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Opinion: Strengthening Supply Chain Management To Countervail Iron Deficiency Anaemia

Anaemia has harmful consequences on maternal as well as child survival, thus grossly affecting the productivity of the nation

Opinion: Strengthening Supply Chain Management To Countervail Iron Deficiency Anaemia

In India, anaemia is a serious public health concern with a high prevalence among women, children, and adolescents. India has the highest numbers of anaemic individuals globally with nearly 53 per cent of all women aged 15-49 years being anaemic, states the National Family Health Survey (NFHS-4). In Jharkhand, 62.6 per cent of pregnant women, 65.3 per cent of women between 15-49 years and 69.9 per cent of children between 6-59 month were found to be anaemic in NFHS-4. But, only 15.3 per cent of mothers consumed iron-folic acid for 100 days or more when they were pregnant (NFHS 4), whereas only 6.3 per cent of children between 9-59 months received IFA supplement 6 months prior to the survey (Rapid Survey On Children 2013-14).

Also Read: Swasth Report Card: Jharkhand Continues To Battle Malnutrition, But Improves In Tackling Wasting And Anaemia

Anaemia has harmful consequences on maternal as well as child survival, thus grossly affecting the productivity of the nation. Iron deficiency is the most common cause of anaemia, estimated to contribute to approximately 50 per cent of all cases of anaemia among non-pregnant and pregnant women, and 42 per cent of cases in children under 5 years of age worldwide (WHO 2017 Nutritional anaemias: tools for effective prevention and control).

Anaemia is a major contributor to poor pregnancy and birth outcomes as it predisposes to premature delivery, increased perinatal mortality, and increased risk of death during delivery and postpartum.

Also Read: Nutritious Diet Costs Twice As Much As Energy-Only Diet: Save The Children Study In Jharkhand

In Jharkhand, iron deficiency anaemia is largely due to nutritional and dietary causes, the main reasons for so being low intake of iron-rich foods, lack of vitamin B12 and folic acid. The problem of nutritional anaemia can be addressed by recommending a diet diverse in animal as well as plant-based sources of iron. Besides iron-rich dietary recommendations, iron supplementation also helps improve the anaemic status of an individual along with deworming.

Though the Government of India has implemented national programs such as National Nutritional Anaemia Prophylaxis Program since 1970, more recently emphasis has been given under POSHAN Abhiyaan and Anaemia Mukt Bharat (AMB), which aims at accelerating the decline in the prevalence of anaemia among all age groups using a multi-pronged strategy.

Also Read: Opinion: Nutrition Is An Issue Of National Interest And Deserves Prioritisation Beyond The Central Level

The National Health Mission, Government of Jharkhand (NHM GoJ), used a multidimensional strategy to strengthen the supply chain management of micronutrients and implement interventions across the state. One of the key objectives of the intervention is to strengthen the supply chain management of IFA by increasing the availability and adequacy of IFA, increasing coverage of IFA supplementation, building the capacity of personnel, and real time monitoring of IFA supply and coverage. Hence, to achieve this objective, the state government has prioritised evidence-based forecasting, adequate budgetary allocations in Programme Implementation Plan (PIP), for improving the supply and coverage of IFA in the state.

Also Read: Anaemia Continues To Rise Among Women Of Childbearing Age And Children In The Country, Shows Fifth National Family Health Survey

Jharkhand has prioritised Anemia Mukt Bharat Programme in the state with an adequate budget since the inception of the program in 2018. The budget for Anemia Mukt Bharat Programme in Jharkhand increased from Rs. 1,266.08 lakhs in 2018-19 to Rs. 3,431.59 lakhs in 2020-21 [Source: PIP-ROP]. This increase in budget was based on addressing the programme and budget gaps aligned to the target population and Anemia Mukt Bharat Guidelines. There has also been an increase in coverage of IFA distribution among pregnant women by 25 per cent and 60 per cent among lactating women from 2017-18 to 2019-20 [Source: Health Management Information System].

Likewise, there has been an increase in the coverage of IFA distribution among adolescent girls in the state by 61 per cent in the last three years. The key challenges which still need to be addressed are ensuring uninterrupted supply of IFA to ensure last mile delivery supported with a robust Social Behavioural Change Communication Campaign, intensified training of personnel at all facilities and community level, monitoring and supportive supervision. The sustainability of supply chain management across all the levels will surely ensure the last mile delivery of IFA in Jharkhand to address Iron Deficiency Anemia.

Also Read: NITI Aayog Lauds This Jharkhand School For Its Cleanliness And Sanitation Initiatives

(Dr. Deepawali, Nodal Officer – Maternal Health and Nutrition, National Health Mission, Jharkhand; Dr. Asha Kiran is the Associate Professor, Department of Preventive and Social Medicine, Rajendra Institute of Medical Sciences; Dr. Sarita Lakra, Maternal, Infant and Young Child Nutrition (MIYCN) Consultant, WeCan IPE Global.)

Disclaimer: The opinions expressed within this article are the personal opinions of the author. The facts and opinions appearing in the article do not reflect the views of NDTV and NDTV does not assume any responsibility or liability for the same.

NDTV – Dettol Banega Swasth India campaign is an extension of the five-year-old Banega Swachh India initiative helmed by Campaign Ambassador Amitabh Bachchan. It aims to spread awareness about critical health issues facing the country. In wake of the current COVID-19 pandemic, the need for WASH (WaterSanitation and Hygiene) is reaffirmed as handwashing is one of the ways to prevent Coronavirus infection and other diseases. The campaign highlights the importance of nutrition and healthcare for women and children to prevent maternal and child mortality, fight malnutrition, stunting, wasting, anaemia and disease prevention through vaccines. Importance of programmes like Public Distribution System (PDS), Mid-day Meal Scheme, POSHAN Abhiyan and the role of Aganwadis and ASHA workers are also covered. Only a Swachh or clean India where toilets are used and open defecation free (ODF) status achieved as part of the Swachh Bharat Abhiyan launched by Prime Minister Narendra Modi in 2014, can eradicate diseases like diahorrea and become a Swasth or healthy India. The campaign will continue to cover issues like air pollutionwaste managementplastic banmanual scavenging and sanitation workers and menstrual hygiene

World

23,23,25,643Cases
19,46,11,603Active
3,29,58,002Recovered
47,56,038Deaths
Coronavirus has spread to 195 countries. The total confirmed cases worldwide are 23,23,25,643 and 47,56,038 have died; 19,46,11,603 are active cases and 3,29,58,002 have recovered as on September 28, 2021 at 3:48 am.

India

3,36,97,581 18,795Cases
2,92,2067,414Active
3,29,58,002 26,030Recovered
4,47,373 179Deaths
In India, there are 3,36,97,581 confirmed cases including 4,47,373 deaths. The number of active cases is 2,92,206 and 3,29,58,002 have recovered as on September 28, 2021 at 2:30 am.

State Details

State Cases Active Recovered Deaths
Maharashtra

65,44,325

41,396 32

63,64,027

1,38,902 32

Kerala

46,41,587 11,699

1,57,733 6,122

44,59,193 17,763

24,661 58

Karnataka

29,73,899 504

12,833 409

29,23,320 893

37,746 20

Tamil Nadu

26,58,923 1,657

17,261 24

26,06,153 1,662

35,509 19

Andhra Pradesh

20,47,459 618

12,482 566

20,20,835 1,178

14,142 6

Uttar Pradesh

17,09,778 6

176 0

16,86,712 6

22,890

West Bengal

15,66,865 472

7,584 99

15,40,530 556

18,751 15

Delhi

14,38,746 32

366 5

14,13,295 37

25,085

Odisha

10,24,764 444

5,102 214

10,11,482 653

8,180 5

Chhattisgarh

10,05,269 27

282 3

9,91,423 30

13,564

Rajasthan

9,54,316 13

86 9

9,45,276 4

8,954

Gujarat

8,25,872 21

142 9

8,15,648 30

10,082

Madhya Pradesh

7,92,504 8

118 2

7,81,868 6

10,518

Haryana

7,70,825 7

329 6

7,60,686 13

9,810

Bihar

7,25,947 3

57 11

7,16,230 14

9,660

Telangana

6,65,284 216

4,585 27

6,56,785 241

3,914 2

Punjab

6,01,538 38

284 2

5,84,747 35

16,507 1

Assam

6,01,031 412

4,587 42

5,90,593 362

5,851 8

Jharkhand

3,48,198 4

79 1

3,42,986 5

5,133

Uttarakhand

3,43,504 14

218 8

3,35,893 22

7,393

Jammu And Kashmir

3,29,125 117

1,513 1

3,23,190 118

4,422

Himachal Pradesh

2,18,523 209

1,730 16

2,13,124 225

3,669

Goa

1,76,145 50

862 56

1,71,980 106

3,303

Puducherry

1,26,127 37

866 35

1,23,423 72

1,838

Manipur

1,20,000 116

2,111 14

1,16,042 129

1,847 1

Mizoram

90,539 1,846

15,843 358

74,394 1,481

302 7

Tripura

84,085 19

275 3

82,999 22

811

Meghalaya

80,897 108

1,752 125

77,750 230

1,395 3

Chandigarh

65,217 7

44 3

64,354 4

819

Arunachal Pradesh

54,395 43

319 4

53,802 47

274

Sikkim

31,291 25

601 11

30,303 35

387 1

Nagaland

31,167 17

426 19

30,078 35

663 1

Ladakh

20,786 5

148 8

20,431 13

207

Dadra And Nagar Haveli

10,670

0 0

10,666

4

Lakshadweep

10,361

5 0

10,305

51

Andaman And Nicobar Islands

7,619 1

11 2

7,479 3

129

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1 Comment

1 Comment

  1. Bruce D

    March 5, 2021 at 11:49 am

    The title and content do not match…doesnt mention anywhere what supply chain strengthening efforts have been done or how these efforts have impacted coverage. Merely budgeting does not solve any problem, if u dont have the proper supply chain structure. If you cant link the actions taken and outcomes in a cause and effect relationship…then it is just guesses/imagination and nothing else.

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