Improving maternal nutrition in India through integrated hot-cooked meal programs: A review of implementation evidence


Book Description

A notable approach to addressing maternal undernutrition during pregnancy in India in recent years has been the integration of hot-cooked meals (HCM) for pregnant and lactating women together with the provision of other health/nutrition services. Called the One Full Meal (OFM) program, these efforts aim to improve maternal nutrition and health across India by bundling center-based HCM with other nutrition services and behavior change communication implemented through the Integrated Child Development Services (ICDS) scheme. The program is offered at anganwadi centers (AWCs) and has been implemented in eight states in India, including Andhra Pradesh, Chhattisgarh, Gujarat, Karnataka, Maharashtra, Telangana, Madhya Pradesh, and Uttar Pradesh. Although the OFM program has been implemented since 2013, there is limited consolidated insight on its effectiveness or on broader lessons for implementation. The objectives of this evidence review of the OFM program are, therefore, to (1) compare the different state OFM program models on their objectives, implementation elements, cost norms and monitoring mechanisms; (2) develop program impact pathways on the potential ways in which the program could influence intended outcomes; and (3) examine the availability of evidence underpinning the program’s intended pathways to impact.




A landscape analysis of nutrition initiatives in Madhya Pradesh: Policies, actors, and networks


Book Description

The silent scourge of undernutrition and major nutritional deficiencies of public health importance persists across India despite decades of planned programmes and interventions. The maternal and child undernutrition scenario in India represents a complex set of determinants, including poverty, lack of knowledge, and access. Other factors that confound this dangerous interplay of barriers are erosion of conventional food consumption patterns exacerbated by poor hygienic practices, diseases such as malaria and diarrhoea, and lack of access to safe water and sanitation.




Nutrition in Early Life


Book Description

Nutrition in Early Life is a comprehensive authoritative text providing an in -depth scientific basis for nutrition during prenatal, postnatal and childhood growth and development. The book is an up-to-date reference for all those seeking to understand the application of science in support of a successful outcome of the reproductive cycle. It has a strong public health emphasis, dealing with nutritionally related health promotion issues from the fetus to maturity. Additionally, the book includes key practical guidelines for good nutritional practice in chapter twelve. Nutrition in Early Life: is a clear up-to-date scientific text focusing on nutrition throughout the reproductive cycle. provides practical guidelines for good nutritional practice with a strong public health emphasis. includes learning outcomes and a detailed list of references at the end of each chapter. Suitable for undergraduates, postgraduates and researchers within the health care professions and an invaluable resource to practitioners who provide primary health care. The book will also be a useful reference for those specialising in paediatrics and child health.




The State of Food Security and Nutrition in the World 2018


Book Description

New evidence this year corroborates the rise in world hunger observed in this report last year, sending a warning that more action is needed if we aspire to end world hunger and malnutrition in all its forms by 2030. Updated estimates show the number of people who suffer from hunger has been growing over the past three years, returning to prevailing levels from almost a decade ago. Although progress continues to be made in reducing child stunting, over 22 percent of children under five years of age are still affected. Other forms of malnutrition are also growing: adult obesity continues to increase in countries irrespective of their income levels, and many countries are coping with multiple forms of malnutrition at the same time – overweight and obesity, as well as anaemia in women, and child stunting and wasting.




Nutrition guidelines and standards for school meals


Book Description

Setting nutrition guidelines and standards has been recommended internationally to ensure that school meals are in line with children’s nutrition needs and adequate to their context. This report provides a descriptive overview of the situation of school meal nutrition guidelines and standards in 33 low and middle-income countries as reported through a global survey. The report identifies key aspects to consider for stakeholders who are planning to develop or update their guidelines and standards in the context of school meal programmes.




The Sociology of the African Family


Book Description




Transforming Food Systems for a Rising India


Book Description

This open access book examines the interactions between India’s economic development, agricultural production, and nutrition through the lens of a “Food Systems Approach (FSA).” The Indian growth story is a paradoxical one. Despite economic progress over the past two decades, regional inequality, food insecurity and malnutrition problems persist. Simultaneously, recent trends in obesity along with micro-nutrient deficiency portend to a future public health crisis. This book explores various challenges and opportunities to achieve a nutrition-secure future through diversified production systems, improved health and hygiene environment and greater individual capability to access a balanced diet contributing to an increase in overall productivity. The authors bring together the latest data and scientific evidence from the country to map out the current state of food systems and nutrition outcomes. They place India within the context of other developing country experiences and highlight India’s status as an outlier in terms of the persistence of high levels of stunting while following global trends in obesity. This book discusses the policy and institutional interventions needed for promoting a nutrition-sensitive food system and the multi-sectoral strategies needed for simultaneously addressing the triple burden of malnutrition in India.




Improving Diets and Nutrition


Book Description

Nutrition-sensitive, food-based approaches towards hunger and malnutrition are effective, sustainable and long-term solutions. This book discusses the policy, strategic, methodological, technical and programmatic issues associated with such approaches, proposes “best practices” for the design, targeting, implementation and evaluation of specific nutrition-sensitive, food-based interventions and for improved methodologies for evaluating their efficacy and cost-effectiveness, and provides practical lessons for advancing nutrition-sensitive food-based approaches for improving nutrition at policy and programme level.




Tracking India’s progress on addressing malnutrition and enhancing the use of data to improve programs


Book Description

Data systems and their usage are of great significance in the process of tracking malnutrition and improving programs. The key elements of a data system for nutrition include (1) data sources such as survey and administrative data and implementation research, (2) systems and processes for data use, and (3) data stewardship across a data value chain. The nutrition data value chain includes the prioritization of indicators, data collection, curation, analysis, and translation to policy and program recommendations and evidence based decisions. Finding the right fit for nutrition information systems is important and must include neither too little nor too much data; finding the data system that is the right fit for multiple decision makers is a big challenge. Developed together with NITI Aayog, this document covers issues that need to be considered in the strengthening of efforts to improve the availability and use of data generated through the work of POSHAN Abhiyaan, India’s National Nutrition Mission. The paper provides guidance for national-, state-, and district-level government officials and stakeholders regarding the use of data to track progress on nutrition interventions, immediate and underlying determinants, and outcomes. It examines the availability of data across a range of interventions in the POSHAN Abhiyaan framework, including population-based surveys and administrative data systems; it then makes recommendations for the improvement of data availability and use. To improve monitoring and data use, this document focuses on three questions: what types of indicators should be used; what types of data sources can be used; and with what frequency should progress on different indicator domains be assessed.




Malnutrition in Afghanistan


Book Description

Malnutrition in Afghanistan analyses the very high rates of malnutrition amongst women and children in the country and provides the outline of a comprehensive nutrition action plan.