Suman Chakrabarti

Anaemia among mother-child dyads in India: Trends, drivers, and future projections

Anaemia among mothers and their children is a widespread public health challenge with profound consequences for individuals and societies. While anaemia has been studied separately in women and children, there remains a literature gap examining anaemia in mother-child dyads, limiting insights on interventions that may simultaneously address anaemia in both groups. Our study examines trends and drivers of anaemia among mother-child dyads (mothers aged 15–49 years and their children aged 6–59 months; N = 408,342) in India using nationally-representative data from 2006 to 2021 and estimates the potential future reduction in anaemia among mother-child dyads based on changes in selected drivers. We employed descriptive statistics, multivariable logistic regression and population attributable fraction (PAF) analysis. The co-occurrence of anaemia among mothers-child dyads changed very slightly, from 35% in 2006% to 33% in 2016 and to 37% in 2021. Subnational analyses revealed varying trends by states, with Delhi showing the highest increase (17%–32%) and Sikkim the largest decrease (29%–16%) between 2006 and 2021. Maternal education, regular consumption of nonvegetarian food and green leafy vegetables, consumption of iron folic acid supplements, utilization of government health services, and improved sanitation at both household and community levels were associated with lower likelihood of anaemia among mother-child dyads. The cumulative PAF suggested that addressing these factors collectively could reduce anaemia prevalence among mother-child dyads by 18% to 28% (under different scenarios) by 2030. The study underscores the need for comprehensive, multi-sectoral interventions targeting both maternal and child health to effectively combat anaemia in mother-child dyads.

Women’s dietary diversity and child feeding practices amidst COVID19 in India: Findings from National Family Health Surveys, 2016–2021

The COVID-19 pandemic caused a crisis that jeopardized food consumption and dietary diversity. This study aimed to: (1) investigate relationship between COVID-19 and women’s and children’s diets in India; (2) examine how this varies by socioeconomic status and mothers’ vegetarianism; and (3) assess whether mobility restrictions during India’s national lockdown influenced these dietary changes. The analysis drew on data from India’s National Family Health Survey 2015–16 and 2019–21, focusing on 11 states surveyed before and during COVID-19 (N = 567,727 women, 141,905 children). COVID-19 exposure was defined as interviews after 24 March 2020 (national lockdown). Outcomes included child feeding practices and women’s food consumption and dietary diversity. The impact of COVID-19 on diets was estimated using a difference-in-difference model; effect of mobility reduction on diets was examined using linear regression. All analyses were adjusted for confounders, interview month, state fixed effects, and sampling weights. Results showed that COVID-19 exposure was linked to significant declines in child feeding practices (−6.9 percentage points [pp] for minimum dietary diversity, −5.0 pp for minimum acceptable diet, and −6.1 pp for fruit consumption) and women’s diet (−5.7 pp for dietary diversity and green vegetable consumption). While magnitude of impact varied across socioeconomic sub-strata and mothers’ vegetarianism status, the differences were not statistically significant. The diets of women and children were greatly impacted by mobility reduction. COVID-19 has worsened the diets of women and children in India. More research is needed on the impact of relief measures to strengthen food safety nets nationwide.

Adolescents in South Asian agrifood systems: Roles and aspirations