Abstract of Dissertation

Agency : Anganwadi Centre, Validation, ICDS Beneficiaries, Anganwadi Worker

Recommendations : This study is an attempt to validate the services provided by the Anganwadi centre to its eligible beneficiaries. It is to find out the coverage deficit in service delivery and utilization of these services by the registered beneficiaries of Integrated Child Development Services in three blocks of Amreli district. The cross sectional study was conducted in three blocks at 15 Anganwadi centres from 3rd February 2014 to 10th May 2014. Three blocks were selected based on the rate of malnutrition. From each block 5 AWC were chosen. There were 120 beneficiaries who were catergorised into Group I – Pregnant Women, Group II – Lactating women, Group III – Mothers/Guardian of 6 months to 6 years. 3 beneficiaries from each category were randomly selected. Thus from each anganwadi centre roughly around 8 – 9 beneficiaries were selected based on the time and resources available. Triangulation was achieved through cross validation of records and interviews with the beneficiaries selected. • Study revealed that counseling has been done for only 11.5 percent against 41.6 percent beneficiaries registered with the AWC which shows that the AWW fails to understand the importance of counseling and giving information on the essential practices. Majority of the counseling was done by the ANM/FHW during VHND sessions • More than half of the respondents did not understand the importance of exclusive breastfeeding which could be attributed to “no counseling” by the AWW. • Twenty five percent of the mothers/guardians were satisfied with the quality of preschool education. • Fifty two percent mothers mentioned their children weight was monitored right from birth. Even with regular weighing, growth monitoring is effective only if accompanied by communication for behaviour change that results in improved growth of the malnourished child. • Twenty seven percent children were found to be malnourished as against 17 percent recorded by the worker. • A little less than half of the beneficiaries knew of their child’s nutritional status and only 35 percent of the beneficiaries knew their child belonged to which category. • Despite the facilities, twenty seven mothers stated their children received meals twice daily. • Only 18 percent received Counseling for referral services. • Immunization services have been received by almost all the beneficiaries. • As far as pregnant and lactating mothers are concerned, 48 percent were counseled about measures to be taken during pregnancy and post delivery. Sixty eight percent were checked by the medical officers. Only 43 percent reported receiving Sukhdi twice weekly. To improve quality of service delivery of ICDS one needs to strengthen the monitoring and evaluation aspects as well as achieve coordination between ICDS and health department. This study also attempts to find the gaps in the implementation of the 43 services, the reasons for the same and ways to improve services. The report would throw some light on the status of conducting Mamta divas regularly, the Anganwadi workers knowledge on the services to be provided and the awareness to be created regarding the services that the beneficiaries could avail.