Opinion: Strengthening Supply Chain Management To Countervail Iron Deficiency Anaemia | Blogs

March 4, 2021 0 Comments



Anaemia is a major contributor to poor pregnancy and birth outcomes as it predisposes to premature delivery, increased perinatal mortality, and increased risk of death during delivery and postpartum

In India, anaemia is a serious public health concern with a high prevalence among women, children, and adolescents. India has the highest numbers of anaemic individuals globally with nearly 53 per cent of all women aged 15-49 years being anaemic, states the National Family Health Survey (NFHS-4). In Jharkhand, 62.6 per cent of pregnant women, 65.3 per cent of women between 15-49 years and 69.9 per cent of children between 6-59 month were found to be anaemic in NFHS-4. But, only 15.3 per cent of mothers consumed iron-folic acid for 100 days or more when they were pregnant (NFHS 4), whereas only 6.3 per cent of children between 9-59 months received IFA supplement 6 months prior to the survey (Rapid Survey On Children 2013-14).

Also Read: Swasth Report Card: Jharkhand Continues To Battle Malnutrition, But Improves In Tackling Wasting And Anaemia

Anaemia has harmful consequences on maternal as well as child survival, thus grossly affecting the productivity of the nation. Iron deficiency is the most common cause of anaemia, estimated to contribute to approximately 50 per cent of all cases of anaemia among non-pregnant and pregnant women, and 42 per cent of cases in children under 5 years of age worldwide (WHO 2017 Nutritional anaemias: tools for effective prevention and control).

Anaemia is a major contributor to poor pregnancy and birth outcomes as it predisposes to premature delivery, increased perinatal mortality, and increased risk of death during delivery and postpartum.

Also Read: Nutritious Diet Costs Twice As Much As Energy-Only Diet: Save The Children Study In Jharkhand

In Jharkhand, iron deficiency anaemia is largely due to nutritional and dietary causes, the main reasons for so being low intake of iron-rich foods, lack of vitamin B12 and folic acid. The problem of nutritional anaemia can be addressed by recommending a diet diverse in animal as well as plant-based sources of iron. Besides iron-rich dietary recommendations, iron supplementation also helps improve the anaemic status of an individual along with deworming.

Though the Government of India has implemented national programs such as National Nutritional Anaemia Prophylaxis Program since 1970, more recently emphasis has been given under POSHAN Abhiyaan and Anaemia Mukt Bharat (AMB), which aims at accelerating the decline in the prevalence of anaemia among all age groups using a multi-pronged strategy.

Also Read: Opinion: Nutrition Is An Issue Of National Interest And Deserves Prioritisation Beyond The Central Level

The National Health Mission, Government of Jharkhand (NHM GoJ), used a multidimensional strategy to strengthen the supply chain management of micronutrients and implement interventions across the state. One of the key objectives of the intervention is to strengthen the supply chain management of IFA by increasing the availability and adequacy of IFA, increasing coverage of IFA supplementation, building the capacity of personnel, and real time monitoring of IFA supply and coverage. Hence, to achieve this objective, the state government has prioritised evidence-based forecasting, adequate budgetary allocations in Programme Implementation Plan (PIP), for improving the supply and coverage of IFA in the state.

Also Read: Anaemia Continues To Rise Among Women Of Childbearing Age And Children In The Country, Shows Fifth National Family Health Survey

Jharkhand has prioritised Anemia Mukt Bharat Programme in the state with an adequate budget since the inception of the program in 2018. The budget for Anemia Mukt Bharat Programme in Jharkhand increased from Rs. 1,266.08 lakhs in 2018-19 to Rs. 3,431.59 lakhs in 2020-21 [Source: PIP-ROP]. This increase in budget was based on addressing the programme and budget gaps aligned to the target population and Anemia Mukt Bharat Guidelines. There has also been an increase in coverage of IFA distribution among pregnant women by 25 per cent and 60 per cent among lactating women from 2017-18 to 2019-20 [Source: Health Management Information System].

Likewise, there has been an increase in the coverage of IFA distribution among adolescent girls in the state by 61 per cent in the last three years. The key challenges which still need to be addressed are ensuring uninterrupted supply of IFA to ensure last mile delivery supported with a robust Social Behavioural Change Communication Campaign, intensified training of personnel at all facilities and community level, monitoring and supportive supervision. The sustainability of supply chain management across all the levels will surely ensure the last mile delivery of IFA in Jharkhand to address Iron Deficiency Anemia.

Also Read: NITI Aayog Lauds This Jharkhand School For Its Cleanliness And Sanitation Initiatives

(Dr. Deepawali, Nodal Officer – Maternal Health and Nutrition, National Health Mission, Jharkhand; Dr. Asha Kiran is the Associate Professor, Department of Preventive and Social Medicine, Rajendra Institute of Medical Sciences; Dr. Sarita Lakra, Maternal, Infant and Young Child Nutrition (MIYCN) Consultant, WeCan IPE Global.)

Disclaimer: The opinions expressed within this article are the personal opinions of the author. The facts and opinions appearing in the article do not reflect the views of NDTV and NDTV does not assume any responsibility or liability for the same.

NDTV – Dettol Banega Swasth India campaign is an extension of the five-year-old Banega Swachh India initiative helmed by Campaign Ambassador Amitabh Bachchan. It aims to spread awareness about critical health issues facing the country. In wake of the current COVID-19 pandemic, the need for WASH (WaterSanitation and Hygiene) is reaffirmed as handwashing is one of the ways to prevent Coronavirus infection and other diseases. The campaign highlights the importance of nutrition and healthcare for women and children to prevent maternal and child mortality, fight malnutrition, stunting, wasting, anaemia and disease prevention through vaccines. Importance of programmes like Public Distribution System (PDS), Mid-day Meal Scheme, POSHAN Abhiyan and the role of Aganwadis and ASHA workers are also covered. Only a Swachh or clean India where toilets are used and open defecation free (ODF) status achieved as part of the Swachh Bharat Abhiyan launched by Prime Minister Narendra Modi in 2014, can eradicate diseases like diahorrea and become a Swasth or healthy India. The campaign will continue to cover issues like air pollutionwaste managementplastic banmanual scavenging and sanitation workers and menstrual hygiene

World

11,51,91,361Cases

4,75,08,336Active

6,51,23,681Recovered

25,59,344Deaths

Coronavirus has spread to 192 countries. The total confirmed cases worldwide are 11,51,91,361 and 25,59,344 have died; 4,75,08,336 are active cases and 6,51,23,681 have recovered as on March 4, 2021 at 4:15 am.

India

1,11,56,923 17407Cases

1,73,413 3287Active

1,08,26,075 14031Recovered

1,57,435 89Deaths

In India, there are 1,11,56,923 confirmed cases including 1,57,435 deaths. The number of active cases is 1,73,413 and 1,08,26,075 have recovered as on March 4, 2021 at 2:30 am.

State & District Details

State Cases Active Recovered Deaths

DistrictCases

Mumbai45,478

Thane13,660

Pune9,920

Mumbai Suburban5,363

Aurangabad1,974

Nashik1,575

Raigad1,462

Palghar1,421

Solapur1,291

Jalgaon1,039

Akola757

Nagpur692

Kolhapur646

Satara629

Ratnagiri350

Amravati291

Dhule228

Hingoli208

Jalna201

Ahmednagar190

Nanded176

Yavatmal150

Sangli145

Latur139

Osmanabad125

Sindhudurg114

Buldhana88

Parbhani78

gondia69

Beed54

Nandurbar42

Gadchiroli42

Bhandara41

Chandrapur32

Washim13

Wardha11

21,79,185 9,855

83,556 3,254

20,43,349 6,559

52,280 42

DistrictCases

Kannur357

Kasaragod333

Palakkad224

Malappuram119

Kollam118

Thrissur106

Thiruvananthapuram104

Pathanamthitta98

Kozhikode90

Alappuzha76

Kottayam73

Ernakulam60

Idukki40

Wayanad36

10,67,044 2,765

46,288 1,281

10,16,515 4,031

4,241 15

DistrictCases

Udupi1,176

Kalaburagi669

Yadgir538

Bengaluru Urban529

Raichur369

Mandya346

Belagavi337

Bidar219

Hassan205

Davangere204

Vijayapura201

Dakshina Kannada179

Chikkaballapura149

Mysuru107

Bagalkote103

Uttara Kannada95

Shivamogga67

Dharwad61

Ballari60

Gadag45

Bengaluru Rural40

Tumakuru36

Kolar29

Haveri24

Chikkamagaluru19

Chitradurga14

Koppal5

Kodagu4

Ramanagara3

Chamarajanagara0

9,52,565 528

6,076 112

9,34,143 413

12,346 3

DistrictCases

Kurnool795

Krishna557

Guntur511

Anantapur428

East Godavari356

Chittoor319

Sri Potti Sriramulu Nell*296

Y.S.R.205

West Godavari199

Srikakulam183

Prakasam104

Visakhapatnam103

Vizianagaram23

8,90,215 135

826 52

8,82,219 82

7,170 1

DistrictCases

Chennai23,324

Chengalpattu1,314

Thiruvallur774

Villupuram509

Kanchipuram503

Tiruvannamalai496

Cuddalore477

Ariyalur444

Tirunelveli433

Tuticorin333

Kallakurichi324

Madurai322

Salem258

Coimbatore188

Virudhunagar185

Dindigul175

Perambalur133

Ranipet133

Thanjavur130

Theni129

Tiruchirappalli119

Ramanathapuram119

Tiruppur116

Kanniyakumari110

Tenkasi103

Nagapattinam99

Karur88

Namakkal83

Erode75

Vellore71

Thiruvarur67

Pudukkottai53

Sivaganga46

Tirupathur45

Krishnagiri43

The Nilgiris17

Dharmapuri15

8,52,967 489

3,990 7

8,36,473 494

12,504 2

DistrictCases

North West5,463

Central4,817

West4,768

New Delhi3,405

North3,059

East2,472

South East2,446

South West2,391

South2,329

North East1,914

Shahdara1,580

6,39,921 240

1,584 41

6,27,423 196

10,914 3

DistrictCases

Gautam Buddha Nagar1,119

Agra933

Ghaziabad794

Meerut504

Lucknow386

Saharanpur298

Kanpur Nagar286

Moradabad252

Varanasi243

Hapur225

Aligarh215

Basti214

Amethi206

Rampur203

Jaunpur194

Firozabad190

Barabanki168

Gorakhpur166

Bulandshahr166

Siddharth Nagar159

Ghazipur159

Bijnor157

Deoria143

Azamgarh138

Sant Kabeer Nagar132

Mathura129

Ayodhya120

Muzaffarnagar117

Sambhal116

Sultanpur97

Ambedkar Nagar92

Maharajganj85

Amroha80

Rae Bareli78

Bahraich73

Kheri72

Kannauj69

Baghpat68

Kushi Nagar67

Bhadohi60

Ballia60

Gonda59

Etah52

Hardoi49

Balrampur49

Mau48

Mainpuri46

Etawah46

Hathras43

Unnao42

Jalaun41

Jhansi41

Shamli40

Chandauli38

Auraiya37

Farrukhabad36

Sitapur32

Prayagraj30

Banda27

Shahjahanpur25

Shravasti23

Budaun23

Mirzapur22

Bareilly17

Kasganj16

Pratapgarh15

Pilibhit15

Sonbhadra10

Kaushambi6

Kanpur Dehat4

Chitrakoot4

Lalitpur3

Hamirpur3

Mahoba3

Fatehpur3

6,03,788 77

2,025 57

5,93,035 134

8,728

DistrictCases

Kolkata2,777

Howrah1,435

24 Paraganas North1,031

Hooghly604

24 Paraganas South281

Maldah235

Dinajpur Uttar216

Coochbehar210

Birbhum206

Medinipur West159

Medinipur East153

Nadia139

Purba Bardhaman130

Murshidabad125

Bankura116

Darjeeling97

Jalpaiguri88

Paschim Bardhaman70

Purulia66

Dinajpur Dakshin50

Alipurduar39

Kalimpong18

Jhargram9

5,75,712 225

3,245 8

5,62,195 231

10,272 2

DistrictCases

Ganjam581

Jajapur322

Khordha238

Baleshwar190

Kendrapara164

Cuttack155

Bhadrak137

Balangir129

Puri103

Sundargarh102

Jagatsinghapur91

Nayagarh86

Mayurbhanj73

Nuapada69

Gajapati61

Dhenkanal36

Boudh34

Kendujhar34

Deogarh33

Kalahandi33

Sonepur29

Kandhamal28

Anugul26

Malkangiri20

Bargarh16

Koraput16

Sambalpur16

Jharsuguda8

Nabarangpur2

Rayagada2

3,37,448 97

764 33

3,34,767 64

1,917

DistrictCases

Jaipur2,177

Jodhpur1,748

Udaipur724

Bharatpur563

Kota503

Nagaur500

Ajmer379

Dungarpur374

Pali352

Jhalawar329

Bhilwara250

Sikar231

Chittorgarh188

Tonk171

Jalore164

Rajsamand140

Sirohi130

Bikaner112

Banswara91

Alwar90

Churu81

Jhunjhunu64

Dausa61

Dholpur60

Baran59

Jaisalmer53

Barmer34

Hanumangarh31

SawaiMadhopur26

Karauli17

Pratapgarh14

Ganganagar8

Bundi5

3,20,772 215

1,470 130

3,16,515 85

2,787

DistrictCases

Bilaspur100

Korba100

Mungeli87

Baloda Bazar85

Jashpur77

Janjgir-Champa56

Mahasamund54

Rajnandgaon52

Kabirdham52

Raigarh47

Raipur46

Balod41

Korea39

Durg31

Bemetara21

Kanker19

Balrampur17

Surguja14

Gariyaband10

Surajpur9

Dhamtari6

Bijapur2

Bastar2

Dantewada0

Kondagaon0

Narayanpur0

Sukma0

3,13,299 267

2,961 125

3,06,490 138

3,848 4

DistrictCases

Hyderabad2,475

Ranga Reddy183

Suryapet87

Jagitial77

Nizamabad76

MedchalMalkajgiri75

Mancherial43

YadadriBhuvanagiri40

Jogulamba Gadwal40

Vikarabad40

Nalgonda33

Warangal Urban32

Mahabubnagar30

Sangareddy26

Khammam26

Adilabad22

Nirmal21

Karimnagar17

RajannaSircilla16

Medak11

Kamareddy11

Mahabubabad10

Jayashankar Bhupalapally9

Nagarkurnool8

Kumuram Bheem Asifabad8

Jangoan8

Siddipet7

Peddapalli5

Bhadradri Kothagudem5

Warangal Rural4

Mulugu3

Narayanpet3

Wanaparthy1

2,99,406 152

1,948 36

2,95,821 114

1,637 2

DistrictCases

Gurugram2,950

Faridabad867

Sonipat404

Rohtak145

Palwal120

Jhajjar114

Karnal104

Hisar98

Ambala93

Panipat78

Nuh68

Bhiwani60

Rewari56

Kurukshetra55

Sirsa50

Kaithal48

Mahendragarh47

CharkiDadri43

Panchkula39

Fatehabad38

Jind38

Yamunanagar19

2,71,365 240

1,470 122

2,66,843 118

3,052

DistrictCases

Ahmadabad17,125

Surat2,311

Vadodara1,555

Gandhinagar410

Mahesana159

Banas Kantha147

Bhavnagar146

Rajkot135

Arvalli134

Mahisagar125

Anand107

PanchMahals107

Patan105

SabarKantha101

Kachchh99

Kheda98

Jamnagar63

Bharuch56

Botad55

Surendranagar55

Valsad47

GirSomnath45

Dohad43

Chhotaudepur37

Naysari35

Junagadh31

Narmada25

DevbhumiDwarka22

Amreli16

Porbandar11

Tapi6

Dang5

Morbi4

2,71,245 475

2,638 116

2,64,195 358

4,412 1

DistrictCases

Indore3,839

Bhopal1,880

Ujjain799

Burhanpur351

Neemuch319

Jabalpur276

East Nimar266

Sagar228

Gwalior211

Khargone196

Dewas140

Dhar132

Mandsaur112

Morena109

Bhind87

Raisen71

Barwani60

Ratlam51

Rewa39

Shajapur39

Hoshangabad37

Vidisha37

Chhatarpur35

Betul35

Rajgarh31

Dindori29

Sheopur26

Damoh26

Satna24

Anuppur22

Panna20

Tikamgarh18

Sidhi17

Narsinghpur17

Chhindwara16

Agar Malwa15

Mandla15

Shivpuri15

Jhabua14

Shandol14

Singrauli13

Ashoknagar13

Datia12

Sehore12

Umaria10

Balaghat9

Guna8

Harda4

Alirajpur3

Katni3

Seoni2

Niwari0

2,62,850 417

3,097 124

2,55,888 293

3,865

DistrictCases

Patna279

Bhagalpur266

Rohtas256

Khagaria253

Begusarai243

Madhubani199

Munger188

Jehanabad178

Katihar175

Darbhanga143

Samastipur139

Siwan139

PurbiChamparan138

Purnia135

Banka134

Buxar134

Nalanda123

Gopalganj123

Nawada122

Sheikhpura118

Gaya115

Kaimur (bhabua)105

Bhojpur103

Saran101

Muzaffarpur96

Saharsa88

Supaul87

Vaishali87

Madhepura82

Kishanganj75

Aurangabad75

Sitamarhi73

Lakhisarai72

Araria68

Pashchim Champaran57

Arwal52

Jamui47

Sheohar20

2,62,628 31

349 20

2,60,737 50

1,542 1

DistrictCases

Kamrup Metro276

Golaghat203

Nagaon143

Hojai89

Dima Hasao86

Karimganj85

Tinsukia84

Cachar80

Dibrugarh61

Hailakandi57

Lakhimpur57

Marigaon50

Dhemaji47

Kamrup42

Kokrajhar37

Dhubri30

Charaideo29

Barpeta28

Udalguri28

Sonitpur27

Jorhat24

Nalbari23

Darrang20

Sivasagar20

Goalpara19

Biswanath16

Baksa14

KarbiAnglong13

Bongaigaon12

Chirang6

West KarbiAnglong5

South SalmaraMancachar4

Majuli2

2,17,593 8

1,621 11

2,14,879 19

1,093

DistrictCases

Amritsar485

Jalandhar297

Ludhiana293

Tarn Taran163

Gurdaspur154

Hoshiarpur140

S.A.S Nagar137

Patiala132

Sangrur107

Shahid Bhagat Singh Nagar (Nawanshahr)99

Pathankot86

Rupnagar (Ropar)74

Faridkot74

Sri Muktsar Sahib71

Moga65

Bathinda60

Fatehgarh Sahib57

Fazilka53

Firozepur50

Kapurthala44

Mansa31

Barnala25

1,84,310 772

5,593 395

1,72,845 365

5,872 12

DistrictCases

Anantnag395

Srinagar300

Kulgam295

Baramulla271

Shopian255

Kupwara231

Bandipora175

Udhampur155

Ramban151

Jammu138

Budgam110

Pulwama108

Kathua53

Rajouri39

Ganderbal37

Poonch35

Doda27

Reasi26

Samba25

Kishtwar10

Mirpur0

Muzaffarabad0

1,26,693 104

875 55

1,23,860 49

1,958

DistrictCases

East Singhbum170

Ranchi148

Hazaribagh110

Garhwa80

Ramgarh75

Koderma58

Simdega48

Dhanbad32

Gumla28

Palamu27

West Singhbhum21

SaraikelaKharsawan20

Giridih19

Bokaro16

Latehar14

Khunti10

Lohardaga8

Deoghar5

Dumka5

Pakur4

Jamtara2

Godda2

Chatra1

Sahebganj0

1,20,068 31

473 25

1,18,505 56

1,090

DistrictCases

Dehradun370

Nainital323

Tehri Garhwal110

Haridwar94

Udam Singh Nagar83

Almora71

Champawat45

Pithoragarh43

Chamoli36

PauriGarhwal36

Bageshwar31

Rudraprayag30

Uttar Kashi24

97,134 45

463 12

94,979 33

1,692

DistrictCases

Hamirpur117

Kangra105

Una41

Solan32

Chamba29

Bilaspur21

Mandi21

Sirmaur11

Shimla10

Kullu4

Kinnaur2

Lahaul And Spiti0

58,877 77

495 58

57,386 19

996

DistrictCases

South Goa69

North Goa57

55,143 70

610 28

53,737 42

796

DistrictCases

Pondicherry111

Mahe4

Karaikal2

Yanam0

39,777 14

168 6

38,940 20

669

DistrictCases

Dhalai196

Sepahijala174

Gomati74

South Tripura53

Unakoti49

West Tripura45

Khowai24

North Tripura14

33,422 2

33 7

32,998 9

391

DistrictCases

Churachandpur32

Kangpokpi26

Imphal West21

Thoubal18

Imphal East10

Tengnoupal9

Bishnupur7

Senapati6

Chandel5

Kamjong5

Ukhrul4

Jiribam3

Pherzawl3

Kakching2

Tamenglong2

Noney1

29,283 1

32 1

28,878 2

373

DistrictCases

Chandigarh313

21,962 56

503 31

21,104 24

355 1

DistrictCases

Changlang31

Papum Pare8

Lohit3

Namsai2

West Siang1

East Siang1

Upper Siang1

Tawang1

PakkeKessang1

West Kameng0

Upper Subansiri0

Tirap0

Siang0

Shi Yomi0

Anjaw0

Lower Subansiri0

Lower Dibang Valley0

Longding0

Leparada0

KurungKumey0

KraDaadi0

Kamle0

East Kameng0

Dibang Valley0

Lower Siang0

16,838

2 0

16,780

56

DistrictCases

East Khasi Hills22

West Garo Hills5

South West Garo Hills4

North Garo Hills1

West Jaintia Hills1

West Khasi Hills1

East Garo Hills0

East Jaintia Hills0

Ribhoi0

South Garo Hills0

South West Khasi Hills0

13,966

14 1

13,804 1

148

DistrictCases

Dimapur20

Mon8

Kohima7

Kiphire3

Tuensang3

Peren2

Phek1

Longleng0

Mokokchung0

Wokha0

Zunheboto0

12,205 5

12 5

12,102

91

DistrictCases

Kargil77

LehLadakh43

9,821 2

42 2

9,649 4

130

DistrictCases

East District3

South District3

North District0

West District0

6,150 3

29 8

5,986 11

135

DistrictCases

South Andamans33

Nicobars1

North And Middle Andaman1

5,022 2

8 2

4,952

62

DistrictCases

Kolasib11

Aizawl10

Mamit8

Lawngtlai2

Lunglei2

Saitual1

Champhai0

Hnahthial0

Khawzawl0

Saiha0

Serchhip0

4,427

19 1

4,398 1

10

DistrictCases

Dadra And Nagar Haveli20

3,408

6 0

3,400

2

DistrictCases

Lakshadweep District0

414 7

128 9

285 16

1





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