Skip to main content

Gujarat's health risk higher than 13 states due to child and maternal malnutrition: World Bank-supported study

*Disability-adjusted life-year
By Rajiv Shah
A new study, published in one of the world’s most prestigious online health journals, “Lancet”, has revealed that, among major Indian states, “model” Gujarat’s mortality and morbidity risk factor as a result of child and maternal malnutrition is higher than as many as 13 of the 21 major Indian states.
Calculated using a World Health Organization (WHO) term, Disability-Adjusted Life Year (DALY) rate, which seeks to quantify the burden of disease, with one DALY considered as one lost year of "healthy" life, Gujarat’s DALY rate for child and maternal malnutrition is 5013 per 100,000 population.
Major states with a higher DALY rate than Gujarat for child and maternal malnutrition – which the Lancet considers the most important health risk factor out of 17 factors – are seven, Bihar, Rajasthan, Uttar Pradesh, Assam, Madhya Pradesh, Chhattisgarh and Jharkhand.
Interestingly, not just prosperous states but also Odisha, West Bengal, Uttarakhand, Jammu & Kashmir and Himachal Pradesh perform better than Gujarat on this score. Kerala performs the best, with a DALY rate of 1212, followed by Himachal Pradesh 2614.
The sum of DALYs across the population, or the burden of disease, can be thought of as a measurement of the gap between current health status and an ideal health situation where the entire population lives to an advanced age, free of disease and disability.
The factors which Lancet calculates for DALY include, apart from child and maternal malnutrition, are air pollution dietary risks, high systolic blood pressure, high fasting plasma glucose, tobacco, unsafe water-sanitation-handwashing, high total cholesterol, high body-mass index, alcohol and drug use, occupational risks, impaired kidney function, unsafe sex, other environmental risks, low physical activity, low bone mineral density, and sexual abuse and violence.
The other major factor which should be of concern for policy makers for poor DALY rate is high total cholesterol – 1844 per 100,000 population. Of the 21 major states, those that perform worse than Gujarat on this score are Haryana (2281), Andhra Pradesh (2044), Karnataka (1885), Punjab (2232) and Tamil Nadu (2396).
The Lancet study, titled “Nations within a nation: variations in epidemiological transition across the states of India, 1990–2016 in the Global Burden of Disease Study”, has been sponsored jointly by the Bill & Melinda Gates Foundation, Indian Council of Medical Research, and the World Bank.
It says, “Child and maternal malnutrition mainly contributed to DALYs from neonatal disorders, nutritional deficiencies, and diarrhoea, lower respiratory, and other common infectious diseases.”
While pointing out that “these DALYs decreased by 64·3% from 1990 to 2016”, the study says, “Child and maternal malnutrition was still the top risk factor, causing the highest disease burden in India in 2016 as it was in 1990, when it caused 35·5% of the DALYs.”
The study says, “The age-standardised DALY rate in India dropped by 36% from 1990 to 2016, indicating overall progress in reducing disease burden. Behind this, however, are huge variations in the magnitude and progress across the states of India for the various diseases and risk factors.”

Comments

TRENDING

Women innovators on simple, revolutionary alternate solutions for water problems

By Proshakha Maitra, Mansee Bal Bhargava* The detrimental effects of uncontrolled population rise and accelerated change in the global climate have posed tremendous pressure on the water and sanitation. This calls all stakeholders, from both developed and developing nations, to improve their resilience and to instigate sustainability. It is more crucial than ever to optimise the use of the resources we have on hand since the world population is projected to reach 9.7 billion by 2050.

IMA vs Ramdev: Why what's good or bad for goose should be good or bad for gander

By Dr Amitav Banerjee, MD* Baba Ramdev and his associate Balkrishna faced the wrath of the Supreme Court for their propaganda about their Ayurvedic products and belittling mainstream medicine. Baba Ramdev had to apologize in court. His apology was not accepted and he may face the contempt of court with harsher punishment. The Supreme Court acted on a public interest litigation (PIL) moved by the Indian Medical Association (IMA).

Alleged killing of another Bangladesh youth inside Indian territory: NHRC inquiry sought

By Kirity Roy* There was yet another incident of the killing of a Bangladeshi youth by the Border Security Force personnel attached with ‘Barthar’ BOP of ‘G’ Company of 75 BSF Battalion. In last five years several incidents of killings happened under this police station’s jurisdiction and the cases will get the award as “Not Guilty” as usual.

Magnetic, stunning, Protima Bedi 'exposed' malice of sexual repression in society

By Harsh Thakor*  Protima Bedi was born to a baniya businessman and a Bengali mother as Protima Gupta in Delhi in 1949. Her father was a small-time trader, who was thrown out of his family for marrying a dark Bengali women. The theme of her early life was to rebel against traditional bondage. It was extraordinary how Protima underwent a metamorphosis from a conventional convent-educated girl into a freak. On October 12th was her 75th birthday; earlier this year, on August 18th it was her 25th death anniversary.

Modi model, Hindutva icon 'justified' alliance with Muslim League before Independence

By Shamsul Islam*  Our PM describes himself as ‘Hindu’ nationalist and member of RSS. He proudly shares the fact that he was groomed to be a political leader by one of the two fathers of the Hindutva politics, MS Golwalkar (the other being VD Savarkar) and given the task of establishing Hindutva polity in India after eradicating secularism.

A Hindu alternative to Valentine's Day? 'Shiv-Parvati was first love marriage in Universe'

By Rajiv Shah*   The other day, I was searching on Google a quote on Maha Shivratri which I wanted to send to someone, a confirmed Shiv Bhakt, quite close to me -- with an underlying message to act positively instead of being negative. On top of the search, I chanced upon an article in, imagine!, a Nashik Corporation site which offered me something very unusual. 

Crusader for people’s causes, this Hollywood actor entered 'unexplored zones' in US

By Harsh Thakor*  Marlon Brando on April 3rd completes his birth centenary. He perished in 2004, on July 1, aged 80 years. Arguably in Hollywood Brando penetrated sensitivity and versatility at an unparalleled scale and discovered new horizons or explored path breaking zones in acting.

Nuclear power expansion: Is AEC's new, 'unrealistic' target fully backed by PMO?

By Shankar Sharma*  Another unrealistic and tall claim by Atomic Energy Commission (AEC) has been announced: India is eyeing 100 GW nuclear power by 2047, the AEC chairman  AK Mohanty   has said. A few years ago, the dream target for the Indian nuclear establishment was 275,000 MWe of nuclear power by 2050 (as per DAE document of 2008 "A Strategy for the Growth of Electricity in India”). Now this target of 100 GW nuclear power by 2047. And as at the end of February 2024, the actual nuclear power capacity was only 7,480 MWe, which formed only 1.7% of the total power capacity in the country. 

'Flawed' argument: Gandhi had minimal role, naval mutinies alone led to Independence

Counterview Desk Reacting to a Counterview  story , "Rewiring history? Bose, not Gandhi, was real Father of Nation: British PM Attlee 'cited'" (January 26, 2016), an avid reader has forwarded  reaction  in the form of a  link , which carries the article "Did Atlee say Gandhi had minimal role in Independence? #FactCheck", published in the site satyagrahis.in. The satyagraha.in article seeks to debunk the view, reported in the Counterview story, taken by retired army officer GD Bakshi in his book, “Bose: An Indian Samurai”, which claims that Gandhiji had a minimal role to play in India's freedom struggle, and that it was Netaji who played the crucial role. We reproduce the satyagraha.in article here. Text: Nowadays it is said by many MK Gandhi critics that Clement Atlee made a statement in which he said Gandhi has ‘minimal’ role in India's independence and gave credit to naval mutinies and with this statement, they concluded the whole freedom struggle.

Indians witnessing 'regression to Hindutva politics' under Modi ahead of elections

By Bhabani Shankar Nayak*  The forthcoming general election in India, scheduled from April 19, 2024, to June 1, 2024, to elect the 543 members of the 18th Lok Sabha and the new Government of India, carries immense significance for the preservation of India's identity as a liberal, secular, and constitutional democracy.