Review Article
Volume 15 Issue 11 - 2020
Public Health and Nutrition Programmes to Combat Child and Maternal Malnutrition - A Perspective from Andhra Pradesh, India
Subhasree Ray1*, BLHS Devi2 and Asish Samson3
1Group Corporate Dietitian, Reliance Industries Limited, Navi Mumbai, Maharashtra, India
22BLHS Devi, I/c Joint Director, Child Health & Immunization, Department of Health, Medical & Family Welfare, Govt. of Andhra Pradesh, India
3Lecturer, Department of Biochemistry and Nutrition, EMMI Group of Institutions, Guntur, Andhra Pradesh, India
*Corresponding Author: Subhasree Ray, Group Corporate Dietitian, Reliance Industries Limited, Navi Mumbai, Maharashtra, India.
Received: October 18, 2020; Published: October 31, 2020




Abstract

The Global Nutrition Report 2020 (GNR 2020) reported India as one of the 88 countries to miss global nutrition targets by 2025. The report also cited India as a country with presence of wide range of nutritional inequalities at domestic level. 37.9% of under-5 children are stunted and 20.8% are wasted in India. According to the GNR 2020, one in two women of reproductive age suffers from nutritional anemia. Between the years 2000 to 2016, rates of underweight among children have decreased from 66.0% to 58.1% for boys and 54.2% to 50.1% in girls. Despite the reduction, the values are still higher than Asia’s average of 35.6% for the boys and 31.8% for the girls. Global Burden of Disease Study 2019 stated child and maternal malnutrition as leading level 2 risk factor for attributable Disability- Adjusted Life Years (DALYs) across glove. Poor nutrition in the first 1000 days of a child’s life leads to stunted growth, poor cognitive development, and reduced work performance at a later stage. Maternal malnutrition is directly associated with death during childbirth, severe nutritional anemia, and poor pregnancy outcome in Indian women. Multiple community nutrition programmes are adopted and implemented by the Govt. of India to curb maternal and child malnutrition. But, the outcome of these projects vary as the extent and nature of maternal and child malnutrition in India largely depends on geographic position, age, gender, ethnicity, literacy and socio-economic status. This perspective discusses the problem statement of child and maternal malnutrition that prevailed in India followed by providing insight on various efforts taken by the current Government of the south Indian state of Andhra Pradesh in mitigating maternal and child malnutrition by designing comprehensive programmes that target health, nutrition, and education. The current administration of Andhra Pradesh incepted many unique measures like YSR Amrutha Hastham, YSR Sampoorna Poshan, Nadu Nedu, Amma Vodi, etc. to ensure spot feeding, access to optimum nutrition by the socially and geographically backward classes, enhanced school attendance, financial assistance to the women, etc. The schemes aim to achieve an overall reduction in social and nutritional inequality among mothers and children in the state.

Keywords: Public Health Nutrition; Community Nutrition; Nutrition Policy; Nutrition Supplementation; Andhra Pradesh; Child Malnutrition; Maternal Malnutrition; Nutritional Anemia; Education

References

    1. “Fact sheets - Malnutrition” (2020).
    2. Dandona R., et al. “Subnational mapping of under-5 and neonatal mortality trends in India: the Global Burden of Disease Study 2000-17”. The Lancet10237 (2020): 1640-1658.
    3. Women’s nutrition | UNICEF India. (n.d.) (2020).
    4. “State Fact Sheet Andhra Pradesh” (2020).
    5. “National nutrition supplementation programmes” (2020).
    6. Sachdev Y and Dasgupta J. “Integrated child development services (ICDS) scheme”. Medical Journal Armed Forces India 2 (2001): 139-143.
    7. Sireesha Guttapalam and D L Kusuma. “Mid Day Meal Programme and Nutritional Status of School Going Children - A Study” (2020).
    8. “National Family Health Survey” (2020).
    9. Sample Registration System Statistical Report 2018 Office of the Registrar General and Census Commissioner, India Ministry of Home Affairs Government of India New Delhi” (2020).
    10. Afshin A., et al. “Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017”. The Lancet10184 (2019): 1958-1972.
    11. “Government of India” (2020).
    12. Feeding Mothers, Fighting Malnutrition: The East Godavari Experience |. (n.d.) (2020).
    13. Sethi V., et al. “Delivering an Integrated Package of Maternal Nutrition Services in Andhra Pradesh and Telangana (India)”. Food and Nutrition Bulletin3 (2019): 393-408.
    14. Morón-Duarte LS., et al. “Quality assessment indicators in antenatal care worldwide: a systematic review”. In International Journal for Quality in Health Care7 (2019): 497-505.
    15. YSR Sampoorna Poshana Plus Scheme: Benefits, Objective and Features. (n.d.) (2020).
    16. Kapil U and Sachdev HPS. “Massive dose vitamin A programme in India - Need for a targeted approach”. Indian Journal of Medical Research 138 (2013): 411-417.
    17. National Programme For Control Of Blindness (NPCB): Andhra Pradesh Department of Health, Medical, and Family Welfare. (n.d.) (2020).
    18. Anemia Mukt Bharat-Operational Guidelines Operational Guidelines for Programme Managers Intensified National Iron Plus Initiative (I-NIPI) Ministry of Health and Family Welfare Government of India (2018).
    19. Ministry of Statistics and Program Implementation | Government of India (2020).
    20. “Nadu Nedu” (2020).
    21. Government schools in Andhra Pradesh see spike in enrolments post infrastructure upgrade| Amaravati News - Times of India (2020).
    22. Jagananna Ammavodi (2020).
    23. Amma Vodi List. Final Eligibility List and Check Online Payment Status (2020).
Citation: Subhasree Ray., et al. “Public Health and Nutrition Programmes to Combat Child and Maternal Malnutrition - A Perspective from Andhra Pradesh, India”. EC Nutrition 15.11 (2020): 71-80.

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