GS Paper-3

Malnutrition UPSC: Types, Causes, Consequences & Challenges

Malnutrition is a heavy burden on the public health of India. It affects children, adults, and the aged, weakening the workforce, which eventually deteriorates the country’s potential workforce. Malnutrition can thus cause stunted growth in children or adults and a weakened immune system. Knowing the types, causes, and possible solutions to the problem of malnutrition is necessary.

  • Malnutrition can also be a deficiency or an excess of nutrients in the body.
  • Malnutrition comes in two major forms: undernutrition and overnutrition
  • Undernutrition is still the most common in poor regions.
  • Government interventions are the primary tools for the fight against Malnutrition in India.
GS PaperGS Paper III
Topics for UPSC PrelimsImpact of malnutrition on economic growth and human capital, Government policies addressing malnutrition, Challenges in eradicating malnutrition in India, International efforts and partnerships to combat malnutrition
Topics for UPSC MainsImpact of malnutrition on economic growth and human capital, Government policies addressing malnutrition, Challenges in eradicating malnutrition in India, International efforts and partnerships to combat malnutritio

What is Malnutrition?

Malnutrition refers to the state where the human body fails to acquire enough nutrients. This state of malnutrition can be caused by insufficient vitamins, minerals, proteins, or even an excess of certain nutrients. The complications are many, cutting down a person’s level of well-being. In addressing what is malnutrition, it is the coexistence of the primary terms, which come in two flavors-undernutrition and overnutrition, as two extremes of the same problem.

Types of Malnutrition

Types of Malnutrition outline the different ways under and over-consumption of nutrients affects health. Undernutrition and overnutrition are the two primary types, relating to micronutrient deficiencies affecting people of all ages. There are several distinct types of Malnutrition, which create their own sets of causes and effects:

Undernutrition

Overnutrition is a state in which one does not take sufficient amounts of calories, proteins, or micronutrients in the body. Its effects include stunted growth, wasting, and underweight conditions. It is highly prevailing in regions characterized by poverty and food scarcity. Most children and pregnant women suffer from undernutrition, thereby being exposed to several health complications.

Overnutrition

This happens when an individual intakes excess calories or junk food beyond what their body requires. It leads to obesity, diabetes, and heart disease. Overnutrition is highly related to a diet that is high in fats and sugar, combined with sedentary ways of life which have received more attention as a global health problem.

Micronutrient deficiencies

Such arise from diets lacking essential vitamins and minerals like iron, iodine, and vitamin A. Inadequate critical micronutrients bring about anemia, weakened immunity, and retarded growth. Even when calorie intake is adequate, poor-quality diets will lead to inadequate critical micronutrients, impacting general health.

Causes of Malnutrition

Causes of Malnutrition depend upon the economic, environmental, and social factors of the country. In India, poor economies remain the major cause. Other causes are due to inadequate education, poor sanitation, and lack of healthcare.

Poverty

The primary cause of malnutrition is poverty restricts access to edible healthy food, water, and health care. Families that live in poverty suffer from starvation frequently because nutrition is lacking, and the respective needed nutrients are insufficient, thereby increasing the risk of malnutrition, especially among vulnerable individuals such as children and women.

Lack of Education

Low education, with a disproportionately high number of those who are poorly educated in rural settings, contributes to it. Indeed, they can easily misfeed themselves because they lack training on well-balanced diets and feeding practices, leading to nutrient deficiency. Therefore, educating them on nutrition prevents it and leads to improved health.

Poor Health Care

Poor access to healthcare prevents early diagnosis and treatment of it-related conditions. Infections, diseases, and parasites will go untreated and suck out what little nutrition the body has left. A good health system will prevent and manage it through adequate medical intervention and support.

Poor Sanitation

Lack of pure water and sanitation facilities increases the chance for diarrheal infections, which hampers nutrient assimilation. The relapsing nature of illnesses weakens the body system’s ability to hold or retain nutrients; thus, the level of malnutrition is much higher in children and other vulnerable groups in areas of poor sanitation infrastructure.

Difference between malnutrition and Undernutrition

Here is the Difference Between Malnutrition and Undernutrition in tabular form:

AspectMalnutritionUndernutrition
DefinitionRefers to both undernutrition and overnutrition (nutrient imbalance).Specifically refers to insufficient intake of essential nutrients.
FormsIncludes undernutrition (stunting, wasting, underweight) and overnutrition (obesity).Focuses only on nutrient deficiencies leading to stunting, wasting, underweight.
CausesCaused by poor diet quality, overconsumption, or lack of nutrients.Caused primarily by insufficient food intake or poor nutrition.
Health ImpactCan lead to both undernutrition issues (stunting, wasting) and overnutrition issues (obesity, diabetes).Leads to weakened immunity, stunted growth, and increased susceptibility to infections.
Focus of InterventionAddresses both nutrient deficiency and excess.Primarily focuses on improving intake of deficient nutrients.

Malnutrition Scenario in India

IndicatorPercentage / DataDetails
Stunted Children (Under 5)35.5%Indicates chronic malnutrition, affecting growth and development.
Wasted Children (Under 5)19.3%Shows acute malnutrition, children have low weight for height.
Underweight Children (Under 5)32.1%Reflects low weight for age due to both chronic and acute malnutrition.
Anemic Women (15-49 years)53.1%High prevalence of iron-deficiency anemia among women of reproductive age.
Anemic Children (6-59 months)67.1%Affects young children, often due to poor diet quality and infections.
Underweight Women (15-49 years)18.7%Shows malnutrition among women, leading to health complications.
Child Mortality Rate (Under 5)34 per 1000 live birthsLinked to malnutrition, contributing to higher child death rates.
Global Hunger Index (2023 Rank)107 out of 121 countriesReflects India’s struggle with hunger and malnutrition globally.

Effect of Malnutrition in India

The consequences run wide and deep in the country. The condition has grave implications for individual health but also plays a role in the economic growth of the country. A malnourished child will be more likely to drop out of school and, as such, will earn less later in life.

Stunted Growth in Children

Malnutrition leads to poor development and short stature, ensuring that a child is shorter than his peers. It leads to cognitive impairments, significantly reducing a child’s capacity to learn and eventually affecting his school performance. A stunted child faces serious health problems in the long term, and this may contribute to low productivity in adulthood.

High Death Toll

Pneumonia and diarrhea result in it and increase susceptibility to the above diseases, largely among younger children and pregnant women. Such vulnerability increases morbidity and mortality rates among children under five years of age and leaves a massive footprint in increased maternal mortality rates across India.

Economic Burden

It indeed retards physiological and intellectual development, which entails an impairment to work capacity and productivity. Loses are not only individualistic but also within the economy. This is further compounded by the cost implications of health care in treating conditions related to it. India’s already fragile health care system is burdened even further, yet has a reducing effect on national economic growth.

Lack of Cognitive Development

The outcome impeded the cognitive capabilities of these children, so poor learning and eventually academic performances. This means an inability to learn quickly and capture new ideas during that early age. Cognitive impairment eventually leads to low employability, thereby continuing this vicious cycle of poverty and malnutrition in India.

Healthcare Cost is Higher

The complications arising from the treatment of it together with the treatments themselves continue to place a heavy burden on the health care system in India. Resource utilization from diseases such as anemia, diarrhea, and infections continues to strain resources available, diverting attention from other priority public health concerns and further limiting access to healthcare by a larger population.

Problems in Dealing with Malnutrition in India

This issue in India has been tough to tackle due to the vast population and distributed regional disparities when it comes to health infrastructure, making for a lack of uniformity. Some of the issues that cause challenges in dealing with it in India are:

  • Poor delivery of health care in rural areas.
  • The sociocultural domination that dominates food choices and interprets biased food intake between genders.
  • Less awareness about balanced dieting and nutrition.
  • Improper implementations of government policies.

Initiatives from the Government of India

Various policies and programs have been undertaken by the Government of India to curb malnutrition. The government has initiated wide-range implementations, such as the ICDS, Mid-Day Meal Scheme, and several others, targeting children and women for proper nutrition.

Poshan Abhiyan (National Nutrition Mission)

Launched in 2018, this initiative aims at reducing stunting, undernutrition, anemia, and low birth weight in children and women. The mission focuses on improving nutrition outcomes through community mobilization, mass awareness campaigns, and the use of technology for monitoring and tracking progress across India.

Mid-Day Meal Scheme

This project provides school-going children in government schools and government-aided schools with daily nutrition intake. It aims at increasing nutrition levels, reducing hunger, and improving enrollment and attendance in schools. This initiative promotes the elimination of malnutrition from children’s lives, as they are guaranteed to have at least one well-balanced meal a day .

Integrated Child Development Services (ICDS)

ICDS provides nutrition, pre-school education, and healthcare for children up to six years and pregnant/lactating mothers. Its supplementary nutrition, immunization, and health check-ups deal with malnutrition issues which target the main health improvement areas of young children in rural and deprived areas.

Public Distribution System

The PDS provides subsidized food grain items like rice, wheat, and sugar to the poorer sections of society. The system helps control hunger and malnutrition among the more vulnerable sections of the population due to. NHM is a key contributor to health-related services and nutritional support in rural and urban parts of India.

National Skill Development Mission (NSDM)

NHM is incorporating maternal and child health initiatives that are aimed at fighting it through antenatal and postnatal care. Their improvement in health care has seen the implementation of immunization, nutrition education, and hygiene practices to enhance maternal nutrition and reduce malnutrition of children and women.

Conclusion

The problem of malnutrition can be solved only in connection with the coordinated efforts of governments, health providers, and communities. If existing policies are implemented effectively and education and awareness initiatives are undertaken with a strong focus, India will see good progress in combating malnutrition. In the era of health and prosperity, fighting it is the greatest battle.

Malnutrition UPSC Notes
1. Malnutrition includes both undernutrition and overnutrition, affecting health, productivity, and economic development in India.
2. The causes of malnutrition include poverty, lack of education, insufficient access to food, and inadequate healthcare services.
3. India’s malnutrition data reveals high levels of stunting, wasting, and underweight among children under five years.
4. Malnutrition can lead to cognitive impairments, reduced immunity, and higher vulnerability to diseases.
5. Government initiatives like POSHAN Abhiyaan aim to reduce malnutrition through nutrition-specific interventions and programs.
6. Malnutrition and undernutrition are often interchanged but refer to different health issues; malnutrition is broader.
7. Addressing malnutrition in India is challenged by social inequality, limited healthcare infrastructure, and cultural practices.
8. Improving malnutrition requires a multifaceted approach involving healthcare, education, food security, and social welfare programs.
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