The estimated number of underweight, malnourished and severely malnourished children under 5 years of age is obtained under National Family Health Survey (NFHS) conducted by the Ministry of Health & Family Welfare. As per the recent report of NFHS-5 (2019-21), the nutrition indicators for children under 5 years have improved as compared with NFHS-4 (2015-16). Stunting has reduced from 38.4% to 35.5%, Wasting has reduced from 21.0% to 19.3% and Underweight prevalence has reduced from 35.8% to 32.1%.
The detailed list of districts having highest and lowest prevalence of malnutrition among children in the country as per NFHS 5 is at Annexure I.
State/UT wise details of malnutrition among children under 5 years as per NFHS 5 is at Annexure II.
Government has accorded high priority to the issue of malnutrition and is implementing several schemes like Anganwadi Services, Scheme for Adolescent Girls and Pradhan Mantri Matru Vandana Yojana (PMMVY) under the Umbrella Integrated Child Development Services (ICDS) Scheme as direct targeted interventions to address the problem of malnutrition in the country. Children with Severe Acute Malnutrition are treated at the Nutrition Rehabilitation Centres established by the Ministry of Health and Family Welfare.
Further, POSHAN Abhiyaan launched on 8th March 2018, aims to reduce malnutrition in the country by adopting a synergised and result oriented approach.
Mission Poshan 2.0, an integrated nutrition support programme has been announced in budget 2021-2022 for all States/UTs. It seeks to strengthen nutritional content, delivery, outreach and outcomes with focus on developing practices that nurture health, wellness and immunity to disease and malnutrition. Steps have been taken to improve nutritional quality and testing in accredited labs, strengthen delivery and leverage technology under Poshan Tracker to improve governance. States/UTs have been advised to promote use of AYUSH systems for prevention of malnutrition and related diseases. A programme to support development of Poshan Vatikas at Anganwadi Centres to meet dietary diversity gap leveraging traditional knowledge in nutritional practices has also been taken up. Guidelines were issued for transparency and accountability in delivery of supplementary nutrition and to track nutritional outcomes on 13.01.2021.
Annexure I
Top 10 and Bottom 10 Districts in Stunting
|
State
|
District
|
Children under 5 years who are stunted (height-for-age) (%)
|
|
Top 10 Districts
|
|
Odisha
|
Jagatsinghapur
|
13.2
|
|
Odisha
|
Puri
|
13.8
|
|
Arunachal Pradesh
|
Lower Dibang Valley
|
14.3
|
|
Punjab
|
Rupnagar
|
15.1
|
|
Kerala
|
Kollam
|
15.5
|
|
Manipur
|
Bishnupur
|
15.5
|
|
Haryana
|
Jhajjar
|
15.6
|
|
Karnataka
|
Ramanagara
|
15.6
|
|
Manipur
|
Imphal West
|
15.6
|
|
Arunachal Pradesh
|
Longding
|
15.8
|
|
Bottom 10 Districts
|
|
Jharkhand
|
Pashchimi Singhbhum
|
60.6
|
|
Meghalaya
|
West Khasi Hills
|
59
|
|
Karnataka
|
Yadgir
|
57.6
|
|
Gujarat
|
Dahod
|
55.3
|
|
Bihar
|
Sitamarhi
|
54.2
|
|
Chhattisgarh
|
Bijapur
|
53.8
|
|
Bihar
|
Sheikhpura
|
53.6
|
|
Uttar Pradesh
|
Bahraich
|
52.1
|
|
Uttar Pradesh
|
Budaun
|
51.8
|
|
Uttar Pradesh
|
Sambhal
|
51.6
|
Top 10 and Bottom 10 Districts in Wasting
|
State
|
District
|
Children under 5 years who are wasted (weight-for-height) (%)
|
|
Top 10 Districts
|
|
Sikkim
|
North District
|
4.5
|
|
Punjab
|
Ludhiana
|
5.9
|
|
Haryana
|
Bhiwani
|
6
|
|
NCT of Delhi
|
New Delhi
|
6.8
|
|
Tamil Nadu
|
Coimbatore
|
7
|
|
Punjab
|
Fatehgarh Sahib
|
7.1
|
|
Arunachal Pradesh
|
Tawang
|
7.1
|
|
Mizoram
|
Aizawl
|
7.3
|
|
Puducherry
|
Mahe
|
7.3
|
|
Mizoram
|
Mamit
|
7.4
|
|
Bottom 10 (Wasting)
|
|
Assam
|
Karimganj
|
48
|
|
Gujarat
|
The Dangs
|
40.9
|
|
Maharashtra
|
Dhule
|
38.9
|
|
Maharashtra
|
Chandrapur
|
38.5
|
|
Bihar
|
Arwal
|
36.8
|
|
Bihar
|
Jehanabad
|
36.6
|
|
Gujarat
|
Tapi
|
36.6
|
|
Telangana
|
KomaramBheem Asifabad
|
35.7
|
|
Gujarat
|
Panchmahal
|
35.7
|
|
Bihar
|
Sheohar
|
35.4
|
Top 10 and Bottom 10 Districts in Underweight
|
State
|
District
|
Children under 5 years who are underweight (weight-for-age) (%)
|
|
Top 10 Districts
|
|
Sikkim
|
South District
|
7.2
|
|
Arunachal Pradesh
|
Lower Subansiri
|
8.1
|
|
Arunachal Pradesh
|
Siang
|
8.8
|
|
Arunachal Pradesh
|
Tawang
|
9
|
|
Mizoram
|
Aizawl
|
9.6
|
|
Haryana
|
Jhajjar
|
9.7
|
|
Arunachal Pradesh
|
Lower Dibang Valley
|
9.7
|
|
Manipur
|
Churachandpur
|
9.8
|
|
Manipur
|
Imphal West
|
10.2
|
|
Arunachal Pradesh
|
East Siang
|
10.3
|
|
Bottom 10 Districts
|
|
Jharkhand
|
Pashchimi Singhbhum
|
62.4
|
|
Maharashtra
|
Nandurbar
|
57.2
|
|
Gujarat
|
The Dangs
|
53.1
|
|
Gujarat
|
Dahod
|
53
|
|
Assam
|
Karimganj
|
52.9
|
|
Bihar
|
Arwal
|
52.9
|
|
Gujarat
|
Narmada
|
52.8
|
|
Telangana
|
Adilabad
|
52
|
|
Gujarat
|
Panchmahal
|
51.9
|
|
Gujarat
|
Tapi
|
51.8
|
Annexure II
State/UT wise prevalence of Stunting, Wasting and Underweight among children under 5 years as per NFHS 5 survey
|
State/UT
|
Children under 5 years who are stunted (height-for-age) (%)
|
Children under 5 years who are wasted (weight-for-height) (%)
|
Children under 5 years who are underweight (weight-for-age) (%)
|
|
Andaman & Nicobar Islands
|
22.5
|
16
|
23.7
|
|
Andhra Pradesh
|
31.2
|
16.1
|
29.6
|
|
Assam
|
35.3
|
21.7
|
32.8
|
|
Bihar
|
42.9
|
22.9
|
41
|
|
Dadra & Nagar Haveli and Daman & Diu
|
39.4
|
21.6
|
38.7
|
|
Goa
|
25.8
|
19.1
|
24
|
|
Gujarat
|
39
|
25.1
|
39.7
|
|
Himachal Pradesh
|
30.8
|
17.4
|
25.5
|
|
Jammu & Kashmir
|
26.9
|
19
|
21
|
|
Karnataka
|
35.4
|
19.5
|
32.9
|
|
Kerala
|
23.4
|
15.8
|
19.7
|
|
Lakshadweep
|
32
|
17.4
|
25.8
|
|
Ladakh
|
30.5
|
17.5
|
20.4
|
|
Maharashtra
|
35.2
|
25.6
|
36.1
|
|
Meghalaya
|
46.5
|
12.1
|
26.6
|
|
Manipur
|
23.4
|
9.9
|
13.3
|
|
Mizoram
|
28.9
|
9.8
|
12.7
|
|
Nagaland
|
32.7
|
19.1
|
26.9
|
|
Sikkim
|
22.3
|
13.7
|
13.1
|
|
Telangana
|
33.1
|
21.7
|
31.8
|
|
Tripura
|
32.3
|
18.2
|
25.6
|
|
West Bengal
|
33.8
|
20.3
|
32.2
|
|
Arunachal Pradesh
|
28
|
13.1
|
15.4
|
|
Chhattisgarh
|
34.6
|
18.9
|
31.3
|
|
Haryana
|
27.5
|
11.5
|
21.5
|
|
Jharkhand
|
39.6
|
22.4
|
39.4
|
|
Madhya Pradesh
|
35.7
|
19
|
33
|
|
Odisha
|
31
|
18.1
|
29.7
|
|
Punjab
|
24.5
|
10.6
|
16.9
|
|
Rajasthan
|
31.8
|
16.8
|
27.6
|
|
Tamil Nadu
|
25
|
14.6
|
22
|
|
Uttar Pradesh
|
39.7
|
17.3
|
32.1
|
|
Uttarakhand
|
27
|
13.2
|
21
|
|
Chandigarh
|
25.3
|
8.4
|
20.6
|
|
Delhi
|
30.9
|
11.2
|
21.8
|
|
Puducherry
|
20
|
12.4
|
15.3
|
This information was given by the Union Minister of Women and Child Development, Smt. Smriti Zubin Irani, in a written reply in Rajya Sabha today.
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BY