Programmatic response to malnutrition in India, room for more than one elephant

Indian Pediatr. 2014 Nov;51(11):863-8. doi: 10.1007/s13312-014-0518-5.


Programming platforms need to recognize the diversity of malnutrition epidemiology in India and choose appropriate implementation designs. With severe chronic malnutrition as the dominant epidemiologic entity, the net needs to be cast wide, focusing on food security, health care, agriculture, water and sanitation, livelihoods and womens empowerment. Community-based malnutrition treatment and prevention programs need to collaborate to complement treatment with socioeconomic and preventive interventions. Expansion of nutrition rehabilitation centers should be limited to areas/districts with high wasting. Pediatric services with nested nutrition services (including counseling) requires urgent strengthening. Continuum of Care is a weak link and requires strengthening to make both hospital and community-based models meaningful.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child Nutrition Disorders* / epidemiology
  • Child Nutrition Disorders* / prevention & control
  • Child Nutrition Disorders* / rehabilitation
  • Child, Preschool
  • Developing Countries
  • Food Supply*
  • Humans
  • India
  • Nutritional Status*
  • Protein-Energy Malnutrition* / epidemiology
  • Protein-Energy Malnutrition* / prevention & control
  • Protein-Energy Malnutrition* / rehabilitation
  • Public Health