YSR Sampurna Poshana Scheme Nutrition Supplementation Scheme GO 16

YSR Sampurna Poshana Scheme Nutrition Supplementation Scheme GO 16 W.D.&C.W. – Implementation of "Y.S.R. Sampurna Poshana" – Providing additional nutrition supplementation (irrespective of the nutritional status) to all Children, all pregnant women and lactating mothers enrolled in 77 Scheduled and Tribal sub plan mandals spread over 7 Integrated Tribal Development Agency (ITDAs) and 8 districts in the State - Orders - Issued. DEPT., FOR WOMEN, CHILDREN, DIFFERENTLY ABLED & SENIOR CITIZENS (Prog.I) G.O.Ms.No. 16 Dated:26-11-2019

YSR Sampurna Poshana Scheme Nutrition Supplementation Scheme GO 16

Read the following:-

1. G.O.Ms.No.14, Dept.,for W.C.D. A. & S.Cs., dated 28-02-2014.
2. G.O.Ms.No.15, Dept.,for W.C.D. A. & S.Cs., dated 28-02-2014.
3. G.O.Rt.No.187, Dept.,for W.C.D. A. & S.Cs., dated 17-05-2014.
4. G.O.Rt.No.37, Dept.,for W.C.D. A. & S.Cs., dated 10-03-2015.
5. G.O.Ms.No.16, Dept., for W.C.D.A. & S.Cs. (Prog.I), dated 06-12-2017.
6. G.O.Rt.No.70, Dept., for W.C.D.A. & S.Cs. (Prog.I), dated 06-04-2018.
7. G.O.Rt.No.168, Dept., for W.C.D.A. & S.Cs. (Prog.I), dated 17-09-2018.
8. G.O.Ms.No.7, Dept., for W.C.D.A. & S.Cs. (Prog.I), dated 13-04-2018.
9. G.O.Ms.No.20, Dept., for W.C.D.A. & S.Cs. (Prog.I), dated 20-07-2018.
10. G.O.Ms.No.32, Dept., for W.C.D.A. & S.Cs. (Prog.I), dated 26-10-2018.
11. G.O.Rt.No.202, Dept., for W.C.D.A. & S.Cs. (Prog.I), dated 15-10-2018.
12. eMemo.No.13034/89/2017/Prog.I/A2, Dept., for W.C.D.A. & S.Cs. (Prog.I), dated 21-11-2018.
13. G.O.Rt.No.9, Dept., for W.C.D.A. & S.Cs. (Prog.I), dated 09-01-2019.
14. G.O.Rt.No.37, Dept., for W.C.D.A. & S.Cs. (Prog.I), dated 12-02-2019.
15. From the Director, W.D. & C.W., Guntur (AP), Letter No: ICDS-WD&CW, dated 04-11-2019.

ORDER

The Government have reviewed the existing nutrition program and observed that the key malnutrition indicators (as per National Family Health Survey-4, 2015-16), i.e., Underweight (low weight for age); Wasting (low weight for height) in children below 5 years age; Anaemia (<11.0 g/dl) in women aged 15-49 are significantly high in Srikakulam (71.8%), Vizianagaram (75.5%), Visakhapatnam (66.4%), East Godavari (64.6%). The other nutritional indicators viz., dietary diversity and consumption of age specific diet are minimal in Tribal Mandals. Malnutrition and Anaemia are also significantly high in Primitive Tribal Groups (Chenchu) of Guntur, Prakasam and Kurnool districts. The incidence of under-nutrition in tribal population is mainly due to:
poverty and persistent under-nutrition
lack of knowledge impacting nutrition and health seeking behavior due to geographical remoteness.
poor environmental sanitation and lack of safe drinking water, leading to increased morbidity
2 . The need for focused approach in Tribal areas is identified by the Government departments, NITI Ayog and technical partners like UNICEF, NIN, The World Bank, CARE India, etc.
i. Planning department has identified 30 lowest performing mandals in terms of nutrition, health, anaemia, socio economic, water and sanitation, hygiene parameters, households with safe cooking practices etc and all these identified 30 mandals are in the scheduled & sub plan mandals of 7 ITDAs
ii. The NITI Ayog suggested to focus on essential nutrition to pregnant and lactating women, children during the ‘first 1000 days’ (from conception to lactation, up to 2 years of child age) of child’s life is identified as the window of opportunity to reduce under-nutrition among the children as well addressing anaemia among women and children. NITI Ayog has also made a suggestion to ensure nutritional standards are met by making minerals and vitamins available in the food
iii. Children from scheduled tribes, the poorest households, rural areas, and whose mother had little or no education are the worst affected.
iv. Practices in diet diversity, knowledge about nutrition for children and women, health care, nutrition practices at home; nutrition and health behaviors during ‘first 1000 days’ (from conception to lactation, up to 2 years of child age) are also very minimal in these mandals
v. Food consumption pattern in tribal dominant area varies as per the availability of food, local resources and hence often lacks in adequacy in terms of caloric and protein requirement and sufficiency in terms of dietary diversity
3. Government, after careful examination of the matter, have decided to provide additional nutrition supplementation (irrespective of the nutritional status) at the proposed cost to all Children aged 6-36 months, Children aged 36-72 months and all Pregnant Women and Lactating Mothers enrolled in 77 Scheduled and Tribal sub plan mandals spread over 7 Integrated Tribal Development Agency (ITDAs) of Sitampeta, Parvatipuram, Paderu, Rampachodavaram, Chinturu, K.R.Puram and Srisailam and 8 districts in the State, as the proposed 77 mandals have high burden of malnutrition and anaemia. The Government has also decided to implement the above said program under the name of “Y.S.R. Sampurna Poshana”.
4. Accordingly, Government hereby accord permission to the Director, WD&CW, Guntur for providing additional nutrition supplementation (irrespective of the nutritional status) at the proposed cost to all Children aged 6-36 months, Children aged 36-72 months and all Pregnant Women and Lactating Mothers enrolled in 77 Scheduled and Tribal sub plan mandals spread over 7 Integrated Tribal Development Agency (ITDAs) of Sitampeta, Parvatipuram, Paderu, Rampachodavaram, Chinturu, K.R.Puram and Srisailam and 8 districts in the State under “Y.S.R. Sampurna Poshana ” program. The list of 77 Scheduled and Tribal Sub Plan Mandals are shown in Annexure-I and the approved nutrition model are shown in Annexure-II appended to this order.

5 . The implementation mechanism for Y.S.R. Sampurna Poshana program is as follows:-

Implementation of the program in ITDAs to be closely monitored by respective Project Officer, ITDA in coordination with the Project Director, DW&CDA
Anganwadi workers shall take up thorough survey of Anganwadi Centre (AWC) catchment area to enroll all eligible children and women in the program. Special efforts to be made to ensure unreached, most deserving populations in hill top, hard to reach locations, inaccessible areas
All the children (6 months to 72 months), pregnant women, lactating mothers shall be registered in the program. They shall be registered in Common Application Software (CAS) to monitor service delivery
Date of birth and gender at the time of registration in AWC and monthly height, weight records of children shall be entered correctly in CAS
Weighing scales shall be calibrated regularly, height scales, adult, children weighing scales shall be in working condition at all Anganwadi centers
Growth monitoring (height and weight monitoring) of every child to be done at Anganwadi centre every month.
Anganwadi worker-ASHA-ANM shall coordinate to ensure medical examination of all SUW/ SAM/ MAM children by the Medical Officers (MOs), PHC for detecting any underlying causes for malnutrition; for detecting medical complications or illnesses; for prescribing treatment, and dispensing medicines like antibiotics, iron/folic acid/calcium/vitamin/zinc supplementation and deworming medicines wherever necessary; and for referral to Nutritional Rehabilitation Centre/ hospital/ appropriate facilities or specialists wherever necessary. The AWW/Supervisor to furnish the list of SUM/SAM/MAM children to ASHA/ ANM/ MO (PHC)
Children discharged from NRC shall be monitored at home, their parents/family members shall be educated to ensure appropriate feeding, clean surroundings, personal hygiene, sanitation and clean, safe drinking water. Children identified as Severely Under Weight (SUW), SAM, MAM shall be monitored for weight on weekly basis
Weight of pregnant women shall be monitored every month at Anganwadi centre and recorded in CAS
Anganwadi worker-ASHA-ANM shall coordinate to ensure Ante-natal checkups, providing IFA tablets, administering De-worming to pregnant women and lactating mothers as per the protocol.
Anganwadi workers, Supervisors and CDPOs shall undertake home visits, educate and counsel the beneficiaries on nutrition and health care behaviors including Infant Young Child Feeding (IYCF) practices
Pregnant women, lactating mothers shall be educated to utilize protein, energy based take home ration provided without distributing among family members.
Community Based Events (CB Events) shall be organized at Anganwadi Centre as per the POSHAN Abhiyaan guidelines, to sensitize and create awareness among pregnant women and mothers of children up to 2 years of age and their key influencers on key health, nutrition and child care practices in order to strengthen positive practices related to survival, growth and development of children.

6. Procurement Procedure

The required quantities of Balamrutham & Milk to be procured by HoD, including indent management and payments, duly following the rules and guidelines issued by the Government from time to time.
Remaining food commodities including Eggs shall be procured by concerned Project Director, DW&CDA at district level through District Purchase Committees (DPC) under the chairmanship of Joint Collector and supply at doorstep of Anganwadi centers as per the requirement of every month with the approval of District Collector, duly following the rules and guidelines issued by the Government from time to time.
7. The Director, W.D.&C.W., Guntur shall take further necessary action accordingly, in the matter.
8. This order is issued with the concurrence of the Finance (FMU.WCD&SC) Department vide their U.O.No.FIN01-FMU0PC(WCDS)/54/2019-FMU-WDCWLETFH (Computer No.1026311), dated 25-11-2019.