09/06/2013

 

ICDS: Helping Children fight Malnutrition in Bihar?


- Rohi Choudhary*

 



Integrated Child Development Services, the Centrally Sponsored Scheme has been growing in the state since its inception dated 2nd October, 1975. The scheme focusedone of the least developed states around 38 years back,because of the prevailing high Poverty in the area. Poverty in Bihar was 62.6% of the total population in the year 1983-84 and that of India was 44.4%. In the year 1993-94 the percentage was 55.1% and 36.0% for Bihar and India respectively. In the year 2004-05 the share reduced to 41.4% and 27.5% respectively. Inspite of reduction in poverty ratio in the state and the country the number of poor persons in million increased from 38 and 318 in 1993-94 to 43 and 356 in 2004-05 for Bihar and India respectively.People being trapped in the vicious circle of poverty have been facing the problem of malnutrition which seems like never ending story inspite of intense efforts from the Government’s side.

The graph below shows the growth of AWCs, the main working channel of ICDS, in the state and the country. AWCs provide services like supplementary nutrition, health check-up, non-formal preschool education, immunization, nutrition and health education and referral services. The centres are run by anganwadi workers and anganwadi helpers under the guidance of trained supervisors. It can be very well observed that there was a sharp rise in the number of AWCs in the year 2003-04 in the state due to universalization of the scheme. But, the growth seemed to have come down over the years coming in line with that of the country.

The number of beneficiaries has also risen from 2398572 in 2000-01 to 9076023 in the year 2011-12 and is expected to increase further enveloping more people in the neglected areas, because of getting the approval of opening mini AWCs as well. In 2003-04 there was a significant increase in the number of beneficiaries which made a figure of 5998212, due to universalization of the scheme. More number of beneficiaries paints a picture of scheme being run successfully in the implemented areas, showing a win-win situation for Government as well as for the people getting the benefits. There are huge funds that come from the Central and the State Government for the programme, and recently even the Bill & Malinda Gates Foundation have signed an agreement with the state for improving the nutrition status of the poor. The scheme also works in partnership with UNICEF, the world's leading and most respected children's organization to ensure the health, education, equality and protection of all children in and advanced manner. This partnership makes private sector play a huge role in the delivery of services in the best possible manner.

Year

Total budget for ICDS Bihar (Rs. Lakhs)

Total amount of Funds released to Bihar by GOI (Rs. Lakhs)

Total expenditure reported by Bihar (Rs. Lakhs)

Funds released as percentage of Budget

Expenditure as percentage of Fund released

Expenditure as percentage of Budget

2003-04

24197.17

8980.54

14242.24

37.11

158.59

58.86

2004-05

23874.20

15524.40

14234.40

65.03

91.69

59.62

2005-06

26290.94

18393.30

19536.65

69.96

106.22

74.31

2006-07

40270.05

36931.00

30497.14

91.71

82.58

75.73

2007-08

48358.72

41101.73

34910.82

84.99

84.94

72.19

2008-09

61621.07

27457.93

48244.68

44.56

175.70

78.29

2009-10

93440.07

69660.60

85870.65

74.55

123.27

91.90

2010-11

88023.51

42198.20

24148.29

47.94

57.23

27.43

Total

406075.73

260247.70

271684.87

64.09

104.39

66.90

Source: Directorate, ICDS, GOB; Economic Survey of Bihar 2010-11

It can be inferred from the table that much attention is being paid towards the scheme in each year’s budget. As compared to the funds released by the Government as percentage of budget, the expenditure as percentage of funds released for the scheme has always exceeded except for the year 2007-08, where Government seemed to have cover all the requirements within the given amount. In the year 2010-11, the expenditure as a percentage of funds released was only few numbers more than 50%.

There are other two schemes also, which have been started by the Government recently running parallel with ICDS, they are SABLA and IGMSY. Former is to focus on the nutrition status of adolescent girls aged 11-18 and latter is for pregnant and lactating mothers aiming at their weight loss during child birth and child care along with safe delivery services. The Sectors of Education and Road Construction got the highest priority in the present Budget (2013-14).

The number of beneficiaries is on the rise, there are many upcoming AWCs too, and a substantial amount is being diverted towards the scheme……………. But, why the malnutrition level is not going down the mark line? Why children are still starving for atleast one meal a day? Why is there a dip in the gender ratio? Why the infant mortality rate and maternal mortality rates are still significant in the state? Now these many questions compels one think, that is it the Government which is not working for the people or is it the staff working in the scheme, who are not honest in providing true services or is it the fellow humans, who are dragging the scheme towards a failure? Are the benefits truly received by the ones in dire need of the same?This is because mere counting of numbers and introduction of new projects is just going to lead one towards an illusion and nothing else? And this is the reason why fighting malnutrition is a big hurdle in front of the Government and people facing it. It is well said by Gabriel Mistral that:

"We are guilty of many errors and many faults, but our worst crime is abandoning the children, neglecting the foundation of life. Many of the things we need can wait. The child cannot. Right now is the time his bones are being formed, his blood is being made and his senses are being developed. To him we cannot answer "Tomorrow". His name is "Today".-Gabriela Mistral, 1948

So, the importance of the scheme must be realized by the Government and Higher Officials working for it. A small step towards restructuring, and reforming the existing one with intensive awareness programmes would suffice reach it the ladder of success and ones perfectly implemented, it would carry on like the traditions and beliefs being carried from one generation to the next without any extra or special efforts…..

Key Words: ICDS – Integrated Child Development Services/Scheme, AWCs – Anganwadi Centres
Note: Directorate, ICDS, GOB is the source for the numerical figured mentioned in the article.


*Presently working as a Research Associate in Institute of Social and Economic Change (ISEC), Bangalore, Karnataka.

 

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