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The case for community-led action to fight malnutrition in rural India

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India is host to more than 30% of child wasting globally, which is one of the main reasons for its deplorable child mortality rates also. What is even more surprising is the absolute stubbornness that this menace has shown over the last decade, despite huge amounts invested in building public infrastructure and trained human resources. The fact that about 20% of all Indian children are wasted is a harsh testimony that the present approach to handle this grave crisis needs to be relooked into and appropriately remodelled. This is essential to build a future Indian populace which is healthier, largely immune to diseases and happier. Given the humongous population still under its sway, Severe Acute Malnutrition ( SAM ) needs focussed attention and innovative approaches to handle the situation better. In this context, the effectiveness of Community based Management of Acute Malnutrition ( CMAM ) approach needs to be emphasized. Not all SAM cases need institutional treatment. And giv