Question : HEALTH CHECK UP IN ANGANWADI CENTRES

(a) the number of children enrolled in Anganwadi Centres (AWCs) and Mini-Anganwadi Centres (Mini-AWCs) in the country, State/UT-wise;

(b) whether the health check-up of these children is conducted regularly and their health record is maintained and if so, the details thereof;

(c) if not, the reasons therefor and the corrective measures undertaken or proposed to be undertaken by the Government to ensure proper health of the children enrolled in AWCs and Mini-AWCs;

(d) whether the Government proposes to open more AWCs and Mini-AWCs and to provide facilities therein in the country; and

(e) if so, the details thereof along with the funds sanctioned, released and utilized by the States to run these AWCs and Mini-AWCs during each of the last three years and the current year?

MINISTER OF STATE OF THE MINISTRY OF WOMEN AND CHILD DEVELOPMENT (SHRIMATI KRISHNA TIRATH)

(a) to (e) : A Statement is laid on the Table of the House.

STATEMENT REFERRED TO IN REPLY TO PARTS (a), (b), (c), (d) & (e) OF LOK SABHA STARRED QUESTION NO. 216 FOR 23.08.2013 BY SHRIMATI SUSMITA BAURI AND SHRI JAGADANAND SINGH REGARDING HEALTH CHECK UP IN ANGANWADI CENTRES

(a) 7.74 crore children (6 months to 6 years) received supplementary nutrition in 13.39 lakh Anganwadi Centres (AWCs) and Mini-AWCs in the country as on 31.03.2013. The State-wise details are Annexed.

(b): Yes Madam. Health check-up, immunization and referral Services are delivered by the Public Health System at Anganwadi Centres. These services are largely dispensed during fixed monthly Village Health Sanitation and Nutrition Day (VHSND) held at Anganwadi Centres in presence of Auxiliary Nurse Midwife (ANM). In addition to the health check up of children by ANM, weighment for growth monitoring, Iron and Folic Acid (IFA) & Vitamin A supplementation and immunization services are rendered. Mothers are also counseled for appropriate Infant and Young Child Feeding Practices, personal hygiene and sanitation. Information regarding these are captured by health system as well as at AWCs through registers and the through joint Mother and Child Protection (MCP) card used by ICDS & NRHM.

(c) Besides introducing the joint MCP card, in order to capture detailed information on various services, including health check up, the Government has revised the ICDS Management Information System (MIS), and also launched in February 2013, the Rashtriya Bal Swasthya Karyakram (RBSK) to undertake universal child health screening from 0-18 years of age both in Anganwadi and schools where children would be receiving a health check up periodically by dedicated mobile teams consisting of AYUSH doctors (male and female), ANM and pharmacist or Laboratory Assistant which would provide for a regular health check up of children attending AWCs.

(d) & (e): Under the ICDS Scheme, 14 lakh AWCs/ Mini-AWCs/ Anganwadi-on-demand (AoDs) have been approved out of which 13.73 lakh have been sanctioned to various States/UTs. The Government has approved strengthening and restructuring of ICDS to improve services and the facilities at AWCs which inter-alia provides for construction, upgradation & maintenance of AWC buildings, weighing machines, kitchenwares & utencils, pre-school & medicine kits, furniture etc. Details of funds allocated, released and expenditure reported by States/ UTs under ICDS (General) and Supplementary Nutrition during each of the last three years and the current year viz. 2010-11 to 2013-14 (up to 31.07.2013) is as under:

(Rs. in crore)
Year	Budget	Revised	Funds	Expenditure reported	Allocation	Allocation	Released#	by the State/ UTs	(BE)	(RE)	including their share
2010-11	8700.00 9280.00	9763.11	15493.54
2011-12	10000.00 14048.40 14272.21	19196.48
2012-13	15850.00 15850.00 15701.50	17277.64
2013-14	17700.00 # 10845.74 #
(up to 31.07.2013)