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What is the meaning of wasted in Poshan Tracker?

3 min read

According to the World Health Organization (WHO), malnutrition encompasses undernutrition in its various forms, including wasting, which is a key indicator tracked on the Poshan Tracker app. The 'wasted' status is a critical measure used by India's national nutrition mission to identify children with acute malnutrition who are at increased risk of illness and death. This status helps Anganwadi workers prioritize and provide immediate nutritional support to those most in need.

Quick Summary

The term 'wasted' in Poshan Tracker refers to a child with a low weight-for-height, indicating recent and severe weight loss or failure to gain weight. It is measured and monitored in real-time by Anganwadi workers using the mobile app to identify and track children with acute malnutrition. The data collected informs critical interventions under the national nutrition mission (POSHAN Abhiyaan).

Key Points

  • Low Weight-for-Height: The term 'wasted' refers to a child whose weight is too low for their height, indicating acute malnutrition caused by recent severe food shortages or illness.

  • Real-Time Monitoring: The Poshan Tracker is a mobile app used by Anganwadi workers to digitally record and track the nutritional status of children in real-time, replacing traditional paper registers.

  • Diagnostic Methods: Wasting is identified using World Health Organization (WHO) growth standards via weight-for-height measurements and mid-upper arm circumference (MUAC) tape, with the app calculating z-scores automatically.

  • Urgent Intervention: The 'wasted' status triggers an alert for Anganwadi workers to prioritize and provide immediate nutritional support, as affected children face a higher risk of morbidity and mortality.

  • Part of POSHAN Abhiyaan: The app is a key tool within India's national nutrition mission (POSHAN Abhiyaan) for dynamic identification and monitoring of undernutrition and the delivery of critical services.

  • Distinction from Stunting: While wasting indicates acute (recent) undernutrition, stunting (low height-for-age) indicates chronic or long-term undernutrition.

In This Article

The term "wasted" within India's Poshan Tracker application signifies a child with a significantly low weight-for-height, which is a primary indicator of acute malnutrition. This condition typically results from a recent and severe period of insufficient food intake or illness, leading to rapid weight loss. The Poshan Tracker app, utilized by frontline Anganwadi Workers (AWWs), facilitates the real-time monitoring of this and other nutritional indicators to enable timely and targeted interventions.

What is Wasting and How is it Measured?

Wasting, or acute malnutrition, is determined by comparing a child's weight to a standard reference for their height and sex, based on World Health Organization (WHO) guidelines. The Poshan Tracker assists AWWs in this process.

Two main methods are used and tracked via the Poshan Tracker:

  • Weight-for-Height Measurement: AWWs record a child's weight and height. The app contains tools, sometimes referred to as a 'Poshan Calculator', to convert these into a 'z-score' and compare them against WHO growth standards, flagging children as wasted if their measurements are significantly below the median.
  • Mid-Upper Arm Circumference (MUAC): AWWs use a color-coded MUAC tape as a quick screening method to identify severe acute malnutrition. Measurements are entered into the app to record the severity level.

The Role of the Poshan Tracker in Addressing Wasting

The Poshan Tracker is a crucial digital tool supporting India's POSHAN Abhiyaan (National Nutrition Mission). It transitions from a manual, paper-based tracking system to a digital, data-driven platform, enhancing the capabilities of AWWs and providing policymakers with immediate data.

How Anganwadi Workers Use the App to Track Wasting

  1. Beneficiary Registration: AWWs register beneficiaries, including children under six, often linking profiles to Aadhaar for accurate identification.
  2. Growth Monitoring: During visits, AWWs record children's weight, height, and MUAC measurements directly into the app, replacing traditional registers.
  3. Real-Time Alerts: The app automatically identifies and flags children who are wasted based on the entered data. Dashboards allow officials to visualize areas with high wasting prevalence, aiding resource allocation.
  4. Targeted Support: By identifying wasted children, the app helps AWWs prioritize home visits and deliver targeted nutritional support and counseling. This digital tracking is essential for effective service delivery.

Causes, Effects, and the Difference Between Wasting and Stunting

Wasting is typically caused by short-term, severe nutritional deficiencies or frequent illnesses, such as diarrhea, that hinder nutrient absorption.

Untreated wasting severely compromises a child's immune system, increasing susceptibility to infections and the risk of mortality.

Understanding the difference between wasting and stunting is important, as both are tracked by the Poshan Tracker.

Aspect Wasting Stunting
Definition Low weight for height. Low height for age.
Nature Acute malnutrition, recent weight loss. Chronic malnutrition, long-term undernutrition.
Cause Insufficient food/recent illness. Poor maternal health, repeated infections, inadequate long-term nutrition.
Timing Often rapid onset. Develops over time, especially in early childhood.
Impact Higher immediate risk of death. Impairs physical/cognitive development, long-term health issues.
Treatment Focus Immediate nutritional intervention. Long-term strategies: nutrition, health, early care.

The Path to a Healthier Future

The Poshan Tracker is instrumental in India's efforts to combat malnutrition. Its real-time tracking of indicators like wasting ensures timely intervention for vulnerable children, supporting the goal of a 'Malnutrition Free India'. The evolving system enhances data accuracy and efficiency, marking a significant advancement in public health monitoring. This data-driven approach aids in saving lives and informs future policy and resource allocation.

Conclusion

Within the Poshan Tracker, "wasted" serves as a critical indicator for acute malnutrition, identifying children with a low weight-for-height. This digital tool empowers Anganwadi workers to efficiently monitor nutritional status in real-time, replacing manual methods, and ensuring that children needing urgent help are quickly identified for targeted support. The data collected is vital for tracking progress and strategically allocating resources under the POSHAN Abhiyaan, ultimately helping to mitigate the severe health risks associated with wasting.

Frequently Asked Questions

The Poshan Tracker is primarily used by Anganwadi workers (AWWs) in India, who input child growth data during home visits or at Anganwadi Centres. Supervisors and government officials then monitor this data at various levels.

Wasting is low weight-for-height, indicating acute malnutrition. Underweight is low weight-for-age, which can result from either wasting, stunting, or a combination of both.

The Anganwadi worker enters the child's age, gender, weight, and height into the app. The Poshan Tracker’s built-in calculator uses WHO growth standards to automatically compare these measurements and determine if the child is wasted.

When a child is flagged as wasted, the system alerts the Anganwadi worker to prioritize their care. This prompts targeted home visits, nutritional counseling for the family, and the provision of appropriate supplementary food to reverse the acute malnutrition.

While the app is for Anganwadi and ICDS staff, beneficiaries can check their service history via a separate web portal login on the official website. The primary data entry and tracking are done by the frontline workers.

Wasting primarily indicates a recent or acute nutritional problem, unlike stunting which represents chronic undernutrition. However, repeated episodes of wasting can lead to more serious long-term issues like stunting and impaired development.

While the Poshan Tracker significantly improves efficiency over manual records, some studies have noted discrepancies in prevalence data compared to national surveys like NFHS-5, possibly due to differences in measuring instruments and potential reporting bias. Continuous improvements are being made to enhance data accuracy.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.