Regarding Celebration of ‘International Year of Millets’

Ministry of Women and Child Development, Government of India

PIB New Delhi

Summary of response at the National level during the period April-June 2021
The Ministry of Education, Government of India has issued various guidance documents to States/UTs on how to continue the nutritional support to school children during the pandemic. On June 15, 2021, as a complement to the provision of free food grains provided under the Government’s Pradhan Mantri Garib Kalyan Anna Yojana (PMGKAY) COVID response scheme, the Ministry of Education decided to provide monetary assistance through Direct Benefit Transfer (DBT) for Cooking cost, to all eligible children as per MDM norms, for the summer vacation period (May-June) as a one-time special welfare measure.
It may be noted that most schools are closed during this reporting period.

Weekly Themes To Ensure Focused & Assimilated Approach Towards Improving Holistic Nutrition

PIB New Delhi 

• Anganwadi Centres to be opened outside containment zones following standard operation procedures.
• Resume Anganwadi services outside containment zones while complying with health and safety protocols at AWCs.
• All state/UTs to comply with the guidelines
• Cooked food and THR to be provided at AWC or delivered at home
• Maintain and share a roster of children for visiting AWC
• Conduct growth monitoring during VHSND or home visits
• Counsel beneficiaries on maternal, infant and young childcare and feeding during home visits, VHSNDs, video/telephone calls and WhatsApp messages
• Conduct CBE in-person in small groups and for short durations or virtually through audio/video
• Resume pre-school education at AWC in small groups of children. Encourage online pre-school education using satellite telecast and sharing lessons through mobile network

Guidelines on “Enabling Delivery of Essential Health Services during the COVID 19 Outbreak” in different zones:

• IFA, Calcium, ORS, Zinc, Vitamin A, deworming, services for diarrhoea control and contraceptives can be provided through homes deliveries.
• Promotion of teleconsultation.
• ANC: In containment & buffer zones- provided to on-demand walk-in beneficiaries at health facilities. In beyond buffer & green zones- uninterrupted ANC services.
• Immunization: Zero birth doses given in institutions everywhere. In containment & buffer zones- on-demand only to walk-in beneficiaries at health facility without active mobilization. In areas beyond buffer zones- through restricted outreach services (5 attendants at a time). In non-infected zones – through outreach sessions with social distancing.
• Teleconsultation with high-risk pregnancies for early detection of complications, referral and follow up
• Family planning: Family planning and safe abortion services to on-demand walk-in beneficiaries at health facilities without active mobilization
• All health facilities should continue providing delivery services
• Admissions to SNCU and NBSU to be continued; routine SNCU follow-up through teleconsultation
• In containment & buffer zone- PNC/ HBNC through teleconsultation; health workers to utilize COVID-related home visits to provide PNC services. In beyond buffer & green zones- HBNC visits by ASHAs & PNC at health facilities
• NRC operational
• HBNC and HBYC: In containment & buffer zone- HBNC and HBYC through teleconsultation; health workers to utilize COVID-related home visits to provide HBNC and HBYC services. In beyond buffer & green zones- HBNC and HBYC visits by ASHAs
• VHND: In containment & buffer zone- not to be conducted. In areas beyond buffer zones- restricted VHNDs (5 attendants at a time) to be conducted

Comprehensive guidance for enabling delivery of essential health services for non COVID-19 cases by MoFHW:

• ASHAs/AWWs to provide 3 months’ supply for boys and girls during home visits. IFA and calcium tablets to be provided to on-demand walk-in beneficiaries at health facilities. Availability of IFA and calcium tablets to be ensured during PNC period.
• ANC to be provided on walk in basis at the SHC level with physical distancing norms.
• Zero birth doses given in institutions everywhere. Immunization at facilities for walk-in beneficiaries; fixed site vaccination through outreach services can be implemented where restrictions allow.
• Teleconsultation with high-risk pregnancies for early detection of complications, referral and home based follow up, if required.
• Ensure safe institutional deliveries; due list of EDD of pregnant women maintained at SHC; each pregnant woman to be linked with a health facility.
• Promotion of early initiation of breastfeeding, exclusive breastfeeding and complementary feeding, and Kangaroo Mother Care during home visits.
• ANM/CHO to assess health of women and new-borns via home visits in case of home deliveries
• Family planning and safe abortion services to on-demand walk-in beneficiaries at health facilities without active mobilization.
• List of operational Comprehensive Emergency Obstetric and New-born Care centres to be kept at peripheral facilities where high-risk pregnancies and women with complications are to be shifted.
• Admissions to SNCU and NBSU to be continued; routine SNCU follow-up through teleconsultation.
• NRC to be operational.
• Ensure adequate supply of ORS and Amoxicillin at SHC.
• HBNC visited to be continued as per schedule while following all precautions by ASHAs.
• HBYC to be conducted through teleconsultation by ASHAs.
• Suspension of VHSNDs.
• Home visits: ASHAs to provide follow-up care to all beneficiaries in a single household or Mohalla in one visit

Maintain and share a roster of children for visiting AWC

Cooked food and THR to be provided at AWC or delivered at home

All state/UTs to comply with the guidelines

Resume Anganwadi services outside containment zones while complying with health and safety protocols at AWCs.

Anganwadi Centres to be opened outside containment zones following standard operation procedures.

Observation on State and Central government’s response, understand the awareness on COVID-19 and suggestions to enhance the reach are reported

Directions to ensure continued service delivery of essential nutrition interventions through alternative mechanisms. ‘Mentors for Nutrition’ are to lead this exercise.

For ongoing nutritional services, five key intervention areas are outlines:

1. Monthly growth monitoring and screening for SAM
2. Community-based Management of Severe Acute Malnutrition
3. Continuity of IFA supplementation among adolescent girls
4. Counseling on Maternal Infant Young Child Nutrition (MIYCN)
5. Strict implementation of Infant Milk Substitute Act in flood and COVID19 situation

Provide Vitamin A supplementation during the bi-annual round from 1-30 November 2020

• Continue growth monitoring and SAM screening
• Refer SAM children with complications to NRC
• Upload data on ICDS-CAS

Findings from a study on the gaps in service delivery. Recommended following these steps:

• Continue growth monitoring and SAM screening
• Provide additional THR to severely underweight children; refer SAM children with complications to NRC
• AWWs to deliver IFA tablets to all adolescent girls through home delivery
• AWWs to provide nutrition counselling through home visits and THR distribution visits and telephonic calls

AWWs to distribute IFA tablets to out of school children

Report on the Impact of Assam floods 2020 by UNICEF, providing the latest update on the situation and ongoing responses to the evolving floods situation in Assam State, including a helpful snapshot of situation and key responses

Report on the Impact of Assam floods 2020 by UNICEF, providing the latest update on the situation and ongoing responses to the evolving floods situation in Assam State, including a helpful snapshot of situation and key responses

Report on the Impact of Assam floods 2020 by UNICEF, providing the latest update on the situation and ongoing responses to the evolving floods situation in Assam State

Report on the Impact of Assam floods 2020 by UNICEF, giving an update on the flooding situation; the second wave of floods in Assam this year

All NRCs to be functional

Promote children to be breastfed during emergencies

AWWs to distribute IFA tablets to out of school children

Distribute IFA tablets with mid-day meal ration for students

Report on the Impact of Assam floods 2020 by UNICEF, providing the latest update on the situation and ongoing responses to the evolving floods situation in Assam State

Report on the Impact of Assam floods 2020 by UNICEF, providing the latest update on the situation and ongoing responses to the evolving floods situation in Assam State

Infographics for adolescent nutrition

Promote age-appropriate breastfeeding and complementary feeding

Information on nutrition for baby, breast-feeding mother with COVID-19 symptoms and improving immunity in diet to be shared with all ICDS functionaries up to AWC level through email/ WhatsApp group.

Comprehensive guidance for enabling delivery of essential health services for non COVID-19 cases by MoFHW:

• ASHAs/AWWs to provide 3 months’ supply for boys and girls during home visits. IFA and calcium tablets to be provided to on-demand walk-in beneficiaries at health facilities. Availability of IFA and calcium tablets to be ensured during PNC period.
• ANC to be provided on walk in basis at the SHC level with physical distancing norms.
• Zero birth doses given in institutions everywhere. Immunization at facilities for walk-in beneficiaries; fixed site vaccination through outreach services can be implemented where restrictions allow.
• Teleconsultation with high-risk pregnancies for early detection of complications, referral and home based follow up, if required.
• Ensure safe institutional deliveries; due list of EDD of pregnant women maintained at SHC; each pregnant woman to be linked with a health facility.
• Promotion of early initiation of breastfeeding, exclusive breastfeeding and complementary feeding, and Kangaroo Mother Care during home visits.
• ANM/CHO to assess health of women and new-borns via home visits in case of home deliveries
• Family planning and safe abortion services to on-demand walk-in beneficiaries at health facilities without active mobilization.
• List of operational Comprehensive Emergency Obstetric and New-born Care centres to be kept at peripheral facilities where high-risk pregnancies and women with complications are to be shifted.
• Admissions to SNCU and NBSU to be continued; routine SNCU follow-up through teleconsultation.
• NRC to be operational.
• Ensure adequate supply of ORS and Amoxicillin at SHC.
• HBYC to be conducted through teleconsultation by ASHAs.
• Suspension of VHSNDs.
• Home visits: ASHAs to provide follow-up care to all beneficiaries in a single household or Mohalla in one visit

Resume pre-school education at AWC in small groups of children. Encourage online pre-school education using satellite telecast and sharing lessons through mobile network

Conduct CBE in-person in small groups and for short durations or virtually through audio/video

Counsel beneficiaries on maternal, infant and young childcare and feeding during home visits, VHSNDs, video/telephone calls and WhatsApp messages

Conduct growth monitoring during VHSND or home visits

In relation to transferring of funds to beneficiaries of mid-day meal as the schools were closed to stop the spread of CORONA

Guidelines provided on conducting the following under Poshan Maah in September 2020:

• Food and nutrition e-quiz
• Meme making competition on food and nutrition

• Establishment of Nutrition Counselling Desk to counsel on maternal, child and household nutrition, to provide information on care and educational activities for children up to 6 years of age, and information on MKUY and PMMVY schemes.
• Use e-rickshaw, tempo or rikshaw, loudspeakers and banners to provide audio-based nutrition counselling.
• Write slogans on prominent walls to spread nutrition awareness in the community.
• Conduct plantation drive at AWCs with important plants including papaya, guava and lemon along with spreading the message of eating nutritious food
• Conduct Convergence Action Plan meetings
• AWWs to create WhatsApp groups with all beneficiaries and their LS to share counselling messages and nutrition and ECCE-related videos and resolve their health and nutrition-related concerns.
• Conduct home visits of pregnant women and children to provide health, nutrition counselling including on antenatal care, breastfeeding and complementary feeding, information on PMMVY scheme
• Provide information on conducting ECCE activities at home including instructions for parents to give a missed call on a specific government phone number to receive an audio of a story for their children and instructions for sharing and uploading paintings by children.
• Measure the weight of children during their home visits and provide appropriate counselling. Malnourished children to be assessed by ANMs during VHSNDs to refer them for home, health facility or NRC-based care.
• Conduct community-based events including Godhbharai.

Upload data regarding Poshan Maah activities on the Jan Andolan dashboard.

Following to be conducted under Poshan Maah in September 2020:

• Identification, referral and management of SAM children – ASHAs and AWWs to identify malnourished children through weight, height and MUAC of children, visible wasting, bilateral oedema and feeding complications; ANM to assess severely underweight children for medical complications at VHSNDs or health facilities. Refer and manage children appropriately according to their identification including referral SAM children with medical complications to NRCs.
• Breastfeeding counselling – during ANC, delivery, immunization and home visits
• HBNC by ASHAs
• Intensified Diarrhea Control Fortnight – ASHAs to mobilize beneficiaries during home visits
• National Deworming Program – ASHAs to mobilize beneficiaries during home visits
• Vitamin A supplementation program – ASHAs to mobilize beneficiaries during home visits
• IFA supplementation or Anemia Mukt Bharat – Provide IFA supplements to children, adolescents and pregnant women
• Immunization covering unreached population – Mobilize beneficiaries for immunization at a fixed site.
• Conduct VHSND

Detailed guidelines provided for conducting Intensified Diarrhea Control Fortnight from 16-29 September 2020 for children up to 5 years of age

Report on the Impact of Bihar floods 2020 by UNICEF, providing the latest update on the situation and ongoing responses to the evolving floods situation in Assam State

Study implemented by Population Council Institute on COVID-19 knowledge attitudes and practices

Provide all ICDS services to children at Shelter Homes

Guidelines regarding providing Direct Beneficiary Transfer (DBT) instead of THR for children 6-59 months old, pregnant women and lactating women.

Provide Direct Beneficiary Transfer (DBT) instead of THR for children 6-59 months old, pregnant women and lactating women.

ASHAs to provide IFA to children 6-59 months old, children 5-9 years old, 10-19 years old school-going adolescent boys and girls, 10-19 years old out-of-school adolescent girls, women of reproductive age (20-24 years old), pregnant women and lactating women.

Continue providing services under RMNCAH+N to adolescents including Yuva Clinic (Adolescent Friendly Health Clinic), Weekly Iron Folic Acid Supplementation (WIFS) and Peer Educator. During lockdown related restrictions of school and AWC closures, under WIFS, ASHAs should home deliver 15 tablets to 10-19 years old school-going adolescent girls and explain how to consume them. AWWs to home deliver IFA supplements to out-of-school girls and counsel about its consumption.
This guidance also includes information on the supply chain pertaining to raising demand for IFA by AWWs and ASHAs through their departmental routes.

Guidelines received from the Ministry of Health and Family Welfare regarding RMNCAH+N services

• Referral and admissions to SNCU and NBSU to be continued. Routine SNCU follow-up through teleconsultation in containment and buffer zones, whereas all services for the care of sick new-born to continue as per guidelines.
• HBNC: In containment & buffer zone- HBNC through teleconsultation; health workers to utilize COVID-related home visits to provide HBNC services. In beyond buffer & green zones- continue HBNC visits by ASHAs
• Referral, management and treatment of sick SAM children at NRCs.
• Health workers conducting home visits for COVID-19 work should also enquire about children’s health and nutrition and if required provide essential services.

DPOs and CDPOs to conduct beneficiary home visits with AWWs to spread awareness about COVID19 and monitor receipt of six ICDS services by beneficiaries, including migrant families. DPOs and CDPOs to monitor MKUY, PMMVY, CAS and registration of migrant families at AWC.

Guidelines given by central government for resumption of regular health services

• In containment & buffer zone- VHND not to be conducted. In areas beyond buffer zones- restricted VHNDs (5 attendants at a time) to be conducted.
• Provision of ANC and PNC services through outreach sessions in all areas except containment and buffer zones, where pregnant women and children to be called in multiple fixed timeslots. ASHA should inform all the beneficiaries one day prior to the VHND to come during assigned time slots. ANC in containment & buffer zones to be provided to on-demand walk-in beneficiaries at health facilities.
• ANM to provide COVID-19 related information to beneficiaries.
• Provide ANC and PNC health check-up to women with necessary precautions.
• Identify and refer high risk pregnancies and severely malnourished pregnant women to health centres.
• Provide IFA, calcium and Albendazole tablets to pregnant women in their third trimester.
• Provide IFA and calcium tablets to lactating women.
• ASHAs to provide counselling to pregnant women including nutrition and COVID-19 related information during home visits.
• Follow-up with pregnant women whose EDD is nearby and send them to nearby health centres for delivery.
• Provide counselling on early initiation of breastfeeding (within one hour of delivery) to pregnant women in their third trimester.

Provide THR to beneficiaries as before. Provide dry ration including rice, dal, gudd and milk powder to children 3-6 years of age, instead of providing cash for their hot-cooked meals.

Additional action to be taken by Gram panchayats in continuation of guidelines issued by fifth state finance commission

Details of supplementary nutrition distributed by the AWWs to be uploaded in the ICDS-CAS application. Upload photographs of distribution or photographs of receipts onto the ICDS-CAS.

Guidelines for outreach sessions of VHNDs and immunization: in containment & buffer zone- not conducted; in areas beyond buffer zones- conduct restricted sessions (5 attendants at a time) following necessary protective measures for prevention of COVID-19 infection.

Guidelines for preparation to deal with floods and water borne diseases.

Counselling on early initiation of breastfeeding, exclusive breastfeeding, and complementary feeding and continued breastfeeding to be provided by FLWs.

• ANC services to be provided to pregnant women at health facilities. Ambulance to be provided for ANC services for high-risk pregnancies.
• IFA, calcium and Albendazole tablets to be certainly to pregnant women in second trimester during ANC.
• Safe institutional deliveries to be ensured; due list of Estimated Delivery Date (EDD) of pregnant women to be maintained at health facilities; daily check-up of pregnant women to be conducted in the prior one week before EDD, each pregnant woman to be linked with a health facility.
• ASHAs to conduct home visits of soon-to-deliver pregnant women to discuss their institutional delivery plan.

Guidelines for prevention of infection of COVID-19 at Nutrition Rehabilitation centres (NRC)

5 kg of free food grains made available to the poor under PMGKY

Nutrition Rehabilitation Centres to be operated following necessary precautions.

• Closure of Anganwadi centres until 31.03.2020
• AWWs to conduct home visits to provide counselling on nutrition, sanitation, family planning and prevention from coronavirus, and information on schemes including PMMVY and Kishori Baalika Yojana
• Conduct Annaprashan and Godhbharai during home visits of targeted beneficiaries.
• Data on home visits to be updated daily on ICDS-CAS

Due to the closure of anganwadi the amount equivalent to mid day meal is transferred to the beneficiary child/guardian account

Closure of Anganwadi centres until further notice.
Doorstep delivery of THR to beneficiaries if the supply for March has already been bought. Delivery of food items instead of hot-cooked meals for eligible beneficiaries wherever food supply has been bought. Cash to be provided to eligible beneficiaries instead of hot-cooked meals in cases where food supply has not been bought.

Provide Direct Beneficiary Transfer (DBT) of food security allowance in lieu of mid-day meal to school children or their guardians.

Coordination meeting on COVID-19 sensitive nutrition interventions and continuity of essential nutrition and health services post lockdown

Report based on telephonic assessment conducted by SCoE-SAM, AIIMS, Raipur to assess the status of functioning of NRCs during the month of November 2021.

To follow guidelines regarding prevention of infection and for continuation of breastfeeding and nutrition of newborns and infants in the state

Report based on telephonic assessment conducted during the period from 28th May to 8th June’ 2021

Report based on telephonic assessment conducted by SCoE-SAM, AIIMS, Raipur to assess the status of functioning of NRCs during the month of May 2021.

Report based on telephonic assessment conducted by SCoE-SAM, AIIMS, Raipur to assess the status of functioning of NRCs during the month of April 2021.

Report based on telephonic assessment conducted by SCoE-SAM, AIIMS, Raipur to assess the status of functioning of NRCs during the month of March 2021.

Instructions for operationalising AWCs and its activities in the state, during COVID-19

Letter to Collector: Main facts related to organizing the weight festival from 07 July to 16 July 2021

Report based on telephonic assessment conducted by SCoE-SAM, AIIMS, Raipur to assess the status of functioning of NRCs during the month of February 2021.

Report based on telephonic assessment conducted by SCoE-SAM, AIIMS, Raipur to assess the status of functioning of NRCs during the month of January 2021.

Weight festival is to be organized from 07 July to 16 July 2021 in all Anganwadi centres, as per the COVID-19 safety guidelines.

Report based on a telephonic assessment conducted by SCoE-SAM, AIIMS, Raipur to assess the status of functioning of NRCs during the month of December 2020.

Stocks available at school are to be submitted to medical officer/ANM or nodal teacher who is incharge

Recommendations from development nutrition partners alliance termed ‘NIRMAN’.

Stocks available at school are to be submitted to medical officer/ANM or nodal teacher who is incharge

Report on the third round of assessment of essential nutrition related services by Government of Chhattisgarh conducted during 22-26 April 2020

A report on the assessment of services by UNICEF Raipur office in the account of lockdown state from 20-30th April

Zero birth doses given in institutions everywhere. In containment & buffer zones- on demand only to walk-in beneficiaries at health facility without active mobilization. In areas beyond buffer zones- through restricted outreach services (5 attendants at a time). In non-infected zones – through outreach sessions with social distancing.

Instructions issued for providing dry ration for a period of 21 days in the lockdown period to the beneficieries under mukyamantri suposhan abhiyan

Dry ration to be provided as an alternative to hot cooked meals to beneficiaries under CG Mukhyamantri Suposhan Abhiyan.

Ready-to-eat packaged food to be provided to pregnant women as an alternative to hot cooked meals.

The main objective of the meeting was to provide update on their work and support extended to government in the context of lockdown due to COVID-19 and get learnings on how the nutrition challenges were being addressed in this emergency.

Guidelines to not neglect pregnant women care and provide all the necessary services during the COVID-19 pandemic

IFA for children 3-6 years old, children 5-9 years old, adolescent boy and girls (10-19 years old), pregnant and lactating women to be provided by ANMs & ASHAs during home visits.

UNICEF suggested 9 measures to address the nutritional services of children and women during and after the lockdown period

Nutrition Rehabilitation Centres to be operated following necessary precautions.

Continue the provision of immunization at fixed site. Use special places like schools/Panchayats if needed for sessions

Report based on the findings from survey of 87 NRCs in March 2020 was documented

Guidelines for smooth implementation of maternal health, institutional delivery, child health, vaccination, prevention from other infectious diseases and other emergency services like surgery. Continue the provision of immunization at a fixed site.

Order to adopt the use of strict social segregate measures necessary to stop the spread of COVID-19

Order regarding the closure of Anganwadi centres and provision of ready to eat foods an alternative to hot cooked meals to malnourished children in 3-6 years of age

To continue regular health services (immunization, maternal child health, disease control etc) and training activities under the health department with precautions

Provision of dry ration supply for 40 days to the children of primary and upper primary schools.

Provision of dry ration supply for 40 days to the children of primary and upper primary schools.

Keeping in the view of the pandemic situation malnourished children between 03-06 years of age of Anganwadi must be provided with 125 gram ready to eat food daily and 750 gram as ready to eat packet as THR to the remaining beneficiaries

Closure of Anganwadi centres. Provision of ready-to-eat THR as an alternative to hot cooked meals for children 3-6 years of age.

Closure of Anganwadi centres until 31 March 2020. Provision of ready-to-eat THR for beneficiaries and postponement of Poshan Pakhwada.

Counselling of beneficiaries on early initiation of breastfeeding, exclusive breastfeeding, continued breastfeeding and complementary feeding

Continue to provide IFA supplements as per existing guidelines under Anemia Mukt Bharat

Comprehensive guidance for enabling delivery of essential health services for non COVID-19 cases by MoFHW:

• ASHAs/AWWs to provide 3 months’ supply for boys and girls during home visits. IFA and calcium tablets to be provided to on-demand walk-in beneficiaries at health facilities. Availability of IFA and calcium tablets to be ensured during PNC period.
• ANC to be provided on walk in basis at the SHC level with physical distancing norms.
• Zero birth doses given in institutions everywhere. Immunization at facilities for walk-in beneficiaries; fixed site vaccination through outreach services can be implemented where restrictions allow.
• Teleconsultation with high-risk pregnancies for early detection of complications, referral and home based follow up, if required.
• Ensure safe institutional deliveries; due list of EDD of pregnant women maintained at SHC; each pregnant woman to be linked with a health facility.
• Promotion of early initiation of breastfeeding, exclusive breastfeeding and complementary feeding, and Kangaroo Mother Care during home visits.
• ANM/CHO to assess health of women and new-borns via home visits in case of home deliveries
• Family planning and safe abortion services to on-demand walk-in beneficiaries at health facilities without active mobilization.
• List of operational Comprehensive Emergency Obstetric and New-born Care centres to be kept at peripheral facilities where high-risk pregnancies and women with complications are to be shifted.
• Admissions to SNCU and NBSU to be continued; routine SNCU follow-up through teleconsultation.
• NRC to be operational.
• Ensure adequate supply of ORS and Amoxicillin at SHC.
• HBNC visited to be continued as per schedule while following all precautions by ASHAs.
• HBYC to be conducted through teleconsultation by ASHAs.
• Suspension of VHSNDs.
• Home visits: ASHAs to provide follow-up care to all beneficiaries in a single household or Mohalla in one visit

• Growth monitoring has been stopped since lockdown, 23rd March 2020. AWWs instructed to follow up with underweight children as per March data.
• NRC operational now. Earlier, NRCs had closed due to lockdown and the admitted children were discharged after counselling the mothers on care, feeding practices and hygiene. The critical children with SAM were admitted in the paediatric ward.

Order to stop education work in primary schools and pay the amount to the children for food grains from 15-03-20 to 26-03-20

Closure of Anganwadi centres extended until 14-04-20

• Door-step delivery of THR (supply for two weeks starting from 18th March 2020) for children 3-6 years, as an alternative to hot-cooked meals.
• Provision of THR for pregnant women, lactating mothers and adolescent girls as per schedule. Related data to be updated on ICDS-CAS by AWWs.

Guidelines for treatment of malnourished children at CMTC/NRC.

Lockdown guidelines were issued in the state to prevent the spread of COVID-19

Guidelines for Anganwadi workers regarding precautionary steps to prevent the spread of COVID-19

Instruction for Anganwadi workers to distribute THR with necessary precautions

All the Anganwadi centres in the state will be closed from 16-03-20 to 26-03-20

• AWCs are closed since 23rd March 2020 due to COVID-19.
  
• AWWs have been instructed to provide THR at the doorsteps of the beneficiary.
  
• AWWs have been instructed to do home visits of all children, antenatal and postnatal mothers, and adolescent girls for counselling about care during COVID-19 and feeding practices with all precautions and care during COVID-19.
  

Guidelines for Vitamin A monitoring

• Includes monitoring checklist form.

Guidelines to promote exclusive breastfeeding and ensure compliance to the IMS Act of not using infant milk substitutes.

IFA to be provided to children 6-59 months old, children 5-9 years old, adolescent girls and boys (10-19 years old) during home visits. It also notes that guidelines for distribution of IFA to pregnant and lactating women has been specified in an earlier document dated 14 April 2020.

Supply of IFA tablets for 3 months to be provided during home visit to children 5-9 years old

All Malnutrition Treatment Centres to be operational

• Guidelines issued to continue early initiation of breastfeeding, exclusive breastfeeding, and complementary feeding and continued breastfeeding during the COVID-19 pandemic.
• Guidelines issued to continue skin-to-skin contact and Kangaroo Mother Care during the COVID-19 pandemic.
  

Door-step delivery of THR to be provided by AWWs for children 6 months to 6 years, pregnant women, lactating mothers.

Training material on Prevention and control measures of COVID-19 were made available

Discussion on the current situation, challenges and prioritize actions to overcome COVID-19 effects on nutrition

Preventative steps against COVID-19 to be taken at Malnutrition Treatment Centres.

Online training for all MTC and medical staff at SNCU on prevention and control of COVID-19

Guidelines regarding prevention and control of infection of COVID-19

• Pre-school education at AWCs are suspended.
• Door-step delivery of THR to be provided by AWWs for children 6 months to 6 years, pregnant women, lactating mothers and SAM children.
• AWWs to counsel beneficiaries on preventative steps against COVID-19 and sanitation.
  Immunization services to be provided.
  

Children admitted to COVID-19 under 5 years of age should be screened for SAM and treated appropriately

Guidelines by VVH-SCoE, BMCRI on management of malnutrition in children under 5 years of age

Highlights of the quick assessment on food and nutrition security by NLSIU

Provision of Vitamin A supplementation at immunization sessions and during home visits, instead of the bi-annual Vitamin A Supplementation program.

Order to follow strict social distancing and isolation measures to contain the spread of COVID-19

Department of Family and Health Welfare issued guidelines on infant and young feeding practices

Assessment conducted by Centre for Child and the Law (CCL), National Law School of India University (NLSIU) on food security situation in KarnatakaAssessment conducted by Centre for Child and the Law (CCL), National Law School of India University (NLSIU) on food security situation in Karnataka

• Guidelines for medical services to be provided for migrant labour struck in Bengaluru due to lockdown.
• Mobile Medical Units to conduct health check-up of all pregnant and lactating mothers, infants, and children less than 5 years old at labour sites.
• Mobile Medical Units (MMU) to conduct ANC, immunization, provide IFA, multi-vitamins for micro-nutritional deficiency, screening for high risk pregnancy at MMU camps. Mobile Medical Units (MMU) to coordinate in hospitalization of pregnant and lactating mothers.

Guidelines for infection control at NRCs are provided

Guidelines for health staff and on infant feeding were provided

Provision of food security allowance to school children in case of non-supply of the entitles quantities of food grains or meals under the Mid-Day Meal scheme.

List of questions to be asked by the Anganwadi worker from the mother of malnourished children through the phone.

Data on Poshan Maah related activities to be updated on the Jan Andolan portal.

Construction of ‘Nutri Gardens’ at residential, community, AWC and other official buildings to cultivate nutritious food including green vegetables and fruits. The beneficiaries of these fruits and vegetables can be SAM or severely underweight children, pregnant and lactating women, adolescent girls, particularly those who are anaemic.

Conduct the following community-based management of SAM children (C-SAM) activities upload related data on Sampark App

• AWW/ASHA to conduct monthly screening of SAM children through growth monitoring at Gram Arogya Kendra (GAK) including children of migrant families
• ANM/AWW to provide medical assessment and referral for treatment (CSAM or NRC) monthly at VHSND
• AWW to provide additional THR every week
• ANM to provide medicines or supplementation for pneumonia, antibiotics, deworming, IFA and multivitamins as required during VHSND or home deliveries
• AWW/ASHA to provide health and nutrition counselling every week during C-SAM sessions and home visits
• AWW/ASHA to conduct weekly follow-up of SAM children during C-SAM sessions

Gram Panchayat and community members to support frontline workers during the Poshan Maah including providing nutritious food to families of SAM children, demonstration of preparation of nutritious food, provide health and nutrition counselling.

Conduct the following community-based management of SAM children (C-SAM) activities upload related data on Sampark App:

• AWW/ASHA to conduct monthly screening of SAM children through growth monitoring at Gram Arogya Kendra (GAK) including children of migrant families
• ANM/AWW to provide medical assessment and referral for treatment (CSAM or NRC) monthly at VHSND
• AWW to provide additional THR every week
• ANM to provide medicines or supplementation for pneumonia, antibiotics, deworming, IFA and multivitamins as required during VHSND or home deliveries
• AWW/ASHA to provide health and nutrition counselling every week during C-SAM sessions and home visits
• AWW/ASHA to conduct weekly follow-up of SAM children during C-SAM sessions

Provide the following services of growth monitoring, identification, referral and management of malnourished children during Poshan Maah in September 2020:

• Conduct growth monitoring (weight and height) of children below 5 years of age with necessary precautions. Invite and mobilize caregivers for growth monitoring.
• Weigh children and women on adult weighing scales. Salter scales are not to be used currently.
• Upload data in register, CAS App and Sampark App.
• Refer SAM children with medical complications to NRC.
• Treat SAM children without medical complications at the family-level. AWWs and ASHAs to conduct regular home visits for such children to provide counselling based on their nutritional status, and other services.

Following activities to be conducted under Poshan Maah in September 2020:

• Sensitization through media.
• Webinars for ICDS staff, pregnant women and mothers, families and adolescent girls on health and nutrition.
• Spread information through radio.
• Various community-based events including recipe video competition, poster competition, quiz and essay competition to increase awareness and motivation

• List of children who were previously marked as severely underweight or SAM or children who were discharged from SNCU or NRC to be compiled by ASHA/AWW. Nutritional status of these children to be screened by measuring their MUAC at their homes. Other visible signs of malnutrition to be checked for screening of children below 6 months.
• SAM children with medical complications to be examined by ANM during VHND or immunization sessions.
• HBYC to be used to identify SAM children, including those from migrant families.
• Eligible children to be referred to NRC.
• Caregivers of SAM children without medical complications to be counselled on their care.
• Incentive of Rs100 to be given to ASHAs for the identification and referral of SAM children.

• Provide THR to eligible beneficiaries of migrant families. THR to be provided every fortnight with a supply for 15 days.
• Growth monitoring to be conducted for children 0-5 years at Village Health Centres (Gram Arogya Kendra), while prioritizing underweight, SAM and migrant children. Children to be called to the venue in a staggered manner and social distancing measured to be followed.
  Directorate, Women and Child Development, M.P: Guidelines for the essential nutrition services for the migrant children. New
• Provide THR to eligible beneficiaries of migrant families. THR to be provided every fortnight with a supply for 15 days.
• Growth monitoring to be conducted for children 0-5 years at Village Health Centres (Gram Arogya Kendra), while prioritizing underweight, SAM and migrant children. Children to be called to the venue in a staggered manner and social distancing measured to be followed.
• o Counselling on nutritional status to be provided to caregivers using growth charts and growth measurements.
• Separate WhatsApp groups to be made with beneficiaries of migrant families for provision of services.
• Immunization session to be organized at Village Health Centres (Gram Arogya Kendra). Beneficiaries to be mobilized to come for immunization in a staggered manner.
• o Check haemoglobin status of children, including those from migrant families, at immunization sessions.
• Check haemoglobin status of pregnant women, including those from migrant families, during ANC check-up.
• Provide IFA and calcium tablets along with counselling on its consumption to pregnant women, including those from migrant families.
• Maintain continuous contact with pregnant women in third trimester and refer them to a nearby delivery centre.
• o Provide support to families of high-risk pregnant women in reaching CHCs or District Hospital.
• Families of underweight and SAM children, including those from migrant families, to be counselled on their health and nutritional status through WhatsApp groups and home visits.
• WhatsApp group to be created for families, including those from migrant families, with children above 6 months to provide counselling on complementary feeding.
• IFA supplements for children 5-59 months and children 5-19 years old, including those from migrant families, to be provided every week by AWW or ASHA during home visits.
• Multi-vitamin supplements for beneficiaries above 10 years of age, including those from migrant families, to be provided by AWW or ASHA during home visits.

Guidelines regarding the provision of essential services by AWC

• Continue to provide THR or ready-to-eat THR at home to children aged 6 months to 6 years, pregnant and lactating women, and out-of-school adolescent girls including eligible beneficiaries of migrant families. Hot cooked meals replaced by THR for children 3-6 years. Underweight and SAM children to be given additional THR. THR to be provided every fortnight with a supply for 15 days. Data to be updated on ICDS-CAS. Families to be counselled on THR consumption through phone calls or home visits.
• Growth monitoring to be conducted for children 0-5 years at Village Health Centres (Gram Arogya Kendra), while prioritizing underweight, SAM and migrant children. Children to be called to the venue in a staggered manner and social distancing measured to be followed.

Counselling on nutritional status to be provided to caregivers using growth charts and growth measurements.

• Health check-ups or medical assessments of SAM children during VHSNDs and immunization days.

SAM children with medical complications to be referred to NRCs.

Families of underweight and SAM children to be counselled on their health and nutritional status through WhatsApp groups and home visits.

• Separate WhatsApp groups to be made with beneficiaries of migrant families for provision of services.
• Immunization session to be organized at Village Health Centres (Gram Arogya Kendra). Beneficiaries to be mobilized to come for immunization in a staggered manner.

Haemoglobin of children, including those from migrant families, to be checked at immunization sessions.

• Haemoglobin of pregnant women, including those from migrant families, to be checked during their ANC check-up.
• Pregnant women, including those from migrant families, to be provided with IFA and calcium tablets along with counselling on its consumption.
• Maintain continuous contact with pregnant women in the third trimester and refer them to a nearby delivery centre.

Provide support to families of high-risk pregnant women in reaching CHCs or District Hospital.

• WhatsApp group to be created for families with children above 6 months to provide counselling on complementary feeding.
• IFA supplements for children 5-59 months and children 5-19 years old to be provided every week by AWW or ASHA during home visits.
• Multi-vitamin supplements for beneficiaries above 10 years of age to be provided by AWW or ASHA during home visits.
• WhatsApp groups to be created by AWWs for pregnant women, lactating women, children 6 months to 2 years, children 3-6 years old, out-of-school adolescent girls 11-14 years old to provide counselling and monitor their health and nutrition.
• AWWs to conduct home visits to provide health and nutrition counselling.

Prioritize the home visits of the following: pregnant women in their third trimester, children who are to be exclusively breastfed, children who are to begin complementary feeding, and malnourished or sick children.

Regarding the availability of IFA syrup, IFA Pink and blue tablets, to ensure successful implementation of Anaemia Mukt Bharat Program.

Distribution of the IFA and micronutrients to be reported by the Asha worker in a register, as per the format attached in the circular.

• Formation of WhatsApp group consisting of all the beneficiaries (pregnant and lactating women, mothers of the children, families of the adolescent girls), through which supervisors and Anganwadi workers can give counselling and related services and for monitoring.
• AWWs to check about and provide counselling on continued breastfeeding for malnourished children through home visits and regular phone calls.
• LS to create WhatsApp groups with families of SAM children and share nutrition-related information.

• Guidelines for the delivery of essential services related to maternal health, immunisation, child health nutrition and NCDs, as per the zone divisions.
• VHSND organized in green zone areas, rendered on one to one basis.
• IFA and calcium tablets are also distributed to P&L and adolescents.
• VHSNDs is not in all the districts because health workers are engaged in survey work.

• Instructions for the project officer through his supervisor and Anganwadi worker, to strengthen the monitoring.
• Excess underweight children provided additional quantity of THR.
• Follow ups of children discharged from NRC. Counselling of their parents by the Anganwadi worker twice a week.
• Advice on IFA intakes and breastfeeding and complementary feeding.

Meeting regarding the safety and prevention of essential department services like Supplementary Nutrition (THR).

On account of closure of Anganwadi centres, supplementary nutritious food is to be delivered to all the AWCs beneficiaries.

• Continuity of distribution of multi vitamin and IFA supplements.
• ASHAs/AWWs to provide 3 months’ supply iron and calcium tablets for 10-19 yo boys and girls, 2 months’ supply for women 20-49 yo, 1 months’ supply for pregnant and lactating women, 1-2 months’ supply to infants and children during home visits.
• Mobile medical units will provide it in containment or buffer zones

• Closure of all Anganwadi centres and mini AWCs till 31st March.
• THR to be provided at home for the next 3 weeks to children aged 6months to 3years and pregnant/lactating women.
• Directions/guidelines for providing ready-to-cook food in place of hot-cooked meals during the closure of Anganwadi centers

• Instructions for the control and prevention of corona virus in severely malnourished children.
• NRC is operational but counseling and referral are restricted to emergency cases only.
• CMAM not operational.

• Instructions related to the provision of one month’s ration free of cost to eligible families under the NFSA.
• Provision of food security allowance in lieu of mid-day meals to school children, wherein the cost of food grains and cooking cost should be transferred to the beneficiary accounts.

Request to allow vehicles engaged in THR supply to be transported within the districts to AWCs

Closure of AWCs till 31st March 2020. ANC, Immunization are being conducted during VHSNDs.

On account of the closure of Anganwadi centres, supplementary nutritious food is to be delivered to all the AWCs beneficiaries.

• Closure of all Anganwadi centres and mini AWCs till 31st March.
• Children to be provided THR every Tuesday.
• During weekly community activities, regular vaccination to be provided to the beneficiaries.

Closure of all Anganwadi centres and mini AWCs till 31st March, for prevention and control of infection.

Study on the importance of nutrition to fight against coronavirus.

Communication regarding protection of children during COVID-19 Pandemic.

Objectives, agenda, expected Outcome of the digital meeting with field teams of ICDS.

This report compares the end of project status of the key indicators related to maternal and child health, to the baseline in Gadchiroli district of Maharashtra. It also presents the coverage of ICDS services provided to women and children here, with insights on the impact of system strengthening and community mobilization efforts on key health and nutrition outcomes.

This report presents the end of project status of the coverage of ICDS services provided to women and children in Chandrapur district of Maharashtra. It also identifies the ICDS services which have low coverage and will require additional efforts to improve their uptake.

This report presents the coverage of ICDS services provided to women and children in Chandrapur and Gadchiroli districts of Maharashtra. It also documents the changes in key indicators related to maternal and child health at the end of the intervention compared to the baseline status.

• Distribution of food and all other work done, to be recorded in CAS.
• Weight and height of the children to be taken every month in a staggered manner. Weighing not to be conducted for beneficiaries in Red and Containment zones.
• Regular home visits to SAM children and pregnant mothers. Home visits not to be conducted for beneficiaries in Red and Containment zones.
• Babies 0-12 months of age to be vaccinated.
• Pre-school education activities to be continued through WhatsApp. Home based Village Child Development Centre (VCDC) services to be implemented. [VCDC scheme is for home-based management of children affected by severe acute malnutrition (SAM) to provide them nutritious and energy dense food]

Continuation of THR distribution as supplementary nutrition to children aged 3-6 years in containment, buffer as well as green zones till 15th September 2020.

• VHSNDs and vaccinations to be held.
• SNCU services to be provided to children suffering from serious illness.
• HBYC services to be provided through tele consultations.
• All SAM children to be admitted to the NRC.

NRC/MTC not to be closed, provision of uninterrupted services and guidelines for the same. IFA supplements to fertile women, pregnant women and lactating mothers. Guidelines for Vitamin A supplementation.

• Special attention to be paid in the health of children, malnourished children admitted in NRC/Pediatric centres, as well as children under Anaemia Mukt Bharat 6-59 months, 5-9 years, 10-19 years, 20-49 years of age.
• Special guidelines given on providing IFA and vitamin A supplements to all children. ASHA worker will distribute 4-5 tablets for a months’ supply to adolescent boys and girls and out of school girls. She will monitor the consumption during home visits and telephonically.

• Birth doses (Zero doses) will be given in all institutions across containment, buffer and green zones.
• In containment and buffer zones outreach camps for immunization will not be organized, while those who walk into the facility will be given services following IPC protocols.
• Once the area is out of containment zone, outreach camps should be started only after 14 days from the last day of containment.

Community preparedness checklist, for use by Gram Panchayat/ Village Health and Sanitation Committee for action against COVID-19

Five step guidelines and prevention methods for the health workers and other medical volunteers.

A detailed guideline on the role of frontline workers in prevention and management of Corona Virus.

Instructions related to the usage of CAS software by the Anganwadi workers.

List of information from districts for providing services to Migrant population.

Covering letter by ICDS Commissionerate for providing services to Migrants:

• Beneficiaries should apply for the THR.
• Home cooked meal to 6months to 3 years, 3-6years, pregnant-breastfeeding mothers, adolescent girls aged 11-14 years

Changes to the circular issued on 20th March:

• Anganwadi workers to visit the home of the beneficiary only in case of serious illness of a child.
• CAS not to be filled.
• Home cooked meal (THR) to be delivered at the homes of the beneficiary.

• Home cooked food instead of hot fresh food, in the form of THR, to be distributed to the beneficiaries in the age group 3-6years, till 15th May 2020.
• Continuation of regular home visits by the Anganwadi workers.
• Distribution of home cooked food to children aged 6months-3years, pregnant and lactating mothers and adolescent girls.
• Information to be filled in CAS regularly.

• Regular distribution of home cooked meal to be provided to children from 6months to 3years and 3-6years, pregnant and lactating mothers, till 15th April 2020.
• Information about home delivery and home visits to be filled in regularly in CAS.

Conduct the following under Poshan Maah in September 2020:

• ICDS functionaries to adopt SAM, MAM & SUW children to remain accountable for their health and nutrition status. This includes getting the children checked at VHDNDs/ health facilities, ensure referral and follow up.
• Growth monitoring data to be shared every month at district and state level.
• Set up nutrition gardens and support the beneficiaries, particularly SAM and MAM children, high risk pregnant women and migrant families, through the gardens.
• Community involvement in supporting improvement of SAM, MAM and SUW through POSHAN panchayats.

School teachers to distribute IFA tablets for the month of July and August along with mid-day meal ration/ coupons to the guardians of students

Provide dry ration (rice) or coupons and direct benefit transfer (DBT) of food security allowance to school children

• Closure of AWCs until 31st August 2020.
• Home delivery of THR and ration in lieu of hot-cooked meals for beneficiaries.
• Distribute eggs weekly as per entitlement.

A Detailed Analysis of Food and Nutrition Sector during COVID-19 by Inter-Agency Group, Odisha and World Food Programme

A situation report on the impact of the cyclone Amphan, which has affected all 10 districts across the state. Out of the total 4.44 Million population affected, 1.5 Million are Children.

• Provide counselling on breastfeeding, complementary feeding to beneficiaries at migrant camp sites.
• ANMs to ensure adequate supply for and consumption of IFA supplements by children 6 months to 5 years, children 5-10 years, adolescents, and pregnant and lactating women at migrant camp sites.
• ANMs to ensure adequate supply for and consumption of calcium tablets by pregnant and lactating women at migrant camp sites.
• ANMs to ensure adequate supply for and consumption of zinc by children suffering from diarrhoea at migrant camp sites.
• Provide multi-vitamin/ mineral syrups to children, adolescent girls and women at migrant camp sites.
• Provide deworming dose to each person arriving at migrant camp sites.
• Assess pregnant and lactating women at migrant camp sites for nutritional vulnerabilities.
• Provide all ANC services to pregnant women in the migrant camps. Identify and refer high-risk pregnancies.
• Assess and provide HBPNC services for post-natal women and newborns in the migrant camps.
• ANMs to refer newborns with danger signs to CHH/ SNCU.
• ANM to ensure growth monitoring of children and to refer SAM children to NRCs. NRC to remain operational for any case of SAM children.

School teachers instructed to supply IFA tablets for May and June for each student to their parents along with distribution of textbooks.

• FLWs to counsel pregnant women on precautions and symptoms regarding COVID-19, healthy diet to boost immunity.
• Counselling on breastfeeding and complementary feeding to be provided.
• Referral of SAM children with complications to NRCs and monitored by ASHAs and AWWs.
• VHSNDs and routine immunization to continue on fixed days.

NRCs are operational. Detailed precautionary measures provided to protect the SAM children admitted at the NRCs.

Assessment of the situation by the United Nations agencies based in Odisha and the World Bank, considering the secondary information available and making short terms (April-June 2020) and medium-term (July 2020-June 2021) strategy.

The VHSND and immunisation sessions to be conducted on fixed days without any deviations while following certain pre-cautionary measures.

• Closure of AWCs.
• Doorstep delivery of THR for children 3months to 3years old, pregnant and lactating mothers.
• Dry rations (rice, pulses, oil, condiments, salt, etc.) in lieu of hot-cooked meals for pre-school children 3-6 years old. Eggs or its substitutes to be home delivered to eligible beneficiaries weekly.

In view of smooth functioning of Public Distribution System, licenses of 2590 private fair price shops are to be renewed, till July 2020.

• VHSND and immunization to be conducted in every AWC with certain pre-cautionary measures.
• VHSD to be conducted every Tuesday and Friday, and routine immunization to take place every Wednesday.

Beneficiaries under NFSA and State Food Security Scheme will be distributed rice, wheat & S.K.Oil till 15th May 2020, for the management of PDS.

• Closure of all AWCs and pre-school education at AWCs.
• Doorstep delivery of ration and eggs for morning snacks and hot cooked meals for pre-school children 3-6years.

Notification on revision of ration cost norms for THR under the scheme for adolescent girls.

Vitamin A supplementation program from 30 October to 30 November 2020

Following to be conducted under Poshan Maah in September 2020:

• Growth monitoring (weight, height and MUAC measurement) of all children below 5 years old to identify SAM children. Refer SAM children with medical complications to Malnutrition Treatment Centre (MTC)
• Promote early initiation of breastfeeding, exclusive breastfeeding and complementary feeding during VHSNDs and other meetings, using various mediums of communications, local newspapers and radio, and through counselling at MCHN day and home visits

Provision of take-home ration to the beneficiaries, through National Agricultural Cooperative Marketing Federation of India.

Provision of THR for all beneficiaries including pregnant and lactating mothers, children 3months to 6 years old, and additional THR to severely underweight children by AWWs.

Online survey was administered to about 3122 women who had Jandhan account, across the six districts of Rajasthan, to understand whether the beneficiaries are getting the benefits(money) in their JD accounts and can withdraw the money on time.

Guidelines regarding the availability and quality of services related to reproductive, maternal, new born, child and adolescent health:

• IFA and calcium tablets to be provided to on-demand walk-in beneficiaries at health facilities. Availability of IFA and calcium tablets to be ensured during PNC period.
• Provision of IFA for children and adolescent boys and girls by ASHAs during home visits.
• Provision of vitamin A supplementation for children by ASHAs during home visits.
• ANC to be provided on walk in basis at the SHC level with physical distancing norms.
• Zero birth doses given in institutions everywhere. Immunization at facilities for walk-in beneficiaries; fixed site vaccination through outreach services can be implemented where restrictions allow.
• Teleconsultation with high-risk pregnancies for early detection of complications, referral and home based follow up, if required.
• Ensure safe institutional deliveries; due list of EDD of pregnant women maintained at SHC; each pregnant woman to be linked with a health facility.
• Promotion of early initiation of breastfeeding, exclusive breastfeeding and complementary feeding, and Kangaroo Mother Care during home visits.
• ANM/CHO to assess health of women and new-borns via home visits in case of home deliveries
• Family planning and safe abortion services to on-demand walk-in beneficiaries at health facilities without active mobilization.
• List of operational Comprehensive Emergency Obstetric and New-born Care centres to be kept at peripheral facilities where high-risk pregnancies and women with complications are to be shifted.
• Admissions to SNCU and NBSU to be continued; routine SNCU follow-up through teleconsultation.
• NRCs and MTCs to be operational.
• Ensure adequate supply of ORS and Amoxicillin at SHC.
• HBNC visited to be continued as per schedule while following all precautions by ASHAs.
• HBYC to be conducted through teleconsultation by ASHAs.
• Suspension of VHSNDs.
• Home visits: ASHAs to provide follow-up care to all beneficiaries in a single household or Mohalla in one visit
• Home delivery of THR
• ASHAs to measure MUAC of children 6-59 months of age to assess their nutritional status during home visits and provide nutritional counselling through phone calls and home visits.

Detailed lock down restrictions, which is to be applied in the entire state until 3/05/2020.

Emphasises the need to synergize efforts of the state and the central government in meeting the economic challenge. Lays out a comprehensive strategy to restart economic activities in the state.

Malnutrition Treatment Centres and Nutrition Rehabilitation Centres are operational. Detailed guidelines provided to protect SAM children at MTC/NRC against infection.

An appreciation message for all the frontline workers.

• Provision of THR for all beneficiaries including children 3-6 years old.
• Data to be updated on CAS.
• Vaccination to be carried by the ASHA with the ANM at the Anganwadi Centre, on the prescribed Mother-Child Nutrition Day.

Doorstep delivery of THR for all beneficiaries including children 3-6 years old by AWWs/ ASHAs.

• Closure on Anganwadi centres.
• Children aged 3-6years to be provided supplementary nutrition in the form of take-home ration.
• Weighing and ‘Poshan Pakhwada’ suspended until further notice.

Regarding Closure of Anganwadi from 05-04-2021 to 11-04-2021 in view of transmission of COVID-19

Regarding organizing community activities under nutrition campaign following COVID protocol

Guidelines regarding for conducting VHSND on first wednesday for SAM, MAM, malnourished children and pregnant women

• Guidelines to link IFA syrup distribution with biannual rounds of Vitamin A supplementation.
• ANM and ASHAs to provide IFA syrup bottles and counselling on IFA consumption to caregivers of children 6 months to 59 months old during the biannual Vitamin A supplementation distribution at VHND/UHND.

• Provide Vitamin A supplementation to children 9 months to 3 years old through VHND/UHND and children 3-5 years old on other pre-determined days from 8 August to 5 September 2020.
• Two sessions should be organized for Vit A provision in every village with multiple slots for beneficiaries to attend them in a staggered manner following necessary precautions.

Findings from COVID-19 Research Studies: COVID-19 Risk, Access to Nutrition and Health Services. Rapid telephone survey with 2041 young people (aged 18–25 years) and/or an adult household member. Baseline conducted from April 3–12.

ANM to distribute iron tablets and provide counselling on its consumption and side effects to adolescent students going to school during VHND under the WIFS program.

Regarding promotion of infant feeding and preventing the free supply of commercial baby food, in effective compliance with IMS Act.

• Community-based ANC check-ups, immunization and VHNDs to remain suspended in areas with positive COVID-19 cases.
  
• Community-based ANC check-ups, immunization and VHNDs to be conducted with precautions in areas with no COVID-19 cases.
  
• In areas with no COVID-19 cases, ASHAs to conduct home visits of new-borns to assess or provide counselling regarding the health of the infant, the weight of infants, Kangaroo mother care, breastfeeding

Vaccination sessions further postponed until further notice.

Doorstep delivery of THR for children 3 months to 6 years old, pregnant and lactating women, and out-of-school adolescent girls.

Immunization sessions postponed till 14/04/2020.

Notice for the frontline workers in the prevention and management of corona virus.

Vaccination sessions further postponed until further notice.

Regarding the training of Anganwadi workers, chief servants, child development project officers and district program officers to prevent the spread of corona virus.

• Closure of Anganwadi Centres.
• Doorstep delivery of THR for children 3 months to 6 years old, pregnant and lactating women, and out-of-school adolescent girls.

• Closure of Anganwadi Centres.
• Provision of supplementary nutrition to beneficiaries
• Beneficiaries to be provided information and counselling regarding COVID-19

A zoom VC session is scheduled on 25th June for all the staff of each NRC and the DPHNO and Dy. CMOH.

Instructions on the functioning of NRCs, to ensure the continuation of essential routine RMNCH+N services

• Nutritionists and MSW to telephonically contact the line listed SAM children and counsel for their admission in NRC.
• Districts to take the decision regarding starting the Outreach Screening of SAM (which involved measurement of MUAC) keeping in view the categorization of districts or areas.
• Detailed guidelines regarding the admission process and functioning of NRCs.

Implementation of Mass Vit-A Prophylaxis campaign like every year.

Guidance note on the provision of RMNCAH+N services in accordance with the zonal categorisations.

• IFA, Calcium, ORS, Zinc, Vitamin A, deworming, services for diarrhoea control and contraceptives can be provided through homes deliveries.
• Promotion of teleconsultation.
• ANC: In containment & buffer zones- provided to on-demand walk-in beneficiaries at health facilities. In beyond buffer & green zones- uninterrupted ANC services.
• Immunization: Zero birth doses given in institutions everywhere. In containment & buffer zones- on-demand only to walk-in beneficiaries at health facility without active mobilization. In areas beyond buffer zones- through restricted outreach services (5 attendants at a time). In non-infected zones – through outreach sessions with social distancing.
• Teleconsultation with high-risk pregnancies for early detection of complications, referral and follow up
• Family planning: Family planning and safe abortion services to on-demand walk-in beneficiaries at health facilities without active mobilization
• All health facilities should continue providing delivery services
• Admissions to SNCU and NBSU to be continued; routine SNCU follow-up through teleconsultation
• In containment & buffer zone- PNC/ HBNC through teleconsultation; health workers to utilize COVID-related home visits to provide PNC services. In beyond buffer & green zones- HBNC visits by ASHAs & PNC at health facilities
• NRC operational
• HBNC and HBYC: In containment & buffer zone- HBNC and HBYC through teleconsultation; health workers to utilize COVID-related home visits to provide HBNC and HBYC services. In beyond buffer & green zones- HBNC and HBYC visits by ASHAs
• VHND: In containment & buffer zone- not to be conducted. In areas beyond buffer zones- restricted VHNDs (5 attendants at a time) to be conducted

Anganwadi worker or helper to continue providing supplementary nutrition including 2kg rice, 2kg potatoes and 300gms Masur dal to beneficiaries irrespective of their age and category.

A situation report on the impact of the cyclone Amphan, which has affected all 9 districts across the state. Out of the total 50.2 Million population affected, 16.5 Million Children are at risk.

• Zero birth doses given in institutions everywhere.
• In containment & buffer zones- on demand only to walk-in beneficiaries at health facility without active mobilization.
• In areas beyond buffer zones- through restricted outreach services (5 attendants at a time).
• In non-infected zones – through outreach sessions with social distancing.

Distribution of food-grains under supplementary nutrition programme of ICDS to be commenced from 20th April.

• Closure of AWCs and pre-school activities till 15th May 2020.
• Anganwadi worker or helper to provide supplementary nutrition including 2kg rice, 2kg potatoes and 300gms Masur dal to beneficiaries irrespective of their age and category.

Complete Safety restriction’ notification by the State government in the urban and rural areas until- 27/03/2020

• Closure of Anganwadi Centres and pre-school activities at AWC.
  
• 2kgs of rice and 2kgs of potatoes to be provided to each beneficiary irrespective of their age and category.