200506 National Family Health Survey NFHS3

1
2005-06 National Family Health Survey (NFHS-3)

• KEY FINDINGS ON
• CHILD NUTRITION

2
Topics

• Nutritional status of children
• Anaemia in children
• Infant and young child feeding practices
• ICDS coverage

3
Undernutrition in Children under Age 3
Percent
4
Undernutrition in Children under Age 3
Percent
5
Childrens Nutritional StatusVaries by State
6
Topics

• Nutritional status of children
• Anaemia in children
• Infant and young child feeding practices
• ICDS coverage

7
Anaemia among Children Age 6-35 Months
Percent
8
Anaemia Is Widespread throughout India
Children age 6-59 months
9
Children in All Groups Have High Anaemia
Prevalence

• Percent of children with any anaemia
• Urban (63)
• Wealthiest households (56)
• Children whose mothers have 12 years of
  education (55)
• Girls (69), boys (70)

10
Topics

• Nutritional status of children
• Anaemia in children
• Infant and young child feeding practices
• ICDS coverage

11
Recommended and Actual Breastfeeding Practices

• Goal Initiation of breastfeeding within 1 hour
  of birth
• Achievement 25
• Goal No prelacteal feeding
• Achievement 43
• Goal Exclusive breastfeeding
• (6 months)
• Achievement 46

12
Recommended and Actual Breastfeeding Practices
(contd.)

• Goal No bottle feeding
• Achievement 86
• Goal Timely complementary feeding (age 6-8
  months)
• Achievement 53

13
Infant and Young Child Feeding (IYCF) Practices

• Goal Feed breast milk or milk products, and feed
  a minimum number of times from a minimum number
  of food groups (age 6-23 months)
• Achievement 21
• Percent of children fed according to all IYCF
  practices
• Same for boys and girls
• Twice as high in the highest wealth group as the
  lowest wealth group
• Poorest feeding practices found in Andhra
  Pradesh, Maharashtra, and Rajasthan

14
Topics

• Nutritional status of children
• Anaemia in children
• Infant and young child feeding practices
• ICDS coverage

15
ICDS Coverage

• In NFHS-3, team supervisors collected information
  in each enumeration area (EA) on whether or not
  the EA was covered by an ICDS/anganwadi centre
  (AWC) and, if so, when the centre was established
• 72 of EAs are covered by an AWC
• 62 of EAs are covered by an AWC that has existed
  for at least 5 years

16
ICDS Coverage

• More than 90 of EAs are covered by an AWC in
  Tripura, Tamil Nadu, Mizoram, Karnataka, and
  Nagaland
• The only states where less than half of EAs are
  covered by an AWC are Meghalaya (27), Delhi, and
  Arunachal Pradesh (35 each)

17
ICDS Utilization

• Women with one or more children born in the 6
  years before the survey were asked about benefits
  received from an AWC for their young children and
  benefits they themselves received during
  pregnancy and while breastfeeding
• Although ICDS coverage is fairly high, only 28
  of children under age 6 years received any
  service from an AWC in the last year

18
How Many Children Receive Services from an AWC?
Percent of age-eligible children in areas with an
AWC
19
Womens Use of ICDS
20
Prime Ministers 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.

21
Food for Thought

• What innovative steps can nutrition programmes
  take to address these continuing challenges and
  improve childrens nutrition?

22
Thank You