Poverty and the state of nutrition in India.
India is often thought of as a development paradox with relatively high economic growth rates in the past few years, but with lower progress in areas of life expectancy, education and standard of living. While serious inequalities in growth, development and opportunity explain the illusion of the paradox at the country level, still, a significant proportion of the world's poor live in India, as do a significant proportion of the world's malnourished children. Poverty and undernutrition coexist, and poor dietary quality is associated with poor childhood growth, as well as significant micronutrient deficiencies. Food security is particularly vulnerable to changes in the economic scenario and to inequities in wealth distribution. Migration from rural to urban settings with a large informal employment sector also ensures that migrants continue to live in food insecure situations. While food production has for the most part kept pace with the increasing population, it has been with regard to cereal rather than of pulses and millet production. Oil seeds, sugar cane and horticultural crops, along with non-food crops are also being promoted, which do not address nutrition security, and, coupled with the increase in the consumption of pre-prepared food, may indeed predispose towards the double burden of malnutrition. Access to food is also particularly susceptible to poverty and inequality. Many strategies and policies have been proposed to counter undernutrition in India, but their implementation has not been uniform, and it is still too early to assess their lasting impact at scale.
Department ofPhysiology, St John's Medical College, Bangalore, India.
Kiruba S
KS
Varadharajan
Tinku
T
Thomas
Anura V
AV
Kurpad
D002648:Child; D003365:Costs and Cost Analysis / Q000639:trends; D004032:Diet; D005260:Female; D005502:Food / Q000191:economics; D005522:Food Services; D005523:Food Supply; D006801:Humans; D007194:India / Q000453:epidemiology; D044342:Malnutrition / Q000453:epidemiology / Q000517:prevention & control; D009752:Nutritional Status; D009765:Obesity / Q000453:epidemiology; D011203:Poverty; D011247:Pregnancy; D012424:Rural Population; D014505:Urban Population