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2005-06 National Family Health Survey (NFHS-3). KEY FINDINGS ON CHILD NUTRITION. Topics. Nutritional status of children Anaemia in children Infant and young child feeding practices ICDS coverage. Undernutrition in Children under Age 3 Years. Percent. - PowerPoint PPT Presentation
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NFHS-3, India, 2005-06
2005-06 National Family Health Survey (NFHS-3)
KEY FINDINGS ON KEY FINDINGS ON
CHILD NUTRITIONCHILD NUTRITION
NFHS-3, India, 2005-06
TopicsTopics
Nutritional status of childrenNutritional status of children
Anaemia in childrenAnaemia in children
Infant and young child Infant and young child feeding practicesfeeding practices
ICDS coverageICDS coverage
NFHS-3, India, 2005-06
4540
23
0
10
20
30
40
50
60
Stunted Underweight Wasted
Undernutrition in Children under Age 3 YearsUndernutrition in Children under Age 3 Years
Percent
NFHS-3, India, 2005-06
5145 43 40
20 23
0
10
20
30
40
50
60
Stunted Underweight Wasted
NFHS-2 NFHS-3
Undernutrition in Children under Age 3 Undernutrition in Children under Age 3 yearsyears
Percent
NFHS-3, India, 2005-06
Children’s Nutritional StatusChildren’s Nutritional StatusVaries by StateVaries by State
Children under age 5 years who are underweight (%)
2022 23
25 25 25 26 26
3033 33
36 37 37 38 38 39 40 40 40 41 42 4345
4749
56 5760
20
0
10
20
30
40
50
60
70
SK
MZ
MN
KE PJ
GA
NA
JK DL
TN AP
AR
AS
HP
MH
KA
UT
WB
HR
TR RJ
OR
UP IN GJ
CH
MG
BH JH MP
NFHS-3, India, 2005-06
TopicsTopics
Nutritional status of childrenNutritional status of children
Anaemia in childrenAnaemia in children
Infant and young child Infant and young child feeding practicesfeeding practices
ICDS coverageICDS coverage
NFHS-3, India, 2005-06
7479
4 5
0
10
20
30
40
50
60
70
80
90
Any anaemia Severe anaemia
NFHS-2 NFHS-3
Anaemia among Children Age 6-35 MonthsAnaemia among Children Age 6-35 Months
Percent
NFHS-3, India, 2005-06
Anaemia PrevalenceAnaemia Prevalence StateState
Anaemia prevalenceAnaemia prevalence
more than 70 percentmore than 70 percent
BiharBihar
Madhya PradeshMadhya Pradesh
Uttar PradeshUttar Pradesh
HaryanaHaryana
ChhattisgarhChhattisgarh
Andhra PradeshAndhra Pradesh
KarnatakaKarnataka
JharkhandJharkhand
Anaemia prevalenceAnaemia prevalence
Less than 50 percentLess than 50 percent
GoaGoa
ManipurManipur
MizoramMizoram
KeralaKerala
Anaemia Is Widespread Anaemia Is Widespread throughout Indiathroughout India
Children age 6-59 months
NFHS-3, India, 2005-06
Children in All Groups Have Children in All Groups Have High Anaemia PrevalenceHigh Anaemia Prevalence
Percent of children with any anaemiaPercent of children with any anaemia
• Urban (63%)Urban (63%)
• Wealthiest households (56%)Wealthiest households (56%)
• Children whose mother’s have 12+ Children whose mother’s have 12+ years of education (55%)years of education (55%)
• Girls (69%), boys (70%)Girls (69%), boys (70%)
NFHS-3, India, 2005-06
TopicsTopics
Nutritional status of childrenNutritional status of children
Anaemia in childrenAnaemia in children
Infant and young child Infant and young child feeding practicesfeeding practices
ICDS coverageICDS coverage
NFHS-3, India, 2005-06
Recommended and Actual Recommended and Actual Breastfeeding PracticesBreastfeeding Practices
• Goal: Initiation of breastfeeding within Goal: Initiation of breastfeeding within
1 hour of birth1 hour of birth
• Achievement: 25%Achievement: 25%
• Goal: No prelacteal feedingGoal: No prelacteal feeding
• Achievement: 43%Achievement: 43%
• Goal: Exclusive breastfeeding Goal: Exclusive breastfeeding
(6 months)(6 months)
• Achievement: 46%Achievement: 46%
NFHS-3, India, 2005-06
Recommended and Actual Recommended and Actual Breastfeeding Practices (contd.)Breastfeeding Practices (contd.)
• Goal: No bottle feedingGoal: No bottle feeding
• Achievement: 86%Achievement: 86%
• Goal: Timely complementary Goal: Timely complementary feeding (age 6-8 months)feeding (age 6-8 months)
• Achievement: 53%Achievement: 53%
NFHS-3, India, 2005-06
Infant and Young Child Feeding (IYCF) Infant and Young Child Feeding (IYCF) PracticesPractices
• Goal: Feed breast milk or milk products, and Goal: Feed breast milk or milk products, and feed a minimum number of times from a feed a minimum number of times from a minimum number of food groups (age 6-23 minimum number of food groups (age 6-23 months)months)
• Achievement: 21%Achievement: 21%
• Percent of children fed according to all IYCF Percent of children fed according to all IYCF practicespractices• Same for boys and girlsSame for boys and girls• Twice as high in the highest wealth group as the Twice as high in the highest wealth group as the
lowest wealth grouplowest wealth group• Poorest feeding practices found in Andhra Pradesh, Poorest feeding practices found in Andhra Pradesh,
Maharashtra, and RajasthanMaharashtra, and Rajasthan
NFHS-3, India, 2005-06
TopicsTopics
Nutritional status of childrenNutritional status of children
Anaemia in childrenAnaemia in children
Infant and young child Infant and young child feeding practicesfeeding practices
ICDS coverageICDS coverage
NFHS-3, India, 2005-06
ICDS CoverageICDS Coverage
In NFHS-3, team supervisors collected In NFHS-3, team supervisors collected information in each enumeration area (EA) on information in each enumeration area (EA) on whether or not the EA was covered by an whether or not the EA was covered by an ICDS/anganwadi centre (AWC) and, if so, ICDS/anganwadi centre (AWC) and, if so, when the centre was establishedwhen the centre was established
72% of EAs are covered by an AWC72% of EAs are covered by an AWC
62% of EAs are covered by an AWC that has 62% of EAs are covered by an AWC that has existed for at least 5 yearsexisted for at least 5 years
NFHS-3, India, 2005-06
ICDS CoverageICDS Coverage
More than 90% of EAs are covered by More than 90% of EAs are covered by an AWC in Tripura, Tamil Nadu, an AWC in Tripura, Tamil Nadu, Mizoram, Karnataka, and NagalandMizoram, Karnataka, and Nagaland
The only states where less than half of The only states where less than half of EAs are covered by an AWC are EAs are covered by an AWC are Meghalaya (27%), Delhi, and Arunachal Meghalaya (27%), Delhi, and Arunachal Pradesh (35% each)Pradesh (35% each)
NFHS-3, India, 2005-06
ICDS UtilizationICDS Utilization
Women with one or more children born in the Women with one or more children born in the 6 years before the survey were asked about 6 years before the survey were asked about benefits received from an AWC for their benefits received from an AWC for their young children and benefits they themselves young children and benefits they themselves received during pregnancy and while received during pregnancy and while breastfeedingbreastfeeding
Although ICDS Although ICDS coveragecoverage is fairly high, only is fairly high, only 28% of children under age 6 years received 28% of children under age 6 years received anyany service from an AWC in the last year service from an AWC in the last year
NFHS-3, India, 2005-06
How Many Children Receive How Many Children Receive Services from an AWC? Services from an AWC?
3326 23
20 18 16
0
10
20
30
40
50
60
70
80
Any se
rvic
e
Supplem
enta
ry fo
od
Pre-s
chool
Imm
unizatio
ns
Grow
th m
onitorin
g
Health
chec
k-up
s
Percent of age-eligible children in areas with an AWC
NFHS-3, India, 2005-06
Women’s Use of ICDSWomen’s Use of ICDS
17
9 8
78
21
12 11
83
0
10
20
30
40
50
60
70
80
90
No services Supplementaryfood
Health check-ups
Health/nutritioneducation
Pregnant women Breastfeeding women
NFHS-3, India, 2005-06
Prime Minister’s Letter to Chief Ministers of Every State
“A number of reports and surveys, including the National Family Health Survey (NFHS-3) …seem to indicate a noticeable decline in the qualitative aspects of the [ICDS] programme. There is strong evidence that the programme has not led to any substantial improvement in the nutritional status of children under six. Our prevalent rate of under-nutrition in this age group remains one of the highest in the
world”.
NFHS-3, India, 2005-06
Food for ThoughtFood for Thought
• What innovative steps can What innovative steps can nutrition programmes take to nutrition programmes take to
address these continuing address these continuing challenges and improve challenges and improve
children’s nutrition?children’s nutrition?
NFHS-3, India, 2005-06
Thank Thank YouYou