Nourish to flourish: Reducing malnutrition


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Nourish to flourish: Reducing malnutrition

  1. 1. Nourish to Flourish: Reducing Malnutrition all people have a Team Name: Achievers Team Members: Ritika Grover, Prateek Puri, Aastha Trehan Ruchika Khaitan, Neha Singh right to food & good nutrition.
  2. 2. Introduction • India, today is one of the most malnourished countries in the World. • More than 40% of the World’s under weight children below five years live in India (Global Hunger Index 2007) • The latest NFHS 3 asserts that not much progress has been achieved in improving human resources. • Poverty is a major, but not the only cause of malnutrition • Percentage of population suffering from various forms of malnutrition, far exceeds the percentage below poverty line • After National Nutrition Policy 1993 and National Plan of Action, 1995 no national programs or policies for eradicating malnutrition have appeared. • Today, India has no national programme to combat malnutrition 2
  3. 3. Why nutrition? Because when.. Girls & women are well-nourished and have healthy newborn babies Communities & nations are productive & stable Children receive Children receive proper nutrition proper nutrition and develop and develop strong strong bodies & bodies & minds minds The world is a safer, more resilient & stronger place Families & communities emerge out of poverty Adolescents learn better & achieve higher grades in school Young adults are better able to obtain work & earn more
  4. 4. The causes of malnutrition are interconnected Lack of good Insufficient access to affordable, nutritious CARE FOOD for mothers & children & support for mothers on appropriate child feeding practices throughout the year Inadequate access to HEALTH sanitation & clean water services ROOTED IN Political & Cultural Environment Poverty Disempowerment of women
  5. 5. Analysis of current situation (i) India has no comprehensive National Program for the eradication of Malnutrition. The ICDS programme in governmental and general perception is seen as a programme to address malnutrition. However, ICDS is not a programme for the eradication of malnutrition, but for Integrated Child Development. (ii) Other Nutrition and related programmes such as the Mid Day Meal Programme, Kishori Shakti Yojana, Vitamin A supplementation programme, National Nutritional Anaemia Control Programme, and the National Iodine Deficiency Disorder Control Progreamme address some of the causes of Malnutrition but not all of them. (iii) Malnutrition in India is deeply rooted in the inter-generational cycle. However, the current policies and programmes do not address the issue intergenerationally, as depicted in the diagram. 5
  6. 6. (iv) The population of India suffers from a high Protein Calorie deficit. Studies reveal that 30% of the households in India consume less than 70% of the energy requirement and calorie intake(NNMB repeat surveys 1988-1990 and 1996-97). (v) There is inadequate awareness and information regarding proper nutritional practices amongst the population. (vi) Crucial prescriptions of the National Nutrition Policy, 1993, were not translated into National Programmes, viz., popularization of low cost nutritious foods, reaching the adolescent girl, fortification of essential foods and control of micronutrient deficiencies. (vii) Most importantly, eradication of malnutrition should be articulated as high priority in the National Development Agenda. 6
  7. 7. Nutrition-sensitive strategies increase the impact of specific actions for nutrition Specific Actions for Nutrition 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 Nutrition-Sensitive Strategies Agriculture: Making nutritious food more accessible to everyone, and supporting small farms as a source of income for women and families Clean Water & Sanitation: Improving access to reduce infection and disease Fortification of foods: Enabling access to nutrients through incorporating them into foods Education & Employment: Making sure children have the nutrition needed to learn and earn a decent income as adults Micronutrient supplementation: Direct provision of extra nutrients Health Care: Access to services that enable women & children to be healthy Treatment of acute malnutrition: Enabling persons with moderate and severe malnutrition to access effective treatment Support for Resilience: Establishing a stronger, healthier population and sustained prosperity to better endure emergencies and conflicts
  8. 8. Essential Interventions to Combat Malnutrition 1. Weighment of child within 6 hours of birth and thereafter at monthly intervals. 2. Timely initiation of breastfeeding within one hour of birth, and feeding of colostrum to the infant. 3. Exclusive breastfeeding during the first six months of life. 4. Timely introduction of complementary foods at six months and adequate intake of the same, in terms of quantity, quality and frequency for children between 6-24 months. 5. Dietary supplements of all children between 6 months – 72 months through energy dense foods made by SHGs from locally available food material to bridge the protein calorie gap. 6. Safe handling of complementary foods and hygienic complementary feeding practices. 7. Complete immunization and Vitamin A supplementation. 8. De-worming of all family members bi-annually. 8
  9. 9. 9. Frequent, appropriate, and active feeding for children during and after illness, including oral rehydration with Zinc supplementation during diarrhea. 10. Timely and quality therapeutic feeding and care for all children with severe and acute malnutrition. 11. Dietary supplements of iron – rich, energy dense foods made from locally available food material prepared by women SHGs for adolescent girls and women, especially during growth periods and pregnancy to fill the protein calorie gap and ensure optimal weight gain during pregnancy. 12. Anaemia screening for children, adolescent girls and women. 13. Weight monitoring of all adolescent girls and pregnant women. 14. Prevention and management of Micro-Nutrient deficiencies, especially through IFA supplementation to prevent anaemia in adolescent girls and women. 15. Making available low cost energy foods for the general population. 16. Fortification of common foods. 9
  10. 10. Nutrition Monitoring and Surveillance • A computerized Central and Block level monitoring systems should be devised with deliverable targets and time frames. • An effective concurrent monitoring system through an external agency can also be established for measuring outcomes, and for effecting changes and mid course corrections. • At the AW level, community based nutrition monitoring and surveillance through ICDS infrastructure could include growth monitoring of infants and children and weight monitoring of adolescent girls and women • Creating a data base on the nutritional status of children, adolescents and women. 10
  11. 11. together we can achieve what no single effort could, and make India a healthier, stronger place for us all. Our goal is a better India for all …especially our children Thank you