Alarming level of severe acute malnutrition in Indian districts

Dados Bibliográficos

ID21878751
AutoresSabu K Ulahannan (0000-0002-7649-4401, Sree Chitra Thirunal Institute for Medical Sciences and Technology, autor correspondente), Alby Wilson (0000-0001-5624-2365, Institute of Public Health Bengaluru), Deepshikha Chhetri (0000-0002-3798-6243, Government of Haryana), Biju Soman (0000-0003-0748-0839, Sree Chitra Thirunal Institute for Medical Sciences and Technology), Prashanth Nuggehalli Srinivas (0000-0003-0968-0826, Health Equity Cluster, Institute of Public Health, Bangalore, India), NS Prashanth (Institute of Public Health Bengaluru)
Ano2022
Volume7
Fascículo4
Páginase007798
Data de publicação2022-04-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoBMJ Global Health (JOURNAL)
Identificadores do periódicoISSN: 2059-7908 • E-ISSN: 2059-7908
EditoraBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2021-007798
PMID35450860
OpenAlexW4224222718
IdiomaEN
Citações recebidas4
Referências citadas22

Over the last two decades, severe acute malnutrition (SAM) has been increasing in India despite favourable national-level economic growth. The latest round of the National Family Health Survey 5 (NFHS-5) results was released, allowing us to assess changes in the malnutrition trends. Analysis of the previous rounds of the NFHS (NFHS-4) has already shown disturbing levels of wasting, often co-occurring with other forms of anthropometric failures. These have been shown to occur in clusters of districts across India that already needed urgent policy and programmatic action. A rapid assessment of data from NFHS-5 for some of these districts for which data are now available shows an alarming increase in SAM in several malnutrition hotspot districts. Surprisingly, some districts outside hotspots and in states and regions that have previously not been known for high malnutrition too have shown increasing SAM prevalence in the latest round. The data from NFHS-5 was collected just before the COVID-19 pandemic and hence does not yet reflect the likely impact of the pandemic on food security, livelihoods and other social stressors among the most marginalised Indian households. Based on this emerging pattern of increasing SAM, we call for an urgent policy and programmatic action to strengthen the Anganwadi system, which caters to preschool children in India and community-based management of acute malnutrition based on recent evidence on their effectiveness

Agriculture · Anthropometry · Disease · Economic growth · Environmental health · Food security · Geography · Livelihood · Malnutrition · Pandemic · Socioeconomics · Wasting · Child Nutrition and Water Access · Food Security and Health in Diverse Populations · Medicine · Poverty, Education, and Child Welfare