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  1. 1. Undernutrition People are malnourished ifPeople are malnourished if their diet does not providetheir diet does not provide adequate calories and proteinadequate calories and protein for growth and maintenancefor growth and maintenance or they are unable to fullyor they are unable to fully utilize the food they eat due toutilize the food they eat due to ”Malnutrition is a contributing factor in over”Malnutrition is a contributing factor in over 50% of deaths in children under five”50% of deaths in children under five”WorldWorld BankBank Undernutrition Lack of nutrients Calories Protein Micronutrients Low income countries Overnutrition Obesity Too many calories High and middle income countries utilize the food they eat due toutilize the food they eat due to illness (undernutrition). Theyillness (undernutrition). They are also malnourished if theyare also malnourished if they consume too many caloriesconsume too many calories (overnutrition).”(overnutrition).” UNICEFUNICEF A state of poor nutrition; can result from insufficient or excessive or unbalanced diet or from inability to absorb foods.
  2. 2. Overnutrition is generally seen in developed countries but when it comes to developing countries India is home to the largest number of hungry people in the world. The Global Hunger Index (GHI) 2010 ranks India at 67 out of 122 countries; whereas the ‘2012 Global Hunger Index’ (IFPRI) ranks it at 65 among 79 countries. Similarly, malnutrition in India, especially among children and women, is widespread, acute and even alarming. India is taking rapid strides towards progress. But there is a hidden enemy that threatens to destroy our tomorrow. Malnutrition is a chain that holds back our progress. •India is home to 23 crore hungry people. •33% of the world’s malnourished children live in India. •About 50% of childhood deaths are attributed to malnutrition. •In India, 48% of children under the age of 5 are stunted and 43% are underweight. •Malnutrition is costing the Indian economy 2.95% of its GDP annually. •75% of adolescent mothers in India put on only 5 kgs during pregnancy compared to the world wide average of 10 kgs due to malnourishment. Malnutrition is a chain that holds back our progress.
  3. 3. Padhai mein dhyan na lagna, der se samajh ana, baar baar bimar padna; ye kuposhan ke lakshan ho sakte hai! – Aamir Khan(a mascot against malnutrition) UNAWARENESSUNAWARENESS FEEDING MATERNITY LEAVE POOR SANITATION ECONOMIC BACKGROUNG GIRL CHILD ILLITERACY
  4. 4. According to the United Nations Children’s Fund, 33% of malnourished children live in India. In India, around 46% of all children below the age of three are stunted in their growth and 47% are underweight. In terms of Under Five Mortality Rate, India ranks 148 out of 195 countries. A 2012 report published by the Food and Agricultural Organization (FAO) estimates that iron and iodine deficiencies amongst the Indian population result in productivity loss equivalent to 2.95% of the country’s GDP. In 1995, the government launched the Mid-day Meal Scheme through the National Program of Nutritional Support to Primary Education (NP-NSPE) which was universalized in 2001 by the Supreme Court. In 2013, the government introduced the Food Security Ordinance which aims to mitigate hunger. However, its ability to tackle malnourishment is being highly contested. Hence, a combination of innovative and plausible solutions is required toHence, a combination of innovative and plausible solutions is required to tackle this challenge. As per National Family Health Survey-3, around 42.5% children below the age of five were underweight and 69.5% of children between six to 50 months were anemic in 2005-06. Madhya Pradesh has 60% of children malnourished whereas 78% of them in Bihar are anemic. According to HINDUSTAN TIMES (August 2012) Five worst child malnutrition states: Madhya Pradesh: 60% Bihar: 55.9% Jharkhand: 56.5% Meghalaya: 48.8% Chhattisgarh: 47.1%
  5. 5. Because when.. The world is a safer, more Girls & women are well-nourished and have healthy newborn babies Children receive proper nutrition and develop strong bodies & minds Communities & nations are safer, more resilient & stronger place Adolescents learn better & achieve higher grades in school Young adults are better able to obtain work & earn more Families & communities emerge out of poverty Communities & nations are productive & stable • Nutrition investments can help break the cycle of poverty and increase a country’s GDP by at least 2 to 3% annually.
  6. 6. Nutrition-sensitive strategies increase the impact of specific actions for nutrition Specific Actions for Nutrition Nutrition-Sensitive Strategies Feeding Practices & Behaviors: Encouraging exclusive breastfeeding up to 6 months of age and continued breastfeeding together with appropriate and nutritious food up to 2 years of age and beyond Agricultural production: Making nutritious food more accessible to everyone, and supporting small farms as a source of income for women and families Safe drinking Water & Sanitation: Improving access to reduce infection and disease Fortification of foods: Enabling access to lacking nutrients through incorporating them into foods(mandatory) Micronutrient supplementation: Direct provision of extra nutrients Treatment & care of acute malnutrition: Enabling persons with moderate and severe malnutrition to access effective treatment disease Education & Employment: Making sure children have the nutrition needed to learn and earn a decent income as adults Health Care: Access to services that enable women & children to be healthy Support for Resilience: Establishing a stronger, healthier population and sustained prosperity to better endure emergencies and conflicts
  7. 7. 11 Create Political and Operational Platforms, with strong in-country leadership & shared multi-stakeholder spaces where people come together to align their activities & take joint responsibility for scaling up nutrition. 33 Align Actions Across Sectors around high quality and well- costed country plans, with an agreed results framework and mutual accountability.responsibility for scaling up nutrition. 22 Incorporating Best Practices into National Policies for scaling up proven interventions; including the adoption of effective laws & policies 44 Increasing Resources and Monitoring Implementation for coherent, aligned, effective action and maximum impact. Malnutrition deserves far greater attention and investment than it currently receives. While India is one of the largest producers of food grains, it’s unacceptable that it is home to more malnourished children than Sub Saharan Africa.
  8. 8. together we can achieve what no single effort could, and make the world a healthier, stronger place for us all. We should reveal what has been hidden to all. We should make healthier & stronger societies. Our goal should be a better world for all …especially our children!
  9. 9. • UN Millennium Project 2005, Halving Hunger • • • de Onis M, Garza C, Victora CG, Bhan MK, Norum KR, guest editors. The WHO Multicentre Growh Reference Study (MGRS): Rationale, planning and implementation. Food and Nutrition Bulletin, Volume 25, Number 1, Supplement 1, March 2004 . WHO-1.pdf • Growth Chart : • Refugee Health: An approach to Emergency Sitations, MSF 1997 • • State of the World´s Children 1998, UNICEF • • Micronutrient deficiencies: ”Bringing science to bear.”Micronutrient deficiencies: ”Bringing science to bear.” • Global Strategy for Infant and young Child feeding, WHO, Geneva • Essentials of Pediatrics, Nelson 4th edition 2002. • 1_1/macrophage_engulfing_bacterium.html •, Photo of antibody. • Global Health and introductory text book, Lindstrand 2006. (cost of iodizing salt) • The revised BFHI package includes: Section 1: Background and Implementation [pdf 359kb], 2006, • jpg • i Deolalikar, A. (2012, July 23). A national shame: Hunger and malnutrition in India. Ideas for India. Retrieved from