Nourish to Flourish
Team Coordinator :- V.KIRAN
PUNNATI PRUTHVI TEJESWAR REDDY
S MANIDEEP REDDY
From :- SVPCET,PUTTUR.
Malnutritionis defined as a pathological state resulting from relative or absolute deficiency of one or more essential
nutrients. It is primary when there is deficiency of food available or secondary when food is available but the body cannot
assimilate it for one or another reason.
Malnutrition is a medical condition caused by an improper or insufficient diet.
Malnutrition is technically a category of diseases that includes
1)under nutrition ,
2)obesity and overweight,
3)micronutrient deficiency among others .
However, it is frequently used to mean under nutrition from either inadequate calories or inadequate specific dietary
components for whatever reason.
Forms of malnutrition
1. protein-calorie malnutrition (PCM)
• Kwashiorkor, marasmus, and mixed marasmus-kwashiorkor.
2. micronutrient malnutrition
• particularly vitamin A deficiency (VAD), iron deficiency anemia (IDA), and iodine deficiency disorders (IDD)
• Digestive system: Decreased production of HCL, and frequent diarrhea that could be fatal.
• Cardiovascular system: Reduced heart size, reduced amount of blood pumped, bradycardia, and heart failure.
• Respiratory system: Slow breathing, reduced lung capacity, and, ultimately, respiratory failure.
• Reproductive system: Reduced size of ovaries and testes, loss of libido, cessation of menstruation
• Nervous system: Apathy and irritability, mental retardation in children sometimes, mental dysfunction in older people.
• Muscles: Reduced muscle mass and strength and reduced ability to exercise or work.
• Blood: Anaemia
• Metabolism: Hypothermia, fluid accumulation in arms, legs, and abdomen, and disappearance of subcutaneous fat.
• Skin and hair: As in slide 8
• Immune system: Impaired ability to fight infections and repair wounds
• Malnutrition affects HIV transmission by increasing the risk of transmission from mother to child and also increasing
replication of the virus.
Major causes of malnutrition include poverty and food prices, dietary practices and agricultural productivity, with
many individual cases being a mixture of several factors. Clinical malnutrition, such as in cachexia, is a major
burden also in developed countries. Various scales of analysis also have to be considered in order to determine
the sociopolitical causes of malnutrition. For example, the population of a community may be at risk if the area
lacks health-related services, but on a smaller scale certain households or individuals may be at even higher risk
due to differences in income levels, access to land, or levels of education.
• Dietary practices
• Diseases and infections
• Poverty and food prices
• Agricultural productivity
• Future threats
1) Weight for age is the best screening tool.
>Weight for age below 2 Standard Deviation from median is taken as Malnutrition.
>It is used for mass screening of children to detect under nutrition.
2) Weight for Height below the 5th Centile classifies the child as Wasted ( Acute Malnutrition).
3)Height for age below the 5th centile classifies the child as Stunted (Chronic Malnutrition)
Anthropometric Indices in Malnutrition
Classification Weight as % of the
Grade 1 (mild under nutrition) 75-89
Grade 2 (moderate under
Grade 3 ( severe under
≥ 80% ≥ 90% Normal
<80% ≥ 90% Wasted
≥ 80% < 90 % Stunte
<80% < 90% Wasted
Malnutrition in the world
The United Nations Food and Agriculture Organization estimates that nearly 870
million people, or one in eight people in the world, were suffering from chronic
undernourishment in 2010-2012. Almost all the hungry people, 852 million, live
in developing countries, representing 15 percent of the population of developing
counties. There are 16 million people undernourished in developed countries
Malnutrition in India
• India is one of the fastest growing countries in terms of population and economics, sitting at a population of 1,139.96 million
(2009) and growing at 10–14% annually (from 2001–2007).India's Gross Domestic Product growth was 9.0% from 2007 to 2008;
since Independence in 1947, its economic status has been classified as a low-income country with majority of the population at
or below the poverty line. The combination of people living in poverty and the recent economic growth of India has led to the
co-emergence of two types of malnutrition: under nutrition and over nutrition.
• Despite India's 50% increase in GDP since 1991,more than one third of the world's malnourished children live in India. Among
these, half of them under 3 are underweight and a third of wealthiest children are over nutrient.
• The World Bank estimates that India is ranked 1st in the world of the number of children suffering from malnutrition. The
prevalence of underweight children in India is among the highest in the world, and is nearly double that of Sub-Saharan
Africa with dire consequences for mobility, mortality, productivity and economic growth.[The UN estimates that 2.1 million
Indian children die before reaching the age of 5 every year – four every minute – mostly from preventable illnesses such as
diarrhea, typhoid, malaria, measles and pneumonia
• West Bengal
• Uttar Pradesh
• Madhya Pradesh
Programs to address the causes of
malnutrition in India :-
Midday meal scheme in Indian schools
Integrated child development scheme
National Plan of Action for Children
National Children's Fund
United Nations Children's Fund
National Rural Health Mission
Top 5 states in India
effecting from Malnutrition
To over come this my solution
MOTHER TERESA SUSTAINABLE PLAN AGAINST MALNUTRITION
Make every one to know about malnutrition, its cause’s, its effect’s and
Looking over all plan’s (as given in 4 slid) .
Reduce malnutrition to levels below public health significance etc.
with help of present plans
Improve knowledge and practice of key health and nutrition concepts and behaviors
– Infant and young child feeding (breastfeeding and complementary feeding)
– Consumption of vegetables and eggs
– Sanitary and hygienic practices (hand washing, tooth brushing, use of sanitary toilet facilities)
To improve food intake in participating households.
To prevent stunting among children 6 menthes to 2 years old.
To reduce the prevalence of underweight-for-age among children 0-8 years old.
Target Peoples All uneducated and ruler
IMPLEMENTATION OF PLAN
Recruit 10 people for each district to monitor whether the plans are implementing as per requirements.
This group of people should be qualified as they can make their own strategies to react as per situation.
The minimum powers should be delegated to them to interfere in the undertaken plans.
This 10 people should have contacts with district level hospital, PDS system , Sarpanch, schools, judiciary,
police station etc.
This group should report their progress periodically to the appropriate government.
They should have extra benefits apart from salary (ex: refund of travelling expenses for on duty) .
Implement existing plans in a appropriate manner.
Sources of funds :--- black money can be used for the same .
The nutritional food should be supplied by the government without neglecting the poor people .
1.4 billion is required for one year.
610 * 10 = 6100 Members
Each employee will get Rs.
20000/- per month.
Present districts are 610
10 members for each
How The MTSPAM Work
Recruit the employers for MTSPAM under the
human resource of Indian as per recruitment rules.
These 10 have to visit every village under there district to
create awareness program about the Malnutrition with help
of village Sarpanch in the village premises.
These awareness program must be conducted in the
presence of Sarpanch, Dean of District Hospital ,S I.
In the program they must explain about malnutrition,
Its effects and also
Few preventing methods .Second step:-
In the same program they have to explain about the present
and existing government plans against malnutrition
Its goals, about its financial budget using by the govt. ,its
benefits to common citizen and about rules of plans.
Final and Main step:-
They have to explain about the MTSPAM ,that they will act as “an intercede
between common peoples and government” , about their powers and
contacts with hospital ,PDS system, rural panchayat , police station, to get
information about pregnancy ladies and also new born babies.
Their should be a flow of information from intermediateries continuously
about providing facility’s like food grains ,medicine's etc to citizen’s and
also from citizen whether they are getting it or not.
Every citizen will have a right to get whatever the government
planning to give them like food items, medical facilities, education
facilities and the financial facilities etc.
If any injustice happens to them (citizen) regarding malnutrition
plans then they have right to inform MTSPAM member’s for quick
Hospital, Sarpanch, Schools, PDS system
No Colostrum/ Exclusive Breastfeeding for 6
Inadequate Food and Health Care
Delayed, Inadequate Complementary Food
after 6 Months
Frequent Infections and
Lack of awareness
Inadequate Food and Health care
Inadequate Foetal Nutrition
Low Weight Gain
Inadequate Catch Up
“an intercede between
common peoples and
Criteria To Measure The Impact Of The Solution
Measurement of birth and death rate.
BMI of villager’s
Sudden inspection to village’s
Appropriate Monitoring Mechanisms
Monthly reports must be submitted to
Appropriate government may take a
Challenges and Mitigation Factors
The ruling and opposition political parties should give
a positive consent about the plan and give rights to
interfere with the existing plans.
Economical and financial supports must be provided.
The railway and the state transport authorities should
give free passes to go any where on the duty for
The low level government employees should say yes
to give any information to them.
Increases efficiency of work
by the government server.
Increase GDP in future.
Low budget plan with the help
of govt. employees.
Provides extra 6000+
Create trust on government.
Few basic information we took Wikipedia.
Most of the matter form UNICEF web site .
A report of National Situationer on HUNGER AND MALNUTRITION IN INDIA: STATUS,CAUSES
AND CURES (2012) by MHRD.
Copy of Levels & Trends in Child Malnutrition by UNICEF-WHO-The World Bank.
Statistics and numbers from WHO and UNICEF Joint Global Nutrition Database, 2011
Ppt on National Perspective on Micronutrient Deficiencies and Their Impact on Health and
Productivity by ICCIDD and AIIMS.
PPT on Economics of Malnutrition by Veena S Rao.
Images from Google images.