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.

Malnutrition is endemic in India. In 2015-16 some 38% of preschool children were stunted and 21% were wasted, while more than half of Indian mothers and children were anemic. There are many posited explanations for the high rates of malnutrition in India, but surprisingly few discuss the role of Indian diets, particularly the affordability of nutritious diets given low wages and the significant structural problems facing India’s agricultural sector. This study was undertaken to address knowledge gaps around the affordability of nutritious diets in rural India. To do so we used nationally representative rural price and wage data to estimate the least cost means of satisfying India-specific dietary recommendations, referred to as the Cost of a Recommended Diet (CoRD), and assess the affordability of this diet relative to male and female wages for unskilled laborers. Although we find that dietary costs increased substantially over 2001-2011 for both men and women, rural wage rates increased more rapidly, implying that nutritious diets became substantially more affordable over time. However, in absolute terms nutritious diets in 2011 were still expensive relative to unskilled wages, constituting approximately 50-60% of male and about 70-80% of female daily wages, and were often even higher relative to minimum wages earned from the Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA). Since many poor households have significant numbers of dependents and substantial non-food expenditure requirements, it follows that nutritious diets are often highly unaffordable for the rural poor; we estimate that 45-64% of the rural poor cannot afford a nutritious diet that meets India’s national food-based dietary guidelines. Our results point to the need to more closely monitor food prices through a nutritional lens, and to shift India’s existing food policies away from their heavy bias towards cereals. Achieving nutritional security in India requires a much more holistic focus on improving the affordability of the full range of nutritious food groups and ensuring that economic growth results in sustained income growth for the poor.

This volume provides an interdisciplinary collection of studies that cover the trends and issues related to agricultural productivity and availability, food and nutrition security, and sustainability in India. The book discusses a broad range of vital issues concerning the production and consumption of food during the era of climate change, and has been prepared to generate awareness of these issues in a large agricultural economy to shed light on new perspectives and solutions to achieve sustainable food production and security in India. The book is organized into three major sections: Climate and Agricultural Productivity for Availability, Changes and Trends in Cropping Patterns and Food Security, and Food and Nutrition Security for Sustainable Development. The book will be of interest to students, researchers, policymakers, and other inquisitive readers interested in different aspects of agriculture, food and nutrition security, and sustainable development.

"India no longer faces the famine and epidemics which kept life expectancy barely over 30 years at Independence. Despite progress in food production, disease control, and economic and social development, India accounts for 40 percent of the world's malnourished children, with less than 20 percent of the global child population." India has taken the problem of malnutrition seriously since its Independence in 1947, more so than many other countries, and has developed appropriate policies and mounted major programs to address it. This report forms part of the Government of India-World Bank collaboration in nutrition, which began in 1980. Its aim is to review the effectiveness, efficiency and impact of public spending on nutrition in India, and to suggest how these might be enhanced. It identifies the programs that are working and the areas where action is needed. It also projects the possible cost of the suggested programs.

In the last decade, addressing the persistent problem of maternal, infant, young child and adolescent malnutrition in India has gained significant attention. With the well-established serious implications of malnutrition on mortality and morbidity; mental health and cognitive development; activity and productivity and overall economic development, today there is an unprecedented political commitment to improving the grave woman and child nutrition scenario in the country. POSHAN ABHIYAAN (Nutrition Mission) was launched in a Mission mode by the Honourable Prime Minister of India on March 8, 2018, followed by measures for an effective implementation of an integrated nutrition strategy through POSHAN 2.0 in 2022. The book with 15 chapters tracks the history of evolvement of public nutrition policies and strategies, presents an update on the nutrition scenario, analyses the experiences and synthesises emerging lessons in the prevention and control of malnutrition. Additionally, the book includes chapters with details of each of the various government systems such as Health, ICDS, NRLM, PDS, Education/MDM, Water-Sanitation that provide lead in mainstreaming nutrition actions that directly or indirectly impact on accelerating the improvement of the nutrition situation of women, adolescents and children. The book is intended to be an indispensable reference for teachers and students of nutrition, community medicine, public health and development as well as professionals involved in the formulation and implementation of the nutrition policies and programmes. Print edition not for sale in South Asia (India, Sri Lanka, Nepal, Bangladesh, Pakistan and Bhutan)

The book revisits the causes of persisting under nutrition in India, but moves away from the usual focus on women and children to a broader view of the entire population. It estimates the economic losses resulting from ignoring under nutrition in the adult working population and questions the current narrow focus of nutrition interventions, suggesting that a family-based approach may provide quicker results and long-term sustainability. It compares the best and worst performing states in the country to glean learnings from both successes and failures and emphasizes the need to hand over the ownership of nutrition outcomes from the state to the community and family for more sustainable results. The book is organized in three sections: Part 1 details the nutrition status of the population, regional variations in nutrition outcomes and government response in terms of interventions. Part 2 reviews issues and concerns like gender discrimination, poor child nutrition status, ineffective implementation of government programmes in the field and the possible impacts of emerging issues like climate change. Part 3 seeks solutions from both international and country experiences.