Outlook Poshan Awards 2019 | Swachh Shuposhit Bharat: Bringing Country Back on Track
At Outlook Poshan Awards 2019, Basanta Kumar Kar, Country Director, Project Concern International tells how can we address the challenge of malnutrition and bring country back on track
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00:00 There have been a lot of efforts to a synergized effect towards nutrition over the years.
00:08 We have had a slew of new programs, Swachh Bharat, Poshan Abhiyan and the National Health
00:13 Mission coming together.
00:15 But how do they all come together to impact this one indicator which is a mix of so many
00:22 different policies, so many different choices, so many different variables?
00:26 To talk about this and to share his thoughts, could I request the country director of Project
00:31 Concern International and a transformed nutrition champion, Mr. Basanta Kumar Kak, to speak
00:37 on Swachh Shuposhit Bharat, bringing the country back on track.
00:43 Mr. Basanta Kumar Kak.
00:46 Honourable Chief Minister, Satish Gaur Bhupesh Bakalji.
00:58 Namaskar to you, Honourable Members of the Parliament, my friend Ruben and also Inder
01:10 Nilji.
01:11 I am very honoured today to speak about nutrition which I learnt only in the state of Satish
01:18 Gaur.
01:19 I worked in the state from 2002 to 2010.
01:22 I learnt all the nutrition in Satish Gaur.
01:25 I consider Satish Gaur as my second home.
01:28 I will tell you about Satish Gaur in a few numbers.
01:32 You will be happy.
01:33 And I will tell you about a district which has done the best nutrition program in the
01:41 world.
01:42 So, before I speak, let me tell you and also admire and congratulate Ruben, my friend and
01:51 Inder Nilji for building this platform with all support from government, specifically
01:57 Dr. Rajesh Kumar from Gates Foundation, my friend Alok, Rajan Shankarji and Hisham Mandalji
02:05 and Devjit from Azim Premji Philanthropic Initiatives and many other people.
02:09 Perhaps this is the first of its kind in the world and it is going to create many more
02:15 refills in future, you can see.
02:41 So, we have around 47 million children stunted in India which is almost one third of the
02:48 children in the world.
02:49 Anemia, Sean is here from Gates Foundation, US.
02:54 US is the best performing country on anemia.
02:57 There is 11% of breastfeeding in India and in India there is 53%.
03:03 Apart from this, breastfeeding is 55% in India and 87% in Rwanda.
03:09 I would like to tell you one thing, Sir, Sargoja is a district whose breastfeeding rate is
03:15 87.5%, highest in the world.
03:18 So, wasting is 0% in Australia and 21% in India.
03:26 Around 25 million children in India are also wasted.
03:31 Apart from this, obesity is increasing and overweight is also increasing.
03:37 This is a big problem and that is why we say that India has double the number of malnutrition
03:42 and undernutrition and obesity and overweight.
03:45 The second slide is the biggest.
03:50 Total children from 6 to 24 months, only 9.6% children get adequate supplementary nutrition
04:05 or supplementary feeding.
04:08 Around 90% children from 6 to 24 months are not getting adequate nutrition.
04:16 This is the most critical period and we say that this is the biggest part of 1000 days.
04:22 Why is it so important that we are discussing about obesity?
04:27 Why will we discuss about obesity?
04:31 If obesity is removed, micro nutrient deficiency will also be removed, wasting will be removed,
04:39 stunting will be removed and breastfeeding will increase, underfine mortality will also
04:46 be reduced and the GDP we are talking about, growth, development, productivity, will also
04:52 have an effect on this.
04:54 Every rupee invested on nutrition gives an average return of 16 rupees.
05:01 Preventing 1% loss in adult height from stunting increases 1.4% in productivity.
05:08 Eliminating anemia can increase productivity by 5 to 7%.
05:12 Skill India, Digital India, growth, productivity, GDP, specifically IQ, which we call Medha,
05:23 has a big impact on IQ.
05:26 An estimate has been done, India's average IQ is 72, sir.
05:30 It is an old estimate which is equivalent to Zimbabwe and Mozambique.
05:35 So, if you want a new India, if you want a better India, perhaps we have to invest on
05:42 nutrition.
05:43 And for this, first 1000 days is the most important day.
05:47 These 1000 days mean from pregnancy to total hood, we believe it to be 2 years.
05:55 9 months pregnancy, after this, after the birth of the child, for 2 years.
05:59 This is the biggest critical.
06:01 And this is called the first window of opportunity.
06:04 And why this 1000 days?
06:07 If you don't work on nutrition for 1000 days, if you don't invest, then it will affect
06:13 physical growth, brain development, or immunity, or everything.
06:22 Whatever you want, you have to invest.
06:25 And if you do not invest, and you forget that 1000 days, then whole life the child will
06:31 not get back the real thing what the child was supposed to get.
06:38 The brain development, sir, a slide of the key, the brain development in first 1000 days
06:44 happens.
06:45 During the late pregnancy, the brain starts to wear itself, forming connections.
06:50 After birth, over 1000 to 10,000 new connections are made every second.
06:56 First 1000 days determine the sensory language and cognitive development.
07:03 the brain.
07:05 the brain.
07:07 the brain.
07:09 the brain.
07:11 the brain.
07:13 the brain.
07:15 the brain.
07:17 the brain.
07:19 the brain.
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10:50 One has to work on feeding practice, food and nutrition, immunization, insulin delivery,
10:59 muscle building and convergence. Next. This is also another slide. Next.
11:25 These are the things one has to do to become India's leader. Next.
11:40 This is most interesting slide. As I said, India has gold mine of impact models. India
11:48 has human capital. India has social capital. We have 550,000 village health, sanitation,
11:57 nutrition committees, 250,000 panchayats, 14 lakhs Anganwadi centers with 1.4 million
12:08 workers and 1.4 million helpers, 5.5 million self-help groups with 60 million members.
12:16 If you could combine and synergize their effort and it is all about fighting malnutrition
12:22 together, we can create wonders. Next.
12:31 This is really mind-boggling. I also congratulate and express gratitude to Damayanthi for designing
12:37 this slide. If you want a single digit nutrition indicator, today's stunting is 38%. If you
12:47 want to reach to around 9%, then it will take 2040. By 2040, you can reach, but our effort
12:55 has to be double and quadruple. It is not so easy. Purnima is laughing. She is more
13:03 conversant with data, not me. But the way we are running, the way we are leading, the
13:10 way we are claiming, I think we have to re-energize, compound our effort. And this is also possible.
13:17 There are many states which have done it, but we can also do it in the country in an
13:22 aggregated manner. Next.
13:28 India is ready for a nutrition revolution. Are you?
13:33 Yes.
13:34 Yes.
13:35 Yes.
13:36 Yes.
13:37 Yes.
13:38 Are you ready?
13:39 Yes.
13:40 Yes.
13:41 Yes.
13:42 Thank you so much, sir.
13:42 [Music]