Dr Chandrakant Pandav on Outlook Poshan 2.0 #ReachEachChild initiative launched by Outlook & Reckitt
Dr. Chandrakant Pandav on Outlook Poshan 2.0 #ReachEachChild initiative launched by Outlook and Reckitt.
#OutlookPoshan #Nutrition #Health #Outlook #Poshan #OutlookPoshan #OutlookMagazine #OutlookGroup
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#OutlookPoshan #Nutrition #Health #Outlook #Poshan #OutlookPoshan #OutlookMagazine #OutlookGroup
Follow this story and more: https://www.outlookindia.com/
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00:00 I would like to first express my gratitude to the corona warriors.
00:09 For the last two years they have risked their life.
00:12 The physicians, the surgeons, the nurses, the ward boys, the pharmacists, the ambulance
00:17 drivers, the security people.
00:18 May aapko dhanyawa dhena chahata hu.
00:21 Malnutrition talks about both undernutrition as well as overnutrition, obesity.
00:26 But right by so far our focus has been only undernutrition.
00:31 Now we want to really address this nutrition problem.
00:34 It's a problem of decades.
00:36 It's a problem of generations.
00:37 It's an intergenerational problem.
00:40 Unless we address the issue of agricultural security, food security and nutrition security,
00:46 we won't be able to give permanent sustainable also to this problem.
00:51 Now the most important nutrition problems are anemia.
00:56 Anemia is very, very important.
01:00 Almost two-thirds of the population is suffering from anemia, especially the women in lactating
01:05 and pregnant stage.
01:09 The second is iodine deficiency disorders, vitamin A deficiency and other micro-routine
01:18 deficiencies.
01:19 So these are the major challenges we have.
01:22 And I must also warn you that obesity is becoming an increasingly important problem, especially
01:28 in the urban areas.
01:30 That too because of the fast food that the children are consuming.
01:35 The solutions are multisectoral.
01:37 And the single most important part is the awareness.
01:42 Awareness is very, very important and we don't seem to spend a lot of resources on awareness.
01:48 It's the important conceptual framework that we are lacking.
01:53 Health promotion, specific protection, early diagnosis and treatment, disability limitation
01:59 and rehabilitation.
02:01 So far, at least in the Indian context, we don't seem to be focusing on health promotion
02:06 very little.
02:08 Our attention currently is only on specific protection.
02:12 You have anemia, give anemia iron and folic acid supplementation.
02:18 You have iodine deficiency, you give iodized salt.
02:22 But health promotion is very important and that is constantly missing in the Indian setting.
02:28 Now awareness, assessment, analysis and action.
02:32 Actually there is a place called Eringa in Tanzania.
02:35 It's called the AAA approach, assessment, analysis and action.
02:40 After a lot of thinking, I added awareness as an important part.
02:44 Now this address has to be addressed by five important people who are living in the village.
02:50 First is the Asha, auxiliary nurse midwife, the agriculture extension worker and I, my
02:59 mother tongue is Marathi, I is very important.
03:03 So unless we do this at the village level, Mahatma Gandhi said that India lives in the
03:09 villages, Gram Swaraj.
03:12 So that is the area that we need to strengthen.
03:15 And another important thing I want to share with you, something called positive deviance.
03:20 In every village, there will be some children who are doing extremely well.
03:24 So you must try to understand their best practices and use it in the entire villages.
03:30 I also want to bring to your notice that when you go to a civilization, every village had
03:38 a grain storage facility.
03:43 All the drains were covered and there were public places for toilet.
03:47 Somewhere in the middle, we lost this important fundamental concepts that were addressing
03:53 nutrition problems.
03:55 Community medicine, I would say it's community health, not medicine.
04:01 And the conceptual framework as I mentioned earlier of community health are health promotion,
04:08 specific protection, early diagnosis and treatment, disability limitation and rehabilitation.
04:15 Community health also includes five important disciplines.
04:18 Ultimately, we are looking at change of behavior, which is the most challenging and important
04:24 things to address.
04:25 And you have to have exposure to anthropology, psychology, sociology, economics and politics.
04:34 These are the five disciplines of behavioral sciences.
04:36 And unfortunately, I was a member of the secretary of the committee on national rural health
04:43 mission on reforms in medical education.
04:46 I said these five subjects are very, very important.
04:49 Anthropology, psychology, sociology, politics and economics, these are beyond health.
04:56 These are called non-health determinants of health.
04:59 And the students should be exposed to these disciplines.
05:02 Unfortunately, this has not taken place.
05:05 Now take the case of Delhi.
05:07 We have Indian Institute of Technology, we have Jawaharlal Nehru University and we are
05:12 AIIMS, All India Institute of Medical Sciences, New Delhi.
05:16 We are within the diameter of, I think, five kilometers.
05:21 Why can't these universities come together and start combined courses to address and
05:26 give a holistic approach to students, whether they are engineering, whether they are social
05:31 sciences or medical sciences?
05:35 It is, I would strongly recommend to the Honorable Prime Minister, this is what should be done.
05:40 And we should set a role model.
05:42 IIT Delhi, Jawaharlal Nehru University, All India Institute of Medical Sciences, New Delhi.
05:48 It's a dream that would come true.
05:51 And Honorable, our Prime Minister Narendra Modi, I call him as a public health champion
05:57 not of the century but of the millennium.
06:00 He started Swachh Bharat Mission.
06:02 He started Rashtriya Poshan Naviyam.
06:04 He started Atmanirvan Bhavar.
06:07 He started many schemes which are now well.
06:11 In fact, 90% of the decisions are caused by water supply and sanitation.
06:16 He is the first Prime Minister that we saw that we address the issue of Swachh Bharat
06:20 Mission.
06:21 The Western countries addressed the issue of water supply and sanitation 200 years back.
06:26 Now we are addressing it.
06:29 So that's a very credible and very important thing that the Honorable Prime Minister introduced.
06:35 He has given the nice policy direction.
06:38 It is up to us to implement it.
06:40 Thank you.
06:41 [Music]
06:45 [BLANK_AUDIO]