City Know-hows

Rising double burden of malnutrition in cities of Maharashtra, India

Overweight and obesity among mothers in the urban setting was twice compared to the rural. The percentage of households with an undernourished child and an overnourished mother was high in urban settings.

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Target audience

Stakeholders in public health such as health department for specific for women and children, NGOs working in the community for nutrition and health, and research scholars.

The problem

Very few studies have focused on double burden of malnutrition among mother-child dyads particularly in different settings. Distribution of DBM varies according to the settings. Economic growth, level of education, and lifestyle factors are key determinants for the rising trends. Disparities in level of growth and development reflects in different manifestations of malnutrition in different settings.

What we did and why

We studied women and children (295) from urban, rural, and tribal households. We compared the prevalence of double burden i.e., a household presenting an overnourished mother and undernourished child. We recruited the participants from 22 anganwadis from the above settings.

Our study’s contribution

Our study identified that the double burden of malnutrition was highly concentrated in the urban settings. This pilot study identifies:
• The urban settings need immediate interventions
• India still needs to strengthen existing programs to alleviate undernutrition in settings where undernutrition persists.
• The critical need to design setting specific novel strategies to address the double burden.

Impacts for city policy and practice

Our findings suggest the need for double-duty strategies:
• One such strategy is to emphasize appropriate infant and young child feeding practices
• Enabling food environments that are non-obesogenic
• Policies to create awareness among all sections of society groups about the choices of foods

Further information

Full research article:

Comparison of household double burden of malnutrition among mother-child dyads in different settings in Maharashtra by Angeline Jeyakumar, Swapnil Godbharle, Hema Kesa, Pranita Shambharkar, Pooja Bhalekar, Shraddha Chalwadi and Roopan George.

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