BACKGROUND: Inadequate nutrient intake, early and multiple pregnancies, poverty, caste discrimination, and gender inequality contribute to poor maternal nutrition in India. While malnutrition is seen throughout the life cycle, it is most acute during childhood, adolescence, pregnancy, and lactation. Although nutrition policies are on the books and interventions are in place, child malnutrition and maternal undernutrition persist as severe public health problems. OBJECTIVE: To evaluate the implementation of maternal nutrition programs in India. METHODS: The research was conducted in two phases. Phase 1 consisted of a desk review of national and state policies pertinent to maternal nutrition and national-level key informant interviews with respondents who have a working knowledge of relevant organizations and interventions. Phase 2 utilized in-depth interviews and focus group discussions at the state, district, and community levels in eight districts of two states: Tamil Nadu and Uttar Pradesh. All data were analyzed thematically. RESULTS: India has a rich portfolio of programs and policies that address maternal health and nutrition; however, systematic weaknesses, logistical gaps, resource scarcity, and poor utilization continue to hamper progress. CONCLUSIONS: Elevating the priority given to maternal nutrition in government health programs and implementing strategies to improve women's status will help to address many of the challenges facing India's nutrition programs. Programs can be strengthened by promoting integration of services, ensuring effective procurement mechanisms for micronutrient and food supplements, establishing regional training facilities for improved program implementation, and strengthening program monitoring and evaluation.
BACKGROUND: Inadequate nutrient intake, early and multiple pregnancies, poverty, caste discrimination, and gender inequality contribute to poor maternal nutrition in India. While malnutrition is seen throughout the life cycle, it is most acute during childhood, adolescence, pregnancy, and lactation. Although nutrition policies are on the books and interventions are in place, childmalnutrition and maternal undernutrition persist as severe public health problems. OBJECTIVE: To evaluate the implementation of maternal nutrition programs in India. METHODS: The research was conducted in two phases. Phase 1 consisted of a desk review of national and state policies pertinent to maternal nutrition and national-level key informant interviews with respondents who have a working knowledge of relevant organizations and interventions. Phase 2 utilized in-depth interviews and focus group discussions at the state, district, and community levels in eight districts of two states: Tamil Nadu and Uttar Pradesh. All data were analyzed thematically. RESULTS: India has a rich portfolio of programs and policies that address maternal health and nutrition; however, systematic weaknesses, logistical gaps, resource scarcity, and poor utilization continue to hamper progress. CONCLUSIONS: Elevating the priority given to maternal nutrition in government health programs and implementing strategies to improve women's status will help to address many of the challenges facing India's nutrition programs. Programs can be strengthened by promoting integration of services, ensuring effective procurement mechanisms for micronutrient and food supplements, establishing regional training facilities for improved program implementation, and strengthening program monitoring and evaluation.
Authors: John B Mason; Roger Shrimpton; Lisa S Saldanha; Usha Ramakrishnan; Cesar G Victora; Amy Webb Girard; Deborah A McFarland; Reynaldo Martorell Journal: Glob Health Action Date: 2014-06-06 Impact factor: 2.640
Authors: Sangappa M Dhaded; K Michael Hambidge; Sumera Aziz Ali; Manjunath Somannavar; Sarah Saleem; Omrana Pasha; Umber Khan; Veena Herekar; Sunil Vernekar; Yogesh Kumar S; Jamie E Westcott; Vanessa R Thorsten; Amaanti Sridhar; Abhik Das; Elizabeth McClure; Richard J Derman; Robert L Goldenberg; Marion Koso-Thomas; Shivaprasad S Goudar; Nancy F Krebs Journal: PLoS One Date: 2020-01-29 Impact factor: 3.240