2. 1. Unemployment:
But, India has two decades of post-reform
economic growth and increase in
employments.
2. Shortage of food:
But, there is a remarkable robust
agricultural productivity growth during the
last three decades, yields of food grains
have doubled since the early
3. Irresponsible government:
But, there is no shortage of programmes in
India aimed at improving access to food
and alleviating malnutrition. ICDS is the
largest supplementation programme of its
kind in the world
Then why there is no significant reduction in
malnutrition? What are real factors?
LATIN
AMERICA
SUB-SAHARAN
AFRICA
SOUTH
ASIA PAKISTAN INDIA BANGLADESH
• India is home to 40% of the world’s
malnourished children.
• Every year 2.5 million children die in India,
accounting for one in five deaths in the
world.
3. WEAKNESSES OF CURRENT POLICIES:
1. Not enough attention is given in educating
parents how to improve nutrition using the
family food budget.
2. Lack of trained volunteers.
3. Service delivery is not sufficiently focused on
the youngest children (under three). In
addition, children from wealthier households
participate much more than poorer.
4. The poorest states and those with the highest
levels of under-nutrition still have much lower
levels of program funding and coverage.
KEY FEATURES SHOULD BE ADDED :
1. Policy used social mobilization and relied on
community-based primary health care as a
delivery system for nutrition and health
interventions.
2. Also focused on complementary interventions
to address other determinants of child
malnutrition, such as water and sanitation
and education.
3. A strong monitoring and evaluation culture
that provides a basis for incentives and
correction of policy actions in the context of
implementation.
•Integrated Child Development Services (ICDS);
•The Mid-Day Meals Program;
•The Public Distribution System (PDS);
•The National Old-Age Pension Program and the
•Annapurna Program.
All of these programs have potential, but they don’t form a comprehensive
nutrition strategy, and they haven't addressed the nutrition problem effectively so far.
4. Specialized care for
0 to 3 years children
Community based programs (CBP)
for 3 to 6 years children
Challenges
A common cause of inadequate child
growth is poor feeding practices, Keeping
a child well-nourished during the first
1,000 days prevents irreversible damage
that can impact health and Productivity for
a lifetime.
Families feed their children
adequately using locally available
foods, but they often do not know
how to prepare or feed these foods
in a way that will meet the needs of
their children.
Solutions
• Mobile Clinics (home services).
• Fortified food package distribution and
purified water supply.
•Weekly Medical Report.
• Compulsory Health Card.
•Information Sessions to discuss key issues
such as breast feeding and hygiene.
• Trained staff will conduct practical
& information sessions.
• Conducting monthly growth
monitoring sessions.
•Teach parent that they could use
foods from their own gardens, to
enrich their children’s meals.
Prevention not only protects children from lifelong effects, but it costs
far less than malnutrition treatment, which can be a burden for
households, communities, and health systems in low-resource settings
5. • Improving provider performance : Trainees will support improved feeding practices through
counselling, home visits, cooking demonstrations, weighing sessions, health talks and mother
support groups.
ADVANCED SOCIAL AND BEHAVIOR CHANGE COMMUNICATION PROGRAMS
• Promoting locally available foods and optimal feeding practices: We will conduct cooking
demonstrations using available resources to promote more nutritious meals for children. Teach
them that they could use foods from their own gardens, to enrich their children’s meal.
• Public-private partnership to encourage use of fortified foods.
ENHANCED COMPLEMENTARY FEEDING PROGRAMS
• Integrating nutrition : We will train agriculture extension workers to incorporate nutrition
education into existing activities aiming to help families generate income from their gardens.
BROUGHT WOMEN'S & CHILDREN'S NUTRITION TO THE FORTFRONT OF AGRICULTURE
• Building supervision and support systems: We designed sustainable supervision systems and
facilitated supportive supervision of trained health workers. Supervisors used our community-
specific supervision checklists to follow up with trained health providers to measure knowledge and
record their behaviours during counselling sessions.
Strengthened health systems for healthier mothers and children
To enhance follow up in the community and increase utilization of
health services, we will accomplish these four task:
6. • Children under 3 are only feed by the fortified food
provided by the mobile clinics through home delivery.
• All requirements are provided by the these mobile
clinics including medicines, vaccinations, drinking
water and medical treatment.
Mobile Clinics
(3 to 4 vans per
village)
• Children under 3 are compulsory to have weakly
inspection done by medical staff.
• Health card is mandatory to maintain by parents
which contains all the progress report of child.
Medical Staff
(10 persons per
village)
• Trained staff will conduct practical & information
sessions under the supervision of Health Inspector.
• Every village will have one Health Inspector which
supervise the every event under project.
Health Inspectors
(1 per village)
8. Volunteers Network Reach Impact
0.1Mn Health
Inspector to be
recruited.
0.3 Mn Medical Staff
0.1 Mn Volunteers
Programs will be for
month, quarter, half-
yearly and annual in
50 lakhs villages.
1.5 parents to be
trained yearly across
500 villages.
5 Mn children to be
inspected yearly
across 500 villages.
Prevention not only
protects children from
lifelong effects, but it
costs far less than
malnutrition treatment.
Parents will be teach how
to nourish their children
using home made food
reduce economic burden.
Fortified Food and pure
water is provided which
reduce malnutrition.
9. Challenges
• Shortage of trained volunteers and medical staff for
such large coverage.
• Difficulty in understanding mothers’ current practices,
constraints, and beliefs around feeding their children.
• Uneducated parents.
Implementation
risks
• Government or corporate do not see the viability of
funding this model.
• Volunteers enrollment minimal and key profession
groups show no interest.
• Public distribution system has many problems
including quality of stuffs and corruption.
10. • Usaid’s Infant & Young Child
Nutrition Project, 2012
• IFPRI : Accelerating progress toward reducing
child malnutrition in India, 2008
•The state of food Insecurity in the world:
Economic growth, hunger and malnutrition,
2012
•The World Bank Report: India,
Undernourished Children: A call for reform and
action, 2012
•Ideas for India Report: A national shame:
Hunger and malnutrition in India, 2012
•India UNICEF article : Under-nutrition - a
challenge for India
