Conceptual Framework of ICDS

Prenatal to One Month

Determinants ·   Maternal health, nutrition adequacy and quality of care of newborn. ·   Safe delivery, family and Community supports for the mother and Baby. ·   Environmental hygiene, safe water and sanitation

­­­­­­­­Outcome      Healthy, responsive new born.

Indicators      Mother not anaemic or underweight.      Child weighs more than 2500gms.      Child moves head side to side on being simulated.

One month to 3 Years

Determinants ·   Nutritional adequacy, including exclusive breastfeeding. ·   Responsive complementary feeding , quality of mother/caregiver-child interaction. ·    Immunization, management of diarrhoea and other illness. ·       Health and hygiene practices. ·       Sensory motor and language stimulation opportunities for play and exploration. ·       Cultural attitudes and stereotypes.

­­­­­­­­Outcome       Freedom from intermittent diseases (diarrhoea and acute respiratory infections.)     Nutritional security.      Curiosity, sociability.      Confidence, self help and sensory motor skills.

Indicators      Full immunisation by end of one year.      Completion of all prophylaxis (e.g. vitamin-A) by end of three years.      Toilet trained.      Ability to communicate clearly and confidently. Sociability and ability to stay away from family for a few hours.

Three to six Years

Determinants ·   Quality early childhood care and education. ·    Basic healthcare services including disability screening. ·    Nutrition adequacy and incidence of intermittent diseases. ·    Literacy level of parents, educational environment at home.

­­­­­­­­Outcome      Interest in learning and school readiness skills (language. Numeracy and psychosocial skills.)     Activities, self confidence, awareness of environment.     Freedom from intermittent diseases, nutritional security.     Management of any identified disability.

Indicators      Active participation in early childhood care      Ability to narrate experience confidently.      Age-appropriate height and weight.      Regular pre-school attendance.

Six to Eight years

Determinants ·   Early childhood care and educational experience, school readiness. ·    Access to schooling. ·    Nutritional adequacy. ·    Quality of school. ·    Socio-cultural factors-extent of inclusion. (Gender, tribe, caste etc.) ·    Early detection of learning disabilities. ·    Social norms, role models and supportive home environment. ·   Safe water and sanitation, incidence of infestation and infection affecting regular attendance ·   Female teachers.

­­­­­­­­Outcome      Sociability, self confidence/self esteem.      Ability to read and write, with a continued interest in learning.      Freedom from anaemia and intermittent diseases.

Indicators     Demonstration of competencies for class 2 by end of age 8.     Regular attendance.     No worm infestation or anaemia.