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Tackling the problem of nutrition

Context : Budget 2025 and Nutrition Focus

  • While health was not prioritized, Saksham Anganwadi and Poshan 2.0 received higher allocations.
  • Question: Will these schemes address India’s nutrition crisis effectively?

Relevance : GS 2(Nutrition Security)

Multidimensional Nature of Malnutrition

  • Beyond food insecurity, nutrition is influenced by culture, caste, and gender.
  • Policy focus is narrow, emphasizing women (reproductive age) and children, ignoring:
    • Women beyond reproductive age, men, and senior citizens.
    • Rising cases of diabetes, hypertension, and obesity (NCDs).

Key Nutrition Statistics (NFHS-5)

  • 36% of children under five are stunted; only 11% of breastfed children get an adequate diet.
  • 57% of women (15-49 years) are anaemic.
  • 24% of women and 23% of men are overweight/obese; 14% take diabetes medication.

Evaluating Poshan 2.0 and Saksham Anganwadi

  • Focus on take-home rations, supplements, and iron/folic acid tablets.
  • Shortcomings:
    • Reinforces regional bias (malnutrition seen as a rural problem).
    • Ignores middle-class dietary habits, NCDs, and urban malnutrition.

Need for a Comprehensive Nutrition Agenda

  • Should include:
    • Addressing all population groups, not just maternal and child health.
    • Locally rooted solutions using nutrient-rich indigenous foods.
    • Institutional linkage via Health and Wellness Centres (HWCs).

Strengthening HWCs for Nutrition Services

  • Expand coverage to adolescents, elderly, and urban poor.
  • Ensure equitable distribution (currently rural-heavy).
  • Need for dedicated nutrition personnel, as current staff handle multiple responsibilities.

Key Success Factors

  1. Community Ownership: Engage local elites for awareness and acceptance.
  2. Linking Nutrition to Local Cuisines: Promote indigenous, nutrient-dense foods over processed diets.

March 2025
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