This report explores the state of nutrition in Odisha, assesses how nutrition outcomes changed in the state, and more importantly, and examines the road that lies ahead of Odisha on the journey to support better nutrition for the state. Nutrition progress in Odisha: Odisha has made more rapid progress in reducing child undernutrition than many other richer states. Particularly between 2006 and 2016, nutrition and health outcomes improved significantly in the state. The prevalence of stunting declined from 45 percent to 34.1 percent, although there was a marginal increase in wasting from 19.6 to 20.4 percent and in severe wasting from 5.2 to 6.4 percent. In 2018, a further decline was noted in the prevalence of stunting (28.9 percent) and wasting (12.9 percent). Although anemia among women of reproductive age declined by 10 percentage points between 2006 and 2016, it is still high, with over half the women in the state suffering from anemia. Exclusive breastfeeding for children under 6 months of age is an area of progress, improving from 50.8 percent in 2006 to 65.6 percent in 2016; the prevalence of low birth weight, however, remained nearly unchanged during this period (Kohli et al. 2017). Emerging nutritional challenges, such as noncommunicable diseases, are likely to create new challenges in coming years.

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.

The purpose of this Policy Note is to examine the trends in undernutrition in Odisha 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 the key areas of action to improve nutrition in Odisha. This analysis builds upon our previous work on documenting nutrition change in Odisha (Menon et al. 2016; Kohli et al. 2017).

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

The purpose of this Policy Note is to examine the trends in undernutrition in Mizoram 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 the key areas of action to improve nutrition in Mizoram.

In recent years, the world has seen unprecedented attention and political commitment to addressing malnutrition. Milestones such as the Scaling Up Nutrition (SUN) Movement, the Lancet Maternal and Child Nutrition Series, and the Second International Conference on Nutrition (ICN2) have marked the rapid rise of nutrition on the global policy and research agenda. These developments reverse years of relative neglect for nutrition. Undernutrition is a global challenge with huge social and economic costs. It kills millions of young children annually, stunts growth, erodes child development, reduces the amount of schooling children attain, and increases the likelihood of their being poor as adults, if they survive. Stunting persists through a lifetime and beyond—underweight mothers are more likely to give birth to underweight children, perpetuating undernutrition across generations. Undernutrition reduces global gross domestic product by US$1.4–$2.1 trillion a year—the size of the total economy of Africa south of the Sahara.

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