Inequity and health. Is malnutrition really caused by poor nutrition?
OBJECTIVE
To look at inequities leading to malnutrition and from the wider picture to find root causes and deal with them in order to alleviate malnutrition.


METHODS
Literature review.


RESULTS
The health of the population is adversely affected by the inequities in the country. Women and children being most vulnerable are worst affected. The prevalence of Protein Energy Malnutrition (P.E.M.) in children under five years of age is 51 percent. Such a magnitude of malnutrition in a country, where availability of food per capita is more than adequate, points towards the fact that the inequities within the country are at the root of the problem. Poor income is not the only predictor of malnutrition, gender, urban-rural differences in access, utilization and quality of health care also influence health. In addition, there are some underlying factors such as illiteracy, unawareness of the mother about healthy behaviors, lack of decision-making power of women, along with deep-rooted cultural values of a patriarchal system.


CONCLUSIONS
Malnutrition is caused by a multitude of factors, some of which are biological, others are environmental, cultural or social. Education of the invisible half of the population, who actually look after the children and the family, is an important strategy to alleviate this problem.
Bharmal
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Department of Community Health Sciences and Family Medicine, Ziauddin Medical University, Karachi.
D003469:Culture; D004522:Educational Status; D005260:Female; D006801:Humans; D009035:Mothers; D009748:Nutrition Disorders / Q000209:etiology*; D009747:Nutritional Physiological Phenomena; D011203:Poverty; D012959:Socioeconomic Factors