What is Indira Gandhi Matritva Sahyog Yojana? ‘ Matritva’ means motherhood and ‘Sahyog’ support. This name of the Scheme itself tells us what the Scheme aims to do. If you have to tell/explain any one about the Scheme say it is a pilot Scheme of M/WCD to support women in their motherhood through Conditional Cash Transfer (CCT). CCT means beneficiary will get Cash incentive upon fulfillment of specific conditions
Slide 2: Why was this scheme initiated? In India, every third woman is undernourished. An undernourished mother almost inevitably gives birth to a low birth weight baby. When poor nutrition starts in-utero, it extends throughout the life cycle, particularly in women. We all know that due to poverty many women continue to work outside home during pregnancy and resume working soon after delivery. Due to the time and economic constraints they cannot take good care of themselves and their newly born baby. The total cash incentive amount is `4000, which will be provided to beneficiaries who enroll under the Scheme in three installments subject to fulfillment of specific conditions . Poor Maternal nutrition and infant mortality continue to be a challenge In India, every third woman is undernourished and every second woman is anemic A woman with poor nutrition has a greater risk adverse pregnancy outcomes both for her self and her infant. Early marriage can make the woman even more vulnerable. And in India nearly one out of every two young married women below 25 years are married before 18 years. Research evidence shows that early initiation, exclusive breastfeeding and timely initiation of complementary foods can prevent 19% of under-five deaths (as per lancet 2010). However, these three critical practices are also practiced by only 21% mothers Poor women continue to work to earn a living for their family right up to the last days of their pregnancy and resume working soon after child birth. While Janani Suraksha Yojana provides a one-time cash incentive for institutional births. A need for introducing modest maternity benefits to partly compensate for their wage loss was recommended by the Planning Commission in the XI th Five Year Plan. In view of this, a new scheme for pregnant and lactating mothers called Indira Gandhi Matritva Sahyog Yojana (IGMSY) – Conditional Maternity Benefit Scheme was formulated
Slide 3: The objective of the IGMSY scheme is to improve the health and nutrition status of pregnant and lactating women and their young infants by: Promoting appropriate practices, care and service utilisation during pregnancy, safe delivery and lactation. Encouraging the 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.
Slide 4 The target group is all Pregnant and lactating women of 19 years of age and above for their first 2 live births. All government / PSU / SPSU employees will be excluded IGMSY will be implemented as a pilot initially in 52 districts (pilot) across the country. Approx. 13.80 lakh women will be covered in 1 st year
The first installment of Rs. 1500/- will be given at the end of the second trimester if the pregnant women fulfil 5 conditions. These are Registers her pregnancy within 4 months at AWC/ Health Centre Receives at least one ANC Receives IFA tablets Receives at least one TT vaccine Receives at least one counseling session at AWC/ VHND Every Anganwadi Centre should be equipped with required numbers of Mother and Child Protection (MCP) cards as this will be used as a means of verification along with a register maintained with the AWW for each IGMSY beneficiary. Women enrolled under IGMSY will be also encouraged to avail JSY package for institutional delivery. However, there is no cash incentive under IGMSY for institutional delivery since cash incentive for this is already provided under JSY.
The second installment of Rs. 1500/- will be given 3 months after delivery if the women fulfil six conditions. These are: Birth registered at AWC/Health Centre Child received Oral Polio Vaccine & BCG Child received OPV & DPT-1 Child received OPV & DPT-2 Child weighed at least 2 times after birth (out of optimal 4 times including weighing at birth) Mother attended at least 2 counseling sessions at AWC/VHND for IYCF promotion (out of optimal 3 times).
Slide 8 1. The 3 rd and last installment of Rs. 1000/- will be given 6 months after delivery if the women fulfil five conditions. These are: Child exclusively breastfed for first 6 months. Child introduced complementary foods on completion of age 6 months. Child received OPV & DPT-3 vaccines Child weighed at least 2 times b/w age 3 and 6 months Mother attended at least 2 counseling sessions on IYCF promotion b/w 3 and 6 months of lactation Thus a total amount of Rs. 4000 will be given in three installments, if the mother fulfills a 16 conditions.
Slide 11: After the beneficiary receives all three installments: AWW will receive an Rs. 200/- per beneficiary and AWH Rs. 100/- per beneficiary Hence AWW and AWH should ensure All beneficiaries are registered & have MCP cards Bank/Post office accounts of beneficiaries are opened Universal coverage of immunization/VHND days Counseling sessions are regularly organized E.g., monthly fixed day, fixed time fixed place counseling days can be planned Work in coordination with ANM & ASHA
Slide 11: After the beneficiary receives all three installments: AWW will receive an Rs. 200/- per beneficiary and AWH Rs. 100/- per beneficiary Hence AWW and AWH should ensure All beneficiaries are registered & have MCP cards Bank/Post office accounts of beneficiaries are opened Universal coverage of immunization/VHND days Counseling sessions are regularly organized E.g., monthly fixed day, fixed time fixed place counseling days can be planned Work in coordination with ANM & ASHA
Slide 9: NO disbursement should be in form of “cash” Modalities may be decided by the State Government Suggestive modes of transfer are: Through Banks Nationalized banks Cooperative banks Business correspondent model of banks Post Offices 2. Actual disbursement to Bank/Post office account of beneficiary should be completed within 1 month of claim
Slide 16: Flexi fund is 2.5% of the total cost States can decide how to use. It should preferably not be used for staff costs but promotive community interventions Some examples like: Additional incentives for delayed marriage, for delayed child birth, for proper spacing, mothers with disability, availing family planning methods, etc.
Slide 16: Flexi fund is 2.5% of the total cost States can decide how to use. It should preferably not be used for staff costs but promotive community interventions Some examples like: Additional incentives for delayed marriage, for delayed child birth, for proper spacing, mothers with disability, availing family planning methods, etc.
Slide 16: Flexi fund is 2.5% of the total cost States can decide how to use. It should preferably not be used for staff costs but promotive community interventions Some examples like: Additional incentives for delayed marriage, for delayed child birth, for proper spacing, mothers with disability, availing family planning methods, etc.
Slide 16: Flexi fund is 2.5% of the total cost States can decide how to use. It should preferably not be used for staff costs but promotive community interventions Some examples like: Additional incentives for delayed marriage, for delayed child birth, for proper spacing, mothers with disability, availing family planning methods, etc.
Slide 14: Convergence is a must. Esp. with health department as major conditions are related to health services Convergence with PO/Banks convergence will help devise mechanisms for transctions Training institutes/medical colleges should also include training on IGMSY in their curriculum PRIs can support mass awareness and social audits Deptt. Of public relations can help in publicity of the scheme
Slide 10: Implementation structure will be the same as ICDS. Additionally an IGMSY section will be established at MWCD. The scheme also provides for two contractual staff (1 programme coordinator and 1 programme assistant) at state-level and in each IGMSY district Steering and Monitoring committees will be set up to ensure smooth and effective implementation of the scheme
Slide 12 IGMSY is a centrally sponsored scheme - 100% funding from GoI . Financial assistance to State Governments will be given annually in two installments by GoI. Funds would be released from GoI based on SoE Day to day implementation and administrative matters is the responsibility of State Government/UTs.
Slide 13 State government will maintain a special account at for IGMSY at state level, district-level or block-level to receive and transfer funds
Slide 17 Thus this pilot scheme has a number of provisions Cost of Cash Transfer is Rs.4000 per beneficiary Incentive for AWW/AWH is Rs.300 per beneficiary provision is made for training/Capacity Building & IEC is @ 3% of total cost Contingency is @ 2% of total cost Flexi Fund is @ 2.5% of the total cost there is provision for additional Staff at State and district ICDS Cell there is provision for Baseline & Resource Mapping, Mid Term and Final Evaluation
Slide 15: Monitoring of this scheme will be integrated in ICDS monitoring and will be also be done through steering and monitoring committees Baseline, mid-line and endline surveys will be conducted And social audits will be done by external agencies
Slide 15: Monitoring of this scheme will be integrated in ICDS monitoring and will be also be done through steering and monitoring committees Baseline, mid-line and endline surveys will be conducted And social audits will be done by external agencies
Slide 15: Monitoring of this scheme will be integrated in ICDS monitoring and will be also be done through steering and monitoring committees Baseline, mid-line and endline surveys will be conducted And social audits will be done by external agencies
Slide 18: So what is the way forward Regional workshops to sensitize officers upto district / project level - by GoI Baseline surveys to be completed by states: formats given Budget head to be opened by states Mechanism for fund transfer to be firmed up Steering & Monitoring Committees to be formed Formation of IGMSY cells at State and District level IGMSY training integrated with regular trainings Convergence with Health & Other Departments
Slide 18: So what is the way forward Regional workshops to sensitize officers upto district / project level - by GoI Baseline surveys to be completed by states: formats given Budget head to be opened by states Mechanism for fund transfer to be firmed up Steering & Monitoring Committees to be formed Formation of IGMSY cells at State and District level IGMSY training integrated with regular trainings Convergence with Health & Other Departments