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Trends in Child Malnutrition

Source: NFHS-1, 2 and 3
Trends in Child Malnutrition

Source: NFHS-3
Trends in Malnutrition Among
Children Under Three Years

Source: NFHS-3
Nutritional Status of Children: India and other
SAARC and BRIC Countries (2000-2007)
Low Birth
weight

Under Five Underweight Children
(WHO Reference Population)

Wasting (Moderate &
Severe) (NCHS/WHO)

Stunting (Moderate &
Severe)
(NCHS/WHO)

43

19

38

4

-

-

6

-

11

-

1

4

33

7

54

41

16

36

14

3

40

-

13

25

BRIC
India*
Brazil
China
Russia

Afghanistan
Bangladesh
Bhutan
Maldives

28
8
2
6
22
15
22

SAARC

Nepal

21

39

12

43

Pakistan

19

31

13

37

23

14

14

Sri Lanka

22

Source: The State of the World’s
Children Report, UNICEF 2009.
Under-nutrition Among Children Under Five
Years in Selected Countries

Source: NFHS-3
Source: NFHS-3
Determinants of Malnutrition
Outcomes

Immediate
Causes

Malnutrition

Inadequate dietary intake

Inadequate
access to food
Underlying Causes
Food Security Resources
Food Security Resources
•Income
•Income
•Diet Diversity
•Diet Diversity
•Quality of Food
•Quality of Food
•Food Transfer
•Food Transfer

Disease

Inadequate care for
mothers and children
mothers and children
and discrimination
and discrimination
against Women
against Women

Insufficient
Insufficient
health services
health services

Inadequate education/lack of
knowledge

Unhealthy
Unhealthy
Environment and
Environment and
Unsafe drinking
Unsafe
water
water

Resources for Health
•Availability of public health
services
•Sanitation

Source: from UNICEF 1990; Jonsson 1993;
Smith, Haddad 2000 and Mehrotra 2003
Stunting, Wasting, and Underweight Among
Children Under Five Years by Age

Source: NFHS-3
Stunting, Wasting, and Underweight Among
Children Under Five Years by Residence

Source: NFHS-3
Stunting, Wasting, and Underweight Among
Children Under Five Years by Mother’s
Education

Source: NFHS-3
Stunting, Wasting, and Underweight Among
Children Under Five Years by Household Wealth

Source: NFHS-3
Stunting, Wasting, and Underweight Among
Children Under Five Years by Caste/Tribe

Source: NFHS-3
Percentage of Households with Taps
as a Source of Drinking Water (2008-9)

Source: NSSO 65th round
Stunting, Wasting, and Underweight Among Children
Under Five Years by Source of Drinking Water

Source: NFHS-3
Households with Improved Sanitation,
2002 and 2008-9 (in %age)

Source: NSS 58th and 65th rounds
Villages with Proportion of People still
Defecating in the Open, 6 States, 2008
None

20-40 per
cent

40-60 per
cent

5

Andhra Pradesh

<20 per
cent

4

1

Chhattisgarh
Maharashtra

60-80 per
cent

>80 per
cent

Total
10

4
6

5

1

10

36

4

6

7

1

60

Tamil Nadu

11

6

9

5

2

33

Uttar Pradesh

1

7

6

1

15

West Bengal

11

18

3

2

34

Total

6

64

39

29

20

4

162

Per cent of
Total

4

40

24

18

12

2

100

Source: UNICEF – TARU Primary Study 2008
Stunting, Wasting, and Underweight Among
Children Under Five Years by Type of Toilet Facility

Source: NFHS-3
Stunting, Wasting, and Underweight Among
Children Under Five Years by the Method of
Disposal of Children’s Stools

Source: NFHS-3
Stunting, Wasting, and Underweight Among
Children Under Five Years by the Child’s
Weight at the Time of Birth

Source: NFHS-3
Stunting, Wasting, and Underweight Among Children
Under Five Years by Mother’s Nutritional Status

Source: NFHS-3
Percentage of Anganwadi Centres
operational against total sanctioned

Source: ICDS Data Tables – 2011-12 http://wcd.nic.in/
Supplementary food received from an Anganwadi
Centre by Children Under Six Years

Source: NFHS-3
6Months-6 years Beneficiaries of SNP
vis-à-vis below 6 Years Population

Source: ICDS Data Tables – 2011-12 http://wcd.nic.in/
Mid-day Meal Coverage against Total
Children Enrolled

Source: http://mdm.nic.in/QPR_Report2012.html

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Child Malnutrition in India

  • 1. Trends in Child Malnutrition Source: NFHS-1, 2 and 3
  • 2. Trends in Child Malnutrition Source: NFHS-3
  • 3. Trends in Malnutrition Among Children Under Three Years Source: NFHS-3
  • 4. Nutritional Status of Children: India and other SAARC and BRIC Countries (2000-2007) Low Birth weight Under Five Underweight Children (WHO Reference Population) Wasting (Moderate & Severe) (NCHS/WHO) Stunting (Moderate & Severe) (NCHS/WHO) 43 19 38 4 - - 6 - 11 - 1 4 33 7 54 41 16 36 14 3 40 - 13 25 BRIC India* Brazil China Russia Afghanistan Bangladesh Bhutan Maldives 28 8 2 6 22 15 22 SAARC Nepal 21 39 12 43 Pakistan 19 31 13 37 23 14 14 Sri Lanka 22 Source: The State of the World’s Children Report, UNICEF 2009.
  • 5. Under-nutrition Among Children Under Five Years in Selected Countries Source: NFHS-3
  • 7. Determinants of Malnutrition Outcomes Immediate Causes Malnutrition Inadequate dietary intake Inadequate access to food Underlying Causes Food Security Resources Food Security Resources •Income •Income •Diet Diversity •Diet Diversity •Quality of Food •Quality of Food •Food Transfer •Food Transfer Disease Inadequate care for mothers and children mothers and children and discrimination and discrimination against Women against Women Insufficient Insufficient health services health services Inadequate education/lack of knowledge Unhealthy Unhealthy Environment and Environment and Unsafe drinking Unsafe water water Resources for Health •Availability of public health services •Sanitation Source: from UNICEF 1990; Jonsson 1993; Smith, Haddad 2000 and Mehrotra 2003
  • 8. Stunting, Wasting, and Underweight Among Children Under Five Years by Age Source: NFHS-3
  • 9. Stunting, Wasting, and Underweight Among Children Under Five Years by Residence Source: NFHS-3
  • 10. Stunting, Wasting, and Underweight Among Children Under Five Years by Mother’s Education Source: NFHS-3
  • 11. Stunting, Wasting, and Underweight Among Children Under Five Years by Household Wealth Source: NFHS-3
  • 12. Stunting, Wasting, and Underweight Among Children Under Five Years by Caste/Tribe Source: NFHS-3
  • 13. Percentage of Households with Taps as a Source of Drinking Water (2008-9) Source: NSSO 65th round
  • 14. Stunting, Wasting, and Underweight Among Children Under Five Years by Source of Drinking Water Source: NFHS-3
  • 15. Households with Improved Sanitation, 2002 and 2008-9 (in %age) Source: NSS 58th and 65th rounds
  • 16. Villages with Proportion of People still Defecating in the Open, 6 States, 2008 None 20-40 per cent 40-60 per cent 5 Andhra Pradesh <20 per cent 4 1 Chhattisgarh Maharashtra 60-80 per cent >80 per cent Total 10 4 6 5 1 10 36 4 6 7 1 60 Tamil Nadu 11 6 9 5 2 33 Uttar Pradesh 1 7 6 1 15 West Bengal 11 18 3 2 34 Total 6 64 39 29 20 4 162 Per cent of Total 4 40 24 18 12 2 100 Source: UNICEF – TARU Primary Study 2008
  • 17. Stunting, Wasting, and Underweight Among Children Under Five Years by Type of Toilet Facility Source: NFHS-3
  • 18. Stunting, Wasting, and Underweight Among Children Under Five Years by the Method of Disposal of Children’s Stools Source: NFHS-3
  • 19. Stunting, Wasting, and Underweight Among Children Under Five Years by the Child’s Weight at the Time of Birth Source: NFHS-3
  • 20. Stunting, Wasting, and Underweight Among Children Under Five Years by Mother’s Nutritional Status Source: NFHS-3
  • 21. Percentage of Anganwadi Centres operational against total sanctioned Source: ICDS Data Tables – 2011-12 http://wcd.nic.in/
  • 22. Supplementary food received from an Anganwadi Centre by Children Under Six Years Source: NFHS-3
  • 23. 6Months-6 years Beneficiaries of SNP vis-à-vis below 6 Years Population Source: ICDS Data Tables – 2011-12 http://wcd.nic.in/
  • 24. Mid-day Meal Coverage against Total Children Enrolled Source: http://mdm.nic.in/QPR_Report2012.html