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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