Académique Documents
Professionnel Documents
Culture Documents
- Mrunal - http://mrunal.org -
1.
2.
3.
4.
5.
6.
7.
8.
Prologue
Global hunger report, Child malnutrition
What is Hidden hunger?
India Newborn Action Plan (INAP)
National Nutrition Mission
Fixing RBSK and WIFS
Expert group on PNDT
Tribal health problems
Prologue
Current affairs related to public health, during September Week1 to October Week3.
Part1: Mother, Children, Hunger, Nutrition related. Youre here
Part2: Policy / Mission: Mental health, Ayush.
Part3: Selling related: NPPA, Sravan, Cigar labelling.
Relevance in Mains GS2 syllabus:
Issues relating to poverty and hunger
Issues relating to development and management of Social Sector/Services relating to Health,
Education, Human Resources.
http://mrunal.org/2014/10/public-health-global-hunger-report-hidden-hunger-national-nutrition-mission-newborn-action-plan.html/print/
1/5
10/28/2014
Undernourished people
2004-06: ~22%
2011-13: 17% (also reduced)
2005: ~8%
2014: ~6% (meaning this also reduced)
Indias progress
1. No. of underweight/ malnourished have declined. Mainly due to MNREGA, NRHM, ICDS and other
schemes.
2. This happened because fast growing economies increase investment in social sector programs.
Similar phenomenon seen in Brazil and China.
Does it mean everything is hunky dory?
1. In comparison to India, other countries on similar GDP/growth rate have pulled out more people
from Hunger- example Venezuela, Mexico, Cuba, Ghana, Thailand and Vietnam all achieving more
http://mrunal.org/2014/10/public-health-global-hunger-report-hidden-hunger-national-nutrition-mission-newborn-action-plan.html/print/
2/5
10/28/2014
What?
How?
Will implement this via existing Reproductive, Maternal Child Health and Adolescent Plus
(RMCHA+) framework
With 6 strategies
6 strategies of INAP
1. preconception and antenatal care
2. care during labour and child birth
3. immediate newborn care
Will also take Help from ASHA workers, Indian academy of pediatricians, NGOs and philanthropists like Bill
Gates.
(GS2) Mock Question: Discuss the salient features of Newborn Action Plan. 100 words.
3/5
10/28/2014
Who?
Health ministry
To reduce malnutrition among women and children under age of 3Target: 200 high burden
Why
district
Criticism One component not yet implemented: reducing Anaemia among adolescent girls.
Training Anganwadi workersNutrition councils at District level
How?
ICT for monitoring progress: Anganwadi workers to collect child data using tablet / mobile.
WIFS
Weekly Iron Folic acid
Supplementation
To reduce anemia among girls by
giving Iron folic acid (IFA) tablets on
weekly basis.
International
June 2014: WHO, UNICEF and partners joined hands to end newborn and stillbirth
deaths by 2035.
Countries have to set newborn action plans- to provide quality care to children.
Childbirth
Building
ASHA
What?
4/5
10/28/2014
Hence the need to find out those new techniques and update PNDT act to prohibit them.
More points:
1. SC in Sept,2014 ordered better implementation of the act.
2. 100 district of GJ, MH, HN and PN (low sex ratio states) have been selected for beti bachao beti
padhao abhiyan.
3. PNDT empowers State and district committees to book the offenders. MPs should be involved in to
keep check such Committees.
Tribal children
Under 5 mortality among Tribals, is higher than other
communities.
>50%
Other issues
1. Starvation deaths still reported in tribal aeras
2. The chronic diseases such as hypertension and diabetes- rising among tribal.
3. High prevalence of malaria, TB, diarrhea
But why all these problems?
1.
2.
3.
4.
Most tribals defecates in the open => lack of sanitation =>diarrhea and gastrointestinal problems.
33% of tribals dont get clean drinking water.
Illiteracy and lack of health education
Government setup Primary Health Centres (PHCs) in tribal areas but staff vacant due to naxal
problem.
5. Drugs, transport, electricity, communication infrastructure is lacking.
6. Displacement during mining projects. Most tribal groups are traditionally hunter-gatherers. They are
not accustomed to agriculture. Combine this with Illiteracy =>poverty => Dependence on PDS for
survival=> hidden hunger=>less immunity from diseases.
Whatre the Solutions?
1. Tribals rely on Traditional healers. So they should be trained to dispense ORS for diarrhea and antimalarial pills and send patients to the PHC in a timely manner.
2. Tribal youth trained as community health workers or nurses. This will create incentive for them to
stay work in their own communities- rather than migrating to cities in search of petty labour work.
3. A successful example is the Adivasi hospital in the Nilgiris, where the management and most staff
(except the doctors) are tribal.
4. Offer more diverse range of food items in PDS with macro and micronutrients to tackle the hidden
hunger.
5. Infrastructure for housing, clean water, toilets, electricity, road and communication.
6. Further research on herbal medicines, promote Ayush.
http://mrunal.org/2014/10/public-health-global-hunger-report-hidden-hunger-national-nutrition-mission-newborn-action-plan.html/print/
5/5