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14<br />

Survival<br />

Development<br />

Protection<br />

Participation<br />

related to nutrition among children <strong>and</strong> women. Popular perception among the community about<br />

AWCs being a Dalia (porridge) distribution centre has now changed. Though an appraisal of the<br />

Mangal Diwas programmes has not been carried out but experience from the field shows that<br />

awareness among community about childhood malnutrition has increased <strong>and</strong> there is a good<br />

response to the programme.<br />

8 Project Shaktiman : A special programme for tribal children was initiated in 2007-08 called<br />

Shaktiman with the objective to reduce malnutrition among tribal children. The project covered 19<br />

districts <strong>and</strong> benefited about 60000 children in 997 villages of 38 Blocks.<br />

8 Implementation of use of new WHO Growth St<strong>and</strong>ards : Madhya Pradesh is the first State in India<br />

to roll out the implementation of new WHO Growth st<strong>and</strong>ards across the State. This has helped in<br />

mapping the nutritional status of the children <strong>and</strong> made it easier for the Anganwadi Worker to plot<br />

the nutrition st<strong>and</strong>ard of children.<br />

8 Jagriti Shivir : Each district organizes village level women awareness camps in which local women<br />

<strong>and</strong> community members are mobilized <strong>and</strong> sensitized about government schemes, health <strong>and</strong><br />

nutrition issues.<br />

8 Home Visits : Initiatives have been taken to strengthen the home visits particularly, visits to families<br />

of moderately <strong>and</strong> severely malnourished children discharged from NRCs <strong>and</strong> ANC <strong>and</strong> PNC of<br />

mothers. Home visits are also organized to sensitize young mothers, there mothers-in-law <strong>and</strong><br />

other members of the community.<br />

9. Rhetoric Vs Reality : Physical target <strong>and</strong> achievement<br />

Indeed various interventions by the State Government on this crucial front indicate the fact that Govt has<br />

taken serious note of the key issue of persistent child mortality <strong>and</strong> malnutrition in the state. However, it is<br />

equally important to gauge the ultimate effectiveness of the programmes in terms of performance on<br />

physical targets <strong>and</strong> achievements <strong>and</strong> financial outlays <strong>and</strong> utilization. Furthermore, tracking of field<br />

experiences would give appropriate insights on implementation status.<br />

S.N. Target/interventions Present Status<br />

1. Maternal Mortality Ratio 269/100000 for 2004-06<br />

reduced to less than 220 (Source: SRS Bulletin<br />

per 1,00,000 live births on Maternal Mortality<br />

by 2012 in India, June, 2011)<br />

Remark<br />

The said target is highly ambitious<br />

to achieve provided state<br />

govt is much disciplined in<br />

implementation. Provision of<br />

trained health staff in case of<br />

emergency, increase awareness<br />

levels for institutional deliveries,<br />

provision of iron <strong>and</strong> folic acid<br />

tablets

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