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India's integrated child development services scheme: challenges for scaling up.

N Rao1, V Kaul2

  • 1Faculty of Education, The University of Hong Kong, Pokfulam, Hong Kong.

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India's Integrated Child Development Services Scheme improved child development but faces challenges in scaling quality and access. Addressing weaknesses in service delivery and infrastructure is crucial for future success.

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Area of Science:

  • Public Health
  • Child Development Studies
  • Social Policy

Background:

  • India's Integrated Child Development Services Scheme is a large-scale program serving over 100 million beneficiaries, including young children, pregnant women, and lactating mothers.
  • In 2015, the scheme provided services to approximately 82 million children under six and over 19 million mothers through 1.3 million centers.

Observation:

  • The Integrated Child Development Services Scheme has demonstrated positive associations with reduced malnutrition and enhanced child development outcomes.
  • Scaling up the program's quality and equitable access faces significant hurdles.

Findings:

  • Challenges to scaling access include the country's size and diversity, policy environment, funding mechanisms, and insufficient community engagement.
  • Barriers to implementation quality involve the service delivery approach, limited institutional capacity, and inadequate infrastructure.

Implications:

  • Effective scaling of this integrated early childhood program requires addressing systemic weaknesses.
  • Future success hinges on adherence to quality standards and program evolution to overcome identified challenges.