2. DEFINITION OF
ADOLESCENT
WHO defines adolescents as individuals
between the age group of 10-19 years
In India legal age of marriage is 18 years for
girls and 21 years for boys
This scheme covers adolescent girls between
the age group of 11-18 years
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3. DEMOGRAPHIC PROFILE OF
ADOLESCENT IN INDIA
According to Census , 2001
Adolescent Girls (11-18 years) constitute
16.75% of the total female population.
Female literacy rates are only 53.87%.
33% of the adolescent girls are
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4. ADOLESCENT
A-adoption of healthy lifestyle
D-develop appropriate IEC strategy
O-organize adolescent friendly clinics
L-life skill training, legal support
E-educate about family life, safe sex
S-safe, secure and supportive environment, sensitization
towards gender equality
C-clan spirit, courageous, confidence
E-enable, empower adolescents to be responsible citizens
N-nourish and nurture
T-training for income generation
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5. WHY IS ADOLESCENCE A
PERIOD OF SIGNIFICANCE
It is a significant period for physical, mental,
emotional and psychological growth
During this period, nutritional problems
originating earlier can be partially corrected
It is a period to shape and consolidate healthy
eating and lifestyle behaviour: preventing
nutrition related diseases in future
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6. EARLIER INITIATIVES BY
GOVERNMENT
KISHORI SHAKTI YOJANA, 2000 aimed to improve
the nutritional and health status of adolescent girls
and to equip them to improve and upgrade their
home-based and vocational skills
NUTRITION PROGRAMME FOR ADOLESCENT
GIRLS (NPAG), 2002-03 identified 51 districts across
the country to address the programme. Under this
programme 6 kgs of free food grains per beneficiary
per month are given to adolescent girls
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7. OBJECTIVES OF SABLA
SCHEME
1. Enable self-development and empowerment of AGs
2. Improve their nutrition and health status
3. Spread awareness among them about health, hygiene,
nutrition, ARSH (Adolescent Reproductive and Sexual
Health) and family and child care
4. Upgrade their home-based skills, life skills and
vocational skills
5. Mainstream out of school AGs into formal/non formal
education
6. Provide information/guidance about public services
such as PHC, Post Office, Bank, Police Station
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8. TARGET GROUP
The scheme covers all adolescent girls in the age group of
11-18 years under all ICDS projects under two categories:
1. 11-14 years
2. 14-18 years
All out of school girls would assemble six days a week at
AWC. Others school going girls would meet at the AWC
at least twice a month and during vacation/holidays
they will receive life skill education, nutrition and
health education, awareness about other social-legal
issues
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9. SERVICES
1. Nutrition Provision
2. IFA supplementation
3. Health check-up and Referral Services
4. Nutrition & Health Education
5. Counselling/Guidance on Family Welfare, ARSH,
Child Care Practices and Home Management
6. Life Skill Education and accessing public services
7. Vocational training (for girls aged 16 and above) and
skill development
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10. NUTRITION
Each adolescent will be given 600 calories, 18-20
grams of protein and micronutrients (approx. 1/3
of RDA) per day for 300 days in year
Supplementary Nutrition will be provided in the
form of hot cooked meal or Take Home Ration (as
feasible)
COST: Cost will be Rs. 5/- per beneficiary per day
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11. IFA SUPPLEMENTATION
IFA tablets will be distributed to adolescent girls on
Kishori Diwas
The state can procure these supplements if Health
Department is unable to do it under the scheme
Adolescent girls will be given information on food
fortification, dietary diversification and advantages
of weekly supplementation for combating IFA
deficiency by ANM/AWW 11
12. HEALTH CHECK-UP AND
REFERRAL SERVICES
Kishori Diwas will be celebrated once in three
months. On this day, a general health check-up will
be done for all adolescent girls
Medical officer/ANM will provide de-worming
tablets
Height and weight of the girls will be taken
Kishori cards will be prepared and maintained by
marking major milestone
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13. NUTRITION AND HEALTH EDUCATION
Nutrition and health education will be given in AWC jointly
by ICDS, health functionaries and resource persons/ field
trainers from NGO’s
Objectives :
Better health status of the girl
Leading to an overall improvement in the family health
Breaking the vicious integrated cycle of malnutrition
Education will include: safe drinking water, personal hygiene
and sanitation, physical exercise, first-aid, balanced diet,
increasing the nutrition value of locally available food,
healthy cooking and eating habits, nutrition during various
stages of life etc.
13
14. GUIDANCE ON FAMILY WELFARE,
ARSH, CHILDCARE PRACTICES AND
HOME MANAGEMENT
This training will be provided at the AWC by the resource
person from NGOs/CBO’s with the help of AWW,
ASHA, ANM, and supervisor.
Age appropriate knowledge for 2 age groups of 11-14 and
14-18 years with respect to reproductive cycle,
HIV/AID’s, contraception. Right age of marriage and
pregnancy, child care and feeding practices will be
imparted
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15. AND ACCESSING PUBLIC
SERVICES
Life Skill Education- deals effectively with the demands
and challenges of everyday life. The AGs will acquire
knowledge and develop attitudes and skills which
support and promote the adoption of healthy and
positive behaviour in them
It will also include awareness talks and visits to public
services and gathering information on the usage of it.
The talks and visits will be arranged in collaboration
with PRI members, NGOs, police personal, bank/post
officials/health functionaries etc
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16. VOCATIONAL TRAINING
It will be imparted to out of school girls above 16 years
of age which will focus on non-hazardous income
generating skills. Trades may include: book binding,
health care, beauty culture, soft toys, mushroom
cultivation, bio-fertilizers, repair and maintenance of
watch, radio, TV etc.
The training will be given by Vocational Training
Providers (VTPs) under various modules of National
Skill Development programme (NSDP )
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17. MODALITIES FOR
IMPLEMENTATION
1. Kishori Samooh: A group of 15-25 AGs will be formed
at AWC headed by Sakhi and assisted by 2 Sahelis.
Sakhi & Sahelis will be imparted training as per
module to serve as peer educator for others
2. Training Kit: It will be provided at every AWC to assist
AGs to understand various health, nutrition, social,
legal issues by conducting activities. This kit will have
games and activities so that girls enjoy while learning
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18. 3. Kishori Diwas: Kishori Diwas will be celebrated once in three
months on this day a general health check-up will be done
for all adolescent girls
4. Kishori Cards: This will be maintained at AWC which will
contain information about weight, height, BMI, IFA
supplementation, de-worming, immunization etc.
5. Personnel: CDPO will be in-charge of the implementation of
scheme at the project level. At village level AWW will act as
the facilitator of the scheme and would be assisted by AWH,
Sakhi-Saheli and partnering NGOs/Community Base
Organization(CBO)
6. Role of NGOs/CBOs: These institutes will be identified for
imparting Nutrition and Health Education, Life Skill
Education, Vocational Training etc. 18
19. PATTERN AND FUNCTIONAL
RESPONSIBLITY
RGSEAG will be a centrally sponsored scheme
MWCD will be responsible for budgetary control and
administration of the scheme
At state level, the Secretary of Department of Women
and Child Development/Social Welfare dealing with
ICDS will be responsible for overall direction and
implementation of the scheme
The scheme will be implemented through AWC which
will be the focal point for the delivery of services. AWW
will survey and register all adolescent girls and will
advise them to come to AWC
The CDPO will be responsible for implementing the
scheme at field level
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20. COST OF THE PROJECT
Rs. 3.8 lakh per project per annum will be
provided by Government of India to States/UTs
that will include maintaining ARC, training kit,
NHE, Life Skill Education, vocational training,
IEC, Health Cards and Referral slips
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21. MONITORING, SUPERVISION
, RECORDS and EVALUATION
Monitoring & Supervision: will be set up under ICDS at
national, state and community level
Records to be maintained: register has to be maintained
at AWC by AWW with assistance of Sakhi/Saheli. The
supervisor will randomly check records of girls for
accuracy. Project wise physical and financial progress
report on quarterly/annual basis will be consolidated by
CDPO
Evaluation: may be carried out by states periodically to
access the impact and take corrective measures
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22. TRAINING
Capacity building of ICDS functionaries (CDPOs,
Supervisors & AWWs ) for all round development
of AGs will be carried out
Separate training modules for ToTs, ICDS
functionaries and identified AGs (Sakhi/Saheli)
NGOs may be involved in training of Sakhi/
Sahelis
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23. COMMUNITY INVOLVEMENT
AND AWARNESS
GENERATION
Sensitization programmes for parents and
adolescents (boys & girls), community may be
taken up under IEC by involving NGOs/ Civil
Society Organizations. This may be taken on
Kishori Diwas
To achieve this, involvement of panchayats in
improving the awareness level of the community
would be desirable
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24. ACTIONS TO BE TAKEN BY
STATE GOVERNMENT
State/UT will be responsible for implementing the
scheme through the ICDS set-up
Organize State/District and Project level workshop to
introduce the scheme to the personnel of ICDS and
functionaries of line Ministries/Departments
Increase awareness/generate publicity about the
scheme by developing IEC material
Set up a systematic monitoring system for analysis,
interpretation and corrective action at appropriate
levels to assess the effectiveness of the scheme
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25. st of Districts Covered Under RGSEAG-SABL
S..No State Name Districts
1. Andaman and Nicobar Andamans
Island
2. Andhra Pradesh Mahbubnagar, Adilbad, Anantapur,
Visakhapatnam, Chittoor, West Godavari,
Hyderabad
3. Arunachal Pradesh Papum Pare, Lohit, West Kameng, West Siang
4. Assam Dhubri, Darrang, Hailakandi, Kokrajhar, Karbi
Anglong, Dibrugarh, Kamrup, Jorhat.
5. Bihar Katihar, Vaishali, Paschim Champaran, Banka,
Gaya, Saharsa, Kishanganj, Patna, Buxar,
Sitamarhi, Munger, Aurangabad.
6. Chandigarh Chandigarh
7. Chattisgarh Surguja, Bastar, Raipur, Raigarh, Rajnandgaon.
8. Dadra & Nagar Haveli Dadra & Nagar Haveli
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31. Status Of Pregnant and
lactating women
•The condition of pregnant women belonging to poor
and economically deprived families is Vulnerable
•Women continue to work up to the last days of
pregnancy and again resume it just after delivery
•High levels of under nutrition and anaemia in
adolescent girls and women
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32. • Under nutrition adolescent girls and women results in
increased susceptibility to infections, slow recovery
from illnesses, cumulative growth and development
deficits leading to reduced productivity and a
heightened risk of adverse pregnancy outcomes for
women
• Woman’s nutritional status has important implications
for her health as well as the health and development of
her children
32
33. • The pregnant and lactating mothers require greater
nutritional support, access to health care services,
enhanced food and nutrient intake, family care, skilled
counselling support and a hygienic environment
• Therefore, it requires multi-sectoral, concerted,
convergent and supportive actions
33
34. OBJECTIVES
To improve the health and nutrition status of pregnant,
lactating women and infants by:
•Promoting appropriate practices, care and service
utilization during pregnancy, safe delivery and lactation;
•Encouraging women to follow (optimal) IYCF practices
including early and exclusive breastfeeding for the first six
months;
•Contributing to better enabling environment by
providing cash incentives for improved health and
nutrition to pregnant and nursing mothers 34
35. TARGET GROUP
Pregnant Women of 19 years of age and above for first two
live births (benefit for still births will be as per the norms of
scheme)
All Government/PSUs (Central & State) employees will be
excluded from the scheme as they are entitled for paid
maternity leave.
35
36. SERVICES
• Cash transfer is provided to all pregnant and lactating
women in selected districts/blocks to contribute
towards supporting health and nutritional needs of
pregnant and lactating mothers
• Contributes to partly compensate the woman for the
wage loss that she might incur while caring for herself
and the child
36
37. • Increase the demand for mother and child health
services by providing incentives based on fulfillment of
specific conditions relating to mother and child health
and nutrition
• Each pregnant and lactating mother will receive a total
cash incentive of Rs. 4000/- between the second
trimester till the child attains the age of 6 months,
subject to certain conditions
37
38. Cash Conditions Amount Means of
Transfer (In Rs.) Verification
First (at · Registration of Pregnancy 1500 Mother & Child
the end at AWC / Protection Card
of health centres within 4 reflecting registration
months of of pregnancy by
second
pregnancy relevant AWC/
trimester)
· At least one ANC with IFA Health
tablets and Centres and counter
TT signed by AWW
· Attended at least one
counselling
session at AWC / VHND
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39. Cash Conditions Amount Means of
Transfer (In Rs.) Verification
Second · The birth of the child is 1500 Mother & Child
(3 registered. Protection Card,
months · The child has received: Growth Monitoring
_ OPV and BCG at birth
after Chart and
_ OPV and DPT at 6 weeks
delivery) Immunization
_ OPV and DPT at 10 weeks
Register
· Attended at least 2 growth
monitoring *will also be
and IYCF counselling available for still
sessions within births and
3 months of delivery. infant mortality.
39
40. Cash Conditions Amount Means of
Transfer (In Rs.) Verification
Third (6 · Exclusive breastfeeding for six 1000 Self certification,
months
months Mother & Child
and introduction of
after complimentary
Protection Card,
delivery) feeding as certified by the Growth Monitoring
mother Chart and
· The child has received OPV
Immunization
and third
dose of DPT
Register
· Attended at least 2 growth
monitoring
and IYCF counselling sessions
between 3rd and 6th months of
delivery.
40
41. ist of Districts Covered Under IGMSY
S..No State Districts
1. Andaman and Nicobar South Andaman
Island
2. Andhra Pradesh West Godavari, Nalgonda
3. Arunachal Pradesh Papum pare
4. Assam Kamrup, Goalpara
5. Bihar Vaishali, Saharsa
6. Chandigarh Chandigarh
7. Chattisgarh Dhamtari, Bastar
8. Dadra & Nagar Haveli Dadra & Nagar Haveli
9. Daman & Diu Diu
10. Delhi West, North West
11. Goa North Goa
12. Gujarat Bharuch, Patan
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