ArticleBMJ global health2020
The role of the state government, civil society and programmes across sectors in stunting reduction in Chhattisgarh, India, 2006-2016.
Article in BMJ global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association between household food insecurity and stunting in children aged 0-59 months: Systematic review and meta-analysis of cohort studies.Maternal & child nutrition · 2024Pooled it
- Article
- Comparison of high and low stunting reduction groups using IFE-EFE matrix analysis in Central Java Province, Indonesia.Frontiers in public health · 2023Article
- Observational
- Understanding drivers of stunting reduction in Nigeria from 2003 to 2018: a regression analysis.Food security · 2022Article
- Missed opportunities for delivering nutrition interventions in first 1000 days of life in India: insights from the National Family Health Survey, 2006 and 2016.BMJ global health · 2021Article
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4 authors.
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Abstract
introductionChildhood stunting has declined in India between 2006 and 2016, but not uniformly across all states. Little is known about what helped some states accelerate progress while others did not. Insights on subnational drivers of progress are useful not just for India but for other decentralised policy contexts. Thus, we aimed to identify the factors that contributed to declines in childhood stunting (from 52.9% to 37.6%) between 2006 and 2016 in the state of Chhattisgarh, a subnational success story in stunting reduction in India.
methodsWe examined time trends in determinants of stunting using descriptive and regression decomposition analysis of National Family Health Survey data from 2005 to 2006 and 2015-2016. We reviewed nutrition-relevant policies and programmes associated with the drivers of change to construct a policy timeline. Finally, we interviewed multiple stakeholders in the state to understand the changes in the drivers of undernutrition.
resultsThe regression decomposition analysis shows that multiple factors explain 66% of the change in stunting between 2006 and 2016. Improvements in three key drivers-health and nutrition services, household assets, and sanitation and hygiene-explained 47% of the change in stunting. A shared vision for impact, political stability and capable bureaucracy, state-level innovations, support from development partners and civil society, and community mobilisation were found to contribute to improvements in programmes for health, poverty and sanitation.
conclusionChange in multiple sectors is important for stunting reduction and can be achieved in subnational contexts. More work lies ahead to close gaps in various determinants of stunting.
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