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Minut es o f Meet ing o f Nat io nal Co nference “Missio n Malnut rit io n Free India-2022” held o n 19t h Sept ember, 2017 at Ho t el Asho k, New Delhi Backgro und Nut rit ion is an issue of survival, healt h and development for current and succeeding generat ions.

Children in t he age group 0–18 years const it ut e 39 percent of t he count ry’s t ot al populat ion.

Children in age group of 0-6 years const it ut e 13.6 percent of t he t ot al populat ion (Census 2011).
Malnut rit ion in children is a major public healt h problem in t he in cont ext of current socioeconomic count ry, especially development .

Not only does malnut rit ion increase t he risk of morbidit y and mort alit y associat ed wit h common childhood illnesses, it also leads t o compromised growt h, impaired psychosocial and cognit ive development in children, t hus affect ing t he pot ent ial of human capit al.
Child born underweight have impaired immune funct ion and increased risk of diseases such as diabet es and cardiovascular diseases in t he lat er st ages of life.

Malnourished children t end t o have lower IQ and impaired t heir school cognit ive abilit y, performance and t hen product ivit y in t heir lat er st ages of life.

It has t o be realized t hat t he nut rit ional healt h in all age groups represent s a Nat ional economic asset .

t hus adversely affect ing 2.


The recent Nat ional Family Healt h Survey-4 (2015-16) indicat es a declining t rend in child st unt ing (from 48% in 2005- 06 t o 38.4% in 2015-16) and underweight ((42.5% in 2005-06 t o 35.7% in 2015-16), st agnat ing levels of child wast ing (19.8% in 2005-06 t o 21% in 2015-16) and increased levels of severe wast ing in children (6.4% in 2005-06 t o 7.5% in 2015-16).
Anaemia among children has remained persist ent ly high at 58.4% bet ween 6-59 mont hs and 53% women in reproduct ive age groups (15-49 years) are anaemic.

3.

India would be celebrat ing it s 75t h year of Independence in t he year 2022.
To mark t he celebrat ion, t he Minist ry has set an ambit ious goal t o make t he nat ion malnut rit ion free by 2022.In t his cont ext , decision has been t aken by Government of India t o ident ify one most backward dist rict in each St at e and t o scale up int ensified dist rict -specific init iat ives on women’s and children’s nut rit ion, ensuring focus on int er-sect oral int egrat ion so as t o bring about improvement in nut rit ional st at us in a t ime bound manner.

4.
4.

The Hon’ble Prime Minist er has also emphasized on t he desirabilit y of focussed at t ent ion in 100 backward Dist rict s during his recent address t o t he Dist rict Magist rat es on 9t h August , 2017.
Accordingly, 113 Dist rict s (30 dist rict s on t he basis of composit e ranking of NITI Aayog, 29 dist rict s from each St at e wit h highest prevalence of st unt ing, 7 dist rict s from each UT wit h highest prevalence of st unt ing and 47 dist rict s in order of prevalence of st unt ing), from various St at es/UTs have been select ed.

List of t hese dist rict s is at Annexure-I.

5.


The problem of malnut rit ion is int er-generat ional and is dependent on mult iple fact ors which, int er-alia, include opt imal Infant & Young Child Feeding (IYCF) pract ices, Immunizat ion, Inst it ut ional Delivery, Early Childhood Development , Food Fort ificat ion, Deworming, access t o safe drinking wat er & proper sanit at ion (WASH), Diet ary diversificat ion, and ot her relat ed fact ors.
Therefore, in order t o address t he problem of st unt ing, under-weight and wast ing, especially in children, t here is a need t o t ake-up sust ained effort s requiring mult i-pronged approach and bring grass-root synergy and convergence.

6.
6.

Malnut rit ion is an out come of several set s of inadequacies and access t o services viz., access t o food, infect ions, micronut rient deficiencies, wat er & sanit at ion, behavioural aspect s, and environment al fact ors, et c. The result s of t he recent NFHS-4 show wide int er-st at e and int er-dist rict variat ions in t he prevalence of all t hree indicat ors of under- nut rit ion in t he count ry.
It is, t herefore, necessary t o ident ify t he specific cause(s) of under-nut rit ion in each area/Dist rict and inst ead of addressing all t he det erminant s of st unt ing in t he ent ire count ry, it is necessary t o provide t arget ed int ervent ions aft er t he respect ive t he exact cause(s) areas/Dist rict s. ident ifying in 7.
Considering t he enormous t ask at hand, a Nat ional Conference “Mission Malnut rit ion Free India-2022” was organized on 19t h Sept ember, 2017 at t he Ashok Hot el, Chanakyapuri, New Delhi, in order t o sensit ize t he Dist rict Collect ors/ Deput y Commissioners/Dist rict Magist rat es as well as t he Dist rict -level Officers of Healt h & Family Welfare, Nut rit ion (ICDS/SW), Drinking Wat er & Sanit at ion Depart ment s in t he High Burden Dist rict s besides t he Principal Secret aries/ Secret aries, in- charge of t hese t hree Depart ment s of all St at es/UTs on a mult it ude of t opics relat ing t o st unt ing, under-nut rit ion and wast ing and t he key st rat egic int ervent ions which are urgent ly required t o address t hese comprehensively and conclusively.
8.

This Nat ional Conference first of it s kind aimed at bringing convergence at Dist rict /Block levels of t he t hree key Depart ment s (Healt h & Family Welfare, ICDS/Social Welfare and Drinking Wat er & Sanit at ion) wherein a roadmap would be drawn t o evolve an appropriat e st rat egy in t ackling t he problem of st unt ing, under-nut rit ion and wast ing comprehensively and conclusively.
The conference was at t ended by t he part icipant s from t he Minist ries of Healt h and Family Welfare; Agricult ure and Farmer’s Welfare; Consumer Affairs, Food and Public Dist ribut ion; Human Resource Development ; NITI Aayog; Food Safet y and St andards Aut horit y of India; Drinking Wat er and Sanit at ion; et c. The Dist rict Collect ors/ Deput y Commissioners/Dist rict Magist rat es as well as t he Dist rict -level Officers of Healt h & Family Welfare, Nut rit ion (ICDS/SW), Drinking Wat er & Sanit at ion Depart ment s in t he High Burden Dist rict s besides t he Principal Secret aries/ Secret aries, in-charge of t hese t hree Depart ment s of all St at es/UTs also at t ended t he Nat ional Conference in addit ion t o development part ners like UNICEF, World Bank, Bill and Melinda Gat es Foundat ion; ot her associat ed organizat ions of t he Minist ry of Women and Child Development ; Civil Societ y Organizat ions; media personnel, et c. Deliberat io ns: 9.
The Nat ional Conference was inaugurat ed by t he Hon’ble Minist er of Women and Child Development , Shrimat i Maneka Sanjay Gandhi and t he Hon’ble Minist er of St at e for Women and Child Development , Dr. Virendra Kumar, and Dr. Vinod Paul, Member (NITI Aayog) were t he Guest s of Honour on t he occasion.

10.
At t he out set , Joint Secret ary (ICDS), Minist ry of Women and Child Development , ext ended a warm welcome t o t he Chair, Guest s of Honour and all t he part icipant s and gave a brief int roduct ion about t he purpose of conference and urged t he part icipant s t o deliberat e on t he issues relat ed t o malnut rit ion during t he daylong conference so as t o formulat e a roadmap t o achieve t he desired result s in combat ing t he issue of malnut rit ion in t he count ry in an int ensified and more focused manner.
t arget s, 11.

Secret ary, Minist ry of Women and Child Development , highlight ed t he issue of st unt ing and anaemia in t he count ry, especially t he high burden dist rict s, including t he opport unit ies available and pat hways on reduct ion of underweight , st unt ing, wast ing, micronut rient deficiencies and anaemia in t he count ry.
He also emphasized t hat t he Dist rict Collect ors, Government Officials and Civil Societ y Oganisat ions need t o work t oget her focus on program review and t o set SMART account able mechanisms t o demonst rat e result and opt imize out comes.

He also st ressed t hat t he review and monit oring of implement at ion of t he schemes as well as out comes is very essent ial and t he review and monit oring needs t o be done at all levels and especially at t he ground level.
For t his, it is essent ial t hat t he administ rat ors at t he ground level are involved in t he implement at ion and monit oring of t he schemes, which needs t he act ive part icipat ion of Dist rict Magist rat es/Dist rict Collect ors/Deput y Commissioners t o regularly monit or and review t he schemes covering t he aspect s of nut rit ion across t he line depart ment s wit hin t heir area at least once in t hree mont hs.
A let t er in t his cont ext was also issued joint ly by Secret aries of Minist ry of Women & Child Development , Minist ry of Healt h and Family Welfare and Minist ry of Drinking Wat er & Sanit at ion on 8t h August , 2017.

12.
12.

Deliberat ions held during t he inaugural session are as under: i. Addit ional Secret ary, Minist ry of Healt h and Family Welfare, in his address, informed t he part icipant s about t he Reproduct ive Mat ernal Newborn Child Healt h+ Adolescent Healt h plat form t o address Mat ernal and Child Nut rit ion, Mission Indradhanush t o reach out t o t he unreached children and increase t he coverage of immunizat ion in t he count ry at a rat e of 6-7% annually.
He also informed about t he new vaccines int roduced, viz., Inact ivat ed Polio Vaccine (IPV), Adult Japanese Encephalit is (JE), Rot avirus, Measles Rubella, and t he Pneumococcal vaccine.

ii.

Secret ary, Minist ry of Drinking Wat er highlight ed t he impact of qualit y drinking wat er, sanit at ion and hygiene on nut rit ion, indicat ing t hat since t he launch of t he Swachh Bharat Mission, sanit at ion coverage has gone up from 39% t o 68%.
He furt her informed t hat 240,000 villages and 196 dist rict s are Open Defecat ion Free (ODF) and in t erms of St at es, Sikkim, Himachal Pradesh and Kerala, Haryana, and Ut t arakhand are ODF.

iii.

CEO (NITI Aayog) highlight ed t he need for t arget ed int ervent ions t o t ackle malnut rit ion in t he count ry wit h dist rict as a focal point .

He also emphasized t hat t he dist rict magist rat es/collect ors play a major role in t he development of t heir dist rict s. iv.
Dr. Vinod Paul, Member, NITI Aayog, emphasized t hat convergence of effort s of all t he sect ors is crit ical t o addressing malnut rit ion in t he count ry and focus needs t o be given on t he 113 ident ified high burden dist rict , for which comprehensive dist rict plans need t o be ensured in part nership wit h NITI Aayog.

and v. The Hon’ble Minist er of St at e (WCD) emphasized t he need for focussed int ervent ions, st reamlining implement at ion mechanisms t he programmes t o address malnut rit ion.
He also st ressed t hat st rat egy t o bring about change in t he knowledge, behaviour and pract ices of t he beneficiaries should be part of t he programme t o address malnut rit ion in t he count ry for it t o be effect ive.

communit y part icipat ion in vi.

Hon’ble Minist er (WCD) highlight ed following issues: a.
The progress in respect of Bet i Bachao Bet i Padhao Scheme of t he Minist ry has been very impressive during t he past year and a same st rat egy needs t o be adopt ed of a programme for t ackling malnut rit ion in t he count ry.

b.

She furt her st ressed t he delivery and procurement syst ems for provision of supplement ary nut rit ion provided under t he Anganwadi Services Scheme and t he Scheme for Adolescent Girls need t hat t o be st reamlined and st rengt hened.
c. The need for scaling up t he number of adopt ions in t he count ry was also st ressed during her address.

d. The need for set t ing up One St op Cent ers and Sexual Harassment Commit t ees at t he dist rict level, for which Dist rict Magist rat es need t o t ake act ion.

13.

During Session-II, discussions were focussed on following Improving present at ions were made: t o Qualit y Nut rit ion access and i.
Count ry represent at ive, UNICEF-India, spoke about Sust ainable Development Goals (SDGs) and World Healt h Assembly Target s for Nut rit ion, informing t hat t welve out of t he 17 SDGs include indicat ors t hat are direct ly linked t o malnut rit ion.

She also informed t hat at t he present rat e, India will not reach t he 2025 t arget ed reduct ions in st unt ing and t he t arget is only achievable if St at es t ake on t he ownership of t his challenge.
She also emphasized t hat for t he Malnut rit ion Free India Mission, emphasis needs t o be given t o priorit izat ion on high burden st at es and dist rict s, accelerat ion of evidence based nut rit ion int ervent ions t hat have a direct bearing on women and children, est ablishing St at e and Dist rict level nut rit ion goals and object ives wit h t ime bound t arget s, and implement ing a harmonized monit oring and evaluat ion syst em.

ii.
ii.

The present at ion of t he represent at ive of Int ernat ional Food Policy Research Inst it ut e focused on t he prevalence of st unt ing in various dist rict s of t he count ry and t he det erminant s of t he burden of st unt ing in high and low prevalence dist rict s. She suggest ed t hat st rat egies t o address t hese mult iple det erminant s, wit h enhanced t arget ing t owards higher burden dist rict s, could help t o reduce inequalit ies in childhood st unt ing in India.

iii.
iii.

President , Associat ion for India Coalit ion for Cont rol of Iodine Deficiency Disorders, emphasized t he efficacy and effect iveness of Food Fort ificat ion in addressing micronut rient deficiencies.

iv.
iv.

Represent at ive of Indian Council of Agricult ural Research (ICAR) informed t he part icipant s t hat Bio-fort ificat ion t hrough Convent ional Plant Breeding is a sust ainable solut ion t o enhance t he nut rit ional qualit y of Indian food crops and improve t he int ake of micronut rient s among populat ion.

He also informed about t he various bio- fort ified crop variet ies released by ICAR for commercial product ion.

int akes and improving nut rient int ervent ion groups.
At v. CEO, The Coalit ion for Food and Nut rit ion Securit y, highlight ed t he import ance of promot ing Diet ary Diversit y in t hereby reducing malnut rit ion prevalence.

He also shared t he result s of some of t he int ernat ional models st udying t he impact of diet ary diversit y as an int ervent ion on nut rit ional st at us.
All t he st udies showed improvement in nut rit ional st at us in level, he t he suggest ed t o priorit ise act ions on Social Behaviour Change Communicat ion specifically home cont act s, increase product ion diversit y- Soil Healt h Card, nut rit ion across food value chain, address ot her int ervening fact ors and empower women and girls, address pre-disposing fact ors, focus on food insecure and malnut rit ion hot spot s, est ablish a grid of nat urally bio-fort ified gardens, micronut rient st at us survey- cult ure and cont ext specific diet , campaigns and special programs at dist rict level and below.
t he dist rict t hat for development of vi.

At t he conclusion of t he session, t he Chairperson was of t he count ry, t he view development of t he populat ion is imperat ive and for t his int egrat ed solut ions need t o be planned.

The Dist rict Magist rat es have a major role in delivery of key services more effect ively and Government of India is in support of t he effort s of t he DMs in t his direct ion.

14.
14.

During Session-III, discussions were focussed on Healt h and Nut rit ion: Improving Last Mile Delivery and following present at ions were made: i.
Joint Secret ary, Minist ry of Healt h and Family Welfare, improving mat ernal and child healt h discussed on out comes t hrough RMNCH+A implement at ion under t he Nat ional Healt h Mission wit h special reference t o Mission Indradhanush, Nat ional De-worming Day and promot ing t he use of ORS and Zinc.The key st rat egies undert aken under t he RMNCH+A programme were highlight ed during t he present at ion in addit ion t o t he SDG t arget s. She informed t hat MMR and U5MR in India has declined much fast er t han t he global rat es.
review include Mont hly ii.

The present at ion of Deput y Commissioner, Minist ry of Healt h and Family Welfare, focused on t he impact and import ance of Infant and Young Child Feeding (IYCF) including management of children wit h wast ing.

He also highlight ed t he st rat egies implement ed by t he Minist ry of Healt h and Family Welfare for promot ion of IYCF.

The act ions t o be t aken at t he dist rict level t o st rengt hen review and coordinat ion were also suggest ed during t he present at ion.
These and coordinat ion meet ings t o be convened wit h depart ment s of Healt h, ICDS and Drinking wat er and sanit at ion; review based on a simple checklist covering IYCF t raining st at us / Orient at ion and sensit izat ion of FLWs & programme managers under MAA programme, VHSND sessions & mot hers’ meet ing under MAA programme planned and held, IFA supplement s - supply & st ock st at us, Vit amin A, Albendazole, ORS and Zinc - supply and st ock st at us, number of children screened and referred t o Nut rit ion Rehabilit at ion Cent ers for children wit h Severe Acut e Malnut rit ion and followed up, Home based care – number of visit s by ASHAs and AWWs;Regular support ive supervision and monit oring visit s; Facilit at ing coordinat ion and service delivery bet ween ANM, AWW and ASHA (Triple A) at common plat forms, e.g., VHSNDs.
iii.

At t he conclusion of t he session, Dr.

Sat ish B. Agnihot ri, Former Secret ary, Government of India, emphasized t hat t he st rat egies need t o be devised keeping in view t he t erm Short (reduct ion in Underweight ) and Long t erm (reduct ion in St unt ing) goals and gave t he following suggest ions for act ions t o be t aken at t he dist rict level: in Wast ing), medium (reduct ion t erm a. Assess t he sit uat ion and set t arget s for t heir respect ive dist rict s. b.
Target ed mult i-sect oral int ervent ions t o be planned including addressing on priorit y t he nut rit ional st at us of Adolescent Girls, pregnant women and lact at ing mot hers so as t o address t he crit ical periods in t he lifecycle.

improving c. Convergence of int ervent ions like ODF, deworming, IFA Supplement at ion and fort ificat ion needs t o be ensured.

d. Special emphasis needs t o be given t o increasing t he lit eracy level of mot hers.
e. The qualit y of prot ein in t he supplement ary foods needs t o be ensured including t he provision of animal sources as per cult ural preferences and availabilit y.

15.

During Session-IV, discussions were focussed on Int egrat ed Management following present at ions were made: of Malnut rit ion and i.

Represent at ive of BMGF gave a brief overview on t he accelerat ing Real Time Monit oring t hrough ICT-RTM, Aadhaar t racking and LGD Coding.
The present at ion also demonst rat ed t he model of real t ime monit oring of key healt h and nut rit ion int ervent ions at t he communit y level and messages sent t o t he beneficiaries.

is a module ii.

Count ry Direct or, Dimagi, informed t hat for monit oring t he Supplement ary Nut rit ion/THR being incorporat ed in t he ICDS-Common Applicat ion Soft ware.

It was also informed t hat project has been rolled out in 5 st at es i.e.

Madhya Pradesh, Chhat t isgarh, Jharkhand, Andhra Pradesh and Bihar.
AWWs have st art ed using t he ICDS-CAS applicat ion and St at e WCD is monit oring t he report s on st at us of program indicat ors, Nut rit ion, Growt h int ervent ions AWW Monit oring, Infrast ruct ure.

like Inst it ut ional t hrough dashboard Delivery, WASH, IYCF iii.
Direct or, Minist ry of Women and Child Development , gave a brief overview of t he village healt h, sanit at ion and nut rit ion day (VHSND) and informed t hat t hough nut rit ion has been mandat ed in t he VHSND in t he year 2011, but t he emphasis even t oday remains on vaccinat ion and IFA t ablet dist ribut ion.
He also highlight ed t hat eight act ivit ies ident ified in 2011, i.e., Creat e awareness about nut rit ion issues; Carry out survey on nut rit ional st at us issue and nut rit ional deficiencies; Ident ify locally available foodst uffs of high nut rient value and disseminat e (t radit ional wisdom); Inclusion of Nut rit ional needs in t he Village Healt h Plan; Monit oring and Supervision of VHSND; Facilit at e early det ect ion of malnourished children and t ie up referral t o NRC; Supervise t he funct ioning of Anganwadi Cent re; and grievance redressal should regularly be part of t he VHSND and report should be monit ored regularly by t he block and dist rict level officials.
He also emphasized t hat t he mobilizat ion of ANM should be increased for effect ive service delivery.

16.

The discussions during t he Concluding Session focussed on t he Roadmap and Way Forward.

Following present at ions were made during t he session: i.

Adviser, NITI Aayog, discussed on improving programme delivery effect iveness and set t ing dist rict -wise t arget s and regular monit oring of t he program.

ii.
ii.

Direct or, Minist ry of Women and Child Development emphasized on cat egorizing t he dist rict -wise t arget s in Int ervent ion, Monit oring and Out come which can be monit ored by a dashboard.

iii.

Joint Secret ary, Minist ry and Child Development , apprised t he part icipant s about t he 6-t ier Dynamic Dashboard wit h dedicat ed focus on nut rit ion for Real Time Monit oring of dat a and facilit at e convergence.
The monit oring of t he act ion t aken in t he 113 ident ified dist rict s should include t he paramet ers of Dynamic Dashboard.

of Women iv.

The discussions were also made on t he issues relat ed t o Bet i Bachao Bet i by JS(Creche) and t he ot her welfare schemes of t he Minist ry for improvement in t he social st at us of women and children, t hus indirect ly affect ing t he nut rit ional st at us.

Padhao, Creche Scheme 16.

The present at ions made during t he Nat ional Conference are at Annexure-II.
Co nclusio n 17.
Aft er det ailed deliberat ions during t he meet ing, following decisions were t aken: i. Dist rict Collect ors/Dist rict Magist rat es/Deput y Commissioners t o regularly monit or and review t he schemes covering t he aspect s of nut rit ion across t he line Depart ment s in respect of t heir dist rict s. Such reviews and dist rict level monit oring shall be done in an exclusive and dedicat ed manner on 10t h January, 10t h April, 10t h t o address July and 10t h Oct ober of each year implement at ion of schemes, especially Anganwadi Services of Umbrella Int egrat ed Child Development Services (ICDS) Scheme, Nat ional Healt h Mission (NHM) and Swachh Bharat Mission (SBM), having direct bearing on Nut rit ion and Healt h. ii.
Converging exist ing Nat ional programmes t o bring about improvement in t he nut rit ional st at us of women and children in t he count ry using t he plat forms of all t he line depart ment s, i.e., Anganwadi Services, Healt h syst ems, Panchayat i Raj Inst it ut ions, Drinking Wat er and Sanit at ion, Food & Public Dist ribut ion and Educat ion, et c. iii.
NITI Aayog t o help in development of Dynamic Dashboard for monit oring of Int ervent ion (Infrast ruct ure, Behavioral Change, nudge), Supervision (Village, Block, Dist rict , St at e and Nat ional Level) and Out come (Nut rit ional relat ed paramet er and mechanism available for survey).

iv.

Implement at ion of mandat ory fort ificat ion of supplement ary nut rit ion provided t hrough t he Anganwadi Services scheme under t he umbrella ICDS.
v. Minist ry of WCD has rolled out ICT int ervent ions in some St at es on a pilot basis t o st rengt hen t he Service Delivery Syst em and creat e mechanism for Real Time Monit oring (RTM) for nut rit ional out comes.

St at es/UTs may t ake ICDS-Common init iat ive Applicat ion Soft ware on priorit y basis in dist rict list at t ached herewit h, for which Minist ry of Women and Child Development will provide t echnical support .

implement at ion of t he for vi.


Focus should be given on capacit y building of Front Line Workers and Sect or supervisors in t he area of nut rit ion educat ion, ECCE.

vii.

At t ent ion also t o be given t o improve adolescent nut rit ion by prevent ing early marriages, proper nut rit ion, nut rit ion counseling and educat ion, WASH and menst rual hygiene.

viii.
It was also recommended t hat in order t o address t he problem of malnut rit ion in t he count ry in a sust ainable manner, at t ent ion needs t o be given t o promot e diet ary diversit y by ensuring t hat t he diet of children above 6 mont hs includes 4 or more food groups, increasing crop- diversit y, Nut ri-gardening, promot ing nat urally nut rient rich crops like Drumst icks, Amla, Spinach, et c., inclusion of cereals, millet s, pulses, milk and milk product s, green leafy veget ables, fruit s, sugar and fat in appropriat e amount s in t he diet s. ix.
Prevent ion and management of diarrhoea is also very crit ical for child survival and nut rit ion.

For t his, it was recommended t o creat e awareness on bet t er hygiene, building capacit y of healt h workers and caregivers and ensuring proper supply of ORS wit h Zinc.

x. Mat ernal Healt h and Nut rit ion should receive priorit y at t ent ion, ensuring full ant enat al care, t ot al inst it ut ional int erpersonal counseling, and delivery, home visit s, adequat e rest during pregnancy, et c. xi.
De-worming: Focussed at t ent ion also t o be given t o de- worming t wice in a year in Pulse Polio Mode and designat ing Nat ional De-worming Days (10t h February & 10t h August ) and Mop-up on 17t h February & 17t h August .

xii.

Mission Indradhanush: Full immunizat ion coverage t o be ensured.

Fut ure expansion may be priorit ize in t he ident ified 113 dist rict s, as it is t he best way t o avoid vaccine prevent able diseases.

xiii.
xiii.

Rasht riya Bal Swast hya Karyakram: Int ensified screening and management of children wit h birt h defect s, deficiencies, diseases and development al delays.

xiv.

Aadhaar Enrollment : UIDAI t o ensure 100% enrollment of Aadhaar in t he ident ified 113 dist rict s. DBT onboarding of SNP component 100% on priorit y basis.

xv.

Minist ry of Elect ronics and Informat ion Technology (Meit Y) t o ensure plugging infrast ruct ure gaps in t he ident ified dist rict s and ensure last mile connect ivit y.
18.

The Consult at ion ended wit h a Vot e of Thanks t o all t he delegat es and speakers.

******** MWCD LIST OF 113 DISTRICTS Annexure-I LIST OF DISTRICTS 1.

NITI Aayog list composit e ranking S. No.
St at es Dist rict s Child St unt i ng (%) Rank (as per prevalence of St unt ing) Ut t ar Pra desh Bihar Ut t ar Pra desh Bahraich65.1 Sit amar hi 57.3 Sit apur 56.4 Jharkhand Godda 54 Ut t ar Pra desh Kheri 53.9 Bihar Ut t ar Pra desh Sheohar53 Fat ehpu r 52.4 Bihar Madhya Pr adesh Madhya Pr adesh Purnia 52.1 Sheopur52.1 Barwani 52 Jharkhand Pakur 51.8 Ut t ar Pra desh 12 13 Jharkhand Ut t ar Pra desh Ut t ar Pra desh 14 15 16 Bihar 17 Bihar 18 Bihar Chit rako ot Sahibga nj Kausha mbi Shahjah anpur 50.9 50.2 50.1 49.3 Kat ihar 49.2 Samast i pur Darbhan ga 49.2 49 1 6 8 14 15 20 22 25 27 28 31 39 47 48 57 59 60 65 Composit e Rank Assam Dhubri 47.4 20 Bihar Bhagalp ur 46.6 21 Assam Darrang 43.5 22 Odisha Madhya Pr adesh 23 24 Assam Rayagad a 43.5 Damoh 43.2 Goalpar a 42.7 25 Assam Barpet a 41.7 Madhya Pr adesh Madhya Pr adesh 26 27 28 Jharkhand 29 Assam Madhya Pr adesh 30 Vidisha 41.1 Rajgarh 38.8 Dhanba d Hailakan di 38.1 38.5 Singrauli33 2.
Dist rict s wit h Highest Prevalence in St unt ing from each S t at e (excluding dist rict s list ed at 1 in NITI Aayog list ) 1 Andhra Pradesh 2 Arunachal Pradesh 3 Assam 4 Bihar 5 Chat t isgarh 6 Goa 7 Gujarat 8 Haryana 9 Himachal Pradesh 10 J&K 11 Jharkhand Kurnool East Kameng Karimganj Nalanda Narayanpur Nort h Goa Sabarkant ha Mewat Shimla Udhampur PashchimiSinghbhum 44.1 152 42 196 42.3 190 54.1 13 49 64 21.4 591 50.6 42 52.3 23 30.3 431 43.1 179 59.4 4 12 Karnat aka 13 Kerala 14 Madhya Pradesh 15 Maharasht ra 16 Manipur 17 Meghalaya 18 Mizoram 19 Nagaland 20 Odisha 21 Punjab 22 Rajast han 23 Sikkim 24 Tamil Nadu 25 Telangana 26 Tripura 27 Ut t ar Pradesh 28 Ut t rakhand 29 West Bengal Koppal Wayanad Burhanpur Nandurbar Tamenglong RiBhoi Saiha Kiphire Subarnapur Faridkot Dhaulpur West Sikkim Ariyalur Adilabad Dhalai Shrawast i Haridwar Puruliya 3.
Dist rict s wit h High Prevalence of St unt ing in UTs 41.7 202 1Dadra & Nagar Haveli 38.6 262 2Delhi 3Daman & Diu 37.3 292 4Andaman & Nicobar Islands Nort h & Middle Andaman 32.5 394 32 402 Yanam 5Puducherry 28.7 466 Chandigarh 6Chandigarh 27 504 Lakshadweep 7Lakshadweep Dadra and Nagar Haveli Nort h West Diu 4.
List of Dist rict s based on Prevalence of St unt ing (excl uding t hose list ed at 1, 2 and 3 in t he above t ables) Balrampur 1 Ut t ar Pradesh Siddhart hnagar 2 Ut t ar Pradesh Gonda 3 Ut t ar Pradesh Yadgir 4 Karnat aka Budaun 5 Ut t ar Pradesh Kaimur (Bhabua) 6 Bihar Vaishali 7 Bihar Maharajganj 8 Ut t ar Pradesh Et awah 9 Ut t ar Pradesh 62.8 3 57.9 5 56.9 7 55.5 10 55.1 11 53.8 16 53.7 17 53.3 18 53.2 19 10 Bihar 11 Karnat aka 12 Bihar 13 Bihar 14 Bihar 15 Ut t ar Pradesh 16 Ut t ar Pradesh 17 Ut t ar Pradesh 18 Ut t ar Pradesh 19 Meghalaya 20 Ut t ar Pradesh 21 Meghalaya 22 Bihar 23 Ut t ar Pradesh 24 Ut t ar Pradesh 25 Ut t ar Pradesh 26 Bihar 27 Rajast han 28 Ut t ar Pradesh 29 Bihar 30 Madhya Pradesh 31 Bihar 32 Jharkhand 33 Karnat aka 34 Jharkhand 35 Ut t ar Pradesh 36 Ut t ar Pradesh 37 Ut t ar Pradesh 38 Ut t ar Pradesh 39 Madhya Pradesh 40 Chhat t isgarh 41 Madhya Pradesh 42 Madhya Pradesh 43 Madhya Pradesh 44 Meghalaya 45 Bihar 46 Bihar 47 Gujarat Gaya Gulbarga Jehanabad Madhubani Madhepura Kanshiram Nagar Pilibhit Bara Banki Sant Ravidas Nagar West Khasi Hills Et ah Jaint ia Hills (East & West )* Lakhisarai Hardoi Sant Kabir Nagar Kannauj Arwal Banswara Faizabad Khagaria Tikamgarh Banka Chat ra Bellary Hazaribagh Farrukhabad Mirzapur Aligarh Bast i Dat ia Rajnandgaon Sidhi Alirajpur Shivpuri East Khasi Hills Roht as Araria Bhavnagar S DISTRICTS IN T DISTRICTS WITHIN DISTRI OP 100 BASED O N PREVALENCE O F STUNTING IN I NDIA .
N o .

2 1 CRITERIA BY WHI CH DISTRICTS W ERE SELECTED NITI AAYOG LIST OF 30 DISTRICTS 19 DISTRICTS WITH HIGH PREVALENC E IN STUNTING F ROM 29 STATES E ACH.
DISTRICTS WITH HIGH PREVALENC E OF STUNTING I N UTs LIST OF DISTRI CTS BASED ON PR EVALENCE OF STU NTING 4 TOTAL 47 78 12 3 0 100-200 RANKS BA SED ON PREVALENC E OF STUNTING IN I NDIA CTS O UTSID E TOP 200 6 7 0 0 13 5 10 7 0 22 SUMMARY: DISTRICTS IN TOP 100 BASED ON PREVALENCE OF STUNTING IN INDIA DISTRICTS IN TOP 200 BASED ON PREVALENCE OF STUNTING IN INDIA DISTRICTS OUTSIDE TOP 200 7 8 9 1 2 2 St at es No.
of Dist rict s A & N Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhat t isgarh Dadra & Nagar Haveli Daman & Diu Delhi Goa Gujarat Haryana Himachal Pradesh J&K Jharkhand Karnat aka Kerala Lakshadweep Madhya Pradesh Maharasht ra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajast han Sikkim Tamil Nadu Telangana Tripura Ut t ar Pradesh Ut t arakhand West Bengal TOTAL 113