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Strengthening Project

Management in ICDS 

 

Foreword

The need for providing children with improved childhood necessities through a holistic approach, involving cooperation and liaison  between disciplines and agencies are well recognised in India. The National Policy on Education placed  high priority on Early Childhood Care and Development (ECCD). The policy suggested integration with the Integrated Child Development Services (ICDS) programme which is the largest child development service in the country.

While ICDS has placed itself as the pivotal programme for integrating all mother and child care services,  the skills of the functionaries in coordinating and tapping  all existing potentialities,  becomes very crucial. Therefore the need to strengthen the management skills carries far reaching implications. Efficient management  of resources and  services delivery has always been a priority area for World Food Programme (WFP) . Although, ECCD has not been a major focus area for WFP, the successive  appraisal missions during the last decade have  reviewed  this component in collaboration with specialized agencies such as UNESCO, USAID and SCF. The need to  strengthen this component in partnership was placed on the agenda of the 1994 WFP appraisal mission.

UNESCO, an agency which intervenes at inter-agency and inter-Governmental levels for early child development programming came forward to collaborate with WFP on an action research . WFP designed a project to Strengthen ECCD, service delivery, project management and supervision in ICDS which was co-financed with UNESCO. The project was innovatively designed to facilitate and bring out the potentialities of the middle level functionaries,  to harness  all favourable opportunities. The project was implemented in Dhar district, Madhya  Pradesh, with the help of a leading NGO, Bal Niketan Sangh. The project outcome far outweighed the input costs. This sustainable model can easily be institutionalised through the large ICDS training network available in the country. 

 

Acknowledgements

In keeping with their interest in early childhood education, UNESCO's financial support made this project a possibility. Our special thanks to Dr. Warren Mellor for his continued support.

We are particularly thankful to USAID for extending financial support to meet the cost of early childhood learning materials.

Our special thanks to the Government of India and Madhya Pradesh for the cooperation extended in the implementation of the project.

The enthusiasm with which the Supervisors, Child Development Project Officers and Assistant Project Officers of ICDS Sardarpur, Nalchha, Gandhwani and Tirla participated in this project was remarkable. They would be trend setters in their own state for improved supportive supervision, project management and providing on-the-job training to AWWS.

This project was completed successfully due to the encouragement received from Mr. Michael Ellis, the WFP Country Director.

The technical and moral support  received from Ms. Angela Van Rynbach, WFP Deputy Country Director, was invaluable to the project.

The key person for designing, participating and overseeing the project was Dr. Minnie Mathew, National Officer, WFP. Her technical inputs and innovations were crucial for the success of the project. She took upon herself the task of redrafting and editing this report.

Bal Niketan Sangh (BNS), reputed for its strength in early childhood education and a training institute for middle level functionaries was responsible for implementation of this project. The pillar of the project was Padamshri Shalini Moghe, the  Director of BNS.

Dr. Indu Karanpuria, the project Consultant, was responsible for implementing the early childhood component of the project. She not only designed the early education kit, but acquainted all the AWWs of the project area on the use of the kit. The devotion with which she followed up the action phase of the project was remarkably impressive.

Strengthening Early Childhood Care and Development (ECCD); Service Delivery; Project Management and Supervision in Integrated Child Development Services (ICDS) 

 


Abbreviations

ANM 

Auxillary Nurse Midwife

APO

Assistant Project Officer

AWC

Anganwadi Centre

AWTC

Anganwadi Training Centre

AWW

Anganwadi Worker

BNS

Bal Niketan Sangh

CARE

Coorperative for American Relief Everywhere

CCF

Christian Children Fund

CDPO

Child Development Project Officer

CHETNA

Centre for Health Education, Training & Nutrition Awa

COPPC

Cognitively Oriented Programme for Pre-school Children

CRD

Centre for Research & Development

DWCDO

District Women & Children in Rural Areas

ECCD

Ealrly Childhood Care & Development

ECE

Early Childhood Educaiton

ECS

Early childhood Stimulation

GOI

Governemnt of India

GOMP

Government of Madhya Pradesh

ICDS

Integrated Child Development Services

IMR

Infant Mortality Rate

MO

Medical Officer

MP

Madhya Pradesh

NCERT

National Council of Educaiton, Research & Training

NFI

Nutrition Foundaton of India

NGO

Non Governmental Organisation

NHED

Nutrition & Health Educaiton

NIPCCD

National Institute of Public Cooperation & Child Development

PHC

Primary Health Care

SD

Standard Deviation

UNESCO

United Nations Educaitonal, Scientific & Cultural Organisation

UNICEF

United Naitons Children Fund

USA

United States of America

USAID

United Nations Agency for Intenational Developemnt

WFP

World Food Programme

 

Glossary of Terms

Anganwadi

Village Courtyard

Anganwadi Centre

Vilalge centre which serves as a focal point for delivery of nutrition, health & education services of hte Integrated Child Develeopment Services Scheme.

Anganwadi Worker

Village volunteer who works at the anganwadi Centre.  A grassrots functionary.

Helper

A village woman who helps at the Anganwadi Centre.

Sector

A group of villages

Supervisor

Functionary responsible for the management of sector.

ICDS Project/block

Comprises more than 100 villages.  Equal to a Community Development Block.

CDPO 

Officer responsible for the management of an ICDS project.

Job training

Pre-srevice training.

Middle level training centre

Training centre for ICDS Supervisors.

Bhil/Bhilala

Aboriginals of Madhya Pradesh.

Jattha

Campaign.

Mahila Mandal

Women's group.

Panchayat

Local self government at the village level.

 


Abstract

The Integrated Child Development Services (ICDS), the nationwide programme of the Government of India offers the most important interventions for addressing the nutrition and health problems and promoting early childhood education among the disadvantaged population of the country. The programme has positively influenced the nutrition and health indicators and school enrolment and retention rates. While this promise exists, the programme suffers from implementation bottlenecks such as poor delivery of services, ineffective coordination, inadequate supervision, lack of skills among functionaries and low community involvement. Ineffective coordination, inadequate staffing and supplies compounded with low awareness and demand among the community are responsible for poor delivery of health services. Poor performance of growth monitoring, nutrition and health education and early childhood education can be attributed to inadequate skills among grassroots functionaries and supportive supervision by the supervisory staff. Training which is central to effective functioning is unfortunately top-down with a high focus on ideal situations and weak in skill building inputs. Programme management is again top-down with the result the middle-level functionaries are tuned to merely following instructions and guidelines without exercising much of their problem solving capability. Supervisors fail to see their role as trainers and do not play active roles in strengthening the role of grassroots functionaries.

This UNESCO/WFP collaborative project was a modest attempt to improve the programme management and supervisory skills of ICDS Supervisors and Child Development Project Officers (CDPOs), strengthening the training capability for providing on-the-job training and evolve a pattern for on-the-job training. Strengthening early childhood care and development was a crucial element of the project. The project was implemented in four ICDS projects viz., Sardarpur, Nalchha, Gandhwani and Tirla of Dhar district, Madhya Pradesh.

The new approach which was developed to improve the management skills of middle level ICDS functionaries had three distinct phases which included field observations of Supervisors and CDPOs complemented by independent observations by WFP, Bal Niketan Sangh (BNS), the NGO responsible for the project implementation. Through a pre-phase workshop, individual  action plans were developed by the Supervisors and CDPOs. The action plans included (i) the performance of each of the components with detailed problem analysis quantifying current performance level for individual Anganwadi centres, (ii) the reasons contributing to the problems, (iii) problem specific solutions, (iv) action to be undertaken and (v) expected outcome in quantifiable terms and (vi) the time frame within which the results can be achieved. These action plans were negotiated with the AWWs through one day orientation meetings.  This forum was also used to demonstrate an early childhood education kit developed by BNS with financial support from WFP. Each AWC was provided with a kit which can be used in a variety of ways for cognitive, social, emotional, motor and fine muscle development.

The second stage was an action phase when the Supervisors implemented their action plans which included improving (i) the service delivery, (ii) coordination with the health department, (iii)  providing on-the-job training to AWWs. (iv) creating community awareness etc., depending on individual situations. All opportunities were utilised by them to improve the functioning of the AWCs.

During the post-phase workshop which was the third phase of the project, the Supervisors came back with measurable achievements in each of the components. The outcome was the realisation among the middle level functionaries that they were managers in their own capacity and are responsible for the AWCs within their own jurisdiction. They also understood that they had a substantive influence on the success or failure of the AWCs. The model that was demonstrated was do-able and can be a  pattern for supportive supervision.

 


Introduction

Millions of young children today in the developing world , live in conditions of poverty.  From the perspective of overall development, they are born and brought up in an environment which is hostile. Since independence, Government of India's determination to bring essential services to all these young children is impressive indeed. Human development programmes  focused on care and welfare of children occupied an important place. Despite  significant improvements in the health and education sectors in  recent  decades,  80 of every thousand children still do not live  to see  their  first  birth day. However, the incidence of severe malnutrition has  declined significantly from 15 to 8.7,  but the  moderate  and mild malnutrition, vaccine preventable disorders such as tuberculosis, diphtheria, pertussis, and  polio are still common.  Apart from these, 30 percent children born under- weight who are more vulnerable to illness and death.

Among the poor in tribal and rural areas, the status of children is often worse than the national figures. Madhya Pradesh (M.P.) which is having the largest tribal population in the country (23.3 percent) reflects  poor development  indicators: for example the Infant Mortality Rate (IMR) is still 104 per thousand which is the second highest in the country (Sample Registration System 1994). This state  has a large proportion i.e., 80 percent  of malnourished children below -3 SD and -2 SD (National Family Health Survey, 1995).

In M. P. the  literacy level is as low as 50. The gender difference in literacy is glaring with 64 for males and 34 for women. Around 45 percent of girls (6 to 14 years) are out of school. Again there is a striking difference between the urban and rural situation with 54 percent rural girls being out of school (National Family Health Survey 1995).Compounded with the problems of poverty and illiteracy is the practice of  child marriage in the country i.e.73 percent are married before the age of 18. The mean age of marriage for girls is 15.3 in rural M. P. as compared to 16.5 years in India. These and other critical features adversely affect their own lives and that of the future generation.

 

Ongoing Interventions

Since  independence, the Government of India (GOI) has remained committed towards care and welfare of deprived children. Many programmes have been started and many policies and plans were adopted to ensure the maximum benefit of basic services to children.  In 1975, the most important, multifaceted Integrated Child Development Scheme (ICDS) was launched by GOI. ICDS has been India's chief vehicle for improving the prospects for healthy physical, psychological and social growth of  it's children.  From a base of 33 pilot projects in 1975, the programme has expanded rapidly.  As of March 1995, 3907 projects have been launched covering three quarter of the country.
 
ICDS is designed to provide a comprehensive package of services for early childhood care and development, targeted to the poorest areas of the country. It consists of six basis components  viz:
 

·  Supplementary nutrition (children up to 6 years of age, expectant and nursing women),

·  Pre- school education ( 3 to 6 years of age ),

·  Immunisation, health check-up, referral services (children, expectant and nursing mothers).

·  Nutrition and Health education (NHED) for women  15 to 45 years.

The Government of India has assumed most of the responsibility for financing the scheme except for providing food supplements which is a state responsibility. The scheme receives support from international agencies such as the World Bank, UNICEF, World Food Programme (WFP), CARE, UNESCO and USAID which are actively involved in bringing about qualitative improvements in ICDS.  By the end of the Eighth Five Year Plan in 1977, India hopes that ICDS will reach all the 5,153 developmental blocks, reaching every needy child in the country under the age of six.

The philosophy of the ICDS programme is to address children's needs  holistically, for making an overall impact. In principle, each service rendered would be complemented by related services and therefore efficiency in the delivery of all the ICDS services is the key to the success of the programme.

The cutting edge of ICDS -Anganwadis

The basic unit of the ICDS system is the network of Anganwadis Centres (AWCs ). These centres provide a powerful mechanism for reaching mothers and their children. Anganwadis are focal points of delivery of all basic services to women and children.  Each centre serve about 1000 people in  rural and urban areas and 700 in less populated tribal areas. In order to improve outreach in less sparsely populated areas, AWCs  can be set up for population less than what is stipulated as the norms.

The AWCs are run by  village volunteers viz., the Anganwadis Workers (AWWs) and the Helpers (usually  local village women). The AWWs are supported by a cadre of  supervisory staff beginning with the Supervisor. The Supervisors are responsible for  17 to 20 AWCs. At the block level, the ICDS project is managed by Child Development Project Officers (CDPOs) and Assistant  Project Officers (APOs). They  are mainly responsible for selecting AWWs,  securing local facilities, ensuring food supplies, flow of health services and reporting to higher authorities.  At the district level, the District Women and Child Development Officers (DWCDOs)  are responsible for  all the ICDS projects of the district. At the state level, the Directorate of Women and Child Development exercises overall control throughout the state.

ICDS in Madhya Pradesh

ICDS in Madhya Pradesh was started in 1975-'76 in two blocks. Now 230 projects are operational which service 4.25 million women and children.  International agencies such as World Bank, UNICEF, WFP, CARE and USAID are actively supporting ICDS in Madhya Pradesh.

The World Bank is assisting in strengthening the 113 ICDS blocks and expansion of ICDS in new 131 blocks covering an estimated population of 7.6 million.  This project will seek to enhance the quality and effectiveness of ICDS services and refine further several key areas of ICDS.

WFP provides food assistance to 34 ICDS blocks, with 330,000 beneficiaries. These are spread over three tribal districts i.e. Jhabua, Dhar and Khargone. WFP has also undertaken several initiatives to improve the quality of ICDS for example : The project "Empowerment of adolescent girls"  has several components which contribute towards quality improvement and will be described in subsequent sections. CARE supports 916,000 beneficiaries of the ICDS programme. Several health initiatives addressing the problems of diarrhoea and respiratory infections  are also attempted by CARE.

UNICEF works with the Government of Madhya Pradesh on a number of programmes guided by the overall priority in the VIII Five Year Plan for supporting development of women and children in rural areas (DWCRA). UNICEF supports training of ICDS functionaries besides providing equipment such as jeeps, balances and growth cards for growth promotional activities for children. Vaccines and micronutrient supplements are also provided by UNICEF.
 
Impact of ICDS

Since its inception, the ICDS has generated considerable interest among academicians, planners administrators and those who are responsible for implementing the programme.  Therefore, large numbers of studies have been conducted to evaluate and assess the impact of the programme.  Review of these research studies indicate that ICDS has had a positive impact in terms of infant mortality, reduction in severe malnutrition, coverage of immunisation and utilization of health services, National Institute of Public Cooperation and Child Development (NIPCCD, 1992).

The study also found a greater school retention by children exposed to pre- school education in preparing them for formal learning, better adjustment in primary school and promoting retention in elementary school and reducing drop-out rate. While such great potentiality exists in the programme, it is necessary to identify the short-comings and find out ways and means by which the programme can make a better impact.

Research efforts have also contributed considerably to the understanding of the programme and have helped in identifying bottlenecks and lacunae in the implementation of the scheme with regard to poor delivery of services, inadequate supervision and poor community participation and limited role of ICDS supervisory staff.  Several studies reported that lack of transport facilities, village level politics, ineffective coordination of ICDS  staff, lack of supervision, poor interpersonal communication are major difficulties which hamper the smooth implementation of ICDS (Lakshmi Kumari, 1987, Rane, 1989, CHETNA, 1989, Murthy, 1989).

The main constraint in eliciting community participation has been identified as the lack of skills among functionaries in mobilizing the community (Coonar and Mohan, 1985, Nutrition Foundation of India (NFI), 1988, Philips and Kurien, 1986, NIPCCD, 1988). Many studies have reported that  NHED is a weak component of the ICDS programme. NHED is rarely conducted and the workers lack the skills of implementing it.

The national evaluation of ICDS by NIPCCD (1992) shows that about 36.3 percent AWWs were not able to monitor the growth of children. The main reason that was pointed out  was the lack of skills among AWWs in filling up growth charts.  Lack of coordination between ICDS and health staff has been shown to affect the delivery of health services in ICDS areas. As reported in the evaluation of ICDS (1992)  the percentage of health check- up performed by Medical Officers (MOs) was higher in urban AWCs as compared to tribal and rural areas.

Deulkar et al. (1989) conducted a job analysis of AWWs in selected ICDS blocks.  They found that verbal activities were the most frequent and out door games were the least.  Instead of child centred activities, rote learning group activities were common. The NIPCCD study (1992) reported that the AWWs  focused on formal methods of learning, majority of children could  count up to five objects. Cognitive and manipulation competencies were found to be weak.  A study conducted by Mathew (1992) in the tribal district of Jhabua in Madhya Pradesh also reflected several weakness in the implementation of ICDS. Only 43 percent of AWWs understood their job responsibility of non- formal pre-school education in a holistic manner.  The time spent on non- formal pre-school education was very low and participation of children was not punctual and regular.  Observations at AWCs indicated that physical activities were not popular.  Very few AWCs held activities for the development of finer muscle coordination with very low participation.  Activities at most centres hardly provided any intellectual stimulation. Learning through outdoor examples and interactions with the environment were noticed only in very few AWCs. Play and out door activities  were not found to be stimulating.  A study conducted by Singh (1984) reflected that children were huddled inside AWCs, although adequate open space was available in the centres.  AWCs did not have play equipment and teaching aids for pre-school education, except counting frames and black boards. Efforts were not taken to prepare teaching materials.  Children were not involved in activities for socialization and habit formation.  AWWs had also not taken the initiative to educate the mothers about the objectives of pre-school education.

In the context of the country's commitment to ensure basic education for all by A.D. 2000, ECCD also emerges as an area of priority. It  is now established that basic learning begins at birth.  Learning and development are essentially cumulative phenomenon whereby, what precedes  play oriented early childhood education programmes play a significant role, both competitive/ preventive and reinforcing in compensating for the deprivation emanating from socioeconomic economic disadvantages as well as providing additional enrichment experiences, which the home situations is on its own not able to offer.

 

Early Childhood Care and Development (ECCD) - some experiences

Early childhood education is expected to have a beneficial impact on the future life attainment and development. It provides stimulating experiences to children and facilitates optimal cognitive  development. It aims at developing competencies required for formal education particularly for the vulnerable group of population.

In view of the accepted significance of ECCD for the overall development of human potentials as well as for the immediate gains in terms of school retention and achievement, an ECCD project was launched with UNICEF assistance in 1982. Under the project, 65 ECCD centres were established in each state which were physically attached to primary schools. A longitudinal study to assess the impact of these ECCD centres was conduced by the National Council of Education, Research and Training (NCERT) in 1993 which showed that ECCD certainly facilitates retention in the primary grades.

In Madhya Pradesh, an ECCD programme was launched in 1983. Under this programme, ECCD centres have been established in 2 development blocks of Mandala district. In 1990, an evaluation of ECCD centres which was conducted by UNICEF, found  ECCD as an important programme for retention in primary school and it was suggested that these centres should be linked with ICDS AWCs and ECCD teachers were nominated as resource persons for imparting training to AWWs on aspects of ECCD. This experience in M.P. was considered to be of exceptional quality as compared to the other states.  Christian Children Fund (CCF) and the M.P. Council for Child Welfare are also working in the field of child care and education in Madhya Pradesh. UNICEF has also experimented different ECCD methods i.e. Cognitively  Oriented Programme for Pre-school Children (COPPC) method in selected ICDS projects for improvement of pre- school education component in Dhar, Jabalpur and Hoshangabad districts. Bal Niketan Sangh (BNS) a local non-governmental organisation (NGO) with the technical and financial assistance from UNICEF, has also been engaged in developing applied, result oriented methods for early childhood education specially for the ICDS Anganwadis.  Many workshops and experimental programmes have been organised, in this series and strategies were developed for implementing the thematic approach of ECCD.

The teacher empowerment programme was started in Dhar district to bring about the qualitative improvement and access of primary education.  This was planned to make primary school attractive and interesting for children.  This programme has proved to be a great success. An attempt was made to link it  with Anganwadis but did not make much of an impact, as the main focus of the programme was on primary education rather than early childhood education.

A mission carried out in the framework of the co-operative programme between WFP and UNESCO pointed out that only one and a half hours are spent on early childhood education out of the three to four hours of Anganwadi functioning. Therefore little attention is paid to qualitative aspects of experiential and participatory activities and play, which lay the foundation for children's sound psycho-social development which are prerequisite of early literacy and numeracy readiness. One of the important recommendations made in that report was the need for learning materials in the AWCs. A subsequent appraisal conducted in 1994 on the early childhood care and development component of WFP assisted ICDS also pointed out the need for learner centred activities by active learning and participatory involvement, interactive activities and the use of local materials and environment. Recommendations were also made to improve supportive supervision of the supervisory staff.

The adolescent  girls' scheme, an initiative of  WFP  encourages girls to acquire basic knowledge and skills related to health, nutrition and child-rearing. They also learn to assist the AWWs in their daily activities thereby contributing to the improvement in the quality of services delivered by the AWW. Both the WFP missions pointed out that the adolescent scheme was a good example of what can be achieved through food aid.

Training is an  in-built  component of ICDS programme. All AWWs and Supervisors  receive  job  training for three months and  subsequent  refresher training  at  government  approved  training  centres. Supervisors  and Instructors  of Anganwadi Training  Centres (AWTCs) are trained through middle level training centres. The apex training institution is NIPCCD. ICDS offers tremendous potential since it is a programme meant for the poorest communities in the country and among them to the most vulnerable segments. The potentiality that the programme offers in terms of its design and infrastructure need to be fully tapped into. This can be done by strengthening the capability of the grassroots functionaries through the training network since it is an in-built part of the programme.

There are several constraints and considerable backlog in the training of ICDS functionaries (Sharma, 1987; CHETNA, 1989; CRD, 1988). They also suggested  the need  for  making training of Supervisors more practically oriented  with  a focus  on  developing their supervisory skills. These experiences can help the ICDS Supervisors and AWWs  to cope up with the ground realities  and help them in solving the immediate problems related to  various aspects of the service. Most of the orientation training and refresher training are currently done in training room situations suggesting ideal ways of service delivery rather than helping functionaries to cope with the ground reality. This is evident from the study conduced by Mathew (1992) in Jhabua, M.P. wherein almost all functionaries had received their basic training and most had one or two exposures to refresher training programmes, were performing below standards).
 
Thus to strengthen the delivery of services, it was thought proper to strengthen the capacities of grassroots functionaries through training with this entirely new  approach of  continuing  training called  "hands-on-training" designed  especially  to strengthen  the services of ICDS  package  and improve its quality . Through  the WFP pilot project, an  attempt was made to bring about a qualitative improvement by providing "hands-on-training" which was found to be effective. Encouraged by the experience in Jhabua, WFP  decided to scale up this input in the adjoining district of Dhar.

Experiences gathered through field visits and workshops conducted by WFP:

  •  Inadequate use of outdoor space for conducting ECCD activities. The provision of outdoor activities could provide learning opportunities for  children.
  • There was scope for improving skills among the AWWs for stimulating children using suitable techniques necessary for cognitive and psychomotor development.
  • The pre-school component observed in the BNS run ICDS project in Jhabua district was  far superior to the other ICDS projects. There were lessons to be learnt from the NGO-run ICDS.
  • The geographical hostility of the terrain made it difficult for pregnant and nursing women and children below three years to walk regularly to the centres to participate in the supplementary nutrition. There was a need to attempt alternate system of service delivery in  such places.
  • Growth monitoring and promotional activities need to be strengthened by improving the skills of the AWWs. This was another area requiring hands-on-training since they have already been put through several class room based training situations to no avail.
  • There was scope to involve health functionaries and local community members who have some literacy skills, in growth monitoring and record keeping activities.
  • The supervisor's role in offering continued training during their field visits should be explored.
  • There was a need to remove traditional myths among the community on growth monitoring particularly of children below one year old, immunisation and treatment of illness and create nutrition and health awareness.
  • Record keeping was found to be poor and required improvement.
  • There was a need for improving coordination with the health department.
  • Referral and health check-up was observed to be the weakest link in ICDS.
  • The CDPOs and Supervisors lacked self confidence and failed to see their own strengths.
  • They failed to see the opportunities that came across in the course of their work.

These observations clearly lead to the designing of a project to strengthen ECCD, service delivery, project management in at least selected areas of M.P.

A WFP/UNESCO collaborative effort
 
Given the constraints of resources and the continuing need to improve, it was necessary to identify appropriate inputs and collaborative possibilities to strengthen the programme. WFP's interest in bringing about qualitative improvements in the ICDS package delivery with a focus on ECCD prompted to undertake a collaborative project with UNESCO. WFP designed the project and provided the technical support and financial assistance for providing early childhood education materials for the 613 AWCs. UNESCO provided financial support for conducting the project. Consistent with the WFP mission recommendations and UNESCO's priority for early childhood care and development and institutional strengthening components, the following were the objectives of the project.

 

Project Objectives

  • Identification and practice of supportive supervisory roles for Supervisors and CDPOs.
  • Improve non-formal approaches for early childhood education.
  • Evolve a pattern for on-the-job training.
  • Improve management skills for efficient delivery of services.
  • Improve programme management, training and trainer capability   for providing on- the- job training.

This project component for strengthening early childhood care and development (ECCD) is a part of a  larger WFP initiative in Dhar district "Empowerment of tribal adolescent girls" which hopes to improve the quality of ICDS through training of adolescent girls.  As a pre-requisite to what  the adolescent girls can do to influence ICDS functioning, the basic services should be in place and well managed.  Therefore this component for strengthening ECCD, project management and supervision in ICDS formed an integral part of the WFP project.

 

Project Area

The tribal district Dhar of M.P. was recommended as the project site by the Government of Madhya Pradesh (GOMP) since Jhabua district was already covered entirely by the Government of India(GOI) adolescent girl scheme.  Although it was envisaged to cover the entire Dhar district under this new initiative, it was limited to 613 AWCs in four ICDS blocks viz.,Tirla, Nalchha, Sardarpur and Gandhwani due to resource constraints.

The number of AWCs in the four blocks included in the project are given below:

 

Block

AWCs

(number)

Block

AWCs

(number)

Nalchha 

215

Sardarpur

218

Gandhwani 

150

Tirla

30

 

Dhar district is situated in the south- western part of M. P.  According to the 1991 census, the total  population of the district is 13,67,412 of which 53 percent population  were tribals. The predominant tribal groups are the  Bhil and the Bhilala.  Sixty nine percent of the population of Dhar district are living below the poverty line and have very low level of literacy of 28 percent.  The gender differences in literacy is glaring with 38 percent literacy for males and 16 for females.  Infant mortality, a significant indicator of child survival, is 104 per thousand live births and maternal mortality has been estimated to be 44 per thousand live births. The average age of marriage is 15.Teenage pregnancy is common, since 49 percent of girls would have had their first child-birth when they are in the age group of 15 to 19. From the perspective of overall child development, the children in Dhar district live at considerable risk.

 

The project design

The project was designed to being about a qualitative change, reflecting integrated implementation  of health, nutrition  and early childhood education services, through appropriate service delivery, management and supervision  by ICDS functionaries. As is evident by the survey of literature there are several key areas requiring focal attention. The strengthening was intended to be done by improving the capability of the grassroots functionaries. This training was innovative and altogether discarded the traditional class room training which is largely based on theoretical information.

A new approach was developed to improve the management skills of middle level ICDS functionaries which had three distinct phases.

 

Pre-project phase

The pre-project phase was based on the study and analysis of the issues observed by WFP, BNS,  the pre-phase assessment conducted by the independent NGO, Dr. Baba Saheb Ambedker Institute for Social Sciences, and the problems encountered by the ICDS Supervisors during their routine visits.

Observations made by Bal Niketan Sangh

During first two months the BNS project team undertook a quick study of the field situation. During the quick study period, the team visited the project areas, observed the functioning of the Anganwadis, held discussions with the community, the ICDS beneficiaries, parents of child beneficiaries, AWWs, Helpers, their Supervisors, CDPOs and MOs. The field visits provided an understanding of the problems and constraints  in the implementation of ICDS when viewed from the grassroots level, the work and management potential of the ICDS functionaries specially the Supervisors and CDPOs.

Their major findings were:

  • The approach for early childhood education was formal rather than being non- formal.
  • The AWCs had inadequate teaching and learning materials. The kit prepared by the  AWWs during their own training was not being properly used by them in the field.
  • The component of early childhood education was being totally neglected.
  • According to the AWWs the main focus was on health and nutrition services.
  • The knowledge and skills of the AWWs in delivering the services was found to be poor.
  • The Supervisors lacked managerial skills.

The field observations reflected the need for strengthening the pre-school component through hands-on training and provision of pre-school materials suitable for  cognitive, physical and  social development of children.

Observations from the pre-phase evaluation

A pre-phase evaluation was conducted by an independent agency, Dr. Baba Saheb Ambedkar Institute for Social Sciences, located at Mhow, M.P. Their findings are given below:

  • Services such as health check-up, nutrition and health education and referral services were irregular at the AWCs studied.
  • Inadequate coordination with the health department was apparent.
  • The communication skills of the functionaries was one of the reasons for the poor participation of women in the nutrition and health education sessions.
  • A third of the functionaries could not enlist community participation.
  • Half of them did not form women's groups (mahila mandals).
  • There was a need to dispel the superstitions among mothers regarding weighing of their infants.
  • Non-formal pre-school education was not conducted regularly.
  • While almost 90 percent of the functionaries received training, they lacked the necessary  skills to deliver services. Therefore a change in the content and style of training was suggested.
  • Since around half the AWWs were found to be illiterate they require a new approach in training.

The pre-phase workshop 

  • The information gathered through the different sources provided the background for conducting the pre-phase workshop for the ICDS Supervisors. The four day pre-phase workshop included the following aspects:
  • management skills of ICDS functionaries viz., CDPOs and Supervisor;.
  • supervisory, monitoring and on the job skills;
  • strengthening all ICDS services especially early childhood education;
  • building communication skills and
  • motivation and behaviour modification aspects.

Proceedings of the workshop

The first part of the workshop was devoted to discussing and documenting prevalent performance.  The preparatory work helped the Supervisors to present a fairly vivid picture of the existent performance of all the ICDS components. Since the problems were many and the time frame of the project was rather short it was decided that each Supervisor would identify five AWCs from their supervisory sector to develop individual action plans.

Analysis of the prevalent problems

Health services

  • Lack of coordination was highlighted to be one of the causes for inadequate and poor quality of health services.
  • Immunisation coverage was given high priority  by doctors who are overburdened  with  fulfilment of targets. The positive aspect is that the health machinery is very active with immunisation camps which has resulted in improved immunisation coverage. However,  coverage is reported to be low in interior villages particularly for pregnant women.
  • Lack of field staff at the primary health centres contributing to poor delivery of services.
  • Lack of awareness among people was also a contributory factor to poor performance. Villagers living adjacent to the PHC or to the sub-centres availed  medical facilities, but those living in remote villages believed in traditional medicines.
  • Lack of motivation among AWWs was also a contributory factor.

Growth monitoring

  • Growth monitoring  is an important channel which provides  opportunities for a face-to- face communication with mothers. On an average, around 50 percent of AWWs  were found to be capable of performing the tasks of weighing and plotting on the growth charts, and none of them were able to perform growth promotional activities and utilizing it as a tool for imparting health and nutrition education to mothers.
  • Mothers lacked awareness about the importance of growth monitoring.

Supplementary nutrition

  • The coverage of supplementary nutrition was found to be poor in areas where the distances of hamlets from Anganwadis were long  and was  the main reason for making nutrition services inaccessible to most needy  people.
  • The second main cause described by participants was that mothers left their homes early in the morning and were busy with agricultural activities the whole day. Their young children also went with their mothers; therefore both mothers and their young children were not able to benefit from the supplementary nutrition component. In such cases mothers preferred to have take-home rations either on a weekly or a fortnightly basis.
  • In some cases problems related to poor logistical  arrangements affected the regular delivery of the nutrition component.
  • Caste hierarchy  had a negative effect on participation of beneficiaries belonging to certain backward communities. Thus, the poor and needy children and mothers from certain tribal groups  were deprived of the benefit of supplementary nutrition. They were also deprived of other health service viz, immunization, health check-up and  referral services.

Nutrition and health education

  • Nutrition and health education was organised only in 30 to 40 percent of the AWCs.
  • The main problems which were hindering the delivery of this service were lack of motivation, low literacy and lack of  organisation skills among AWWs.
  • Lack of nutrition and health educational materials and lack of communication techniques  also contributed to the poor delivery of this component.

Early childhood education

  • Delivery of early childhood education component was found to be weak in most project areas. Supervisors reported that only 40 to 50 percent of AWWs were able impart pre- school education properly. Many causes have been described for the poor implementation of this component.
  • Physical set-up of AWCs were not conducive for conducting stimulating non-formal pre-school activities. The shortage of space in AWCs also affected indoor activities.
  • Shortage of equipments and learning materials were reported as the main cause for the poor status of early childhood education at the Anganwadis.
  • Lack of the skills among AWWs for imparting early childhood education  was felt to be a negative factor by all the participants.
  • Lack of interest and motivation among AWWs was an important reason for the poor implementation of early childhood education.
  • Parents lacked awareness about the concept, need and importance of  pre-school education. Thus, they were not interested in sending their children to the  AWCs for pre- school education.
  • Lack of managerial skills among Supervisors hampered their role to provide proper guidance and support to the AWWs for  planning and taking up innovative activities and effective utilization of available resources for pre-school activities.

Thus, AWWs were not able to perform the activities which can help in creating  an  interesting environment  and attract children towards the AWCs.

During the discussions it was realised by all the participants that the concept of early childhood stimulation (ECS) was not understood and there were no activities for children under three years of age, either at home or at the AWCs. The need and importance of ECS activities, which are very important for the development of  children were discussed. Stimulation in the early childhood stage involves efforts to activate child's early development and provide learning experiences to the child so as to enhance his/her development. The nurturing experience the infant receives in the early years of life serves as the foundation for his/her subsequent learning.  A home which believes in the capacity of the child and has high hopes for him/her, is the best stimulator for the child. The continued love and support of the mother lays the foundation of all future development. The pleasure of sucking, hugging and close proximity to the mother are all experiences which help the body to develop the feeling of security. Play is most natural and spontaneous to children. Apart from being fun, play is significant for the child's physical and psychological development. Listening to stories is a favoured activity of children and occupies a very important place in the ECS programme.  Music too is a strong stimulator. Songs and musical riddles appeal to them.  It is important that every mother makes an effort to learn songs, lullabies etc., and make use of them in daily life activities for example, when the mother feeds the baby, she may hold him/her close and talk to the baby. The mother plays, smiles, cajoles and sings and the child responds and experiences physical contact, warmth and security.

Although nutrition and health inputs are available to the tribal children (however imperfect) there is lack  of knowledge about ECS activities which can stimulate their overall development. Besides, children under  three years of age do not come to the Anganwadis for any learning experience. Thus they are deprived from getting a chance to boost up their potential for over all development  causing delayed development.  Therefore, if we educate the mothers about ECS, it will certainly have a positive impact on overall development of children. Techniques to impart education to mothers were also demonstrated during the workshop. Supervisors demonstrated the ECS activities to the AWWs  who in turn provided orientation to the mothers.

Preparation of action plans

Using the above information, the following were documented in the individual action plans: (i) the performance of each of the components with detailed problem analysis quantifying current performance level for individual AWCs; (ii) the reasons  contributing to the problems; (iii) problem specific solutions; (iv) action to be undertaken and (v) expected outcome in quantifiable terms and (vi) the time frame within which the results will be achieved. All the 38 Supervisors who participated in the workshop prepared individual action plans on the basis of the above mentioned parameters.  This exercise was quite time consuming since they had to  work out situation specific solutions. Although  the original intention was to develop action plans for all the AWCs by each Supervisor, it was not feasible due to time constraints and was decided to select only  five AWCs by each Supervisor. All the participants prepared their individual plans with a great deal of interest. They included details such as sectorial maps and graphical presentation of the current situation and expected outcome.

To illustrate( an example of an action plan developed for one AWC):
 
 

Services

Problems

Reasons

Solutions

Time

Output

Supplementary Nutrition

present coverage 80% 
(i) poor access 
(ii)pregnanat & nursing women find it difficult to come daily to AWC

(i) distances from homes to AWC long. 
(ii) women go for farm work during AWC hours.

(i) distribute S.N before women go for their work. 
(ii)adolescent girls to help in identifying unreached people.

5 months

coverage 90%

Immunisation

10% children unimmunised

(i)migration 
(ii) lack of intimation about immunisation date 
(iii)ignorance among beneficiaries

(i) identify unreached beneficiaries 
(ii)intimate immunisation dates 
(iii)create awareness through community educaiton

5 months

achieve 100% immunisation

Health Check-up

no health check up

(i) lack of coordination with health department 
(ii)great focus on immunisation. 
(iii) inadequate health personnel

improve coordination with health department

5 months

achieve 50% health check-up

Referral  
services

only 10% cases referred

(i) AWW does not consider this as responsibility

(i)orient AWW 
(ii) strengthen growth monitoring 
(iii) coordinate health facilities

5 months

achieve 
60% referral

Non-formal  
pre-school  
educaiton

(i) irregular attendance 
(ii) no involvement of parents 
(iii)uninteresting learning environment

(i) children accompany parents to field. 
(ii) lack of awareness among parents. 
(iii)lack of interest among AWW. 
(iv) activities not systematic. 
(v) inadequate space in AWC.

(i) create parent awaress. 
(ii) introduce play-way methods of learning. 
(iii) make learning interesting. 
(iv) use low cost/no cost learning materials. 
(v) prepare schedule for organising activities. 
(vi) Supervisor to demonstrate pre-school activities.

5 months

(i) increase participation to 80% 
(ii) all AWCs will use learning materials.

Health & nutrition education

(i) irregular sessions. 
(ii) lack of communication skills among AWWs. 
(iii) poor participation by community.

(i) AWW does not realise importance. 
(ii) poor training. 
(iii) community does not feel the need.

(i) create interest & motivation among AWWs. 
(ii) prepare schedules for NHED 
(iii) create interest among people through good sessions.

5 months

(i) shcedule will be adhered at least in 60% AWCs. 
(ii) session will sustain participation.

 

The Supervisors presented the individual action plans developed by them to the plenary.  In all, 190 action plans were presented and discussed. This was a learning experience for the participants and the facilitators since the observations made by the ICDS Supervisors were very much in the context of individual villages. They were 'realistic snap-shots' and did not involve any generalisation. The problem/ situation specific discussions helped the facilitator to guide them to overcome the negative influences and take advantage of the opportunities they came across. Unlike normal training situations when trainers tend to generalise, this training situation was a unique one with focused discussions. Therefore trainees interest level was also sustained at a very high level. Based on the discussions, the action plans were revised. Each CDPO/ Supervisor participating in the workshop was provided plain papers to prepare their action plans. After preparing duplicate copies, they were filed and were carried back with them. All participants left the workshop with their own working manual to follow in the field. For once, they realised that they had their own roles to play and were not merely executors of instructions. While following the top down approach the grassroots functionaries do not feel responsible for the results. They looked for excuses to rationalise why things did not work the way they were intended. This attitude had emerged since there was no ownership among the functionaries who were partners in the programme and when their views were not given adequate importance.

 

One day orientation for Anganwadi Workers

The next step on completion of the pre-phase workshop and preparation of  the action-plans was to negotiate these plans with the AWWs, their expectations and suggestions for the qualitative and quantitative improvement plans that were outlined at the pre-phase workshop.  The one day orientation sessions were conducted by the Supervisors, the BNS consultant and trainers who formed a team. These sessions were organised at the sector level. It was not only to have it in close proximity to their AWCs  but  demonstrating the idea of  using sector level forums for discussing issues other than  compilation and reconciliation of reports was important. A total of 575 AWWs participated in the different sector level discussions.

The action strategies were discussed in detail with the AWWs using the working manual  prepared for specific  Anganwadis. During these orientation workshops, the Supervisors discussed their problems and  provided  them guidance  and suggestions for resolving their  existing problems . All aspects of the ICDS  package were  discussed in  these workshops. The exercise created a ripple effect in that,  not only  those AWWs whose centres were identified for inclusion in the action phase came  forward  but  others were  also motivated to join the discussions on effecting improvements in the ICDS service delivery. In sharp contrast  to  traditional training,  the Supervisors  and  trainers used group discussions  to encourage  participants to interact in informal  ways and develop  their own  ideas  of how to make the services effective, attract children towards  AWCs, seek community  participation and demonstrate skills of communication.  These  exercises enabled  Supervisors to identify themselves with the problems  of AWWs and the AWWs also learnt to express their ideas and problems  more  effectively . The Supervisors  mastered the skills of conducting training in a participatory fashion.

 

Strengthening early childhood  education

The pre-phase workshops clearly revealed the need for special attention on the early childhood education component of ICDS. The major weakness observed  were  the poor management of non-formal pre-school activities at the AWCs, and lack of know-how of methodologies for conducting non-formal activities. In order to strengthen the component  special emphasis  was given  to early childhood  education at the  AWCs and mothers' education  about early childhood stimulation for children under three years of age. The attempts were directed to:

  • create an environment suitable for learning,
  • orient functionaries to the process of early childhood education ,
  • develop skills among AWWs to organise meaningful early childhood education,
  • provide skills among AWWs suitable for creating reading and writing readiness among children,
  • suggest approaches for creating parent awareness.

 The BNS Consultant  and trainers demonstrated  activities  which can be organized both  indoor and outdoor; methods for group  activities; use of locally available resources; distribution of play material to  children according to their age; stories and poems for pre-school education and the thematic approach for early childhood education. The activities  of Early Childhood  Stimulation (ECS)  for children below three years  of age which were  totally neglected at the AWCs and homes were also demonstrated  during the one day orientations.  The stimulation which mothers can easily  perform during their daily household activities were demonstrated to the mothers. The one day orientation programme helped the AWWs  understand the techniques of early childhood education in a practical way. The AWWs were also provided guidance on involvement of  adolescent girls who were trained through  the WFP  project," Empowerment of adolescent girls".

An early childhood education kit for children 3 to 6 years of age was developed by BNS with financial support from WFP. All the 613 AWCs included in the project were provided with the kit. They were trained on the use of the kit by the BNS team. The kit was designed to promote cognitive, language, motor, physical, social and emotional development. It was also designed to develop communication skills, good behaviour, creativity, partnership and self confidence in children. Most of the items included in the kit could be used for more than one type of learning experience. Materials for out- door activities were also included in the kit such as ball and rope which were designed on the basis of COPPC method which help to promote both gross motor development and social development. The ECE kit materials were not only enjoyable for children but were also capable of  stimulating development.

The materials, methodology and approach used in the early childhood education kit are as follows:

  • Geometrical shapes (square, round, triangle, rectangle etc.,): To teach concepts of shapes and their nomenclature to children. Activities would include identification and pairing of similar shapes.
  • Colour strips (primary and secondary) : To teach primary colour concept, identification, pairing and colour classification.
  • Jigsaw puzzles: Children learn problem solving through the jigsaw puzzles.
  • Floor mosaic: Develop problem solving capability among children. Useful for teaching different colours, shapes and designs.
  • Dominoes: Help children to learn identification, discrimination and association of colours.
  • Games to find the missing parts: Develops minute observation power and concentration.
  • Gradation exercise with the help of pictures of different sizes: Develops concepts of size, shape and the ability to compare besides improving their capacity for minute observation.
  • Correlation games: Help in learning association and relationship.
  • Animal puzzle sets: Develops capacity for observation, analysis and problem solving capacity of children.
  • Rod puppets: To be used for story telling. Develops vocabulary, imagination, concentration, learning readiness and provides emotional satisfaction among children.
  • Balls: They can be used in a variety of  physical activities for motor development, coordination and developing competitive spirit. Children can also learn counting in a play-way method.
  • Musical instruments: Develop rhythm in children.
  • Rope: A rope can be used in a variety of ways. Can be used for cognitive development, language, rhythm, coordination, balance, imagination, social and gross motor development.
  • Masks: Develops confidence in children. They learn to dramatise; encourages langua