http://scroll.in/pulse/821028/replacing-anganwadis-with-food-sachets-will-only-set-indias-nutrition-schemes-back

FOOD INSECURITY

Replacing anganwadis with food sachets will only set India’s nutrition
schemes back

The government is likely to announce a new nutrition mission with a
bigger role for private companies.

Yesterday · 02:30 pm

Dipa Sinha

The Government of India is expected to announce a National Nutrition
Mission in December this year. Some glimpses of what this mission will
include were revealed in a recent news item in the Economic Times. The
focus seems to be on centralising production of take home rations
given to young children and pregnant or lactating women with a minimal
role for anganwadi centres and workers.

All other roles played by the anganwadi centres including growth
monitoring, nutrition and health counselling seem to have been ignored
as the reports suggest that anganwadi workers are expected to become
redundant once the centralised nutrition sachets are made available.
The unsaid aim seems to be ensuring a share for the private sector in
the huge allocations made for supplementary nutrition. Putting central
and state shares together this is around Rs. 20,000 crores per anum.

Almost 70 years after Independence and more than two decades of high
growth, almost 40% of children in the country are still malnourished –
that is they are stunted or have low height for their age. Successive
governments have failed in putting in place a comprehensive and
coherent strategy in place address the problem of malnutrition.

Malnutrition is a complex problem with multiple determinants ranging
from inadequate food consumption, ineffective health care, poor
sanitation and drinking water and inappropriate child care practices
underlying which are poverty, insecure livelihoods, unequal gender
relations and hopeless public services. One of the main interventions
to address malnutrition is the provision of supplementary nutrition
through anganwadi centres under the Integrared Child Development
Scheme commonly abbreviated as ICDS.

Slow progress
For more than ten years now, we have been debating where the food
given to children in anganwadi centres should come from. In 2006, the
Supreme Court passed stringent orders directing states to ensure that
every habitation in rural and urban areas had an anganwadi centres and
that these centres catered to every children under six years of age,
every pregnant and lactating woman and every adolescent girl. The
Supreme Court had passed similar orders in 2001 and took serious
notice of the fact that despite its interventions almost two-thirds of
the country was not covered by the ICDS programme. The court also
issued orders in 2004, reiterated consequently in 2006 and 2009,
banning private contractors from the supply of food to anganwadi
centres, urging governments to give priority to local village groups,
mahila mandals, self-help groups and so on. This was based on the
understanding that centralised private contracts was at the root of
corruption leakages in the supplementary nutrition programme delivery.

With the more than doubling of the ICDS programme after 2006 from
about 6.5 lakh anganwadi centres to almost 14 lakh centres and the
greater importance being given to malnutrition, the potential profits
to be made from the business of supplying take home rations to young
children also increased manifold.

At the same time, with the Supreme Court banning private contractors
more ingenious ways were to be found to milk these profits. While a
few states such as Kerala, Chhattisgarh, Odisha and more recently
Rajasthan did move to decentralised systems of production of take home
rations, most states continued with centralised arrangements often in
violation of the Supreme Court orders.

Various violations
Therefore, in Maharashtra three “fake” Mahila Mandals which were
propped up by the same people who were earlier involved in supply for
take home rations through private companies were given the contract
for take home rations for the entire state. Reports by the Supreme
Court commissioners on the Right to Food exposed this, following which
the state was forced to take some action towards putting in place
alternative arrangements. In spite of the damning reports of the
Supreme Court commissioners and media pressure that followed, the
business-political-bureaucracy nexus in the state still remains
powerful with repeated attempts at derailing the process of
decentralisation with the entire issue of who should be given the
contracts for supply of food for anganwadis in Maharashtra now being
embroiled in a number of court cases in the High Courts of Aurangabad
and Bombay as well as the Supreme Court.

More recently, a huge scam in the supply of take home rations in
Madhya Pradesh was brought to light by the media and taken up in a big
way in the state assembly. Although the state was supposedly buying
the take home rations from the Madhya Pradesh state food corporation,
it was found that the production and distribution was in turn being
sub-contracted to private companies which had huge profit margins for
supplying this food.

Uttar Pradesh in the past has been pulled up by the National Human
Rights Commission for the corruption in its supply of food to
anganwadis, a state where the infamous Ponty Chadha family and their
numerous subsidiaries have been given charge of supplying take home
rations to the entire state.

While the responsibility of supply of supplementary nutrition is that
of the state governments, the central government ­– under both the
present and previous dispensations ­– has been playing a dubious role
as well. Through a series of circulars and notices, the Ministry of
Women and Child Development has been putting pressure on state
governments to follow certain norms for supply of take home rations,
meeting which basically requires centralised production.

When Renuka Choudhury was the minister, following much pressure from
the civil society and the media, this issue had to be taken all the
way to the Cabinet where it was finally decided that children between
three and six years of age in anganwadi centres must be given hot
cooked meals for those who come to the centre and decentralised
methods of production must be put in place for take home rations for
younger children. It is once again time for the highest authorities to
collectively intervene in favour of children and their nutrition.

The current women and child development minister Maneka Gandhi wrote
to the chief minister of Madhya Pradesh last week asking him to put on
hold his state’s decision to withdraw all centralised contracts and
put in place a system of decentralised production. This is part of a
series of letters that Gandhi has written to various state governments
in the past couple of years derailing all attempts at
decentralisation. Furthermore, Economic Times reports that Patanjali
is being approached for the production of sachets. Do we need more
evidence on whose benefit these proposals are for?

The author is an assistant professor of economics at the School of
Liberal Studies, Ambedkar University.


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