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title="Permanent Link to Hanging in the Balance: Who Will Deal with Child Malnutrition?">Hanging in the Balance: Who Will Deal with Child Malnutrition?</a></h3> <h4>Posted by <a href="https://web.archive.org/web/20090803055829/http://blogs.cgdev.org/globalhealth/author/ruth-levine/" title="Posts by Ruth Levine">Ruth Levine</a> in <a href="https://web.archive.org/web/20090803055829/http://blogs.cgdev.org/globalhealth/category/maternal-child-health" title="View all posts in Maternal & Child Health" rel="category tag">Maternal & Child Health</a> Tags: <a href="https://web.archive.org/web/20090803055829/http://blogs.cgdev.org/globalhealth/tag/cida" rel="tag">CIDA</a>, <a href="https://web.archive.org/web/20090803055829/http://blogs.cgdev.org/globalhealth/tag/g-20" rel="tag">G-20</a>, <a href="https://web.archive.org/web/20090803055829/http://blogs.cgdev.org/globalhealth/tag/irish-aid-hunger-task-force" rel="tag">Irish Aid Hunger Task Force</a>, <a href="https://web.archive.org/web/20090803055829/http://blogs.cgdev.org/globalhealth/tag/nutrition" rel="tag">nutrition</a>, <a href="https://web.archive.org/web/20090803055829/http://blogs.cgdev.org/globalhealth/tag/oecd" rel="tag">OECD</a>, <a href="https://web.archive.org/web/20090803055829/http://blogs.cgdev.org/globalhealth/tag/the-world-food-programme" rel="tag">the World Food Programme</a>, <a href="https://web.archive.org/web/20090803055829/http://blogs.cgdev.org/globalhealth/tag/unicef" rel="tag">UNICEF</a>, <a href="https://web.archive.org/web/20090803055829/http://blogs.cgdev.org/globalhealth/tag/usaid" rel="tag">USAID</a> </h4> <p><p><img src="https://web.archive.org/web/20090803055829im_/http://www.cgdev.org/userfiles/image/balance.jpg" alt="Weighing an Infant" vspace="3" width="164" height="448" align="left">How can it be possible, in 2009, that almost half of all Indian children under three years old are underweight or severely underweight, and that child malnutrition accounts for more than one-fifth of the total burden of disease in that country? Something like three-quarters of all preschool children in India have iron-deficiency anemia, which impairs learning, and more than half have at least mild vitamin A deficiency. Given India’s place as one of the fastest growing economies in the world, the persistently high levels of malnutrition among children — close to double that of sub Saharan Africa — have to be cause for alarm and puzzlement. And the extraordinary vulnerability of Indian children, as manifested in these figures, holds in it a warning for what might happen as economic growth slows. Any claims of progress in child health have to be tempered by these sobering facts. A <a href="https://web.archive.org/web/20090803055829/http://www.nytimes.com/2009/03/13/world/asia/13malnutrition.html?hp" target="_new">feature in yesterday’s New York Times</a> focuses on the problem and describes it well, but leaves the questions — why and what can be done? — for others to answer.</p> <p>Who those “others” are in the field of nutrition is not at all clear, in India or elsewhere. Nutrition has long been a subject area that has fallen between the stools: related to health, yes, but never at the heart of what Ministries of Health consider their main mission. Moreover, a health-centric response to under-nutrition — which often boils down to providing medical care for severely malnourished children, promoting breastfeeding among new mothers, and distributing vitamin A capsules — usually fails to address the household food consumption patterns that are shaped by everything from women’s access to income to the way food is produced and distributed. It is everyone’s job, and no one’s.<br/> <a href="https://web.archive.org/web/20090803055829/http://blogs.cgdev.org/globalhealth/2009/03/hanging-in-the-balance-who-will-deal-with-child-malnutrition.php" class="more-link">More…</a></p> </p> <p class="posted"><a href="https://web.archive.org/web/20090803055829/http://blogs.cgdev.org/globalhealth/2009/03/hanging-in-the-balance-who-will-deal-with-child-malnutrition.php#comments" title="Comment on Hanging in the Balance: Who Will Deal with Child Malnutrition?">3 Comments</a></p> </div> <div class="br"><br/></div> <div> <div class="alignleft"></div> <div class="alignright"></div> </div> <br/> </div> </div>  <div id="right"> <ul> <li id="text-377439231" class="widget widget_text"> <div class="textwidget"><p><a href="https://web.archive.org/web/20090803055829/http://blogs.cgdev.org/globalhealth/"><strong>Global Health Policy</strong></a> is a group blog discussing the issues facing the donor community on everything from HIV/AIDS financing to pharmaceutical R&D to broader health systems concerns. 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