ISSN (Print) - 0012-9976 | ISSN (Online) - 2349-8846

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Fiscal Challenges in Scaling Up Nutrition Interventions

Four states—Bihar, Chhattisgarh, Odisha, and Uttar Pradesh—together account for around 45% of stunted children in India. The existing literature makes a case for delivery of a host of specific interventions referred to as the direct nutrition interventions, along with sector-wise or systemic interventions, to bring about significant reductions in prevalence of stunting among children. An analysis of the delivery of DNIs in the said states shows that apart from the decline in fiscal priority for the DNIs during 2014–15 to 2017–18, there are also significant resource gaps for some of these interventions, which underscores the need for enhancing fiscal priority for these interventions.

Delivering Essential Nutrition

In India, despite provisions for tribal development, 32% of tribal women are chronically undernourished, as opposed to 23% among those not belonging to tribal households.Large-scale surveys and routine monitoring are currently deficient in measuring the nutrition status of women, especially tribal women. This study was undertaken to analyse the reach of various health-related schemes for tribal women in Chhattisgarh, Jharkhand, and Odisha. In the light of its findings, it is recommended that all national schemes should be reviewed through a tribal lens, as tribes remain outside the ambit of most nutrition safety nets. Proven measures like strengthening tribal development nodal agencies, motivational incentives to fieldworkers and organised community involvement, need to be scaled up.
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