NATIONAL COMMISSION FOR PROTECTION OF CHILD RIGHTS,

NEW DELHI

SUMMER INTERNSHIP REPORT

UNDER THE SUPERVISION AND GUIDANCE OF

MS. SHAISTA K SHAH
Senior Technical Expert- Child Health

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 INTERNSHIP REPORT

I hereby state and verify by my signature that I have reviewed this

internship report. I hereby affirm that the report contains actual

projects or assignments that I (or the organisation I work for)

assigned for this intern.

Signature:

Supervisor: Ms. Shaista K Shah

Email: shaista.ncpcr@nic.in

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DETAILS OF THE INTERN:

NAME: ANTRA AZAD

COLLEGE: CHANAKYA NATIONAL LAW UNIVERSITY, PATNA

YEAR: FIRST, 2ND SEMESTER

EMAIL: antraazad@gmail.com

Contact No: 7070284720

Internship Period: 20.05.19 to 18.06.19

Address- HOUSE NO. 30 NORTH S.K. PURI KITAB BHAWAN LANE

BORING ROAD PATNA. PIN CODE : 800013

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 PREFACE

In the following report, I have presented the work done during my summer internship at
National Commission for Protection of Child Rights, New Delhi, under the supervision of
Ms. Shaista. In this report, i have presented the tasks completed during the period of
internship with commission. I would also like to thank the members, chairperson of NCPCR
for providing me the opportunity to attend this internship programme and inculcate the
responsibilities expected in this working environment.

I am also very thankful to MS. SUKANYA AND MS. ZOHRA upon her continuous
guidance throughout the internship training and provide and provide me the opportunity to
learn and understand the functioning of Child Health under NCPCR and the nature of work
that are received and done by the commission. I am also very thankful to other staff for their
cooperation during my internship. I sincerely hope and believe that this internship will
become mutually beneficial for me. It will become an exceptional part of my professional
curriculum and will work as a catalyst for my future career advancement.

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 TABLE OF CONTENT

 ACTION TAKEN REPORT ANANLYSIS

 MAKING BRIEF PROJECT ON TOPIC “NATIONAL FOOD
SECURITY ACT”
 MAKING BRIEF PROJECT ON “SCHEMES FOR NEW BORN IN
NORTH EAST REGION AND MORTALITY RATE”
 MAKING BRIEF PROJECT ON “HEALTH SCHEMES IN
DIFFERENT STATES OF INDIA”
 MAKING CALLS TO VARIOUS AUTHORITIES REGARDING THE
PROGRESS OF VARIOUS COMPLAINT REPORTS
 FIELD VISIT (RESCUE OF CHILDERN WHO ARE INVOLVED IN
LABOUR AND BEGGING)
 CONCLUSION

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 ACTION TAKEN REPORT ANANLYSIS
Action taken report is basically detailed report of action which is taken by the
concerned authority on the orders of national commission for protection of child
rights. Firstly commission will receive complaints then they will write letter to
concerned authority to look after the matter. Then they will send their action taken
report to the commission. In ATR analysis we will prepared gist of complaint then
after we will mentioned the action taken by the commission. After this we will
analysed the action taken report and lastly we will mentioned that whether this ATR is
satisfactory or not.

List of File analysed during internship period:

 UP-107408 – This case was related to polio box which was found lying in the gutter .
 BR-76964 – This case was regarding a pregnant women who died in the hospital due
to the negligence of doctors .
 RJ-103499 – This file is related to children who started vomiting after taking bundi
and they were admitted to sadar hospital
 UP-107402
 UP-84892 – Complaint about the lack of anganwadi in the pulkohana nagar ward .
 HR-107725 – This case was regarding death of thalassemia patient due to lack of
blood banks in the hospital .
 DL-107821- This case was regarding a child named Karim who was suffering from
cancerous disease and had no aid to finance his disease .

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 MAKING BRIEF PROJECT ON TOPIC “NATIONAL FOOD
SECURITY ACT”

Nutritional support to pregnant women and lacting mothers are entitled to :

 Meal free of charge during pregnancy and 6 months after child birth
through anganwadi .
 Maternity benefit should be provide not less than rupees 6000.

Nutrition support to children , every child upto the age of 14 :

 Age group between 6 months to 6 years , age appropriate meal free of
charge through local anganwadi
 Age group between 6 years to 14 years , should be provided with free
one day meal in all schools run by local anganwadi .

The Act legally entitles up to 75% of the rural population and 50% of the urban
population to receive subsidized food grains under Targeted Public Distribution
System.
 The eldest woman of the household of age 18 years or above is mandated to
be the head of the household for the purpose of issuing of ration cards under
the Act.

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 MAKING BRIEF PROJECT ON “SCHEMES FOR NEW BORN IN
NORTH EAST REGION AND MORTALITY RATE”

Arunachal Pradesh
REPRODUCTIVE CHILD HEALTH –II (RCH)
Despite the gradual improvement in health status over many years, preventable mortality and
morbidity in Arunachal Pradesh are high. The Government of Arunachal Pradesh has
launched RCH-II1 programme in the State with goals of reducing IMR.
The challenges of poverty, backwardness coupled with inadequate infrastructure have to be
tackled in the State so as to improve delivery of health care. The programme includes
prevention, care and support, research on cost effective prevention strategies, training of
medical professionals and community key stakeholders.

The overall objective of the RCH II is:

 To establish health care services with improved access and quality to respond to the
needs of disadvantaged groups.
 To ensure that no one is denied services due to inability to pay.
 And to ensure better and equitable utilization of service

ASSAM
Its schemes are mentioned below :
RMNCH+A
Improving the maternal and child health and their survival are central to the achievement
of national health goals under the National Health Mission (NHM) 2 as well as the
Millennium Development Goals (MDG) 4 and 5. SDG Goal 3 also includes the focus on
reducing maternal, new-born and child mortality. In the past seven years, innovative
strategies evolved under the national programme to deliver evidence-based interventions
to various population groups.
A substantial increase in the availability of financial resources for Reproductive and Child
Health (RCH), healthcare infrastructure and workforce as also the expansion of
programme management capacity since the launch of NRHM in 2005 provides an
important opportunity to consolidate all our efforts. As we had crossed the 2015 year

1
https://sarkariyojana.com/arunachal-pradesh/
2
https://assam.gov.in

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 where we have to reach the MDG goals but we are far away from the goals. There is an
opportunity to further accelerate progress towards MDG and SDG goals, redefine the
national agenda to come up with a coordinated approach to maternal and child health in
the upcoming years.
In order to bring greater impact through the RCH programme, it is important to recognize
that reproductive, maternal and child health cannot be addressed in isolation as these are
closely linked to the health status of the population in various stages of life cycle. The
health of an adolescent girl impacts pregnancy while the health of a pregnant woman
impacts the health of the new born and the child. As such, interventions may be required
at various stages of life cycle, which should be mutually linked. And hence, on the basis of
available data and the close inter-linkages between different stages of life cycle RMNCH+A
strategy is introduced. It constitutes to the 'Continuum of Care' approach of defining and
implementing evidence-based packages of services for different stages of the lifecycle, at
various levels in the health system, has been adopted under the national health
programme. This strategic approach includes Reproductive, Maternal, Newbern, Child Plus
Adolescent Health (RMNCH+A). The 'Plus' in the strategic approach denotes the (1)
inclusion of adolescence as a distinct 'life stage' in the overall strategy; (2) linking of
maternal and child health to reproductive health and other components (like family
planning, adolescent health, HIV, gender and Preconception and Prenatal Diagnostic
Techniques (PC&PNDT); and (3) linking of community and facility-based care as well as
referrals between various levels of health care system to create a continuous care
pathway, and to bring an additive /synergistic effect in terms of overall outcomes and
impact.
Programmes under RMNCH+
 Family Planning

 Safe abortions/ Comprehensive abortion care services

 New born health

 Child health

 Maternal health

PPP with tea garden hospital scheme

About the Scheme:
The tea community is one of the marginalised and socially excluded groups in Assam. They
remain unserved in terms of basic health care facilities adding to high diseases burden and
mortality rate. To address the issue National Health Mission (NHM), Assam has executed a
Memorandum of Understanding (MoU) with Tea Garden Hospitals under Public Private
Partnership (PPP) with a purpose to be made available of the health care services to all the
employees of the tea gardens and its adjoining areas. The scheme was launched in the
year 2007-08 in Assam. Initially a total of 50 numbers of  tea garden hospitals were
brought under the umbrella of NHM, Assam and gradually the remaining  tea estates. At
present it is being implemented by 150 numbers of  tea garden .

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 The focused areas of the scheme are-
o To provide maternal and child health care,

o Emergency services,

o Referral services,

o Taken care of communicable and non-communicable diseases and

o Developing of existing infrastructure in the tea garden hospitals.

Inclusion of tea gardens hospitals under PPP with NHM, Assam highlights the intention of
the Govt. of Assam to offer better health care and medical facilities to the workers and
non-workers of tea gardens and its adjoining areas. Presently 150 (Year: 2015-16) no of
tea gardens are covered under PPP. NHM, Assam is aiming to cover more numbers of tea
garden hospitals in near future.

Jannani Suraksha yojana

Janani Suraksha Yojana(JSY) is a safe motherhood intervention under the National Rural
Health Mission(NRHM) being implemented with the objective of reducing maternal and
neo-natal mortality by promoting institutional delivery among the poor pregnant women.
JSY integrates cash assistance with delivery and post-delivery care. The success of the
scheme would be determined by the increase in institutional delivery among the poor
families.
The scheme provides cash assistance to mothers who have delivered in Government
Health Institutions and accredited Pvt. Hospitals.
All mothers from Rural Area irrespective of age, birth order, or income group (BPL & APL)
will get a cash assistance of Rs. 1400/- if delivered at Public Health Facility or Accredited
Private Hospital. All mothers from Rural Area irrespective of age, birth order, or income
group (BPL & APL) will get a cash assistance of Rs. 1000/- if delivered at Public Health
Facility or Accredited Private Hospital. Rs. 500/- is provided for Home Delivery only for BPL
category.

Janani Shishu Suraksha Karyakram (JSSK)

Government of India has launched Janani Shishu Suraksha Karyakaram (JSSK) on 1st June,

2011, which entitles all pregnant women delivering in public health institutions to

absolutely free and no expense delivery including Caesarean section. The initiative

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 stipulates free drugs, diagnostics, blood and diet, besides free transport from home to

institution, between facilities in case of a referral and drop back home. Similar

entitlements have been put in place for all sick new-borns accessing public health

institutions for treatment up to 1 year after birth.

1. Free Drugs and consumables under JSSK

2. Free Diagnostics

3. Free C-section

4. Free treatment and delivery

5. Free Blood Transfusion

6. Free Transportation

7. Free Diet

Free operations for children having congenital heart disease

The Health & Family Welfare Department Government of Assam has introduced a Novel
scheme whereby, the Government will bear the expenses of surgery for children born to
permanent residents of Assam who have been recommended surgery for congenital heart
disease .
The Government bear the air fare from Guwahati, of the child and one guardian to and
from the designated referral Hospital, besides providing adequate accommodation facility
in or close to the hospital for the guardian during the hospitalisation period of the child.
Eligibility:
o The Scheme come into effect from 1 st July’ 2010.
o Children between the age 0-14yrs who have been certified by the HOD
Paediatric Surgery, GMCH as requiring cardiac surgery.

o The guardian must be a permanent resident of Assam and income should

not exceed Rs. 6.00 Lakh per annum.

Procedure:
The patient must apply to the nodal officer along with the following documents:
o Application to the nodal officer for financial aid

o Permanent residential certificate of Assam

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o Address proof

o Medical certificate requiring cardiac surgery by a competent and qualified

Cardiac Surgeon

o All relevant documents related to the illness including expenditure receipts

of laboratory tests (viz. x-ray report, doctors’ advice, pathology test report etc.) shall be
presented to the Nodal Officer for consideration of the case

o Referral certificate for cardiac surgery including name of referral centre.

o Details of employment of guardian.

o Income certificate

o Letter from referral hospital mentioning the tentative date of operation

o The patient must present himself before the State Nodal Officer or, be
exempted from physical examination by him with grounds for such exemption

Comprehensive Abortion Care

Unsafe abortion is a significant yet to preventable cause of maternal mortality accounting

for approximately 8 percent of the maternal deaths. Lack of accessibility to safe abortion
services by qualified providers in hygienic condition is one of the important reasons for
this. Recognising the fact that unsafe abortion is a major concern, providing access to safe
abortion services in the public sector health facilities is one of the key focus areas under
National Health Mission.
Comprehensive Abortion Care strives to:
o Provide safe, high-quality services, including abortion, post abortion care
and family planning

o Decentralize services so they are closer to women

o Be affordable and acceptable to women

o Understand each woman's particular social circumstances and individual

needs and tailor her care accordingly

o Address the needs of young women

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o Reduce the number of unintended pregnancies and abortions

o Identify and serve women with their sexual or reproductive health needs

o Be sustainable to health systems.

Meghalaya
Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)
Pradhan Mantri Surakshit Matritva Abhiyan envisages to improve the quality and coverage
of Antenatal Care (ANC) 3, Diagnostics and Counselling services as part of the Reproductive
Maternal Neonatal Child and Adolescent Health (RMNCH+A) Strategy. After extensive
deliberations with National experts, it has been suggested that PMSMA will be held on 9th
of every month, wherein all the essential maternal health services will be provided at
identified public health facilities (as per the level of facility and guidelines mentioned in
MNH Toolkit) as well as accredited private clinics and institutions volunteering for the
Pradhan Mantri Surakshit Matritva Abhiyan. Essentially, these services will be provided by
the Medical Officer and /OBGY specialist. Facilities where such trained manpower is not
available, services from Private Practitioners (OBGY) on voluntary basis are to be arranged.
PMSMA will help in providing quality ANC& also detection, referral, treatment and follow-up
of high risk pregnancies and women having complications. During this campaign, trained
service providers and ASHA will focus their efforts to identify and reach out to pregnant
women who have not registered for ANC (left out/missed ANC) and also those who have
registered but not availed ANC services (dropout) as well as High Risk pregnant women. It
will also be ensured that not only all pregnant women complete their scheduled ANC visits
but also undertake all essential investigation. While 9th of every month will be organized as
a special day, it is reiterated that the existing, routine and planned services such as ANC,
PNC etc. will continue to be delivered at all the facilities as scheduled in their respective
micro-plans. One of the key focus areas during Pradhan Mantri Surakshit Matritva Abhiyan
(PMSMA)is to generate demand through Information Education & Communication (IEC),
Inter-personal Communication(IPC)and Behaviour Change Communication(BCC) activities.
Extensive use of audio-visual and print media in raising mass awareness will 6 be an integral
part of IEC/BCC campaign. Auxiliary Nurse Midwife (ANM), ASHA and Anganwadi Worker
(AWW) would play a pivotal role in mobilization of the community and potential
beneficiaries in both rural and urban areas for availing of services during the PMSMA.

Manipur
Centrally Sponsored Programme to extend 100% Central assistance to the state of Manipur
to provide the benefit under it in accordance with the norms, guidelines and conditions laid

3
http://meghalaya.gov.in/megportal/scheme

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down by the Central Gov. applicable to all components as well as the specific conditions
applicable to each component.

Nati onal Maternity Benefi t Scheme

The maternity benefit4 will be restricted to pregnant women for up to the first two live
births provided they are of 19 years of age and above. To proof the age of the applicant
Birth Certificate issued by Municipality/Sub-Divisional Office   or an affidavit shown
before a First Class Magistrate by the applicant or a certificate from the Head of the
Institution where the applicant studied.
The beneficiary should belong to a household below the poverty line according to the
criteria  prescribed by the Government of India.
The ceiling on the amount of the benefit for purposes of claiming Central assistance will
be Rs. 500/-.

The sanctioning authority shall have the right to stop/recover payments made for all
the three components on the basis of false or mistaken information about eligibility.

Mizoram
Integrated Child Protection Scheme
The Govt. of India, Ministry of Women & Child Development has formulated a new Centrally
Sponsored Scheme – “Integrated Child Protection Scheme” (ICPS) 5 with the objective to
provide a safe and secure environment to the children in the country who are in need of
care and protection as well as children in conflict with law. The intervention includes, inter-
alia, financial support for setting up and / or maintenance of Homes for children in need of
care and protection and those in conflict with law, setting up of child protection structure –
state child protection society, capacity building, advocacy etc.

Objectives:

a)To institutionalize essential services and strengthen structures.

b) To enhance capacities at all levels.

c) To create database and knowledge base for child protection services.

d) To strengthen child protection at family and community level.

4
https://sarkariyojana.com/manipur/
5
https://socialwelfare.mizoram.gov.in

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e) To ensure appropriate inter-sectoral response at all levels.

f) To raise public awareness.

REPRODUCTIVE & CHILD HEALTH PROGRAMMES (RCH)

Health & Family Welfare Programme started in India in 1951, with the National Family
Planning Programme. The Family Planning Programme focused mainly on terminal methods
with a view to control over population growth. As a result, it received set back owing to rigid
implementation of target-based approach. The experiences gained throughout the country
revealed that improvement of the health of women in the reproductive age group and
children (up to 5 years) is of crucial importance to reduce the problem of population
growth. This realization led to change in the approach from Family Planning to Family
Welfare. Since the 7th Plan implemented during 1984 – 89, the Family Welfare programme
have evolved on the health needs of mothers and children, as well as on providing
contraceptives and spacing services to the targeted group. The main objective of Family
Welfare programme has been to stabilize the population at level of the need of the
country’s development.

In 1997, the Government of India followed up the International recommendation on

Reproductive and Child Health (RCH) as a National Programme. RCH programme integrates
all the related programmes of the eight plan and it aims to bring all RCH services easily
available for the community. 
Accordingly, RCH Programme has been started in Mizoram since mid 1998. Various
Maternal and Child Health Schemes have been implemented. In addition to these, Mizoram
was included among the selected 24 districts of 17 states for the implementation of RCH
Sub-Project (Area Project). The Sub-Project covered the entire state of Mizoram and it was
mainly concerned with Infrastructure development of rural health care. The RCH Sub-
project had come to an end on 31st March 2004.

Since the Schemes which had been implemented during RCH I were mostly concerned with
rural health, the GoI has approved Urban Health Project for Aizawl and Lunglei towns since
January 2004. Consequently, Other District capitals are also to take up under Urban health
project for which proposals have already been submitted to Government of India. 

RCH I has technically ended on 31st March 2004. The Government of India has however

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extended one year Interim period for preparation of project implementation plan (PIP) for
RCH II. Since there have been improvements in the areas of services provided to some
extent during RCH I, the Government of India decided to continue RCH phase II so that the
targeted group may get better health at maximum level.

Nagaland
This state has no new born health care schemes rather it promotes the scheme sponsored
by centre and run the schemes called jannani suraksha yojana in the name under health
welfare scheme for new born.

Sikkim
This state has no newborn health care schemes rather it promotes the scheme sponsored by
centre and run the schemes called jannani suraksha yojana in the name under health
welfare scheme for new born.

Tripura
This state has no new born health care schemes rather it promotes the scheme sponsored
by centre and run the schemes called jannani suraksha yojana in the name under health
welfare scheme for new born. This state has various schemes for promoting education in
children and health welfare schemes for adults but none of the state scheme promotes
healthcare schemes for new born .

Mortality Rate in North Eastern States

Eight North-Eastern states of India present an intriguing trend in child mortality, care and
health outcomes as revealed in the recently published final report of the National Family
and Health Survey 4 (NFHS 4). It was conducted across the country in 2015-2016 and gives
details on a host of parameters ranging from mother and child health and mortality, access
and use of healthcare services, etc. 
Childhood Mortality
Infant mortality rate is defined as the number of children between the ages of 0 – 12
months dying per 1000 live births 6. The under five mortality rate is the number of children
between the ages of 0 – 5 years dying per 1000 live births. As per the NFHS-4 data, overall
the Northeast has an infant mortality rate and under five mortality rate lower than the
Indian average, with the exception of Assam. One factor that seems to be affecting the
under five mortality rate is the location of residence. It is higher in rural areas than in urban
areas. Obviously this has to do with both poverty and availability of healthcare services.
Another interesting feature is that the U-5 mortality rate decreases with an increase in the

6
https://www.newsclick.in/childrens-health-northeast-states

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mother’s years of schooling. As expected, the rate decreases with an increase in household
wealth.
Birth Weight
Birth weight is the weight of the child at the time of birth. It is a measure of the new-born’s
health. The benchmark weight is 2.5 kilograms or above which is considered healthy. It is
also a measure of the mother’s health. Since new-borns will be weighed when they are born
in institutional settings – hospitals or other health centres - the state wide records will
depend on state-wide institutional deliveries.
Overall birth weight in the Northeast tends to be higher than the Indian average. This
includes Assam even though the infant mortality rate as well as the under five mortality rate
inn Assam is higher than the Indian average.
Institutional Deliveries
Institutional deliveries indicate the access to neonatal as well as post natal health care.
Except for Mizoram, Sikkim, and Tripura, share of institutional deliveries in other states was
less than the Indian average. That Assam also had a lower percentage of deliveries in a
health facility, may explain the higher infant mortality as well as under five mortality rate.
Arunachal Pradesh on the other hand had fewer institutional deliveries than Assam, and at
the same time had a lower infant mortality rate as well as a lower under five mortality rate.
Deliveries, Ante and Post Natal Care
While Mizoram and Sikkim had a higher percentage of deliveries by a Skilled Healthcare
Provider compared to the Indian average, no state had a percentage of children receiving
postnatal care higher than the Indian average. However, Manipur, Meghalaya, Mizoram and
Sikkim had higher levels of antenatal care than the Indian average. The explanation for
lower levels of postnatal care provided by healthcare providers may lie in the fact that
traditional forms of neonatal care are still preferred over those provided by healthcare
professionals.

Prevalence of anaemia in children

Overall the Northeast has a lower prevalence of anaemia in children compared to the Indian
average.
NFHS-4 shows that in adults, anaemia is more prevalent among women than men. The
Northeast also follows this trend. Meghalaya and Tripura had a higher prevalence of
anaemia among women as compared to the Indian Average. While Assam, Meghalaya and
Tripura had a higher prevalence of anaemia in men as compared to the Indian Average. The
prevalence of anaemia in both children and adults may be linked more to social factors than
to economic factors as in North-eastern states, forest produce forms a part of the local diet.
It is possible that with changing attitudes towards food in the form of beetles and other
traditional sources of nutrition has resulted in lower consumption of nutritious food. This
can be seen in Sikkim where the prevalence of anaemia is higher in children than in adults. It
is possible that the changing attitudes towards food are due to the influence of media and
the promotion of ‘processed’ foods through advertisements, over home cooked meals.

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 MAKING BRIEF PROJECT ON “HEALTH SCHEMES IN
DIFFERENT STATES OF INDIA”

Under this given project we were assigned to mention about various health
schemes prevalent in different states for children welfare all over India . There
were some schemes which was centrally sponsored while some schemes were
governed under state government . Since the schemes mentioned in the given
project was of each states in India so it is very difficult to attach the enclosure of
it in this report but the whole project has already been sent on the mail.

MAKING CALLS TO VARIOUS AUTHORITIES REGARDING

THE PROGRESS OF VARIOUS COMPLAINT REPORTS

I was also assigned to make calls in different offices regarding the update of the
cases in the hand of NCPCR . During this process I gained the knowledge
regarding how government offices works and got the chance to enhance my
eloquence during the process.

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 FIELD VISIT (RESCUE OF CHILDERN WHO ARE
INVOLVED IN LABOUR AND BEGGING)
NCPCR took an initiative to rescue the children who were trapped under the vicious circle of
begging and child trafficking within one kilometre of Chanderlok building (NCPCR office ).
The process began very systematically beginning with recci which was allotted group wise to
the interns . I was allotted the area of jantar mantar and masjid market for survey which was
conducted twice to re check the status of children and make sure that no stone remains
unturned . Later I also took part in rescue mission of children which was held on 10th of June
at the same place where we were sent of survey. We were accompanied by 4 police
personnel and office members along with 4 interns and were sent to places allotted
respectively . The whole experience was thrilling . For the very first time we were part of a
raid and also saw the conditions of street children and the resistance was also seen among
those children. Over all the experience and exposure was commendable .

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 CONCLUSION
This internship has given me the ability to believe that I could achieve my lifelong goal of
making a change and it has moulded me into the type of individual who cares strongly about
her surroundings and wants to make an impact in the society in positive way. I am sure this
progress will be visible and helpful in my every day’s life. This internship has really increase
my ability to research more deeply, it has also enhanced the ability to think more critically in
different situation . This internship gave me the exposure of raids and acknowledgement of
how children on the streets survive and are trapped in vicious cycle . The supervisors were
helpful and the office had congenial environment. The internship experience at NCPCR was
commendable and helpful for my coming future .

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