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India’s Nutrition Scenario: Issues and State Response

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Abstract

Men, women and children in India continue to have unacceptably high rates of undernutrition. Sustained economic growth at impressively high levels over a decade and the transition into middle income country status notwithstanding, well over one-third of Indian adults have chronic protein energy malnutrition as expressed in body mass indices (BMIs) below the norm, and even higher proportions of children are stunted, wasted or underweight for age making undernutrition India’s major public health challenge. This chapter explores the factors underlying India’s nutrition crisis and State response to the issue, including the Right to Food approach and the Food Security Act.

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Notes

  1. 1.

    While previous internationally adopted child growth standards were based on samples with limited variability—genetic, geographical, cultural, or socio-economic, from 2006 onwards the WHO height and weight standards are derived from data collected from approximately 8,500 children belonging to different ethnic backgrounds and cultural settings in six countries: Brazil, Ghana, India, Norway, Oman and the US. The selected children were raised in healthy environments, fed a nutritious diet and had minimum exposure to infections. In addition, their mothers followed good health practices such as breastfeeding and abstaining from smoking during and after pregnancy, thus providing health standards which can be attained provided these practices are followed.

  2. 2.

    Data are from the WHO Global Database, 2013.

  3. 3.

    The TPDS has now been brought under the Food Security Act, which prescribes changed norms of allocation.

  4. 4.

    Order dated 2 May 2003 in People’s Union for Civil Liberties vs. Union of India, CWP 196/2001.

  5. 5.

    Supreme Court Order dated 28 November 2001 in CWP 196/2001.

  6. 6.

    The term ‘out of school’ covers children of school-going age, who have never been enrolled in school, as well as school dropouts.

  7. 7.

    Diarhoea remains the major cause of death (after respiratory infections) among children under five resulting in as many as 400,000 deaths per year. Unhygienic practices and unsafe drinking water are some of the main causes. More than 122 million households in the country do not have toilets. While access to protected sources of drinking water has improved dramatically, most rural water supply systems remain dependent on groundwater and inadequate maintenance and neglect of the area around the water source has increased levels of groundwater pollution.

  8. 8.

    Supreme Court (SC), Chameli Singh and Others versus State of Uttar Pradesh, 1996.

  9. 9.

    SC, Narmada Bachao Andolan versus Union of India, 2000.

  10. 10.

    SC, Francis Coralie Mullin versus Union Territory of Delhi and Others, 1981.

  11. 11.

    Krishan Pattnayak versus State of Orissa, (1989) Supp 1 SCC 258.

  12. 12.

    Krishan Pattnayak versus State of Orissa, (1989) Supp 1 SCC 258, paras 12, 13.

  13. 13.

    Krishan Pattnayak versus State of Orissa, (1989) Supp 1 SCC 258, para 20.

  14. 14.

    SC, People’s Union for Civil Liberties v. Union of India and Ors, 2001.

  15. 15.

    The Food Security Ordinance was promulgated on 3 July 2013.

References

  • ACC/SCN. (2000). Fourth report on the world nutrition situation, Geneva. ACC/SCN and IFPRI. Retrieved April 14, 2013, from http://www.unscn.org/layout/modules/resources/files/rwns4.pdf

  • AED (Academy for Educational Development). (2003). Profiles: Summary of assessment findings and future directions. http://www.aedprofiles.org/media/publications/PROFILES%20EVALUATION%20BRIEF.pdf.

  • Ahluwalia, P. (2004). The implementation of the right to food at the national level: A critical examination of the Indian campaign on the rights to food as an effective operationalization Article 11 of ICESCR. Center for Human Rights and Global Justice Economic, Social and Cultural Rights Series, No. 8. Retrieved April 15, 2010, from http://www.chrgj.org/publications/docs/wp/Ahluwalia%20Implementation%20of%20the%20Right%20to%20Food.pdf

  • Austin, Granville. (1966). The Indian Constitution: Cornerstone of a nation. New Delhi: Oxford University Press.

    Google Scholar 

  • Bage, L. (2000). The well fed have many problems, the hungry only one. United Nations Chronicle, 36(3). Rome: IFAD, Department of Public Information.

    Google Scholar 

  • Basu, D., & Basole, A. (2012). Is child malnutrition overstated in India? A Response to Arvind Panagariya. Published Online December 30, 2012. Retrieved November 12, 2013, from http://sanhati.com/excerpted/5950/

  • Birchfield, L., & Corsi, J. (2010). The right to life is the right to food: People’s union for civil liberties v. union of India and others, human rights brief, 17(3): 15–18. Retrieved July 9, 2012, from http://www.wcl.american.edu/hrbrief/17/3corsi.pdf

  • Bryce, J., Coitinho, D., Darnton-Hill, I., Pelletier, D., & Pinstrup-Andersen, P. (2008). Maternal and child undernutrition: effective action at national level. Lancet Series, Maternal and Child Undernutrition 4. Published Online January 17, 2008. Retrieved June 18, 2011, from www.thelancet.com

  • Committee on Economic, Social and Cultural Rights, General Comment No. 12, para 15. E/C.12/1999/5, (12 May 1999) http://www.unhchr.ch/tbs/doc.nsf/0/3d02758c707031d58025677f003b73b9?Opendocument.

  • Darnton-Hill, I., Webb, P., & Harvey, P. W. J. et al. (2005). Micronutrient deficiencies and gender: social and economic costs. American Journal of Clinical Nutrition, 81(S), 1198S–1205S.

    Google Scholar 

  • Dreze, J. (2013). The food security debate in India. India Ink. Retrieved July 9, 2013, from, http://india.blogs.nytimes.com/2013/07/09/the-food-security-debate-in-india/#more-66883

  • FAO. (2002). The state of food insecurity in the world 2001. Rome: FAO.

    Google Scholar 

  • Gillespie, Stuart, & Haddad, Lawrence J. (2003). The double burden of malnutrition in Asia: Causes, consequences and solutions. New Delhi: Sage Publications.

    Google Scholar 

  • Gillespie, S. (2013). When myth is reality. Retrieved November 10, 2013, from http://www.transformnutrition.org/2013/01/24/when-myth=is=reality/

  • GOI National Food Security Mission. (2009). Operational guidelines. Department of Agriculture. Retrieved November 15, 2013, from http://nfsm.gov.in/Guidelines/ContentE.pdf

  • GOI, Ministry of Law and Justice. (2013).The National Food Security Act 2013, No. 20 of 2013, The Gazette of India Extraordinary, Part II, Section 1. New Delhi, Tuesday, September 10, 2013.

    Google Scholar 

  • Gopalan, S. (2003). Life cycle approach to convergence of food and nutrition programmes in the coming millennium. Paper presented at the Consultation on ‘Towards Hunger-Free India-Countdown from 2007, New Delhi, 4–5 April, 2003.

    Google Scholar 

  • Gragnolati, M., Shekar, M., Das Gupta, M., Bredenkamp, C., & Lee, Y. -K. (2005). India’s undernourished children: A call for reform and action. Health nutrition and population (HNP). Washington, DC: The World Bank.

    Google Scholar 

  • Horton, S. (1999). The economics of nutritional interventions. In R. D. Semba & M. W. Bloem (Eds.), Nutrition and health in developing countries. Totowa NJ: Humana Press Inc.

    Google Scholar 

  • IFPRI. (2008). Nutrition and gender in Asia: From research to action. Retrieved 9 August 2013 from http://www.ifpri.org/sites/default/files/NutritionGenderbro.pdf

  • Lancet Series, Maternal and Child Nutrition. (2013, June). Beijing: Reed Elsevier.

    Google Scholar 

  • National Family Health Survey (NFHS-3). (2005–2006). Ministry of health and family welfare, government of India (Vol. 1).

    Google Scholar 

  • NSS 61st Round. (July 2004–June 2005). NSS report No. 512, perceived adequacy of food consumption in Indian households. National Sample Survey Organisation. Ministry of Statistics and Programme Implementation. New Delhi: Government of India.

    Google Scholar 

  • Nubé, M. (2008). The Asian enigma: Predisposition for low adult BMI among people of South Asian descent. Public Health Nutrition, 12, 507–516. doi:10.1017/S1368980008002826. Retrieved August 10, 2010, from http://journals.cambridge.org/download.php?file=%2FPHN%2FPHN12_04%2FS1368980008002826a.pdf&code=4d1c79f86b9179b21339879b90c07d0c

  • PACS (Poorest Areas Civil Societies Programme) Series Report. (2007). Implementation of Government food and livelihood Schemes. New Delhi: Development Alternatives.

    Google Scholar 

  • Panagariya, A. (2013, May 4). Does India really suffer from worse child malnutrition than Sub-Saharan Africa? Economic and Political Weekly, XLVIII(18), 98–111.

    Google Scholar 

  • Planning Commission. (undated). Draft tenth five year plan (2002–2007) (Vol. II, pp. 336). Sectoral Policies and Programmes. Delhi: GoI.

    Google Scholar 

  • Ramachandran, N. (2004). Seasonal hunger: Implications for food and nutrition security. In M. S. Swaminathan & Medrano Pedro (Eds.), Towards hunger free India: From vision to action. Madras: East West Books.

    Google Scholar 

  • Ramalingaswami, V., Jonsson, U., & Rohde, J. (1996). Commentary: The Asian enigma, in The progress of nations 1996, Nutrition, Unicef, retrieved from http://www.unicef.org/pon96/nuenigma.htm

  • Ruel, M. T., & Levin, C. E., et al. (1999). Good care practices can mitigate the negative effects of poverty and low maternal schooling on children’s nutritional status: Evidence from Accra. IFPRI Discussion Paper No. 62 Brief. Retrieved January 8, 2011, from http://citseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.31.5529&rp=rep1&type=pdf

  • Saxena, N. C. (undated). Hunger, undernutrition and food security in India. CPRC-IIPA, Working Paper no. 44, pp. 24.

    Google Scholar 

  • Singh, M. P. (2006). Fulfilling the right to basic necessities of life in Asian societies. In C. Raj Kumar and D. K. Srivastava (Eds.), Human rights and development: Law, policy and governance. Hong Kong: LexisNexis.

    Google Scholar 

  • Tehelka. (2012). Current affairs malnutrition, interview with Ahshai Jain. Retrieved November 12, 2013, from http://archive.tehelka.com/story_main54.asp?filename=Ne011212Once.asp

  • Waterlow, J. (Ed.). (1988). Linear growth retardation in less developed countries. Nestle Nutrition Workshop Series (Vol. 14, pp. 266). New York: Raven Press.

    Google Scholar 

  • Working Group on Children Under Six. (2007, December 29). Strategies for children under six. Economic and Political Weekly, XLII(52), 87–101.

    Google Scholar 

  • World Bank. (2006). Repositioning nutrition as central to development: A strategy for large-scale action. Washington, DC: The World Bank.

    Google Scholar 

  • World Bank. (undated). What are the dimensions of the undernutrition problem in India? (pp. 10). Retrieved January 5, 2010, from http://siteresources.worldbank.org/SOUTHASIAEXT/Resources/223546-1147272668285/undernourished_chapter_1.pdf

  • Ziegler, J. (2006). The Right to Food, Report of the Special Rapporteur on the Right to Food, Addendum, MISSION TO INDIA, (20 August–2 September 2005), UN Commission on Human Rights, Economic and Social Rights.

    Google Scholar 

  • Zeigler, J. (2008). Report of the Special Rapporteur on the Right to Food, UN General Assembly, Human Rights Council, A/HRC/7/5(10th Jan, 2008). Retrieved January 5, 2010, from http://www.righttofood.org/new/PDF/CHR2008.pdf

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Ramachandran, N. (2014). India’s Nutrition Scenario: Issues and State Response. In: Persisting Undernutrition in India. Springer, New Delhi. https://doi.org/10.1007/978-81-322-1832-6_1

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  • DOI: https://doi.org/10.1007/978-81-322-1832-6_1

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