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nutrition

How protein deficiencies impact the health of communities in India

Parvati Singh's picture
Soybean farmers discuss best practices that can leverage improvement of food and nutrition security in Madhya Pradesh.

The state of Madhya Pradesh in India is largely vegetarian with limited consumption of eggs and meat. 

While these dietary preferences are commonplace in other Indian states, Madhya Pradesh is facing a protein deficiency epidemic which threatens the long term health of its population.

How did it get there?

In 2015 I spent five weeks in rural and tribal areas of Madhya Pradesh evaluating the World Bank’s Madhya Pradesh District Poverty Intervention Project (MPDPIP II), with the support of the South Asia Food and Nutrition Security Initiative (SAFANSI)

Across the 8 districts I visited, families shared how they had improved their agricultural productivity, started backyard kitchen gardening, and supplemented their income through dairy and poultry farming, collective procurement and small scale enterprises.

As I examined local village level health records, Anganwadi Center (AWC) registers, Auxiliary Nurse and Midwife (ANM) registers and Primary Health Center (PHC) documents, I noticed a reduction in severe malnutrition and severe anemia among pregnant women and under 5-year-old children.

However, this decrease did not extend to moderate or mild malnutrition and anemia.

Enabling children to grow: Tackling the multiple determinants of nutrition

Ashi Kathuria's picture

During a recent visit to Barsam village in the Saharsa district of Bihar, I talked with members of a women’s self-help group - one of over 480,000 such groups formed under Jeevika, a rural livelihoods program supported by the World Bank in Bihar.

SHG women sitting in a circle

Among the group was nineteen year old Shobha. Like millions of girls across the country, Shobha had never been to school. She was married at fifteen, and now has a ten-month old daughter. Shobha sat among us, cradling little Anjali on her lap.

I was happy to hear that, when she was pregnant, Shobha enrolled herself at the local Aanganwadi center which offered nutrition and health services for both mother and child under a public program. At the center, Shobha learnt how to care for Anjali. As a result, the child was exclusively breastfed for six months and received all the necessary immunizations. Now the little girl is being correctly fed a diverse diet of vegetables, pulses, cereals and animal milk, while continuing to be breastfed.

But my happiness was only momentary. As we talked, it emerged that Anjali was only being given a spoonful or two at most of these foods. While the amounts were far from adequate, Shobha thought they were enough for a child of Anjali’s age. And, all the other women agreed.

Two young Indian girls blog about their interaction with Sri Mulyani Indrawati

Apoorva Devanshi's picture

 Sri Mulyani Indrawati speaking to the students at MNIT, India
“India has the maximum number of young people and these young people will enter the labor market in the next two decades.” These words by the World Bank’s Managing Director and Chief Operating Officer Sri Mulyani Indrawati at the Malaviya National Institute of Technology campus, Jaipur, on September 23, 2015, had all of us listening with rapt attention.

Will Little Rahul Be Poor in 2030?

Onno Ruhl's picture

“Bye sir!” Rahul was running ahead into the distance. It was hard for me to imagine how he could be running… The cracked soil was incredibly hot and extended all the way to what looked like a lake in the distance. It was not a lake…it was a mirage.

“He wants to be a doctor,” said his mother, who was walking next to me. “His sister does not know yet. She is only 2...”

When I came home from my visit to Gujarat, where we met Rahul Kalubhai Koli in Dhrangadhra in Surendranagar district, I could not stop thinking about him. He is 4 1/2, and he wants to be a doctor.