The purpose of this Policy Note is to examine the trends in undernutrition in Jharkhand and to document trends and geographic variability in the major determinants of nutrition and the coverage of key nutrition and health interventions. In doing this analysis, we aim to highlight key areas for actions to improve nutrition in Jharkhand.

'Improving Maternal Health in India’, an Oxfam–DFID project, was implemented in 420 villages across 6 States from 2012. It sought to improve maternal health status by building the capacity of communities to demand, access and monitor public health services. This document reviews the programme in Jharkhand where the CSO CINI is using an integrated approach to improve nutrition and maternal health.

This Data Note describes the trends for a set of key nutrition and health outcomes, determinants, and coverage of interventions. The findings are based on estimates using unit-level data, data from national and state reports from the National Family Health Survey (NFHS)-3 (2005-2006) and NFHS-4 (2015-2016), and data from state factsheets and reports from NFHS-5 (2019-2021). In addition to standard prevalence-based analyses, this Data Note includes headcount-based analyses aligned to the POSHAN Abhiyaan monitoring framework to provide evidence that helps identify priority districts and number of districts in the state with public health concern as per the WHO guidelines. The Data Note includes a color-coded dashboard to compare the coverage of nutrition interventions across all the districts in the state. It concludes with key takeaways for children, women, and men, and identifies areas where the state has potential to improve.

Hidden hunger has long been an overlooked problem. Vitamin and mineral deficiencies have to be remedied and the availability of calories needs to be increased. As a matter of fact, the number of people who do not have access to a balanced diet has multiplied in rich and poor countries, with lasting consequences for health and well-being. Hidden hunger not only affects childhood growth and cognitive development, but also reduces productivity and well-being later in life, thus keeping the affected population trapped in a circle of poverty and malnutrition. This book illustrates the global fight against hunger by national governments and international organizations. Presented at the Third Hidden Hunger Conference held at the University of Hohenheim in Stuttgart, Germany, it presents a range of strategies being implemented in various regions of the world to improve nutrition quality and combat this international crisis.

This open access book examines the interactions between India’s economic development, agricultural production, and nutrition through the lens of a “Food Systems Approach (FSA).” The Indian growth story is a paradoxical one. Despite economic progress over the past two decades, regional inequality, food insecurity and malnutrition problems persist. Simultaneously, recent trends in obesity along with micro-nutrient deficiency portend to a future public health crisis. This book explores various challenges and opportunities to achieve a nutrition-secure future through diversified production systems, improved health and hygiene environment and greater individual capability to access a balanced diet contributing to an increase in overall productivity. The authors bring together the latest data and scientific evidence from the country to map out the current state of food systems and nutrition outcomes. They place India within the context of other developing country experiences and highlight India’s status as an outlier in terms of the persistence of high levels of stunting while following global trends in obesity. This book discusses the policy and institutional interventions needed for promoting a nutrition-sensitive food system and the multi-sectoral strategies needed for simultaneously addressing the triple burden of malnutrition in India.

This report aims to provide a general overview of national trends and of state-level variability in nutrition outcomes, determinants, and intervention coverage, thus helping to identify areas of progress and areas where more investment is critical to accelerate progress. Using data available at the time of analysis and writing, the goal of this report is to bring together data to support policy decisions for nutrition at the national level and across multiple states.