The purpose of this Policy Note is to examine the trends in undernutrition in Delhi and to document trends and geographic variability in the major determinants of nutrition and the coverage of key nutrition and health interventions. In doing this analysis, we aim to highlight the key areas of action to improve nutrition in Delhi.
The purpose of this Policy Note is to examine the trends in undernutrition in Sikkim and to document trends and geographic variability in the major determinants of nutrition and the coverage of key nutrition and health interventions. In doing this analysis, we aim to highlight the key areas of action to improve nutrition in Sikkim.
The purpose of this Policy Note is to examine the trends in undernutrition in Odisha and to document trends and geographic variability in the major determinants of nutrition and the coverage of key nutrition and health interventions. In doing this analysis, we aim to highlight the key areas of action to improve nutrition in Odisha. This analysis builds upon our previous work on documenting nutrition change in Odisha (Menon et al. 2016; Kohli et al. 2017).
The purpose of this Policy Note is to examine the trends in undernutrition in Chhattisgarh and to document trends and regional variability in the major determinants of nutrition and the coverage of key nutrition and health interventions. In doing this analysis, we aim to highlight the key areas of action to improve nutrition in Chhattisgarh.
This report aims to provide a general overview of national trends and of state-level variability in nutrition outcomes, determinants, and intervention coverage, thus helping to identify areas of progress and areas where more investment is critical to accelerate progress. Using data available at the time of analysis and writing, the goal of this report is to bring together data to support policy decisions for nutrition at the national level and across multiple states.
This Data Note describes the trends for a set of key nutrition and health outcomes, determinants, and coverage of interventions. The findings here are based on data from the National Family Health Survey (NFHS) 3 (2005-2006), 4 (2015-2016), and 5 (2019-2020). In addition to standard prevalence-based analyses, this Data Note includes headcount-based analyses aligned to the POSHAN Abhiyaan monitoring framework and uses data from NFHS-5 to provide evidence that helps identify priority districts and number of districts in the state with public health concern as per the WHO guidelines.1 The Data Note includes a color-coded dashboard to compare the coverage of nutrition interventions across all the districts in the state. It concludes with key takeaways for children, women, and men and identifies areas where the state has potential to improve.
This report explores the state of nutrition in Odisha, assesses how nutrition outcomes changed in the state, and more importantly, and examines the road that lies ahead of Odisha on the journey to support better nutrition for the state. Nutrition progress in Odisha: Odisha has made more rapid progress in reducing child undernutrition than many other richer states. Particularly between 2006 and 2016, nutrition and health outcomes improved significantly in the state. The prevalence of stunting declined from 45 percent to 34.1 percent, although there was a marginal increase in wasting from 19.6 to 20.4 percent and in severe wasting from 5.2 to 6.4 percent. In 2018, a further decline was noted in the prevalence of stunting (28.9 percent) and wasting (12.9 percent). Although anemia among women of reproductive age declined by 10 percentage points between 2006 and 2016, it is still high, with over half the women in the state suffering from anemia. Exclusive breastfeeding for children under 6 months of age is an area of progress, improving from 50.8 percent in 2006 to 65.6 percent in 2016; the prevalence of low birth weight, however, remained nearly unchanged during this period (Kohli et al. 2017). Emerging nutritional challenges, such as noncommunicable diseases, are likely to create new challenges in coming years.
Data systems and their usage are of great significance in the process of tracking malnutrition and improving programs. The key elements of a data system for nutrition include (1) data sources such as survey and administrative data and implementation research, (2) systems and processes for data use, and (3) data stewardship across a data value chain. The nutrition data value chain includes the prioritization of indicators, data collection, curation, analysis, and translation to policy and program recommendations and evidence based decisions. Finding the right fit for nutrition information systems is important and must include neither too little nor too much data; finding the data system that is the right fit for multiple decision makers is a big challenge. Developed together with NITI Aayog, this document covers issues that need to be considered in the strengthening of efforts to improve the availability and use of data generated through the work of POSHAN Abhiyaan, India’s National Nutrition Mission. The paper provides guidance for national-, state-, and district-level government officials and stakeholders regarding the use of data to track progress on nutrition interventions, immediate and underlying determinants, and outcomes. It examines the availability of data across a range of interventions in the POSHAN Abhiyaan framework, including population-based surveys and administrative data systems; it then makes recommendations for the improvement of data availability and use. To improve monitoring and data use, this document focuses on three questions: what types of indicators should be used; what types of data sources can be used; and with what frequency should progress on different indicator domains be assessed.
This paper—which draws on inputs to, and discussions at, a methods development workshop—highlights the various concepts, methods, and tools that SoC researchers are considering to measure nutrition-relevant change in their respective countries. The focus is on nutrition-relevant policy and practice. These tools apply to 11 subthemes, which are to some extent sequential within policy/programming cycles: (1) assessing the nutrition problem, (2) stakeholder and institutional analysis/mapping, (3) understanding enabling environments for nutrition, (4) agenda setting and political commitment for nutrition, (5) policy formulation and policy processes, (6) multisectoral coordination, (7) implementation and vertical coherence, (8) scaling up, (9) assessing capacity, (10) assessing finance, and (11) monitoring, evaluation, and accountability. Examining these various methods and tools together allows for a holistic consideration of the processes that—while challenging to document and measure—play a key role in improving nutrition-relevant policy and practice, which, in turn, drives national achievement in reducing malnutrition.
This book highlights the reality of malnutrition among school-age children in India and relates it with dietary adequacy, diversity and choice. Using empirical data from field research conducted in Karnataka, India, it documents the nutritional status of school-going children, and examines the socio-economic determinants. It provides insights into changing dietary patterns by analysing case studies from households and schools; and documents the impact of changing dietary choices on the daily nutritional intake of young children. As the issue of nutrition for school-age children is one that is largely neglected in the literature, the book fills an important gap. The book also investigates the policy framework for addressing the nutritional needs of school-going children, and assesses the available government-sponsored interventions in terms of their efficiency and effectiveness, measured by their impact on the nutritional indices of the target group. It offers concrete recommendations for changing the nutritional intake of school-going children. Navigating through the socio-cultural causes for changing food choice and their impact on children’s nutritional outcomes, this book shows a viable path to addressing malnutrition, taking into account both macro-level policy constraints and the micro-level perspectives of families, schools and communities.
