·PIB·15 marks·250–350 words

India faces a 'double burden of malnutrition.' Critically analyse the policy response, citing recent nutrition campaigns and NFHS-5 findings.

In this answer
  1. The nature of the double burden
  2. Strengths of the policy response
  3. Critical limitations

Malnutrition in India is no longer a story of deficit alone. NFHS-5 (2019-21) shows under-five stunting falling from 38.4% to 35.5% and underweight from 35.8% to 32.1% [1], even as overnutrition spreads — a genuine double burden that policy has begun to acknowledge but not yet master.

The nature of the double burden

  • Persistent undernutrition: despite NFHS-5 gains, more than a third of under-five children remain stunted, and progress is incremental rather than transformative [1].
  • Rising overnutrition: obesity and diet-related non-communicable disease now coexist with hunger in the same households, prompting the "Mindful Eating" pillar of the 8th Rashtriya Poshan Maah (2025) [1].

Strengths of the policy response

  • Institutional consolidation: POSHAN Abhiyaan (launched 8 March 2018, Jhunjhunu) was folded into Mission Saksham Anganwadi and Poshan 2.0, merging supplementary nutrition with behaviour change [2][3].
  • Fiscal commitment: PM POSHAN carries an outlay of ₹1,30,794.90 crore (2021-22 to 2025-26) [3].
  • Technology-led monitoring: over 13 lakh Anganwadi workers use smartphones linked to the Poshan Tracker, with ~13.87 lakh centres given growth-monitoring devices [1].
  • Jan Andolan approach: annual Poshan Maah every September mobilises panchayats, schools and health facilities [4]; the 9th edition (2026, Varanasi) theme "Hamari Anganwadi, Hamari Jimmedari" shifts emphasis to community ownership [5].

Critical limitations

  • Campaign-centric design: month-long drives risk episodic activity over year-round service delivery.
  • Supply-side gaps: only 2 lakh centres are being upgraded as Saksham Anganwadi Centres with water, sanitation and ECCE material — a minority of the network [1].
  • Weak obesity architecture: undernutrition retains institutional depth; the overnutrition arm remains largely awareness-based, without comparable delivery machinery.

The response has matured from food supplementation to a convergent, data-driven nutrition ecosystem, yet remains asymmetric across the two burdens. Strengthening Anganwadis as permanent community-owned hubs, universalising the Saksham upgrade, and building an obesity-response arm equal to the stunting one would align the mission with SDG-2 and the stated goal of a Suposhit Bharat by 2047 [1].

Sources

  1. 18th Rashtriya Poshan Maah 2025 Concludes in Dehradun – Call for a Suposhit Bharat by 2047, PIBNFHS-5 stunting/underweight figures, Mindful Eating pillar, Poshan Tracker and smartphone/growth-device coverage, 2 lakh Saksham Anganwadi Centres, Suposhit Bharat 2047
  2. 2POSHAN Abhiyaan, PIBlaunch on 8 March 2018 at Jhunjhunu, Rajasthan
  3. 3Mission Poshan 2.0 – Strengthening India's Nutrition Ecosystem, PIBmerger of SNP and POSHAN Abhiyaan; PM POSHAN outlay of ₹1,30,794.90 crore (2021-22 to 2025-26)
  4. 4Poshan Maah: Building a Healthier, Stronger Nation Through Nutrition, PIBannual September observance as a Jan Andolan across panchayats, schools and health facilities
  5. 5Press Information Bureau, Ministry of Women and Child Developmentlaunch of the 9th Rashtriya Poshan Maah 2026 at Varanasi, theme "Hamari Anganwadi, Hamari Jimmedari"

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