Malnutrition

Malnutrition is a global health issue that affects millions of people, especially children. It is one of the leading causes of mortality in children under 6 years, contributing to stunted growth, developmental delays, and susceptibility to diseases. According to the 2024 WHO Report, 149 million children experience stunted growth due to malnutrition. The Global Hunger Index 2023 audit states that 8.57 crore Indian children under 6 years of age are malnourished, and 2.9% of Indian children die before their 5th birthday. Malnourished children face severe long-term health and developmental challenges which affect their childhood and adulthood.

This article covers understanding the types, causes, symptoms, and cures of malnutrition in children.

What is malnutrition?

Malnutrition refers to deficiencies, excesses, or imbalances in a person’s intake of energy or nutrients. The term covers 2 broad groups of conditions: undernutrition and overnutrition. Undernutrition includes stunting, wasting, and deficiencies in essential vitamins and minerals, while overnutrition refers to obesity or excessive intake of certain nutrients.

Malnutrition in children is a serious health condition that hinders both physical and cognitive growth. It often stems from the vicious cycle of poverty, where the undernourished condition of the mother directly impacts the newborn. Proper nutrition is critical in the early years of a child’s life as it affects brain development, immune system strength, and long-term health.

1. Undernutrition

  • Stunting: Children are too short for their age due to chronic undernutrition. It results from prolonged nutrient deficiency and is a major public health issue, especially in developing countries like India.
  • Wasting: A child is too thin for their height, usually caused by acute malnutrition due to insufficient food intake or illness.
  • Micronutrient deficiencies: A lack of essential vitamins and minerals like iron, vitamin A, iodine, and zinc can lead to health issues such as anemia, impaired immune function, and blindness.

2. Overnutrition

Overnutrition occurs when a child consumes more calories than their body requires, leading to obesity and related health problems such as diabetes and cardiovascular disease.

Causes of malnutrition in children

Malnutrition is preventable and treatable, especially when detected early through proper meal plans, healthcare access, and education about adequate nutrition.

  • Poverty: Low-income families often lack access to adequate food, safe drinking water, and healthcare, making it difficult to provide children with the nutrients they need.
  • Food insecurity: Instability in food supply due to conflict, natural disasters, or economic issues leads to malnutrition.
  • Poor maternal health: Undernourished pregnant and lactating mothers are at risk of giving birth to low-weight and malnourished babies.
  • Lack of education: Parents who are unaware of proper nutrition often provide an imbalanced diet, which contributes to malnutrition.
  • Inadequate healthcare: Lack of access to medical treatment worsens malnutrition. Diseases such as diarrhea and infections, if untreated, exacerbate nutrient deficiencies.
  • Infectious diseases: Illnesses like malaria and pneumonia reduce nutrient absorption & increase caloric needs, worsening malnutrition.

Signs of malnutrition in children

Identifying malnutrition early is challenging, but some common signs include:

  • Stunted growth: Children shorter than expected for their age may suffer from chronic malnutrition.
  • Thin & weak appearance: Wasted muscles & a gaunt appearance indicate acute malnutrition.
  • Lethargy & fatigue: Malnourished children lack energy & are less active than their well-nourished peers.
  • Frequent illness: Malnutrition weakens the immune system, making children prone to infections.
  • Swelling: Children suffering from protein deficiency may have swollen bellies, ankles, or faces due to fluid retention.
  • Behavioral changes: Irritability, unresponsiveness, or difficulty concentrating are behavioral signs of malnutrition.

Cures for malnutrition in children

Malnutrition is preventable and treatable, especially when detected early. Key solutions include:

  • Nutritional interventions: Nutrient-dense foods such as fortified milk, cereals, and supplements can help children recover from malnutrition. Ready-to-use Therapeutic Foods (RUTF) are widely used to treat severe acute malnutrition.
  • Healthcare access: Proper medical care, vaccinations, and deworming help treat diseases that worsen malnutrition.
  • Education: Families need education on balanced diets, breastfeeding, and hygiene practices to prevent malnutrition. Community leaders, health workers, and schools can collaborate to spread awareness.
  • Economic support: Social safety nets, employment opportunities, and economic aid help families afford nutritious food and healthcare for their children.
  • Government programs: Linking communities to government schemes for healthcare and financial aid is an effective way to combat malnutrition.

How CRY America intervenes to combat malnutrition

CRY America plays a role in combating malnutrition by tackling the root causes of malnutrition & ensuring that children have access to resources they need for healthy development.

  • Conducting nutrition awareness programs: CRY America educates communities about proper nutrition & healthcare practices through workshops and door-to-door visits. The team counsels parents on best practices to ensure a balanced diet & optimum child care.
  • Providing sustainable nutritional support: Along with providing nutritional support to children, CRY America ensures sustainable methods to cure malnutrition.  This includes referring malnourished children to the PHC & the Nutrition Rehabilitation Centers for treatment, starting & teaching kitchen gardening practices & following up with families during and after recovery.
  • Linking to government programs: CRY America aims to empower communities by linking them to various government programs that help them take better care of their children.
  • Facilitating healthcare access: Supported Projects teams facilitate healthcare by setting up health camps, providing medical check-ups, and ensuring children receive vaccinations and treatments that prevent malnutrition through Health Centers.

CRY America crafting a better tomorrow

While working with Project Vikas Samvaad Samiti (VSS) in Madhya Pradesh, CRY America encountered a family with a newborn suffering from being underweight and ill due to his mother’s poor nutrition. Deprived of vital colostrum, the baby’s condition remained dire for 6 months. The ASHA health workers encouraged his mother to admit him to a Nutrition Rehabilitation Center. After 11 days of treatment, the child gained weight and recovered from malnutrition. To help the family break the cycle of poverty, they were supported to start poultry farming & a kitchen garden to improve their nutrition & income.

Conclusion

Malnutrition is a critical issue that continues to affect millions of children globally, but it is preventable & treatable. Organizations like CRY play a significant role on this issue, helping to create a world where every child has the right to grow up healthy & strong.

By supporting CRY America, you can directly impact the lives of malnourished children, giving them a healthier and more secure future. Donate for children and be a beacon of hope for a brighter tomorrow.