Sector Wide Approach to Strengthening Health ( SWASTH )

Bihar Technical Assistance Support Team (BTAST)
Government of Bihar initiative supported by Department for International Development, UK


Uddeepan Strategy: Bringing Change in Integrated Child Development Services in Bihar

The programme report has been developed to describe the functioning of Uddeepan Strategy in Bihar. It draws from the internal reports developed by BTAST, including A note on Uddeepan Strategy and Report on functionality of the Uddeepan Kendra, which have been extensively referred to in this document.


Persistent child undernutrition has been a significant challenge in India, despite the country’s recent economic progress. The Integrated Child Development Services (ICDS) scheme, which has been the government’s large scale response to the issue since 1975, has faced many challenges and its strengthening continues to be one of the key items on the agenda of policy influencers in India.

Given the larger challenges faced in Bihar, Sector Wide Approach to Strengthening Health (SWASTH) in collaboration with the Government of Bihar has introduced an innovative strategy called-the Uddeepan Strategy. The strategy involves the strengthening of an Anganwadi Centre (AWC) at the Gram Panchayat level that acts as a resource centre hub - called the Uddeepan Kendra, or the Nodal Anganwadi Centre (n-AWC).

These centres serve as a hub for a cluster of 8-10 AWCs in the particular catchment area and provide mentoring support to the Anganwadi Workers (AWWs) through an additional worker - Uddeepika. This programme report describes the strategy, its components and the process. It also presents some of the early learning lessons emerging from the programme implementation.

For more, please download the document: