India's Multi-Layered Approach to Nutrition
India's fight against malnutrition and nutritional deficiencies has evolved significantly, moving from targeted feeding programs to a comprehensive, multi-sectoral approach. The sheer scale of the population requires a coordinated effort across several ministries and a variety of schemes, which together constitute the nation's nutrition program. This integrated strategy recognizes that nutrition is linked to health, sanitation, education, and social empowerment.
POSHAN Abhiyaan: The Flagship Mission
Launched in March 2018, POSHAN Abhiyaan (Prime Minister's Overarching Scheme for Holistic Nourishment), also known as the National Nutrition Mission, is the overarching framework for India's nutrition efforts. It is a convergence mission aiming to reduce stunting, undernutrition, anemia, and low birth weight. Key aspects include ICT-enabled real-time monitoring via the Poshan Tracker app and community mobilization through 'Jan Andolan' campaigns. It also emphasizes health and nutrition education, promoting optimal Infant and Young Child Feeding (IYCF) practices.
The Integrated Child Development Services (ICDS) Scheme
Operating since 1975, ICDS is a large-scale program providing services to children under 6 and their mothers through Anganwadi centres. It provides supplementary nutrition, pre-school education, health check-ups, immunization, referral services, and nutrition education.
PM POSHAN: Mid-Day Meal Scheme for School Children
PM POSHAN (Pradhan Mantri Poshan Shakti Nirman), previously the Mid-Day Meal Scheme, is a centrally sponsored program offering hot, cooked meals to school children. Its goals include improving nutritional status, encouraging school attendance, and promoting social equity.
Targeted Micronutrient and Health Interventions
India's strategy also addresses micronutrient deficiencies. Programs include Anaemia Mukt Bharat (AMB), which uses a 6x6x6 strategy with interventions like Iron and Folic Acid (IFA) supplementation. Food fortification of staples like rice and salt with essential nutrients is another key effort. Additionally, biannual Vitamin A supplementation for children and Nutrition Rehabilitation Centres (NRCs) for severely malnourished children are part of the strategy.
Evolution of Nutrition Policy and Future Strategy
India's nutrition policy has evolved from focusing on calorie sufficiency to a rights-based approach, supported by laws like the National Food Security Act (NFSA) of 2013. Recent strategies integrate nutrition with healthcare and promote dietary diversity. While progress has been made, challenges such as implementation gaps and the 'double burden' of malnutrition and obesity persist. Future efforts aim to improve coordination, monitoring, and community involvement.
| Program | Target Group | Key Services | Focus |
|---|---|---|---|
| POSHAN Abhiyaan | Children (0-6), pregnant/lactating mothers, adolescent girls | Real-time monitoring, community mobilization, behavior change communication | Overarching, multi-sectoral convergence |
| ICDS | Children under 6, pregnant/lactating mothers | Supplementary nutrition, health check-ups, pre-school education | Grassroots service delivery |
| PM POSHAN | School children (Class 1-8) | Hot, cooked mid-day meals | School-based nutrition and enrollment |
| Anaemia Mukt Bharat | Children (6-59 months), adolescent girls, pregnant/lactating women | IFA supplementation, deworming, behavior change | Addressing micronutrient deficiency |
Conclusion
India's nutrition program is a complex network of schemes, led by the POSHAN Abhiyaan mission. Key programs like ICDS and PM POSHAN are integral, alongside initiatives addressing specific deficiencies such as Anaemia Mukt Bharat and food fortification. Significant progress has been noted in areas like exclusive breastfeeding and reducing stunting, but ongoing challenges require continuous adaptation and implementation efforts. Future success relies on strengthening program delivery, utilizing technology, and ensuring effective service convergence to support vulnerable populations. For more details on these initiatives, refer to the official National Portal of India(https://www.india.gov.in/national-nutrition-mission?page=2).