Lok Sabha Question No. 360 (STARRED), answered on 2021-03-19
Subject: Malnutrition in Andhra Pradesh
Ministry: WOMEN AND CHILD DEVELOPMENT
Asked by: Jayadev Galla

## GOVERNMENT OF INDIA MINISTRY OF WOMEN & CHILD DEVELOPMENT

## LOK SABHA STARRED QUESTION NO. 360

TO BE ANSWERED ON 19.03.2021

## MALNUTRITION IN ANDHRA PRADESH

360.    SHRI JAYADEV GALLA:

Will the Minister of WOMEN AND CHILD DEVELOPMENT be pleased to state:

- (a) whether some districts in Andhra Pradesh have high prevalence of underweight, wasting and stunting among children under five years of age and women;
- (b) if so, the details thereof, district-wise; and
- (c) the details of interventions through various schemes and programmes undertaken  by  the  Government  in  the  above  districts  in  this  regard  and  the outcome thereof?

## ANSWER

MINISTER OF WOMEN AND CHILD DEVELOPMENT (SHRIMATI SMRITI ZUBIN IRANI)

- (a) to (c) A Statement is laid on the Table of the House.

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## Statement referred to in reply to Part (a) to (c) of Lok Sabha Starred Question No. 360  for  19.03.2021  by  Shri  Jayadev  Galla  regarding  Malnutrition  in  Andhra Pradesh

(a) to  (c)  Government  of  India  implements  the  Anganwadi  Services  Scheme, POSHAN  Abhiyaan, Pradhan Mantri Matru Vandana Yojana and Scheme  for Adolescent Girls under the Umbrella Integrated Child Development Services Scheme (ICDS) as targeted interventions for children upto the age of 6 years, Pregnant Women and Lactating Mothers and Adolescent Girls, throughout the country, including in  the State of Andhra Pradesh.

Recently,  Government  has  also  taken  measures  to strengthen  nutritional  content, delivery, outreach and outcomes with focus on developing practices that nurture health, wellness  and  immunity  to  disease  and  malnutrition.  Steps  have  also  been  taken  to improve  nutritional  quality  and  testing,  strengthen  delivery  and  leverage  technology under the 'Poshan Tracker', a robust ICT enabled platform, to improve governance with regard  to  real  time  monitoring  of  provisioning  of  supplementary  nutrition for  prompt supervisions and management of services.

Also,  Guidelines  on  Quality  Assurance,  Roles  and  Responsibilities  of  Duty  Holders, procedure for procurement, for transparency, efficiency and accountability in delivery of Supplementary Nutrition have been streamlined. Government has advised States/UTs to ensure that the quality of supplementary nutrition conforms to prescribed standards laid  down  under  the  Food  Safety  and  Standards  Act,  2006  and  regulations  made thereunder.  States/UTs  have  also  been  advised  to  promote use  of  AYUSH  systems for prevention of malnutrition and related diseases. A programme to support development  of  Poshan  Vatikas  at  Anganwadi  centres  to  meet  dietary  diversity  gap leveraging traditional knowledge in nutritional practices has also been taken up.

Mission Poshan 2.0, an integrated nutrition support programme, has been announced in Budget 2021-22.

As  per  the  report  of  the  National  Family  Health  Survey  (NFHS-5)  which  has  been released for some states, districts of Andhra Pradesh with prevalence of underweight, wasting  and  stunting  among  children  (under  5  years)  and  underweight  prevalence  in women (15-49 years) higher than the State average are as under:

-  Underweight -4 districts (Kurnool, Anantapur, Vizianagaram, and Visakhapatnam).
-  Wasting  -  7  districts  (Visakhapatnam,  Srikakulam,  Anantapur,  Vizianagaram, Guntur, Sri Potti Sriramulu Nellore, and Kurnool).
-  Stunting  -  5  districts  (Kurnool,  Vizianagaram,  Anantapur,  Y.S.R  and  West Godavari).
-  Women  Underweight  (BMI<18.5  Kg/m 2 ) -7 districts  (Anantapur,  Kurnool, Chittoor, Visakhapatnam, Vizianagaram, Y.S.R and Sri Potti Sriramulu Nellore).

The district-wise prevalence of underweight, wasting and stunting among children and underweight prevalence among women is given at Annexure .

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## Statement referred to in reply to Part (a) to (c) of Lok Sabha Starred Question No. 360 for 19.03.2021 by Shri Jayadev Galla regarding Malnutrition in Andhra Pradesh

District-wise  prevalence  of  underweight,  wasting  and  stunting  among  children and underweight among women as per NFHS-5 (2019-20)

| State/District              |   Stunted (%) |   Wasted (%) |   Underweight (%) |   Women Underweight (BMI <18.5 kg/m 2 ) (%) |
|-----------------------------|---------------|--------------|-------------------|---------------------------------------------|
| Srikakulam                  |          19.7 |         19.5 |              21.4 |                                        13.8 |
| Vizianagaram                |          36.4 |         19.2 |              32.2 |                                        16.9 |
| Visakhapatnam               |          31   |         21.5 |              33.5 |                                        17.4 |
| East Godavari               |          23.1 |         14.3 |              22.4 |                                        10.2 |
| West Godavari               |          31.4 |         11.7 |              22.5 |                                        10.1 |
| Krishna                     |          29.8 |         14.3 |              21.1 |                                        10.5 |
| Guntur                      |          23.8 |         17.8 |              26.9 |                                         9.6 |
| Prakasam                    |          22.6 |          8.7 |              24.7 |                                        14.4 |
| Sri Potti Sriramulu Nellore |          29.2 |         17.2 |              27.8 |                                        15.2 |
| Y.S.R.                      |          34.4 |         14.1 |              26.7 |                                        15.9 |
| Kurnool                     |          50.5 |         16.7 |              46.3 |                                        20.6 |
| Anantapur                   |          36   |         19.3 |              40.6 |                                        21.9 |
| Chittoor                    |          27.1 |         14.8 |              27.9 |                                        20.1 |
| ANDHRA PRADESH              |          31.2 |         16.1 |              29.6 |                                        14.8 |