Report 2011 - Deepalaya

− to reduce mortality and morbidity, malnutrition and school drop-out;
− to achieve an effective coordination of policy and implementation among the various departments
working for the promotion of child development; and
− to enhance the capability of the mother and nutritional needs of the child through proper nutrition and
health education.
Especially for pregnant women, the services provided by the ICDS scheme are health check-up, immunization
against tetanus, supplementary nutrition, nutrition and health education.
The supplementary nutrition consist of giving food 300 days a year to children below 6 years old, nursing and
expectant mothers from low income group. The aims are to give each child (up to 6 years old) 300 calories and
8-10 grams of protein, to supplement each pregnant women and nursing woman to get 500 calories and 20-25
grams of proteins as well as some other measures for malnourished children and adolescent girls. The costs are
assumed by the State Plan under Minimum Need Program.
The health check-up include antenatal cares of expectant mothers, post-natal care of nursing mother and care
of newborn infants and cares of children under 6 years old. Mothers are given iron and folic acid tablets along
with protein supplements 76 . Moreover, they receive immunization and a minimum of 3 antenatal physical
examinations are done. High risk mothers are referred to the hospital following their condition.
A hospital-based maternity centered approach to family planning has been introduced by the government of
India in 1969. It is called the All India Hospital Postpartum Programme (AIHPP) 77 . It is based on the fact women
who have recently delivered are more likely to become pregnant again in a short period of time and they are
also more receptive to adopt a contraception method. Knowing that, this program delivers family planning
methods to the women through MCH and Family Welfare programme. It also includes prophylaxis against
anemia, as well as antenatal, neonatal and postnatal cares and immunization to children. To reach rural areas,
the Postpartum Programme has been extended to 1012 hospitals in the country.
In rural areas, the focal point to deserve such services for the ICDS are the Anganwadi Worker (AWW), known as
trained local woman. As previously described in this report, AWW are essential to their community. (See section
ANGANWADI, previously).
With the ultimate aim to reach every child in India, the ICDS program has already done several impacts on the
lives of children. It increased birth weight, reduced incidence of malnutrition, increased immunization coverage
and reduced infant and child mortality rate in areas its covered 78 . At this level, the “National Rural Health
Mission” (NRHM) is also promoting ANC healthcare by the creation and the training of ASHA.
GUSBETHI
According to the Census of India in 2001 79 , the total population of Mewat is 9,93,617 in which 4,65 % lives in
urban area and the 95,6% in rural areas 80 . These data also show a sex ratio of 893 males: 1000 females, which
is lower than the National average (927:1000). Gusbethi population is estimated to more than 2000 inhabitants,
with around 20 people per house 81 . Combined to poor health facilities, this might increase the maternal
mortality rate. Muslism is predominant in this district , with a small Hindu population. The literacy rate in this
district Ais 44,07 %, due to low female literacy. (24,26 %) 82 . At the state level (Haryana), Currently married non-
76 Reference 2- p. 510
77 Reference 2- p. 443
78 Reference 2- p. 511
79 R e f e r e n c e 4 , p . 2 2
80 R e f e r e n c e 1 0
81 R e f e r e n c e : C l i n i c d a t a
82 R e f e r e n c e 1 0