Upadhyay R Prakash, Palanivel C
Centre for Community Medicine, Old OT block, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Iran J Public Health. 2011 Dec;40(4):31-6. Epub 2011 Dec 31.
First Millennium Development Goal states the target of "Halving hunger by 2015". Sadly, the recent statistics for India present a very gloomy picture. India currently has the largest number of undernourished people in the world and this is in spite of the fact that it has made substantial progress in health determinants over the past decades and ranks second worldwide in farm output. The causes of existing food insecurity can be better viewed under three concepts namely the: 'traditional concept' which includes factors such as unavailability of food and poor purchasing capacity; 'socio-demographic concept' which includes illiteracy, unemployment, overcrowding, poor environmental conditions and gender bias; 'politico-developmental concept' comprising of factors such as lack of intersectoral coordination and political will, poorly monitored nutritional programmes and inadequate public food distribution system. If the Millennium Development Goal is to be achieved by 2015, efforts to improve food and nutrition security have to increase considerably. Priority has to be assigned to agriculture and rural development along with promoting women empowerment, ensuring sustainable employment and improving environmental conditions (water, sanitation and hygiene). As the problem is multi-factorial, so the solution needs to be multi-sectoral.
千年发展目标的首要目标是“到2015年将饥饿人口减半”。遗憾的是,印度最近的统计数据呈现出一幅非常黯淡的景象。尽管印度在过去几十年里在健康决定因素方面取得了重大进展,并且在农业产量方面位居世界第二,但目前却是世界上营养不良人口最多的国家。现有粮食不安全问题的成因可以从以下三个概念来更好地理解:“传统概念”,包括粮食供应不足和购买力低下等因素;“社会人口概念”,包括文盲、失业、过度拥挤、恶劣的环境条件和性别偏见;“政治发展概念”,包括部门间协调和政治意愿缺乏、营养项目监测不力以及公共粮食分配系统不完善等因素。如果要在2015年实现千年发展目标,就必须大幅加大改善粮食和营养安全的力度。必须优先重视农业和农村发展,同时促进妇女赋权、确保可持续就业并改善环境条件(水、环境卫生和个人卫生)。由于问题是多方面的,所以解决方案也需要多部门协作。