THE LANDSCAPE

The marginalised population of Madhya Pradesh (MP) largely depends upon food and nutrition entitlements mandated under The National Food Security Act (NFSA)-2013.
The state of Madhya Pradesh (MP) endowed with rich natural and human capital reels under poverty and backward tag Despite numerous attractive features, MP, the state of Central India, has not done much improvement in its health and nutrition indicators. With 42% children under 5 years of children stunted and Infant Mortality Rate (IMR) as high as 51(Source : NFHS 4), MP continues to be one of the bottom five states of the country. 33% married women experience domestic violence. Various studies suggest that there is a direct correlation between gender based violence and poor nutrition outcomes. Also, studies suggest that 1% loss in adult height due to stunting contributes to 1.4% loss in productivity and stunting may reduce IQ by 5-11 points.

Only 38.1% children between 6-8 months receive solid and semi-solid food and breast milk and 6.6% children age 6-23 months receive an adequate diet. 52.5% of women age 15-49 years and 68.9% children 6-59 months are anaemic in the state. Anaemia has bearing on productivity. Eliminating anaemia can increase 5-17% increase in adult productivity. There is a rising obesity among the men and women. 13.6% adult women and 10.9% adult men are obese. Good sanitation, hygiene and safe drinking water have a bearing on good health and nutrition. Strangely, 33.7% households use improved sanitation facility.

The condition of the most marginalised class is the worst they being the most exploited group in the organised sector of economy. Poor socio-economic condition, illiteracy, over-crowded and unhygienic living conditions in the tribal belt populations account for various communicable diseases and underfeeding.

NFHS fact sheet IMR STUNTING % ANAEMIA %
NFHS II(98-99) 86.1 51.0
(0 to 35 months)
Children 6-35 months: 75
Women: 54.3
NFHS III(05-06) 69 50
(under 5 children)
Children 6:59 months: 74
Women: 55.9
NFHS IV(15-16) 51 42
(under 5 children)
Children 6:59 months: 68.9
Women: 52.5

(Source : NFHS)

Good nutrition is essential for healthy immune system, higher order cognitive ability, growth and productivity and in achieving demographic dividend. Madhya Pradesh’s perpetual poverty and inequity can be attributed to its malnutrition and food insecurity.

The State Chapter will engage in evidence based advocacy by taking up action research programs, sustained membership engagement in the state and strengthen the overall knowledge management activity of the Coalition by regularly sharing the state level information, evidences and data with the head quarter. In addition to this, Coalition will strategically engage in social behaviour change communication activities that can increase healthy food and nutrition behaviour. Further, the past BCG Strategy and Coalition Strategy 2017-21 outlines the plan for state level interventions to cater to state-specific needs. A preliminary assessment suggests that MP State Chapter which is be supported by the Nutrition International in the initial years will leverage resources from various funding agencies in the coming years. Thus the establishment of a state chapter in MP as an autonomous body engage in state level evidence based advocacy, sustained membership engagement and knowledge management is very strategic.

Based on the findings from the evidence, technical and research studies, the CFNS and the potential partners will jointly work to take the Coalition agenda forward. In order to expand and catalyse the actions, the multi-stakeholder platforms at state and district level will work on revitalizing coordination and convergence mechanisms at sector, village and local governance level for a better impact delivery of nutritious foods.