| NATIONAL PLAN OF ACTION
GOVERNMENT OF
INDIA Indias commitment to the cause of children is as old as her civilization. Post-independent India saw the unequivocal expression of this commit- ment through Constitutional provisions, through the National Policy on Children and expanding programme for early childhood interventions, most notably the ICDS Programme. The National Plan of Action reiterates and reaffirms this commitment. A follow-up of the promises made by the global fraternity at the World Summit for Children, this Plan of Action sets out a quntifiable and time dimension to Indias Charter of Action for women and children. This Plan of Action is a result of close interactions both within the Government between Ministries and Departments as well as outside the Government with NGOs and social activists. If the targets set forth in the the National Plan of Action (NPA) are to be met, we must have unstinted cooperation from all sections of the society. It is my hope that this Plan of Action will help forge and strengthen such cooperation. New Delhi
ARJUN SINGH
INTRODUCTION Right through the ages, care for children has been one of the causes to which Indian policy has remained committed. In independent India, this commitment was enshrined in our Constitutional provisions. The Constitution of India in its Directive Principles of State Policy pledges that "the State shall, in particular, direct its policy towards securing... that the health and strength of workers, men and women, and the tender age of children, are not abused and that citizens are not forced by economic necessity to enter avocations unsuited to their age or strength; that children are given opportunities and facilities to develop in a healthy manner and in conditions of freedom and dignity and that childhood and youth are protected against exploitation and against moral and material abandonment". As a follow up to this commitment, Government of India adopted a National Policy for Children in 1974 which reaffirms the Constitutional provisions and declared that "it shall be the policy of the State to provide adequate services to children, both before and after birth and through the period of growth, to ensure their full physical, mental and social development. The State shall progressively increase the scope of such services so that, within a reasonable time, all children in the country enjoy optimum conditions for their balanced growth". The specific measures to be adopted towards the attainment of these objectives are in Appendix-II. 2. Since independence human resource development programes focussed on maternal and child health, nutrition and education have occupied an important place in Indias efforts to raise the living standards of its poor. Successive Five Year Plans have provided the wherewithal to deal with these issues. In the last decade of this century, dramatic technological development particularly in health, nutrition and related spheres have opened up new vistas of opportunities for redeeming our age-old pledges to the cause of children. It is against this backdrop that India joined the commity of nations in the successive reaffirmations of global commitment to the cause of children in 1989-90. The UN Convention on the Rights of the Child in November 1989, the World Conference on Education for All at Jomtien in March 1990, the global consultation on Water and Sanitation in September, 1990, the World Summit on Children in the autumn of 1990 and the SAARC Summit on Children soon after the World Summit were all part of this reaffirmation process which transcended national barriers. India is a signatory to the World Declaration (September 1990) in the Survival, Protection and Development of Children and the Plan of Action for implementing it. 3. This National Plan of Action represents
Indias response to the unprecedented opportunities which the nineties decade has
ushered in both through technology as well as a global ambience for redeeming Indias
age-old pledges. This Plan of Action identifies quantifiable targets in terms of major as
well as supporting sectoral goals (detailed in Appendix-I of this Plan of Action)
representing the needs and aspirations of almost over 300 million children of India in the
spheres of health, nutrition, education and related aspects of social support. SITUATION OF CHILDREN 4. Overall, basic indicators on children show a positive trend. For example, the infant mortality rate fell almost steadily from 146 per 1000 live births in 1960 to 80 per 1000 live births in 1990. The prevalence of severe and moderate degrees of malnutrition among children declined for the period 1974 to 1989. Primary school enrolment rates increased from 38 per cent in 1951 to 94 per cent 1989. The availability of drinking water in rural areas improved significantly and by the end of the VII Plan (1989-90) 80 per cent of the population had been provided with potable water sources. 5. Major problems however, remain intertwined with the factors of poverty. For instance, about 30 per cent of the children born each year have low birth weight. The major causes of infant mortality viz. Diarrhoea, pneumonia, neonatal tetanus and measles, are often aggravated by malnutrition. Protein-energy mal-nutrition affect about 52.5 per cent of all children below six years, with approximately a tenth of them suffering from severe malnutrition. Deficiency in Vitamin A causes, possibly among other adverse effects, an estimated 40,000 new cases of nutritional blindness each year. Some 70 per cent of women of child bearing age suffer from chronic anaemia. Iodine deficiency is more widespread than hitherto suspected. 6. While there is a primary school in nearly all villages, problems remain in basic education, including lack of access to school, low achievement, high drop-out and repeater rates and severe disparities between socio-economic groups, geographic regions, rural and urban areas and between the boys and girls. While, Since 1951, the basic education system has grown into one of the largest in the world with an enrolment, in 1989, of about 131 million children reaching out to about 94 per cent of the population, the retention has remained unsatisfactory with a drop out rate of 45 per cent for classes I-V and 60 per cent for classes I-VIII. At the end of the 1980's the overall picture shows that the gross enrolment ratio for primary education has reached about 100 per cent however, the major reviews have advocated that targets for universalization of elementary education should no longer be set in terms of additional enrolments for the country as a whole; disaggregated target setting policy has to be followed. 7. Inadequacy in the availability of safe drinking water, improper disposal of human excreta, solid and liquid water leading to unfavourable environmental conditions and lack of personal hygiene have been one of the major causes of disease and disability among children. In 13 States drinking water sources are contaminated with excess fluoride causing thousands of children affected with dental and skeletal fluorosis. Excess nitrate in drinking water sources which might cause, Blue baby to children, is also observed in a number of States. About 15 lakh children die due to dehydration caused by Diarrhoea. As regards sanitation, the situation continues to be unsatisfactory as only about 3 per cent of the rural households are provided with low cost on-site human excreta disposal facilities as in 1990. Therefore, ensuring drinking water quality and strengthening its supportive linkages with health and sanitation remain major challenges. 8. Children in especially difficult circumstances are without adequate family support and they may not be accessible through regular services. The rapid urbanization, increased rural urban migration do have an adverse effect on children. 9. The situation of girls and boys differs significantly according to most indicators, particularly in the northern States. 10. The state of children hinges on the condition of women. Most social indicators, including the sex ratio (929 females per 1000 males) and literacy (39 for females and 64 for males for all ages), point to the depressed situation of women. Socio-cultural biases, combined with poverty, weight heavily on women who marry early and bear children young, and who work excessively long hours in the home and outside, with unequal access to health and nutrition, educational and other opportunities, as well as insufficient legal protection and social and political participation. 11. The goals for children are promoted necessarily within the broader framework of national development planning. The key social development objectives of the 8th Five Year Plan (1992-97), are population control, employment generation and basic human needs particularly health care, literacy including elementary education and drinking water which is closely linked to sanitation. 12. Most of the recommendations of the World Summit for Children contained in the Plan of Action for Survival, Protection and Development of Children were found relevant however, wherever these appeared to be too ambitious or beyond the resources likely to be available for these sectors, have been modified. I. HEALTH A.
CHILD HEALTH I.A.1.1 Objectives:
I.A.1.2 Strategies: The basic instruments for achieving the stated objectives are: I.A.1.2.1 Objective Eradication of poliomyelitis by the year 2000 A.D. Activities: (a) Strengthening of the existing primary
health care infrastructure, For
young children: For
mothers: I.A.1.2.2 Objective Elimination of neonatal tetanus by 1995 Activities The thrust would be control of vaccine preventable diseases and documentation of zero levels of neonatal tetanus in a phased manner. The elimination of neonatal tetanus implies immunization combined with better birth practices, with safe motherhood. I.A.1.2.3 Objective Reduction by 95 per cent in measles deaths and reduction by 90 per cent of measles cases compared to pre-immunization levels by 1995. Activities (a) Specific measures will be taken to consolidate and maintain levels of immunization coverage, and to step up immunization where coverage is low. (b) The immunization services will be reprogrammed towards polio eradication,elimination of neo-natal tetanus and decrease in cases as well as deaths due to measles. (c) Appropriate measures will be taken towards the provision of essential items in adequate quantities such as vaccines, syringes and needles and immunization cards so that coverage level and quality of services do not drop. (d) Field supervision would be improved. I.A.1.2.4 Objective To achieve and maintain immunization coverage at a level of 100 per cent of infants. Activities (a) "UIP Plus" package consisting of immunization, control of diarrhoeal diseases, pneumonia diagnosis and therapy, Vitamin A and Newborn care will be implemented. (b) Initiatives will be taken to ensure that essential supplies and drugs are made available regularly and on time at health units. (c) Steps will be taken to create demand for the package of services for children. (d) Inter-sectoral programmes such as Integrated Child Development Services(ICDS), Urban Basic Services(UBS) and Development of Women and Children in Rural Areas(DWCRA) will be activated for reaching young children and women with set of complementary interventions for improved mother and child survival and health. (e) Emphasis will be given to decentralized planning and implementation using the district as a Unit. (f) A holistic approach aimed at better health of women and children through affordable means, by adopting high risk criteria will be the strategy. I.A.1.2.5 Objective Fifty per cent reduction in deaths due to diarrohea in children under the age of 5 years and 25 per cent reduction in the diarrhoea incidence rate. Activities (a) The training communication, supply and logistic support for village level care for diarrhoeal diseases will be made operational universally in districts in a phased manner. (b) Case management will be improved at hospital referral centres, more specially, district hospitals and primary health centres. (c) Diarrhoea Training Units at Medical College Hospitals will be set up. (d) Intensive efforts will be made to network with non-governmental organisations and educate the people. (e) Several village level outlets will be used for provision of ORS and a communication campaign will be launched to create a demand for ORS. (f) Special emphasis will be given to home management of diarrhoea-mothers and families will be trained by both interpersonal as well as mass media to adopt appropriate practices for correct case management at home and timely referral. (g) The wide-spread infrastructure of
other programmes like rural development, urban development and ICDS, will be used to
extend the outreach for education of mothers on appropriate home care. I.A.1.2.6 Objective To endeavour to reduce mortality rates due to ARI among children under-5 by 40 per cent by 2000 A.D. from the present level. Activities (a) The rational use of antibiotics for
treatment would be ensured in a phased manner in all the districts. B. MATERNAL HEALTH I.B.1 Major Goal Between 1990 & the year 2000, reduction of maternal mortality rate by half. I.B.1.1 Objectives for Womens Health and Education (i) Special attention to health and nutrition of the female child and to pregnant and lactating women, (ii) Access by all couples to information and services to prevent pregnancies that are too early, too closely spaced, too late or too many, (iii) Access by all pregnant women to prenatal care, trained attendants during child birth and referral facilities for high risk pregnancies and obstetric emergencies, (iv) Universal access to primary education with special emphasis for girls and accelerated literacy programmes for women. Strategies for objectives (i) to (iii) (i) A minimum of three ante-natal check-ups during pregnancy will be arranged to detect high risk groups and for complete immunization. (ii) Pregnant women will be immunized against tetanus. (iii) There will be anaemia control activities during pregnancy. (iv) Spacing and timing of births will be promoted. (v) Specific measures, necessary for consolidation and maintenance of high levels of immunization coverage and stepping up the coverage wherever they are identified to be low, will be taken up. (vi) Health care units will be strengthened as first level referral to deal with obstetric emergencies. (vii) Traditional birth attendants would be trained/retrained to ensure that deliveries are conducted by TBAs. (viii) Measures will be taken for skill development of medical and paramedical workers for institutionalising the referral systems for management of obstetric complications. (ix) The work routines of the key worker i.e. the Auxiliary Nurse and Midwife (ANM) would be rationalised by re-defining her tasks so as to include only those activities that will result in preventing deaths. (x) There would be increasing involvement of Voluntary Workers at village level, so that the ANM is able to concentrate on delivery of services, such as immunization, Vitamin A Prophylaxis, iron and Folic Acid and on the management of cases of diarrhoea, anaemia, pneumonia and pregnancy. (xi) District will be the Unit for planning and management of services. District plans would be developed based on the infrastructure and facilities for providing services. It will be the unit for supply, social mobilization and monitoring. (xii) Steps will be taken to create demand for the package of services for mothers and children. (xiii) Girls between the age of 13 and 20 shall be reached through an exposure programme which covers the basic of safe motherhood and timing of births. (xiv) Tetanus toxide will be promoted during the pre-pregnancy period for adolescents and this event will be used to identify anaemia among adolescents and to appraise their health status. (xv) Activities to promote health growth of adolescent girls will be implemented, such as supplementary iron.
I.B.1.2 Objective Universal access to primary Education with special emphasis for girls and accelerated literacy programme for women. Activities (a) Provision of additional infrastructure will be made. (b) Efforts will be made to enhance the self image and self-confidence of women and to enable them to recognise their contribution to the economy as producers and workers. (c) Provide women with the necessary support structures and an informal learning environment to create time for education. (d) To create an environment which young girls and adolescent girls working in their homes in agriculture and elsewhere get an opportunity for formal education. (e) Provision of primary education facilities in unserved or undeserved areas as alternative models for education such as use of village women, low cost hostel facilities, widening primary education opportunities for girls, increasing the number of women teachers, providing residential accommodation for women teachers. (f) Create Child Care Service to release girls from sibling care responsibilities for participating in educational activities. (g) Improve access to drinking water and sanitation facilities within the community as a whole so as to lessen the burden of household chores among girls and women. (h) Create non-formal educational facilities as an alternative to formal schools. (i) Community mobilization and involvement efforts. (j) Provision of suitable incentives and facilties for girls.
NUTRITION II.1 Major Goal Between 1990 and the year 2000 A.D. reduction in severe and moderate malnutrition among under-5 children by half. Objectives (i) Reduction in severe as well as moderate malnutrition among under-5 children by half of 1990 levels. (ii) Reduction in incidence of low birth weight (2.5kg. or less) babies, (iii) Reduction of iron deficiency anaemia in women, (iv) Control of iodine deficiency disorders, (v) Control of Vitamin A deficiency and its consequences including blindness,
II.1.2.1 Objective Reduction in severe, as well as moderate malnutrition among under-5 children by half of 1990 levels. Activities (a) Expansion of nutritional intervention net through ICDS so as to cover all vulnerable children in the age group of 0-6 years. (b) A concerted effort to bring about appropriate behavioural changes among the mothers through existing programmes such as the Integrated Child Development Services(ICDS), safe motherhood, Urban Basic Services(UBS), Development of Women and Children in Rural Areas(DWCRA) and programmes of Food and Nutrition Board. (c) Improvement in growth monitoring between the age group 0-3 years with closer involvement of mothers to be taken. ( (e) Involving the community in the identification of problems and management of nutrition programmes and related interventions such as health education, involvement of women in food production and processing activities and other employment generation activities. (f) Emphasis on womens employment and education particularly nutrition and health education. (g) Convergence of services by strengthening linkages between the concerned sectors like agriculture, food, health, women and child development, education, rural development, urban development, etc. (h) Creation of conducive environment by providing safe drinking water, clean environment, immunization service, health care etc. II.1.2.2 Reduction in incidence of low birth weight (2.5 kg or less) babies. (a) Nutritional communication will be developed to create greater awareness of nutritional problems and their solutions amongst the general public. (b) Nutrition education, will be closely linked to activities like immunization, oral Rehydration Therapy, promotion of breastfeeding, birth spacing and female education. (c) Appropriate low cost nutrition foods for Supplementary Feeding Programme at ICDS Project areas will be developed. (d) Correct dietary habits for improving nutritional levels through behavioural change will be promoted. (e) Ante-natal and post-natal care to women for preventing low birth weight babies will be provided. (f) Ensuring better nutritional coverage of expectant mothers right from the 1st trimester of the major period of lactation. II.1.2.3 Reduction of iron deficiency(Anaemia) in women (a) Consumption of iron-rich foods will be improved and promoted through Integrated Child Development Services(ICDS), Maternal and Child Health(MCH), Urban Basic Services(UBS) & Development of Women and Children in Rural Areas(DWCRA) Programmes. (b) "UIP Plus" package will include control of iron deficiency anaemia through ensuring iron supplements to pregnant women. (c) All pregnant women and 50 percent of young anaemic children will be covered with iron and folic acid. (d) Improved quality, packaging and distribution of iron and folic acid tablets will be ensured. II.1.2.4 Control of iodine deficiency disorder (a) A comprehensive strategy for control of IDD will be developed. The distribution and consumption of iodized salt will be promoted through various channels. (b) Research and development studies will be sponsored to assess the feasibility of double fortification of salt with iron and iodine. (c) The strategy for communication and training as well as management information system for MCH services and ICDS will include component of control of iodine deficiency disorders. (d) Linkages with contacts points such as the immunization programme and ICDS will be developed to ensure maximum coverage of control of iodine deficiency. II.1.2.5 Control of Vitamin A deficiency and its consequences including blindness (a) National Prophylaxis programmes for control of Vitamin-A deficiency will be effectively implemented. (b) Enphasis will be placed on efforts to improve diets rich in Vitamin-A. (c) Capacity to produce more Vitamin-A concentrates will be expanded further with a view to effectively implement national policy on Vitamin-A programmes. (d) Administration of Vitamin-A to all children between nine months to three years, as well as treatment doses to infants and young children following each attack of diarrhoea, measles and acute respiratory infection will be ensured. (e) Utilization of existing nutrition, health services will be further improved. (f) Breast-feeding and better infant feeding practices will be promoted. II.1.2.6 Empowerment of all women to breastfeed their children exclusively for four to six months and to continue breastfeeding with complementary food, well into the second year Activities (a) Awareness amongst functionaries of various programmes such as Integrated Child Development Services(ICDS), Urban Basic Services(UBS), Development of women and Children in Rural Areas(DWCRA) workers, health workers, doctors, families and mothers will be created for promotion of breastfeeding. (b) Health workers will be trained to promote appropriate lactation management and breastfeeding. (c) The communication strategy for child survival and health will include breastfeeding as an integral component. II.1.2.7 Growth promotion and its regular monitoring to be institutionalised by the end of the 1990s. Activities (a) Growth promotion and its regular monitoring will be an integral component of health and nutrition programme. Involvement of women in growth monitoring would be encouraged. (b) Gross root level workers of Integrated Child Development Services(ICDS), Urban Basic Services(UBS) & Maternal and Child Health(MCH) will be trained in growth monitoring. II.1.2.8 Dissemination of knowledge and supporting services to increase food production to ensure household food security. Activities (a) Ensured nutritional adequacy by increasing the production and increasing availability of nutritionally rich food. (b) Utilisation of the available food resources through the application of effective food technology. (c) Food availability to all-specially weaker sections to ensure household food security. (d) Strengthening of Public Distribution System and Incorporation of nutritional consideration in Public Distribution System and in all poverty alleviation programmes. III. WATER AND SANITATION III.1 Major Goal Universal access to safe drinking water and improved access to sanitary means of excreta disposal. III.1.1 The norms for providing drinking water in rural areas and those pertaining to sanitation are as follows:- WATER i) To arrange potable water source within a distance of one Km. horizontal and 50 meters elevation difference. ii) One spot source or standpost for 100/150 presons. SANITATION:- A package linked with the demand and need and with a differential beneficiary contribution. III.1.2 Objectives
Activities WATER
SANITATION
IV. EDUCATION IV.1. Major Goal Universal enrolment, retention, minimum level of learning, reduction of disparities and universalization of effective access of schooling. IV.1.1 Objectives
Objectives
iii) Achievement of minimum level of learning by approximately all children at the primary level and introduction of this concept at the upper primary stage on a large scale. Activities
Objective For Reduction in Disparities:-by Emphasis on girls education, - and Special measures for children belonging to Scheduled Castes/Scheduled Tribes(SC/ST). Activities
iii) A similar incentive as appropriate, will be provided in the non-formal system, also, in addition to provision of free text books and stationery to all NFE learners. Objective For Early Childhood Education:- Expansion of early childhood development activities including appropriate low-cost family and community based interventions. Activities
IV.2. Major Goal Achievement of adult literacy rate of 80 percent (which is of mastery level) in the age group 15-35, with emphasis on female literacy. Objective Imparting of functional literacy so as to enable the learners to achieve self-reliance in literacy and nueracy, to make them aware of the causes of their deprivation and move towards amelioration of their condition through organisation and participation in the process of development, acquire skills to improve their economic status and general well-being and imbibe in themselves the values of national integration, conservation of the environment, womens equality, observance of small family norms, etc. Activities (i) Continuous environment building conductive to literacy through jathas, rallies, media and communication, traditional fold art forms etc. and securing a national consensus among all sections of the society including political parties, representatives of the people, etc. (ii) Organising mass campaigns for total literacy which are area-specific, time-bound, volunteer-based, cost-effective and result-oriented in 345 districts of the country up to 1997. (iii) Involving a large number of voluntary agencies in programmes relating to eradication of illiteracy in a campaign mode. (iv) Increasing involvement of students in schools and colleges, non-student unemployed youth, youth clubs, teachers and representatives of other non-governmental organisations, etc. in literacy activities. (v) Use of the new teaching/learning pedagogy evolved under the technique of Improved Pace and Content of Learning(IPCL) providing for reduced duration of learning, heightened motivation of learners and an in-built mechanism for self evaluation by the learners. (vi) Strengthening of the academic and technical resource support to the programme by establishment of additional State Resource Centres, Regional Resource Centres, District Resource Units, etc. (vii) Making adequate arrangements for training of all field functionaries and timely supply of teaching/learning material. (viii) Developing, designing and patenting various techno-pedagogic imputs for improving the pace and quality of the programme by pursuing the findings of the scientific and technological research. (ix) Imparting literacy to the learners in their spoken language and supply of district-specific and culture-specific teaching-learning material to heighten and sustain the motivation of the learners. (x) Increasing emphasis on coverage of women learners by setting up of large number of adult education centres exclusively for women, involvement of women volunteers in substantial numbers, giving preference to women in the matter of appointment of Preraks of Jana Shikshan Nilayams and providing teaching-learning material relevant to the needs of women. (xi) Launching of post-literacy campaigns immediately after the conclusion of the total literacy campaigns so as to prevent the risk of the neo-literates relapsing into illiteracy. (xii) Establishment of Jana Shikshan Nilayams for providing facilities of post literacy and continuing education in areas which are covered by the programmes other than total literacy campaigns (xiii) Establishing linkages with other developmental programmes like health & family welfare, conservation of environment, agriculture, rural development, etc. (xiv) Evolving suitable mechanisms for continuous monitoring and evaluation of the programme at various levels. (xv) Continuous research on Adult Education Programmes of all descriptions to make the programmes more meaningful and effective. 22. CHILDREN IN ESPECIALLY DIFFICULT CIRCUMSTANCES V.1. Major Goal Improved protection of children in especially difficult circumstances. Objective Provision of protection of children in especially difficult circumstances and tackle the root cause leading to such situations. This would include children in following categories; physically handicapped; mentally handicapped; drug addicts, victims of natural and man-made disasters, refugee children, street children, slum & migrant children, orphans & destitutes; children suffering from AIDS, children of parents with AIDS & AIDS orphans, children of prostitutes & child prostitutes & juvenile delinquents and child labour. Activities (a) Efforts will be made to build linkages between existing Child Care Institutions and communities and society at large for greater community participation for children in especially difficult circumstances. (b) The staff of Institutions and implementing bodies will receive pre and in-service training. (c) Interventions for street children and other children in difficult circumstances will be made with active support of the Municipal Bodies, Health Department, Education Department etc. through relevant programmes in the social service sector. (d) To strengthen prevention of Child Labour, emphasis will be on compulsory education for all children and on strengthening anti-poverty and development programmes and focussing them on at risk families. (e) Voluntary Organisations will be assisted to undertake projects for welfare and development of children in especially difficult circumstances. (f) National Child Labour Policy 1987 will be taken up more vigorously for implementation. V.2. Goal To assist children affected by one or more disabilities, having no access to proper rehabilitative services and especially to lift up the status of those most marginalised. Strategy To set in motion advocacy and services for disabled children in two main phases: (i) to help people understand that disabilities are a commonly occuring phenomenon with specific causes and that their own endeavour can help reduce both the incidence of disability and its severity; and (ii) to ensure that people recognise that rehabilitation is possible and to help inform them about how to receive those services. Activities There will be four main priority areas for work in child disability fields:-
ii) To create a cadre of very well trained workers ranging in expertise from early detection and rehabilitation at the community level, to those who have the most up-to-date skills; to make sure that the best quality care is made available at the most appropriate level for disabled people. iii) Communication efforts needed at all levels will be made to alert people to the fact the disabilities need not become handicaps, that they can be prevented, that when they occur they need not unnecessarily prevent an individual from being a full member of the community. Good communication campaigns which can also deeply change peoples attitude towards disablement and towards people who are affected by a disability or handicap will be launched. Communications campaigns and strategies that can ensure that all of those who can affect and improved the quality of services available to the disabled people see this as an appropriate priority and take suitable action. iv) To support and encourage the various institutions, both government and non-governmental which are putting new ideas into practice in the field of disability. Support would be given to these institutions to help them implement them and to measure the impact and effect of these strategies. V.3 Amongst children who are neglected, abandoned or rendered destitute a large number of children are handicapped and special provisions need to be made for such children. The aims and objectives for the handicapped children would, therefore, be: (i) to provide residential facilities to children suffering from severe/profound mental retardation or cerebral palsy; (ii) to provide facilities for care and protection, maintenance, treatment and rehabilitation for such children; (iii) to provide pre-vocational training in accordance with the needs and capabilities of the children; and (iv) to workout development based approaches, strategies, programmes and services for these children. VI. GIRL CHILD VI.1 Objective To remove the gender bias and to improve the status of the girl child in society so as to provide her with equal opportunities for her survival and development to her full protential. Activities Keeping in view the prevailing gender bias and disadvantaged status of the female child, special programmes and interventions directed at the girl child are required to ensure her an equal status and a better quality of life. These should take into account her peculiar social, cultural and economic mileau which would require special-strategies and interventions. The Action Plan for the SAARC Decade of the Girl Child includes programmes of both advocacy and action in the developmental areas of health, education, welfare etc. A special focus will be on child survival. The Action Plan is proposed to be implemented in close collaboration with the concerned Central Ministries, State Governments and Non-governmental Organisations. VII. ADOLESCENT GIRLS VII.1. Objective Programme for the adolescent girls should embrace a whole range of activities, such as nutrition, health, education, health and nutrition education, recreation, upgradation of home-based skills and promotion of her decision making capability as adolescent girls who are one of the most critical human resource, particularly at the village level with the following objectives:-
VIII. CHILDREN AND THE ENVIRONMENT VIII.1 Objective To conserve and protect environment so that it is conducive to the health and well being of the children. Activities Awareness should be created among children regarding importance of protection of the environment and they should be encouraged to participate in activities aimed at protection of environment. IX. WOMEN Development of women is intertwined with that of Children and constitutes a vital component of a countrys human resource development. Therefore, these two target groups deserve special treatment in addition to their legitimate share from all other general developmental programmes. The major objective of all the developmental programmes, both women- specific and women-related has, therefore, been to ensure a state of well- being and children particularly those of the weaker sections of society. In this direction, a special emphasis will be on developing Womens potential and main-streaming them into the national development process through enhanced access to skill development and income generation opportunities which are expected to provide not only the desired economic independence but also to help improve their quality of life as well as that of their families and children. The ongoing 27-beneficiary oriented schemes for women in the major developmental areas of health, education, family welfare, employment, rural and urban development, science and technology, etc. will be further strengthened by adding additionalities like safe motherhood, child survival, employment and income generation, etc. X. ADVOCACY & PEOPLES PARTICIPATION Advocacy for the child as everyones concern and advocacy with policy makers, planners, programme implementors at national and international levels for focus on the child will be integral to the achievement of the goals. In order to implement the plan of children, voluntary organisations, local bodies, religious institutions and political parties would be mobilised for achieving the above mentioned goals. All channels of communication, formal and informal including mass media would be utilised for wider dissemination of the urgent need for achieving goals concerning children. XI. RESOURCES Efforts would be made to mobilise adequate financial resources for implementation of the National Plan of Action on Children. XII. MONITORING AND EVALUATION To monitor the quality of service and the attainment of goals, the country will select appropriate indicators for each of the state goals, to be monitored by the relevant sectors at regular intervals. For this the following activities will be pursued:- (i) Development and monitoring of critical indicators for measuring progress towards the goals; (ii) For participatory monitoring of programme coverage & results at the community level; and
I. HEALTH A. Child Health I.A.1 Major
Goal: I.A.1.1 Objectives: (i) Eradication of poliomyelities by the year 2000; (ii) Elemination of neonatal tetanus by 1995; (iii) Reduction by 95 percent in measles deaths and reduction by 90 percent of measles cases compared to pre-immunization levels by 1995; (iv) Achievement and maintenance of high level of immunization coverage at a level of 100 percent of infants and against tetanus for women of child bearing age; (v) Reduction by 50 percent in deaths due to diarrhoea in children under the age of 5 years and 25 percent of diarrhoea in incidence rate; (vi) To endeavour to reduce mortality rates due to ARI among children under 5 by 40 percent by 2000 A.D. from the present level. 2. MATERNAL HEALTH I.B.1 Major Goal Between 1990 and the year 2000, reduction of maternal mortality rate by half. I.B.1.1 Objectives for Womens Health and Education. (i) Special attention to the health and nutrition of the female child and to pregnant and lactating women, (ii) Access by all couples to information and services to prevent pregnancies that are too early too closely spaced, too late or too many, (iii) Access by all pregnant women to prenatal care, trained attendants during child birth and referral facilities for high risk pregnancies and obstetric emergencies, (iv) Universal access to primary education with special emphasis for girls and accelerated literacy programmes for women. II. NUTRITION II.1. Major Goal Between 1990 and the year 2000 A.D. reduction in severe and moderate malnutition among under-5 children by half. Objectives (i) Reduction in severe as well as moderate malnutrition among under-5 children by half of 1990 levels; (ii) Reduction in incidence of low birth weight (2.5 kg. or less) babies; (iii) Reduction of iron deficiency anaemia in women; (iv) Control of iodine deficiency disorders; (v) Control of Vitamin A deficiency and its consequences, including blindness; (vi) Empowerment of all women to breastfeed their children exclusively for four to six months and to continue breast-feeding with complementary food, well into the second year; (vii) Growth promotion and its regular monitoring to be institutionalised by the end of the 1990s; (viii) Dissemination of knowledge and supporting services to increase food production to ensure household food security. III. WATER AND SANITATION III.1 Major Goal Universal access to safe drinking water and improved access to sanitary means of excreta disposal. III.1.1. The norms for providing drinking water in rural areas and those pertaining to sanitation are as follows:- Water (i) To arrange potable water source within a distance of one Km. horizontal and 50 metres elevation difference. (ii) One spot source or standpost for 100/150 persons. Sanitation A package linked with the demand and need and with a differential beneficiary contribution. III.1.2. Objectives (i) To provide the entire rural population with potable water supplies @ 40 lpcd. (ii) To cover 10 percent population with sanitary facilities by the year 1997. (iii) To eradicate guineaworm disease by 1995. (iv) To provide safe water with fluoride content within tolerable limits by the year 2000 A.D. IV. EDUCATION IV.1. Major Goal Universal enrolment, retention, minimum level of learning, reduction of disparities and universalisation of effective access of schooling. IV.1.1. Objectives (i) Universal enrolment of all children including girls, using both full time formal schools & part time non-formal arrangements. (ii) Reduction of drop-out rate between class I to V and I to VIII from the existing 45 percent and 60 per cent to 20 per cent and 40 per cent respectively. (iii) Achievement of minimum level of learning by approximately all children at the primary level and introduction of this concept at the upper primary state on large scale. (iv) Reduction in disparities by emphasis on girls education and special measures for children belonging to SC/ST. (v) Expansion of Early Childhood Development activities including appropriate low cost family and community based interventions. (vi) Universalisation of effective access to schooling. IV.2. Major Goal Achievement of adult literacy rate of 80 per cent (which is of mastery level) in the age-group 15-35, with emphasis on female literacy. Objective Imparting of functional literacy so as to enable the learners to achieve self-reliance in literacy and numeracy, to make them aware of the causes of their deprivation and move towards amelioration of their condition through organisation and participation in the process of development, acquire skills to improve their economic status and general well-being and imbibe in themselves the values of national integration, conservation of the environment, womens equality, observance of small family norms, etc. 22. CHILDREN IN ESPECIALLY DIFFICULT CIRCUMSTANCES V.1. Major Goal Improved protection of children in especially difficult circumstances. Objective Provision of protection of children in especially difficult circumstances and tackle and root cause leading to such situations. This would include children in following categories; physically handicapped; mentally handicapped; drug addicts, victims of natural and man-made disasters, refugee children, street children, slum & migrant children, orphans & destitutes; children suffering from AIDS, children of partents with AIDS & AIDS orphans, children of prostitutes & child prostitutes & juvenile delinquents, and child labour. V.2. Goal To assist children affected by one or more disabilities, having no access to proper rehabilitative services and especially to lift up the status of those most marginalised. VI. GIRL CHILD VI.1. Objective To remove the gender bias and to improve the status of the girl child in society so as to provide her with equal opportunities for her survival and development to her full potential.
VII. ADOLESCENT GIRLS VII.1. Objective Programme for the adolescent girls should embrace a whole range of activities, such as nutrition, health, education, health and nutrition education, recreation, upgradation of home-based skills and promotion of her decision making capability as adolescent girls who are one of the most critical human resource, particularly at the village level as a part of the ICDS programme with the following objectives:
VIII. CHILDREN AND THE ENVIRONMENT VIII.1. Objective To conserve and protect environment so that it is conducive to the health and well being of the children. IX. WOMEN Existing programmes for women to raise their status in society with special emphasis on creation of employment opportunities for them would be strengthened keeping in view the direct impact of such programmes on the welfare of children. 24. ADVOCACY & PEOPLES PARTICIPATION Advocacy for the child as
everyones concern and advocacy with policy makers, planners, programme implementors
at national and international levels for focus on the child will be integral to the
achievement of the goals.
Extracts: National Policy for Children
vi) Physical education, games, sports and other types of recreational as well as cultural and scientific activities shall be promoted in schools, community centres and such other institutions. vii) To ensure the equality of opportunity, special assistance shall be provided to all children belonging to the weaker sections of the society, such as children belonging to the Scheduled Castes and Scheduled Tribes and those belonging to the economically weaker sections, both in urban and rural areas. viii) Children who are socially handicapped, who have become delinquent or have been forced to take to begging or are otherwise in distress, shall be provided facilities of education, training and rehabilitation and will be helped to become useful citizens. ix) Children shall be protected against neglect, cruelty and exploitation.
24) No child under 14 years shall be permitted to be engaged in any hazardous occupation or be made to undertake heavy work.
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