Agarwal Neeraj, Chaudhary Neha, Pathak Pankaj Kumar, Randhawa Avneet
Department of Community and Family Medicine, AIIMS, Patna, Bihar, India.
Department of Community Medicine, GMC, Patiala, Punjab, India.
Indian J Community Med. 2020 Jul-Sep;45(3):343-347. doi: 10.4103/ijcm.IJCM_387_19. Epub 2020 Sep 1.
Data from several sources revealed that huge incongruity persists in nutritional status across the states in India. Thus, this study was undertaken to generate a nutritional index, so that these disparities could be quantified and comparison be done.
A nutritional index for 21 major states of India has been constructed on the basis of eight important nutrition-related indicators. The scaled value of each indicator for all the states was calculated. Each indicator was assigned an arbitrary weight (Wi) on the basis of its impact on nutritional status. On the basis of the scaled value and weight given to the particular indicator, a composite-weighted index was thus calculated.
States were ranked on their nutritional status as per the final composite score they attained. Out of 21 major states, Kerala took the top position followed by Jammu and Kashmir and Himachal Pradesh on the 2 and 3 position, respectively, while Uttar Pradesh got the lowest rank followed by Bihar and Jharkhand on the 2 and 3 lowest positions.
Our study concludes that not taking an account of the burden of malnutrition when disbursing funds leads to ineffective implementation of various nutritional programs. Integrated Child Development Services has already been brought in mission mode under Poshan Abhiyan. Other determinants, i.e., illiteracy, poor sanitation, diseases, and infections, should also be considered and addressed through nutritional programs.
来自多个来源的数据显示,印度各邦在营养状况方面仍存在巨大差异。因此,开展本研究以生成一个营养指数,以便能够量化这些差异并进行比较。
基于八项重要的营养相关指标构建了印度21个主要邦的营养指数。计算了所有邦每项指标的缩放值。根据每项指标对营养状况的影响为其赋予一个任意权重(Wi)。基于特定指标的缩放值和权重,计算出一个综合加权指数。
根据各邦获得的最终综合得分对其营养状况进行排名。在21个主要邦中,喀拉拉邦位居榜首,查谟和克什米尔邦以及喜马偕尔邦分别位居第二和第三,而北方邦排名最低,比哈尔邦和贾坎德邦分别位列倒数第二和第三。
我们的研究得出结论,在分配资金时不考虑营养不良负担会导致各种营养项目的实施效果不佳。综合儿童发展服务已在“营养改善行动”下以任务模式推行。其他决定因素,即文盲、卫生条件差、疾病和感染,也应通过营养项目加以考虑和解决。