India still to go a long way in achieving global nutrition targets

The Global Nutrition Report 2016 puts India behind African countries like Ghana and Togo in stunted growth

GN Bureau | June 15, 2016


#Global Nutrition Report   #India   #governance   #stunted growth  


Over the last decade, momentum around nutrition has been steadily building: in 2012, the World Health Assembly (WHA) adopted the 2025 Global Targets for Maternal, Infant and Young Child Nutrition.

And on June 14, the latest edition of the Global Nutrition Report was released. It, however, did not have many nice things to say about the state of nutrition in India. As per the report, India’s progress in reducing the child under-nutrition rate in India is still well below what needs to be achieved as the country lags behind many poorer countries of Africa. 

The Global Nutrition Report, an independent and comprehensive annual review of the state of the world’s nutrition, is a multi-partner initiative that acts as a report card on the world’s nutrition – globally, regionally, and country by country – and on efforts to improve it. It assesses progress in meeting Global Nutrition Targets established by the WHA.

The third panel of the report that talks about the state nutrition missions in India, says, “Although declines in India’s child under-nutrition rates have accelerated since 2006, these faster developments are still well below the rates of progress needed to achieve the global nutrition targets adopted by the WHA to which India is a signatory. India lags behind many poorer countries in Africa south of the Sahara; at current rates of decline, India will achieve the current stunting rates of Ghana or Togo by 2030 and that of China by 2055. Further, nutritional status and progress in India vary markedly across its states. India urgently needs to take target setting to the subnational level to achieve global nutrition targets and Sustainable Development Goals (SDGs).”

Key points of the section (State nutrition missions in India) are:

•    Maharashtra is the first state in India to launch its independent state nutrition mission in the form of an autonomous technical and advisory body, in 2005, under the Department of Women and Child Development.   
•    Five other states followed and have launched their respective missions based on the Maharashtra model: Madhya Pradesh, Uttar Pradesh, Odisha, Gujarat, and Karnataka. All six state nutrition missions focus on the 1,000-day post conception period and commit to improving inter-sectoral coordination in order to improve child nutrition.   
•    Only two of the six states have clear, measurable targets for nutritional outcomes – Uttar Pradesh State Nutrition Mission and Odisha’s Nutrition Operation Plan. The action plan of Maharashtra’s Rajmata Jijau Mother-Child Health and Nutrition Mission includes monitoring of 10 important indicators related to maternal and child health but does not specify measurable targets and time frames for these indicators. The states of Gujarat, Madhya Pradesh, and Karnataka do not include any specific targets in their mission statements.   
•    Not all targets align with the global nutrition targets: Uttar Pradesh includes four of the six targets – it excludes low birth weight and overweight prevalence but includes underweight prevalence as an additional indicator that is not a global target. Odisha’s Nutrition Operation Plan includes only stunting, wasting, and underweight, excluding the other global targets of women’s anaemia, exclusive breastfeeding, child overweight, and low birth weight.   
•    In states that have targets, the targets are based on older data. For example, the Uttar Pradesh State Nutrition Mission’s plan for 2014–2024 is based on findings from India’s National Family Health Survey 3 (NFHS-3), from 2005–2006, and includes time-bound targets for stunting, wasting, underweight, exclusive breastfeeding, and women’s anaemia. Progress across the target indicators could instead be measured using the recently released Rapid Survey on Children 2014 data for baseline values to reflect the most recent status of undernutrition in the state. Likewise, Odisha’s Nutrition Operation Plan, aimed at accelerating underweight reduction in 15 high-burden districts of the state, includes targets for stunting, wasting, and underweight based on NFHS-3, 2005–2006 levels.

The report suggests that “an urgent action call is needed for all states to use new, updated data to report the current status of nutrition and set new targets.” It also says that one reason why the nutrition missions in India do not cover all targets enumerated is likely that they are typically housed in the state department or ministry of women and child development (WCD), whose agenda is supplementary nutrition. Issues that fall in the domain of other departments, such as health, do not get articulated in WCD departments’ plans or missions. This situation demonstrates the need for multi-sectoral missions or agencies, cutting across departments, with clearly defined and measurable targets and monitor-able action points for all sectors.

Key points from the section (Budgeting for nutrition in India) are:

•    First, in 2016, the Indian government, at the central level, allocated approximately $5.3 billion in total to nutrition-specific programs such as the Integrated Child Development Services Scheme and the National Health Mission. It allocated $31.6 billion in total to several programmes aimed at improving the underlying determinants of nutrition, such as the Public Distribution System (PDS), which focuses on food security, the Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA), which focuses on livelihood security in rural areas, and the Swachh Bharat Mission, which is focused on sanitation.    
•    Second, although a large amount of money is committed to nutrition-specific interventions, it falls $700 million short of the $6 billion per year Menon, McDonald, and Chakrabarti (2015) estimate is needed. The Indian government could meet this independently assessed target by increasing the budget 13 percent.   
•    Third, programmes such as the PDS (food subsidy) and MGNREGA (employment security) that target underlying determinants account for about 70 percent of India’s expenditure on nutrition. Such allocations, and those available from the central government for the sanitation mission, can help create more supportive home environments for improved nutrition, if well implemented. For all these programmes, the onus of strengthening centrally sponsored government schemes by reducing inefficiencies, improving targeting, and ensuring greater convergence of the schemes lies with the state governments.    
•    Finally, due to changes in the country’s fiscal architecture, there are now opportunities for states to increase their commitment to nutrition and allocate additional state financing. But there is a risk that states may not prioritise nutrition. Guidelines for prioritising and allocating financing available from the central government could help strengthen nutrition-financing efforts at the state level as well.
 

Comments

 

Other News

Mumbai`s stalled building projects: Is self-redevelopment the real solution?

Land in Mumbai city, which is surrounded by water on three sides, is scarce and has a premium. Property prices in certain areas of financial capital of the country are as much as Rs 1 lakh per sq ft. Yet, 5,800 buildings have been lying in a stalled condition for the last 18 years. Meanwhile

Revadi, electoral reforms and fiscal responsibility

Revadi (sweetmeat) or more popular word, ‘freebies’, has been dominating headlines recently. A public interest litigation (PIL) has been filed in Supreme Court to bar all political parties from making such promises. In response, one leading political party, Aam Aadmi Party (AAP), has filed thei

Jal Jeevan Mission: 6.70 crore households provided with tap water connections

Since August 2019, Government of India, in partnership with States, is implementing Jal Jeevan Mission (JJM) to make provision of potable tap water supply every rural household by 2024. As many as 6.70 crore households have been provided with tap water connections in the 35 months, since Aug

Cloud inclusivity: Ensuring highly regulated organisations are ready for a cloud-first world

Over the last few years, cloud has been able to create a special place for itself amongst fast moving, competitive and growth-led organisations. As the technology became an imperative, it has undoubtedly created unique business opportunities and isbecoming an anchor for innovation for leading businesses gl

1.29 crore voters chose NOTA in five years

None-of-the-above, or NOTA – the option introduced for voters in 2013 when they don’t want to support any of the candidate – has made some progress. In the past five years, NOTA has secured 1,29,77,627 votes in state assembly elections and Lok Sabha election, according to an analysis by t

India committs to reduce Emissions Intensity of GDP by 45% by 2030

India stands committed to reduce Emissions Intensity of its GDP by 45 percent from the 2005 level by 2030 and achieve about 50 percent cumulative electric power installed capacity from non-fossil fuel-based energy resources by 2030. The country’s India’s updated Nationally Determined Contributi

Visionary Talk: Amitabh Gupta, Pune Police Commissioner with Kailashnath Adhikari, MD, Governance Now


Archives

Current Issue

Opinion

Facebook    Twitter    Google Plus    Linkedin    Subscribe Newsletter

Twitter