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Context
While under-nutrition remains high in India, over-nutrition too is becoming an emergency
High level of under-nutrition
Despite hunger (as measured by under-nutrition) decreasing, the level of under-nutrition remains unacceptably high in the country
- India ranks 114th out of 132 countries in stunting among children aged less than five and 120th out of 130 countries in under-5 wasting, as per the Global Nutrition Report, 2016
- The burden of vitamin and mineral deficiencies (‘hidden hunger’) is also considerable
Why such high deficiency?
- Cereal-based food: This is because a vast majority of Indians eat cereal-based food, mainly wheat and rice
- Insufficient intake of nutritious food:There is an insufficient intake of food such as milk, pulses, and fruits and vegetables, which are rich sources of micronutrients
Vulnerable groups
Women and children are the most vulnerable to micronutrient deficiencies. This has adverse effects on their health
- Deficiency of iron in women not only reduces physical work capacity and causes fatigue, but could lead to depression and post-partum maternal haemorrhage
- In children, it impairs growth and cognitive development
New problem: over-nutrition
Over-nutrition is emerging as an emergency in India
- Findings of NFHS: As per the recent findings of the National Family Health Survey-4 (2015-16), the Body Mass Index (BMI) of 15.5% of urban women was found to be less than 18.5 kg/m2, whereas 31.3% of urban women were in the category of overweight or obese (BMI of or more than 25.0 kg/m2). Around 15% of urban men were underweight, while 26.3% belonged to the category of overweight and obese
- Dramatic changes in lifestyle and dietary patterns in recent decades have contributed to an increasing prevalence of non-communicable diseases
How has this happened?
- While the Green Revolution phase saw new, fast-growing varieties of staples, especially wheat and rice, the following decades saw a steady decline in the food basket diversity, especially of traditional grains such as bajra and millet, which have high nutritional value. The 1990s, though, saw a focus on the role of micronutrients. Deficiencies of micronutrients such as zinc, folic acid, magnesium, selenium and vitamin D started receiving more attention
Sustainable development goal-2
The Sustainable Development Goal-2, which aims to “end hunger, achieve food security and improved nutrition and promote sustainable agriculture”, is a priority area for India.
Way forward
To ensure food and nutrition security, there is a growing need for a multi-sectoral approach. The policies and programmes of various ministries should be converged for better results. This will not only transform India’s agricultural practices, but also spread awareness about nutritious food among key target groups, including tribals, women and children
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