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NATIONAL NUTRITION MONITORING BUREAU Dr.G.N.V.Brahmam Dy. Director, Field Division, National Institute of Nutrition, (I.C.M.R.) Jamai-Osmania (P.O.), Hyderabad.

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Presentation on theme: "NATIONAL NUTRITION MONITORING BUREAU Dr.G.N.V.Brahmam Dy. Director, Field Division, National Institute of Nutrition, (I.C.M.R.) Jamai-Osmania (P.O.), Hyderabad."— Presentation transcript:

1 NATIONAL NUTRITION MONITORING BUREAU Dr.G.N.V.Brahmam Dy. Director, Field Division, National Institute of Nutrition, (I.C.M.R.) Jamai-Osmania (P.O.), Hyderabad –

2 “Nutrition monitoring is the measurement of the changes over time in the nutritional status of a population or a specific group of individuals” -- WHO, 1984 Nutrition Monitoring is essential - to assess the type, magnitude & distribution of nutrition problems in the community, - to evolve policies and to formulate & implement programmes for the prevention and control of malnutrition and - to evaluate on-going nutrition programmes to assess their impact and to initiate corrective steps needed, if any.

3 NNMB was established in the year 1972, under the aegis of ICMR in the States of :  ANDHRA PRADESH  KARNATAKA  KERALA  TAMIL NADU  MAHARASHTRA  MADHYA PRADESH  ORISSA  UTTAR PRADESH  GUJARAT AND  WEST BENGAL

4 OBJECTIVES OF NNMB  To collect, on a continuous basis, on representative segments of population in each of the States, data on dietary pattern and nutritional status by adopting standardized and uniform procedures and techniques, and  To evaluate periodically, the ongoing national nutrition programmes, to identify their strengths and weaknesses and recommend appropriate corrective measures.

5 ICMR NIN - CRL STEERING COMMITTEE 10 State Units ORGANIZATION CHART OF NNMB STAFF / UNIT Medical Officer Nutritionist Social Worker Field Attendant Driver

6 INVESTIGATIONS  Household demographic & socio-economic particulars,  Dietary intakes of households / individuals,  Anthropometry viz., Heights, weights, MUAC & Skinfold at Triceps,  Clinical examination for prevalence of signs of nutritional deficiencies and  Village level information such as population, agricultural production, nutritional & other developmental programmes.

7 SAMPLING DESIGN VILLAGES:  Sub-sample of NSSO sample frame of Consumer Expenditure survey carried out once in five years – to get better spatial distribution. HOUSEHOLDS  Cluster sampling method INDIVIDUALS  All individuals from the selected HHs.  Sub-sample by systematic random sampling procedure SAMPLE SIZE Computed to arrive at State level estimates

8 HIGHLIGHTS OF NNMB SURVEYS  Coverage of rural, tribal & urban communities,  Repeat surveys in rural communities during , 88-90, and 96-97, covering same villages,  Repeat surveys among tribal communities during & ,  Study of physiologically vulnerable groups such as adolescent girls, elderly etc.,  Assessment of MNDs such as IDA, VAD & IDD by covering adequate sample sizes to arrive at State level estimates, and  Evaluation National nutrition programmes

9 NUTRITIONAL STATUS OF THE RURAL POPULATIONS ( )

10 SOCIO ECONOMIC PROFILE OF HOUSEHOLDS (%)

11 SOCIO ECONOMIC PROFILE OF HOUSEHOLDS (Contd..)

12 Food Intake (% RDA) among 1-6 Years Children Percent RDA

13 Average intake of Food stuffs (as % of RDA) by Adult Males and Females Percent of RDA

14 Median Intake of Nutrients (as % RDA) by Children Percent of RDA

15 Median Intake of Nutrient (as % RDA) By Adult Males and Females - Sedentary Percent of RDA

16 Distribution (%) of children according to Protein - Calorie Adequacy

17 Distribution (%) of Adults according to Protein - Calorie Adequacy Status

18 Distribution (%) of Pre-school children according to Gomez Classification Percent

19 Prevalence (%) of Undernutrition Among 1-5 yr children According to SD Classification (

20 Distribution (%) of Adults by BMI Grades Percent

21 UNDERWEIGHT (%) BY SOCIO-ECONOMIC VARIABLES BY COMMUNITYBY TYPE OF HOUSE) BY MONTHLY PCIBY FEMALE LITERACY

22 INTRA-FAMILY DISTRIBUTION OF DIETARY ENERGY IN RURAL INDIA

23 Distribution (%) of Households According to Dietary Energy Adequacy Status of Adults and Children ( ) + : Adequate - : Inadequate ;  2 : 308.6, p<0.001

24 Distribution (%) of Households According Dietary Energy Adequacy Status of Adults & Pre-school Child -- Time Trends

25 NUTRITIONAL STATUS OF THE RURAL POPULATIONS – TIME TRENDS

26 Average Intake of Foodstuffs (per CU/day) as % of RDI by Period of Survey Percent

27 Average Intake of Foodstuffs (per CU/day) as % of RDI by Period of Survey (contd.) Percent

28 Average Intake of Nutrients (per CU/day) as % of RDI by Period of Survey Percent

29 Average Intake of Nutrients (per CU/day) as % of RDI by Period of Survey (Contd.)

30 Distribution (%) of Households with Protein Calorie adequacy Percent

31 Distance charts for Heights and Weights for Males and Females - Andhra Pradesh Height (Cm) Weight (Kg) Age (Yrs)

32 Distribution (%) of Pre-school children (1-5 Yrs) According to Gomez Classification Percent

33 Distribution (%) of Children by Undernutrition and Period of Survey Percent UNDERNUTRITION (< Median - 2SD)

34 Distribution (%) of Adult Males according to BMI Grades by Period of Survey Percent BMI <18.5BMI:18.5 – 25.0BMI: >=25.0

35 Distribution (%) of Adult Females according to BMI Grades by Period of Survey Percent BMI <18.5BMI:18.5 – 25.0BMI: >=25.0

36 Prevalence (%) of Nutritional deficiency signs among Preschool Children Percent

37 MICRO-NUTRIENT DEFICIENCIES (2002 – 03)

38 Pooled: 0.7 < 0.5 %  0.5 % Kerala 0 Tamil Nadu 0.5 Karnataka 0.8 Andhra Pradesh 1.2 Maharashtra 1.4 Madhya Pradesh 1.2 Orissa 0.3 West Bengal 0.6 Prevalence (%) of Bitot spots among 1 - <5 year children

39 Prevalence (%) of Bitot Spots among 1 - <5 yrs. Children * WHO cut-off level (0.5%) of Public Health significance * Per cent

40 Prevalence (%) of Bitot Spots in 1 - <5 Yrs. Children by Community Prevalence (%) of Bitot Spots in 1 - <5 Yrs. Children by Occupation Prevalence (%) of Bitot Spots in 1 - <5 Yrs. Children by Family Size Prevalence (%) of Bitot Spots in 1 - <5 Yrs. Children by Female Literacy Status Ag. Labour Other Labour Cultivators Artisans Service Business

41 Mean ±SE Prevalence (%) of Anaemia Among Different Physiological and Age Groups > 6 months < 6 months

42 Pooled: 3.9 < 5 % > 5 % Kerala 0.6 Tamil Nadu 0 Karnataka 1.9 Andhra Pradesh 3.8 Maharashtra 12.2 Madhya Pradesh 4.3 Orissa 0.1 West Bengal 9.0 Prevalence (%) of IDD among 6 - <12 Year Children

43 Per cent of Households consuming salt having adequate Amount (>=15 ppm) of Iodine * By spot test Per cent STATES

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