Malnourished Indian Children

New Delhi/ PIB News: As per the report of NFHS-4 conducted in 2015-16, 35.7% children under 5 years of age are underweight and 38.4% are stunted indicating a reduction from the previous NFHS – 3 conducted in 2005-06, which reported 42.5% children under 5 years of age as underweight and 48% stunted. Further, as per the report of Comprehensive National Nutrition Survey (CNNS) conducted during 2016-18, the prevalence of stunting, wasting and underweight among children is 34.7%, 17%, and 33.4% respectively, which indicates further reduction when compared to the levels reported by NFHS-4; and hence an improvement from the previous status.

The Government has accorded high priority to the issue of malnutrition and is implementing several schemes like Anganwadi Services, Scheme for Adolescent Girls and Pradhan MantriMatruVandanaYojna (PMMVY) under the Umbrella Integrated Child Development Services (ICDS) Scheme as direct targeted interventions to address the problem of malnutrition in the country. Children with Severe Acute Malnutrition are treated at the Nutrition Rehabilitation Centres established by the Ministry of Health and Family Welfare.

Further steps taken under the National Health Mission (NHM), a flagship programme of Ministry of Health and Family Welfare, to address malnutrition inter alia include promotion of appropriate Infant and Young Child Feeding (IYCF) practices, Anaemia Mukt Bharat, Iron and Folic Acid (IFA) supplementation, de-worming, promotion of iodized salt, Vitamin-A supplementation, Mission Indradhanush to ensure high coverage of vaccination in children, conducting intensified diarrhoea control fortnights to control childhood diarrhoea, management of sick severely malnourished children at Nutrition Rehabilitation Centers, monthly Village Health and Nutrition Days, Home Based Newborn Care (HBNC) and Home-Based Young Childcare (HBYC) programmes and Rashtriya Bal Swasthya Karyakram.

The government set up POSHAN Abhiyaan on 18.12.2017 for a three-year time frame commencing from 2017-18 with an overall budget of Rs. 9046 Crore. To ensure a holistic approach, all 36 States/UTs and districts have been covered. The goals of POSHAN Abhiyaan are to achieve improvement in nutritional status of Children from 0-6 years, Adolescent Girls, Pregnant Women, and Lactating Mothers in a time-bound manner during the three years with fixed targets as under:

 

S.No. Objective Target
1. Prevent and reduce Stunting in children

(0- 6 years)

By 6% @ 2% p.a.
2. Prevent and reduce under-nutrition (underweight prevalence) in children (0-6 years) By 6% @ 2% p.a.
3. Reduce the prevalence of anemia among young children(6-59 months) By 9% @ 3% p.a.
4. Reduce the prevalence of anemia among Women and Adolescent Girls in the age group of 15-49 years. By 9% @ 3% p.a.
5. Reduce Low Birth Weight (LBW). By 6% @ 2% p.a.

 

Under the revised Anganwadi Services, besides delivering six services under the scheme to the beneficiaries, the existing provisions have been strengthened; the remuneration payable to the AWW/AWH has been increased and provision of Rs. 12,000/- per AWC for construction of toilets in 70,000 Government-owned AWC buildings per year and Rs. 10,000/- per AWC for 20,000 AWCs per year for providing drinking water facilities has been made for the FY 2017-18, 2018-19 and 2019-20. Over the past years, the number of Anganwadi Centres with Toilet Facilities has significantly increased from 698379 AWCs buildings as on 31.03.2015 to 1014655 AWCs as on 30.06.2019.  Similarly, the drinking water facility has increased from 887293 AWCs as of 31.03.2015 to 1218027 AWCs as of 30.06.2019.  The number of operational projects and AWCs has increased to 7075 and 13.77 lakh respectively as on 30.06.2019.

The Abhiyaan aims to reduce malnutrition in the country in a phased manner, through a life cycle approach, by adopting a synergized and result oriented approach. The Abhiyaan will ensure mechanisms for timely service delivery and robust monitoring as well as intervention infrastructure. Target is to bring down the stunting of the children in the age group of 0-6 years from 38.4% to 25% by the year 2022. The major activities undertaken under this Abhiyaan are ensuring convergence with various other programs; Information Technology enabled Common Application Software for strengthening service delivery and interventions; Community Mobilization and Awareness Advocacy leading to Jan Andolan- to educate the people on nutritional aspects; Capacity Building of Frontline Functionaries, incentivizing States/ UTs for achieving goals, etc. The State-wise funds allocated and utilized are given below:

                                                                                                                                            (Rs. in lakhs)
Sl. No. State/UT Fund Released Utilization during 2018-19 Released during 2019-20 Utilization during 2019-20 as on 31.10.2019
2017 – 18 2018-19 Total
1 Andhra Pradesh 2572.41 8604.68 11177.09 3011.16 5582.52 4340.34
2 Bihar 7063.44 15001.67 22065.11 5380.00 10000.00 12309.59
3 Chhattisgarh 1668.12 9629.51 11297.63 1550.93 0.00 1341.01
4 Delhi 945.95 2206.88 3152.83 164.80 0.00 958.54
5 Goa 238.07 197.78 435.85 0.00 0.00 92.58
6 Gujarat 3036.66 11228.03 14264.69 2606.06 7531.00 6444.74
7 Haryana 400.97 5992.46 6393.43 310.11 0.00 1086.18
8 Jharkhand 2429.59 5110.45 7540.04 305.19 0.00 746.14
9 Karnataka 3351.05 9870.89 13221.94 0.00 0.00 97.62
10 Kerala 1273.37 6491.91 7765.28 109.64 0.00 570.19
11 Madhya Pradesh 4067.20 15894.17 19961.37 5516.17 17883.00 4628.88
12 Maharashtra 2572.31 20989.28 23561.59 11557.19 33061.47 11482.54
13 Odisha 4600.46 10571.65 15172.11 0.00 0.00 0.00
14 Puducherry 39.24 393.70 432.94 104.33 497.00 116.37
15 Punjab 819.51 6090.33 6909.84 30.88 0.00 0.00
16 Rajasthan 4216.26 9680.99 13897.25 3144.67 0.00 2200.78
17 Tamil Nadu 1340.51 12210.93 13551.44 2692.37 0.00 1904.02
18 Telangana 1736.94 8595.70 10332.64 2897.82 7003.00 1650.97
19 Uttar Pradesh 8440.60 29582.87 38023.47 5986.37 0.00 8157.38
20 West Bengal 5545.27 19294.11 24839.38 0.00 0.00 0.00
21 Arunachal Pradesh 52.93 2663.35 2716.28 368.30 0.00 0.00
22 Assam 2298.27 15492.36 17790.63 785.58 14171.00 6569.98
23 Himachal Pradesh 1557.26 4153.15 5710.41 1288.88 2480.00 3075.46
24 Jammu & Kashmir 388.59 8343.52 8732.11 1417.25 0.00 9.89
25 Manipur 340.46 3865.37 4205.83 1233.24 0.00 0.00
26 Meghalaya 462.98 1713.27 2176.25 1536.18 1706.80 342.19
27 Mizoram 119.38 957.65 1077.03 1077.03 902.00 211.77
28 Nagaland 163.74 1251.97 1415.71 811.07 1445.17 567.33
29 Sikkim 98.59 328.47 427.06 157.16 544.00 180.98
30 Tripura 277.91 3695.72 3973.63 606.01 0.00 204.74
31 Uttarakhand 1866.25 4301.57 6167.82 1030.43 3696.00 2383.43
Total 63984.29 254404.39 318388.68 55678.82 106502.96 71673.64

 

Sl. No. UT without Legislature Funds Released Utilization during 2018-19 Funds Released during 2019-20 Utilization during 2019-20 as on 31.10.2019
2017 – 18 2018-19 Total
1 Andaman & Nicobar 100.22 416.89 517.11 109.27 307.62 63.77
2 Chandigarh 158.88 306.82 465.70 133.21 526.97 95.67
3 Dadra & Nagar Haveli 108.83 129.32 238.15 123.98 431.16 114.16
4 Daman & Diu 42.06 197.66 239.72 65.68 446.98 131.98
5 Lakshadweep 60.00 138.90 198.90 72.15 126.75 126.75
TOTAL 469.99 1189.59 1659.58 504.29 1839.48 532.33
  • POSHAN Abhiyaan approved on 18.12.2017