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Updated: May 10, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Millennium development goals and child undernutrition
1Department of Pediatrics , Hamdard Institute of Medical Sciences and Research, and H.A.H.Centenary Hospital , New Delhi, India. akpatwari@gmail.com
Insights
Child undernutrition in India is not declining fast enough to meet Millennium Development Goals. Reviewing current strategies and adopting innovative, cost-effective measures is crucial for reducing undernutrition in children under five.
Area of Science:
- Public Health and Nutrition
- International Development Goals
- Child Welfare
Background:
- Reduction of underweight children (under five) is an indicator for Millennium Development Goal 1 (MDG 1) targeting poverty and hunger.
- Despite progress, Southern Asia has a high prevalence of underweight children, and India is projected to miss its 2015 target.
- Child undernutrition is multifactorial, influenced by food, healthcare access, maternal and child care quality, and hygiene.
Purpose of the Study:
- To assess the commitment and effectiveness of current strategies for reducing child undernutrition in India.
- To explore the potential impact of making child undernutrition a direct target (e.g., under MDG 4) rather than an indicator.
- To advocate for prioritizing nutrition on the development agenda and implementing context-specific, innovative strategies.
Main Methods:
- Analysis of the Millennium Development Goals report (2012) and progress towards targets.
- Review of factors influencing child undernutrition beyond food intake.
- Conceptual exploration of alternative goal structures for child undernutrition.
Main Results:
- India is unlikely to meet its 2015 target for reducing underweight children below three years.
- Current strategies may be insufficient, necessitating a review of their effectiveness.
- Simple, cost-effective interventions exist for the critical period from conception to two years post-birth.
Conclusions:
- Urgent re-evaluation of commitment and strategies is needed to combat child undernutrition in India.
- Elevating nutrition's importance on the development agenda is critical.
- India should adopt innovative, fast-track nutritional strategies, drawing from international experiences and focusing on the critical early life period.
Abstract:
Reduction in prevalence of underweight children (under five years of age) has been included as an indicator for one of the targets to eradicate extreme poverty and hunger (Goal 1) of the Millennium Development Goals (MDGs). The most recent MDG report of 2012 indicates that the target of reducing extreme poverty by half has been reached five years ahead of the 2015 deadline but close to one third of children in Southern Asia were underweight. In India, at the historical rate of decline the proportion of underweight children below 3 years, required to be reduced to 26% by 2015, is expected to come down only to about 33%. With barely 3 years left for achieving MDGs, the level of commitment to reduce child undernutrition needs to be gauged and effectiveness of current strategies and programmes ought to be reviewed. Undernutrition in children is not affected by food intake alone; it is also influenced by access to health services, quality of care for the child and pregnant mother as well as good hygiene practices. Would the scenario be different if child undernutrition was a part of Goal 4 of MDGs? What difference it would have made in terms of strategies and programmes if reduction in undernutrition in children underfive was a target instead of an indicator? It is time for nutrition to be placed higher on the development agenda. A number of simple, cost-effective measures to reduce undernutrition in the critical period from conception to two years after birth are available. There is a need for choosing nutrition strategies relevant in Indian context. Experiences from other countries should lead India toward innovative nutritional strategies to reduce underfive undernutrition in the country- that too on a fast track.
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