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Nearly two among every 10 toddlers in India face the risk of not receiving any food whatsoever for a full day.
According to a study, the proportion of sampled children between six months and 23 months who hadn’t eaten any food with substantial calorific content for at least an entire day increased from 17.2 percent in 2016 to 17.8 per cent in 2021.
The first estimates of the prevalence of “zero-food” children in India have been produced, according to researchers who took data from the Union Health Ministry’s national family health surveys. These findings highlight the need to rethink food policies in order to reach some of the most vulnerable households.
“The data contained something unusual and unexpected- we don’t expect young children between six months and twenty-three months to go entirely unfed for a whole 24 hours”, said S.V. Subramanian, a professor of population health at the Havard School of Public Health, who led the study.
“We don’t know how long the deprivation lasted in each child sampled — that’s a limitation in the data. But we’d expect a child to receive at least some food over a whole day,” Subramanian said.
From 2016 and 2021, the prevalence rates of zero-food consumption decreased in at least 20 states. The average has risen nationwide as a result of increases in the other states, particularly substantial increases of 10 percentage points in Uttar Pradesh and 12.9 percentage points in Chhattisgarh.
Traditionally, health professionals have measured India’s progress in combating malnutrition through decreases in the rates of childhood wasting and stunting.
Measures of stunting and wasting are weight for age and height for age, respectively. Both are thought to be proxies for nutritional indices.
The National Family Health Surveys from 2015–16 and 2019–21, which revealed declines in stunting from 38.4% to 35.5% and wasting from 21% to 19.3%, have been mentioned by the Center as proof of improvements in child nutrition.
But, Subramanian and his colleagues examined the survey data to find a precise indicator of food intake. The surveys, which included questions on what children aged six to 23 months had eaten the previous day, sampled more than 600,000 households.
There were numerous identical questions asking whether the child has consumed any of a variety of solid or liquid foods in both the 2016 and 2021 surveys. If a child responded “no” to any of the food-related questions, it meant that the youngster had not eaten anything in the previous 24 hours.
According to the projection, there would be 5.9 million children in India aged six to 23 months who will go without food in 2021. Zero-food-intake among children was most prevalent in Uttar Pradesh (27.4%), followed by Chhattisgarh (24.6%), Jharkhand (21%), Rajasthan (19.8%), and Assam (19.4 per cent).
Bengal is one of about 20 states where the prevalence of children who go without food has decreased since 2016. In Bengal, the percentage decreased from 12.1% in 2016 to 7.5% in 2021. Goa experienced the largest decline, from 18.9% to 5.1%. The results of the study have recently been published in E Clinical Medicine, a journal that belongs to The Lancet family.
India has a number of food and nutrition efforts to combat child malnutrition, including one that gives children aged six months to three years take-home rations of 500 calories and 12 to 15 grams of protein per day as food supplements.
The unexpected discovery of a significant portion of children with no access to food, according to Subramanian, points to the need to adopt direct measures of food nutrition rather than relying primarily on stunting and wasting. While the study has highlighted the need to find ways to improve such initiatives to reach the most socially disadvantaged households, he added.
According to the researchers, if India wants to achieve the UN-set targets it has undertaken to end hunger and ensure access to safe nutrition and enough food for all by 2030, “precision into food policies” are urgently needed.
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