RAJIV GANDHI SCHEME FOR

EMPOWERMENT OF ADOLESCENT GIRLS (RGSEAG) ‘SABLA’

– THE SCHEME1

DEFINITION OF ADOLESCENT

WHO defines adolescents as individuals between the age group of 10-19 years

In India legal age of marriage is 18 years for girls and 21 years for boys

This scheme covers adolescent girls between the age group of 11-18 years

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DEMOGRAPHIC PROFILE OF ADOLESCENT IN INDIA

According to Census , 2001

Adolescent Girls (11-18 years) constitute 16.75% of the total female population.

Female literacy rates are only 53.87%.

33% of the adolescent girls are undernourished

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ADOLESCENT

A-adoption of healthy lifestyleD-develop appropriate IEC strategyO-organize adolescent friendly clinicsL-life skill training, legal supportE-educate about family life, safe sexS-safe, secure and supportive environment,

sensitization towards gender equalityC-clan spirit, courageous, confidenceE-enable, empower adolescents to be responsible

citizensN-nourish and nurtureT-training for income generation

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WHY IS ADOLESCENCE A PERIOD OF SIGNIFICANCEIt is a significant period for physical, mental,

emotional and psychological growth

During this period, nutritional problems originating earlier can be partially corrected

It is a period to shape and consolidate healthy eating and lifestyle behaviour: preventing nutrition related diseases in future

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EARLIER INITIATIVES BY GOVERNMENT

KISHORI SHAKTI YOJANA, 2000 aimed to improve the nutritional and health status of adolescent girls and to equip them to improve and upgrade their home-based and vocational skills

NUTRITION PROGRAMME FOR ADOLESCENT GIRLS (NPAG), 2002-03 identified 51 districts across the country to address the programme. Under this programme 6 kgs of free food grains per beneficiary per month are given to adolescent girls

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OBJECTIVES OF SABLA SCHEME

1. Enable self-development and empowerment of AGs

2. Improve their nutrition and health status3. Spread awareness among them about health,

hygiene, nutrition, ARSH (Adolescent Reproductive and Sexual Health) and family and child care

4. Upgrade their home-based skills, life skills and vocational skills

5. Mainstream out of school AGs into formal/non formal education

6. Provide information/guidance about public services such as PHC, Post Office, Bank, Police Station

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TARGET GROUP

The scheme covers all adolescent girls in the age group of 11-18 years under all ICDS projects under two categories:

1.11-14 years2.14-18 years

All out of school girls would assemble six days a week at AWC. Others school going girls would meet at the AWC at least twice a month and during vacation/holidays they will receive life skill education, nutrition and health education, awareness about other social-legal issues

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SERVICES

1. Nutrition Provision2. IFA supplementation3. Health check-up and Referral Services4. Nutrition & Health Education5. Counselling/Guidance on Family Welfare,

ARSH, Child Care Practices and Home Management

6. Life Skill Education and accessing public services

7. Vocational training (for girls aged 16 and above) and skill development

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NUTRITIONEach adolescent will be given 600 calories, 18-

20 grams of protein and micronutrients (approx. 1/3 of RDA) per day for 300 days in year

Supplementary Nutrition will be provided in the form of hot cooked meal or Take Home Ration (as feasible)

COST: Cost will be Rs. 5/- per beneficiary per day

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IFA SUPPLEMENTATION

IFA tablets will be distributed to adolescent girls on Kishori Diwas

The state can procure these supplements if Health Department is unable to do it under the scheme

Adolescent girls will be given information on food fortification, dietary diversification and advantages of weekly supplementation for combating IFA deficiency by ANM/AWW

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HEALTH CHECK-UP AND REFERRAL SERVICES

Kishori Diwas will be celebrated once in three months. On this day, a general health check-up will be done for all adolescent girls

Medical officer/ANM will provide de-worming tablets

Height and weight of the girls will be takenKishori cards will be prepared and

maintained by marking major milestone

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NUTRITION AND HEALTH EDUCATION

Nutrition and health education will be given in AWC jointly by ICDS, health functionaries and resource persons/ field trainers from NGO’s

Objectives :Better health status of the girlLeading to an overall improvement in the family

healthBreaking the vicious integrated cycle of malnutrition

Education will include: safe drinking water, personal hygiene and sanitation, physical exercise, first-aid, balanced diet, increasing the nutrition value of locally available food, healthy cooking and eating habits, nutrition during various stages of life etc.

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GUIDANCE ON FAMILY WELFARE, ARSH, CHILDCARE PRACTICES

AND HOME MANAGEMENT

This training will be provided at the AWC by the resource person from NGOs/CBO’s with the help of AWW, ASHA, ANM, and supervisor.

Age appropriate knowledge for 2 age groups of 11-14 and 14-18 years with respect to reproductive cycle, HIV/AID’s, contraception. Right age of marriage and pregnancy, child care and feeding practices will be imparted

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LIFE SKILL EDUCATION AND ACCESSING PUBLIC

SERVICESLife Skill Education- deals effectively with the

demands and challenges of everyday life. The AGs will acquire knowledge and develop attitudes and skills which support and promote the adoption of healthy and positive behaviour in them

It will also include awareness talks and visits to public services and gathering information on the usage of it. The talks and visits will be arranged in collaboration with PRI members, NGOs, police personal, bank/post officials/health functionaries etc

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VOCATIONAL TRAINING

It will be imparted to out of school girls above 16 years of age which will focus on non-hazardous income generating skills. Trades may include: book binding, health care, beauty culture, soft toys, mushroom cultivation, bio-fertilizers, repair and maintenance of watch, radio, TV etc.

The training will be given by Vocational Training Providers (VTPs) under various modules of National Skill Development programme (NSDP )

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MODALITIES FOR IMPLEMENTATION

1. Kishori Samooh: A group of 15-25 AGs will be formed at AWC headed by Sakhi and assisted by 2 Sahelis. Sakhi & Sahelis will be imparted training as per module to serve as peer educator for others

2. Training Kit: It will be provided at every AWC to assist AGs to understand various health, nutrition, social, legal issues by conducting activities. This kit will have games and activities so that girls enjoy while learning 17

3. Kishori Diwas: Kishori Diwas will be celebrated once in three months on this day a general health check-up will be done for all adolescent girls

4. Kishori Cards: This will be maintained at AWC which will contain information about weight, height, BMI, IFA supplementation, de-worming, immunization etc.

5. Personnel: CDPO will be in-charge of the implementation of scheme at the project level. At village level AWW will act as the facilitator of the scheme and would be assisted by AWH, Sakhi-Saheli and partnering NGOs/Community Base Organization(CBO)

6. Role of NGOs/CBOs: These institutes will be identified for imparting Nutrition and Health Education, Life Skill Education, Vocational Training etc.

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PATTERN AND FUNCTIONAL

RESPONSIBLITYRGSEAG will be a centrally sponsored schemeMWCD will be responsible for budgetary control

and administration of the schemeAt state level, the Secretary of Department of

Women and Child Development/Social Welfare dealing with ICDS will be responsible for overall direction and implementation of the scheme

The scheme will be implemented through AWC which will be the focal point for the delivery of services. AWW will survey and register all adolescent girls and will advise them to come to AWC

The CDPO will be responsible for implementing the scheme at field level 19

COST OF THE PROJECT

Rs. 3.8 lakh per project per annum will be provided by Government of India to States/UTs that will include maintaining ARC, training kit, NHE, Life Skill Education, vocational training, IEC, Health Cards and Referral slips

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MONITORING, SUPERVISION , RECORDS

and EVALUATIONMonitoring & Supervision: will be set up under

ICDS at national, state and community level

Records to be maintained: register has to be maintained at AWC by AWW with assistance of Sakhi/Saheli. The supervisor will randomly check records of girls for accuracy. Project wise physical and financial progress report on quarterly/annual basis will be consolidated by CDPO

Evaluation: may be carried out by states periodically to access the impact and take corrective measures

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TRAININGCapacity building of ICDS functionaries

(CDPOs, Supervisors & AWWs ) for all round development of AGs will be carried out

Separate training modules for ToTs, ICDS functionaries and identified AGs (Sakhi/Saheli)

NGOs may be involved in training of Sakhi/ Sahelis

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COMMUNITY INVOLVEMENT AND

AWARNESS GENERATION

Sensitization programmes for parents and adolescents (boys & girls), community may be taken up under IEC by involving NGOs/ Civil Society Organizations. This may be taken on Kishori Diwas

To achieve this, involvement of panchayats in improving the awareness level of the community would be desirable

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ACTIONS TO BE TAKEN BY STATE GOVERNMENT

State/UT will be responsible for implementing the scheme through the ICDS set-up

Organize State/District and Project level workshop to introduce the scheme to the personnel of ICDS and functionaries of line Ministries/Departments

Increase awareness/generate publicity about the scheme by developing IEC material

Set up a systematic monitoring system for analysis, interpretation and corrective action at appropriate levels to assess the effectiveness of the scheme

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List of Districts Covered Under RGSEAG-SABLAS..N

oState Name Districts

1. Andaman and Nicobar Island

Andamans

2. Andhra Pradesh Mahbubnagar, Adilbad, Anantapur, Visakhapatnam, Chittoor, West Godavari, Hyderabad

3. Arunachal Pradesh Papum Pare, Lohit, West Kameng, West Siang

4. Assam Dhubri, Darrang, Hailakandi, Kokrajhar, Karbi Anglong, Dibrugarh, Kamrup, Jorhat.

5. Bihar Katihar, Vaishali, Paschim Champaran, Banka, Gaya, Saharsa, Kishanganj, Patna, Buxar, Sitamarhi, Munger, Aurangabad.

6. Chandigarh Chandigarh

7. Chattisgarh Surguja, Bastar, Raipur, Raigarh, Rajnandgaon.

8. Dadra & Nagar Haveli

Dadra & Nagar Haveli

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S.No. State Districts

9. Daman & Diu Diu, Daman.

10. Delhi North West, North East, East.

11. Goa North Goa, South Goa.

12. Gujarat Banas Kantha, Dohad, Kachchh, Panch Mahals, Narmada, Ahmadabad, Jamnagar, Junagadh, Navsari.

13. Haryana Kaithal, Hisar, Yamunanagar, Ambala, Rewari, Rohtak.

14. Himachal Pradesh

Chamba, Kullu, Solan, Kangra

15. Jammu & Kashmir

Anantnag, Kupwara, Kathua, Jammu, Leh (Ladakh).

16. Jharkhand Giridih, Sahibganj, Garhwa, Hazaribagh, Gumla, Paschimi Singhbhum, Ranchi

17. Karnataka Gulbarga, Kolar, Bangalore, Bijapur, Bellary, Dharwad, Chikmagalur, Uttara Kannada, Kodagu

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S.No. State Districts

18. Kerala Malappuram, Palakkad, Kollam, Idukki

19. Lakshadweep Lakshadweep

20. Madhya Pradesh Sheopur, Rajgarh, Sidhi, Neemuch, Jhabua, Tikamgarh, Rewa, Bhind, Damoh, Indore, Sagar, Jabalpur, Bhopal, Betul, Balaghat.

21. Maharashtra Bid, Nanded, Mumbai, Nashik, Gadchiroli, Buldana, Kolhapur, Satara, Amravati, Nagpur, Gondiya.

22. Manipur Chandel, Senapati, Imphal West.

23. Meghalaya West Garo Hills, South Garo Hills, East Khasi Hills

24. Mizoram Lunglei, Saiha, Aizwal

25. Nagaland Mon, Tuensang, Kohima

26. Orissa Koraput, Gajapati, Mayurbhanj, Sundargarh, Kalahandi, Bhadrak, Puri, Cuttack, Bargarh

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S.No.

State Districts

27. Pondicherry Karaikal

28. Punjab Patiala, Faridkot, Gurdaspur, Mansa, Jalandhar, Hoshiarpur.

29. Rajasthan Bhilwara, Jodhpur, Banswara, Udaipur, Jhalawar, Dungarpur, Bikaner, Jaipur, Barmer, Ganganagar

30. Sikkim North, East

31. Tamil Nadu Salem, Tiruvannamalai, Cuddalore, Ramanathapuram, Madurai, Tiruchirappalli, Coimbatore, Chennai, Kanniyakumari

32. Tripura West Tripura, Dhalai

33. Uttar Pradesh Shrawasti, Bahraich, Mahrajganj, Lalitpur, Agra, Sonbhadra, Sitapur, Mirzapur, Chandauli, Deoria, Chattrapati Shahuji Maharaj Nagar, Mahoba, Pilibhit, Rae Bareli, Banda, Farrukhabad, Bulandshahar, Saharanpur, Jalaun, Bijnor, Lucknow, Chitrakoot

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S.No. State Districts

34 Uttaranchal Hardwar, Uttarkashi, Chamoli, Nainital.

35 West Bengal Maldah, Puruliya, Nadia, Koch Bihar, Jalpaiguri, Kolkata.

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Indira Gandhi Matritva

Sahyog Yojana

(IGMSY) -a Conditional Maternity

Benefit (CMB) Scheme

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Status Of Pregnant and lactating women

•The condition of pregnant women belonging to

poor and economically deprived families is

Vulnerable

•Women continue to work up to the last days of

pregnancy and again resume it just after

delivery

•High levels of under nutrition and anaemia in

adolescent girls and women

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• Under nutrition adolescent girls and women

results in increased susceptibility to infections,

slow recovery from illnesses, cumulative

growth and development deficits leading to

reduced productivity and a heightened risk of

adverse pregnancy outcomes for women

• Woman’s nutritional status has important

implications for her health as well as the

health and development of her children

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• The pregnant and lactating mothers require

greater nutritional support, access to health

care services, enhanced food and nutrient

intake, family care, skilled counselling support

and a hygienic environment

• Therefore, it requires multi-sectoral, concerted,

convergent and supportive actions

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OBJECTIVES

To improve the health and nutrition status of

pregnant, lactating women and infants by:

•Promoting appropriate practices, care and

service utilization during pregnancy, safe delivery

and lactation;

•Encouraging women to follow (optimal) IYCF

practices including early and exclusive

breastfeeding for the first six months;

•Contributing to better enabling environment by

providing cash incentives for improved health

and nutrition to pregnant and nursing mothers

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TARGET GROUP

Pregnant Women of 19 years of age and above for first two

live births (benefit for still births will be as per the norms of

scheme)

All Government/PSUs (Central & State) employees will be

excluded from the scheme as they are entitled for paid

maternity leave.

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SERVICES

• Cash transfer is provided to all pregnant and

lactating women in selected districts/blocks to

contribute towards supporting health and

nutritional needs of pregnant and lactating

mothers

• Contributes to partly compensate the woman

for the wage loss that she might incur while

caring for herself and the child

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• Increase the demand for mother and child

health services by providing incentives based

on fulfillment of specific conditions relating to

mother and child health and nutrition

• Each pregnant and lactating mother will

receive a total cash incentive of Rs. 4000/-

between the second trimester till the child

attains the age of 6 months, subject to certain

conditions

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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

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Second

(3

months

after

delivery)

· The birth of the child is

registered.

· The child has received:

_ OPV and BCG at birth

_ OPV and DPT at 6 weeks

_ OPV and DPT at 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

*will also be

available for still

births and

infant mortality.

Cash

Transfer

Conditions Amount

(In Rs.)

Means of

Verification

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Cash

Transfer

Conditions Amount

(In Rs.)

Means of

Verification

Third (6

months

after

delivery)

· Exclusive breastfeeding for six

months

and introduction of

complimentary

feeding as certified by the

mother

· The child has received OPV

and third

dose of DPT

· 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

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S..No State Districts

1. Andaman and Nicobar Island

South Andaman

2. Andhra Pradesh West Godavari, Nalgonda

3. Arunachal Pradesh Papum pare

4. Assam Kamrup, Goalpara

5. Bihar Vaishali, Saharsa

6. Chandigarh Chandigarh

7. Chattisgarh Dhamtari, Bastar

8. Dadra & Nagar Haveli

Dadra & Nagar Haveli

9. Daman & Diu Diu

10. Delhi West, North West

11. Goa North Goa

12. Gujarat Bharuch, Patan

List of Districts Covered Under IGMSY

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S.No. State Districts

13. Haryana Panchkula

14. Himachal Pradesh Hamirpur

15. J & K Kathua, Anantnag

16. Jharkhand East Singh Bhumi, Simdega

17. Karnataka Kolar, Dharwad

18. Kerala Palakkad

19. Lakshadweep Lakshadweep

20. Madhya Pradesh Chindwara, Sagar

21. Maharashtra Bhandara, Amravati

22. Manipur Tamenglong

23. Meghalaya E.Garo Hills

24. Mizoram Lawngtlai

25. Nagaland Kohima

26. Orissa Bargarh, Sundargarh

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S.No. State Districts

27. Pondecherry Yanam

28. Punjab Amritsar, Kapurthala

29. Rajasthan Bhilwara, Udaipur

30. Sikkim West Sikkim

31. Tamil Nadu Cuddalore, Erode

32. Tripura Dhalai

33. Uttar Pradesh Sultanpur, Mahoba

34. Uttarakhand Dehradun

35. West Bengal Jalpaiguri, Bankura

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