Page 1
1 Kurukshetra August 2023
Page 2
1 Kurukshetra August 2023 3 Kurukshetra August 2023
A Journal on Rural Development
Contents
Vol. 71 | No. 10 | Pages 56 | August 2023
Kurukshetra seeks to carry the message of
Rural Development to all people. It serves as
a forum for free, frank and serious discussion
on the problems of Rural Development with
special focus on Rural Uplift.
The views expressed by the authors in the
articles are their own. They do not necessarily
reflect the views of the Government or the
organisations they work for.
The readers are requested to verify the claims
in the advertisements regarding career
guidance books/institutions. Kurukshetra
does not own responsibility. Maps used are
for illustration & study purpose and may not
strictly conform to the official map. Images,
graphics and illustrations, wherever used, are
mostly sourced from government channels
and are indicative in nature. Final Editing
rights will vest with Kurukshetra Team.
Sales Emporia : ? Delhi - BM (I/c), Publications Division, CGO Complex, Soochna Bhavan, Lodhi Road, New Delhi-110003
(011-24365609); Hall No. 196, Old Secretariat, Delhi 110054 (011-23890205) ? Kolkata - BM (I/c), Publications Division, 8, Esplanade
East, Kolkata-700069 (033-22482576) ???????????? Mumbai - BM (I/c), Publications Division, 701, C-Wing, 7
th
Floor, Kendriya Sadan, Belapur, Navi
Mumbai-400614 (022-27570686) ? Chennai - BM (I/c), Publications Division, ‘A’ Wing, Rajaji Bhawan, Besant Nagar, Chennai - 600090
(044-24917673) ? Thiruvananthapuram - BM, Publications Division, Press Road, Near Govt. Press, Thiruvananthpuram - 6950001
(0471-2330650) ? Hyderabad - BM, Publications Division, Room No. 204, 2
nd
Floor, C.G.O. Towers, Kavadiguda, Hyderabad-500080
(040-27535383) ? Bengaluru - BM (I/c), Sales Unit, Floor, ‘F’ Wing, Kendriya Sadan, Koramangala, Bengaluru - 560034 (080-25537244)
? Patna - BM, Publications Division, Bihar State Co-operative, Bank Building, Ashoka Rajpath, Patna-800004 (0612-2675823)
? Lucknow - BM, Publications Division, Hall No. 1, 2
nd
Floor, Kendriya Bhawan, sector – H, Aliganj, Lucknow - 226024 (0522-2325455)
? Ahmedabad - Sales Unit, Publications Division, 4-C, Neptune Tower, 4
th
Floor, Nr HP Petrol Pump, Nehru Bridge Corner, Ashram
Road, Ahmedabad Gujarat -380009 (079-26588669)
CHIEF EDITOR
Manogyan Rani Pal
EDITOR
Shiela Chaudhary
JOINT DIRECTOR (PRODUCTION)
D.K.C. Hrudhainath
COVER DESIGN
Rajender Kumar
EDITORIAL OFFICE
Room No. 653,
Publications Division,
Soochna Bhawan, C.G.O. Complex,
Lodhi Road, New Delhi-110003
Phone : 011-24362859
Email : kurukshetrajournal@gmail.com
For Subscription Enquiries,
Grievances, Renewals and Agency
Information, Please Contact:
Journals Unit
Publications Division, Room No. 779,
Soochna Bhawan, C.G.O. Complex,
Lodhi Road, New Delhi-110 003
(Monday-Friday, 9:30 AM-6:00 PM)
Phone : 24367453, FAX: 24365610
Email : pdjucir@gmail.com
Website : publicationsdivision.nic.in
@publicationsdivision
@DPD_India
@dpd_India
For Online Sale, please log on to
bharatkosh.gov.in/product, and for
e-books, please visit Google Play,
Kobo or Amazon.
Subscription
1 Year : ` 230
5
19
35
44
5 Adequate Nutrition for Women
and Children
Dr Santosh Jain Passi
Dr Shipra Gupta
12 Promoting Household Food and
Nutrition Security
Dr Akanksha Jain
Capt. Parminder Sehgal
44 Shree Anna for Nutritional Wellbeing
Urvashi Prasad
49 Combating Malnutrition
Achieving Prosperity
Puneet Kumar Ojha
Pankaj Kumar Ojha
30 Millets
Future Food
S. Sujatha
Dr. CV Ratnavathi
25 Foods that Address Nutritional
Deficiencies
Rajiv Theodore
19 Nutrition and Health in School
Education
Purabi Pattanayak
35 Nutritional Management
Framework for Rural India
Dr. Amiya Kumar Mohapatra
Dr. Nandeesh V Hiremath
39 Rising Maternal Obesity
Implications and Way Forward
Dr. Preeti Khanna
Dr. Shweta Khandelwal
Page 3
1 Kurukshetra August 2023 3 Kurukshetra August 2023
A Journal on Rural Development
Contents
Vol. 71 | No. 10 | Pages 56 | August 2023
Kurukshetra seeks to carry the message of
Rural Development to all people. It serves as
a forum for free, frank and serious discussion
on the problems of Rural Development with
special focus on Rural Uplift.
The views expressed by the authors in the
articles are their own. They do not necessarily
reflect the views of the Government or the
organisations they work for.
The readers are requested to verify the claims
in the advertisements regarding career
guidance books/institutions. Kurukshetra
does not own responsibility. Maps used are
for illustration & study purpose and may not
strictly conform to the official map. Images,
graphics and illustrations, wherever used, are
mostly sourced from government channels
and are indicative in nature. Final Editing
rights will vest with Kurukshetra Team.
Sales Emporia : ? Delhi - BM (I/c), Publications Division, CGO Complex, Soochna Bhavan, Lodhi Road, New Delhi-110003
(011-24365609); Hall No. 196, Old Secretariat, Delhi 110054 (011-23890205) ? Kolkata - BM (I/c), Publications Division, 8, Esplanade
East, Kolkata-700069 (033-22482576) ???????????? Mumbai - BM (I/c), Publications Division, 701, C-Wing, 7
th
Floor, Kendriya Sadan, Belapur, Navi
Mumbai-400614 (022-27570686) ? Chennai - BM (I/c), Publications Division, ‘A’ Wing, Rajaji Bhawan, Besant Nagar, Chennai - 600090
(044-24917673) ? Thiruvananthapuram - BM, Publications Division, Press Road, Near Govt. Press, Thiruvananthpuram - 6950001
(0471-2330650) ? Hyderabad - BM, Publications Division, Room No. 204, 2
nd
Floor, C.G.O. Towers, Kavadiguda, Hyderabad-500080
(040-27535383) ? Bengaluru - BM (I/c), Sales Unit, Floor, ‘F’ Wing, Kendriya Sadan, Koramangala, Bengaluru - 560034 (080-25537244)
? Patna - BM, Publications Division, Bihar State Co-operative, Bank Building, Ashoka Rajpath, Patna-800004 (0612-2675823)
? Lucknow - BM, Publications Division, Hall No. 1, 2
nd
Floor, Kendriya Bhawan, sector – H, Aliganj, Lucknow - 226024 (0522-2325455)
? Ahmedabad - Sales Unit, Publications Division, 4-C, Neptune Tower, 4
th
Floor, Nr HP Petrol Pump, Nehru Bridge Corner, Ashram
Road, Ahmedabad Gujarat -380009 (079-26588669)
CHIEF EDITOR
Manogyan Rani Pal
EDITOR
Shiela Chaudhary
JOINT DIRECTOR (PRODUCTION)
D.K.C. Hrudhainath
COVER DESIGN
Rajender Kumar
EDITORIAL OFFICE
Room No. 653,
Publications Division,
Soochna Bhawan, C.G.O. Complex,
Lodhi Road, New Delhi-110003
Phone : 011-24362859
Email : kurukshetrajournal@gmail.com
For Subscription Enquiries,
Grievances, Renewals and Agency
Information, Please Contact:
Journals Unit
Publications Division, Room No. 779,
Soochna Bhawan, C.G.O. Complex,
Lodhi Road, New Delhi-110 003
(Monday-Friday, 9:30 AM-6:00 PM)
Phone : 24367453, FAX: 24365610
Email : pdjucir@gmail.com
Website : publicationsdivision.nic.in
@publicationsdivision
@DPD_India
@dpd_India
For Online Sale, please log on to
bharatkosh.gov.in/product, and for
e-books, please visit Google Play,
Kobo or Amazon.
Subscription
1 Year : ` 230
5
19
35
44
5 Adequate Nutrition for Women
and Children
Dr Santosh Jain Passi
Dr Shipra Gupta
12 Promoting Household Food and
Nutrition Security
Dr Akanksha Jain
Capt. Parminder Sehgal
44 Shree Anna for Nutritional Wellbeing
Urvashi Prasad
49 Combating Malnutrition
Achieving Prosperity
Puneet Kumar Ojha
Pankaj Kumar Ojha
30 Millets
Future Food
S. Sujatha
Dr. CV Ratnavathi
25 Foods that Address Nutritional
Deficiencies
Rajiv Theodore
19 Nutrition and Health in School
Education
Purabi Pattanayak
35 Nutritional Management
Framework for Rural India
Dr. Amiya Kumar Mohapatra
Dr. Nandeesh V Hiremath
39 Rising Maternal Obesity
Implications and Way Forward
Dr. Preeti Khanna
Dr. Shweta Khandelwal
5 Kurukshetra August 2023
* The author is Public Health Nutrition Consultant & Former Director, Institute of Home Economics (University of Delhi).
** The author is Professor in Nutrition, Institute of Home Economics (University of Delhi).
Email: sjpassi@gmail.com and shipra.gupta@ihe.du.ac.in
Adequate Nutrition for
Women and Children
*
Dr Santosh Jain Passi
**
Dr Shipra Gupta
he importance of adequate nutrition
for women and children cannot be
undermined. Women’s nutrition
directly influences their own health, which in turn
affects the well-being of their children and the family as
a whole. Since women shoulder the major responsibility
of childbearing, childrearing, and childcare; their
proper health and nutritional well-being should be
a prime concern for the family, community, and the
nation at large.
Inadequate intake of nutritionally appropriate
diets - both in terms of quantity and quality, can lead to
malnutrition, deficiency diseases, and other ailments/
T
disorders as well as lower life expectancy. The poor
health status of the women reduces their productivity,
earning capacity, and ability to take care of their
families, particularly the well-being of their young ones.
Malnutrition and poor health among women, both prior
to-and during pregnancy, is a matter of serious concern;
it may lead to high incidence of low-birth weight (LBW)/
pre-term deliveries, stillbirths, and abortions, as well as
high maternal mortality rates.
Studies indicate that a large percentage of our
Indian women are either underweight or overweight/
obese–both these conditions pose risks during
pregnancy and affect the long-term health of the mother
Adequate nutrition for women
and children is crucial. Women’s
nutritional wellbeing, particularly
during the reproductive years, is
the single most important criterion
influencing their pregnancy
outcome. Malnutrition among
women, both prior to- and during
pregnancy, may lead to high
incidence of low-birth weight
(LBW)/pre-term deliveries, still-
births, abortions as well as high
maternal mortality rates; and that
during infancy/childhood hampers
the child’s growth and development.
Page 4
1 Kurukshetra August 2023 3 Kurukshetra August 2023
A Journal on Rural Development
Contents
Vol. 71 | No. 10 | Pages 56 | August 2023
Kurukshetra seeks to carry the message of
Rural Development to all people. It serves as
a forum for free, frank and serious discussion
on the problems of Rural Development with
special focus on Rural Uplift.
The views expressed by the authors in the
articles are their own. They do not necessarily
reflect the views of the Government or the
organisations they work for.
The readers are requested to verify the claims
in the advertisements regarding career
guidance books/institutions. Kurukshetra
does not own responsibility. Maps used are
for illustration & study purpose and may not
strictly conform to the official map. Images,
graphics and illustrations, wherever used, are
mostly sourced from government channels
and are indicative in nature. Final Editing
rights will vest with Kurukshetra Team.
Sales Emporia : ? Delhi - BM (I/c), Publications Division, CGO Complex, Soochna Bhavan, Lodhi Road, New Delhi-110003
(011-24365609); Hall No. 196, Old Secretariat, Delhi 110054 (011-23890205) ? Kolkata - BM (I/c), Publications Division, 8, Esplanade
East, Kolkata-700069 (033-22482576) ???????????? Mumbai - BM (I/c), Publications Division, 701, C-Wing, 7
th
Floor, Kendriya Sadan, Belapur, Navi
Mumbai-400614 (022-27570686) ? Chennai - BM (I/c), Publications Division, ‘A’ Wing, Rajaji Bhawan, Besant Nagar, Chennai - 600090
(044-24917673) ? Thiruvananthapuram - BM, Publications Division, Press Road, Near Govt. Press, Thiruvananthpuram - 6950001
(0471-2330650) ? Hyderabad - BM, Publications Division, Room No. 204, 2
nd
Floor, C.G.O. Towers, Kavadiguda, Hyderabad-500080
(040-27535383) ? Bengaluru - BM (I/c), Sales Unit, Floor, ‘F’ Wing, Kendriya Sadan, Koramangala, Bengaluru - 560034 (080-25537244)
? Patna - BM, Publications Division, Bihar State Co-operative, Bank Building, Ashoka Rajpath, Patna-800004 (0612-2675823)
? Lucknow - BM, Publications Division, Hall No. 1, 2
nd
Floor, Kendriya Bhawan, sector – H, Aliganj, Lucknow - 226024 (0522-2325455)
? Ahmedabad - Sales Unit, Publications Division, 4-C, Neptune Tower, 4
th
Floor, Nr HP Petrol Pump, Nehru Bridge Corner, Ashram
Road, Ahmedabad Gujarat -380009 (079-26588669)
CHIEF EDITOR
Manogyan Rani Pal
EDITOR
Shiela Chaudhary
JOINT DIRECTOR (PRODUCTION)
D.K.C. Hrudhainath
COVER DESIGN
Rajender Kumar
EDITORIAL OFFICE
Room No. 653,
Publications Division,
Soochna Bhawan, C.G.O. Complex,
Lodhi Road, New Delhi-110003
Phone : 011-24362859
Email : kurukshetrajournal@gmail.com
For Subscription Enquiries,
Grievances, Renewals and Agency
Information, Please Contact:
Journals Unit
Publications Division, Room No. 779,
Soochna Bhawan, C.G.O. Complex,
Lodhi Road, New Delhi-110 003
(Monday-Friday, 9:30 AM-6:00 PM)
Phone : 24367453, FAX: 24365610
Email : pdjucir@gmail.com
Website : publicationsdivision.nic.in
@publicationsdivision
@DPD_India
@dpd_India
For Online Sale, please log on to
bharatkosh.gov.in/product, and for
e-books, please visit Google Play,
Kobo or Amazon.
Subscription
1 Year : ` 230
5
19
35
44
5 Adequate Nutrition for Women
and Children
Dr Santosh Jain Passi
Dr Shipra Gupta
12 Promoting Household Food and
Nutrition Security
Dr Akanksha Jain
Capt. Parminder Sehgal
44 Shree Anna for Nutritional Wellbeing
Urvashi Prasad
49 Combating Malnutrition
Achieving Prosperity
Puneet Kumar Ojha
Pankaj Kumar Ojha
30 Millets
Future Food
S. Sujatha
Dr. CV Ratnavathi
25 Foods that Address Nutritional
Deficiencies
Rajiv Theodore
19 Nutrition and Health in School
Education
Purabi Pattanayak
35 Nutritional Management
Framework for Rural India
Dr. Amiya Kumar Mohapatra
Dr. Nandeesh V Hiremath
39 Rising Maternal Obesity
Implications and Way Forward
Dr. Preeti Khanna
Dr. Shweta Khandelwal
5 Kurukshetra August 2023
* The author is Public Health Nutrition Consultant & Former Director, Institute of Home Economics (University of Delhi).
** The author is Professor in Nutrition, Institute of Home Economics (University of Delhi).
Email: sjpassi@gmail.com and shipra.gupta@ihe.du.ac.in
Adequate Nutrition for
Women and Children
*
Dr Santosh Jain Passi
**
Dr Shipra Gupta
he importance of adequate nutrition
for women and children cannot be
undermined. Women’s nutrition
directly influences their own health, which in turn
affects the well-being of their children and the family as
a whole. Since women shoulder the major responsibility
of childbearing, childrearing, and childcare; their
proper health and nutritional well-being should be
a prime concern for the family, community, and the
nation at large.
Inadequate intake of nutritionally appropriate
diets - both in terms of quantity and quality, can lead to
malnutrition, deficiency diseases, and other ailments/
T
disorders as well as lower life expectancy. The poor
health status of the women reduces their productivity,
earning capacity, and ability to take care of their
families, particularly the well-being of their young ones.
Malnutrition and poor health among women, both prior
to-and during pregnancy, is a matter of serious concern;
it may lead to high incidence of low-birth weight (LBW)/
pre-term deliveries, stillbirths, and abortions, as well as
high maternal mortality rates.
Studies indicate that a large percentage of our
Indian women are either underweight or overweight/
obese–both these conditions pose risks during
pregnancy and affect the long-term health of the mother
Adequate nutrition for women
and children is crucial. Women’s
nutritional wellbeing, particularly
during the reproductive years, is
the single most important criterion
influencing their pregnancy
outcome. Malnutrition among
women, both prior to- and during
pregnancy, may lead to high
incidence of low-birth weight
(LBW)/pre-term deliveries, still-
births, abortions as well as high
maternal mortality rates; and that
during infancy/childhood hampers
the child’s growth and development.
Kurukshetra August 2023 6
and the infant. Anaemia among pregnant women is an
established cause of higher maternal mortality during
childbirth. Not only the physical but even the mental
and emotional health of the woman – both during
pregnancy and thereafter, are crucial for preventing
any nutritional deficits and birth complications, as well
as for attaining the postnatal wellness of the mother-
child dyad. Mentally-unhealthy mothers fail to follow
adequate child-feeding/childcare practices leading to
poor growth and development of the child. Therefore,
a holistic approach to women’s nutrition/health needs
to be adopted with a special focus on the needs of
girls/women during the life cycle. In Telangana, for
improving overall maternal nutrition and wellness during
pregnancy, weight monitoring (for tracking gestational
weight gain), nutrition counselling, anaemia prevention/
treatment (supervised distribution/consumption of Iron-
Folate tablets), and mental health screening have been
integrated into routine antenatal check-ups.
Due to the unique physiological/developmental
needs, women and children are particularly vulnerable
to the consequences of malnutrition. In India, women
face several nutritional challenges throughout their
lifetime. As per the latest National Family Health
Survey 2019-21 (NFHS-5), 18.7% women in the
reproductive age group (15-49 years) have a body
mass index below normal (BMI<18.5 kg/m
2
) and 57%
of them suffer from anaemia.This indicates high levels
of under/malnutrition which are associated with their
poor nutritional intakes. Further, the NFHS-5 data also
reveals that of the children aged less than five years,
nearly 35.5% are stunted (low height-for-age), 19.3%
and 7.7% wasted/severely wasted (low weight-for-
height) and 32.1% underweight (low weight-for-age);
this again highlights an alarmingly high prevalence of
malnutrition among children.
Very often women - the producers, processors,
and distributors of the food ignore their own
nutrition/health needs by taking a back seat;
and in most cases, even the family remains
incognisant of this fact. Hence, widespread
nutrition/health related awareness needs to
be generated for addressing the issue of gender
bias in intra-household food distribution as well
as for overcoming the nutritional imbalances.
Inadequate dietary intake by women, especially
during the reproductive years, results in nutritional
deficiencies, leading to adverse effects on their own
health, as well as that of their infants/children. Hence,
nutrition education highlighting the importance of
appropriately balanced diet and eating right needs
to be imparted to everyone irrespective of their age,
gender, education, class, and creed.
Adequate nutrition is prime-most for human
development. Nutrition/health status of the women can
make or mar the entire generations. Undernourished
women of childbearing ages usually end up being
undernourished mothers who bear undernourished
children with poor physical and mental development
setting-in the inter-generational cycle of malnutrition
and poor health; and this needs to be broken at all
costs.
Adequate nutrition is important during
all phases of life but it acquires a greater
importance during the periods of rapid
growth namely pregnancy, lactation, early
childhood, and adolescence. Therefore,
adequate nutrition for women, children, and
adolescents, particularly for the girl children,
is extremely crucial.
Adequate nutrition for
children in the early years
of life, especially the first
1000 days from conception
till the child is 2 years old,
has an enormous impact
on their future health and
well-being. Adequate intake
of macro- and micronutrients during these
early years is essential for their proper growth
and cognitive development. Quantitatively/
qualitatively inadequate dietary intakes during
these years can result in stunted growth, poor
brain development, and compromised immune
function; making the children vulnerable to
various infections as well as the victims of
compromised cognitive development, poor
learning capacity, adversely impacted educational
attainment, poor productivity, and lowered
earning potential during their adulthood.
Page 5
1 Kurukshetra August 2023 3 Kurukshetra August 2023
A Journal on Rural Development
Contents
Vol. 71 | No. 10 | Pages 56 | August 2023
Kurukshetra seeks to carry the message of
Rural Development to all people. It serves as
a forum for free, frank and serious discussion
on the problems of Rural Development with
special focus on Rural Uplift.
The views expressed by the authors in the
articles are their own. They do not necessarily
reflect the views of the Government or the
organisations they work for.
The readers are requested to verify the claims
in the advertisements regarding career
guidance books/institutions. Kurukshetra
does not own responsibility. Maps used are
for illustration & study purpose and may not
strictly conform to the official map. Images,
graphics and illustrations, wherever used, are
mostly sourced from government channels
and are indicative in nature. Final Editing
rights will vest with Kurukshetra Team.
Sales Emporia : ? Delhi - BM (I/c), Publications Division, CGO Complex, Soochna Bhavan, Lodhi Road, New Delhi-110003
(011-24365609); Hall No. 196, Old Secretariat, Delhi 110054 (011-23890205) ? Kolkata - BM (I/c), Publications Division, 8, Esplanade
East, Kolkata-700069 (033-22482576) ???????????? Mumbai - BM (I/c), Publications Division, 701, C-Wing, 7
th
Floor, Kendriya Sadan, Belapur, Navi
Mumbai-400614 (022-27570686) ? Chennai - BM (I/c), Publications Division, ‘A’ Wing, Rajaji Bhawan, Besant Nagar, Chennai - 600090
(044-24917673) ? Thiruvananthapuram - BM, Publications Division, Press Road, Near Govt. Press, Thiruvananthpuram - 6950001
(0471-2330650) ? Hyderabad - BM, Publications Division, Room No. 204, 2
nd
Floor, C.G.O. Towers, Kavadiguda, Hyderabad-500080
(040-27535383) ? Bengaluru - BM (I/c), Sales Unit, Floor, ‘F’ Wing, Kendriya Sadan, Koramangala, Bengaluru - 560034 (080-25537244)
? Patna - BM, Publications Division, Bihar State Co-operative, Bank Building, Ashoka Rajpath, Patna-800004 (0612-2675823)
? Lucknow - BM, Publications Division, Hall No. 1, 2
nd
Floor, Kendriya Bhawan, sector – H, Aliganj, Lucknow - 226024 (0522-2325455)
? Ahmedabad - Sales Unit, Publications Division, 4-C, Neptune Tower, 4
th
Floor, Nr HP Petrol Pump, Nehru Bridge Corner, Ashram
Road, Ahmedabad Gujarat -380009 (079-26588669)
CHIEF EDITOR
Manogyan Rani Pal
EDITOR
Shiela Chaudhary
JOINT DIRECTOR (PRODUCTION)
D.K.C. Hrudhainath
COVER DESIGN
Rajender Kumar
EDITORIAL OFFICE
Room No. 653,
Publications Division,
Soochna Bhawan, C.G.O. Complex,
Lodhi Road, New Delhi-110003
Phone : 011-24362859
Email : kurukshetrajournal@gmail.com
For Subscription Enquiries,
Grievances, Renewals and Agency
Information, Please Contact:
Journals Unit
Publications Division, Room No. 779,
Soochna Bhawan, C.G.O. Complex,
Lodhi Road, New Delhi-110 003
(Monday-Friday, 9:30 AM-6:00 PM)
Phone : 24367453, FAX: 24365610
Email : pdjucir@gmail.com
Website : publicationsdivision.nic.in
@publicationsdivision
@DPD_India
@dpd_India
For Online Sale, please log on to
bharatkosh.gov.in/product, and for
e-books, please visit Google Play,
Kobo or Amazon.
Subscription
1 Year : ` 230
5
19
35
44
5 Adequate Nutrition for Women
and Children
Dr Santosh Jain Passi
Dr Shipra Gupta
12 Promoting Household Food and
Nutrition Security
Dr Akanksha Jain
Capt. Parminder Sehgal
44 Shree Anna for Nutritional Wellbeing
Urvashi Prasad
49 Combating Malnutrition
Achieving Prosperity
Puneet Kumar Ojha
Pankaj Kumar Ojha
30 Millets
Future Food
S. Sujatha
Dr. CV Ratnavathi
25 Foods that Address Nutritional
Deficiencies
Rajiv Theodore
19 Nutrition and Health in School
Education
Purabi Pattanayak
35 Nutritional Management
Framework for Rural India
Dr. Amiya Kumar Mohapatra
Dr. Nandeesh V Hiremath
39 Rising Maternal Obesity
Implications and Way Forward
Dr. Preeti Khanna
Dr. Shweta Khandelwal
5 Kurukshetra August 2023
* The author is Public Health Nutrition Consultant & Former Director, Institute of Home Economics (University of Delhi).
** The author is Professor in Nutrition, Institute of Home Economics (University of Delhi).
Email: sjpassi@gmail.com and shipra.gupta@ihe.du.ac.in
Adequate Nutrition for
Women and Children
*
Dr Santosh Jain Passi
**
Dr Shipra Gupta
he importance of adequate nutrition
for women and children cannot be
undermined. Women’s nutrition
directly influences their own health, which in turn
affects the well-being of their children and the family as
a whole. Since women shoulder the major responsibility
of childbearing, childrearing, and childcare; their
proper health and nutritional well-being should be
a prime concern for the family, community, and the
nation at large.
Inadequate intake of nutritionally appropriate
diets - both in terms of quantity and quality, can lead to
malnutrition, deficiency diseases, and other ailments/
T
disorders as well as lower life expectancy. The poor
health status of the women reduces their productivity,
earning capacity, and ability to take care of their
families, particularly the well-being of their young ones.
Malnutrition and poor health among women, both prior
to-and during pregnancy, is a matter of serious concern;
it may lead to high incidence of low-birth weight (LBW)/
pre-term deliveries, stillbirths, and abortions, as well as
high maternal mortality rates.
Studies indicate that a large percentage of our
Indian women are either underweight or overweight/
obese–both these conditions pose risks during
pregnancy and affect the long-term health of the mother
Adequate nutrition for women
and children is crucial. Women’s
nutritional wellbeing, particularly
during the reproductive years, is
the single most important criterion
influencing their pregnancy
outcome. Malnutrition among
women, both prior to- and during
pregnancy, may lead to high
incidence of low-birth weight
(LBW)/pre-term deliveries, still-
births, abortions as well as high
maternal mortality rates; and that
during infancy/childhood hampers
the child’s growth and development.
Kurukshetra August 2023 6
and the infant. Anaemia among pregnant women is an
established cause of higher maternal mortality during
childbirth. Not only the physical but even the mental
and emotional health of the woman – both during
pregnancy and thereafter, are crucial for preventing
any nutritional deficits and birth complications, as well
as for attaining the postnatal wellness of the mother-
child dyad. Mentally-unhealthy mothers fail to follow
adequate child-feeding/childcare practices leading to
poor growth and development of the child. Therefore,
a holistic approach to women’s nutrition/health needs
to be adopted with a special focus on the needs of
girls/women during the life cycle. In Telangana, for
improving overall maternal nutrition and wellness during
pregnancy, weight monitoring (for tracking gestational
weight gain), nutrition counselling, anaemia prevention/
treatment (supervised distribution/consumption of Iron-
Folate tablets), and mental health screening have been
integrated into routine antenatal check-ups.
Due to the unique physiological/developmental
needs, women and children are particularly vulnerable
to the consequences of malnutrition. In India, women
face several nutritional challenges throughout their
lifetime. As per the latest National Family Health
Survey 2019-21 (NFHS-5), 18.7% women in the
reproductive age group (15-49 years) have a body
mass index below normal (BMI<18.5 kg/m
2
) and 57%
of them suffer from anaemia.This indicates high levels
of under/malnutrition which are associated with their
poor nutritional intakes. Further, the NFHS-5 data also
reveals that of the children aged less than five years,
nearly 35.5% are stunted (low height-for-age), 19.3%
and 7.7% wasted/severely wasted (low weight-for-
height) and 32.1% underweight (low weight-for-age);
this again highlights an alarmingly high prevalence of
malnutrition among children.
Very often women - the producers, processors,
and distributors of the food ignore their own
nutrition/health needs by taking a back seat;
and in most cases, even the family remains
incognisant of this fact. Hence, widespread
nutrition/health related awareness needs to
be generated for addressing the issue of gender
bias in intra-household food distribution as well
as for overcoming the nutritional imbalances.
Inadequate dietary intake by women, especially
during the reproductive years, results in nutritional
deficiencies, leading to adverse effects on their own
health, as well as that of their infants/children. Hence,
nutrition education highlighting the importance of
appropriately balanced diet and eating right needs
to be imparted to everyone irrespective of their age,
gender, education, class, and creed.
Adequate nutrition is prime-most for human
development. Nutrition/health status of the women can
make or mar the entire generations. Undernourished
women of childbearing ages usually end up being
undernourished mothers who bear undernourished
children with poor physical and mental development
setting-in the inter-generational cycle of malnutrition
and poor health; and this needs to be broken at all
costs.
Adequate nutrition is important during
all phases of life but it acquires a greater
importance during the periods of rapid
growth namely pregnancy, lactation, early
childhood, and adolescence. Therefore,
adequate nutrition for women, children, and
adolescents, particularly for the girl children,
is extremely crucial.
Adequate nutrition for
children in the early years
of life, especially the first
1000 days from conception
till the child is 2 years old,
has an enormous impact
on their future health and
well-being. Adequate intake
of macro- and micronutrients during these
early years is essential for their proper growth
and cognitive development. Quantitatively/
qualitatively inadequate dietary intakes during
these years can result in stunted growth, poor
brain development, and compromised immune
function; making the children vulnerable to
various infections as well as the victims of
compromised cognitive development, poor
learning capacity, adversely impacted educational
attainment, poor productivity, and lowered
earning potential during their adulthood.
7 Kurukshetra August 2023
The Estimated Average
Daily Requirements (EAR)
of energy and macro
and micronutrients for
moderately active adult
women, children (1-3
years), and adolescent
girls (13-15 years) have
been compared with
those of moderately active
adult men, taking their
(men’s) nutrient needs as
100% (Figure 1). Further,
for these age/gender
groups, the EAR of energy,
protein, and visible fat
have also been compared
on the basis of per kg
body weight/day (Table 1).
Despite a comparatively
lower body weight (nearly
85%), the nutritional needs
of the women are either
higher (iron) or equal to
(calcium, vitamin B12), or
slightly lower than those
of the men. This indicates
that their total food intake
needs to be lower, but
the quality of their diets
should be far better than
that of the men. This
becomes all the more
pertinent when women
go through the phases of
pregnancy and lactation
since during these stages
their nutritional needs
increase substantially. This
is clearly evident from the
graph (Figure 2) comparing
the needs of non-pregnant
non-lactating (NPNL)
women with those of
pregnant women (3
rd
trimester) and lactating
mothers (0-6 months).
Figure 1: Comparative Estimated Average Daily Requirement of Nutrients (Energy, Macro- and
Micronutrients) for adult men/women, children (1-3 yrs) and adolescent girls (13-15 yrs) - Taking adult
man’s requirements as 100% (Adapted from ICMR-NIN, 2020)
Read More