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India - Integrated Child Development Services Project (Inglês)

The outcome of the Integrated Child Development Services Project for India was unsatisfactory. The project only partially achieved its objectives, its impact on institutional development was partially successful, sustainability is likely, and the performance of both the Bank and Borrower was marginally satisfactory. Several lessons can be learned from this project. First, high quality and timely training of project functionaries is a sine qua non for high quality service delivery. Second, there is a need for an increased emphasis on the health and care-related factors determining nutrition outcomes in the youngest children. Third, operational research needs to focus on a reduced number of high quality, carefully conducted, and punctually reported studies to be carried out within the first two to three years of the project, so that findings can be used to improve the project. Fourth, more importance needs to be attached to monitoring, with respect to quality in general, and the need to more visibly track progress towards the impact objectives in particular. Finally, the project demonstrated clearly that the rapid expansion of ICDS into new blocks usually comes at the expense of service quality.


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    Conclusão da Implementação e Relatórios sobre Resultados

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    India - Integrated Child Development Services Project

  • Palavras-chave

    Health, Population & Nutrition;health status of children;monitoring and evaluation data;iron and folic acid;nutritional status of child;Reproductive and Child Health;quality of service delivery;operational research;infant mortality rate;health care system;lack of interest;impact on child;sections of society;severely malnourished children;assessment of outcome;health service coverage;maternal and child;child nutritional status;health and nutrition;cooperation and assistance;responsibilities for quality;delay in procurement;active community involvement;early childhood stimulation;mother and child;high quality training;vitamin a supplementation;involvement of communities;proportion of woman;malaria control intervention;malaria control program;tb control;tetanus toxoid immunization;service delivery performance;service delivery improvement;panchayati raj institution;community mobilization;family welfare;supplementary feeding;food supplementation;



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