Joint initiative of UNICEF and KIIT University
Statistical profile of maternal and child nutrition: Orissa
The statistical profile of maternal and child nutrition for orissa has been taken out from important national level data sources like DLHS, Economic Survey of Orissa 2009-10 and NFHS. Selected indicators relating to child feeding practices, levels of under nutrition in children, post natal and antenatal care, prevalence of anemia etc has been captured across time in order to arrive at a picture of the state.
Important indicators, maternal and child nutrition, NFHS (Orissa):
Children Feeding practices and Nutrition Status of ChildrenParameters / NFHS III
(2005-06) / NFHS II
(1998-99) / NFHS I
(1992-93)
Children under 3 Years breastfed within one hour of birth (%) / 54.3 / 24.9 / 17.9
Children age 0-5 months exclusively breastfed (%) / 50.2 / na / na
Children age 6-9 months Receiving solid or semi-solid food and breast milk (%) / 67.5 / na / na
Children under 3 years who are wasted (%) / 43.9 / 49.1 / 50.8
Children under 3 years who are underweight (%) / 23.7 / 29.7 / 28.2
Children under 3 years who are stunted (%) / 39.5 / 50.3 / 50
Nutritional status of Ever-married Adults(age 15-49)
Women whose Body Mass Index is below normal (%) / 40.5 / 48 / na
Men whose Body Mass Index is below normal (%) / 32.1 / na / na
Women who are overweight or obese (%) / 7.6 / 4.4 / na
Men who are overweight or obese (%) / 6.9 / na / na
Anemic among Children and Adults
Children ages 6-35 months are anemic (%) / 74 / 72.3 / na
Ever-married women age 15-49 Yrs who are anemic (%) / 62.7 / 61 / na
Pregnant women age 15-49 Yrs who are anemic (%) / 68.1 / 60.5 / na
Ever-married men age 15-49 Yrs who are anemic (%) / 37 / na / na
Percentage of Adequate (15+PPM) iodized salt in household / 39.6
Important Indicators, maternal and child nutrition, DLHS (Orissa)
Parameters / DLHS I (1998-99) / DLHS II (2002-04) / DLHS III (2007-08)Child feeding practices (Based on last born children) %
children under 3 years breastfed within one hour of birth / na / 43.9 / 63.7
children age 0-5 moths exclusively breastfed / na / na / 54.5
children age 6-35 months exclusively breastfed for age least 6 months / na / 20.7 / 42.6
children age 6-9 months receiving solid/semi-solid food and breast milk / na / na / 59.8
Vitamin A and IFA supplementation for children
Percentage who received at least one dose of Vitamin A / na / 53 / na
Percentage who received iron folic acid tablets/syrup / na / 5.7 / na
Important Indicators, Economic Survey of Orissa (2010-11)
Parameters (in lakh numbers) / 2004-05 / 2005-06 / 2006-07 / 2007-08 / 2008-09 / 2009-10ICDS Coverage
Supplementary Nutrition / 30.86 / 30.86 / 33.86 / 49.85 / 48.79 / 51.36
Immunization / 35.53 / 39.88 / 34.59 / 32.71 / 31.9 / 33.82
Health Check up / 9.59 / 9.3 / 8.8 / 8.5 / 8.66 / 10.68
Nutrition and Health Education / 5.5 / 5.7 / 5.9 / 6.3 / 6.5 / 7.3
Referral services / 6.49 / 6.62 / 6.7 / 6.6 / 6.5 / 7.03
Preschool education enrolled / 10.96 / 10.58 / 10.7 / 13 / 14.38 / 16.08
Nutritional status of (0-3 Years) children in Orissa
Total Children / 22.10 / 23.46 / 23.79 / 24.64 / 24.88 / 23.87
Children Weighed / 21.13 / 22.28 / 22.53 / 23.24 / 23.86 / 22.70
Normal / 8.7 / 9.42 / 9.82 / 10.59 / 11.07 / 10.98
Grade I / 7.68 / 8.13 / 8.19 / 8.47 / 8.71 / 8.06
Grade II / 4.47 / 4.36 / 4.18 / 3.92 / 3.79 / 3.39
Grade II & IV / 0.24 / 0.29 / 0.26 / 0.24 / 0.27 / 0.25
Grade II, III & IV / 4.71 / 4.65 / 4.45 / 4.17 / 4.07 / 3.65
Important Policy and Legislation
Policy / Important provisions and targetsConstitution of India [Article -39 (f)] [Article -45] / State shall, in particular, direct its policy towards ensuring that children are given opportunities and facilities to develop in a healthy manner and in conditions of freedom and dignity, and that childhood and youth are protected against exploitation and moral and material abandonment. State shall endeavor to provide Early Childhood Care and Education (ECCE) for all children until they complete the age of 6 years.
Till the end of 4th Five year plan period / Main emphasis was on the aggregate growth of the economy and reliance was placed on the percolation effects of growth
Beginning of the 5th five year plan / In the face of continuing poverty, unemployment and under nutrition, became a national priority
National Policy for Children-1974 / State shall provide adequate services for children both before and after birth, and during the growing stage for their full physical, mental and social development.
National Plan of Action for Children-1992 / Reduction in severe and moderate under nutrition among under-five children by half between 1990-2000. Reduction in incidence of low birth weight babies. Expansion of early childhood development activities including appropriate low cost family and community based interventions.
10th Five Year Plan (2002 – 2007) / Universalisation of ICDS in all 5652 block of the Country.
National Charter for Children –2003 / Securing of every child inherent right to enjoy happy childhood and addressing the root causes that negate the health, growth and development of children.
Major Programmatic Intervention
Sl. No. / Programmes / Targets and benefits / Coverage / Achievements1. / Integrated Child Development services, Programme were launched in Orissa in 1985. / To improve the notional and health status of children below the age of six years, pregnant women and lactating mothers, To lay the foundation for the proper psychological, physical and social development of the child / Now all 314 Blocks of the State and 12 Urban Local Bodies have been covered through 60,918 Anganwadi Centers and 10,216 Mini Anganwadi Centers / § As of March 31st 2010, ICDS covers55.14 lakh beneficiaries (47.17 lakh children and 7.97 lakh women)
2. / Supplementary Nutrition Programme, This is a Centrally Sponsored Plan Scheme with Central Share and State Share 50:50 / The State Govt provide Rice-based nutritional support to 43,87,271 beneficiaries in 37,483 Anganwadi Centres and 4, 029 Mini AWCs of 294 ICDS Projects of 27 districts. World Food Programme (WFP) is providing Ready to Eat Food in the name of Indiamix (afortified blended food) to 4,92,451 beneficiaries in 4214 AWCs and 790 Mini AWCs of 32 ICDS Projects in 3 KBK districts / Entire state / § As of March 2010, 51.36 lakh beneficiaries are covered under programme, this is a 5.26 percent increase over previous year
6. / Non-formal Pre-School Education / Pre-school education kits with toys and different kinds of educational materials provided to every Anganwadi Centers each year cost of Rs. 500/-per kit / Entire state / § 2009-10, 16.1 lakhs children (3-6 years) have been enrolled under Pre-school and the attendance was 14.5 lakhs in the year 2009-10
7. / Nutritional and Health education / N.H.Ed comprises information on basic health, nutrition, childcare and development, infant feeding practices, utilization of health services, family planning and environmental sanitation. / Entire Orissa / § As of March 2010, 7.3 lakhs women on an average have been covered the N.H.Ed component of ICDS
8. / Kishori Shakti Yojona / The Scheme targets adolescent girls in the age group of 11 to 18 years, for addressing their needs of self development, nutrition and health status, literacy and numerical skills, vocational skills etc / Entire Orissa / § Adolescent girls in the age group of 11 to 18 years are being provided with iron and deworming tablets.
9. / Nutrition Programme for Adolescent Girls (NPAG) / Undernourished Adolescent Girls with body weight less than 30 kg in the age group of 11-15 years and 35 kg in the age group of 15-19 years are covered under the Scheme. Free food grains @ 6 kg. per beneficiary per month, is provided to these undernourished adolescent girls. / Koraput and Kalahandi / Rs. 547.00 lakhs have been released to the districts of Kalahandi and Koraput for implementation the scheme NPAG during the year 2008-09 and 22.18 lakh adolescent girls have been benefitted.
13. / Pustikar Divas / CDMOs have been requested to ensure availability of Pediatric Specialist/Medical Officer for examination, possible investigation, diagnosis and treatment to referred children. Rs. 150/- within 10 KMs and Rs. 200/- above 10 KMs are provided to the guardians/parents of the child referred to ASHA/AWW accompanying child is also provided Rs.50/- / Entire Orissa,
14. / Construction of AWC Building / Out of total of 60,918 sanctioned Anganwadi Centers, 15952 have own buildings 10287 AWCs are functioning in school buildings and 34679 AWCs are operating from rented premises, community buildings or other buildings. Of these 34679 AWC buildings, 7749 are in KBK districts and 19221 AWCs have been sanctioned by GoI at end of the year 2008. / KBK districts of Orissa / 2008-09, Rs. 360.000 lakh has been provided for construction of AWC buildings in the State.
15. / National Family Benefit Scheme (NFBS), implemented in state since 15th August 1995, 100% center sponsored scheme / Under this Scheme, a lump sum financial assistance of Rs. 10,000/- is provided to a BPL family on the death of its primary bread winner in the age group of 18-64 years of age. / Entire state / 2008-09, Rs. 3703.00 lakh was provided under the State Plan, out of which an amount of Rs. 3338.40 lakh was released to the districts for covering 33384 nos. of beneficiaries.
Financial investment on Maternal and Child Nutrition: Orissa
Budget particulars/ Year / 2000-01 / 2001-02 / 2002-03 / 2003-04 / 2004-05 / 2005-06 / 2006-07 / 2007-08 / 2008-09 / 2009-10Total Public Expenditure
Entire State Expenditure on health / 53.06 / 46.58 / 76.90 / 61.59 / 110.81 / 230.58 / 306.47 / 198.65
Health expenditure as a % of total state expenditure / 0.48 / 0.39 / 0.58 / 0.40 / 0.71 / 1.46 / 1.50 / 0.84
Health expenditure as % of GSDP / 0.137 / 0.111 / 0.173 / 0.114 / 0.192 / 0.364 / 0.429 / 0.246
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