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State
Kerala
Tamilnadu
Karnataka
AP
Maharashtra
Gujarat
MP
Orissa
Pooled
* Covered for diet survey
Households *
75-79
88-90
96-90
979
835
1180
978
865
530
999
783
1020
1071
908
1142
615
837
824
697
711
791
234
255
524
824
1064
6497
6018
6,551
Nutrition
assessment
96-97
8,864
5,813
12,606
9,545
6,883
4,866
12,024
60,601
using one-day weighment method on the day of survey. In the remaining 20% of
households individual dietary intakes are assessed using a single 24-hour recall
for estimating intra-familial distribution of food. NNMB had carried out surveys in
1975-79, 1980-85, 1988-90, 1996-97, 2000-01 and 2004-05 in rural areas and in
1975-79 and 1993-94 in urban areas.
In order to get time trends in dietary intake and nutritional status in rural
population, the NNMB carried out two repeat surveys in 1988-90 and in 1996-97,
of the rural areas surveyed in 1975-79. Over 100 villages in each state were
covered in all the three surveys with sixty villages being common between repeat
surveys. Table 7.1.1 gives the coverage under the two rural repeat surveys
carried out by NNMB. In 2000, using data from the above surveys, NNMB
produced separate reports on dietary intake and nutritional status of adolescents
(10 to 17 years of age) and elderly (60+ years).
India has a large tribal population and hence a special tribal survey has been
carried out by NNMB during the years 1985-87 and the first repeat survey of this
sample was done in 1998-99. In India, droughts continue to be a problem in
several drought prone districts. NNMB has carried out surveys in droughtaffected areas over years. The most recent one was a survey in nine states
affected by drought in the current decade. The drought surveys provide
information on impact of drought and the relief operation on nutritional status of
the population.
India Nutrition Profile (INP) Survey
Food & Nutrition Bureau in the Department of Women & Child Development of
Region
Northern
Eastern
Bihar, Sikkim.
North Eastern
Arunachal*, Assam*, Manipur, Meghalaya, Mizoram, Nagaland*, Tripura
Western
Dadra & Nagar Haveli*, Daman & Diu*, Goa,
* In these States/UTs only rural areas were covered
158
1.0
1.2
1.6
0.8
0.9
1.2
1.0
0.8
0.7
0.6
0.5
0.4
Nutritional
status
z-scores
Percentiles
th
th
-1 and +1 SD
Median
15 to 85 percentile
th
50 percentile
Mild
3 to 15 or
th
th
85 to 97 percentile
rd
th
3 and 85 percentiles
Moderate
Normal
Severe
< -3 or > + 3 SD
-3 SD and +3 SD
159
rd
rd
rd
th
th
th
3 and 97 percentiles
80 % median
Between 80 % & 70 % of med.
Between 70 % & 60 % of med.
Between 60 % & 50 % of med.
Less than 50 % of med.
Nutritional Grade
Normal
Grade I (mild UN)
Grade II (moderate
UN)
In April 2006, WHO came up with the growth norms for preschool children based
on multicentre global data from breastfed infants and recommended that
assessment of nutritional status of the preschool children. The WHO standards
give BMI-for-age, which is useful for detecting both undernutrition and obesity,
thus addressing the double burden of malnutrition.
National Family Health Survey (NFHS)
Three National Family Health Surveys NFHS-1 conducted in 199293, NFHS-2
conducted in 199899 and NFHS-3 conducted in 2004-05 provide national and
state-level information on fertility, family planning, infant and child mortality,
reproductive health, child health, nutrition of women and children, and the quality
of health and family welfare services. These surveys also provides estimates at
the regional level for four states (Bihar, Madhya Pradesh, Rajasthan, and Uttar
Pradesh) and estimates for three metro cities (Calcutta, Chennai, and Mumbai),
as well as slum areas in Mumbai. The NFHS-2 sample covers more than 99
percent of Indias population living in all 26 states. It does not cover the union
territories. NFHS-2 is a household survey with an overall target sample size of
approximately 90,000 ever-married women in the age group 1549. Data on
nutritional status of women and children from NHFS 1, 2 and 3 provide
information on time trends in prevalence of undernutrition in the last 15 years. In
addition, NFHS -2 provides information on dietary diversity among the women
surveyed.
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161