The document discusses malnutrition in India and proposes strategies to address it. It notes that India has high levels of malnutrition, with over 40% of the world's underweight children under 5 living in India. It analyzes the current situation, noting that India lacks a comprehensive national program to eradicate malnutrition. The root causes of malnutrition are intergenerational and interconnected, stemming from poverty, lack of women's empowerment, insufficient access to nutritious food and healthcare. It proposes specific nutrition interventions and monitoring strategies to combat malnutrition through a multi-sectoral approach.

1. Nourish to Flourish:
Reducing Malnutrition
all people have a
right to food &
good nutrition.Team Name:
Achievers
Team Members:
Ritika Grover, Prateek Puri, Aastha Trehan
Ruchika Khaitan, Neha Singh

2. • 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
Introduction

3. Adolescents learn
better & achieve
higher grades
in school
Girls & women are
well-nourished and
have healthy
newborn babies
Children receive
proper nutrition
and develop
strong bodies &
minds
Families &
communities
emerge out of
poverty
Communities &
nations are
productive & stable
The world is a
safer, more
resilient &
stronger place
Young adults are
better able
to obtain
work & earn more
Why nutrition?
Because when..
Children receive
proper nutrition
and develop strong
bodies & minds

4. ROOTED IN
Poverty Disempowerment
of women
Political & Cultural
Environment
Insufficient access to
affordable, nutritious
FOOD
throughout the year
Lack of good
CARE
for mothers & children
& support for mothers
on appropriate child
feeding practices
Inadequate access to
HEALTH
sanitation & clean
water services
The causes of malnutrition are
interconnected

5. (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 inter-
generationally, as depicted in the diagram.
5
Analysis of current situation

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. 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
Fortification of foods: Enabling access
to nutrients through incorporating
them into foods
Micronutrient supplementation:
Direct provision of extra nutrients
Treatment of acute malnutrition:
Enabling persons with moderate and
severe malnutrition to access
effective treatment
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
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
Nutrition-Sensitive StrategiesSpecific Actions for Nutrition
Nutrition-sensitive strategies increase the impact of
specific actions for nutrition

8. 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
Essential Interventions to Combat Malnutrition

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. • 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
Nutrition Monitoring and Surveillance

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

12. Appendix
• http://en.wikipedia.org/wiki/Malnutrition_in_India
• http://www.unicef.org/india/children_2356.htm
• HUNGER AND MALNUTRITION IN INDIA:
• STATUS, CAUSES AND CURES :
http://www.angoc.org/portal/wp-
content/uploads/2012/09/12/vietnam-food-and-nutrition-
security-situationer/India.pdf
• NUTRITION STRATEGY OVERVIEW