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Prevalence of Zero-Food among infants and young children in India - The Lancet 

S.V. Subramanian, Mayanka Ambade, Smriti Sharma, Akhil Kumar, Rockli Kim

The extent of food deprivation and insecurity among infants and young children—a critical phase for children's current and future health and well-being—in India is unknown. We estimate the prevalence of food deprivation among infants and young children in India and describe its evolution over time at sub-national levels.

Data from five National Family Health Surveys (NFHS) conducted in 1993, 1999, 2006, 2016 and 2021 for the 36 states/Union Territories (UTs) of India were used. The study population consisted of the most recent children (6–23 months) born to mothers (aged 15–49 years), who were alive and living with the mother at the time of survey. Food deprivation was defined based on the mother's reporting of the child having not eaten any food of substantial calorific content in the past 24 hours, which we labelled as “Zero-Food”. 

The prevalence of Zero-Food in India marginally declined from 20% in 1993 to 17.8% in 2021. Chhattisgarh, Mizoram, and Jammu and Kashmir experienced high increase in the prevalence of Zero-Food over this time period, while Nagaland, Odisha, Rajasthan and Madhya Pradesh witnessed a significant decline. In 2021, Uttar Pradesh (27.4%), Chhattisgarh (24.6%), Jharkhand (21%), Rajasthan (19.8%) and Assam (19.4%) were states with the highest prevalence of Zero-Food. As of 2021, the estimated number of Zero-Food children in India was 5,998,138, with the states of Uttar Pradesh (28.4%), Bihar (14.2%), Maharashtra (7.1%), Rajasthan (6.5%), and Madhya Pradesh (6%) accounting for nearly two-thirds of the total Zero-Food children in India. 

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