1. NOURISH TO FLOURISH
REDUCING MALNUTRITION
Aabhas Singh Thakur
Divya Pant
K.Rishabh
Arushi Shukla
Vineeth Balakrishnan
Team Details

2. India ranks second worldwide in agricultural farm output and 10th in agricultural and food exports, yet1
• India is home to 23 Crore hungry people.3
• 33% of the world’s malnourished children live in India.4
• About 50% of childhood deaths are attributed to malnutrition. 5
• 48% of children under the age of 5 are stunted 6
• and 43% are underweight.7
The above facts emphasize that MALNUTRITION is attributed to
not only food insecurity but various other social and health factors like:
• Low intake of nutritional diet.
• Adequate purchasing power.
• Access to health services.
• Availability of safe drinking water.
• Sanitation and proper environmental condition.
• Literacy and lack of awareness especially in women.
• High levels of exposure to infection.
• Inappropriate infant and young child feeding and caring practices.
INVESTING IN NUTRITION IS INVESTING IN THE FUTURE OF A COUNTRY – IT CREATES STRONGER COMMUNITIES
WITH A HEALTHIER, SMARTER AND MORE PRODUCTIVE POPULATION.
Some concerning points regarding MALNUTRITION
• Six of the eight millennium development goals are dependent on malnutrition
• Adults who were malnourished as children earn 20% less on average than those who weren’t.8
• malnourishment hampers the physical and cognitive growth.
• Improving nutrition is key to child survival.
• malnutrition is costing the Indian economy 2.95% of its GDP annually.9
• The world has enough food for everyone.
43%
37%
33%
25%
46%
41%
undernourished children
(0-5 yr)
women suffering from
chronic energy deficiency
total urban rural

3. OUR POLICY:
ESTABLISHMENT OF NUTRTION-HEALTH CENTERS AND MOBILE UNITS
Malnutrition is a widespread problem across INDIA and its eradication is a LONG TERM, CONTINUOUS
PROCESS. Government schemes like ICDS, mid-day meal and other schemes like SABLA,NRHM etc. propose
good model but the progress has been dramatically slow at an average rate of 0.6 % per year.
POLICY OVERVIEW
Establishment oh NHCs will foster already existing schemes of the government and end the vicious cycle.
• Nutrition-Health Centers(NHCs) will act as both nutritional clinics as well as a monitoring body to curb malnutrition.
• Bridge the gap between problem and treatment by recruitment of skilled workers
• Conduct frequent awareness campaigns regarding all the aspects
of malnutrition.
• Assist and guide anganwadi centers lying in their area.
• Proficient computer aided techniques to maintain nutritional health
• record of all children and women.
• Degree wise treatment of malnutrition will benefit pregnant women and
severely acute malnourished children (19.2 % of children in India suffer from SAM).10
• Introduction of highly nutritious medicinal pants like “spirulina” and “moringa”
-highly cost effective and beneficial.
DISADVANTAGES OF EXISTING POLICY ADVANTAGES OF OUR POLICY
Vicious
cycle
Unhealthy
underweight
child
Easily
prone to
infection
Suffer from
diseases like
diarrhea,
anemia etc.
malnourishment
Malnourished
mother
• Mainly focus on universal food
supplementation.
• Overload on community workers-
pregnant women and children (0-3
years), most vulnerable group gets
neglected.
• No proper records maintained.
• Emphasize on other social factors like mother caring behavior
breastfeeding, proper sanitation, education and awareness.
• highly nutritional food supplement in mid-day meals and anganwadi -
physical and cognitive growth of children enhancing their educational
output and reducing school drop out rates.
• increase in skilled workforce special attention to most vulnerable section.
• Proper health report card and progress will be monitored.

4. NUTRITION HEALTH CENTER
CONTROL ROOM+DISTRICT CENTER
ADMINISTRATIVE OFFICERS
MOBILE UNIT
SURVEY AND STATISTICS
TEAM
NUTRITIONAL HEALTH
WORKER
DATA BASE MANAGEMENT
SYSTEM OPERATOR
NUTRITIONAL HEALTH ANALYST
1 District or 25 lacs : 1 MU
5 HEALTH WORKER
5 HEALTH WORKER
3 OFFICIALS
5 MEMBER
2 IT OPERATORS
 NHCs can be started up in any district government building or as a subsidiary department in
any govt. hospital in a district.
 Already existing AWCs can also fall under our workforce per district.
 It will store Ready stock of highly nutritional food supplements(Spirulina + Moringa) to be
distributed to respective AWCs by MU during their visit.
DATA ENTRY
OPERATOR
1 MEMBER

5. District Nutrition Officer
•District head of this project
•Preferably IAS officer
Block Nutrition Officer
•Block Head of this project.
•State PCS officer.
•Specialized Services involving professionals of this
field.
Nutritional Health Analyst
•Contractual Ayurvedic/Homeopathic/ Paramedical
staff.
•To be employed in District Nutrition Center.
Nutritional Health Worker
• Contractual Graduate workers
• To be employed in Mobile Units.
Survey and Statistics Workers
•Matriculated MNREGA workers.
Database Management Operators
•To be provided by contractual company.
Mobile Unit Automobile Staff
•Driver, helper etc to be provided by contractual
company.
RECRUITMENT & ADMINISTRATIVE SETUP
RECRUITMENT ADMINISTRATIVE SETUP
State Secretary
Ministry Of Women & Child
Development: Government of India
Ministry Of Women & Child
Development: State Government
District Nutrition Officer
Mobile Unit & Field Workers
Block Nutrition Officer
Anganwadi Workers
District Control Room Staff

6. WORKING OF NUTRITION HEALTH CENTRE
 Routine visit of Mobile Unit(MU) to their allotted blocks every four months.
 Prior announcement of camp locations before arrival.
Functioning of NHCs
Block-wise
Mobile
Unit Visit
Medical
Examination
Stats
Collection
& Analysis
Actions
Organize
Awareness
Campaign
CONTROL ROOM
MANAGEMENT
STATISTICS COLLECTION
DATA INTERPRETATION
ANALYSIS & CURE
 Data collection and online
record maintenance(Height-
Weight-BMI-Age-Specific
Disease) by Survey team(along
with the assistance of AWWs).
 Creating a Photographic
Database double-checked with
Child’s Biometric Scan.
 Automated receiving of data at
the NHC Control room for
analysis.
 Medical analysis and automated
Report formation using DBMS
software.
 Classification and highlighting of
Targeted Individuals (Level of
malnourishment,
Married/Pregnant women).
 Computing accurate nutritional
content intake and diet schedule
for each group/individual by
Nutritional Health Analyst.
 Distribution of High nutritious
food supplements(Spirulina,
Moringa, etc.)
 Treatment of targeted groups.
 Organizing campaigns; taking
assistance from NGOs
 Monitoring the entire policy at
district level
 Collaboration with various
depts. such as Food & Civil
supply for efficient working of
targeted PDS, quality control
by FCI after procurement.

7. Nutritious Food Supplements: Spirulina and Moringa
SPIRULINA
NUTRITIONAL CONTENT PRODUCTION/HARVESTING PACKAGING AND DISTRIBUTION
 Aquatic micro-organisms(micro-
algae)
 Exceptionally high Protein
content (60-70% of its dry
weight)
 Vitamin(B1) content : 34-
50mg/kg (0-3 yrs. child require
0.9mg)
 Ironcontent:1.8mg/gm.(Most
essentialforPregnantWomen;
deficiencyleadstoanemia
 1 gm. Spirulina=100 gm.
Carrot=100 gm. Spinach
 Climate Temp. : 35 ⁰C + Sunshine
 Requires Growth tank(min
depth=20cm) can be made from
low costing materials.
 1 tank(18 m2 ) produces 144
grams dry Spirulina.(Sufficient to
feed 150 infants)
 Growth medium can be
prepared from any available
fertilizers.
 Promising small scale
production.
 Quality check is mandatory
after procurement and before
processing.
 Mass production at certain
regional production
units(Having optimum
conditions for productions).
 Distribution through Govt.
channels and State PDS.
 Distributed in forms of Energy
bars, Local made fortified
Chikkis, candy.
MORINGA
NUTRITIONAL CONTENT PRODUCTION/HARVESTING PACKAGING AND DISTRIBUTION
 Protein content : 27.1gm/100gm dry
leaves + High Vitamin A content.
 1 gm. =15 times Vit. A in carrot/17
times Calcium in Milk/25x Iron
 48 gm. powdered Moringa
leaves/day equates daily nutrition
intake of breastfeeding mother.
 Intake recovers pregnant mother from
anemia and to higher birth weights.
 Can tolerate extreme high temp and
light frost.
 Prefers well-drained sandy loom.
 Leaves are harvested after 1.5-2 m
plant growth (3-6 months).
 Fortified seeds for additional
micro-nutritional content.
 Small scale industry can be developed
in the village/Near AWCs.
 Quality check is mandatory
after procurement and before
processing.
 Distribution through Govt.
channels and State PDS.
 Distribution in form of
powdered leaves.

8.  Mostly, children of
illiterate mothers are
malnourished
 The most damaging
effects of under-
nutrition occur during
pregnancy and the first
two years of a child’s
life.
 Proper nutritional
assistance to pregnant
women and not
allowing them to work.
 Educate mothers on
breastfeeding at initial
age, prevention of
diseases by adopting
hygienic practices, and
the use of safe drinking
water.
MOTHER CARING
BEHAVIOUR
PROPER
SANITATION
EARLY MARRIAGE
AND FAMILY
PLANNING
SOCIAL EQUALITY
 only 31% of India’s
population is able to
utilize proper sanitation
facilities.11
 one in every ten deaths in
India is linked to poor
sanitation and hygiene
 diseases resulting from
poor sanitation affects
children in their cognitive
development.
 Fastening the process of
government schemes like
sulabh shauchalay
abhiyan to foster proper
public sanitation.
 Urging people to use
public toilets by teaching
them its importance and
benefits.
 adolescent girls who are
malnourished themselves
and not yet attained
physical and mental
maturity
EARLY MARRIAGE
pregnancy and birth of
undernourished children.
 young people and their
parents need to DELAY
MARRIAGE AND DELAY
FIRST PREGNANCY
 Family planning to ensure
at least 3 years gap
between children and not
having more than 2
children.
 Gender inequality, rural-
urban divide, rich-poor
gap, social inequality,
demographic and
regional inequality –
exacerbate situation.
 Targeting girls and lower
castes (who are at higher
risk of under-nutrition).
 Educating people that
malnutrition can be
fought only with an
inclusive approach.
Campaigns organized by Mobile Units ; can collaborate with Red cross, NGOs NSS, College students, activists and other
volunteers.
Can be made effective by showing DOCUMENTARIES in regional dialects involving celebrities.
Panchayat and sarpanch need to be educated adequately regarding the causes, consequences and cures.
Beneficiaries and incentives for the village progressing at the fastest rate against malnutrition.

9. ORGANISATION
BUDGET
LOGISTICS
BUDGET
FOOD
SUPPLEMENTS
COST
(spirulina+murin
ga)
TECHNOLOGICAL
BUDGET
 Transport=55x1000x671x6=22.14
Crores
 Maintenance = 15 Crores
 Survey = 45 Crores
 Establishment=671x1.25x12=100.65 Crores
 Admin officers = Existing Govt. Officers
 Health workers=10000x12x671x10=80.5 Crores
 IT operators=10000x12x671x2=40.26 +
 Data Entry Operator=44.26Crores
 Survey team = 40 Crores
 Production = 70 Crores
 Packaging = 5 Crores
 Distribution : Via existing PDS
 IT hardware = 30 Crores
 IT software = 50 Crores
 Biometric = 5 Crores
182.79
Crores
164.76
Crores
75 Crores
85 Crores
FUNDING
GOVERNEMENT
FUNDING (STATE AND
CENTRAL)
PRIVATIZATION-BIG
CORPORATE HOUSES
(CORPORATE SOCIAL
RESPONSIBILITY)
INTERNATIONAL
AGENCIES LIKE WORLD
BANK , UNICEF.
Economically Competent Policy
Nationwide Budget : 507.55 Crores

10. CHALLENGES MITIGATIONS
Making Labor intensive society realize intensity of this
issue.
Legislative reforms regarding Physical Labor of
Pregnant women.
Vast Administrative Setup Whole system being Bureaucratic leads to efficient
Administration.
Maximum Contractual workers increases competency.
Funds generations from Corporate houses. Luring Corporate houses for CSR by means of Tax
rebate and appreciation awards.
Recruitment of skilled personnel. Unemployed Paramedical staffs and inclusion of
moderately skilled MNREGA workers.
Inadequate Drinking water and Sanitation. Linking with CSR and subsidies for mass availment.
Negligence of child care in urban working class. Awareness via Media and relaxation of working norms
for Mothers with young children.
IMPACT
Total children(0-6years) = 158.8 million12
Malnourished children= 41.16%= 65.36million13
Severely malnourished=3.33%= 5.28804 million14
OUR POLICY WILL DIRECTLY EFFECT ALL THE SEVERELY MALNOURISHED CHILDREN.
EMPLOYEMENT GENERATION
10 health workers + 2 operators +5 survey team + 10 helpers =27(per district)
Total district in India= 671; total direct employment generated= 18117
Indirect generation of employment: production and packaging of spirulina and muringa.

11. REFERENCES
1. Economic Survey 2012-13
http://en.wikipedia.org/wiki/Agriculture_in_India
2.
http://roundtableindia.co.in/index.php?option=com_content&view=article&id=2
924:tackling- malnutrition-in-rural-and-urban-
areas&catid=123:policy&Itemid=139
3.Deolalikar, A. (2012, July 23). A national shame: Hunger and malnutrition in India. Ideas for
India. Retrieved from http://www.ideasforindia.in/article.aspx?article_id=8
4.
UNICEF. (n.d.). Nutrition. Retrieved from http://www.unicef.org/india/children_2356.htm
5. Ibid
6.Ministry of Statistics and Programme Implementation. (2012). Children in India 2012 –A
Statistical Appraisal. Retrieved from
http://mospi.nic.in/mospi_new/upload/Children_in_India_2012.pdf
•

12. 7.Ministry of Statistics and Programme Implementation. (2012). Children in India 2012
–A Statistical Appraisal. Retrieved from
http://mospi.nic.in/mospi_new/upload/Children_in_India_2012.pdf
8.S Grantham-McGregor et al (2007) ‘Development potential in the first 5 years for
children in developing countries’, The Lancet, 369:60–70
9.Food and Agriculture Organization. (2012). Economic growth, hunger and
malnutrition. Retrieved from http://www.fao.org/docrep/016/i3027e/i3027e03.pdf
10.
http://everyone.savethechildren.net/sites/everyone.savethechildren.net/files/library/
A-Life-Free-From-Hunger-Summary-Africa1.pdf
11.http://en.wikipedia.org/wiki/Socio-economic_issues_in_India
12. http://www.censusindia.gov.in/

13. 13.
http://www.google.co.in/search?client=safari&rls=en&q=cag+malnourishment+2011&oe=U
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14.http://www.google.co.in/search?client=safari&rls=en&q=cag+malnourishment+2011&o
e=UTF-8&gws_rd=cr&um=1&ie=UTF-
8&hl=en&tbm=isch&source=og&sa=N&tab=wi&ei=esYoUvzaO8q-
rgf9mIHYDA&biw=1024&bih=622&sei=fcYoUtCAAcTprQfBn4GoDw#facrc=_&imgrc=MPEREz
FJfiNviM%3A%3BIK6I8nJTo3l4dM%3Bhttp%253A%252F%252Fi.imgur.com%252FRFyBxvw.p
ng%3Bhttp%253A%252F%252Fwww.reddit.com%252Fr%252Findia%252Fcomments%252F
1jjr33%252Fcag_gujarat_is_the_most_improved_state_with%252F%3B1863%3B244214.