PLANNING FOR MATERNAL 
                                                    NUTRITION
                                            IN ANNUAL PIP 
                        Budget Heads, Denominators, Unit costs and Norms
                                                     AMB Technical Support Team
                                                 Institute of Economic Growth, Delhi
       Anemia Mukt Bharat Dashboard: https://anemiamuktbharat.info
     LEARNING OBJECTIVES 
     1. To orient participants about planning process and annual budgets under National Health 
       Mission
     2. To identify Maternal Nutrition (MN) components in NHM Annual Budget 
     3. To equip the participants with required information and tools for planning of MN budget 
       (FMR codes, unit costs, pointers for next year PIP (2022-2024)
     4. To know Dos and don'ts  for planning, disbursement and timely expenditure
     5. Hand on experience of preparing a sample MN budget
         WHAT ARE COMPONENTS OF MATERNAL 
         NUTRITION IN ANTENATAL CARE?
                                                     Micronutrient                 Management /Referral of 
            Nutrition Assessment                   Supplementation                    High Risk Pregnant 
                                                                                            Women
         • Weight                            • Folic Acid                        • Short
         • Height                            • IFA tablets                       • Young
         •                                   •                                   • Obesity
           BMI                                 Calcium tablets                   • Under-weight
         • Mid Arm Circumference 
                                                                                 • Anemia
           (MUAC)                                                                • Hypertension
         • Blood Pressure (BP)                Condition Specific                 • Hyperthyroidism
         • Gestational Weight Gain            Counseling                         • Hypothyroidism
         • Hemoglobin                                                            • HIV 
         • Urine Test for Albumin &                                              • UTI/STI
           Sugar                              Prevention of Malaria (ITN         • Malaria
         • Oral Glucose Tolerance Test        bed nets) & Soil                   • Tuberculosis
         •                                    Transmitted Diseases               • Diabetes
           Clinical Signs: Pallor, Visible                                       • Fluorosis
           Goiter, Fluorosis, Pedal           (Deworming through                 •
           Edema                              Albendazole Tablets)                Goiter
                                                                                 • Heartburn/Nausea/Vomiting
                                                                                 • Constipation
        ACTIVITIES FOR BUDGETING MN ACTIVITIES 
        IN NHM BUDGET FORMAT (2022-24)
          Pool     FMR Code   Programme/    S.No.              Scheme/ Activity
                                 Theme
                                              1  Village Health & Nutrition Day (VHND)
                                              2  Pregnancy Registration and Ante-Natal Checkups
                                              4  Janani Shishu Suraksha Karyakram (JSSK) (excluding 
                     RCH.1    Maternal Health    transport)
        RCH Flexible                          6  Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)
       Pool (including                       17  Other MH Components
         RI, IPPI,                           18  State specific Initiatives and Innovations
         NIDDCP)
                                             52  Anaemia Mukt Bharat
                                             59  Eat Right Campaign
                     RCH.7      Nutrition
                                             60  Other Nutrition Components
                                             61  State specific Initiatives and Innovations
         LETS SEE WHICH MN SUB ACTIVITIES MAY BE 
         PLANNED UNDER EACH ACTIVITY
            SN     Budget Activities                                   Sub activity
             1     Village health and      •  VHND and outreach camps 
                   Nutrition Day           •  Procurement of nutrition assessment devices such as weighing 
                                              scales, stadiometers and MUAC tapes
             2     Pregnancy and           •  Antenatal care screening of Pw for blood related disorders 
                   registration and        •  Line listing of severely anaemic PW and Follow up 
                   Antenatal checkups      •  Blood transfusion for JSSK beneficiaries 
             3     Janani Shishu           •  Folic Acid Tablets for pregnant Women 
                   Suraksha Karyakram  • Calcium Tablets 
                   (JSSK) (excluding       •  Albendazole tablets for Pregnant women 
                   transport)              •  Procurement of Iron Sucrose And FCM
                                           •  JSSK diet