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  1. 1. NUTRITION AND right to life
  2. 2. INTRODUCTION <ul><li>The health profile of India at the end of 20 th century was promising. Impressive improvements in socio-economic, nutrition and health status and eradication of major killer diseases largely contributed to epidemiological and demographic transition. </li></ul><ul><li>On the other hand, a heavy burden of disease of growing and greying population was also seen. </li></ul><ul><li>Rural migration poverty hunger </li></ul>
  3. 3. <ul><li>INDIA IS FACING A DUAL BURDEN OF MALNUTRITION </li></ul><ul><li>Pathological state resulting from deficiency or excess of one or more essential nutrients </li></ul>
  5. 5. UNDERWEIGHT Malnutrition levels are higher among young girls. Almost half of the girls in age 15-19 are undernourished. Undernutrition declines and overnutrition increases with age of women
  6. 6. Cont… <ul><li>Occurs due to FOOD GAP </li></ul><ul><li>PEM </li></ul><ul><li>Growth retardation to kwashiorkar and marasmus </li></ul>
  7. 7. MICRONUTRIENT DEFICIENCY <ul><li>ANAEMIA </li></ul><ul><li>VITAMIN – A DEFICIENCY </li></ul><ul><li>IODINE DEFICIENCY DISORDER </li></ul>
  8. 8. ANAEMIA <ul><li>320 million - 40-88 per cent of pregnant women, 60-70 per cent of children, 50 per cent of adolescent girls </li></ul><ul><li>39% of 6-11 months have moderate anaemia </li></ul><ul><li>36% children whose mother was anaemic had moderate anaemia </li></ul>
  9. 9. VITAMIN-A DEFICIENCY <ul><li>Leads to night blindness </li></ul><ul><li>Middle and high income consume more Vitamin A rich foods </li></ul><ul><li>Less prevalence in Kerala </li></ul>
  10. 10. IODINE DEFICIENCY DISORDER <ul><li>Leads to goitre </li></ul><ul><li>Only 1% prevalence in Ernakulam (Kapil et al.1998) </li></ul><ul><li>Thanks to sea foods </li></ul>
  11. 11. OBESITY <ul><li>Excess accumulation of fat in the body </li></ul><ul><li>percentage of women who are overweight or obese is highest in Punjab (30%), followed by Kerala (28%) and Delhi (26%) </li></ul><ul><li>40% women 40-49 years and 25% men 30-39 years are overweight in kerala </li></ul><ul><li>Overweight and obesity are more than three times higher in urban than rural areas </li></ul><ul><li>Almost one-third of women in the highest income quintile are overweight or obese </li></ul>
  13. 13. so where are we??
  14. 14. HUNGER MAP
  15. 15. <ul><li>Food security- a situation which exists when all people, at all times, have physical and economic access to sufficient, safe and nutritious food to meet their dietary needs and food preferences for an active and healthy life </li></ul><ul><li>Kerala – moderately secure </li></ul><ul><li>In Ernakulam, only 10% of BPL category are food secure and 87% food insecure but no hunger </li></ul>KERALA MEAT FROM KARNATAKA RICE FROM ANDRA PRADESH VEGETABLES FROM TAMILNADU
  16. 16. GOVERNMENT PROGRAMMES <ul><li>Integrated Child Development Services (ICDS) </li></ul><ul><li>Public Distribution System(PDS) </li></ul><ul><li>Vitamin-A prohylaxis programme </li></ul><ul><li>National Iodine Deficiency Control Programme(NIDDCP) </li></ul><ul><li>Anaemia control </li></ul>
  17. 17. <ul><li>India needs </li></ul><ul><li>Include millets and pulses in PDS </li></ul><ul><li>Extend ICDS to target 6 months – 2 years </li></ul><ul><li>Promote </li></ul><ul><li>Make healthy food choices </li></ul>THE WAY FORWARD.... NUTRITION SECURITY kitchen garden and organic farming
  18. 18. <ul><li>Efficient monitoring of govt. programmes and feedback system </li></ul><ul><li>Spreading awareness through nutrition education </li></ul><ul><li>Making kerala self-sufficient and hunger free </li></ul>
  19. 19. THANK YOU