Are we seriously fighting malnutrition?

Breaking the vicious cycle of poverty is essential to win over malnutrition

archana

Archana Mishra | November 23, 2017


#Tribal Children   #Tribal Women   #Malnutrition   #Rural health   #Health   #Tribals   #Baiga Tribe   #Baiga  
Representational image
Representational image

It did not surprise me when the India: health of the nation’s states, the India state-level disease burden initiative report released recently reported malnutrition the prime risk factor driving the most deaths and disability in Madhya Pradesh. Even in 1990 malnutrition was the frontrunner and after 26 years it retains the topmost position. Its intensity might have dropped a little in all these years but it still affects more than 70 percent children. Some are affected directly through nutritional deficiencies while many indirectly fall prey to malnutrition through diarrhoea, lower respiratory tract infections and neo-natal disorders since birth due to poor health of mothers.

The situation must have been grave in 1990s when chronic form of malnutrition like Marasmus and Kwashiorkor were prevalent. Situation has now changed. We have overcome the extreme. But why malnutrition continues to persist to an extent that India was ranked 100th among 119 nations in Global Hunger Index, 2017? Why even after 26 years the issue is in a lingering state?

Both answer and solution to the problem are given in the first National Nutrition Policy, 1993. It mentions of a ‘vicious cycle’ where poverty leads to low intake of food and nutrients resulting in undernutrition and repeated attacks of diseases and infections. The long term effect starts from here with faltered growth and stunted development as he/she turns into an adult.

Subsequently, it impacts the productivity and reduces the capacity to earn. Hence, he gets back to square one –poverty. No denying, the cycle continues to exist till today. The real burden of it is being faced by scheduled tribes. Even health experts
say, scheduled tribes are worst affected with malnutrition. They are followed by scheduled caste and others.

I had the opportunity to spend almost a month with tribals of Mandala and Balaghat districts of Madhya Pradesh to study the prevalence of malnutrition. I personally felt tribal, especially Baiga with whom I closely worked, are more vulnerable now. They don’t have any resource of livelihood except migrating and cultivating on the meagre amount of their agricultural land holdings.

Surprisingly, there are couple of Baiga dominated villages where families don’t have a single landholding. Baigas are forest dwellers. They were never into agriculture like Gonds, an indigenous tribe. They fulfilled their needs through forest produce and little farming until they were not thrown out of their lands. In last one decade they have been exposed to economic activities, what we call as ‘development’. They have no idea what it means. Their only focus is to earn somewhere between Rs 500 and 700 a month to afford meals for the family. They are trapped in that ‘vicious cycle of poverty’. Simply migrating for work is the only option. It gives them money but at the same time their children are unknowingly pushed into the same cycle as many take the family along with them. It means improper care of the child as both husband and wife works and the child is deprived of education. But can we really gauge the psychological impact it has on the child? No.

Irony is that these migrating families are not beneficiaries of any social security schemes. Meanwhile, those staying in their villages still get benefits of Public Distribution System (PDS), Integrated Child Development Scheme (ICDS) and Midday Meal (MDM). These are certain fragmented initiatives giving only food security to a limited extent. It does not intervene the vicious cycle of poverty directly. Certainly, National Rural Employment Guarantee Act (NREGA) was a crucial scheme hitting directly the core issue but it is no longer a scheme driven by people’s requirement.

The problem of malnutrition can only be addressed seriously if government provides strong support system to the vulnerable. They need to give a boost to agriculture, MNREGA and small and medium scale enterprises, create a strong social security network that migrating population can easily get benefits wherever they go. The ‘vicious cycle of poverty’ and malnutrition can only be broken through strong government will.


 

Comments

 

Other News

Maharashtra set to get first Shiv Sainik CM

The conundrum in Maharashtra is moving towards resolution, as the Shiv Sena has secured the support of the ideological opponents, the Congress and the NCP, to form the government, after the BJP, the party with the most seats, failed to muster the numbers. NCP chief Sharad Pawar has taken the

Vanni: In struggle of memory, pictures complement words

Gotabaya Rajapaksa, the new president of Sri Lanka, won the November elections that were held amid continued polarization in the island nation. As defence secretary, he had led the government’s decisive fight against the LTTE rebels in 2009, in which most of the guerrilla leaders were killed. Thus en

How Sahitya Akademi promotes India lit abroad

Sahitya Akademi, the autonomous organization under the ministry of culture, has been silently promoting Indian literature abroad through a host of activities, including promotion of translations. The Akademi has helped translate much-talked about Bangla novel ‘Herbert’ by Nabarun

Hotel responsible for vehicle in valet parking: supreme court

Once a guest hands over the car keys to the valet, the vehicle is under the hotel’s responsibility, and it will have to compensate any damage to it, the supreme court has ruled. In a judgment under the contract law, a bench of justices Mohan M Shantanagoudar and Ajay Rastogi has upheld

Homebuyers have filed 1,821 cases against builders

Amid oversupply, slackening demand and financial troubles, many builders have not been able to deliver homes to buyers, leaving the latter in the lurch. The buyers in turn have taken recourse to filing cases against builders: a total of 1,821 cases under the Insolvency and Bankruptcy Code (IBC) 2016 were p

Rajya Sabha looks back and forward on historic occasion

The beginning of its historic 250th session gave the upper house of parliament an opportunity to take stock of its past and its future, the challenges ahead and the ways to meet them. The house on Monday took up a discussion on ‘The Role of Rajya Sabha in Indian Polity and the Way Forw



Archives

Current Issue

Video

CM Nitish’s convoy attacked in Buxar

Opinion

Facebook    Twitter    Google Plus    Linkedin    Subscribe Newsletter

Twitter