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WASTED STUNTED
(Thin) (Short)
Normal height
60%
2005-05 2015-16
50%
48%
40%
38%
30%
20% 21%
20%
10%
NORMAL 0%
Stunting Wasting
Undernutrition trend by age
Childhood
6 months to 18 mo crucial
undernutrition
1. ~20% due to
small size at
Stunted birth;
2. ~25% due to
diarrhea and
Wasted
other
infections;
and
3. Rest ~55%
due to
suboptimal
feeding
Challenge of optimum complementary feeding for children 6-24
100 40
Adequate diet 2006 Adequate diet 2016 Change
90
30
80
20
70
Percentage change
Percentage %
60
10
50
0
40
30 -10
20
-20
10
0 -30
Adequate diet = child 6-24 fed either breastmilk/source of dairy; and age-appropriate number of food groups and age-appropriate number of meals per day
NFHS-3 indicator calculation by IFPRI; NFHS-4 indicator as reported in fact sheets.
Courtesy Avula
6
Childhood
‘Biology’ of undernutrition undernutrition
1. ~20% due to
Diarrhea / pneumonia
Suboptimal BF small size at
Poor care of low Suboptimal feeding birth;
birth weight babies
2. ~25% due to
diarrhoea
maternal nutrition / health
N and other
Genetics, epigenetics,
infections;
Small
and
Antenatal Care
Based
Institutiona
l Deliveries
role
New Born
Not to
Care scale
9
NNM | Objectives
Prevent & Reduce Stunting in Children (0-6 years) @2% per annum
III. Intensified Health & Nutrition Services for first 1000 days
[Immunization in High burden Districts- Rotavirus & Pneumococcal, Extended Home Based Care of
Infants from 06-24 months ; IYCF promotion]