala concept is verify the ordination 3 rd Party Mobilization • Non-function of ECCE almost missing data by the between AWW Nutrition Verification 3rd party & ANM committee of Gram Sabha’s
STRATEGY Ground Data Analysis Infrastructure Community Workforce & Monitoring Community Coordination of Strengthening the Civic Upgradation Management of AAA & Data data collection Acute Malnutrition reporting process Monitoring of Pedagogy Social Audit Accountability & Health & Nutrition Transformation Capacity Building ability upgradation indicators up to panchayat level Nutritional RCH to Convergence at Deploying better Upgradation Malnutrition village, cluster & analytical method training of SHG's block level
HELP REQUIRED • Capacity Building of AAA in • Upgradation of Civic consonance with the Infrastructure of Digital world Anganwadis • Co-ordination of Health & • Nutritional Upgradation of ICDS staff Anganwadis in the form of Kitchen gardens • Pedagogy development of Anganwadis • Introduction BaLa in the Anganwadis • Creation of incentive structure for the prime Infrastructure Internal workers Upgradation Capacity Data Quality Community & Capacity Augmentation Building • Data Collection Process • Setting up of Community Based Management of Acute • Dashboard up to Panchayat Malnutrition (CMAM) level • Training of SHG’s in nutrition • GIS mapping of all health & ICDS infrastructure • Localized RUTF/RTE substitute • Third party auditing • Screening capacity of the community (Social Auditing)
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