Diets, Malnutrition, and Disease: The Indian Experience

Hardcover | November 3, 2014

EditorRaghav Gaiha, Raghbendra Jha, Vani S. Kulkarni

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What distinguishes this book from the current literature is its comprehensive analysis of malnutrition, meticulous exploration of dietary transition, poverty nutrition traps, links between multiple anthropometric failures among children and their vulnerability to infectious diseases, abysmalperformance of the Public Distribution System and a critique of its conversion into a universal food subsidy, the links between affluence, obesity, and non-communicable diseases (NCDs) and the health policy challenge of a "double burden of disease" of high communicable disease mortality and agrowing burden of NCD mortality.Why calorie intake declined despite rapid economic growth is puzzling. An explanation is developed that encompasses the influences of food prices, growing affluence, urbanization, life-style changes and less strenuous activity levels. Dietary diversification had a role in lowering calorie intake.New light is shed on poverty-nutrition traps that limit the ability of undernourished to engage in productive and remunerative employment. Child malnutrition has remained stubbornly high. As simultaneous anthropometric failures among children (e.g. wasting, stunting, and underweight) are closelyrelated to infectious diseases, a composite indicator of malnutrition, its variation and links to infectious diseases are analysed. Amelioration of child malnutrition through women's empowerment is emphasised. As an epidemiological transition is underway - higher deaths from chronic degenerative non-communicable diseases (NCDs) than from communicable diseases - key contributory factors are aging, affluence, and overweight/obesity. Health policy choices are, however, confounded by the irreversibility ofgrowing affluence, life-style changes and urbanization. Although controversial, a universal food subsidy was legislated recently as the National Food Security Act (NFSA). The critique rests on huge leakages that will magnify under NFSA and aggravate fiscal deficit without a drastic overhaul of thePDS. A distillation of lessons from policies pursued elsewhere and various initiatives in India is given. The vision that emerges is unavoidably incomplete in some respects but illuminates successes, and failures in designing policies and in their implementation.

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What distinguishes this book from the current literature is its comprehensive analysis of malnutrition, meticulous exploration of dietary transition, poverty nutrition traps, links between multiple anthropometric failures among children and their vulnerability to infectious diseases, abysmalperformance of the Public Distribution System...

Raghav Gaiha is Visiting Fellow in Economics at the Australian National University. Raghbendra Jha is Rajiv Gandhi Chair Professor and Executive Director of the Australia South Asia Research Centre, The Australian National University, Canberra, ACT 0200 Australia. Vani S. Kulkarni is a Postdoctoral Associate at the Urban Ethnography P...

other books by Raghav Gaiha

Format:HardcoverDimensions:296 pages, 8.7 × 5.59 × 0.01 inPublished:November 3, 2014Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0198099215

ISBN - 13:9780198099215

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Table of Contents

List of Tables and FiguresC. Peter Timmer: ForewordPreface1. Raghav Gaiha, Raghbendra Jha, and Vani S. Kulkarni: Diets, Malnutrition, and Disease in India: An Overview2. Raghav Gaiha, Raghbendra Jha, and Vani S. Kulkarni: Demand for Nutrients in India, 1993-20043. Nidhi Kaicker, Vani S. Kulkarni, and Raghav Gaiha: Dietary Transition in India: An Analysis based on NSS Data for 1993 and 20044. Raghav Gaiha, Raghbendra Jha, and Vani S. Kulkarni: How Pervasive is Eating Out in India?5. Nidhi Kaicker and Raghav Gaiha: Calorie Thresholds and Undernutrition in India, 1993-20046. Raghbendra Jha, Raghav Gaiha, and Anurag Sharma: Poverty Nutrition Traps in Rural India7. Raghav Gaiha, Raghbendra Jha, Vani S. Kulkarni: Child Undernutrition in India8. Raghav Gaiha, Raghbendra Jha, and Vani S. Kulkarni: Affluence, Obesity, and Non-Communicable Diseases in India9. Raghbendra Jha, Raghav Gaiha, Manoj K. Pandey, and Nidhi Kaicker: Food Subsidy, Income Transfer, and the Poor: A Comparative Analysis of the Public Distribution System in India's States10. Raghav Gaiha, Raghbendra Jha, Vani S. Kulkarni: Policies, Implementation, and ImpactReferencesIndexAbout the Editors and Contributors