Showing posts with label Malnutrition. Show all posts
Showing posts with label Malnutrition. Show all posts

Sunday, May 13, 2012

Poverty in India: Country's Rural Population Lives on Less Than Rs 35 a Day


Poverty is a stark realty in India. There are more poor people here than in the 20 poorest African countries. More Indians have an access to mobile phones than toilets. Hunger and malnutrition persist. Figures about the extent of poverty released occasionally do spark debates and political point-scoring for a day or two but are then forgotten. They do expose, however, even if for a short while the ugly side of India’s much-touted growth story. By and large, what is wrong and what needs to be done are known.

Keeping the aforementioned points in view, the National Sample Survey Organization (NSSO) has recently carried out the 66th round of National Sample Survey (NSS). The report states that around 60 per cent of India's rural population lives on less than Rs 35 a day and nearly as many in cities live on Rs 66 a day, reveals a government survey on income and expenditure.

The statistics pertaining to income and expenditures of the citizens presented by the NSSO has revealed that food accounted for about 57 per cent of the value of the average rural Indian household consumption during 2009-10 whereas it was 44 per cent in cities. And this, when 60 per cent of India’s rural population lives on less than Rs 35 a day and an identical percentage in several cities lives on Rs 66 per day.

If the average monthly per capita consumption of cereals was 11.3 kg in rural areas and 9.4 kg in cities, then the survey also pointed out that 10 per cent of the population at the lowest rung in rural areas lives on Rs 15 a day and on Rs 20 per day in urban areas.

In terms of average per capita daily expenditure, it comes out to be about Rs 35 in rural and Rs 66 in urban India. Approximately 60 per cent of the population lives with these expenditures or less in rural and urban areas.

July 2009–June 2010 Situation
According to NSS carried out between July 2009 and June 2010, all India average monthly per capita consumer expenditure (MPCE) in rural areas was Rs 1,054 and urban areas Rs 1,984. The survey also pointed out that 10 per cent of the population at the lowest rung in rural areas lives on Rs 15 a day, while in urban areas the figure is only a shade better at Rs 20 day.

The report states that the poorest 10 per cent of India's rural population had an average MPCE of Rs 453. The poorest 10 per cent of the urban population had an average MPCE of Rs 599.

The NSSO survey also revealed that average MPCE in rural areas was lowest in Bihar and Chhattisgarh at around Rs 780 followed by Orissa and Jharkhand at Rs 820.

States’ Condition
Among other states, Kerala has the highest rural MPCE at 1,835 followed by Punjab and Haryana at Rs 1,649 and Rs 1,510 respectively. The highest urban MCPE was in Maharashtra at Rs 2,437 followed by Kerala at Rs 2,413 and Haryana at Rs 2,321. It was lowest in Bihar at Rs 1,238. The median level of MCPE was Rs 895 in rural and Rs 1,502 in urban India, indicating consumption level of majority of population.

According to the study, food was estimated to account about 57 per cent of the value of the average rural Indian household consumption during 2009-10 whereas it was 44 per cent in cities.

Planning Commission’s Estimates
Based on NSSO estimates, the Planning Commission had pegged that poverty line at Rs 28.65 and Rs 22.42 daily consumption in urban and rural areas respectively in 2009-10. As per the Commission’s estimates the number of persons living below poverty line was 35.46 crore in 2009-10, as compared to 40.72 crore in 2004-05.

Saturday, July 18, 2009

Malnutrition in India: Causes and Remedies

The State of India is a paradox. While it is one of the fastest growing economies in the world, it is also home to 57 million of the world’s 146 million malnourished children. This menace continues to remain a silent emergency in the country, with 47 per cent of children under five either underweight, stunted, wasted or with micronutrient malnutrition.
Several nutrition awareness programmes and training courses for improving the dietary habits of people, too, are in place. Under the 30-year-old Integrated Child Development Services (ICDS) Scheme, supplementary nutrition is being provided to children up to six years of age and to pregnant and lactating mothers.
India's Position in Global Hunger Index
The country which figures 94th among 119 countries on the Global Hunger Index also faces the problem of acute malnourishment. However, a government survey has pointed out that malnourishment poses a major threat to India’s socio-economic growth. Indeed, malnutrition not only affects individual growth but also impedes productivity. India loses four per cent of its Gross Domestic Product (GDP) due to malnutrition that stems from a host of factors — poverty, illiteracy, lack of awareness, poor access to health care, unsafe drinking water and poor sanitation.
Malnutrition not only enhances their susceptibility to infection, but it also affects their educational achievements, health and overall productivity when they grow up. Consequently, child malnutrition is not only responsible for 22 per cent of the country’s disease burden and half of the 2.3 million child deaths annually, but it also costs India at least $ 10 billion per year in terms of lost productivity, illness and death. Such a colossal loss is unacceptable for a growing global power like India.
The tragedy of persistent child malnutrition in the country, despite steady economic growth, reflects not only the inequitable character of this growth but also the failure of health and nutrition delivery mechanisms, to the poor. It also indicates a lack of political will to deal with the crisis on a priority basis. In fact, child malnutrition in India is among the highest in the world, along with Bangladesh, Ethiopia and Nepal.
National Family Health Survey Report
Recently, the third National Family Health Survey report was released which tells a grim state of child malnutrition in the country. About 45.9 per cent children under three are underweight, 38.4 per cent are stunted and 19.1 per cent wasted. China, the world’s most populous country, has less than 10 per cent of its child population underweight. More humiliating is the discovery that even sub-Saharan Africa has almost half our percentage of underweight children.
Scepticism in accepting the disturbing statistics on malnutrition in India is because we have been made complacent by the plentiful food stocks and over-loaded Food Corporation of India (FCI) godowns. We pride our Midday Meal Scheme for school children which is the largest nutritional programme in the world.
The ICDS is another flagship project. It has now about six lakh centres with some seven lakh anganwadi workers and an equal number of helpers catering to over four crore pre-school children as well as pregnant and lactating mothers. But despite all these things, malnutrition rates in India over the last 10 years have declined at the very modest pace of a mere two per cent per annum, lower than many countries with a comparable socio-eco nomic profile. Bangladesh has brought down its malnutrition rates by about six per cent a year.
Severe malnutrition is more frequent among girls (19.1 per cent) than boys (16.9 per cent). While most infants in India are initially breastfed, only 37 per cent children are exclusively breastfed for four months. Malnutrition rates among children of 0-3 years vary greatly across States, from Madhya Pradesh (55.1 per cent), Bihar (54.4 per cent), Orissa (84.4 per cent), Uttar Pradesh (51.7 per cent) and Rajasthan (50.6 per cent) to Goa (28.6 per cent), Manipur (27.5 per cent) and Kerala (26.9 per cent).
Malnutrition continues to be equated with food shortage and the solution canvassed is to simply increase caloric intake, not realising that the Khichdi-dalia staple provided at such meals is inadequate. Children require special food in small quantities which is dense in energy and nutrients, and not adult food, since children consume much smaller quantities. This explains why 75 per cent of Indian children under three suffer from iron deficiency (anaemia), fifty per cent from Vitamin A deficiency, apart from very high rates of zinc and folate deficiency.

Important Causes
Malnutrition in children is an outcome of insufficient food intake, impaired utilisation or depletion of nutrients due to repeated infectious diseases and parasites and Low Birth Weight (LBW). While poverty and food insecurity contribute to malnutrition in India, some important causes, most of which are preventable, include improper and unsafe infant feeding and child care practices, gender disparity in distribution of food and general neglect of the girl child, as a result of which 60 per cent of Indian women in the reproductive age group are anaemic, a major contributing factor for LBW.
Undoubtedly breastfeeding is an effective way of ensuring healthy growth and development of infants and protecting them against infections. However, only 37.1 per cent newborns are breastfed within a day of birth in India. Colostrum (first milk), which is essential for the infant’s nutritive and immunologic value, is often discarded as old and impure milk. Instead babies are fed with pre-lacteals like tea, ghuttis, diluted milk in many rural and poor urban households. Many families either do not initiate complementary food when the baby reaches the age of six months or give foods with sub-optimal nutritive value. Often, owing to the caregiver’s lack of knowledge, such food may be unhygienic and may introduce infection resulting in diarrhoea. The vicious cycle of malnutrition and infection thus begins.
As per the recent report of the World Food Programme (WFP), about 18,000 children die of hunger and malnutrition every day, he fact which uderscores the urgent need for the Government to respond to poverty in all its mani­festations.
Mid-Day Meal Scheme
Mid-Day Meal Scheme was fomally launched on Aug. 15, 1995 under the National Programme of Nutritional Support to Primary Education (NP-NSPE). The objective of the scheme is to give a boost to universalisation of primary education by increasing enrolment, attendance and retention of children to primary classes. This ambitious social welfare programme improves the nutritional status of children of primary classes studying in schools run and aided by the Government.
Under the scheme, Central assistance is provided to States for the following :
(i) Hundred grams of foodgrains per child per school day where there is a meal programme. Alternatively, three kg per child per month for 10 months.
(ii) Admissible transport subsidy for transportation of foodgrains from the nearest FCI depot to the school, subject to a ceiling of Rs. 50 per quintal. The cost of converting foodgrains into cooked meals is borne by the State Governments or local bodies.

The Remedies
There is a school of thought, though, which believes it would be far more efficacious at this point to specifically target areas which account for the maximum levels of malnutrition rather than expanding haphazardly. Some 10 per cent of Indian villages account for 28 per cent of child nutrition.
Eradication of malnutrition also makes sound economic sense. In countries with widespread deficiencies of the three major nutrients, it is estimated that micronutrient malnutrition results in a loss of about five per cent of the GDP whereas solving the problem would cost less than 0.3 per cent of the GDP.
Thus, it is important for the Government as well as the Non-Governmental Organi­sations (NGOs) to put greater effort and resources on malnutrition prevention and take early action rather than coping with malnutrition when it has already set in.