Republic of India : Mutisectoral Nutrition Action in Bihar

Kathuria, Ashi Kohli; Khanna, Rajni

Republic of India : Mutisectoral Nutrition Action in Bihar

Autores

Kathuria, Ashi Kohli

Khanna, Rajni

Editor

World Bank, Washington, DC

Descripción

India, currently, has one of the highest malnutrition rates in the world. One-third of its children are born with low birth-weight, 43 percent of children under five are underweight, 48 percent are stunted and 20 percent are wasted. Stunting rates in India are two to seven folds higher than those of other BRICS countries. Micronutrient deficiencies are extremely high with almost 75 percent of the under threes being anemic, 62 percent deficient in vitamin A and over 13 million infants remaining unprotected from iodine deficiency disorders. There are large differentials in the prevalence across states and socio economic groups. Sixty percent of the malnutrition burden exists in low income states: Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Odisha, Rajasthan and Uttar Pradesh. The Government's policy commitment to address malnutrition and the multitude of programs that are being implemented, progress in reducing under nutrition has been slow. It therefore becomes imperative to address the malnutrition challenge and to prevent and reduce maternal and child malnutrition as early as possible across the life cycle especially through pregnancy and in the first two years of life, i.e., in the first 1,000 days of life, and in adolescent girls and women. In order to accelerate improvements across the states, the Government of India (GOI) has made policy commitments to mobilize multisectoral action to address the multiple causes of malnutrition effectively through formulating a multisectoral strategy and a multisectoral program to be implemented in 200 high malnutrition burden districts of the country. The multisectoral strategy also aims to bring a strong nutrition focus in various sectoral plans to address maternal and child malnutrition.

Palabras clave

ACCESS TO FOOD, ACCESS TO GOVERNMENT, ACCESS TO HEALTH CARE, ACCESS TO HEALTH SERVICES, ACCOUNTABILITY MECHANISMS, ADOLESCENT GIRLS, ADOLESCENT HEALTH, AGRICULTURE PRODUCTION, ANTENATAL CARE, BASIC FOOD BASKET, BEHAVIOR CHANGE, BREAST FEEDING, CAPACITY BUILDING, CHILD CARE, CHILD DEATH, CHILD DEVELOPMENT, CHILD HEALTH, CHILD MORTALITY, CITIZENS, CLEAN WATER, CLEANLINESS, COMMUNITY HEALTH, COMMUNITY INSTITUTIONS, COMMUNITY ORGANIZATIONS, COMMUNITY PARTICIPATION, COMMUNITY RESOURCE PERSONS, CULTURAL PRACTICES, DAY CARE, DECISION MAKING, DEMAND FOR SERVICES, DESCRIPTION, DIET, DISSEMINATION, DISTRICTS, DRINKING WATER, EARLY CHILDHOOD, EARLY MARRIAGE, ECONOMIC EMPOWERMENT, ECONOMIC GROWTH, FAMILIES, FATIGUE, FOOD AVAILABILITY, FOOD BASKET, FOOD CONSUMPTION, FOOD DEFICIT, FOOD INSECURE HOUSEHOLDS, FOOD INTAKE, FOOD ITEMS, FOOD POLICY, FOOD SECURITY, FOOD SHORTAGE, FOOD SUPPLIES, GENDER, GENDER RELATIONS, GOVERNMENT DEPARTMENTS, GOVERNMENT PROGRAMS, GROSS DOMESTIC PRODUCT, HEALTH CARE, HEALTH EDUCATION, HEALTH EXPENDITURES, HEALTH INTERVENTIONS, HEALTH OUTCOMES, HEALTH SERVICES, HOUSEHOLD CONSUMPTION, HOUSEHOLD FOOD INSECURITY, HOUSEHOLD LEVEL, HUMAN CAPITAL, HYGIENE, IMMUNIZATION, INADEQUATE FOOD, INCOME, INFANT, INFORMATION SYSTEM, INSTITUTIONAL MECHANISMS, INTERNATIONAL FOOD POLICY RESEARCH INSTITUTE, INTERVENTION, IODINE DEFICIENCY, IRON, LEGAL STATUS, LIVELIHOOD OPPORTUNITIES, LOCAL COMMUNITY, MALNUTRITION, MASS MEDIA, MATERNAL HEALTH, MICRONUTRIENT DEFICIENCIES, MICRONUTRIENT SUPPLEMENTATION, MIDWIFE, MORBIDITY, MORTALITY, NATURAL RESOURCE, NATURAL RESOURCE MANAGEMENT, NATURAL RESOURCES, NOURISHMENT, NURSE, NUTRITION, NUTRITION IMPROVEMENT, NUTRITION INFORMATION, NUTRITION INTERVENTIONS, NUTRITION NEEDS, NUTRITION OUTCOMES, NUTRITIONAL DEFICIENCY, NUTRITIONAL STATUS, NUTRITIONAL STATUS OF WOMEN, PARTICIPATORY METHODS, PERSONAL HYGIENE, POLICY RESEARCH, POLLUTION, POOR, POSTNATAL CARE, POVERTY RATES, POVERTY REDUCTION, POVERTY REDUCTION EFFORTS, POVERTY REDUCTION PROGRAM, POVERTY REDUCTION PROJECT, PREGNANCIES, PREGNANCY, PREGNANT WOMEN, PROGRESS, PUBLIC HEALTH, QUALITATIVE DATA, RURAL, RURAL AREAS, RURAL COMMUNITIES, RURAL DEVELOPMENT, RURAL DRINKING WATER, RURAL EMPLOYMENT, RURAL HEALTH, RURAL LIVELIHOODS, RURAL POOR, RURAL POOR HOUSEHOLDS, RURAL RESIDENTS, RURAL WATER, RURAL WATER SUPPLY, SANITATION, SAVINGS, SELF HELP, SERVICE DELIVERY, SERVICE PROVIDERS, SERVICE PROVISION, SOCIAL CAPITAL, SOCIAL DEVELOPMENT, SOCIAL INEQUALITIES, SOCIAL INFRASTRUCTURE, SOCIAL MOBILIZATION, SOCIAL PROTECTION, SOCIAL WELFARE, TARGETING, TECHNICAL ASSISTANCE, TRAININGS, VEGETABLES, VILLAGE LEVEL, VILLAGES, VULNERABLE GROUPS, VULNERABLE HOUSEHOLDS, WASTE, WORKERS, YOUNG CHILD, YOUNG CHILDREN