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In Context
- Experts have suggested several approaches to address the problem of chronic malnutrition.
Malnutrition
- About:
- It refers to deficiencies, excesses or imbalances in a person’s intake of energy and/or nutrients.
- It is a chronic problem and a longstanding challenge for the public administration of India.
- The term malnutrition addresses 3 broad groups of conditions:
- Undernutrition:
- It includes wasting (low weight-for-height), stunting (low height-for-age) and underweight (low weight-for-age)
- Together, the stunted and wasted children are considered to be underweight, indicating a lack of proper nutritional intake and inadequate care post-childbirth.
- Micronutrient-related malnutrition:
- It includes micronutrient deficiencies (a lack of important vitamins and minerals) or micronutrient excess; and
- Overweight:
- It includes obesity and diet-related noncommunicable diseases (such as heart disease, stroke, diabetes and some cancers).
- Undernutrition:
Various reports on Malnutrition in India
- Global Hunger Index (GHI) 2022:
- India ranked 107 out of 121 countries in the Global Hunger Index (GHI) 2022.
- The GHI is an important indicator of nutrition, particularly among children, as it looks at stunting, wasting and mortality among children, and at calorific deficiency across the population.
- National Family Health Survey (NFHS-5):
- India’s National Family Health Survey (NFHS-5) from 2019-21 reported that in children below the age of five years, 35.5% were stunted, 19.3% showed wasting, and 32.1% were underweight.
- The State of Food Security and Nutrition in the World 2020 report:
- Undernutrition in India is also a gendered problem.
- According to The State of Food Security and Nutrition in the World 2020 report, in 2016, nearly 51.4 percent of women of reproductive age in India were suffering from anemia.
- Almost 50 percent of women are facing severe undernutrition and Anaemia.
Measures Taken to Tackle Malnutrition
- Poshan Abhiyan:
- It is a multi-ministerial convergence mission with the vision to ensure the attainment of malnutrition free India by 2022.
- The Ministry of Women and Child Development (MWCD) is implementing POSHAN Abhiyaan.
- Prime Minister’s Overarching Scheme for Holistic Nutrition (POSHAN) 2.0 scheme:
- It now includes the Integrated Child Development Services (ICDS) scheme, which seeks to work with adolescent girls, pregnant women, nursing mothers and children below three.
- Integrated Child Development Services:
- It represents one of the world’s largest and unique programmes for early childhood care and development.
- The beneficiaries under the Scheme are children in the age group of 0-6 years, pregnant women and lactating mothers
- The Ministry of Women and Child Development is the implementing agency.
- Mid-Day Meal Scheme:
- The Mid-day Meal Scheme is a school meal programme in India designed to better the nutritional standing of school-age children
- It covers all school students studying in Classes 1 to 8 of government schools, government-aided schools, special training centres, including madrasas supported under Samagra Shiksha Abhiyan.
- National Food Security Mission:
- It was launched in 2007-08 by the Ministry of Agriculture and Farmers’ Welfare as a Centrally Sponsored Scheme.
- It focuses on the sustainable increase in the production of targeted crops through area expansion and productivity enhancement.
- National Nutrition Mission:
- It is the government’s flagship programme to improve nutritional outcomes for children, pregnant women and lactating mothers.
- Aim:
- To reduce stunting and wasting by 2 percent per year (total 6 per cent until 2022) among children and anemia by 3 percent per year (total 9 per cent until 2022) among children, adolescent girls and pregnant women and lactating mothers.
- The Ministry of Women and Child Development is the nodal ministry for implementation.
Issues with addressing the problem of malnutrition
- Inadequate funding & implementation:
- Gaps remain in how the already existing centrally-sponsored schemes are funded and implemented.
- The budgets being allocated are nowhere near the scale of the funds that are required to improve nutrition in the country.
- Manpower constraints:
- Over 50% Child Development Project Officer (CDPO) posts were vacant in Jharkhand, Assam, Uttar Pradesh, and Rajasthan, pointing to severe manpower constraints in successfully implementing the scheme of such importance.
- No routine in social audits:
- Social audits that are meant to allow for community oversight of the quality of services provided in schools are not carried out routinely.
- Issues with cash transfers:
- Cash transfers seem to be a favoured solution for several social sector interventions in India today, and this includes the health and nutrition sectors.
- But evidence of the impact of cash transfer on child nutrition in India is limited so far.
- The effect of cash transfers is also limited in a context where food prices are volatile and inflation depletes the value of cash.
- Social Factors:
- Equally, there are social factors such as ‘son preference’, which sadly continues to be prevalent in India and can influence household-level decisions when responding to the nutrition needs of sons and daughters.
Suggestions & way ahead
- Need of a comprehensive programme:
- A comprehensive programme targeting adolescent girls is required if the intergenerational nature of malnutrition is to be tackled.
- Cash transfers:
- Cash transfers can also be used to incentivise behavioural change in terms of seeking greater institutional support.
- Food rations through PDS and special supplements for the target group of pregnant and lactating mothers, and infants and young children, are essential.
- Fixing the pre-existing schemes:
- Fixing the pre-existing schemes is the obvious answer to addressing India’s multi-dimensional nutrition challenge.
- Getting the already existing schemes right requires greater involvement of local government and local community groups in the design and delivery of tailored nutrition interventions.
- Keeping it a top priority:
- The need of the hour is to make addressing child malnutrition the top priority of the government machinery, and all year around.
Source: TH
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