Od stunting mp-draft_26_july2013

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Od stunting mp-draft_26_july2013

  1. 1. Open Defecation and Stunting in Madhya Pradesh
  2. 2. Source: NFHS-3, 2005–06 60 57 56 48 45 43 42 41 40 38 37 30 Madhya Pradesh Jharkhand Bihar Meghalaya Gujarat INDIA Uttar Pradesh Orrissa Rajasthan Uttranchal Maharashtra Tamil Nadu Nutrition Status of Children U5- Madhya Pradesh 60% Children (<5 Yrs) of MP are underweight
  3. 3. 71.4 37.6 41 16.7 56.4 33.9 82.5 60 27.3 35 12.6 50 26.3 74 U5 UNDERWEIGHT U5 SEVERELY UNDERWEIGHT U5 WASTED U5 SEVERELY WASTED U5 STUNTING U5 SEVERELY STUNTING 6-59M ANAEMIC SCHEDULED TRIBES MADHYA PRADESH Nutrition Status of Children U5- Madhya Pradesh
  4. 4. For every 100 children born in Madhya Pradesh: • 6 do not survive till their 1st birthday. • 8 do not survive till their 5th birthday. • 45 do not receive full immunisation • 60 children are underweight by age 3
  5. 5. Source: NFHS-3 Also in MP, evidence suggests that Undernutrition sets in the first 2 years of life Faulty Complementary feeding practices during the critical period of 6m -24 months put children at increased risk 47.6 53 61.8 61.2 64.9 60.7 30 35 40 45 50 55 60 65 70 <6m 6-11 12-23 24-35 36-47 48-59
  6. 6. Madhya Pradesh: Undernutrition Statistics (Children U5) Undernutrition Indicator Prevalence (%) NFHS, 2006 NIN, 2011 Underweight (Weight for Age) 60 51.9 Wasting (Weight for Height) 35 25.8 Severe Wasting (Weight for Height <-3SD) 12.6 8.3 Stunting (Height for Age) 50 48.9
  7. 7. India Source: NFHS, 2006 Madhya Pradesh: One underfive in two stunted 50% Stunted
  8. 8. Malnutrition- Multiple Causes
  9. 9. Sanitation in Madhya Pradesh: CONTEXT Proportion of households practicing Open Defecation in the sub-districts of Madhya Pradesh Source: Census 2011 More than 75 per cent of population are open defecators, In 240 out of 313 sub-districts. Source: Census (2011)
  10. 10. 50 million Open Defecators in MP 19.0 5.8 1.6 1.3 0 0.1 0.3 0.7 1.2 70 0 10 20 30 40 50 60 70 80 Flush/pourflushlatrine connectedtoseptictank Flush/pourflushlatrine connectedtopipedsewer system Pitlatrinewithslab/ventilated improvedpit Flush/pourflushlatrine connectedtoothersystem 0 Servicelatrine-nightsoil servicedbyanimal Nightsoildisposedintoopen drain Pitlatrinewithoutslab/open pit Publiclatrine Opendefecation 0 Improved sanitation 27.7% Unimproved sanitation 72.3% Percent Source: Census (2011)
  11. 11. Equity lens on sanitation in Madhya Pradesh Improved sanitation facilities and open defecation by wealth quintile in Madhya Pradesh Source: NFHS 2006 1 6 16 42 81 96 85 67 26 2 3 9 18 31 17 0 20 40 60 80 100 Poorest Second Middle Fourth Richest Improved sources Open defecation Other unimproved sources %
  12. 12. Proportion of households using improved sanitation facility by population groups in the districts of Madhya Pradesh Source: Census 2011 Madhya Pradesh Scheduled Caste and Scheduled Tribe are 2 to 4.5 less likely to have access to improved sanitation. Source: Census (2011) Equity lens on sanitation in Madhya Pradesh
  13. 13. Disparities in improved sanitation in MP Rural 12.2% SC 52.6% ST 46.6% SC 7.7% ST 4.3% India 44.0% Madhya Pradesh 27.7% Urban 72.8% Source: Census (2011)
  14. 14. MP accounts for 8% of India’s open defecators Share of open defecation in the states of India (2011) Source: Census 2011 Uttar Pradesh 17% Bihar 12% Madhya Pradesh 8% Andhra Pradesh 8% Tamil Nadu 7% Rajasthan 7% Maharashtra 7% West Bengal 6% Orissa 6% Karnataka 5% Gujarat 4% Jharkhand 4% Chhattisgarh 3% Other states 6%
  15. 15. UP Bihar MP -2.5 -2 -1.5 -1 0 .2 .4 .6 .8 fraction of households practicing open defecation Kerala MP falls exactly on India’s OD-stunting line
  16. 16. District-wise links between OD and Stunting in MP Sources: NSS (2005-06), DLHS (2007-08), Census (2011), NIN (2011)
  17. 17. -4-2 02 0 .2 .4 .6 .8 1 fraction of hoseholds who defecate in the open urban rural Urban vs. Rural Source: NFHS-3
  18. 18. “The first two years are forever”… also in MP Sources: NSS (2005-06), DLHS (2007-08), Census (2011), NIN (2011)
  19. 19. -2.2 -2 -1.8-1.6-1.4 0 .2 .4 .6 .8 1 fraction of child's local area practicing open defecation household does not od household does od OD households vs. non-OD households Source: NFHS-3
  20. 20. At current rate, MP is likely to miss its MDG target by far
  21. 21. MP’s district-wise “missing toilets” Source: TSC (2011), Census (2011)
  22. 22. 2003 2003 2003 2003 2004 2005 2006 2007 2007 2007 2007 2007 2008 2010 2010 2011 2011 2013 2013 2013 2016 2023 2024 2027 2028 2028 2032 2033 2046 2046 2067 2074 2077 2105 2160 1990 2040 2090 2140 2190 States already achieved MDG target Stateexpactationsofachieving MDGtargetsafter2015 Before 2015 in 10 years in 25 years in 62 years After 90 years 3 states 5 states 5 states 2 states 3 states17 states At current trends Madhya Pradesh would only reach its MDG by 2105 Source: Census (2011)
  23. 23. … final message
  24. 24. THANK YOU

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