RAJIVGANDHISCHEMEFOREMPOWERMENT OFADOLESCENTGIRLS(RGSEAG)Sabla

IMPLEMENTATIONGUIDELINES
FORSTATEGOVERNMENTS/UTADMINISTRATIONS

DECEMBER,2010

Towardsanewdawn

MinistryofWomenandChildDevelopment
GovernmentofIndia NewDelhi

CONTENTS
Para Glossary

1. Introduction 2. Purposeoftheimplementationguidelines 3. TheScheme:Objectives 4. TargetGroup 5. ModalitiesoftheScheme 6. ServicesundertheScheme 7. Convergencewithotherdepartments 8. TrainingandModules 9. SelectionofNGOs/CBOs 10. SelectionofDistricts 11. Steps/MeasuresatStateGovernments/UTs 12. FlexibilitiesavailabletotheStateGovernments/UTs 13. MonitoringMechanismandMonitoring&SupervisionCommittees 14. ServiceDeliveryFrameworkRolesandResponsibilities 15. AdministrativeandFinancialManagementStructure 16.. BudgetaryProvisionsforvariouscomponentsunderSabla 17. ReportingandMonitoringFormats Annexures 1. ListofdistrictscoveredunderSabla 2. TrainingKit 3. PrototypeofKishoriCard 4. GuidelinesissuedforIFAbyMoH&FW 5. MonitoringandSupervisionCommitteesatalllevels 6.(iii) FormatforQuarterlyandAnnualSoE/UC&PhysicalandFinancialReport 7.(i) FormatforRegister 7.(iitov) FormatforMonthlyProgressReportofAWW,Supervisor,CDPO,DPO
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GLOSSARY

AG ANM ARSH ASHA AWW AWH AWC AWTC BMI CBO CDPO DPO DMTT FAQ FNB FNGO Hb ICDS KSY MCH MLTC MNGO MoYAS NGO NHE NIN NIPCCD NPAG PIP PRI PSE RCH RGSEAG SHG SNP VO VTP

AdolescentGirl AuxiliaryNurseMidwife AdolescentReproductive&SexualHealth AccreditedSocialHealthActivist AnganwadiWorker AnganwadiHelper AnganwadiCentre AnganwadiTrainingCentre BodyMassIndex CommunityBasedOrganisation CommunityDevelopmentProgrammeOfficer DistrictProjectOfficer DistrictMobileTrainingTeam FrequentlyAskedQuestions FoodandNutritionBoard FieldNonGovernmentOrganisation Haemoglobin IntegratedChildDevelopmentServices KishoriShaktiYojana Maternal&ChildHealth MiddleLevelTrainingCentre MotherNonGovernmentOrganisation MinistryofYouthAffairsandSports NonGovernmentOrganisation NutritionandHealthEducation NationalInstituteofNutrition NationalInstituteofPublicCooperation&ChildDevelopment NutritionProgrammeforAdolescentGirls ProjectImplementationPlan PanchayatiRajInstitutions PreschoolEducation ReproductiveandChildHealth RajivGandhiSchemeforEmpowermentofAdolescentGirls SelfHelpGroup SupplementaryNutritionProgramme VoluntaryOrganisation VocationalTrainingProvider
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1. INTRODUCTION

1.1 Thetermadolescenceliterallymeanstoemerge,tomatureorachieveidentity. Itisasignificantphaseoftransitionfromchildhoodtoadulthood,whichismarkedbyphysical changesaccompaniedbypsychologicalchanges.Thisisthetimetomakeadolescentsawareof and informed about various facets of life in order to promote a healthy way of living. Awareness of health, nutrition, lifestyle related behaviour and adolescent reproductive & sexualhealth(ARSH)needstobepositionedinthisphaseoflifeinordertoimprovethehealth of adolescent girls and facilitate an easier transition to womanhood. During this period, nutritionalproblemsoriginatingearlierinlifeaswellasthoseoccurringduringtheperioditself canbeaddressed.Goingbeyondthis,AGsneedtobeviewednotjustintermsoftheirneeds butevenasindividualswhowouldbecomeproductivemembersofsocietyinfuture.

1.2 TheMinistryofWomenandChildDevelopment,GovernmentofIndia,intheyear2000, came up with a scheme called Kishori Shakti Yojana (KSY), which was implemented using the infrastructure of the Integrated Child Development Services Scheme (ICDS). The objective of thisschemewastoimprovethenutritionandhealthstatusofgirlsintheagegroupof11to18 years, to equip them to improve and upgrade their homebased and vocational skills, and to promotetheiroveralldevelopment,includingawarenessabouttheirhealth,personalhygiene, nutrition and family welfare and management. Thereafter, the Nutrition Programme for Adolescent Girls (NPAG) was initiated as a pilot project in the year 200203 in 51 identified districtsacrossthecountrytoaddresstheproblemofundernutritionamongAGs.Underthis programme, 6 kg of free food grain per beneficiary per month was given to undernourished AGs.

1.3 ThoughboththeseschemeshaveinfluencedthelivesofAGstoanextent,buthavenot shown the desired impact. Moreover, the extent of financial assistance and coverage under them has been limited and they both had similar interventions and catered to more or less similartargetgroups.Therefore,anewcomprehensivescheme,calledRajivGandhiSchemefor EmpowermentofAdolescentGirlsorSabla,mergingtheerstwhileKSYandNPAGschemeshas been formulated to address the multidimensional problems of AGs. Sabla will be implementedinitiallyin200districtsselectedacrossthecountry,usingtheplatformofICDS. In these districts, RGSEAG will replace KSY and NPAG. In rest of the districts, KSY would continueasbefore.

2.PURPOSEOFTHEIMPLEMENTATIONMANUAL

2.1 This Implementation Manual with Guidelines has been developed to support all persons who would be involved in implementing the Scheme, including the district, project and grassrootlevelfunctionaries.Thesearealsointendedtoserveasaneffectivereferencemanual for officials at the National and State / Union Territory (UT) levels for policy guidance and monitoring. The Guidelines cover key components of the Scheme as well as modalities of implementation. It also lays down monitoring and reporting formats to be used at different levels.Itcouldprovidetrainersinsightsintotheschemestrategyandprocessesandhelpthem betterdesigntrainingsessions. 2.2 The Manual would help State level policy makers to further decide on issues of flexibility andguidethedistrictandprojectofficerstoimplementtheScheme.

OBJECTIVESOFTHESCHEME:

Theobjectivesoftheschemeareto: (i) enableselfdevelopmentandempowermentofAGs; (ii) improvetheirnutritionandhealthstatus; (iii) spread awareness among them about health, hygiene, nutrition, Adolescent ReproductiveandSexualHealth(ARSH),andfamilyandchildcare; (iv) upgradetheirhomebasedskills,lifeskillsandvocationalskills; (v) mainstreamoutofschoolAGsintoformal/nonformaleducation;and (vi) inform and guide them about existing public services, such as PHC, CHC, Post Office, Bank,PoliceStation,etc.

4 TARGETGROUP:

4.1 The scheme aims at covering AGs in the age group of 11 to 18 years under all ICDS projects in selected 200 districts across India on pilot basis (list of districts is at Annex 1). Keepinginviewtheneedofdifferentagesandinordertogiveageappropriateattentionfor certaincomponentsofARSHandfamilymatters,thetargetgroupmaybesubdividedintotwo categories, viz., 1114 and 1418 years. Interventions on health and personal hygiene, etc. wouldhavetobeplannedaccordingly.

4.2 The scheme focuses on all outofschool AGs, who would assemble at the Anganwadi Centre (AWC) as per timetable and frequency to be decided by the State Governments /UTs concerned.Theothers,i.e.,schoolgoinggirls,wouldmeetattheAWCatleasttwiceamonth, andmorefrequently(onceaweek)duringvacations/holidays.Heretheywillreceivelifeskills education, nutrition and health education, awareness about sociolegal issues, etc. This will provide an opportunity for mixed group interaction between schoolgoing and outofschool girls,motivatingthelattertoalsojoinschoolandhelptheschoolgoingtoreceivethelifeskills.

5MODALITIESOFTHESCHEME:

5.1 FormationofKishoriSamooh:

5.1.1Kishori1Samooh2(KS)willbeagroupofaverage15to25AGsfromthevillage/areaof the AWC and will be formed at the AWC level from amongst the out of school girls. In case there are less than 15 AGs, Kishori Samooh can still be formed. Kishori Samooh will not be
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Kishori means an adolescent girl. Samooh means a group.

formediftherearelessthan7AGsintheareaoftheAWCinwhichcase,thebenefitsofthe Scheme may be given to these AGs without nominating sakhi and saheli. The AGs will select threeleadersoftheirchoiceforayearfromwithintheKS.Inthisselection,theymaybeguided bytheAWWand,whereverpossible,aschoolteacherfromthevillage.Selectionmaybebased onage,educationlevel,maturity,willingnessofthegirlandheracceptabilitywithinthegroup. ThesegirlswillbecalledSakhi(onegirl)andSaheli(twogirls),whichinEnglishmeanfriend. One of these girls will be Sakhi, i.e., peermonitor. Each of the three selected girl will have a termoffourmonthsasSakhi,onrotationbasis,whiletheremainingtwowillfunctionasSahelis assisting Sakhi. Thus, each Kishori Samooh will be headed by Sakhi, assisted by two Sahelis. Sakhi and Sahelis will serve the group for a period of one year, after which a fresh selection would be made. Names of Sakhi and Sahelis may be displayed on the wall of AWC and, if possible,ontheschoolwall. 5.1.2 The concept of Sakhi and Saheli is meant to serve several purposes: development of leadership abilities, team spirit, motivation to be the next Sakhi and Saheli, understanding democracyataveryfundamentallevel,andprovidinginformationandguidancetopeers.

5.1.3 The identified girls, i.e., Sakhi and Sahelis, will be imparted training as per prescribed moduleattheprojectorsectorleveltoserveaspeermonitorsforKS.SakhiandSahelisareto participateinregularactivitiesofAWC,likeprovidingpreschooleducationandsupplementary nutrition,growthmonitoring,etc.TheymayalsoaccompanytheAWWforhomevisits,which willserveastraininggroundforfuture.

5.1.4 State Governments /UTs may decide to give a certificate to Sakhi and Sahelis upon completionoftheirtermofwork.ThiswillmotivatetheAGstotakeonaleadershiprole.

5.2 TrainingKit:
A training kit will be provided in every AWC to assist AGs in understanding various health, nutrition, social and legal issues. Activities willbe transacted in an interesting and interactive manner. The kit will have a number of games and activities so that the AGs enjoy while learning. Sakhi and Saheli will be trained to use the Kit for imparting peer education. The contentsofthetrainingkitaregiveninAnnex2.ThecostofeachkitisRs.1,000/.Asamplekit has been shared with State Governments /UTs. The kit material may be translated into local languageforeaseofunderstandingofthetrainersandAGs.Thekitmaybeadaptedasperlocal needs. There will be provision for a new kit every year. However, States may decide to add differentmaterialtothekiteveryyearasresourcematerial.

5.3KishoriDiwas:

5.3.1 Kishori Diwas will be a special health day, celebrated once in three months on a fixed day, as decided by the State Governments /UTs. On this day, the AWWs with the help of healthfunctionaries,includingMedicalOfficer,AuxiliaryNurseMidwife(ANM)andAccredited Social Health Activist (ASHA), will mobilize AGs and their families, especially mothers, to assemble at the AWC. For better coordination, the State Governments /UTs may choose to combine Kishori Diwas with the corresponding months Village Health and Nutrition Day (VHND)3.However,careshouldbetakenthattheoverallaimoftheKishoriDiwasisnotlostand thatitisnotovershadowedbytheVHND.

5.3.2 State Governments / UTs must ensure coordination and convergence with respective Health Departments so that Health personnel specially the Medical Officers are present on KishoriDiwas.OnKishoriDiwas,AGsandtheirfamilieswillbeabletointeractfreelywithICDS and health personnel to obtain basic services and information. The ICDS and health functionarieswillberesponsibleforeducatingAGsandtheirfamiliesaboutthepreventiveand promotive aspects of nutrition and healthcare, for encouraging them to adopt healthy behaviour as well as seeking healthcare from proper healthcare facilities. Village Health and SanitationCommittees(VHSCs),comprisingASHA,AWW,ANMandPRIrepresentatives,should beinvolvedinorganizingtheevent.AdequatepublicityofKishoriDiwasshouldbeensuredto maximiseparticipation.

5.3.3OnKishoriDiwas,thefollowingservicesaretobeprovided: (a) General health checkup, including recording of height, weight, BodyMass Index (BMI)forallAGs,bytheMedicalOfficer/ANM (b) FillingupofKishoriCardsforeveryAG,markingmajormilestones (c) Referraltospecializedhealthcarefacilities,asrequiredspeciallyforconditionslike malnutrition(BMI<18.5),menstrualproblems,frequentheadaches,prolongedacne, worminfestation,etc. (d) Organisingofspecialhealthcamps (e) Providingnutritionandhealtheducation (f) Demonstrationofpreparingnutritiousrecipes(FNBmaybeinvolvedforthese) (g) Holdingcounselling/behaviourchangecommunication(BCC)sessionswithAGsand theirfamiliesforpromotinggoodpractices (h) Imparting information, education and communication (IEC) to community, parents, siblingsetc. (i) MobileHealthUnits(whereexisting)maybeutilised.
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VHNDs are organized by the Health Department at the AWC.

5.4 KishoriCard:

5.4.1AcardforeachAGtobecalledKishoriCard,willbemaintainedattheAWC.Thiswill containinformationregardingtheweight,height,BodyMassIndex(BMI)4,IronFolicAcid(IFA) supplementation, referrals and services received under Sabla. The card will also contain important milestones in the girls life like joining school, leaving school, marriage, etc. which will be marked as and when they are achieved. AWW will help the girls in maintenance of KishoriCards.SakhiandSaheliswillassisttheAGsinfillinguptheKishoriCards,afterwhichthe AWWwillcountersignit.

5.4.2 A prototype of the Kishori Card is given at Annex 3. All State Governments/UTs will followthisprototypeforprintingthecards,sothatuniformityisensured.However,theymay translateandprintthecardsinlocal/regionallanguage.

5.5 TimetableforImplementation:
5.5.1ActivitiesmaybeplannedforAGsfortwohoursperdayforthreedaysinaweekatthe AWC, or at any other place where alternative arrangements may be made. AGs must be providednonnutritionservicesforaminimumof56hoursperweek.

5.5.2 The timings and days would be decided by the State Government /UT concerned, keepingthefollowinginview:

(a)

(b) (c) (d)

ThetimingsforprovidingservicesunderICDSScheme,sothatitsimplementationis notadverselyimpacted.TimecoordinationmaybedonebetweentheICDSandSabla SchemeinsuchamannerthatthetimingsforactivitiesforAGsmaynotoverlapwith orimpingeuponICDStimings. AvailabilityofAWW/AWHandresourcepersonsonthesedays ConvenienceofAGsforcomingtothesessions Suitabilityofthelocationwherethesessionsaretobeheld,ifotherthanAWC

5.5.3 For conducting sessions on different issues, a daywise timetable must be drawn for AWCsbytheCDPOinconsultationwithSupervisorandAWW.Thevenue,daysandthemesfor sessionsasfixedmustbemadeknowntotheAGssothattheyaremadeawareaboutit.The interventions may be divided into two groups of 1114 and 1518, with agespecific inputs. Thesesessionswillbeconductedbyresourcepersons,whocouldbedrawnfromamongNGOs, CBOs,SHGs,fieldtrainers,localartisans,etc.ThesessionswouldbefacilitatedbytheCDPOand
BMI = Weight in kilograms, divided by square of height in metres. BMI below 18.5 is underweight and BMI between 18.5 and 23.5 is normal.
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theSupervisorandaidedbyAWW/ASHA/ANM.FieldunitsofFoodandNutritionBoard(FNB) mayalsobeinvolved.SakhiandSaheliwouldassistinorganizationofgroupsforthesesessions.

5.5.4 Mixed group interactions for schoolgoing and outofschool AGs would be held twice a monthwhenschoolsareworking,andmorefrequentlyduringschoolvacations(onceaweek,i.e 4 times a month). Timings and days for these interactions may be decided by the State Governments /UTs concerned taking into consideration various factors relating to the availabilityofschoolgoingAGs,likeschooltimings,examinations,etc.

5.5.5 Stories, games, group discussions, etc. could be carried out as activities during the sessions.SchoolteachersmaybecalledtoaddressAGsonthesedaystoinspireandmotivate outofschool girls so that they willingly enrol in school. This, along with the activities and interactionswithschoolgoingAGs,wouldprovideplentifulmotivationtotheoutofschoolAGs to join mainstream education, like their peers. It would help schoolgoing AGs understand aboutpublicservices,lifeskills,etc.

5.6Location:

ICDSinfrastructurewillbeusedforimplementationofSABLA.AWCwillbethefocalpointfor delivery of services under the scheme. Where infrastructure and facilities like appropriate space, toilet, drinking water, etc at the AWC are not adequate, the scheme may be implemented using alternate arrangements like at the school building, panchayat building, communitybuilding,etc.,withspaceearmarkedforthepurpose.Incaseofnonavailabilityor nonsuitability of the AWC, a mapping exercise to identify a suitable location for holding sessionsforAGsmaybecarriedoutbytheICDSSupervisor.Forthis,theDPO/CDPOmaytake support from panchayat members. The infrastructure and facilities must include adequate spaceforconductingactivitiesofthegroup,functionaltoilets,drinkingwater,etc.

6.SERVICESUNDERTHESCHEME:
TherearetwomajorcomponentsundertheSchemeNutritionComponentandNonNutrition Componentasunder: i) NutritionComponent:TakeHomeRationorHotCookedMeal 1114years:Outofschoolgirls 1418years:bothoutofschoolandinschoolgirls 11

 ii) NonNutritionComponent ForOutofschoolAdolescentGirls:(23timesaweek) a) 1118years IFAsupplementation, HealthcheckupandReferralservices, Nutrition&HealthEducation(NHE), Counseling/Guidanceonfamilywelfare,ARSH,childcarepractices LifeSkillEducationandaccessingpublicservices b)1618Years VocationaltrainingunderNationalSkillDevelopmentProgram ForInschoolAdolescentGirls:(twiceamonthaverage) c)1118years Nutrition&HealthEducation(NHE), Counseling/Guidanceonfamilywelfare,ARSH,childcarepractices LifeSkillEducationandaccessingpublicservices SERVICE SERVICEPROVIDER

NutritionProvisionRs.5perday(600caloriesand1820gramof AWW/AWH/PeerLeader protein) IFAsupplementation* HealthcheckupandReferralservices*. Nutrition&HealthEducation* ANM/AWW/HealthSystem ANM/MO/AWW AWW/ANM/ASHA/MNGO

Counseling/Guidance on family welfare, ARSH*, child care MNGO/ANM/NRHM practicesandhomemanagement setup/AWW LifeSkillEducationandaccessingpublicservices(alsoincludes MNGO/Education effortstomainstreamintoformal/nonformaleducation setup/Youth Affairs/AWW/Supervisor Vocationaltraining(forgirlsaged16andabove)usingexisting ThroughNSDPofMinistryof infrastructureofotherMinistries/Departments:NSDP Labor,Supervisor/CDPO:to coordinate *HealthservicesaretobeprovidedbyestablishingconvergencewithM/H&FW OtherServicesincoordination/convergencewithrelatedsectors/department 12

MNGOsincluderesourcepersons

Modalitiesofprovidingtheseservicesundertheschemearegivenbelow:

6.1 SupplementaryNutrition:

6.1.1SupplementarynutritionmaybeprovidedtoAGsbyeitherTakeHomeRations(THR)or Hot Cooked Meals as feasible. In case hot cooked meals are provided, quality standards will havetobeensured.EachAGwillbegivenatleast600caloriesand1820gramsofproteinand recommendeddailyintakeofmicronutrientsperday,@Rs5perdayperbeneficiary,for300 daysinayear.EligibilityforSupplementaryNutritionwillbeasunder:

1114years:OnlyoutofschoolAGs 1418years:Allgirls,regardlessofwhethertheyareoutofschoolorschool going.

Note: The calorific norms for AGs are similar to the THR being provided to pregnant and lactating mothers under ICDS Scheme. Therefore, the same THR can also be provided to AGs coveredunderthisscheme.THRmaybegiventotheAGsonceinaweek,fortnightormonth asdecidedbytheStates/UTs.TherequirementofnutrientsandthenormsforSupplementary Nutrition are more for AGs than the children below 6 years of age. This can be met by increasingthequantityoffoodgiventochildrenunderICDSorbyincreasingthecalorificand protein content by addition of energydense food, like oil, groundnut, soya, vegetables, eggs, roots and tuber, coconut, gram, milk and milk products, other locally available healthy supplements, etc. Adolescent girls should be given such Supplementary Nutrition which is palatableandacceptabletothem.

6.1.2 Fund Sharing: Government of India will share the cost for nutrition to AGs up to the extent of 50 per cent of the financial norms or the actual expenditure incurred, whichever is less.

6.2 IFASupplementation:
PrevalenceratesforanaemiaarehighamongAGsinIndia.Over70%ofgirlsintheagegroupof 10 to 19 years suffer from severe or moderate anaemia (DLHSRCH 2004). Evidence suggests thatIFAsupplementationhelpsincombatinganaemiaandenhancingadolescentgrowth.RCHII schemeundertheNationalRuralHealthMission(NRHM)hascoveredchildren(610years)and adolescents (1118 years) under the National Nutritional Anaemia Prophylaxis Programme (NNAPP).

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6.2.1 Activities: State Government /UT concerned will establish convergence with Health Department to ensure adult tablets of IFA for each beneficiary of Sabla. Policy guidelines regardingIFAsupplementationissued,interalia,bytheNRHM(Annex4)willbeadheredto.

Outofschool AGs attending AWC may be given two adult IFA tablets per week when they cometotheAWCforotherservices.TheAGsshouldpreferablyconsumetheIFAtabletsatthe AWCitself.SakhiandSahelismaycounselAGsforthis.Distributionandconsumptionhastobe recorded on Kishori Cards. ANM/AWW will give information to AGs on food fortification, dietarydiversification,advantagesofsupplementationbyIFAtabletsanditsconsumptionwith foodforcombatingIFAdeficiency.

6.2.2ServiceProvider:DepartmentofHealthandFamilyWelfareunderNRHM SupplyofIFATablets:AspartofSchoolHealthProgrammeorseparatelythroughthe AnnualStateProjectImplementationPlansforNRHM ConvergencetobeensuredwithHealthDepartmentattheState/UTlevel. SupplyofIFAtabletstoeachAWCwillbeensuredbyCDPOs/Supervisorsincoordination withthePHCs. The IFA tablets may be made available to AWCs through CDPOs and to Supervisors duringthesectoralmeetings. However, if Health Department for any reason is not able to provide the required quantity of IFA tablets, the Department of Women & Child Development of the State Government /UT concerned may purchase the required quantity of IFA adult tablets. Alternatively,theStateGovernment/UTmayfurtherdecentralisethistotheDistrict/ DMlevel. Procedure:Thequarterlyrequirementofthenumberoftabletsmaybeprojectedbythe supervisor based on number of beneficiaries in the AWCs under her. These may be consolidatedattheProjectandDistrictlevelforrequirementtobeplacedtotheState HealthDepartment.ThehealthDept.willdeliveruptoPHClevelfromwheretheDPOs would source them down to CDPOs and so on. Efforts should be made to make IFA procurementandsupplypartofProjectImplementationPlan(PIP)ofNRHM.

Additionally, DPO will ensure that AWWs are properly informed of the IFA supplementation scheduleandprovidedIECmaterial,includingfrequentlyaskedquestions(FAQs)regardingsuch supplementation,sourcedthroughtheDepartmentofHealth&FamilyWelfare.

6.2.3 FundFlow:ProvisionofRs.20,000/ perprojecthasbeenmadeforIFAprocurement andsupplyincasetheWCDDepartmenthastoprocureit.ButthiswillbedoneonlyiftheDM ortheDistrictHealthOfficercertifiesthatIFATabletsarenotavailableunderNRHM. IfthesupplyisregularfromHealthDepartment,allocationofRs.20,000/perProjectmaybe spentonothercomponentsofthescheme,underintimationtotheCentralGovernment. 14

6.3 HealthCheckupandReferralServices:

6.3.1 Adolescents face numerous risks and problems relating to reproductive and sexual health,includingsexuallytransmittedinfectionsandHIV/AIDS,substanceabuse,violenceand injury, nutritional, psychological and behavioural problems relating to the rapid physical and emotionalchangesduringtheperiodofadolescence.Accesstohealthservicesthereforeneeds tobeensuredforAGs.

6.3.2Activities: (a) AgeneralhealthcheckupofallAGsatleastonceineverythreemonths,onKishori Diwas, will be organised. For this, the ICDS Supervisor, in close collaboration with the ANM and other health functionaries, will draw a schedule for the village/ward level. (b) AWW,assistedbySakhiandSaheli,willensurerecordingofheight,weightandBMI ofAGsonKishoriCards,inordertokeepaclosewatchonthestatusofgrowthof AGs. Adult weighing scales provided to AWCs under ICDS would be used for weighingAGs.TheweighingscalesprovidedinthekitoftheASHA/ANMmayalso beusedforweighingAGs. (c) ANM/AWW/ASHAwouldensurediscussionandclarificationofgeneralqueriesof AGsonissuesrelatedtohealthandhygieneonaregularbasis. (d) TheMedicalOfficer/ANMwillprovidedewormingtabletstoAGsasperState/UT specificguidelines. (e) In case of AGs having problems requiring specialized treatment, Medical Officers would refer the AGs, with a referral slip, to the District Hospital / PHC / CHC / Maternal&ChildHealth(MCH)SubCentre.Allreferralswouldbefollowedupon/ trackedonthedaywhenthenextKishoriDiwasorVHNDisorganised.

6.3.3 Service Provider: Health checkups and referral services will be provided through the grassrootslevelhealthcaresystem,i.e.,throughASHAsandANMs.TheMedicalOfficeratthe PHCwillberesponsibleforthehealthcheckupswhichwillbeensuredbytheCDPO.

6.4 NutritionandHealthEducation(NHE):

6.4.1Adolescentgirlsrequirenutritiousfood,coupledwithcorrectandrelevantinformation on nutrition and health, as their bodies get geared up physically for motherhood. In order to address this requirement, the CDPO / Supervisor will ensure nutrition and health education (NHE) for all AGs attending AWCs. Sustained information on these issues will result in better healthofAGs,leadingtooverallimprovementinfamilyhealth,andwillalsohelpinbreaking 15

theviciousintergenerationalcycleofmalnutrition.MothersofAGsmayalsobemotivatedfor joiningintheNHEsessionsforimprovedimpact.

6.4.2Activities:Majoractivitiesunderthiscomponentoftheschememayinclude: (a) Promoting healthy cooking, eating habits, balanced diet and locally available nutritiousfood. (b) Sensitisingaboutnutrientdeficiencydisorders,prevention,nutritionalrequirements duringpregnancyandlactation,etc. (c) Promotinguseofsafedrinkingwaterandsanitation. (d) Educatingonpersonalhygiene,onsetofpubertyandrelatedchanges. (e) Informing about common ailments, home remedies, first aid, personal hygiene, exercise,etc. (f) Educatingonavoidingdrugsandalcoholabuse,stressmanagement,etc.

6.4.3ServiceProvider: AWWalongwithhealthfunctionarieslikeANMandASHA, Resourcepersons/fieldtrainers,includingthosedrawnfromNGOs. Food and Nutrition Boards (FNB)s Community Food & Nutrition Extension Units and MobileFood&ExtensionUnitsmaybeutilizedfortraining,demonstrationandeducation onnutrition Queries and concerns raised by AGs will be addressed by ICDS and health functionaries during Kishori Diwas as well as during the course of interaction of AGs with the AWC/PHC/CHC. StateGovernment/UTmayorganizespecializedshortdurationcoursesonnutritionand healtheducation,incollaborationwiththeFNB,NationalInstituteofNutrition(NIN)and voluntaryorganisations.

6.5GuidanceonFamilyWelfare,ARSH,ChildCarePracticesandHome Management:
The Scheme provides for guidance to AGs and their families to promote better healthcare, familywelfareandreproductive&sexualhealth,betterchildcarepracticesandimprovementof home management skills. This will be done to ensure effective and sustainable behaviour changeinAGsandtheirfamilieswithregardtotheseaspects.

6.5.1FamilyWelfare Acomprehensiveageappropriatemoduleonfamilywelfareissues,includingfamilyplanning, reproductive cycle, benefits of marriage and childbirth at the right age, safe motherhood, immunizationetc.,willbeutilizedforthispurpose. 16

 6.5.2AdolescentReproductiveandSexualHealth(ARSH) OrientationandtrainingmodulesforARSH,beingutilizedundertheRCHIIschemeofNRHM, willbemadeavailabletoResourcePersonsfortrainingonARSH.UnderNRHMdedicatedARSH servicesareofferedonfixeddaysandatfixedtimingsatthePHCandCHClevels

ResourcepersonsfromNGOs/CBOswillbeengagedtocarryouttheorientationsessionswith thehelpofAWW,ASHA,ANMandfacilitatedbytheICDSSupervisor. DuringthesessionsforARSHandfamilywelfare,AGswillbedividedonthebasisoftheirage. AgeappropriateknowledgewillbeimpartedtoAGsintwogroups,aged11to14yearsand14 to18yearsaccordingtotherelevanceofissuetotheage. Issues covered for 11 to 14 age: topics like growing up, puberty, good health and hygiene habits,etc. Issues covered for 14 to 18 age: topics like reproductive cycle, safe sex, HIV/AIDS, contraception,menstrualhygiene,marriageandpregnancyattherightage,etc. The Counsellors who are trained under AIDS Control and available at every Integrated Counselling and Testing Centre may also be used for providing family welfare and ARSH education. 6.5.3ChildcarePractices

Themodulewillincludeissuesrelatedtohealthychildfeedingpractices,infantcare,benefitsof earlyinitiationandexclusivebreastfeeding,handlingcommonailmentsofchildren,etc.Using this module, resource persons from NGOs/CBOs with the help of AWW, ASHA and ANM will provideorientationtoAGsintheagegroupof14to18years. 6.5.4HomeManagement

AGs benefitting from the scheme will eventually learn to manage their own homes in an improvedmannerwhentheygrowup.Toequipthemwithadequateknowledgeandskillsfor effective home management, the module developed for training AGs will include issues pertaining to home maintenance, budgeting, saving, running the household, gender sensitivity, schooling of children, etc. AGs will be advised on these issues to orient them to becomemoreproductivemembersofsociety.

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6.6 LifeSkillsEducationandAccessingPublicServices:

6.6.1AGsneedtoacquireknowledgeanddevelopattitudesandskillswhichwillsupportthem inandpromoteamongthemtheadoptionofhealthyandpositivebehaviourtodealeffectively withthedemandsandchallengesofeverydaylife.Issuestobecoveredinthetrainingoflife skills may include confidencebuilding, development of selfawareness and selfesteem, decisionmakingability,capacityforcriticalthinking,bettercommunicationskills,awareness ofrightsandentitlements,copingwithstress,respondingtopeerpressure,functionalliteracy (whereverrequired)etc.States/UTswilllinkthelifeskillscomponentoftheSablaSchemewith similar schemes/interventions of the Department of Youth Affairs and also explore the possibilityofleveragingtheirschemeandfinancialresourcesforAGs. 6.6.2OneoftheimportantcomponentsoftheSchemeistoensurethatAGshaveconfidence and knowledge about existing public services and how to access them. Awareness talks and visitsshouldbearrangedincollaborationwithPRImembersandgovernmentofficesincluding the Collectorate, NGOs, police personnel, bank officials, Postal Department officials, health functionaries, etc. AGs can either be taken for exposure visits to these places, or personnel fromtheseinstitutionsmayaddressAGsattheAWC. Theseactivitieswillbefacilitatedbytheresourcepersonsincoordinationwithsupervisorsand localgovernmentfunctionaries.TheDistrictadministrationmayalsoprovidelocationmapsof basicservicesforeaseofreachtotheAGs.Information/guidanceaboutentry/reentryinto formalschoolsandmotivationtodothesamewouldalsobeprovidedincoordinationwiththe State Department concerned with Elementary Education. Issues on convergence with DepartmentofEducationhavebeengiveninpart7.2. 6.6.3SuchkindofknowledgewillstrengthenandempowerAGsfortheirfuturelivesasadults. The learning outcome would be to access and utilize such services when needed, as opening and operating bank accounts and post office accounts, sending telegrams, filing an FIR, accessinghealthservicesandattendingtohealthemergencies,learningaboutthepanchayat system, voting and being a part of governance, making train reservations, learning the working of government offices, and being aware of various relevant schemes and programmesoftheGovernment.

6.7FundFlow:
Funds available under the components of NHE component including IEC (Rs. 30,000/ per project)&LifeSkillsEducationandAccessingPublicServices(Rs.50,000/perproject)maybe utilized for providing financial support to voluntary organizations in organizing modules including arranging exposure visits on the subject at the AWC level. Resource persons 18

available locally may also be utilized for providing this service. For this purpose, if two or moreAWCsarecloselylocated,theymaybetakentogethertooptimiseresources.

6.8VocationalTraining(forgirlsaged16andabove)throughNational Skill Development Programme (NSDP) of Ministry of Labour & Employment:

6.8.1Alargenumberofschooldropoutsdonothaveaccesstoskilldevelopmentforimproving theiremployability.MinistryofLabour&Employmentdevelopedanewstrategicframeworkfor skilldevelopmentforearlyschoolleaversandexistingworkers,especiallyintheunorganised sector in close consultation with industry, micro enterprises in the unorganised sector, State Governments,expertsandacademia.TillsuchtimethattheNSDPoftheMinistrysetsin,the institution of the Modular Employable Skills (MES) under Skill Development Initiative Scheme (SDIS)maybeused. 6.8.2 The main objective of the MES under SDIS is to provide employable skills to school leavers, existing workers, ITI graduates, etc. Training under SDIS will be provided by various VocationalTrainingProviders(VTP)underCentralGovernment,StateGovernments,Publicand Private Sector and Industrial establishments. VTPs will provide counselling & vocational guidance, training facilities as per norms, post training support to trainees in getting employment,maintaindatabaseontraineestrainedandtheoutcomeofthetraining.Theywill trackthetraineesforthreeyearsortilltheygetgainfullyemployed.TheSchemehasaflexible delivery mechanism of trainings (part time, weekends, full time, onsite/ offsite) which will enableAGstoparticipateinthem.Effortshouldbemadetogettheoffsitemodelstoprovide trainingattheblockleveliftheAGsarenotwillingtogofarfromtraining.

6.8.3SelectionofTrainingTrade:Thetradefortrainingshouldbeselectedbasedonfollowing criteria: (a) Requirementofparticulartradeinthearea (b) Trainingfacilitiesavailable (c) Localdemandofproducts (d) Inclinationandaspirationsoftrainees (e) Employabilityaftertraining 6.8.4 States/UTs will establish convergence with skill development centers (SDCs) at village levels and leverage them to optimum use to tie up for vocational training component. The amount of Rs. 30,000/ per project per annum may be used for partly compensating the fee component charged under the training programmes. The States may decide the number of 19

girls and the suitable training modules for vocational training. Overall, an enabling environment should be created for informed and skilled AGs to seek appropriate livelihood options.

7. CONVERGENCE:

Coordination of efforts of different Ministries /Departments at all levels is an essential component for the success of the scheme. There should be convergence of services with variousschemes/programmesofHealth,Education,YouthAffairs,Labour&Employmentand PRI. Convergent Microplans at the district, block and village level with the concerned departmentsmaybemade.

The responsibility to effect this convergence will be with the Monitoring and Supervision CommitteeattheState,District,ProjectandVillagelevels.Therecommendedcompositionof theCommitteesisgivenatAnnex5.

7.1 ConvergencewiththeHealthSystem:

Fourofthesevenservicesundertheschemewillbeprovidedinconvergencewiththeschemes oftheDepartmentsofHealth&FamilyWelfareandAIDSControl.Theseare: i.IFAsupplementation,includingsupplyofIFAtablets ii.Healthcheckupandreferralservices iii.NutritionandHealthEducation iv.FamilywelfareandARSHservices

Convergence is sought with the Reproductive & Child Health II (RCHII) programme of the DepartmentofHealth&FamilyWelfare.Actiontobetakeninrespectofeachoftheseservices hasbeendiscussedintheprecedingsection3.4.InStates/UTswherethemenstrualhygiene programme is being implemented through the Water & Sanitation Department, the convergencewiththerespectiveprogrammemaybesought. Convergencewiththehealthsystemacrossvariouslevelswouldbeasunder:

Statelevel Districtlevel Projectlevel Sectorlevel Villagelevel

HealthDepartment Secretary/MissionDirector CMO/CivilSurgeon MedicalOfficerIncharge ANM/ASHA ASHA/ASHA

WCDDepartment Secretary/Director DPO CDPO Supervisor AWW 20

7.2 ConvergencewiththeEducationSystem:

Education holds the key to empowerment which is the overarching objective of the scheme. Thefeasibilityofconvergenceishighonaccountofuniversalpresenceofthepubliceducation system at the village level due to Government initiatives like Sarva Shiksha Abhiyan and the recentlyenactedRighttoFreeandCompulsoryEducationAct. The objective of the convergence with the education system is enabling, facilitating and motivatingoutofschooladolescentgirlstoenrollforschoolsorfornonformaleducation. TheDistrictLevelCommitteeforSablawouldeffectconvergenceandalsomonitorprogressin terms of enrolment of outofschool adolescent girls in regular schools and nonformal education centres. The AGs could either be drop outs or never gone to schools. The appropriatenessoftheclassaccordinglywillbedecidedbytheschoolfunctionaries. 7.2.1Theconvergencewouldbeeffectedwith: SarvaShikshaAbhiyaan Kasturba Gandhi Balika Vidyalayas (over 3,800 set up so far, focusing on girls belongingtoSC/ST/minorityandpoorcommunities) AdolescenceEducationProgramme(whereimplemented).Thepeereducatorsunder theAEPmayalsobeapartoftheKishoriSamoohsinSabla MahilaSamakhyaProgramme(implementedin105districtsin10statesacrossthe country,establishedKishoriManches) Sakshar Bharat (launched as the recast national literacy initiative in 2009 with particularfocusonfemales)

Responsibility: The District, Project and Village level Committees of which the school functionarieswouldalsobeamember.

7.2.2 The school authorities may be invited to address the out of school AGs on days pre decided, to motivate these AGs and to enrol them, if possible. The Right to Education Act envisages all 1114 year old AGs to be in school and Sabla would be the ideal platform to encouragethemtojoinschoolbyexplainingtothemthebenefitsofeducation.Theteachers mayalsoattendtheKishoriDiwasforthispurpose. 7.2.3ConvergencewiththeEducationSystemwillbenecessaryintheplaceswheretheAWCis notfoundtohaveadequatefacilitiesforAGsandithasbeendecidedtoimplementSablainthe school premises. The State Governments /UTs in coordination with education department woulddecideonthespaceearmarkedinsuchacaseandtimingsforAGsforthedaysonwhich nonnutritioninterventionswouldbeprovidedtotheAGs.

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7.3 ConvergencewithYouthAffairs:

7.3.1NationalProgrammeforYouthandAdolescentDevelopment(NPYAD)andexistingyouth / teen clubs in 2 blocks each in 64 districts across the country under the Adolescent Health DevelopmentProjectofDepartmentofYouthAffairsandSportsmaybeinvolvedinawareness generationforalltheactivitiesoftheschemewherethedistrictsarecommon.TheDPOmay institutethisconvergenceandworkouttheplantoleveragethisschemeforbenefitofboth theschemes.Similarly,thebenefitsprovidedbytheNehruYuvaKendraSangathanshouldbe utilisedandtheAGsshouldbegivenexposuretotheseinstitutions. 7.3.2 LifeskilleducationtrainingsgivenundertheDepartmentmaybeutilisedfortrainingof theSakhiandSahelisbyutilisingthefundsearmarkedforthesame.

7.4 ConvergencewithLabourandEmployment:

ModularEmployableSkills(MES)underSkillDevelopmentInitiativeScheme(SDIS)maybeused provideemployableskillstoAGsof16yearsandabove.Detailsofthisschemearegiveninthe vocationaltrainingsectioninpara6.8.ConvergencewiththeNSDPistobeestablished.

7.5 ConvergencewithPRIs:

7.5.1 Panchayati Raj Institutions (PRIs) may be involved with promotive activities like participationofmembersofthetargetcommunityinKishoriDiwas,communitymonitoring,and Information,Education&Communication(IEC)activities. 7.5.2 ThePRImemberswouldbeapartoftheMonitoringCommitteesatalllevels. 7.5.3 TheDPOandCDPOwillestablishcoordinationwithPRImembersinareaswherethe AWC is not found to have adequate facilities for the AGs. They would together decide the placeschool,panchayatbhavan,communityhalloranyotherwherespaceandtimecouldbe providedfortheAGstogatherfornonnutritioninterventions.Forthispurpose,supervisorwith thePRImemberofthevillagewilldecidewhethertheAWCissuitableornot.

TRAININGANDMODULES:

8.1 Capacities of ICDS functionaries (DPOs, CDPOs, Supervisors and AWWs) on the various schemecomponentswillhavetobebuilt/strengthened.BesidesICDSfunctionaries,modules andmaterialwillalsohavetobedevelopedformastertrainersandtrainingoftrainers,aswell 22

asfororientingSakhiandSaheli.Orientationofsubcentre/villagehealthfunctionaries(ANM and ASHA) will also be required. While categoryspecific modules will need to be developed, coremodule(s)whichcouldserveascommoninputformeetingtraining/orientationneedsof all / several categories could be developed, and such core module(s) could be used in joint training sessions. The training modules will be devised by NIPCCD and the training of functionarieswillbeacontinuousexercise. 8.2Anymodule,includingmodulesdevelopedbytheCentralGovernment(MWCD/MHFW)or the State Government /UT concerned may be used. State Governments / UTs may organize trainingmodulesjointlybetweentheICDSandHealthDepartmentpersonnelandmayinclude variousactivitiesfortrainingforthedifferentcomponents.IncaseaState/UTlevelmoduleor any module other than one developed by the Central Government is used, the same may be sharedwiththeMWCDforinformationandtoenablesharingwithotherStates/UTs. 8.3 NGOs may be involved for training of peer monitors sakhi and saheli. The funds earmarkedfortrainingofsakhiandsaheliistobeusedforthispurpose.TheselectedNGOs alsoneedtobeorientedonthemodulesusedforthenonnutritioninterventionsasservice providers. 8.4 At the grassroot level, the Supervisor will be responsible for coordinating and organising thetrainingswithhelpfromtheCDPO/DPOalongwithfacilitatinginformationontheexisting facilitiesintheseareas. 8.5 AtCentralLevel:Atthecentrallevel,NIPCCDwilldevelopthetrainingmodulesforthe CDPOs, supervisors and AWWs and train the CDPOs. NIPCCD wouldorganise the training of trainersofMLTCsandAWTCswhointurnwouldtrainthesupervisorsandAWWs.

8.6 AtStateLevel:StateswillensurethatthesupervisorsandAWWsareprovidedtraining on Sabla by the trainers trained at NIPCCD/Regional Centers. Inclusion of Sabla training in job/refreshertrainingofAWW/Supervisorswouldbearegularactivity. TrainingofFieldNGOswouldbeconductedbytrainersofAWTCs/MLTCs/MNGOs

8.7 At District Level: Vertically integrated training / orientation programme of CDPOs, Supervisors, AWW, Sakhi and Saheli will be conducted on a regular basis. Responsibility for organizingthese,asperscheduledecidedbytheStateLevelCommitteeonSabla,willbethatof the DPO concerned. Training of Sakhi and Saheli at the Project Level would be conducted by selectedNGOsasperthescheduledecidedbytheStates.

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9. SELECTIONOFNGOS/CBOS:

State Governments /UTs will involve MNGOs, NGOs, CBOs and other institutions or resource persons for the following services: Nutrition and health education; Counselling/guidance on family welfare; Adolescent Reproductive & Sexual Health (ARSH); childcare practices, home managementandLifeskillseducation&accessingpublicservices.

Theywillbeidentifiedforimpartingeducationoftheservicesmentionedaboveandfortraining ofSakhi/Saheli.ThesewillbeselectedbytheStates/UTsinconsultationwithDMs,DPOsand CDPOs, based on the accessibility and availability of these organizations at the field level. Therewillbeflexibilitytoensurethatlocalleveldecisionsmaybetaken.Itshouldbeensured that these organisations reach upto AWC level. MNGOs and other organizations already workingonsimilarinterventionswithprogrammesofotherMinistries/DepartmentslikeHealth &FamilyWelfare,Education,AIDSControl,YouthAffairs,PanchayatiRaj,etc.maybeutilized forthescheme. A Memorandum of Understanding will be signed with NGOs who would be engaged for this scheme.TheMoUmustcontaintheservicestobeprovidedandtheoutcomestobeachieved. TheMoUsshouldbeforaspecifiedperiodoftimeandmidtermreviewofperformancemay be incorporated. Draft MoUs may be shared with the Ministry of WCD. In case there is shortage of availability of NGOs / CBOs in any State/UT, the State Government /UT may engagetheservicesofVoluntaryOrganisations,SHGs,otherqualifiedresourcepersons,etc. whoareavailable.

10. SELECTIONOFDISTRICTS:

The scheme will be rolled out on a pilot basis in 200 districts in all States / UTs across the country,tobeginwith.

Acompositeweightedindex,usingthefollowingfourcriteriarelatedtoAGs,hasbeenusedfor theselectionofdistricts(weightageinbracket): i. Dropoutrateoffemalesfromschool(50%) ii. Femaleliteracyrate(20%) iii. Girlsmarriedbeforetheageof18years(20%) iv. Femaleworkparticipation(10%) The districts are a combination of good performing, moderate and not so well performing districtsinallStates/UTsacrossthecountry,basedonthisindex.Thishasbeendonetotest 24

checkthesuccessofimplementationinpilotdistrictsbeforeexpandingtheScheme.Thelistof districtsselectedisatAnnex1.

11. STEPS / MEASURES AT THE STATE GOVERNMENT /UTLEVEL:

(i) (ii) (iii) (iv)

States/UTswillberesponsibleforimplementingtheschemethroughtheICDSsetup. Conductbaselinesurveyforidentificationofbeneficiaries ProvidefortheState/UTshareforSupplementaryNutritionforAGs. OrganizeState,UT,DistrictandProjectlevelworkshopstointroducetheschemetothe personnelofICDS,functionariesofotherMinistries/Departmentsandtheimplementing partners. Increaseawareness/generatepublicityabouttheschemebydevelopingIECmaterial Establish effective convergence mechanism with other Departments, like School Education&Literacy,Health&FamilyWelfare,LabourandEmployment,YouthAffairs, andPanchayatiRaj,attheState/UT/district/project/villagelevel,forallcomponents. SelectMNGOs/NGOs/CBOsforvariousnonnutritionservices,inconsultationwithDMs, DPOsandCDPOs. SetuptheMonitoringandSupervisionCommitteesasspecifiedinAnnex5.

(v) (vi)

(vii) (viii)

(ix) MonitortheScheme,analyse,interpretandtakecorrectiveactionatappropriatelevels toassesstheeffectivenessoftheimplementation.

12. FLEXIBILITY AVAILABLE TO STATE GOVERNMENTS /UTS:

(i) (ii) (iii)

States/UTsmaydecidethevenueforimplementingtheSchemeifthefacilitiesatthe AWCsarenotadequate. States/UTsmaydecidethefrequencyandtimingsforimplementationofSablabased oncriteriagivenearlieratpara5.5. States/UTsmaydecidethetypeofsupplementarynutritiontobeprovidedtotheAGs. IncaseTHRisprovided,itcouldbeinthesamequantityasprescribedforpregnantand lactatingmothers.IftheStatetakesdecisiontoprovideHotCookedMeals,thenquality standardshavetobemaintained. 25

(iv)

The States / UTs may avail the benefit of Wheat based Nutrition Programme (WBNP) wherein wheat and rice are provided at BPL rates as in ICDS and earlier NPAG by Department of Food & Public Distribution. Requirement based on the number of beneficiariesandtherecipetobeprovidedmaybesenttotheMWCD. SelectionofMNGOs,NGOs,CBOs,Resourcepersonsfornonnutritioninterventions. TheStates/UTsmayhaveintercomponent/interprojectflexibilityintheSchemefor use of funds across different heads under information to the Centre. However, all servicesneedtobeprovidedtotheAGs.

(v) (vi)

(vii) IFAtabletsaretobeobtainedfromtheHealthDepartmentfordistributiontotheAGs. Incase,itisnotsuppliedbytheHealthDepartment,thepurchasemaybemadeoutof thebudgetprovidedforthesameunderintimationtoMWCD. (viii) States/UTsmaydecidethetradeandvocationforwhichvocationaltrainingwouldbe provided under NSDP. The skill development modules may be selected based on the areaspecificneedsanddemands. (ix) The modules for various services / trainings would be communicated by the Government of India. However, if States / UTs use their own or existing modules for thesepurposes,thesemodulesmaybesharedwiththeMinistry.

13. MONITORING MECHANISM AND MONITORING & SUPERVISIONCOMMITTEES:

Monitoringandsupervisionplaysavitalroleinthesuccessofanyprogram.Themonitoringand supervisionsetupundertheICDSatthenationallevel,theState/UTlevelandthecommunity level would be used for this programme as well. Monitoring Committees will be set up at all levels. Suggested composition of the Monitoring and Supervision Committees at National, State, District, Block and Village level are given at Annex 5. The Committees will meet as specifiedandtakestockoftheprogressoftheSchemeasalsostrengthenthecoordinationand convergence between concerned departments. The Committee will also consider the bottlenecksfacedintheimplementationandsuggestmodificationsrequiredforimprovingthe implementation.

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14.SERVICE DELIVERY FRAMEWORK ROLES AND RESPONSIBILITIES

14.1DPO:
(i) (ii) (iii) (iv) (v) (vi) ProvideoverallguidanceforimplementationoftheSchemeinthedistrict. WillbeapartoftheCommitteeattheDistrictlevelandwillbethechannelbetweenthe implementersatthefieldlevelandtheState. EnsuretheavailabilityofasuitablelocationfortheAGstomeetwithrequiredsupport fromCDPOandPanchayatmembers. Monitorandensureuninterruptednutritionprovision Ensure convergence with other Department functionaries and programmes for AGs at thedistrictlevel. IdentifyNGOs/CBOs/resourcepersons/institutionsatdistrictlevelforimpartingvarious trainings.

(vii) EnsuresupplyofIFAtoBlocklevels. (viii) Conduct vertical training programme of CDPOs, Supervisors, AWW ASHA and Sakhi SahelionregularbasisasguidedbyNIPCCD. (ix) (x) Monitorandsuperviseallactivitiesincludingexpenditureregardingimplementationof theSchemeatdistrictlevel. EnsurethecollationoftheprogressreportstobesenttimelytotheStatelevel.

14.2CDPO:
(i) (ii) (iii) (iv) (v) (vi) ProvideoverallguidancetoSupervisorsandAWWsforimplementationoftheSchemein theprojectarea. ChalkoutplantogenerateawarenessamongthecommunityaboutSabla PlanconvergenceatfieldlevelwithotherDepartments Identify NGOs/CBOs/resource persons/institutions at block level for imparting various trainings. IdentifyalongwithSupervisorsthelocallyviablevocationaltradesonwhichtheAGscan beimpartedtrainingandensuringtherequiredconvergence. EnsuresupplyofIFAtabletstoSupervisors. 27

(vii) Monitor and supervise all activities including expenditure regarding implementation of theSchemeintheproject. (viii) SubmissionofprescribedreportstotheDPOinatimeboundmanner. (ix) (x) (xi) EnsurethetrainingsofsakhisaheliintheProject. EnsuretheavailabilityofasuitablelocationfortheAGstomeetwithrequiredsupport fromPanchayatmembers. EnsuringsmoothconductingofKishoriDiwas.

(xii) Facilitatein imparting nonformal education to AGs by establishing linkages with Sarva ShikshaAbhiyanand,SaakshartaAbhiyan,convergencewithPrimarySchoolsandVillage EducationCommittees. (xiii) Monitorandensureuninterruptednutritionprovision. (xiv) Plan out the activity time table for non nutrition interventions at AWC level and also decidingthepoolingofresourcesifrequiredlikeholdingsomesessionsfortwoormore AWCstogether,etc.

14.3ICDSSupervisor:
(i) (ii) (iii) (iv) (v) (vi) Conduct the baseline survey if the AWW is not qualified enough (8th pass), check and authenticate20%oftheentriesinthesurveytoensurethatAGsarenotleftout. TheSupervisorsalongwithAWWswillfacilitateenrolmentofAGs. AssisttheCDPOinidentifyingtheNGOs/CBOs/resourcepersonsworkingonAGissuesin theirfieldarea. Ensureconvergencewiththevariouslinedepartmentsatthesectorlevel. EnsuresupplyofIFAtabletstoeachAWC.Ifanyhurdlesarefaced,supportoftheCDPO maybetaken. FacilitatetrainingofSakhi/Saheliandsupervisethepeertrainingactivitiesconductedat villageorsectorlevelatregularintervals.

(vii) OverseeandplanthefunctioningofKishoriDiwasandactivities (viii) Drawoutthetimetableforthenonnutritioncomponents,AWCwise. (ix) Randomcheckingon10%ofAGsduringvisitstoAWC

14.4AnganwadiWorker:
(i) AWW will conduct survey and register allAGs within the jurisdiction of that AWC and encourageallAGstoavailservicesunderSabla 28

(ii) (iii) (iv) (v) (vi)

Oversee all the activities conducted on Kishori Diwas with the assistance of Sakhi and Saheli. MaintainregisterandadolescenthealthcardsatAWCwiththeassistanceofSakhi. FacilitateorganizationanddistributionofnutritionprovisiontotheAGs.Forthisactivity shecanseekassistanceofSakhiandSaheli. AddressissuesrelatedtoAGsduringhomevisitsundertakenunderICDS.Twotothree AGsatatimemayaccompanyAWWduringhomevisits. Assist the PHC staff in carrying health related activities for AGs such as providing IFA supplementation, deworming tablets, etc. If supply of IFA and deworming tablets is madetotheAWW,consumptionofthesamebytheAGsmustbeensuredbyher.

(vii) AssisttheAGsinselectingtheSakhiandSaheli (viii) AWHwillassisttheAWWinallaboveactivities

14.5SakhiandSaheli:
(i) (ii) (iii) (iv) (v) (vi) Sakhi would work as the head of the Kishori Samooh for four months. She will be assistedbytwoSahelisineachAWC TheywillworkaspeereducatorsforKishoriSamoohafterreceivingrequisitetrainingas pertheprescribedmodule. TakeonleadroleinmotivatingAGstojointheSchemesupportedbyAWW. FacilitateactivitiestobeconductedatAWCondaytodaybasisandonKishoriDiwas. MotivateandassistallAGstofillupandmaintaintheirKishoriHealthCards. AssisttheAWWinmaintainingtheregisters

(vii) AssistindistributionofTHR. (viii) MayaccompanyAWWonhomevisits.

14.6 NGOsandCBOs:
(i) ImpartingeducationontheservicesmentionedinPart6 (ii) ImparttrainingtoSakhi/Saheli (iii) FollowthetimetableofactivitiesasdrawnAWCwise

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15. ADMINISTRATIVE AND FINANCIAL MANAGEMENT STRUCTURE:

15.1 Sabla is a centrally sponsored scheme, implemented through State Governments /UTs. TheMinistryofWomenandChildDevelopmentwillberesponsibleforbudgetarycontroland administration of the scheme from the Centre. At the State / UT level, the Secretary of the Department of Women and Child Development/ Social Welfare dealing with ICDS will be responsiblefortheoveralldirectionandimplementationoftheSchemealongwiththeDirector andotherofficers. AlongwiththeMonitoringandSupervisionCommitteestheadministrativestructurewouldbe asunder: National Monitoring & Secretary, MWCD Supervision Committee State Monitoring & Secretary of the D WCD/ Supervision Committee Social Welfare District Monitoring & District Collector /DPO Supervision Committee Project Monitoring & DPO / CDPO Supervision Committee ICDS Supervisor Village Monitoring & Supervision Committee 15.2 The DPO will be responsible for implementing the Scheme at the field level within the districtandtheCDPOwithintheICDSProjectareaalongwithSupervisorsresponsiblefortheir own sectors. AWW will survey and register all AGs within the jurisdiction of that AWC and facilitate in the implementation of the Sabla Scheme. The selected NGOs / CBOs would be instrumentalinprovidingtheservicesasindicatedearlier. 15.3ThefinancialassistancetotheStateGovernments/UTswillbegiveninfourinstalmentsfor theSNPcomponentandintwoinstalmentsforthenonSNPcomponentbyMWCD.Fundswill betransferredtotheconsolidatedaccountof theconcernedStateGovernments/UTs.States may have a Sabla Account operated by the State ICDS Cell. The State ICDS Cell shall in turn providegrantinaidtotheDistrictICDSCellandtheICDSProjectsimplementingtheschemeat thegrassrootslevel. 15.4AttheICDSProjectlevel,theChildDevelopmentProjectOfficer(CDPO),whoistheoverall incharge of the ICDS Project, will be responsible for the implementation of the Scheme and 30

accountingofthefundsforSabla. WiththesupportoftheSupervisors,theCDPOwillensure theimplementation,supervisionandmonitoringofthescheme. 15.5ThefirstinstalmentwillbereleasedinthebeginningoftheyearinApril.Theotherthree instalmentswillbereleaseduponthereceiptoftheStatementofExpenditure(SoE)ofone quarter earlier. For example, to release the instalment of second quarter, the SoE of the quarterendingMarchofearlieryearwouldberequired.Forreleaseofthirdinstalment,theSoE ofquarterendingJune(1stQuarter)wouldberequiredandforreleaseoffourthinstalment,the SoEofquarterendingSeptember(2ndQuarter)wouldberequired. 15.6 SoEs are to be furnished to GoI as per formats given at Annex 6(i) alongwith the PhysicalandFinancialreportasunder: (i)AnnualSoE,alongwithUCforpreviousyear:31stMay (ii)Quarterending30thJune :by15thJuly (iii)Quarterending30thSeptember :by15thOctober :by15thJanuary (iv)Quarterending31stDecember (v)Quarterending31stMarch :by15thApril TimescheduleforsubmissionofSoEmaybestrictlyadheredtoenabletheMinistrytorelease thefundstoStates/UTsintime.

16. BUDGETARY PROVISIONS FOR THE VARIOUS COMPONENTSUNDERTHESCHEME:

16.1

ItemwiseunitcostoftheNonnutritioncomponentperyear/project: Item UnitcostperICDSProject

1. TrainingKit/AWC@Rs.1000/perAWC Rs.150,000 2. LifeskillEducationincludingIEC Rs.50000 3.TrainingforSakhi/Saheli Rs.40000 4.NHEcomponentincludingIEC&Guidanceon accessingpublicservices Rs.30000 5. Vocationaltraining Rs.30000 6. Misc.expenditure(Expenditureon celebratingKishoriDiwasetc.)Rs.30000 7. Others(printingofhealthcards/registers/ Utensils,etc.) Rs.30000 8. CostofprovidingIFA(whereIFAisnot 31

 SuppliedbyHealth) Rs.20000 Total Rs.3,80,000 16.2 KSYwillbecontinued(whereoperational)inremainingdistrictsapartfromthese200 districts.ThefundsfromSablawillbeutilisedforKSYalso. 16.3 NGOs/CBOs/ResourcepersonsetcpartneringwithStates/UTs,forvariousnonnutrition services under the scheme, would be compensated by the States/ UTs out of the funds earmarkedagainstthoseactivities/services. 16.4 The funds allocated under the head of Miscellaneous expenditure and Others of Rs. 30000/ each may be used for expenditure on Kishori Cards, holding of Kishori Diwas, transportationforexposurevisits,printingofregisters,etc.andreportedintheSoEalongwith thepurposeforwhichused.

17. REPORTINGANDMONITORINGFORMATS:

17.1 OneRegister(tobeopenedeveryyear)hastobemaintainedattheAWCbyAWWwith the assistance of Sakhi / Saheli. The format of the Register is at Annex 7(i). Supervisor will ensurethataccuraterecordsofAGsaremaintainedattheAWCs,compiledandreportedinthe formatprescribed.AmonthlyReportistobefurnishedbytheAWWtoSupervisorforherAWC. ThesewillbeconsolidatedbytheSupervisor(forhersector)andsenttotheCDPO.TheCDPO will further sent the Project Report to the DPO. The DPO will consolidate reports from all projects and send it to the State Governments / UTs. The formats are prescribed at Annex 7(iitov).TheseinturnwillbesenttotheMinistrybytheSG/UT. 17.2 States / UTs may translate the reporting and monitoring forms in regional language if required.However,reportstotheGovernmentofIndiamaybesentinHindiorEnglishonly.

17.3Variousreportingandmonitoringformatsaswellastheformatsforprogressreportsfor theschemerequiredforthevariouslevelsareatAnnex6and7oftheseGuidelines.

These Guidelines for the implementation of the Scheme would be supplementedbytheGovernmentofIndiafromtimetotimebyissuingfurther GuidelinesonvariousaspectsoftheSchemeifrequired.
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Annex1

DISTRICTSCOVEREDUNDERRAJIVGANDHISCHEMEFOREMPOWERMENT OFADOLESCENTGIRLS(RGSEAG)Sabla STATE/UT NAME

1 2 3 4 5 6 7 8 9 10 11 12 13 14 A&NIslands AndhraPradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh D&NHaveli Daman&Diu Delhi Goa Gujarat

No.of DISTRICTNAME Distt.

1 7 4 8 12 1 5 1 2 3 2 9 6 4 5 7 9 4 1 15 11 3 3 3 Andamans Mahbubnagar,Adilabad,Anantapur,Visakhapatnam,Chitoor,West Godavari,Hyderabad PapumPare,Lohit,WestKameng,WestSiang. Dhubri, Darang, Hailakandi, Kokrajhar, Karbi Anglong, Dibrugarh, Kamrup,Jorhat Katihar, Vaishali, Pashchim Champaran, Banka, Gaya, Saharsa, Kishanganj,Patna,Buxar,Sitamarhi,Munger,Aurangabad Chandigarh Surguja,Bastar,Raipur,Raigarh,Rajnandgaon Dadra&NagarHaveli Diu,Daman NorthWest,NorthEast,East NorthGoa,SouthGoa Banaskantha,Dohad,Kachchh,PanchMahals,Narmada, Ahmadabad,Jamnagar,Junagadh,Navsari Kaithal,Hisar,Yamunanagar,Ambala,Rewari,Rohtak Chamba,Kullu,Solan,Kangra Anantnag,Kupwara,Kathua,Jammu,Leh(Ladakh) Giridih,Sahibganj,Garhwa,Hazaribagh,Gumla,Pashchimi Singhbhum,Ranchi Gulbarga,Kolar,Bangalore,Bijapur,Bellary,Dharward, Chikmagalur,UttaraKannada,Kodagu Malappuram,Palakkad,Kollam,Idukki Lakshadweep Sheopur,Rajgarh,Sidhi,Neemuch,Jhabua,Tikamgarh,Rewa, Bhind,Damoh,Indore,Sagar,Jabalpur,Bhopal,Betul,Balaghat Beed,Nanded,Mumbai,Nashik,Gadchiroli,Buldana,Kolhapur, Satara,Amravati,Nagpur,Gondiya Chandel,Senapati,ImphalWest WestGaroHills,SouthGaroHills,EastGhasiHills Lunglei,Saiha,Aizawl 33

Haryana Himachal Pradesh 15 Jammu&Kashmir 16 17 Jharkhand Karnataka

18 Kerala 19 Lakshadweep 20 MadhyaPradesh 21 22 23 24 Maharashtra Manipur Meghalaya Mizoram

25 26 27 28 29 30 31 32 33

Nagaland Orissa Pondicherry Punjab Rajasthan Sikkim TamilNadu Tripura UttarPradesh

34 35

Uttaranchal WestBengal TOTAL

Mon,Tuensang,Kohima Koraput,Gajapati,Mayurbhanj,Sundargarh,Kalahandi,Bhadrak, Puri,Cuttack,Bargarh 1 Karaikal 6 Patiala,Faridkot,Gurdaspur,Mansa,Jalandhar,Hoshirpur 10 Bhilwara,Jodhpur,Banswara,Udaipur,Jhalawar,Dungarpur, Bikaner,Jaipur,Barmer,Ganganagar 2 North,East 9 Salem,Tiruvannamalai,Cuddalore,Ramanathapuram,Madurai, Tiruchirappalli,Coimbatore,Chennai,Kanyakumari 2 WestTripura,Dhalai 22 Shrawasti,Bahraich,Maharajganj,Lalitpur,Agra,Sonbhadra, Sitapur,Mirzapur,Chandauli,Deoria,ChattrapatiShahujiMajaraj Nagar,Mahoba,Pilibhit,RaeBareli,Banda,Farrukhabad, Bulandshahar,Saharanpur,Jalaun,Bijnor,Lucknow,Chitrakoot 4 Hardwar,Uttarkashi,Chamoli,Nainital 6 Maldah,Purulia,Nadia,KochBihar,Jalpaiguri,Kolkata 200

3 9

34

Annex2

TRAININGKIT
AtrainingkitwillbeprovidedateveryAnganwadiCentretoassistAGstounderstandvarious health,nutrition,socialandlegalissuesbyconductingactivitiesinaninterestingandinteractive manner.Thetrainingkitwillhaveanumberofgamesandactivitiessothatthegirlsenjoywhile learning. The Sakhi and Saheli will be trained to use these kits for imparting peer education. AmongothertrainingandeducationalmaterialsidentifiedbytherespectiveStateGovernments /UTs,eachKishoriTrainingKitwillcontainthefollowing: Flash cards with pictures and stories on characteristics of adolescence including nutrition, health and hygiene, peer pressure, assertiveness, goal setting, problem solving, conflict resolution,leadership/roleinsociety,interactionwithoppositesex,teenagepregnancy,RTIs, STIsetc. Quiz/activity games on basic body process including change during adolescence, structure andfunctionsoffemalereproductivesystem,menstruationetc. AdolescenceActivityCardspresentingasituationforAGstodiscuss.Thestoriesraiseissues aroundhealth,nutrition,peerpressure,genderstereotyping,aggression,senseofpurpose, sexualityandsexualhealthrisksetc. AdolescenceActivityChart(easytowipelaminatedcharts)forAGstodrawandwriteonas theyparticipateintheorientationandtrainingactivities.Theseactivitychartswillhavethe pictureofmaleandfemalebodyandtheirreproductiveorgansprintedonthemandAGswill beencouragedusingthemfordepictingvariousbodypartswhichwillhelpthemunderstand and explore male and female reproductive systems. These will be easy to wipe laminated chartsthatcanbewipedcleanandreadiedforthenextsession. AsamplekithasbeenprovidedtoeveryState/UT,whichmaybeadapted/translatedby theStates/UTsasrequired.

35

RAJIV GANDHI SCHEME FOR EMPOWERMENT OF ADOLESCENT GIRLS (RGSEAG SABLA)

D. Nutrition Type: (Tick one) Hot Cooked Meal (HCM) OR Take Home Ration (THR)
Year 2 Months Days 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Total
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Calculation of BMI
Match your weight against your height and join the two points together to identify BMI

KISHORI CARD
Height (cm)
130
Section A & B - For both School going & Out of School Girls Age 11-18 years Section C - Only Out of School Adolescent Girls Section D 11 14 years : Only Out of School Girls & 14 18 years: All Girls

Weight (kg)
10 10 8 2 97 92 87 82 77 72 66 64 60 56 54
52
50 47

BMI Zone

This card is to be filled by the Kishori with help of Sakhi / Saheli. Section C will be filled by the Health worker.

Particulars of the Anganwadi Centre

140 30.0 150 25 160 18.5 170
ID No. of AWC Name of AWC

Village District

A. Identification Particulars of Adolescent Girl (AG)

Sl. No.*
(*Sl. No. of part B of SABLA Register)

Aadhar No.
if available

First Name, Middle Name, Last Name Date of Birth Fathers Name

42

Age (Completed years) ______

39 36

180
Mothers Name

31

190
School Status

(Tick one) In school Out of School

Class : ______ Last class studied:______

Correlation between BMI Zone and Nutritional Status

Red Green : Less than 18.5 : 18.5-25 : Malnourished : Normal : Mildly Overweight : Overweight

Address

Orange : 25-30 Pink : 30 or more

How to use the BMI chart: 1. Put a dot on the weight of the AG. 2. Put a dot on the height of the AG.

IMPORTANT MILESTONES with Dates like joining school, dropping out, passing class, marriage, child birth, onset of puberty, etc.
1._______________________________________________________________________________ 2._______________________________________________________________________________ 2._______________________________________________________________________________

3. Connect the two dots with a straight line. The zone where the line cuts the BMI zone will indicate the BMI status of the AG.

Reference : Dietary Guidelines for Indians, National Institute of Nutrition, Hyderabad, 1999, Pg. No. 45

Get your BMI assessed every quarter to know your nutritional status.

B. Guidance / Counselling Sessions (No. of Sessions attended)**

Quarters
Topic
Nutrition & Health Education sessions (minimum 2 in a quarter) Family Welfare, ARSH & child care practices sessions (minimum 3 in a quarter) Life Skill Education sessions (minimum 2 in a quarter)
1 (Apr-June)
st nd

C. Health Services
Quarters Year 1
1 (Apr-June)
st

D. Nutrition Type: (Tick one) Hot Cooked Meal (HCM) OR Take Home Ration (THR)
rd

Year 1
2 (Jul-Sept) 3 (Oct Dec.)
rd

4 (Jan-Mar.)

th

2 (Jul-Sept)

nd

3 (Oct Dec.)

4 (Jan-Mar.)

th

Year 1
Months Days
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Total

Write date

Date of Health Check-up Height (in cms.) Weight (in Kgs.) BMI *** Status: N Normal M Malnourished

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Exposure visit (attach details) -post offices, bank,/ police station, etc (minimum 2 to each of them in one year)

No. of IFA Tablets

Provided Consumed
(Write whichever is correct) Yes No

Quarters Topic
Nutrition & Health Education sessions (minimum 2 in a quarter) Family Welfare, ARSH & child care practices sessions (minimum 3 in a quarter)
1 (Apr-June)
st nd

Year 2
2 (Jul-Sept) 3 (Oct Dec.)
rd

4 (Jan-Mar.)

th

Referral Services received

Write date

Quarters

Year 2
1 (Apr-June)
st

2 (Jul-Sept)

nd

3 (Oct Dec.)

rd

4 (Jan-Mar.)

th

Date of Health Check-up Height (in cms.) Weight (in Kgs.) BMI*** Status N Normal M - Malnourished No. of IFA Tablets Provided Consumed (Write whichever is correct) Yes No

Life Skill Education sessions (minimum 2 in a quarter) Exposure visit (attach details) -post offices, bank/police station, etc. (minimum 2 to each of them in one year )

** For each Guidance/ Counselling session attended, put date in the relevant column against the relevant topic.
MESSAGES

Referral Services received

IMPORTANT MILESTONES with Dates like joining school, dropping out, passing class, marriage, child birth, onset of puberty, etc.
1._______________________________________________________________________________ 2._______________________________________________________________________________

*** Formula : BMI (in kg/m) = Weight (in kg) (Height in m) (BMI below 18.5 is underweight and BMI between 18.5 & 23.5 is normal see chart on leaf 6)

3._______________________________________________________________________________

Annex4 MostImmediate
No.Z.28020/50/2003CH GovernmentofIndia MinistryofHealth&FamilyWelfare (DepartmentofHealth&FamilyWelfare) (CHSection)

NirmanBhavan,NewDelhi Datedthe23rdApril,2007 To TheSecretary,DepartmentofBiotechnology,MinistryofScience&Technology,CGOComplex, LodiRoad,NewDelhi TheSecretary,MinistryofWomenandChildDevelopment,ShastriBhavan,NewDelhi The Secretary, Department of Education, Ministry of Human Resource Development, Shastri Bhavan,NewDelhi TheSecretary;DepartmentofHealth&FamilyWelfareofallStates/UTs TheSecretary,DepartmentofWomenandChildDevelopmentofallStates/UTs TheDirectorofFamilyWelfareofallStates/UTs TheDG,ICMR,AnsariNagar,RingRoad,NewDelhi TheSr.Adviser(Health)PlanningCommission,YojanaBhavan,NewDelhi TheCountryRepresentative,UNICEF,LodhiEstate,NewDelhi TheCountryRepresentative,WHO(India),NirmanBhavan,NewDelhi TheCountryRepresentative,USAID,ChanakyaPuri,NewDelhi TheCountryRepresentative,EuropeanUnion,ChanakyaPuriNewDelhi Subject:ReviewofthePolicyregardingmicronutrientIron,FolicAcid(IFA) Sir/Madam, WiththeapprovalofSecretary(Health&FamilyWelfare),thePolicyregardingIronFolic Acid(IFA)Supplementationstandsapprovedasperthefollowing: 1. Theinfantsbetween612monthsshouldalsobeincludedintheprogrammeas thereissufficientevidencethatirondeficiencyaffectsthisagegroupalso. 2. Childrenbetween6monthsto60monthsshouldbegiven20mgelementaliron and100microgramfolicacidperdayperchildasthisregimeisconsideredsafe andeffective 3. NationalIMNCIguidelinesforthissupplementationtobefollowed. 4. Forchildren(660months),ferroussulphateandfolicacidshouldbeprovidedin aliquidformulationcontaining20mgelementalironand100mcgfolicacidper mloftheliquidformulation.Forsafetyreasons,theliquidformulationshouldbe dispensedinbottlessodesignedthatonlyonemlcanbedispensedeachtime. 5. Dispersible tablets have an advantage over liquid formulation in programmatic conditions.Thesehavebeenusedeffectivelyinotherpartsoftheworldandin 38

6. 7. 8. 9. 10.

largescaleIndianstudies.Thelogisticsofintroducingdispersibleformulationof IronandFolicAcidshouldbeexpeditedundertheprogramme. The current programme recommendations for pregnant and lactating women shouldbecontinued. SchoolChildren,610yearsoldandadolescents1118yearolds,shouldalsobe includedintheNationalNutritionalAnaemiaProphylaxisProgramme(NNAPP), Children610yearoldwillbeprovided30mgelementalironand250mcgfolic acidperchildperdayfor100daysinayear. Adolescents1118yearswillbesupplementedatthesamedosesandduration asadults.Theadolescentgirlswillbegivenpriority. Multiple channels and strategies are required to address the problem of iron deficiency, anaemia. The newer product such as double fortified salts/sprinklers/ultrariceandothermicronutrientcandidatesshouldbeexplored asandadjunctoralternativesupplementationstrategy.

It is requested that further needful and necessary action may be taken under informationtothisMinistry. Yoursfaithfully, sd/ (Dr.SangeetaSaxena) AssistantCommissioner(CH) Tel23061218 Copyforinformationto: 1.Adviser(Nutrition),DGHS,NirmanBhavan,NewDelhi 2.Director,MinistryofHealth&FamilyWelfare,withtherequesttokindly furnishtheaboveinformationinthewebsiteoftheMinistryplease 3.Director(IEC)withtherequesttotakefurthernecessaryaction 4.Director,NIPCCD 5.Secretary,NNF 6.President,IAP 7.President,IMA 8.SupplyDivision/StatisticsDivision/MCHDivision,MinistryofHealth&FW 9.CopytoFileNo.Z.28020/30/2005CH/Z.28020/122/2005VH 10.MasterFileonIMNCI/GuardFile sd/ (Dr.SangeetaSaxena) AssistantCommissioner(CH) Tel23061218 39

Annex5

MONITORINGANDSUPERVISIONCOMMITTEES

1. NationalMonitoringandSupervisionCommittee:
InordertoensureeffectiveimplementationandmonitoringoftheSablathroughoutthe country, a National Monitoring and Supervision Committee will be set up under the chairpersonshipoftheSecretary,MinistryofWomen&ChildDevelopment. ThemembersofthisCommitteewillincluderepresentativesfromPlanningCommission, MinistryofHealth&FamilyWelfare,MinistryofRuralDevelopment,MinistryofPanchayatiRaj, Ministry of Youth Affairs, Ministry of Labour, Ministry of Human Resource Development, two State Secretaries on rotation basis, National Institute of Public Cooperation and Child Development (NIPCCD) and National Institute of Health and Family Welfare (NIHFW). Experts mayalsobeinvolvedasspecialinviteesfromtimetotime. Thecompositionofthecommitteewouldbeunder: 1. Secretary,MinistryofWomen&ChildDevelopment. Chairperson 2. Secretary,PlanningCommission Member 3. Secretary,MinistryofHealth&FamilyWelfare Member 4. Secretary,MinistryofLabour Member Member 5. Secretary,MinistryofYouthAffairs 6. Secretary,MinistryofHumanResourceDevelopment Member 7. Secretary,MinistryofRuralDevelopment Member 8. Secretary,MinistryofPanchayatiRaj Member 9. SecretaryfromtwoStateSecretariesonrotationbasis Member 10. Director,NIPCCD Member 11. Director,NIHFW Member 12. JointSecretary(ICDS),M/WCD Member MemberSecretary 13. JointSecretary,InchargeoftheProgramme ThisCommitteewillmeetquarterlyorasandwhenrequiredatthenoticeoftheChairperson.

2. State,District,BlockandVillageLevelCommittee:
In order to ensure effective implementation of the scheme at State / UT level and below, monitoringcommitteescomprisingofrepresentativesfromotherconcerneddepartmentswill be constituted. These committees will review, monitor and advise on matters relating to the implementationoftheschemeandcausetheconvergenceacrossthestakeholderdepartments. 40

AttheStatelevel,thisCommitteewillbecalledStateMonitoringandSupervisionCommittee. ThiscommitteewillbeunderthechairpersonshipoftheChiefSecretary.Themembersofthis Committee will include representatives from Planning Department, Finance, representative from Health & Family Welfare, Rural Development, Panchayati Raj, Youth Affairs, Labour, Education, 5 MPs and 5 MLAs of the area would also be involved in order to have broad spectrumofpoliticalrepresentation. Thecompositionofthecommitteewouldbeunder: ChiefSecretary Chairperson Secretary,PlanningDepartment Member Secretary,FinanceDepartment Member Secretary,Health&FamilyWelfaredepartment Member Secretary,RuralDevelopment Member Secretary,PanchayatiRajInstitution Member Secretary,DepartmentYouthAffairs Member Secretary,DepartmentofLabour Member Secretary,DepartmentofEducation Member 5MemberofParliamentand5MLAsofthearea* Member Experts/NGOs/CBOs(2fromeachcategory) Member Secretary,Women&ChildDevelopment MemberSecretary *MemberofParliamentandMLAsoftheareawouldbeinvolvedinordertohavebroad spectrumofpoliticalrepresentation. ThisCommitteewillmeetquarterlyorasandwhenrequiredonthenoticeoftheChairperson. 3. District level: At the district level, the District Magistrate/ Deputy Commissioner / District Collector of the concerned district will head such committee. Counterparts of all concerned Departments and representative of District level of Panchayat Samiti (if there is elected Panchayat system) would be the members of the Committee. DPO will be the Member Secretary. Thecompositionofthecommitteewouldbeunder: Chairperson DM/DC CEO,ZilaPanchayat Member Panchayatsamitirepresentative Member CivilSurgeon Member LabourSuperintendent Member Experts/NGOs(two) Member DistrictEducationOfficer Member 41

5CDPOs(iflessthan5projects,thenallCDPOs) DPO

Member MemberSecretary

ThisCommitteewillmeetquarterlyorasandwhenrequiredonthenoticeoftheChairperson. 4. Project level: At the Project level, the District Programme Officer will head the monitoring committee having representatives from the concerned other departments at block level. The CDPOwillbetheMemberSecretaryoftheCommittee. Thecompositionofthecommitteewouldbeunder: DPO Chairperson BlockDevelopmentOfficer Member MedicalOfficerInCharge Member BlockEducationOfficer Member BlockPublicRelationsOfficer Member J.E.(PHED) Member CDPO MemberSecretary ThisCommitteewillmeetmonthlyorasandwhenrequiredonthenoticeoftheChairperson. 5. Village level: At the village level, a sub set with additional members of Sakhi and Youth membersundertheVillageHealthandSanitationCommitteewhichalsohasmembersofPRIor a separate Committee will be responsible for monitoring of the scheme. Panchayat member (preferablywoman member) will head the monitoring committee. Anganwadi Worker will be conveneroftheCommittee.Thiscommitteeisformedattheleveloftherevenuevillage(more thanonesuchvillagesmaycomeunderasingleGramPanchayat). ThecompositionoftheCommitteewillbeasunder: WomanGramPanchayatmemberfromthevillage Chairperson ASHA,ANM Member SHGleader Member PrincipalofJuniorSchool Member Villagerepresentativeofanycommunitybased organizationworkinginthevillage Member Member Sakhi(usergrouprepresentative) AnganwadiWorker MemberConvener The committee will organize regular monthly meeting to discuss various issues in the village anddocumenttheminutesofthemeeting.

42

Annex6(i)

RAJIV GANDHI SCHEME FOR EMPOWERMENT OF ADOLESCENT GIRLS (RGSEAG) Sabla

QUARTERLY STATEMENT OF EXPENDITURE Name of the State/UT __________ Quarter: (Tick one) I (Apr-Jun)/ Financial Year ________________ II (Jul-Sept)/ III (Oct-Dec)/ IV (Jan-Mar)

PART A: QUARTERLY RGSEAG - Sabla BUDGET Central Share 1. Nutrition Component 2. Non Nutrition Component ` ___________ ` __________ State Share ________

UTILIZATION CERTIFICATE 1. Nutrition Component:-

Certified that out of the total amount of `________________________released for Nutrition under Sabla during 20_ _ - 20_ _ to the State/UT of ________________ by Government of India upto Quarter (I/ II /III / IV), a sum of ` _____________ has been utilized upto Quarter (I/ II /III / IV) as per scheme norms for the purpose for which the amount was released. Out of this, ` ______________ was utilized in the current Quarter (I / II / III / IV ). Total Expenditure during the Quarter (including State share) is ` ____________ . 2. Non-Nutrition Component:Non

Certified that out of the total amount of ` ________________________released for

Nutrition component under Sabla during 20_ _ - 20_ _ to the State/UT of ________________ by Government of India upto Quarter (I/ II /III / IV), a sum of ` _____________ has been utilized upto Quarter (I/ II /III / IV) as per scheme norms for the purpose for which the amount was released. Out of this, ` ______________ was utilized in the current Quarter (I / II / III / IV ).

43

Signature and seal of the Authorized Officer PART B: PHYSICAL 1. Coverage for Sabla: (i) (ii) (iii) (iv) (v) (vi) Number of Sabla Districts Number of Sabla Projects Number of Projects implementing Sabla Number of AWCs Number of AWCs implementing Sabla Number of AWCs Reporting _________ _________ _________ _________ _________ _________

2. Number of beneficiaries for Nutrition component (i) Coverage for Nutrition Component:
Category 11 14 years Out of School 14 18 years Out of School 14 18 years School going Total Take Home Ration Hot Cooked Meal

(in numbers)
Total

(ii) Amount spent on Nutrition per beneficiary per day (including State share) ` _________ (iii) Average Nutrition days per month (iv) Nutritional Status*: Number of Girls with Nutritional Grades Normal (N): Malnourished (M): _________ _________ _________

*Formula: BMI (in kg/m) = (Weight in kg) (Height in m x Height in m) BMI < = 18.5 : Malnourished BMI between 18.5 & 23.5 : Normal 3. Number of beneficiaries for Non-Nutrition Component

44

(i)

IFA supplementation a Average IFA Tablets distributed per AG b No. of beneficiaries covered _________ _________

No. of beneficiaries

(ii) (iii) (iv) (v) (vi) (vii)

Health check-up & Referrals Counseling/Guidance on Nutrition & Health Education

_________ _________

Counseling/Guidance on family welfare, ARSH & child care _________ practices Counseling/Guidance on Life Skill Education Guidance on Accessing public services Vocational Training (16 18 years) _________ _________ _________ Number ________ ________ ________

4. (i) Kishori Samoohs operational (ii) Sakhi / Sahelis trained (iii) Sabla Kits provided Rate ` ______ each Kit. 5. Monitoring and Supervision Committees: (upto current Quarter) Committees set up (number) ________ ________ ________ ________ PART C: FINANCIAL

(i) (ii) (iii) (iv)

State level District level Project level Village level

Average no. of meetings held ________ ________

(` In lakhs) 1 2 Funds released during previous financial year by GoI Expenditure incurred in previous financial year ________ ________ 45

(a) Unutilized balance of previous financial year (1-2) OR (b) Excess expenditure in previous financial year (2-1)

________

________ ________ (` in lakhs)

Funds released upto previous Quarter in current year

Funds released during the current Quarter by GoI (vide Sanction order(s) No.___________ dated_______) ________ ________ ________

6 7

Cumulative release during the year (4 + 5) Net Central funds available [6 + 3(a)] OR [6 3(b)] as the case may be Component wise expenditure
Quarter (I/II/III/IV)

8.
(i) (ii) (iii) (iv) (v) (vi) (vii)

________ ________ ________ IEC & ________ ________ ________ ________ ________ ________ ________ ________ Cumulative upto Quarter I/II/III/IV ________ ________ ________ ________ ________ ________ ________ ________ ________ ________

Nutrition provision (Central share) Sabla Kits to AWC Life Skill Education including IEC Nutrition Health Education including guidance on accessing public services Training for Sakhi/Saheli Vocational training

Miscellaneous (Expenditure on Kishori Diwas, etc.) (viii) Others (Printing of Kishori cards/registers/Utensils, etc.) (ix.) Cost of providing IFA (where IFA is not supplied by Health) Total expenditure 8 (i) to (ix) 9 Unutilized Funds (7 8)

Reasons_______________________________________________________________ ____________________________________________________________ OR 10 Excess expenditure (8- 7) ________ Reasons____________________________________________________________ ___________________________________________________________________

46

11. State Share for Nutrition i ii Available Utilized

Quarter (I/II/III/IV) ________ ________

Cumulative Quarter I/II/III/IV ________ ________

upto

Annex6(ii)

RAJIV GANDHI SCHEME FOR EMPOWERMENT OF ADOLESCENT GIRLS (RGSEAG) Sabla

ANNUAL STATEMENT OF EXPENDITURE

Name of the State/UT __________ Financial Year ________________ PART A: ANNUAL RGSEAG Sabla BUDGET Central Share State Share 1. Nutrition 2. Non Nutrition ` __________ ` __________ UTILIZATION CERTIFICATE 1. Nutrition Component:Certified that out of the total amount of `_______________________ released for Nutrition under Sabla during 20_ _ - 20_ _ to the State/UT of ________________ by Government of India, a sum of ` _____________ has been utilized as per scheme norms for the purpose for which the amount was released. Total Expenditure during the year including States share of expenditure during the year is `______________. 2. Non-Nutrition Component:________

Certified that out of the total amount of ` _________________________released for Non Nutrition component under Sabla during 20_ _ - 20_ _ to the State/UT of 47

________________ by Government of India,

a sum of ` _____________ has been

utilized as per scheme norms for the purpose for which the amount was released.

Signature and seal of the Authorized Officer PART B: PHYSICAL 1. Coverage for Sabla: (i) (ii) (iii) (iv) (v) (vi) Number of Sabla Districts Number of Sabla Projects Number of projects implementing Sabla Number of AWCs Number of AWCs implementing Sabla Number of reporting AWCs _________ _________ _________ _________ _________ _________

2. Number of beneficiaries for Nutrition component (i) Rate per day per beneficiary (including State share) ` _______________ (ii) Coverage for Nutrition Component:
Category 11 14 years Out of School 14 18 years Out of School 14 18 years School going Total Take Home Ration Hot Cooked Meal

(in numbers)
Total

(iii) Average Nutrition days per month (iv) Average Nutrition days during the year (v) Nutritional Status*: Number of Girls with Nutritional Grades Normal (N) Malnourished (M)

_______ _______ _______ _______

* Formula: BMI (in kg/m) = (Weight in kg) (Height in m x Height in m) BMI < = 18.5 : Malnourished BMI between 18.5 & 23.5 : Normal 48

3. Number of beneficiaries for Non-Nutrition Component (i) a b IFA supplementation Average IFA Tablets distributed per AG No. of beneficiaries covered _________ _________

No. of beneficiaries (ii) (iii) (iv) (v) (vi) (vii) Health check-up & Referrals Counseling/Guidance on Nutrition & Health Education Counseling/Guidance on family welfare, ARSH & child care practices Counseling/Guidance on Life Skill Education Guidance on Accessing public services Vocational Training (16 18 years) _________ _________ _________ _________ _________ _________ Number 4. (i) Kishori Samoohs operational (ii) Sakhi / Sahelis trained (iii) Sabla Kits provided Rate ` ______ each Kit. 4. Monitoring and Supervision Committees: Committees set up (number) (i) State level ________ (ii) District level ________ (iii) Project level ________ (vi) Village level ________ PART C: FINANCIAL ________ ________ ________

Average no. of meetings held ________ ________

(` In lakhs)

49

1 2 3

Funds released during previous financial year by GoI Expenditure incurred in previous financial year (a) Unutilized balance of previous financial year (1-2) OR (b) Excess expenditure in previous financial year (2-1)

________ ________ ________

________ 4 Funds released upto previous Quarter Amount (` In lakhs) Received by the State on (dd/mm/yy) Transfer to the district on (dd/mm/yy)

Quarter

Sanction order

No. I II III IV Total funds released

Date

(` in lakhs) 5 6 (i) Net Central funds available [4 + 3(a)] OR [4 3(b)] as the case may be Actual Expenditure during the year Nutrition Component Central Share Quarter I Quarter II Quarter III Quarter IV Total (a) (ii) Non Nutrition Component Quarter I Quarter II Quarter III ________ ________ ________ ________ ________ ________ ________ ________ ________

50

Quarter IV Total (b) Grand Total (a + b) 7 (i) (ii) (iii) (iv) (v) (vi) (vii) Component wise expenditure during the year Nutrition (6a) Sabla Kits Life Skill Education including IEC Nutrition Health Education including accessing public services Training for Sakhi/Saheli Vocational training Miscellaneous (Expenditure on Kishori Diwas, etc.) IEC guidance on

________ ________ ________

(` in lakhs) ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________

(viii) Others (printing of Kishori cards/registers/Utensils, etc.) (ix) Cost of providing IFA (where IFA is not supplied by Health) Grand Total expenditure 7 (i) to (ix) Unutilized funds ( 5 6)

Reasons_____________________________________________________ ___________________________________________________________ OR 9 Excess expenditure ( 6 5) _______ Reasons_____________________________________________________________ _____________________________________________________________ 10 State Share for Nutrition

(i)

Available during Quarter I Quarter II Quarter III Quarter IV Total ________ ________ ________ ________ ________

51

(ii)

Utilised Quarter I Quarter II Quarter III Quarter IV Total ________ ________ ________ ________ ________

52

Annex7(i) Cover page

RAJIV GANDHI SCHEME FOR EMPOWERMENT OF ADOLESCENT GIRLS - Sabla REGISTER

Department of Women and Child Development [Name of State/UT]

Financial Year :

Date of Opening of Register: Name of Village/Mohalla /Locality: Name of Sector: Name of Project: Name of District/City:

AWC No.: Address of AWC:

Name of AWW: Name of AWH:

Towards a new dawn

Ministry of Women & Child Development

PART A: RGSEAG - Sabla REGISTER BASELINE DATA

BASELINE SURVEY SHEETS Name of the AWC : Part 1 AWC No. Anganwadi address (Street / Tola / Mohalla/Block) : Page No : Date of start of survey:

Name of Anganwadi Worker/ surveyor : Name of Block/Project

Date of end of survey:

Date of last update: (may be filled in pencil)

1 S. No.

3 Name of the father/ guardian (First, Middle, Surname)

4 Name of the mother (First, Middle, Surname)

Name of AG

Category

6 Date of Birth of the AG (if available) dd/mm/yyyy

7 Age as on 01/01/2011 8 (a) Adolescent category 11 14 years

8 8 (b) Adolescent category 14 18 years

9 Education status (Completed Class)

10 Enrolled under Sabla Y/N

Name 1 2 3 4 5 6 LEGEND AG SG OOS

Surname

SC

ST

Other s

SG

OOS

SG

OOS

Adolescent Girl School going Out of School

54

PART B: RGSEAG - Sabla REGISTER MONTH:_____

Table 1
No. of Health Services provided during the month Guidance/Cou No. of days Nutrition was nseling received by Sessions Entry status School Status Malnourished AG during the Attended (as per Body No. of IFA Tablets attended (Tick one) (Tick one) Health Age (in month during the Zone chart in S. No. First Name, completed From Check-up (from month Kishori card) Last Name New Yes: Y years) previou Consume In Out of individual (from Yes: Y entry Provided d school school s No: N record) individual No: N month record) 1 2 3 4a 4b 5 6 7 8 9 10 11 Identification Particulars of Adolescent Girl Adolescent Girls: 1 2
Total:

Vocational Training (VT) for AGs above 16 years Reason for exit from scheme Name of No. of VT 1. Completion of Sessions Trade Enrolled attended in the 18 years. 2. Out migration For month (N if not 3. Death ( 'N' if not applicable) enrolled) 12 13 14

11 14 years

Adolescent Girls: 1 2
Total:

14 18 years

Note:

In school 11 14 years In school 14 18 years Out of school 11 18 years Out of school AG > 16 years

Fill information till column 6 only Fill information till column 7 only Fill information till column 11 only

Fill columns 12 & 13 also. Column 14 will be filled for any AG exiting the Scheme.

Table 2:
Monthly Summary: Number of Adolescent Girls
Total in the Anganwadi area (Total of listed in column 2 of Part A) 1 Enrolled from previous month (Total of AGs in column 4 a) 2 New Entries (Total of AGs in column 4 b) 3 AGs exited from Sabla (Total of AGs in column 14) 4 Total beneficiaries = Column 4 a + Column 4 b Column 14 5

55

PART C: INDIVIDUAL RECORD OF BENEFICIARIES

Section A & B: To be filled for both School going & Out of School Adolescent Girls Age 11-18 years Section C: To be filled for all Out of School Adolescent Girls only Section D : To be filled for all Out of School Adolescent Girls : 11 18 years & School going Adolescent Girls : 14-18 years First Name, A. Identification Sl. No. : Middle Name, Particulars Last Name Fathers Mothers Name Name School Status: (Tick one) Date of Birth Age School going Out of school : d d m m y y (in completed years): Class : Last studied :

School Entry / _________________ Month of Dropping _______________

Re

entry

date

out

of

School

Address :
Quarters 1st C. Health Services Date of Health Check up Height (In cms.) Weight (In kgs.) BMI : (in kg/m) = Weight (in kg) (Height in m)* Status: N Normal ; M - Malnourished No. of IFA Tablets Provided Consumed Referred (Yes / No) Quarters
(Apr.June)

B. Guidance / Counselling Sessions

(No. of sessions attended)

Nutrition & Health Education sessions (minimum 2 in a quarter) Family Welfare, ARSH & child care practices sessions (minimum 3 in a quarter) Life Skill Education sessions (minimum 2 in a quarter) Exposure visit (attach details) -post offices, bank, police station, etc (minimum 2 to each of them in one year )

(Apr.June)

(JulySept.)

2nd

(Oct.Dec.)

3rd

(Jan.March)

4th

1st

(JulySept.)

2nd

(Oct.Dec.)

3rd

(Jan.March)

4th

* (BMI below 18.5 is underweight and BMI between 18.5 & 23.5 is normal see chart on last page of Kishori Card) 56

D. Nutrition (Tick one) Hot Cooked (HCM) OR Take Home (THR) Ration Meal

Months Days
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

----

--

--

--

--

[Total number of days SNP received by AGs]

IMPORTANT MILESTONES with Dates like joining school, dropping out, passing class, marriage, child birth, onset of puberty, etc. 1._______________________________________________________________________________ 2._______________________________________________________________________________ 3._______________________________________________________________________________ 4._______________________________________________________________________________ 57

INSTRUCTIONS FOR FILLING UP THE RGSEAG - Sabla REGISTER A.WhatisthepurposeoftheRGSEAGSablaregister:TheRGSEAGSablaregisteris meanttoidentifyandkeeparecordofallAdolescentGirl(AG)beneficiariesunderthe Scheme.Everyfinancialyearanewregisteristobeopened.

B.Howistheregisterorganized?ThereisacoverpageandPartsA,BandCofthe RGSEAGSablaregister: i. PartAincludesthesummaryrecordoftheAdolescentGirls(AGs)whohavebeen mappedaspartofthebaselinesurveyconductedfortheSchemeintheAWC areaandwhethertheyareenrolledundertheSablaScheme. ii. PartBisthemonthlyrecordofSablabeneficiaries(ie.thoseenrolledunderthe SablaScheme)intheAWCarea.Thisparthastobefilledforeverymonthasa separatesheetintheregister. iii. PartCistheindividualrecordofeachAGbeneficiaryavailingthebenefitsofthe RGSEAGSablaschemeintheAWCarea. C.Howistheregistertobeused? i. The Anganwadi worker will fill in the cover page and the leafs for the baseline dataconductedbeforethecommencementoftheScheme.Column10ofPartA willbemarkediftheAGisanactualbeneficiaryoftheScheme. ii. WhenanAGcomestotheAWCtoenrollherselfunderRGSEAGSabla,firstthe AWWwillneedtoseeifthenameanddetailsoftheAGareapartofthebaseline dataie.PartAoftheregister.IftheAGiseligible,theAGbecomesabeneficiary undertheSchemeandherdetailswillbeaddedinPartBoftheregister.Ifsheis anewentrant,herentrywillbemadeinPartA,BandCoftheregister. D.Howtofilltheregister? i. Coverpage:Thereare11itemswhichneedtobefilledoncoverpage. WritethenameofState/UT. WritetheFinancialYearandthendateofopeningoftheregisterinthat financialyear.For20102011thedateofopeningofregisterwillbethe dateofstartofRGSEAGSablabaselinesurveyindd/mm/yyformat.For eg.16.11.10 Write theAWC number, the nameof village/ mohalla / localityand the addressoftheAWC. WritethenameoftheICDSsectorandprojectaswellasthedistrict/city underwhichtheAWCfalls. NameoftheAWWandAWHwillbewrittenhere.

ii.

PartAofRGSEAGSablaregister:ItisthesummaryrecordofalltheAGsin theAWCarea. ThiswillstartwiththebaselinesurveydatainPartA. In column 10 of this sheet, if the AGs are actually availing benefits undertheSablaScheme,thenaYhastobeputagainsttheirname andiftheyarenotavailingbenefitsoftheSablaScheme,Nhastobe putagainsttheirname. Thedatainthissheetneedstobeupdatedevery6monthsfornew entriesandupdationonschoolstatus. Thedateoflastupdatealsohasbeenaddedinthissheet,whichmay befilledinpencilasthisdatewillneedtobechangedoften. Part B of the RGSEAG Sabla register: It is the monthly record of beneficiaries to be filled in the month for which the entries are being recordedfortheAGs. Table1: DetailsofAGsinthe1114yearsagegroupand1418yearsage groupwillbelistedundercorrectcategory. For in school AGs 11 14 years, information till column 6 only will need to be filled since these girls may avail nonnutrition services a month. ForinschoolAGs1418years,informationtillcolumn7onlywillbe filledastheyareeligibleforthenutritioncomponent. ForoutofschoolAGs1118years,informationtillcolumn11willbe filled. ForoutofschoolAGsabove16years,informationincolumns12and 13aboutVocationalTrainingwillalsobefilled. Column 14 will be filled in case of an AG going out of the Scheme. There are codes for the 3 reasons as to why this may happen. The correct code should be filled against the AGs name. The name will thennotbecarriedovertothenextmonthsrecord. 1.Completionof18years. 2.Outmigration 3.Death Column15willbefilledupatthebeginningofthemonth.

iii.

Column1:theserialnumberoftheentryhastobeputinthiscolumn.

59

Column 2: the name for every AG who is a beneficiary of the Sabla Schemehastobewritten.ThenamewillbeintheFirst,Middleand Lastnameformatasshewantsittobewritten. Column3:theageoftheAGincompletedyearshastobefilled,eg.if sheis12years4months,12willbefilled.. Column 4: The column will indicate whether the AG has joined the Scheme in the current month (either because she has become 11 yearsorshiftedtotheAWCareaordecidestoavailtheservices)OR theentryiscarriedoverfromthelastmonth.Relevantcolumn4aor 4bwillbeticked. Column5:TheschoolstatusfortheAGhastobefilled.IftheAGisin school,atickhastobeputagainsthernameunderthatcolumnandif she is out of school, then a tick has to be put likewise under that columnagainsthername.

Columns 6 14 will be filled at the end of the month. These are the summaryofthedetailsofbenefitsavailedbyalltheAGbeneficiaries,which aretobetakenfromtheindividualrecordoftheAGbeneficiariesie.PartC oftheSablaregister. Column 6: The number of Guidance / Counseling sessions attended duringthemonthbytheAGhastobefilledinthiscolumn. Column7:ThenumberofdaysNutritionwasreceivedbyAGduring themonthhastobefilledinthiscolumn. Column8:Inthiscolumn,whethertheAGattendedHealthCheckup ornothastobefilled.YiswrittenifshehasattendedandNforNo, ieshehasnotattended. Column9:ThenutritionalstatusofAGneedstobeputinthiscolumn toseeifsheismalnourishedasperBodyZonechartonthelastpage of the Kishori card. If she is malnourished, then a M has to be put andNissheisnormalnutritionstatus. Column10:ThenumberofIFAtabletsprovidedinthemonthtoevery AGwillbeputunderthiscolumn. Column 11: The number of IFA Tablets consumed in the month by everyAGwillbeputunderthiscolumn.Thiswillbeselfreportedby theAGsorbytheSakhi/Saheli. Column 12: For an AG above 16 years of age, if she is receiving VocationalanyTraining(VT),thenameofthetradehastobefilled.If sheisnotreceivingvocationaltraining,then'N'hastobewritten. 60

Column 13: For an AG above 16 years of age receiving Vocational Training(VT),thenumberofsessionsshehasattendedinthemonth hastobefilled.Ifnot,then'N'hastobewrittenasitisnotapplicable. Column14:Reasonforexitfromschemehastobeputdowninthis column as relevant forany girl leaving the Scheme. The reasons are codedasunder: 1.Completionof18years. 2.Outmigration 3.Death Table2:Thisisthemonthlysummarytobefilledatmonthend. Column1:ThetotalnumberofAGsintheAWCareawillneedtobefilled.This willbethetotalofAGslistedinPartAoftheregister. Column2:ThenumberofAGswhohavebeenenrolledfromthepreviousmonth hastobefilled.Thiswillbethetotalticks( )inColumn4(a). Column3:ThenumberofAGswhoarenewentriesinthemonthhastobefilled. Thiswillbethetotalticks( )inColumn4(b). Column 4: The number of AGs who have exited from the Sabla Scheme in the monthhastobefilled.ThiswillcomefromColumn14. Column5:ThetotalnumberofAGswhoarebeneficiariesoftheSablaScheme forthemonthhastobefilled.Thiscalculationhastobedonebyaddingcolumn 2and3andsubtractingcolumn4fromthis. PARTC:IndividualRecordOfBeneficiaries

iv.

This part will be filled only for AGs actually availing the services under Sabla.Thesheetwillbeforthefullyear. Section A & B: is to be filled for both School going & Out of School AdolescentGirlsAge1118years SectionC:istobefilledforallOutofSchoolAdolescentGirlsonly Section D: is to be filled for all Out of School Adolescent Girls : 11 18 years & School going Adolescent Girls : 1418 years since this is for the nutritioncomponent.

Section A are the Identification Particulars of the AG which includes the followingfields: Serial number of the entry. This will be starting from 1 and will be continuouslymarked.IfanAGleavestheScheme,thenumberwillnotbe reallotted. 61

Herfirstname,middlenameandlastname.Onealphabethastobefilled ineachblock. Herfathersname Hermothersname Herdateofbirthindd/mm/yyformat Herageincompletedyears(asinColumn3ofPartB) Her school status. If she is in school, then tick ( ) the same and put the classsheisstudyingin.IftheAGisoutofschooloradropout,thentick( ) againstoutofschool,andthelastclassshehasstudiedtill.Ifshehasnever gonetoschool,then0hastobewritten. Thedateofschoolentryorreentryindd/mm/yyformatincaseofanout ofschoolAG. MonthofdroppingoutofschoolincaseofaschoolgoingAG. AddressoftheAGsresidence

Section B includes the record of the number Guidance / Counselling Sessions attended by the AG in each quarter (the number has to be written under each quarter)whichincludesthefollowingfields: Nutrition&HealthEducationsessions,forwhichaminimumof2sessionsmust beattendedineveryquarter.Forthe2sessions,dateentryismadeinthe KishoriCard.Formorethan2sessions,a( )maybeputundertherelevant quarterforeachadditionalsession. FamilyWelfare,ARSH&childcarepracticessessions,forwhichaminimumof3 sessionsmustbeattendedineveryquarter.Aboveinstructionmaybeseen. LifeSkillEducationsessions,forwhichaminimumof2sessionsmustbe attendedbyeachAGineveryquarter.Aboveinstructionsmaybeseen. Exposurevisittopostoffices,bank,policestation,etc.,forwhichaminimumof2 visitstoeachfacilitymustbemadebyeveryAGinoneyear.Thenameofthe placesvisitedmayalsobementioned.

SectionCincludestherecordoftheHealthServicesreceivedbytheAGineach quarter.Therearethefollowingfields: Thedateofhealthcheckuphastobementionedundereveryquarter.Usually, thiswillbeontheKishoriDiwas. 62

TheheightoftheAGincentimetersastakenonthedayofthehealthcheckup hastobementionedundereveryquarter.Usually,thiswillalsobeontheKishori Diwas. TheweightoftheAGinkilogramsastakenonthedayofthehealthcheckuphas to be mentioned under every quarter. Usually, this will also be on the Kishori Diwas. The Body Mass Index (BMI) of the AG, to be calculatedin kilograms per metre square(kg/m2).Forthis,theweightoftheAGinkilogramshastobedividedby herheightinmetresquare. ThenutritionstatusoftheAG,wherein o IfBMIbetween18and23.5normalstatus:Nistobewritten. o IfBMIlessthan18.5malnourishedstatus:Mistobewritten. Number of IFA tablets has to be recorded for every quarter with details about number of IFA tablets provided to the AG and the number of IFA tablets consumedbyher.ConsumptionwillbeselfreportedorbySakhi/Saheli. Thereferralstatushastobeentered.IftheAGhasreceivedreferral,thenYes hastobeputforherintherelevantquarterandNoifshehasnotbeenreferred foravailingmedicalservicesatahealthfacility.Thereasonforreferralcanalso beputhere. SectionD:includestherecordoftheNutritionreceivedbytheAGonadailybasis foreverymonthintheyear.Herefirstthemodeofnutritionneedstobeticked,ie. whetherhotcookedmealisbeingprovidedortakehomeration.Afterthis,atick ( ) has to be put under next to every date row in each month for which the nutritionhasbeenprovided.Atotalhastobedoneattheendofthetable,which willgivethenumberofdaysnutritionhasbeenprovidedtotheAGinthemonth. For eg. If THR is givenfortnightly, then 12 ( ) can be put against those 2 weeks (leavingtheSundays). There is space for marking some important milestones in the life of the AGs. The events shown are indicative. Any significant / relevant milestone can be recordedhere. *******************

63

Annex7(ii) Monthly Progress Report of RGSEAG - Sabla by AWW

1) 2) 3) 4) Reporting Month and Year: Name of AWC and Code: Name of Sector, Project and District: Beneficiary Coverage: 4(A). Nutrition Component: Category (a) 11 14 years: Out School (b) 14 18 years: All In-School Out of School of _______________/______________ __________________/_____ ______________/____________/__________

No. of Beneficiaries Take Home Ration (THR) Hot Cooked Meal (HCM)

(ii) Total Nutrition Days in the month _____________ (iii) Nutritional Status*: Number of Girls with Nutritional Grades Normal (N) ______________ Malnourished (M)_____________

* Formula: BMI (in kg/m) = Weight (in kg) (Height in m) (BMI below 18.5 is underweight and BMI between 18.5 & 23.5 is normal)
4(B). Non-Nutrition Component: Subject (a) Received IFA tablets (b) Received Health check-up (c) Attended 2 Nutrition & Health Education Counseling (d) Attended 3 Family Welfare, ARSH & Child Care Practices counseling (e) Attended 2 Life Skill Education counseling (f) Exposure visit to at least 1 public service (attach details) (g) Vocational Training received (16-18 years) (Attach details) 5) Total number of Guidance / Counseling Sessions conducted during the month: Subject (a) (b) (c) (d) (e) 6) Nutrition & Health education Family Welfare ARSH Child care practices Life skill education No. of girls

No. of Sessions

New entrants into and Exit from the Scheme: New Entrants Reason No. Dropped out of school Turned 11 years Any other Kishori Samooh: (a) No. of Kishori Samooh (b) No. of members of Kishori Samooh (c) No. of Kishori Samooh meetings held (d) Sabla Kit available (Yes / No)

Exit Reasons Entry / re-entry into school Completed 18 years Any other

No.

7)

64

8) 9)

Kishori Diwas celebrated during the month

Yes / No

Non nutrition services provided at AWC / School / Panchayat Bhawan / Any other (mention) _______ Yes /

10) Meeting of Village Monitoring and Supervision Committee held during the month No

11) Were RGSEAG - Sabla issues discussed at Village Health and Sanitation Committee meeting:___ 12) Three key problems you are facing with regard to Sabla Scheme i. ii. iii. Name of AWW: ___________________________________________ ___________________________________________ ___________________________________________ ________________ Signature of AWW: _________________Date:________

65

Annex7(iii) Monthly Progress Report of RGSEAG - Sabla by Supervisor

1) 2) 3) 4) Reporting Month and Year: a. Name of Sector, Project and District: _______________/_ _ _ _ ______________/____________/__________ __________ _____

b. Number of AWCs in the Sector: Number of AWCs for which MPR is being submitted: Beneficiary Coverage: 4(A). Nutrition Component: Category (a) 11 14 years: Out School (b) 14 18 years: All In-School Out of School of

No. of Beneficiaries Take Home Ration (THR) Hot Cooked Meal (HCM)

(i) (ii)

Average Nutrition Days the month _____________ Nutritional Status*: Number of Girls with Nutritional Grades Normal (N) ______________ Malnourished (M)_____________

* Formula: BMI (in kg/m) = Weight (in kg) (Height in m) (BMI below 18.5 is underweight and BMI between 18.5 & 23.5 is normal)
4(B). Non-Nutrition Component: Subject (a) (b) (c) (d) (e) (f) (g) 5) 6) Received IFA tablets Received Health check-up Attended 2 Nutrition & Health Education Counseling Attended 3 Family Welfare, ARSH & Child Care Practices counseling Attended 2 Life Skill Education counseling Exposure visit to at least 1 public service (attach details) Vocational Training received (16-18 years) (Attach details) No. of girls

Total number of Guidance / Counseling Sessions conducted during the month _________ New entrants and Exit into the Scheme: New Entrants Reason Dropped out of school Turned 11 years Any other Exit Reasons Entry / re-entry into school Completed 18 years Any other

No.

No.

7)

Kishori Samooh: a) b) c) d) No. of of Kishori Samooh formed (cumulative) No. of Sakhi / Sahelis trained in the month No. of AWCs where Sabla Kits available Non-nutrition services provided at:

Place AWC School Panchayat Bhawan Other

No.

66

8) 9)

Number of AWCs visited this month for RGSEAG - Sabla monitoring:________ Number of AWCs where Kishori Diwas was celebrated this month:________

10) Number of villages where meeting of Monitoring and Supervision Committee held during the month ______ 11) Number of AWCs where RGSEAG - Sabla issues were discussed at Village Health and Sanitation Committee meeting:___ 12) Give three key problems with regard to RGSEAG - Sabla Scheme and action taken by you a) Problems: ________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________

b) Action Taken:

Name of Supervisor:

________________ Signature _________________ Date:________

67

Annex7(iv) Monthly Progress Report of RGSEAG - Sabla by CDPO

1. 2. Reporting Month and Year: a. Name of Project and District: b. No. of Sectors in the Project: c. No. of AWCs in the Project: 3. 4. No of AWCs for which the MPR is being submitted: Beneficiary Coverage: _______________/_ _________ ____________/__________ ___________ __________ _____

4(A). Nutrition Component Category a. b. 11 14 years: Out of School 14 18 years: All (i) In-School (ii) Out of School No. of Beneficiaries Take Home Ration (THR) Hot Cooked Meal (HCM)

(i) (ii)

Average Nutrition Days in the month _____________ Nutritional Status*: Number of Girls with Nutritional Grades Normal (N) ______________ Malnourished (M)_____________

* Formula: BMI (in kg/m) = Weight (in kg) (Height in m) (BMI below 18.5 is underweight and BMI between 18.5 & 23.5 is normal)
4(B). Non-Nutrition Component: Subject a) b) c) d) e) f) g) 5. 6. Received IFA tablets Received Health check-up Attended 2 Nutrition & Health Education Counseling Attended 2 Family Welfare, ARSH & Child Care Practices counseling Attended 3 Life Skill Education counseling Exposure visit to at least 1 public service (attach details) Vocational Training received (16-18 years) (Attach details) No. of girls

Total number of Guidance / Counseling Sessions conducted during the month _________ New entrants and Exit into the Scheme: New Entrants Reason Dropped out of school Turned 11 years Any other Number Exit Reasons Entry / re-entry into school Completed 18 years Any other Number

7.

Kishori Samooh: a) b) c) d) No. of of Kishori Samooh formed (cumulative) No. of Sakhi / Sahelis trained in the month No. of AWCs where Sabla Kits available Non-nutrition services provided at:

Place AWC School Panchayat Bhawan Other

No.

68

8. 9.

Number of AWCs visited by CDPO this month for RGSEAG - Sabla monitoring:________ Number of AWCs where Kishori Diwas was celebrated this month:________

10. Number of villages where meeting of Monitoring and Supervision Committee held during the month ______ 11. Number of AWCs where RGSEAG - Sabla issues were discussed at Village Health and Sanitation Committee meeting:___ 12. Meeting of Monitoring & Supervision Committee held: Yes / No 13. Give three key problems with regard to RGSEAG - Sabla Scheme and action taken by you a) Problems: ________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________

b) Action Taken:

Name of CDPO:

________________ Signature _________________ Date:________

69

Annex7(v) Monthly Progress Report of RGSEAG - Sabla by District Programme Officer

1) 2) 3) Reporting Month and Year: Name of District: _______________/_ _ _ _ ____________/__________

a. No. of Sectors/Projects in RGSEAG - Sabla District: __________/___________ b. No. of AWCs in RGSEAG - Sabla District: c. No of AWCs for which the MPR is being submitted: _____ __________

4)

Beneficiary Coverage:

4(A). Nutrition Component Category No. of Beneficiaries Take Home Ration Hot Cooked Meal (HCM) (THR) Rate per AG

a.

11 14 years: Out of School b. 14 18 years: All (i) In-School (ii) Out of School (i) Average Nutrition Days in the month _____________ (ii) Nutritional Status*: Number of Girls with Nutritional Grades Normal (N) ______________ Malnourished (M)_____________

* Formula: BMI (in kg/m) = Weight (in kg) (Height in m) (BMI below 18.5 is underweight and BMI between 18.5 & 23.5 is normal)
4(B). Non-Nutrition Component: Subject a) b) c) d) e) f) g) 5) 6) Received IFA tablets Received Health check-up Attended 2 Nutrition & Health Education Counseling Attended 3 Family Welfare, ARSH & Child Care Practices counseling Attended 2 Life Skill Education counseling Exposure visit to at least 1 public service (attach details) Vocational Training received (16-18 years) (Attach details) No. of girls

Total number of Guidance / Counseling Sessions conducted during the month _________ New entrants and Exit into the Scheme: New Entrants Reason Dropped out of school Turned 11 years Any other Number Exit Reasons Entry / re-entry into school Completed 18 years Any other Number

7)

Kishori Samooh: a) b) No. of of Kishori Samooh formed (cumulative) No. of Sakhi / Sahelis trained in the month

70

c) d)

No. of AWCs where Sabla Kits available Non-nutrition services provided at:

Place AWC School Panchayat Bhawan Other

Number

8) a. Number of AWCs visited by ICDS Supervisors this month for RGSEAG - Sabla monitoring:________ b. Number of AWCs visited by ICDS CDPOs this month for RGSEAG - Sabla monitoring:________ c. Number of AWCs visited by DPO this month for RGSEAG - Sabla monitoring:________ 9) Number of AWCs where Kishori Diwas was celebrated this month:________ 10) Number of villages where meeting of Monitoring and Supervision Committee held during the month ______

11) Number of AWCs where RGSEAG - Sabla issues were discussed at Village Health and Sanitation Committee meeting:___ 12) District-level RGSEAG - Sabla Monitoring and Supervision Committee meeting held this month? Yes/No

13) Give three key problems with regard to Scheme and action taken by you
a) Problems: ________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________

b) Action Taken:

Name of DPO:

________________ Signature _________________ Date:__________

71