Mother and Child Health – Immunization Program, BPBB, PMJSY, PMMSY, etc.

[17th May 2025] The Hindu Op-ed: The ingredient to turn around nutrition outcomes

PYQ Relevance:

[UPSC 2024] Distinguish between gender equality, gender equity and women’s empowerment. Why is it important to take gender concerns into account in programme design and implementation?

Linkage: Gender concerns are important in programme design, aligning with the article’s argument that nutrition programmes like POSHAN have limited impact.

 

Mentor’s Comment: India’s free foodgrain programme, which supports 800 million people, shows a harsh truth: hunger and malnutrition are still big problems. In this fight against malnutrition, women and girls are often ignored. Even though the economy is growing and many welfare schemes exist, nutrition is still very unequal, especially for women. The government started the POSHAN Abhiyaan in 2018 to make India free of malnutrition by 2022. This scheme focuses on improving nutrition for pregnant women, new mothers, teenage girls, and young children. But, big differences in nutrition levels still remain.

Today’s editorial discusses malnutrition among women and girls in India, despite government efforts like the POSHAN Abhiyaan. This topic is useful for GS Paper I (Women-related Issues) and GS Paper II (Welfare State).

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Let’s learn!

Why in the News?

The government launched the POSHAN Abhiyaan to end malnutrition by 2022, but it has not achieved its goals.

How does malnutrition in India remain deeply gendered?

  • Stark Anaemia Disparity: NFHS-5 reports 57% of women aged 15–49 are anaemic compared to 26% of men, highlighting deep nutritional inequality.
  • Underweight Burden: Nearly 1 in 5 women is underweight, a sharp contrast to men and a sign of chronic deprivation.
  • Entrenched Norms: In poorer households, women eat last and least, reinforcing invisible cultural biases that deny them basic nutritional rights.
  • Economic Disempowerment: 49% of women lack control over their own earnings, which translates into less dietary agency and poor health outcomes.
  • Nutrition as Justice: Malnutrition is framed not just as a health issue, but a social justice issue driven by patriarchal household structures.

Why has POSHAN 2.0 failed to improve women’s nutrition significantly?

  • Underutilization of Allocated Funds: Despite a large budget, only about 69% of funds were used by December 2022, limiting the programme’s reach and effectiveness. Eg: ₹24,000 crore allocated in 2022-23, but nearly one-third remained unspent.
  • Rising Anaemia Rates Despite Investments: Anaemia prevalence among women increased from 53% to 57%between NFHS-4 and NFHS-5, showing no significant improvement. Eg: NFHS-5 data shows anaemia rates rose even after POSHAN 2.0’s interventions.
  • Focus on Awareness Over Actual Nutrition: The programme has raised awareness (Jan Andolan) but awareness alone cannot address the root causes of malnutrition such as poverty and food scarcity.
  • Ignoring Social and Economic Barriers: POSHAN 2.0 largely addresses food supply and supplementation but does not sufficiently tackle women’s economic dependence and decision-making power. Eg: 49% of women lack control over how their income is spent, limiting their ability to benefit from nutrition programmes.

How does women’s empowerment impact nutritional outcomes?

  • Improved Spending on Nutrition: When women control income, they prioritize food and health for themselves and their families, leading to better nutrition. Eg: Nobel laureate Esther Duflo found that women’s control over extra income increases spending on children’s nutrition.
  • Greater Decision-Making Power: Empowered women can make choices about their diet, healthcare, and food allocation, reducing malnutrition risks. Eg: NFHS-5 showed that women with decision-making power over finances had better nutritional status.
  • Increased Access to Employment and Income: Economic empowerment through stable jobs helps women afford nutritious food and healthcare. Eg: Women with even modest independent income were found less likely to be undernourished in low-income communities.
  • Enhanced Health Awareness and Education: Empowered women tend to have better knowledge of nutrition and health practices, improving family nutrition. Eg: Women participating in financial literacy and health workshops show better child feeding practices.
  • Reduced Gender-Based Nutritional Inequality: Empowerment challenges social norms that deprioritize women’s nutrition, leading to more equitable food distribution. Eg: Households where women contribute economically often have less gender disparity in food consumption.

How can inter-scheme convergence tackle gendered malnutrition?

Note: Inter-scheme convergence is the coordinated collaboration of multiple government programmes across sectors.
  • Integrated Service Delivery: Combining nutrition, health, and livelihood schemes ensures women receive comprehensive support addressing multiple malnutrition causes. Eg: Anganwadi centres providing food supplements along with skill training and job linkages.
  • Efficient Resource Utilization: Coordination between departments reduces duplication and optimizes use of funds for women’s nutrition and empowerment. Eg: Joint budgeting for POSHAN Abhiyaan and women’s employment schemes leads to better fund utilization.
  • Holistic Empowerment of Women: Linking nutrition programmes with economic and social empowerment schemes increases women’s ability to accessand afford nutritious food. Eg: Combining POSHAN 2.0 with financial literacy and credit schemes for women.
  • Targeted Interventions in High-Risk Areas: Collaborative planning allows focused efforts in districts with severe malnutrition, addressing structural and social barriers. Eg: Health, nutrition, and livelihood departments working together in tribal districts to improve women’s nutrition.
  • Multi-dimensional Monitoring and Evaluation: Integrated monitoring tracks progress on nutrition and women’s empowerment indicators simultaneously, improving accountability. Eg: Measuring both reduction in anaemia and increase in women’s decision-making power under joint schemes.

What steps can make women active agents in nutrition programmes? (Way forward)

  • Enhance Economic Empowerment: Provide women with access to skill training, income opportunities, and financial literacy so they can afford nutritious food and make independent decisions. Eg: Linking Anganwadi centres with local skill development and credit schemes for women.
  • Increase Decision-Making Power: Promote women’s participation in household and community decisions related to health, diet, and resource allocation. Eg: Community meetings where women lead discussions on nutrition and health interventions.
  • Strengthen Awareness and Capacity Building: Use nutrition programmes to conduct health education, nutritional counselling, and leadership training, empowering women as knowledge bearers and change-makers. Eg: Financial literacy workshops and health awareness sessions at POSHAN Abhiyaan centres.

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