DISTRICT ADMINISTRATION, RAMGARH 1
PROPOSAL FOR: “PROJECT POSHAN CRECHE”
SETTING-UP CRECHES CENTRE RAMGARH, JHARKHAND
PREPARED BY
DISTRICT ADMINISTRATION
RAMGARH
DISTRICT ADMINISTRATION, RAMGARH 2
INTRODUCTION
Despite various efforts, malnutrition remains a chronic health problem. Malnutrition is
defined as a person's intake of energy and/or nutrients being deficient, excessive, or
imbalanced. Undernutrition is responsible for about half of all fatalities in children under the
age of five; undernutrition puts children at greater risk of dying from common diseases,
increases the frequency and severity of such infections, and delays recovery. Stunting (low
height for age), wasting (low weight for height), underweight (low weight for age), and
micronutrient deficiencies or insufficiencies are all examples of malnutrition (a lack of
important vitamins and minerals).
According to NFHS-4 (2015-2016) data for Ramgarh, 38.7% of children under the age of five
are stunted (height for age) because of chronic malnutrition. Also concerning is the fact that
46.3% of children are underweight. To address malnutrition in the region, we would like to
propose the development of creches-cum-day-care centres to provide a balanced and
nutritious meal as well as specialised care to children aged 6 months to 3 years. We
recommend that a cluster of five creches be created in each of the Gola and Patratu blocks,
with the creches catering to the children of mine workers.
As per, NFHS-4 (2015-2016) data:
Sr. No. INDICATOR URBAN (%) RURAL (%) TOTAL (%)
1 Total children aged 6-23 months 7.7 5.5 6.4
receiving an adequate diet
2 Children under 5 years who are 31.1 29.7 30.3
wasted (weight-for-height)
3 Children under 5 years who are 31.2 44.9 38.7
stunted (height-for-age)
4 Children under 5 years who are 10 9.8 9.9
severely wasted (weight-for-age)
5 Children aged 6-59 months who are 73.6 69.6 71.3
anaemic (<11.0 g/dl)
6 Children under 5 years who are 39 52.3 46.3
underweight (weight-for-age)
In comparison to urban areas, 52.3% of children in rural areas are underweight, 44.9% are
stunted, and only 5.5% receive a sufficient diet, all of which contribute to the prevalence of
malnutrition. It tries to draw attention to immediate actions such as enhanced
complementary feeding methods, better institutional care, intense growth monitoring of
children with treatment measures, and boosting food diversity to address nutrition issues and
reduce malnutrition overall.
DISTRICT ADMINISTRATION, RAMGARH 3
BACKGROUND
A creche is a centre where mothers can drop off their children while they go to work. The
creches provide children with day care services for seven hours a day, six days a week. They
serve children ranging in age from 6 months to 3 years.
Objective:
1. Ensure no child in the age group of 6 months-3 years is malnourished as measured by
underweight, stunting and wasting in the project area by the end of the first 18 months
2. Halve preventable infant deaths in the age group of 6 months- 3 years by the end of
the first year and eliminate it by the end of the second year.
3. Achieve 100 percent growth monitoring, immunization, and health check-up by the
end of second year through robust linkage with Aaganwadi and Village Health
Sanitation and Nutrition Day (VHSND)
Project Details:
1. Each creche will have two workers who are local women from the same village who
will be identified by the community and trained
2. The creche would accommodate a maximum of 20 children with two creche workers
with the optimum ratio of creche worker to children being 1:10 for the entire project
3. A supervisor would monitor the functioning of the creches and report to the District
Administration, Ramgarh
Service to be provided
1. Participatory Learning and Action (PLA) with home visits
a) Reinforce changes in immediate causes and begin to address underlying causes
b) Participatory group meetings
c) Home visits and counselling
d) Counselling for IYCF, illness prevention and supports for referrals
e) Use of MUAC in children > 6months to screen for Moderate Acute Malnourished
and Severe Acute Malnourished
f) Counselling on birth spacing, nutrition in pregnancy, WASH, indoor pollution,
women empowerment, family planning
DISTRICT ADMINISTRATION, RAMGARH 4
2. Provision of Nutritious Meal
Dietary Provision in Creches
Breakfast Chhatua- Wheat, Rice,
Bengal Gram in the
ratio 1:1:2
Chuda- On alternate
days
Lunch Khicdi/ Rice and
Dalma- 100gms
Evenings Suji/Khiri with Gud
snacks
Three times a Eggs-50gms (70
week meal calories and 6gms of
proteins)
3. Hygiene and Smoke free Environment training
a) Handwashing training
b) Installation of Hand washing station
c) Safe drinking water
d) Kitchen out of the playing room
e) Smokless chulah
4. Protected Environment
a) Mosquito nets for children who are asleep
b) Fencing of creches using locally available resources
5. Early Childhood Stimulation
a) Preparation of handmade toys
b) Stimulation activities like dance and singing includes learning local songs and
rhymes
Advantages of Creches
1. Creches can assist in meeting the dietary and cognitive needs of youngsters whose
parents may be unable to care for them. Creches would serve as day care centres for
families where both parents work.
2. Creches would also give nutrition and care that would not be provided at home owing
to a lack of understanding, time, resources, and so on.
3. It would also assist to prevent young children from dropping out of school to care for
younger siblings.
4. Specialized care within the community would help prevent and mitigate malnutrition
levels among vulnerable children
5. Awareness generation through the trained community creche workers would help
parents take proper care of the child’s nutritional needs
6. Early Environment Education
DISTRICT ADMINISTRATION, RAMGARH 5
7. School Readiness
8. Community Participation
BUDGET
Sr. No. Particulars Unit Cost Total Cost
(30 Creches)
CAPITAL COST
1 Stadio-meter 12,000 3,60,000
2 Infantometer 6,500 19,5000
3 Baby Weighing Scale 13,500 4,05,000
4 Other items (Chullah, Utensils, 30,000 9,00,000
Containers, Toys, Registers,
Storage box)
A Total 18,60,000
RECURRING COST (OPERATIONS)
1 Recurring Cost (Food) 12/Child/Day 22,46,400 (Creche
running 26 days/
month)
2 Recurring Cost (Dress) 200/Dress 7,20,000 (6
dresses/Child/Year)
3 Recurring Cost (Rent, 3500/month 12,60,000
Transportation of grocery and
other incidentals)
B Total 42,26,400
RECURRING COST (HR & TRAINING)
1 Program Manager (1) 50,000 6,00,000
2 Creche Coordinator (3) 20,000 7,20,000
3 Creche workers (60) 4000 (2 workers/ 28,80,000
creches)
4 Training of Creche workers 65000/training 1,30,000
5 Travel cost 10,000/month 1,20,000
6 Review meeting of creche 1500/review 54,000
workers meeting/10
creche/month
C TOTAL 45,04,000
D Miscellaneous cost 8,73,040
TOTAL COST (A+B+C+D) ₹ 1,14,64,440