title: Overcoming challenges to accelerating linear growth  in Indian children.
abstract: This policy review highlights the need to focus on stunting as an indicator of under-five undernutrition and explores the major challenges and priority public health options for accelerating linear growth in children. Early childhood stunting predicts poor human capital including shorter adult height, lower attained schooling, reduced adult income, and decreased offspring birth weight. The current prevalence of stunting is disconcerting but there has been a relatively faster decline recently. It is imperative to intervene before birth to address stunting. Pertinent ongoing interventions (delaying early child birth, adequate antenatal care and maternal iron-folate supplementation) are beneficial but have sub-optimal coverage. There is only a narrow window of opportunity in early life--the first two years. Effective coverage of children below two years of age with a package of interventions (breastfeeding; immunization; appropriate complementary feeding; treatment of infections, especially diarrhea; safe water supply; and sanitation) merits urgent investigation for greater impact.
authors.affiliation: Sitaram Bhartia Institute of Science and Research, B-16 Qutab Institutional Area, New Delhi 110016, India. hpssachdev@gmail.com
authors.forename: H P S
authors.initials: HP
authors.lastname: Sachdev
mesh_terms: D002648:Child; D002657:Child Development; D002669:Child Welfare; D002675:Child, Preschool; D006291:Health Policy; D006801:Humans; D007194:India / Q000453:epidemiology; D007223:Infant; D007231:Infant, Newborn; D008137:Longitudinal Studies; D009748:Nutrition Disorders / Q000453:epidemiology / Q000517:prevention & control*