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 – 500 007.

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 1975- 79, 88-90, and 96-97, covering same villages,  Repeat surveys among tribal communities during 1985-87 & 1998-99,  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 (2001 - 02)

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 (<Median - 2SD) By Gender Percent

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 (1996- 97) + : 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. 10.2 0.03 11.2 0.03 11.0 0.03 9.9 0.03 10.6 0.03 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