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Weight Monitoring

The Ministry of Health and Family Welfare and the Ministry of Women and Child Development have been taking initiatives for the reduction in maternal, neo-natal and infant mortality, child malnutrition etc.,

One major joint initiative is the adoption of WHO Standard of Growth Monitoring of children below 5 years and have introduced a common Mother and Child Protection Card (MCP card) for both ICDS / NRHM, incorporating the new WHO Child Growth Standards for assessing nutritional status of the children.

Under ICDS, weighing of the children are being done every month and plotted in the WHO register and MCP cards and nutritional status from the growth curve is assessed and measures are taken to reduce malnutrition.

During the year 2013 - 2014, to ensure 100% availability of weighing scales in all AWCs, weighing machines have been provided to the tune of 7.11 Crore.

During the year 2015 - 2016, 12524 no.s of electronic adult weighing scales with BMI option has been provided to AWCs to the tune of Rs. 4.08 crores.

During the year 2014 - 2015, First Aid Kits have been provided to all 54439 AWCs.

The Government of India Scheme IGMSY(Indira Gandhi Matritva Sahyog Yojana) has been implemented in Erode and Cuddalore districts in convergence with Dr. Muthulakshmi Reddy Maternity Benefit Scheme (MRMBS) implemented by DPH & PM. Rs. 6000/- is provided per mother under this scheme.

Effective convergence and strong coordination is ensured which play an important role in the efficient delivery of quality services to targeted beneficiaries as Anganwadi Centre is the focal point for the delivery of an integrated package of nutrition, health and referral services to children below six years, pregnant women, lactating mothers and adolescent girls. Health related services are delivered through a coordinated approach with the Health Department.

Immunization, Services & Health Check-Ups

All the interventions in the ICDS scheme have been done either directly or indirectly through convergence mechanism.

The health intervention activities, particularly immunization of children and pregnant mothers, IFA supplementation, referral services and providing Vitamin-A, all such activities have been carefully planned and implemented with the coordinated efforts of both ICDS and Health functionaries. This includes health care of children less than 6 years of age, antenatal care of expectant mothers and postnatal care of nursing mothers and Adolescent girls(10 to 19 years).

Pentavalent vaccine consisting of DPT, Hepatitis B and Hib has been implemented in the State since December 21, 2011 replacing the Hepatitis-B and DPTwith new addition of Hib(Haemophilus influn type B).

ICDS has been providing good support to the health sector in rendering basic health care services to the rural community.

Vit A Supplemntation: Vitamin A administration is organized on Campaign basis by annualy every year for all children in the age group of 6-60 months by Health department. The Anganwadi Worker mobilises the children in her area for the campaign.

Deworming Campaign: The one dose of albendazole tab is given once in 6 months to all children in the age group of 2-6 years on campaign basis, one week prior to Vitamin A supplementation.

Aneamia Control Programme

To control anaemia among the children in the age group of 1-3 yrs, 1ml(20 mg) of IFA syrup is given for 100 days but not all children are covered as per GOI Guidelines by Health department. Hence it has been decided to include IFA syrup(100 ml) in the medicine kit of the Anganwadi center. Anganwadi worker will be oriented on the usage and dispensing of the Medicine. IFA (small) tablet are given by the Village Health Nurse of the Sub center to the children in the age group of 36 months to 60 months and very rarely the the tablets are dispensed through Anganwadi worker.

The Menstrual Hygiene programme

This programme is implemented by the Health department, where the 3 packs of Sanitary napkins(6 in each pack-Puduyugam) are distributed to the Adolescent girls along with 8 IFA tablets once in two months through Anganwadi worker. The Adolescent girls in SABLA and Non-SABLA districts are oriented on health and menstrual hygiene practices through Anganwadi worker.

The Health Check-Up

As Quarterly health check up of all children enrolled in the Anganwadi center has been a mandatory service under "Restructuring of ICDS", the services of Mobile Medical Unit (MMU), i.e the Hospital On Wheels programme of NRHM/Directorate of Public Health and Preventive Medicine will be utilized. This MMU is provided for all 385 rural blocks of one MMU/block.

The biannual health check up of children at AWC is also planned under RBSK(Rashtriya Bal Swasthya Karyakram) programme of Health Department.

Provision of medicine kit to AWC

In order to correct minor ailments and conditions, medicine is distributed to Anganwadi worker as Medicine kit @ of Rs.1000/- Main center and Rs.500 mini center consisting of easy to use and dispensable medicines to remedy common ailments like fever, diarrhoea, skin infections etc.

Every year with the concurrence of the Director of Public Health and Preventive Medicine, procuring medicines such as Iron Syrup(50 bottles), Deworming syrup 50 botles, Mulitviatamin drops(3Nos) and Zinc tablets(100Nos) and Povidone Iodine solution in addition to Paracetamol tab & syrup, cotton roll, bandage etc.,

Tamil Nadu Water Supply and Drainage Board had provided the 200 liter capacity of Sintex tank with tap provision inside the AWC building.So far 32363 AWC (60%) have been provided with such facilities and Potable water is made available in all 54439 AWC(100%).

Hand Washing is Promoted

IMR-MMR Achievement

Infant Mortality Rate - Tamilnadu (As per sample registration system results)

Infant Mortality Rate is the key sensitive indicator of child health in a country. The current level of IMR in Tamil Nadu for the year 2012 is 21 per 1000 live births as per the Sample Registration System Survey (2012). The State ranks as the second lowest among the major states in the country.

Maternal Mortality Ratio (MMR) - Tamilnadu (As per sample registration system results)

Infant Mortality Rate is the key sensitive indicator of child health in a country. The current level of IMR in Tamil Nadu for the year 2012 is 21 per 1000 live births as per the Sample Registration System Survey (2012). The State ranks as the second lowest among the major states in the country.

Tamil Nadu has one of the very low MMR among the major Indian States. In 2013-14, Tamil Nadu reported 727 Maternal deaths amounting to a MMR of 68 per 1,00,00 live births.


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