Indira Gandhi Matritava Sahyog Yojana (IGMSY)

28th October, 2010

Ministry of Women & Child DevelopmentGovernment of India

BACKGROUND : SITUATIONAL ANALYSIS

• Mean age at effective marriage of females

< 18 yrs. 16.3 yrs

• Mothers who consumed IFA Tablets for 90 days

or more during pregnancy 22.3%

• Institutional birth 40.7%

• Women (age 15-49) with BMI below normal 33.0%

• Pregnant women (age 15-49) who are anaemic 57.9%

[Source NFHS-3 Survey 2005-06]

THE SCHEME : OBJECTIVES

To improve the health & nutrition status of pregnant & lactating women and infants by :

• Promoting appropriate practices, care and service utilisation during pregnancy, safe delivery and lactation.

• Encouraging women to follow (optimal) IYCF practices including early and exclusive breast feeding for the first six months.

• Contributing to better enabling environment by providing cash incentives for improved health and nutrition to pregnant and lactating mothers.

THE SCHEME : TARGET GROUP

• Pregnant Women of 19 years of age and above for first two live births in selected 52 districts

• All government /PSU/SPSU employees will be excluded

• Approx. 13.80 lakh women in the first year (75% of P & L women registered under ICDS)

THE SCHEME : DISTRICT SELECTION

• 6 indicators concerned with women identified from DLHS-3 with equal weightages

11 districts each are good and weak performing

26 districts are median performing

4 are UTs

Expected 13.8 lakh beneficiaries

Cash Transfer

Conditions Amount (In Rs.)

Means of Verification

First (at the end of second trimester)

Registration of Pregnancy at AWC / health centres within 4 months of pregnancy

At least one ANC with IFA tablets and TT

Attended at least one counselling session at AWC / VHND

1500 Mother & Child Protection Card reflecting registration of pregnancy by relevant AWC/ Health Centres and counter signed by AWW

Incentive under JSY

JSY package for institutional delivery including early initiation of breastfeeding and ensure colostrum feed.

As per JSY norms

Cash Transfer

Conditions Amount (In Rs.)

Means of Verification

Second (3 months after delivery)

Registration of child birth The child has received:

OPV ,BCG at birth and DPT at 6 & 10 weeks

Attended at least 2 growth monitoring and IYCF counselling sessions within 3 months of delivery.

1500 Mother & Child Protection Card, Growth Monitoring Chart and Immunization Register

[Note: Benefits will also be available for still births and infant mortality.]

Third (6 months after delivery)

Exclusive breastfeeding for 6 months & introduction of complimentary feeding

The child has received OPV and DPT at 14 weeks

Attended at least 2 growth monitoring and IYCF counselling sessions between 3rd and 6th months of delivery.

1000 Self certification, Mother & Child Protection Card, Growth Monitoring Chart and Immunization Register

Cash transfer to all P & L women in pilot districts to contribute :- • towards supporting health and nutritional needs of pregnant and lactating mothers.

• to partly compensate the woman for the wage loss that she might incur while caring for herself and

the child specially upto 6 months of exclusive breastfeeding.

It will also increase the demand for health services as the incentives are based on fulfillment of specific conditions relating to mother and child health and nutrition

Funding pattern and functional responsibility

Centrally sponsored scheme with 100 percent funding from GOI.

The day to day implementation and administrative matters will be the responsibility of the State Government.

MWCDMWCD

IGMSY SectionIGMSY Section

State ICDS CellState ICDS Cell

District ICDS Cell District ICDS Cell

ICDS ProjectICDS Project

Aanganwadi CentresAanganwadi Centres

District Steering & Monitoring Committee

District Steering & Monitoring Committee

Project level Implementation &

Monitoring Committee

Project level Implementation &

Monitoring Committee

Village H&N CommitteeVillage H&N Committee

State Steering & Monitoring Committee

State Steering & Monitoring Committee

National Steering & Monitoring CommitteeNational Steering &

Monitoring Committee

Additional staff Central level (1 Director, I Under Secretary with

one Section and Consultants as and when required).

Additional staff of two each at district (One district Coordinator and one Programme Assistant) and state level (one Coordinator & one Programme Assistant)

Incentives to AWW and AWH

Incentives to AWW and AWH to motivate them to effectively implement the scheme.

Rs.200 : AWW ; Rs.100: AWH per beneficiary on disbursement of all instalments

MINISTRY OF WOMEN AND CHILD DEVELOPMENT

STATE GOVERNMENT

IGMSY Special Account at State ICDS Cell

IGMSY Special Account at District ICDS Cell

IGMSY Special Account Maintained By ICDS

Project

Bank/ Post Office Account of Pregnant & Lactating Mother

Monitoring :• Same as ICDS. • Steering & monitoring committees at all levels

 Evaluation: • Baseline and end-line surveys to measure the impact • Assess its impact and take corrective measures through

mid-term and final evaluations.

Social Audit:• Appropriate provision of social audit by external agencies

would be made.

Items included in the Budget are:-

• Cost of CCT @ Rs.4000 per beneficiary• Incentive for AWW/AWH @ Rs.300 per beneficiary• Baseline & Resource Mapping• IGMSY Section at MWCD• State and district ICDS Cell• Mid Term and Final Evaluation• Training Capacity Building & IEC @ 3% of total

cost• Contingency @ 2% of total cost• Flexi Fund @ 2.5% of the total cost

• Regional workshops to sensitize officers upto the district level – GoI

• Baseline surveys to be done• Budget head to be opened• Mechanism for opening of account (bank / post

office) to be established (since cash transfer only through accounts)

• Steering and monitoring committees to be set up• Additional staff to be hired • Mid-term and end-line evaluation strategy to be

formulated

Thank you!