(maternal and child nutrition)
2008 mv‡j cÖKvwkZ j¨vb‡mU wmwi‡Ri welqe¯‘ wQj gv Ges wkïi Acywó h_v Le©vK…wZ, ¶xYZv Ges Acwinvh© wfUvwgb I
Lwb‡Ri Afve| †mLv‡b Avgiv gv Ges wkïi Acywó mgm¨vi we¯@vi, Gi Zvr¶wYK Ges `xN©‡gqv`x cwiYvg Ges Gi Rb¨ cywó
msµvš@ cÖgvwbZ Kvh©µg hv e¨vcKfv‡e Ges mvg¨Zvi wfwˇZ e¨envi Kiv hv‡e Zv cwigvc Kivi †Póv Kiv n‡q‡Q|
Mf©aviY †_‡K ïi“ K‡i wkïi 2q Rb¥w`b GB 1000 w`‡bi gv‡S mylg cywó Ges ¯^vfvweK e„w×i cÖ‡qvRbxqZv Ges Rxebe¨vcx
Gi cÖfve-GB welqwU 2008 mv‡ji j¨vb‡mU wmwi‡RB cÖ_g D‡V Av‡m| GB wmwiRwU Avi K‡qKwU ¸i“Z¡c~Y© welq †hgb
RvZxq cywó Kg©m~wP, ¯^v¯’¨ Kg©m~Pxi mv‡_ GKvZ¥Zv, Ab¨vb¨ Kvh©µ‡gi mv‡_ ch©vß mgš^^q Ges wek¦e¨vcx wewfbœ cywó Kvh©µg Ges
`vZv‡Mvwó, wPš@vwe`, mykxj mgvR I e¨w³ gvwjKvbvaxb cÖwZôv‡bi wfZ‡i mgš^‡qi ¸i“Z¡ wb‡q Av‡jvPbv K‡i‡Q|
5 eQi c‡ii GB wmwi‡R Avgiv c~e©eZx© mgm¨v¸‡jv‡K bZzb Z_¨ DcvË w`‡q ch©v‡jvPbvi cvkvcvwk wb¤œ Ges ga¨ Av‡qi
†`k¸‡jv‡Z gv Ges wkï‡`i µgea©gvb gvÎvwZwi³ IRb wb‡q Av‡jvPbv K‡iwQ| Gme †`‡ki A‡bK¸‡jv‡ZB Le©vK…wZ ev cywói
Afv‡ei cvkvcvwk GKB mv‡_ ¯’j
’~ Zv GKwU µgea©gvb ˆØZ mgm¨v n‡q †`Lv w`‡q‡Q|
wmwi‡Ri cÖ_g †ccviwU‡Z eqmwÜKvj (†g‡q‡`i Rb¨) n‡Z ïi“ K‡i Mf©aviY Ges cieZx© wkï Ae¯’v, Rxeb Kv‡ji GB wewfbœ
mg‡q cywói f~wgKv Ges c~Y© eqmKv‡j Gi cÖfv‡ei Dci Av‡jvPbv Kiv n‡q‡Q| wØZxq †ccviwU‡Z cywó‡Kw›`ªK wewfbœ Kvh©µ‡gi
cÖgvbwfwËK ch©v‡jvPbv Ges G‡`i ev¯@evq‡bi Kvi‡Y Rb‡Mvwôi ¯^v¯’¨MZ djvdj I Zvi e¨q wb‡q Av‡jvPbv K‡i‡Q| cywó
ms‡e`bkxj Kvh©µg Ges cywó‡K DbœZ Kievi j‡¶¨ GBme Kvh©µ‡gi m‡eŸ©vËg cš’v wba©viY wb‡q Av‡jvPbv n‡q‡Q Z…Zxq
†ccviwU‡Z| wmwi‡Ri PZz_© †ccviwU‡Z GB mKj cywó Kvh©µ‡gi mdjZvi Rb¨ †h Dchy³ cwi‡e‡ki cÖ‡qvRb Zvi ¸i“Z¡ Ges
wKfv‡e GB cwi‡ek‡K j¶¨ AR©‡bi Rb¨ cÖfvweZ Kiv hvq Zv ejv n‡q‡Q| K‡qKwU gš@e¨c‡Îi ga¨ w`‡q wb¤œ Ges ga¨ Av‡qi
†`k¸‡jv‡Z RvZxq Ges Avš@R©vwZKfv‡e GB gyn~‡Z© gv Ges wkï‡`i cywó I weKvk wb‡q wK ai‡Yi Kvh©µg Pj‡Q Ges wK
ai‡Yi Kvh©µg Pvjv‡bv DwPZ GB me welq ch©v‡jvPbv Kiv n‡q‡Q|
ev¯@evqb †¶Î approach
-
š@
1|Page
(a new conceptual framework)
eZ©gvb GB wmwi‡Ri †ccvi¸‡jvi GKwU cwiKwíZ KvVv‡gvi Dci wfwË K‡i ˆZix Kiv, hvi gva¨‡g åƒY Ges wkïi m‡eŸ©vËg
e„w× Ges weKv‡ki cš’v¸‡jv Zz‡j aiv n‡q‡Q| GB cwiKwíZ KvVv‡gv‡Z wkïi ch©vß cywó kvixwiK e„w× Ges gvbwmK weKv‡ki
wbqvgK mg~n †hgb Lv`¨vf¨vm, AvPiY Ges ¯^v¯’¨wewa BZ¨vw`i cÖfve Ges Gme wbqvgK mg~‡ni Dci Lv`¨ wbivcËv, cwiPh©v
e¨e¯’v, cÖvK„wZK cwi‡ek Gme welq¸‡jvi cÖfve wb‡q Av‡jvPbv hv wKbv RvZxq Ges ˆewk¦Kfv‡e mvgvwRK I A_©‰bwZK Ae¯’v,
m¤ú` I mykvmb Øviv wbqwš¿Z| G wmwi‡Ri Av‡jvPbvq D‡V G‡m‡Q †h wKfv‡e Gme wbqvg‡Ki cwiKwíZ e¨envi Ges
wbqš¿‡Yi gva¨‡g kvixwiK e„w× Ges gvbwmK weKvk‡K Av‡iv Zivwš^Z Kiv hvq †hLv‡b cywó‡Kw›`ªK Kvh©µg¸‡jv Ach©vß e„w×
Ges weKv‡ki Zvr¶wbK KviY¸‡jv Ges cywóevÜe Kvh©µg¸‡jv Acywói jyKvwqZ KviY Ges G‡`i cÖfve wb‡q Av‡jvPbvi
gva¨‡g cywó welqK wbw`©ó j¶¨ Ges Zv AR©‡bi c_ w¯’i Ki‡Z cv‡i| e„w× Ges weKvk‡K Zivwš^Z Kivi Rb¨ †h Kvh©Kix
cwi‡ek cÖ‡qvRb Zv ˆZixi iƒc‡iLvI G KvVv‡gv‡Z D‡V G‡m‡Q|
(an unfinished agenda for undernutrition)
5 eQi Av‡M Ôw` j¨vb‡mUÕ gv I wkï‡`i Acywó wb‡q cÖKvwkZ wmwiRwU RvZxq I Avš@R©vwZK ivR‰bwZK cwigÛ‡j e¨vcK
Drmvn ˆZix K‡i hvi djkÖwZ‡Z wek¦e¨vcx Acywói nvi Kwg‡q Avbevi Rb¨ ivR‰bwZK A½xKvi ˆZix nq| AwaKvsk Dbœqb
ms¯’v GB 2008 mv‡ji wmwi‡Ri Dci wfwË K‡i Acywó ‡gvKv‡ejv Kivi Rb¨ Zv‡`i mvsMVwbK ‡KŠkj cwieZ©b K‡i Ges
Mf©aviY n‡Z ïi“ K‡i wkïi 2 eQi ch©š@ ‡h mgqKvj, GB 1000 w`‡bi Dci me©vwaK ¸i“Z¡ Av‡ivcY K‡i Scaling Up
Nutrition (SUN) Av‡›`vjb GB bZzb Avš@R©vwZK ivR‰bwZK A½xKv‡ii Ab¨Zg g~j PvwjKvkw³ wnmv‡e KvR K‡i| wb¤œ I
ga¨ Av‡qi ‡`k¸‡jv‡Z RvZxq ch©v‡qi ivR‰bwZK A½xKvi, `vZv‡Mvwôi mvnvh¨ cÖ`vb Ges ‡emiKvix Lv‡Zi mn‡hvMxZv Gme
cÖwZwU ‡¶‡ÎB e¨vcK DbœwZ ‡`Lv w`‡q‡Q|
Z‡e GLb ch©š@ wek¦e¨vcx G beRvMi‡Yi cÖfve GL‡bv ev¯@‡e ‡Zgbfv‡e cwijw¶Z nqwb| cywói Dbœqb mvab GL‡bv GKwU
weivU Amgvß welq| wek¦e¨vcx 165 wgwjqb Le©vKvq wkïi kvixwiK Ges gvbwmK e„w× Ggbfv‡e ¶wZMÖ¯’ n‡”Q hv Av‡iKwU
cÖRb¥‡K Zv‡`i h_vh_ gvÎvi Zzjbvq Kg Drcv`bkxj K‡i Zzj‡e| ‡Kvb ‡`k `vwi‡`ªi k„sLj n‡Z gy³ n‡q (sustained)
A_©‰bwZK AMÖMwZ ZZ¶Y ch©š@ jvf Ki‡Z cvi‡ebv hZ¶Y ch©š@ bv Zvi RbMb h_v_©fv‡e cywó cv‡”Q|
cywói Kvi‡Y GKwU †`k A_©‰bwZK AMÖMwZ †_‡K Kgc‡¶ kZKiv 8 fvM ewÂZ nq hv cÖZ¨¶ Drcv`b ¶gZv n«vm, AbybœZ
eyw×e„wË Ges wk¶vi Afv‡ei mv‡_ A½vAw½fv‡e RwoZ| G Ae¯’vi DbœwZ Kiv Qvov Avgv‡`i Avi †Kvb c_ †bB|

Low Burden


Rb¨ Aš@wb©wnZ Kvh©µg- Lv`¨ wbivcËv, gvZ…Z¡ Ges
cÖmeKvjxb mg‡q cwievi Ges KwgDwbwU chv©‡q chv©ß †mev `vbKvix myweav/ms¯’vb, ¯^v¯’¨ cwi‡mev e¨envi Kivi my‡hvM Ges
GKwU wbivc` I ¯^v¯’¨Ki cwi‡ek Ges cywói wbw`©ó¨ j¶¨ I c`‡¶c Aš@fw©y ³KiY|


(burden of nutritional condition-undernutrition in LMICs)
2|Page
burden of nutritional conditions, undernutrition in
LMICs)
‰kkeKvjxb eq‡mi mv‡_ Kg D”PZv ev Le©vKvq nIqv wkï‡`i Acywói cÖavb wb‡`©kK| KviY Zv ¯^í I ga¨ Av‡qi †`k¸‡jv‡Z
AwZgvÎvq cwijw¶Z nq Ges ¯^v¯’¨ I Dbœq‡bi †¶‡Î Gi ¸i“Z¡ Acwimxg| GR†b¨ wkï‡`i ‰`wnK cwigv‡ci wb‡`©kK wn‡m‡e
eq‡mi Zzjbvq Kg IRb ev ÔIRb ¯^íZvÕ †K (Underweight) ev` w`‡q Le©Kvq ev eq‡mi Zzjbvq Kg D”PZv‡K MÖnY Kiv
DwPZ| Le©vK„wZi nvi cvuP eQ‡ii †QvU wkï‡`i ‡¶‡Î ¯^í I ga¨ Av‡qi †`k¸‡jv‡Z 2011 mv‡j wQ‡jv kZKiv 26 fvM|
c~e©eZx© cywó wmwiR Abyhvqx GB nvi 1990 mv‡ji 40% nvi †_‡K n«vm †c‡q 2005 mv‡j 32% n‡qwQj| GQvov we‡k¦i †gvU
Le©vKvi wkïi msL¨v n«vm †c‡q 1990 mv‡ji 253 wgwjqb n‡Z 2005 mv‡j 178 wgwjqb n‡q‡Q Ges Zv µgvš^‡q n«vm †c‡q
2011 mv‡j 165 wgwjq‡b †b‡g‡Q| GB n«v‡mi MociZv evwl©K nvi 2.1%|
WHA
Avµvš@
c¶vš@‡i
(Wasted)
(Severe Wasting) nvi kZKiv 2.9 fvM, hv‡Z we‡k¦i 19 wgwjqb wkï Avµvš@| we‡k¦i kZKiv 70 fvM ¶xYKvq
wkï Gwkqv gnv‡`‡k evm K‡i, hvi AwaKvsk evm K‡i `w¶Y I ga¨ Gwkqvq Ges †mLv‡b kZKiv 15 fvM wkï (28wgwjqb)
Zxeª Acywó‡Z Avµvš@|
AZ¨vek¨Kxq wfUvwgb I Lwb‡Ri e¨vcK AcÖZj
z Zv wkïi †eu‡P _vKv I e„w×i †¶‡Î †bwZevPK cÖfve iv‡L| wfUvwgb ÔGÕ Ges
wRs‡Ki Afve ¯^v¯’¨ I †eu‡P _vKvi †¶‡Î ¶wZKi cÖfve iv‡L| wkïi Le©Zvi mv‡_ Av‡qvwWb I †jŠ‡ni Afve ‡hvM n‡j Zv
wkïi eyw×e„wËi cwic°Zvi my‡hvM n«vm K‡i| wfUvwgb ÔGÕ i Afve `~i Kivi †¶‡Î h‡_ó AMÖMwZ mvwaZ n‡q‡Q| wKš‘ GB
Kvh©µ‡gi eZ©gvb e¨vwß a‡i ivL‡Z bv cvi‡j cwiw¯’wZ AebwZ n‡Z cv‡i, †Kbbv Lv‡`¨ wfUvwgb ÔGÕ i cwigvb GL‡bv AcÖZj
z |
Dciš‘ Abycywói Afve gvZ…¯v^ ‡¯’i DbœwZi Aš@ivq wn‡m‡e KvR K‡i|
wkï‡K ey‡Ki `ya cvb Kiv‡bv GL‡bv wbZvš@ AcÖZj
y , hw`I wKQy †`‡k Gi e¨vcK DbœwZ mvwaZ n‡q‡Q| Ach©vß ey‡Ki `ya cvb
Kiv‡bvi Kvi‡b wkï g„Z¨y i SzuwK R‡b¥i cÖ_g `yB eQ‡i e„w×cvq Ges Gi d‡j eQ‡i 8 j¶ wkï g„Zz¨eiY K‡i|
(Attributable
(NIMS)
Death)
(NIMS)
3|Page
cywó mgm¨v msµvš@ †ivM e¨vaxi ¸i“Z¡c~Y© Z_¨vejx










AvqiY I K¨vjwmqv‡gi Afve gvZ„g„Zz¨i †¶‡Î ¸i“Z¡c~Y© fywgKv cvjb K‡i|
gv‡qi Avqi‡bi Afve wkï Rb¥Kvjxb Kg IR‡bi (<2500 MÖvg) mv‡_ m¤•wK©Z|
gv I wkïi Acywó I DÏxcbvnxb M„n cwi‡ek wkïi e„w×, ¯^v¯’¨ Ges ciewZ©‡Z Drcv`bkxjZvi Aš@ivq|
gv‡qi AwZwi³ IRb I ¯’j
y Zv gvZ„‡ivM, Mf©c~e© cªme Ges wkï g„Zy¨ e„w×i mv‡_ m¤•wK©Z|
Mf©¯’ 僇Yi evavcÖvß e„w×i mv‡_ gv‡qi Le©vKvi I IRb ¯^íZv m¤•wK©Z Ges Gi d‡j beRvZK g„Zy¨ nviI 12% e„w× cvq|
wek¦e¨vcx wkïi Lev©K„wZi nvi ax‡i ax‡i n«vm cv‡”Q| wKš‘ 2011 mv‡ji Z_¨ Abyhvqx Aš@Z 165 wgwjqb 5 eQ‡ii †QvU wkï Le©Kvi wQj|
GQvov 52 wgwjqb wkï ¶xYKvq|
Ach©vß ey‡Ki `ya cv‡bi Rb¨ cÖwZ eQi 8 j¶ wkï g„Zy¨eiY K‡i|
Acywó, hvi Aš@©MZ Mf©¯’ 僇Yi e¨vnZ e„w×, Ach©vß ey‡Ki `yacvb, Le©Zv, ¶xYKvq Ges wfUvwgb G, wRs‡Ki Afv‡ei Kvi‡b kZKiv 45
fvM wkï g„Zz¨eiY K‡i| GB wkï g„Zz¨i msL¨v eQ‡i 3.1 wgwjqb|
wek¦e¨vcx 5 eQ‡ii †QvU wkï‡`i AwZwi³ IRb I ¯’j
y Zvi nvi µgvš^‡q e„w× cv‡”Q Ges hv cÖvß eq‡m Wvqv‡ewUm I Ab¨vb¨ `xN©‡gqv`x
†iv‡Mi nvi e„w× K‡i|
Mfv©e¯’vq IRb ¯^íZv, 僇Yi e„w× Ges Rb¥ cieZ©x cÖ_g `yB eQ‡ii wkïi e„wׇK cÖfvweZ K‡i, hv †hŠ_fv‡e Le©Zv Ges cieZ©x ¯’j
y Zv I
cªvß eq‡m AmsµvgK †iv‡Mi ¸i“Z¡c~Y© KviY|
(maternal, newborn child nutrition)
Mf©aviY Kivi ci Ges cieZx© Mf©Kvjxb mg‡q gv‡qi cywó Zvi ¯^v¯’¨ Ges †m mv‡_ M‡f© wkïi mwVK e„w× ev cwiea©‡bi Rb¨ ‡h
GKwU ¸i“Z¡c~Y© f‚wgKv cvjb K‡i _v‡K Zv Avev‡iv ‡Rvov‡jvfv‡e cÖwZwôZ n‡jv|
Small - for-gestational age
Preterm
Small - for-gestational age
(Non-communicable disease)
AcywónxbZv †hgb (Mf©¯’ 僇Yi evavcÖvß e„w×, Ach©vß ey‡Ki `ya cvb Kiv‡bv,Le©vKvi, ¶xYKvq Ges wfUvwgb ÔGÕ I wR¼ Gi
Afve) kZKiv 45 fvM 5 eQ‡ii bx‡Pi wkï g„Zz¨i Ges cÖwZ eQi 3 wgwjq‡bi †ekx g„Z¨z i KviY (6.9 wgwjqb g„Zz¨i gv‡S 3.1
wgwjqb wkï g„Zz¨ 2011 mv‡j)| 1.3 wgwjqb msL¨K 5 eQi Kg eqmx wkï g„Zy¨i KviY cÖavbZ Mf©¯’ 僇Yi evavcÖvß e„w× I
Ach©vß ey‡Ki `ya cvb Kiv‡bv| Ab¨fv‡e ejv †h‡Z cv‡i mKj 5 eQ‡ii bx‡Pi wkï g„Zz¨i kZKiv 19.4 fvM D‡cv‡iv³ 2 wU
Kvi‡Y n‡q _v‡K| hv wKbv Acywó RwbZ mKj wkïg„Zy¨i 43.5 fvM| Dchy³ cywó Rxe‡bi cÖviw¤¢K mg‡q h_vh_ eyw×e„wËK
weKv‡ki Rb¨ AZ¨š@ cÖ‡qvRb| wKš‘ A‡bK mgq †`Lv hvq ‡h, wkïi eyw×e„wËK SuzuwK †hgb Ach©vß gvbwmK DÏxcbv Ges
kvixwiK Acywó GKB m‡½ weivR K‡i| GRb¨ M„‡n wkïi Rb¨ gvbwmK DÏxcbvi Stimulation
GB bZzb M‡elYvjä Z_¨vw` Ò1000 w`‡bi Kvh©µgÓ Gi Dci AveviI †Rvo w`‡q‡Q| G Ò1000 w`‡bi Kvh©µgÓ cÖ‡qvM Kiv
nq Mf©Kvjxb †_‡K wkïi 2 eQi eqm ch©š@| cÖv_wgK Mf©ve¯’vq Ggb wK Mf©ve¯’vi c~‡e©I D³ Kg©m~Pxi cÖ‡qvRbxqZv †`Lv
†`q| †h‡nZz A‡bK gwnjv Av‡Qb hviv 5-6 gvm Mf©Kvj AwZµvš@ nevi ciI †Kvb iKg cywó msµvš@ †mev cvq bv †m‡nZz
gwnjv‡`i h_vh_ cywó Ae¯’v wb‡qB Mf©Kvj ïi“ Kiv DwPZ| wK‡kvixi‡`i Rb¨ ¯^v¯’¨ I cywó ‡mev cÖ`v‡bi GB bZzb †¶Î e‡q
Avb‡Z cv‡i AwaKZi mydj| gv I wkï ¯^v†¯’¨i DbœwZ j‡¶¨ wK‡kvix eq‡m ¯^v¯’¨ †mevq AwaKZi `„wócvZ Kiv n‡”Q| KviY
eQ‡i 10 wgwjq‡bi †ekx 18 eQ‡ii Kg eqmx wK‡kvixiv weevn e܇b Ave× n‡”Q|
4|Page
wekvj G Acywói mgm¨v jvNe Ki‡Y wewfbœ eq‡m ev av‡c †hgb Mf©c~e©eZ©x Kvjxb mg‡q, wK‡kvix eq‡m I Aíeq¯‹ gv hviv
cÖ_g Mf©aviY Ki‡Q Zv‡`i †K j¶¨ K‡i wewfbœ iKg cÖgvb/Z_¨ wfwËK Kvh©µg †`‡k ïi“ Kiv DwPr| hw`I j¶¨ AR©‡b
Pvwn`v †gvZv‡eK gv ev wK‡kvix‡`i mbv³KiY GKwU weivU Aš@ivq|
prevention of maternal deaths)
gvZ…g„Z¨z i Rb¨ AvqiY I K¨vjwmqv‡gi Afve GKwU wekvj f‚wgKv cvjb K‡i _v‡K| c~e©eZx© wewfbœ M‡elYvq cÖgvwbZ n‡q‡Q †h
gvZ…gZ
„ z¨i Rb¨ i³¶i†Y m„ó i³¯^íZv (‡gvU g„Z¨z i 23%) GKwU cÖavb Kvib| Dciš@ GI cÖgvwbZ †h K¨vjwmqv‡gi Afv‡ei
Kvi‡b Mf©Kvjxb wLuPzbx nevi SuywK A‡bKvs‡k †e‡o hvq hv gvZ…g„Zz¨i wØZxq cÖavb Kvib (19% g„Zz¨)| GB `yB LwbR c`v‡_©i
Afve c~iY A‡bKvs‡k gvZ…gZ
„ z¨ Kwg‡q w`‡Z cv‡i|
emerging burden of obesity)
wek¦e¨vwc we‡klZ Dbœqbkxj †`k mg~‡n gvÎvwZwi³ IRb I ¯’j
z Zvi nvi 5 eQi Kg eqmx wkï‡`i gv‡S A‡bKvs‡k †e‡o †M‡Q
hv wK bv GKwU ¸i“Z¡c~Y© KviY wnmv‡e KvR K‡i cÖvß eq¯‹‡`i gv‡S ¯’j
z Zv, Wvq‡ewUm Ges A-msµgY (Noncommunicable disease)
cÖgvb K‡i †h, cÖPwjZ aviv cwieZ©‡bi Rb¨ mdj Kvh©µg I Kg©m~Pxi ev¯@evq‡bi cÖ‡qvRbxqZv i‡q‡Q| cÖv_wgK ch©v‡q D”PZv
Abyhvqx AwZwi³ IRb †K mbv³Kib Ri“ix|
(furthering the evidence to improve
maternal and child nutrition)
2008 mv‡j j¨vb‡mU wmwiR cÖKvkbvi ci n‡Z bvbv iKg cywó msµvš@ Kvh©µg e¨vcK nv‡i cwiPvwjZ n‡q‡Q| djkÖ“wZ‡Z
Kvh©Ki Kg©m~Px I ev¯@evqb ‡KŠk‡ji Dci jä AwfÁZv I Áv‡bi we¯@„wZ N‡U‡Q|
Rxe‡bi wewfbœ avc‡K j¶¨ K‡i Ggb 10 wU cywó †Kw›`ªK Kvh©µg †h¸‡jv gwnjv (mš@vb Drcbœ¶g) Mf©eZx gwnjv ev beRvZK
I wkï‡`i Acywó I AYycywói Afve †iv‡a KvR K‡i †h me Kvh©µg †K wb‡q Zv‡`i Kvh©¶gZv I Kvh©e¨vwßi †¶‡Î e¨‡qi
ch©‡jvPbv Kiv nq| Kvh©µg ¸‡jv †hgb Mf©c~e©Kv‡j dwjK Gwm‡Wi weZiY, gv‡qi Rb¨ kw³ I Avwgl cÖavb mylg m¤•~iK
Lv`¨, gvÕ †`i Rb¨ K¨vjwmqvg weZiY, Mf©ve¯’vq wewfbœ Abycywó Dcv`vb, gvZ…`y»`v‡b cÖPvi I mg_©b, wkïi mwVK cwic~iK
Lvevi, wfUvwgb ÔGÕ weZiY Ges 6-59 gv‡mi wkï‡`i gv‡S wR¼ cÖ`vb Ges gvivZ¡K Zxeª Acywói e¨e¯’vcbv, gvSvix Zxeª
Acywói e¨e¯’vcbv|
hw` GB 10 wU cªgvwbZ cywó †Kw›`ªK Kg„m~Px eZ©gvb ev¯@evqb gvÎv †_‡K evwo‡q 90 kZvs‡k DbœxZ Kiv hvq Z‡e 34 wU
D”PgvÎvq Acywó mgm¨v KewjZ †`‡k 90,0000 Rxeb i¶v Kiv m¤¢e n‡e| (G me †`‡k we‡k¦i 90 kZvskB evm K‡i)|
GQvovI Le©vKvi I ¶xYZv nIqvi nvi h_vµ‡g nvi 20 I 60 kZvsk K‡g hv‡e| Gfv‡e Le©vKvi wkïi msL¨v wek¦e¨vcx 33
wgwjqb K‡g hv‡e|
5|Page
we¯@vi msµvš@
(cost of scaling up proven interventions)
(Nutrition specific)
i“
¯@v
(Discounted Life Year)
cwievi cwiKíbv,
‡`ix‡Z cÖ_g mš@vb Mªnb,
`yBwU Mfv©e¯’vi Aš@e©Z©x
mgq e„w×, Mf©cvZ †mev,
g‡bvmvgvwRK †mev
i“
š@v
gw¯@‡®‹
¶
‡mev cÖ`vb †¶Î mg~n: KwgDwbwU †mev cÖ`vb †¶Î, wkï‡ivM mgwš^Z e¨eš’vcbv, wkï ¯^v¯’¨ w`emmg~n, ¯‹zj‡Kw`ªK ¯^v¯’¨ †mev,
A_©‰bwZK †¶Î, Lv`¨ mg„w×KiY †KŠkjvw`, Ri“ix Ae¯’vq cywó †mev
(the promise of emerging
interventions and delivery strategies and platforms)
(fortification)
(conditional)
(unconditional)
(IMCI),
i“
6|Page
š
(unlocking the potentinal of nutrition-sensitive programmes)
cywó †Kw›`ªK Kvh©µg QvovI cywói DbœwZ mva‡bi Rb¨ mivmwi cywó welqK bq wKš‘ cywóevÜe Ggb Dbœqb Kvh©µg¸‡jv‡KI
DbœZ Kiv Ges e¨vcK AvKv‡i Qwo‡q †`qv cÖ‡qvRb| cywó ms‡e`bkxj Kvh©µg¸‡jv cywói wbqvgK wewfbœ welqe¯‘ ‡hgb `vwi`ª,
Lv`¨ AwbivcËv Ges ¯^v¯’¨ e¨e¯’vi AcÖZj
z Zv; BZ¨vw` welq we‡ePbv K‡i Ges wbw`©ó cywó j¶¨gvÎv Kvh©¨µ‡g Aš@f³
©~ K‡i|
Gfv‡e cywó‡Kw›`ªK Kvh©Kjv‡ci e¨vcK we¯@vi I Kvh©KvixZv m¤¢e|
ch©v‡jvPbvq ‡`Lv ‡M‡Q ‡h m¤¢ve¨ cywó ms‡e`kxj wewfbœ Kvh©µg ‡hgb K…wlLvZ, mvgvwRK wbivcËv ‡eóbx, wkï‡`i cÖviw¤¢K
kvixwiK Ges gvbwmK weKvk, wk¶vKvh©µ‡g cywó‡mev Aš@f³
©~ Ki‡j Zv Acywói Aš@©wbwnZ welq¸‡jvi cÖwZKvi K‡i cywói
Dbœqb NUv‡Z cv‡i| hw`I G e¨vcv‡i Av‡iv M‡elYvi cÖ‡qvRb Av‡Q|
mywbw`©ó K…wlwelqK Kg©m~Pxi ¸i“Z¡c~Y© f~wgKv i‡q‡Q RxweKv, Lv`¨wbivcËv, Lv`¨gvb Ges bvix ¶gZvq‡bi Dci Ges
ˆewk¦Kfv‡e K…wl Drcv`b e„w× Kivi ‡h cÖ‡Póv Zv‡Z mnvqK wnmv‡e KvR K‡i Ges GKB mv‡_ K…l‡Ki Avq e„w× I ‡fv³v‡K
Lv‡`¨i D”Pg~‡j¨i nvZ ‡_‡K i¶v K‡i| Z‡e cywói Dci mivmwi cÖfve GL‡bv m‡›`nvZxZfv‡e cÖgvwbZ bq 2/1 wU e¨wZµg
Qvov| ‡hgb M„‡n meRxi
(homestead garden)
(bio-fortified)
(behavior change communication)
i“
¯@
$
š@
š@
$
$
¶
$
7|Page
( key messages on nutrition specific interventions)

(preconception period)
kÖ“

IUGR
(Small for gestational age)

(Multiple Micro-nutrition
Supplement)


wcÐ
fortified/unfortified
š@

i“
iƒ


š@
(conditional cash transfer)
i“
š@


š@

¶v
multiple micronutrient

š@
š@
š@

8|Page
i“
interventions and programmes)
(Key messages on nutrition-sensitive

¶
sensitive
nutrition specific
nutrition sensitive

¶
¶
kÐ
¯@
jÐL
Nutrition
i“
targeted
¶
¶
nutritionally at risk

¶
¶
targeted
nutrition goal

¶
orange sweet potato
micronutrient
š@

¶ nutrition goal
š^
š^
Stimulation
¶

¶
wkÐ
¶
š@
jÐ

š@
kÐ
jÐ
nutrition sensitive
š@

¯@

¶ nutrition goal
¯@
deliver nutrition result)
nutrition sensitive
š@©
¶
(building an enabling environment to
2008 mvj †_‡K wek¦e¨vcx cywó msµvš@ `„k¨c‡Ui †gŠwjK cwieZ©b G‡m‡Q| 2008 mv‡ji wmwi‡R GUv cwiwjwLZ nq †h cywó
welqK Kg©hÁ cwiPvjbv c×wZ wQ‡jv Kg Kvh©Ki Ges eû wef³| we‡klfv‡e Rbcywó evZv© †cÖiY, AMÖvwaKvi wbav©iY Ges
Znwej eiv‡Ïi †¶‡Î| 2008 mv‡ji wmwi‡R Dc¯’vwcZ mycvwikgvjvi gv‡S wQ‡jv Rxe‡bi cÖ_g 1000 w`b‡K ÔDB‡Ûv Ae
AvDUKvgÕ wn‡m‡e wPwýZKiv| GK ¸”Q AZ¨š@ dj`vqK Kvh©µg wPwýZ Kiv hv‡Z cywó Lv‡Z AwaK A_© eivÏ AMªvwaKvi cvq|
djkÖ“wZ‡Z 2008 mv‡ji ci †_‡K wek¦e¨vcx cywó ‡¶‡Î A‡bK DbœwZ n‡q‡Q|
(SUN)
š@
9|Page
i“
(key messages on enabling
environments for nutrition)
 wewfbœ †`k †_‡K cªvß AwfÁZvi Av‡jv‡K GB cÖgvwYZ ‡h Zrci Kg©m~Pxi gva¨‡g Acywó `ª“Z n«vm Kiv m¤¢e|
 RbM‡Yi `y`©kv jvNe I e¨vcK wfwËK Dbœq‡bi Rb¨ ivRbxwZwe` bxwZwbav©K‡`i Aek¨B cywó‡K›`ªxK Kvh©µg‡K cÖvavb¨ w`‡Z n‡e I RvZxq
Dbœqb cÖwµqvq cywó‡K m¤•„³ Ki‡Z n‡e|
 cywó-mykvmb I bxwZ m¤•‡K© cÖKvwkZ bw_¸wj cywó m¤•wK©Z DbœZ cwi‡e‡ki Rb¨ cª‡hvR¨ 3 wU welq GKgZ n‡q‡Q †m¸‡jv n‡”Q: Ávb I
cªvgvwbK Z_¨, ivRbxwZ Ges kvmb cÖwµqv Ges m¤•` I ¶gZv|
 Acywó n«vm‡K AivR‰bwZK welq wn‡m‡e we‡ePbv n‡e A`~i`wk©Zvi cÖ`k©b| RbM‡bi cÖwZ iv‡óªi Revew`wnZv, m¤•‡`i weZiY, ‡emiKvix
Lv‡Zi mswkÐóZv Ges RvZxq I ¯’vbxq cwigÛ‡ji Kvh©¨Ki I h_v_©© mgbœ‡qi g~‡j i‡q‡Q ivR‰bwZK `~i`wk©Zv|
 ivR‰bwZK cÖwZkÖƒwZ Lye ZvovZvwo Av`vq Kiv m¤¢e| ZvB †ekx cÖwZkÖƒwZ †`qv DwPZ bq| fv‡jv djvdj Av`v‡qi Rb¨ wewfbœ ai‡bi †KŠkj I
`¶Zv cÖ‡qvRb|
 GKwU AMÖMwZ AR©b Kivi Rb¨ Ges AMÖMwZ‡K eRvq ‡i‡L Zv ev¯@‡e iƒc`vb Ki‡Z wewfbœ av‡c I wewfbœ `„wó‡KvY †_‡K cywói Rb¨ †bZ„Z¡
cª`vb LyeB Ri“ix|
 mvsMVwbK ¶gZvq‡bi Rb¨ `xN©‡gqv`x myô c×wZ ev¯@evq‡b RvZxq I Avš@R©vwZK mnvqZv Qvov cywói µgvMZ DbœwZ mvab m¤¢e bq|
 cywói Dbœqb Z¡ivwš^Z Ki‡Z †emiKvix cÖwZôvb¸wj AMÖYx f~wgKv cvjb Ki‡Z cv‡i| wek¦vm‡hvM¨ I cÖgvYxZ Z_¨vw`i Afv‡e †emiKvix
cÖwZôv‡bi BwZevPK f~wgKv Abyave‡bi cÖ‡Póv evavMÖ¯’ n‡q‡Q|
 ‡h‡nZz GLb cywó Kvh¨©µ‡gi ev¯@evq‡bi cÖwZ bRi †`Iqv n‡”Q A‡bK †ekx ZvB cywó‡mev cÖ`vb, Kg©mP~ x ev¯@evqY, we¯@vi jvf Ges ¯’vbxq
cwi‡cÖw¶‡Z Gi Dci ev¯@evqYg~jK M‡elYv (operational research)
kÐ
i“
š@
eÐ
(improvement of data, research and
accountability for results)
š@
kÐ
¯@
i“
¯@
i“
10 | P a g e
(biomarker)
¯@
¯@
š@
kÖƒ
(commitment indices)
¯@
engagement and regulation of private sector)
kÐ
š@
kÐ
(Food Industry)
fortification
š@
š@
International Code of Marketing of Breastmilk Substitutes)
( mobilization of resources)
š@
š@
kÖƒ
¯@
i“
(Political Economy Approval)
Z¨š@ i“
š@ i“
¯@
š@
š@
kÐ
11 | P a g e