{"id":158589,"date":"2022-01-05T20:02:20","date_gmt":"2022-01-05T14:32:20","guid":{"rendered":"https:\/\/blog.forumias.com\/?p=158589"},"modified":"2022-01-05T20:02:20","modified_gmt":"2022-01-05T14:32:20","slug":"poshan-abhiyan-its-time-for-national-self-reflection","status":"publish","type":"post","link":"https:\/\/forumias.com\/blog\/poshan-abhiyan-its-time-for-national-self-reflection\/","title":{"rendered":"Poshan Abhiyan- Its time for national self reflection"},"content":{"rendered":"\n<p><b><span data-contrast=\"none\">News: <\/span><\/b><a href=\"https:\/\/forumias.com\/blog\/nfhs-5-and-its-findings\/\"><b><span data-contrast=\"none\"><span style=\"color: #0000ff;\">National Family Health Survey (NFHS-5)<\/span><\/span><\/b><\/a> <span data-contrast=\"none\">which was released a few months back indicates slow improvement in India\u2019s malnutrition situation.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<h5><b><span data-contrast=\"none\">What have been the positives regarding nutritional status in India?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/h5>\n<p><span data-contrast=\"none\">Substantial improvement in <\/span><b><span data-contrast=\"none\">maternal-child health services, including antenatal care (ANC) services, child immunizations and diarrhoea <\/span><\/b><span data-contrast=\"none\">management.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Significant improvement in fixing the <\/span><b><span data-contrast=\"none\">underlying causes of undernutrition, such as improved sanitation services, a lower total fertility rate, 10 years of schooling<\/span><\/b><b> <\/b><span data-contrast=\"auto\">etc.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">These positive outcomes were achieved through <strong>greater political commitment<\/strong>, and initiatives like Jandhan Yojana ,Mission Indradhanush and Janani Suraksha Yojana under the National Health Mission, Swachh Bharat Abhiyan, Ujjawala Scheme, Beti Bachao Beti Padhao .<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<h5><b><span data-contrast=\"none\">What are the areas where India needs improvement?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/h5>\n<p><span data-contrast=\"none\">NFHS also presents some negatives facts and figures like <\/span><\/p>\n<p><span data-contrast=\"none\"><strong>Every third child under five and a fifth of women is undernourished,<\/strong> while <\/span><span data-contrast=\"auto\">more than every second child, adolescent and woman is anaemic. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Lack of essential nutrition interventions during the first 1,000 days of life (270 days of pregnancy and 730 days 0-24 months)<\/span><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">No maternal nutrition policy and weak implementation <\/span><\/b>of Infant and young child feeding policy<\/p>\n<p><span data-contrast=\"none\">Although, there has been an Infant and Young Child Feeding (IYCF) policy since 2000.<\/span> <span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\"> <b>Caregivers are not well-informed about what, when and how often to feed a child over six months<\/b><b>, <\/b>contributing to obesity, micronutrient deficiencies and increased chances of adult-onset non-communicable diseases.\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Behavioural Changes: <\/span><\/b><span data-contrast=\"none\">Some studies show that 20% of undernourished children are from communities with the highest wealth index which highlights that the main reason behind these issues is a failure to effect behavioural problems and lack of awareness.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><b><\/b><\/p>\n<p><b><span data-contrast=\"none\">Nutrition care is divided into prevention and care between our health system and ICDS<\/span><\/b><b><span data-contrast=\"auto\">: <\/span><\/b><span data-contrast=\"none\">ICDS is the main government program to improve the nutritional status, but has no opportunities for direct contact with the young mother to influence nutrition practices.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">On the other hand public health system that is in charge of ANC (Ante-Natal Care), child delivery and immunization has an advantage of a minimum of 15 contact occasions with mothers, from the start of pregnancy.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<h5><b><span data-contrast=\"none\">What is the way forward?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/h5>\n<p><b><span data-contrast=\"none\">Training mothers for early care and breastfeeding:<\/span><\/b> <span data-contrast=\"none\">Only 9.8% of the children of such trained mothers were underweight at six months, compared to 18.1% of the children of untrained mothers<\/span><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Complementary feeding of semi-solids also needs attention<\/span><\/b><span data-contrast=\"none\">. Only one in 10 children above 6 months receives an adequate diet in line with the recommended frequency of semi-solids<\/span><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Frequent interpersonal counselling by health workers\/medical teams <\/span><\/b><span data-contrast=\"none\">at the right time can be a game changer.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Merging the human resources of ICDS with India\u2019s\u00a0primary healthcare system would strengthen maternal-<\/span><\/b><span data-contrast=\"none\">child nutrition and healthcare workforce and teamwork. This could cost-effectively lower child mortality, as 68% of India\u2019s under-5 mortality is associated with undernutrition<\/span><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Source:<\/span><\/b><span data-contrast=\"none\"> This post is based on the article \u201c<\/span><b><span data-contrast=\"none\">Poshan Abhiyan- Its time for national self reflection\u201d\u00a0<\/span><\/b><span data-contrast=\"none\">published in <strong>Livemint<\/strong> on <\/span><b><span data-contrast=\"none\">4<sup>th<\/sup> Jan 2022<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>News: National Family Health Survey (NFHS-5) which was released a few months back indicates slow improvement in India\u2019s malnutrition situation.\u00a0 What have been the positives regarding nutritional status in India?\u00a0 Substantial improvement in maternal-child health services, including antenatal care (ANC) services, child immunizations and diarrhoea management.\u00a0 Significant improvement in fixing the underlying causes of undernutrition,&hellip; <a class=\"more-link\" href=\"https:\/\/forumias.com\/blog\/poshan-abhiyan-its-time-for-national-self-reflection\/\">Continue reading <span class=\"screen-reader-text\">Poshan Abhiyan- Its time for national self reflection<\/span><\/a><\/p>\n","protected":false},"author":10328,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"categories":[1230,9],"tags":[212,10501],"class_list":["post-158589","post","type-post","status-publish","format-standard","hentry","category-9-pm-daily-articles","category-public","tag-gs-paper-2","tag-live-mint","entry"],"jetpack_featured_media_url":"","views":{"total":0,"cached_at":"","cached_date":1700119633},"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/158589","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/users\/10328"}],"replies":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/comments?post=158589"}],"version-history":[{"count":0,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/158589\/revisions"}],"wp:attachment":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/media?parent=158589"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/categories?post=158589"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/tags?post=158589"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}