Child malnutrition in India – Putting the smallest first

Why India makes a poor job of feeding the young, and how it could do better.

Source: THE ECONOMIST | GOTHEKAR PADA

VISHAL, the son of a farm labourer in the west Indian state of Maharashtra, is almost four. He should weigh around 16kg (35lb). But scooping him up from the floor costs his nursery teacher, a frail woman in a faded sari, little effort. She slips Vishal’s scrawny legs through two holes cut in the corners of a cloth sack, which she hooks to a weighing scale. The needle stops at just over 10kg—what a healthily plump one-year-old should weigh.

The teacher nods and puts Vishal back on the floor, where he sits listlessly before a jigsaw puzzle. That his teacher does not look perturbed is unsurprising. Nearly half of India’s small children are malnourished: one of the highest rates of underweight children in the world, higher than most countries in sub-Saharan Africa. More than one-third of the world’s 150m malnourished under-fives live in India.

That makes the sight of small, skinny children depressingly routine. Vishal’s rural village is not especially impoverished; 120km (75 miles) from Mumbai, India’s financial centre, it offers factory-work as well as the farm labour most country people do. But the battered register in Vishal’s nursery, a government-run centre known as an anganwadi (literally, courtyard), shows that close to half the children are malnourished, a handful chronically so. “It’s always been this way,” says Sunanda, the anganwadi teacher, who has weighed the children in her care every month for 25 years. “Nothing has changed.”

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