Purnima Menon, Vinitha Rachel Varghese, Amrutha Jose Pampackal and Rasmi Avula (IFPRI)

1. How is India doing on the
global nutrition targets?
Purnima Menon, Vinitha Rachel Varghese, Amrutha Jose Pampackal and Rasmi Avula
IFPRI
September 8, 2016
1

2. What are the global targets and
how is India doing at the national
level?
2

3. The new global goals
Nutrition is predominantly in
SDG2

4. Nutrition
in the
SDGs
2.2 BY 2030 END ALL FORMS OF MALNUTRITION, INCLUDING
ACHIEVING BY 2025 THE INTERNATIONALLY AGREED TARGETS ON
STUNTING AND WASTING IN CHILDREN UNDER FIVE YEARS OF AGE,
AND ADDRESS THE NUTRITIONAL NEEDS OF ADOLESCENT GIRLS,
PREGNANT AND LACTATING WOMEN, AND OLDER PERSONS

5. TheWorldHealthAssemblyTargets
forMaternal,InfantandChildNutrition
Stunting
Anemia in women
Low birth weight
Childhood overweight
Exclusive breastfeeding
Childhood wasting

6. India’s progress on WHA targets
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
http://rchiips.org/nfhs/NFHS-3%20Data/VOL-1/India_volume_I_corrected_17oct08.pdf. Accessed on September 8, 2016.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-
14%20Final.pdf. Accessed on September 8, 2016.
World Health Organization. Global targets tracking tool. http://www.who.int/nutrition/trackingtool/en/. Accessed on September 8, 2016.
6
Indicator 2006 prevalence
(%)
[NFHS3]
2014 prevalence
(%)
[RSoC]
2015 prevalence (%)
[NFHS4]
2025 target
prevalence (%)
Childhood stunting 48.0 38.7 Data unavailable 24.0
Anemia in women of reproductive
age
55.3 Data unavailable Data unavailable 22.8
Low birth weight 21.5 18.6 Data unavailable NA
Childhood overweight 1.5 Data unavailable Data unavailable No increase
Exclusive breastfeeding in first 6
months
46.3 64.9 Data unavailable 69.2*
Childhood wasting 20.0 15.1 Data unavailable 5.0
Note: *Countries with baseline exclusive breastfeeding (EBF) rates close to or above 50% (the global target) are encouraged to continue efforts to increase EBF rates by a minimum AAPPI of 1.2% .
Hence, 2025 target for India is calculated using the suggested AAPPI of 1.2%.

7. How have states progressed over
time?
7

8. STUNTING: Declined in states from NFHS 3 to NFHS 4
NodatainNFHS3
NodatainNFHS3
46.5
55.6
25.6
45.7
43.7
50
46.3
35.6
55.1
NodatainNFHS3
38.3
30.9
NodatainNFHS3
35.7
44.4
44.6
NodatainRSoC
NodatainRSoC
40.6
49.4
21.4
36.5
34.2
41.6
35.4
33.2
42.9
NodatainRSoC
28
23.3
NodatainRSoC
31
34
34.7
23.3
31.4
36.4
48.3
20.1
34
36.2
42
34.4
28.9
43.8
23.7
29.6
27.1
28.1
24.3
33.5
32.5
0
10
20
30
40
50
60
70
80
90
100
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
8
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016. http://rchiips.org/nfhs/factsheet_nfhs-4.shtml
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. NFHS-4 Fact sheets for key indicators based on final data. http://rchiips.org/nfhs/factsheet_nfhs-4.shtml.
Accessed on September 8, 2016.

9. ANEMIA IN WOMEN: Declined in most states from NFHS3
to NFHS4, but still remains high
NodataavailableinNFHS3
NodataavailableinNFHS3
69.5
67.4
38
56.1
51.5
56
48.4
35.7
47.2
NodataavailableinNFHS3
60
53.2
NodataavailableinNFHS3
65.1
55.2
63.2
NodataavailableinRSoC
NodataavailableinRSoC
NodataavailableinRSoC
NodataavailableinRSoC
NodataavailableinRSoC
NodataavailableinRSoC
NodataavailableinRSoC
NodataavailableinRSoC
NodataavailableinRSoC
NodataavailableinRSoC
NodataavailableinRSoC
NodataavailableinRSoC
NodataavailableinRSoC
NodataavailableinRSoC
NodataavailableinRSoC
NodataavailableinRSoC
NodataavailableinRSoC
NodataavailableinRSoC
65.7
60
46
60.3
31.3
62.7
44.8
52.5
48
26.4
56.2
52.4
34.9
55.1
56.7
54.5
45.2
62.5
0
10
20
30
40
50
60
70
80
90
100
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
9
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016. http://rchiips.org/nfhs/factsheet_nfhs-4.shtml
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. NFHS-4 Fact sheets for key indicators based on final data. http://rchiips.org/nfhs/factsheet_nfhs-4.shtml.
Accessed on September 8, 2016.

10. LOW BIRTH WEIGHT: Declined in states from NFHS3 to
RSoC
NodatainNFHS3
NodatainNFHS3
19.4
27.6
22.2
32.7
18.7
23.4
22.1
13.1
18
NodatainNFHS3
10.3
17.2
NodatainNFHS3
27.3
24.6
22.9
NodatainRSoC
NodatainRSoC
13.6
15
16.7
20.9
17.2
23.1
20.6
7.3
10.4
NodatainRSoC
10
16.7
NodatainRSoC
18.5
14.2
16.9
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
0
10
20
30
40
50
60
70
80
90
100
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
10
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016. http://rchiips.org/nfhs/factsheet_nfhs-4.shtml
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. NFHS-4 Fact sheets for key indicators based on final data. http://rchiips.org/nfhs/factsheet_nfhs-4.shtml.
Accessed on September 8, 2016.

11. CHILDHOOD OVERWEIGHT: Data available only in NFHS3
NodatainNFHS3
NodatainNFHS3
1.2
0.3
4.3
1.4
2.6
1
2.8
2.2
2.6
NodatainNFHS3
8.3
3.6
NodatainNFHS3
2.2
2.3
1.9
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainRSoC
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
NodatainNFHS4
0
10
20
30
40
50
60
70
80
90
100
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
11
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016. http://rchiips.org/nfhs/factsheet_nfhs-4.shtml
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. NFHS-4 Fact sheets for key indicators based on final data. http://rchiips.org/nfhs/factsheet_nfhs-4.shtml.
Accessed on September 8, 2016.

12. EXCLUSIVE BREASTFEEDING: Increased in almost all the states
from NFHS3 to NFHS4
NodatainNFHS3
NodatainNFHS3
63.1
28
17.7
16.9
58.6
21.6
53
62.1
26.3
NodatainNFHS3
37.2
34.1
NodatainNFHS3
36.1
31.2
58.6
NodatainRSoC
NodatainRSoC
64.7
70.8
62.6
53.6
55.1
74.8
73.4
66.8
54.9
NodatainRSoC
57.7
57
NodatainRSoC
63
48.1
59.4
66.8
70.2
63.5
53.5
60.9
50.3
54.2
58.2
56.6
73.6
35.8
45.5
54.6
48.3
67.3
70.7
51
52.3
0
10
20
30
40
50
60
70
80
90
100
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
12
Sources:
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016. http://rchiips.org/nfhs/factsheet_nfhs-4.shtml
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. NFHS-4 Fact sheets for key indicators based on final data. http://rchiips.org/nfhs/factsheet_nfhs-4.shtml.
Accessed on September 8, 2016.

13. WASTING: Increased in some states from NFHS3 to
NFHS4
NodatainNFHS3
NodatainNFHS3
13.7
27.1
14.1
19.1
17.6
35
16.5
9
30.7
NodatainNFHS3
9.7
22.2
NodatainNFHS3
24.6
18.8
16.9
NodatainRSoC
NodatainRSoC
9.7
13.1
15.4
8.8
17
17.5
18.6
7.1
13.1
NodatainRSoC
5.1
19
NodatainRSoC
17.1
9.3
15.3
18.9
17.2
17
20.8
21.9
21.2
26.1
25.8
25.6
6.8
15.3
23.6
14.2
19.7
18
16.8
19.5
20.3
0
10
20
30
40
50
60
70
80
90
100
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
13
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016. http://rchiips.org/nfhs/factsheet_nfhs-4.shtml
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. NFHS-4 Fact sheets for key indicators based on final data. http://rchiips.org/nfhs/factsheet_nfhs-4.shtml.
Accessed on September 8, 2016.

14. How is each state doing on all
WHA targets?
14

15. State-specific progress on the WHA nutrition
indicators: Andaman & Nicobar Islands
NodatainNFHS3
NodatainNFHS3
NodatainNFHS3
NodatainNFHS3
NodatainNFHS3
NodatainNFHS3
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
23.3
65.7
NodatainNFHS4
NodatainNFHS4
66.8
18.9
0
10
20
30
40
50
60
70
80
90
100
Stunting (children < 5 yrs) Anemia in women of
reproductive age
Low birthweight Overweight (children < 5 yrs) Exclusive breastfeeding
(infants < 6 months)
Wasting (children < 5yrs)
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
15
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016.
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. State fact sheet. Andaman and Nicobar Islands. http://rchiips.org/nfhs/pdf/NFHS4/AN_FactSheet.pdf.
Accessed on September 8, 2016.

16. State-specific progress on the WHA nutrition
indicators: Andhra Pradesh
NodatainNFHS3
NodatainNFHS3
NodatainNFHS3
NodatainNFHs3
NodatainNFHS3
NodatainNFHS3
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
31.4
60
NodatainNFHS4
NodatainNFHS4
70.2
17.2
0
10
20
30
40
50
60
70
80
90
100
Stunting (children < 5 yrs) Anemia in women of
reproductive age
Low birthweight Overweight (children < 5 yrs) Exclusive breastfeeding
(infants < 6 months)
Wasting (children < 5yrs)
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
16
Note: Andhra Pradesh here refers to the post-bifurcation state. Hence, data is not available for NFHS 3 and RSoC.
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016.
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. State fact sheet. Andhra Pradesh. http://rchiips.org/nfhs/pdf/NFHS4/AP_FactSheet.pdf. Accessed on
September 8, 2016.

17. State-specific progress on the WHA nutrition
indicators: Assam
46.5
69.5
19.4
1.2
63.1
13.7
40.6
NodatainRSoC 13.6
NodatainRSoC
64.7
9.7
36.4
46
NodatainNFHS4
NodatainNFHS4
63.5
17
0
10
20
30
40
50
60
70
80
90
100
Stunting (children < 5 yrs) Anemia in women of
reproductive age
Low birthweight Overweight (children < 5 yrs) Exclusive breastfeeding
(infants < 6 months)
Wasting (children < 5yrs)
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
17
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016.
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. State fact sheet. Assam. http://rchiips.org/nfhs/pdf/NFHS4/AS_FactSheet.pdf. Accessed on September 8,
2016.

18. State-specific progress on the WHA nutrition
indicators: Bihar
55.6
67.4
27.6
0.3
28 27.1
49.4
NodatainRSoC 15
NodatainRSoC
70.8
13.1
48.3
60.3
NodatainNFHS4
NodatainNFHS4
53.5
20.8
0
10
20
30
40
50
60
70
80
90
100
Stunting (children < 5 yrs) Anemia in women of
reproductive age
Low birthweight Overweight (children < 5 yrs) Exclusive breastfeeding
(infants < 6 months)
Wasting (children < 5yrs)
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
18
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016.
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. State fact sheet. Bihar. http://rchiips.org/nfhs/pdf/NFHS4/BR_FactSheet.pdf. Accessed on September 8,
2016.

19. State-specific progress on the WHA nutrition
indicators: Goa
25.6
38
22.2
4.3
17.7
14.1
21.4
NodatainRSoC 16.7
NodatainRSoC
62.6
15.4
20.1
31.3
NodatainNFHS4
NodatainNFHS4
60.9
21.9
0
10
20
30
40
50
60
70
80
90
100
Stunting (children < 5 yrs) Anemia in women of
reproductive age
Low birthweight Overweight (children < 5 yrs) Exclusive breastfeeding
(infants < 6 months)
Wasting (children < 5yrs)
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
19
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016.
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. State fact sheet. Goa. http://rchiips.org/nfhs/pdf/NFHS4/GA_FactSheet.pdf Accessed on September 8,
2016.

20. State-specific progress on the WHA nutrition
indicators: Haryana
45.7
56.1
32.7
1.4
16.9 19.1
36.5
NodatainRSoC
20.9
NodatainRSoC
53.6
8.8
34
62.7
NodatainNFHS4
NodatainNFHS4
50.3
21.2
0
10
20
30
40
50
60
70
80
90
100
Stunting (children < 5 yrs) Anemia in women of
reproductive age
Low birthweight Overweight (children < 5 yrs) Exclusive breastfeeding
(infants < 6 months)
Wasting (children < 5yrs)
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
20
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016.
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. State fact sheet. Haryana. http://rchiips.org/nfhs/pdf/NFHS4/HR_FactSheet.pdf Accessed on September
8, 2016.

21. State-specific progress on the WHA nutrition
indicators: Karnataka
43.7
51.5
18.7
2.6
58.6
17.6
34.2
NodatainRSoC
17.2
NodatainRSoC
55.1
17
36.2
44.8
NodatainNFHS4
NodatainNFHS4
54.2
26.1
0
10
20
30
40
50
60
70
80
90
100
Stunting (children < 5 yrs) Anemia in women of
reproductive age
Low birthweight Overweight (children < 5 yrs) Exclusive breastfeeding
(infants < 6 months)
Wasting (children < 5yrs)
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
21
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016.
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. State fact sheet. Karnataka. http://rchiips.org/nfhs/pdf/NFHS4/KA_FactSheet.pdf Accessed on
September 8, 2016.

22. State-specific progress on the WHA nutrition
indicators: Madhya Pradesh
50
56
23.4
1
21.6
35
41.6
NodatainRSoC
23.1
NodatainRSoC
74.8
17.5
42
52.5
NodatainNFHS4
NodatainNFHS4
58.2
25.8
0
10
20
30
40
50
60
70
80
90
100
Stunting (children < 5 yrs) Anemia in women of
reproductive age
Low birthweight Overweight (children < 5 yrs) Exclusive breastfeeding
(infants < 6 months)
Wasting (children < 5yrs)
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
22
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016.
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. State fact sheet. Madhya Pradesh. http://rchiips.org/nfhs/pdf/NFHS4/MP_FactSheet.pdf Accessed on
September 8, 2016.

23. State-specific progress on the WHA nutrition
indicators: Maharashtra
46.3 48.4
22.1
2.8
53
16.5
35.4
NodatainRSoC
20.6
NodatainRSoC
73.4
18.7
34.4
48
NodatainNFHS4
NodatainNFHS4
56.6
25.6
0
10
20
30
40
50
60
70
80
90
100
Stunting (children < 5 yrs) Anemia in women of
reproductive age
Low birthweight Overweight (children < 5 yrs) Exclusive breastfeeding
(infants < 6 months)
Wasting (children < 5yrs)
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
23
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016.
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. State fact sheet. Maharashtra. http://rchiips.org/nfhs/pdf/NFHS4/Maharashtra.pdf. Accessed on
September 8, 2016.

24. State-specific progress on the WHA nutrition
indicators: Manipur
35.6 35.7
13.1
2.2
62.1
9
33.2
NodatainRSoC
7.3
NodatainRSoC
66.8
7.1
28.9
26.4
NodatainNFHS4
NodatainNFHS4
73.6
6.8
0
10
20
30
40
50
60
70
80
90
100
Stunting (children < 5 yrs) Anemia in women of
reproductive age
Low birthweight Overweight (children < 5 yrs) Exclusive breastfeeding
(infants < 6 months)
Wasting (children < 5yrs)
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
24
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016.
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. State fact sheet. Manipur. http://rchiips.org/nfhs/pdf/NFHS4/Manipur.pdf Accessed on September 8,
2016.

25. State-specific progress on the WHA nutrition
indicators: Meghalaya
55.1
47.2
18
2.6
26.3
30.7
42.9
NodatainRSoC
10.4
NodatainRSoC
54.9
13.1
43.8
56.2
NodatainNFHS4
NodatainNFHS4
35.8
15.3
0
10
20
30
40
50
60
70
80
90
100
Stunting (children < 5 yrs) Anemia in women of
reproductive age
Low birthweight Overweight (children < 5 yrs) Exclusive breastfeeding
(infants < 6 months)
Wasting (children < 5yrs)
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
25
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016.
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. State fact sheet. Meghalaya. http://rchiips.org/nfhs/pdf/NFHS4/ML_FactSheet.pdf Accessed on
September 8, 2016.

26. State-specific progress on the WHA nutrition
indicators: Puducherry
NodatainNFHS3
NodatainNFHS3
NodatainNFHS3
NodatainNFHS3
NodatainNFHS3
NodatainNFHS3
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
23.7
52.4
NodatainNFHS4
NodatainNFHS4
45.5
23.6
0
10
20
30
40
50
60
70
80
90
100
Stunting (children < 5 yrs) Anemia in women of
reproductive age
Low birthweight Overweight (children < 5 yrs) Exclusive breastfeeding
(infants < 6 months)
Wasting (children < 5yrs)
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
26
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016.
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. State fact sheet. Puducherry. http://rchiips.org/nfhs/pdf/NFHS4/PY_FactSheet.pdf Accessed on
September 8, 2016.

27. State-specific progress on the WHA nutrition
indicators: Sikkim
38.3
60
10.3 8.3
37.2
9.7
28 NodatainRSoC
10
NodatainRSoC
57.7
5.1
29.6
34.9
NodatainNFHS4
NodatainNFHS4
54.6
14.2
0
10
20
30
40
50
60
70
80
90
100
Stunting (children < 5 yrs) Anemia in women of
reproductive age
Low birthweight Overweight (children < 5 yrs) Exclusive breastfeeding
(infants < 6 months)
Wasting (children < 5yrs)
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
27
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016.
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. State fact sheet. Sikkim. http://rchiips.org/nfhs/pdf/NFHS4/SK_FactSheet.pdf Accessed on September 8,
2016.

28. State-specific progress on the WHA nutrition
indicators: Tamil Nadu
30.9
53.2
17.2
3.6
34.1
22.223.3
NodatainRSoC
16.7
NodatainRSoC
57
19
27.1
55.1
NodatainNFHS4
NodatainNFHS4
48.3
19.7
0
10
20
30
40
50
60
70
80
90
100
Stunting (children < 5 yrs) Anemia in women of
reproductive age
Low birthweight Overweight (children < 5 yrs) Exclusive breastfeeding
(infants < 6 months)
Wasting (children < 5yrs)
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
28
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016.
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. State fact sheet. Tamil Nadu. http://rchiips.org/nfhs/pdf/NFHS4/TN_FactSheet.pdf Accessed on
September 8, 2016.

29. State-specific progress on the WHA nutrition
indicators: Telangana
NodatainNFHS3
NodatainNFHS3
NodatainNFHS3
NodatainNFHS3
NodatainNFHS3
NodatainNFHS3
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
NodatainRSoC
28.1
56.7
NodatainNFHS4
NodatainNFHS4
67.3
18
0
10
20
30
40
50
60
70
80
90
100
Stunting (children < 5 yrs) Anemia in women of
reproductive age
Low birthweight Overweight (children < 5 yrs) Exclusive breastfeeding
(infants < 6 months)
Wasting (children < 5yrs)
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
29
Note:The state of Telangana was formed only in 2014. Hence, there is no data available for NFHS 3 and RSoC.
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016.
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. State fact sheet. Telangana. http://rchiips.org/nfhs/pdf/NFHS4/TG_FactSheet.pdf Accessed on
September 8, 2016.

30. State-specific progress on the WHA nutrition
indicators: Tripura
35.7
65.1
27.3
2.2
36.1
24.6
31
NodataavailableinRSoC
18.5
NodataavailableinRSoC
63
17.1
24.3
54.5
NodataavailableinNFHS4
70.7
16.8
0
10
20
30
40
50
60
70
80
90
100
Stunting (children < 5 yrs) Anemia in women of
reproductive age
Low birthweight Overweight (children < 5 yrs) Exclusive breastfeeding
(infants < 6 months)
Wasting (children < 5yrs)
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
NodataavailableinNFHS4
30
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016.
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. State fact sheet. Tripura. http://rchiips.org/nfhs/pdf/NFHS4/TR_FactSheet.pdf Accessed on September 8,
2016.

31. State-specific progress on the WHA nutrition
indicators: Uttarakhand
44.4
55.2
24.6
2.3
31.2
18.8
34
NodataavailableinRSoC
14.2
NodataavailableinRSoC
48.1
9.3
33.5
45.2
NodataavailableinNFHS4
51
19.5
0
10
20
30
40
50
60
70
80
90
100
Stunting (children < 5 yrs) Anemia in women of
reproductive age
Low birthweight Overweight (children < 5 yrs) Exclusive breastfeeding
(infants < 6 months)
Wasting (children < 5yrs)
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
NodataavailableinNFHS4
31
Note: The state is referred to as Uttaranchal in NFHS 3.
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016.
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. State fact sheet. Uttarakhand. http://rchiips.org/nfhs/pdf/NFHS4/UT_FactSheet.pdf Accessed on
September 8, 2016.

32. State-specific progress on WHA nutrition
indicators: West Bengal
44.6
63.2
22.9
1.9
58.6
16.9
34.7
NodatainRSoC
16.9
NodatainRSoC
59.4
15.3
32.5
62.5
NodatainNFHS4
NodatainNFHS4
52.3
20.3
0
10
20
30
40
50
60
70
80
90
100
Stunting (children < 5 yrs) Anemia in women of
reproductive age
Low birthweight Overweight (children < 5 yrs) Exclusive breastfeeding
(infants < 6 months)
Wasting (children < 5yrs)
Prevalence(%)
NFHS 3 (2006) RSoC (2014) NFHS 4 (2015)
32
Sources:
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai: IIPS.
Ministry of Women and Child Development. (2016). Rapid survey on children (RSOC) 2013-14. National report. http://wcd.nic.in/sites/default/files/RSOC%20National%20Report%202013-14%20Final.pdf.
Accessed on September 8, 2016.
Ministry of Health and Family Welfare. (2016). National Family Health Survey -4 (NFHS-4),2015–2016. State fact sheet. West Bengal. http://rchiips.org/nfhs/pdf/NFHS4/WB_FactSheet.pdf Accessed on
September 8, 2016.

33. State Stunting Anemia in women Low birth weight Childhood
overweight
Exclusive breastfeeding Wasting
NFHS3 to
RSoC
NFHS3 to
NFHS4
NFHS3 to NFHS4
(no data in RSoC)
NFHS3 to RSoC
(no data in NFHS4)
no data in RSoC and
NFHS4
NFHS3 to RSoC NFHS3 to
NFHS4
NFHS3 to
RSoC
NFHS3 to
NFHS 4
Andaman & Nicobar
Islands
* * * * * * * * *
Andhra Pradesh
* * * * * * * * *
Assam
+ + + + * + + + -
Bihar
+ + + + * + + + +
Goa
+ + + + * + + - -
Haryana
+ + - + * + + + -
Karnataka
+ + + + * - - + -
Madhya Pradesh
+ + + + * + + + +
Maharashtra
+ + + + * + + - -
SUMMARY OF STATE FINDINGS
Note: “*” indicates data not available at one of the time points for comparison; “+” indicates positive change in the indicator; “-” indicates negative
change in the indicator
Data on childhood overweight only available in NFHS 3.
33

34. State Stunting Anemia in women Low birth weight Childhood overweight Exclusive
breastfeeding
Wasting
NFHS3 to
RSoC
NFHS3 to
NFHS4
NFHS3 to NFHS4
(no data in RSoC)
NFHS3 to RSoC
(no data in NFHS4)
no data in RSoC and NFHS4 NFHS3 to
RSoC
NFHS3 to
NFHS4
NFHS3 to
RSoC
NFHS3 to
NFHS4
Manipur
+ + + + * + + + +
Meghalaya
+ + - + * + + + +
Puducherry
* * * * * * * * *
Sikkim
+ + + + * + + + -
Tamil Nadu
+ + - + * + + + +
Telangana
* * * * * * * * *
Tripura
+ + + + * + + + +
Uttarakhand
+ + + + * + + + -
West Bengal
+ + + + * + - + -
SUMMARY OF STATE FINDINGS (contd.)
34
Note: “*” indicates data not available at one of the time points for comparison; “+” indicates positive change in the indicator; “-” indicates negative
change in the indicator
Data on childhood overweight only available in NFHS 3.