Contents
Introduction
India, despite being a global agri-producer, continues to grapple with a “double burden of malnutrition” — widespread undernutrition and micronutrient deficiencies, alongside a rising incidence of overnutrition and non-communicable diseases (NCDs). According to NFHS-5 (2019-21), 35.5% of children under 5 are stunted, 32.1% are underweight, and 57% of women of reproductive age are anemic. This underscores the urgent need for integrating nutrition into agriculture and economic planning, aligning with the vision of sustainable, nutrition-sensitive food systems.
Features of Sustainable, Nutrition-Sensitive Food Systems
- Nutrition-sensitive Agriculture: Promotes biofortified, climate-resilient, and diverse crop production (e.g., millets, pulses, orange-fleshed sweet potatoes), enhancing both dietary diversity and food security.
- Community-led Nutrition Models: Initiatives like Nutrition-Sensitive Community Planning (NSCP) combine agriculture with WASH, soil conservation, and primary healthcare through bottom-up governance.
- School-Based Interventions: Models like Nutri-Pathshala integrate local agriculture with child nutrition by sourcing biofortified grains for school meals, simultaneously supporting local farmers.
- Enhanced Social Safety Nets: Expanding Public Distribution System (PDS) and mid-day meal schemes with nutrient-rich, indigenous foods such as millets and legumes.
- Private Sector Engagement: Promoting label transparency, food fortification, and plant-based alternatives with supportive regulatory and incentive mechanisms.
- Climate-smart Agriculture: Adopting agroecological practices, water-efficient systems, and drought-resistant crops to improve sustainability and reduce vulnerability.
- Behavior Change Campaigns: Tools like ‘MyPlate Blast Off’ and radio outreach encourage informed food choices, especially in digitally excluded regions.
- Place-based Innovation: As highlighted by TERI-FOLU’s Himalayan studies, local food networks and decentralized processing systems link farmers, processors, and consumers for improved nutrition.
Critical Analysis of the Approach
This integrated approach is holistic, aligns with SDGs 2 (Zero Hunger), 3 (Good Health), and 12 (Responsible Consumption), and addresses systemic issues in India’s fragmented food and health systems. However, its success depends on inter-sectoral coordination, behavioural shifts, and strong institutional mechanisms.
Strengths:
- Enhances food diversity and micronutrient intake.
- Builds resilience against climate and economic shocks.
- Empowers local communities and MSMEs through inclusive planning.
Limitations:
- Policy Fragmentation: Disconnect between agriculture, health, and economic ministries impedes convergence.
- Institutional Capacity: Implementing decentralised, place-specific interventions requires skilled human resources and data systems.
- Market and Incentive Structures: Current agricultural subsidies and MSPs favour cereal-centric production, discouraging crop diversification.
- Private Sector Resistance: Food industry’s focus on ultra-processed products resists shift towards health-centric models.
Challenges in Aligning Agriculture and Economic Policies
- Cereal-Centric Green Revolution Legacy: Focus on rice and wheat has overshadowed coarse grains and pulses, distorting nutritional outcomes.
- Lack of Incentives for Diversification: Minimal price support and market linkages for nutrition-dense crops deter farmer adoption.
- Inadequate Post-Harvest Infrastructure: Poor storage and processing capacity leads to food loss and deterioration in nutrient quality.
- Awareness Deficit: Limited consumer knowledge about healthy diets hampers demand for nutritious food.
- Economic Vulnerabilities: Over 55% of Indians cannot afford a nutritious diet (FAO, 2022), with rising food costs exacerbating inequalities.
- Data Gaps: Lack of local-level nutrition data inhibits effective planning and monitoring.
Conclusion
India’s malnutrition challenge is multidimensional, requiring a paradigm shift where nutrition becomes the anchor of food, health, and economic policy. Sustainable, nutrition-sensitive food systems hold transformative potential but demand coherent policy frameworks, cross-sectoral accountability, and community-driven innovation. Nutrition must guide how we shape food systems, economies, and policies. The time to act is now.