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Banyan: The Indian exception | The Economist
Banyan
The Indian exception
Many Indians eat poorly. Would a right to food help?
Mar 31st 2011 | from the print edition
LOOK at this muck, says 35-year-old Pamlesh Yadav, holding up a tin-plate of bilious-yellow grains, a mixture of wheat, rice and mung beans. It literally sticks in the throat. The children wont eat it, so we take it home and feed it to the cows.
Mrs Yadav has brought her children to a state-run nursery in Bhindusi village in rural Rajasthan. The free midday meal is being dished out. Neither she nor anyone else in Bhindusi looks plump enough to turn down such an offer. Stray dogs scamper through the nursery and toddlers are being weighed in the corner while food is passed around. Most are underweight. Mrs Yadav herself is anaemic, like almost all local women; she survives on potato curry and wheat chapatis. Even so, she rejects a free lunch. The only reason the women come here is because of the creche, admits Shafia Khan, who is in charge of state nurseries in the district. The children dont like the food. And the ones you see here are the lucky ones. Out in the fields, it is terrible. Everyone is listless; they all suffer from vitamin and iron deficiencies.
The nursery is part of Indias Integrated Child Development Services Scheme (ICDS), the largest child-nutrition programme in the world. Its woes in Rajasthan are part of a larger problem. India is an outlier. Its rate of malnutritionnearly half the children under three weigh less than they shouldis much higher than it should be given Indias level of income. And the burden has shifted more slowly than it ought to have done given Indian growth. Lawrence Haddad, the director of the Institute of Development Studies at Sussex University, reckons that
every 3-4% increase in a developing countrys income per head should translate into a 1% fall in rates of underweight children. In India the rate has barely shifted in two decades of growth. Per person, India eats less, and worse, than it used to. Mr Haddad calls the country the worlds Jekyll and Hyde: economic powerhouse, nutritional weakling. Over a third of the worlds malnourished children live there.
When India was poor, its failure to feed itself properly did not seem odd. Poverty was explanation enough.
But after one of the most impressive growth spurts in history, the countrys inability to lift the curse of malnutrition has emerged as its greatest failureand biggest puzzle. Nothing fully accounts for it. True, farming has not shared in the same dazzling success as the rest of the economy, lately rising by only a point or two per person per year. But
some African countries have seen farm output per head actually falland they have still cut malnutrition more than India.
It is also true that
Indias food bureaucracy is a byword for inefficiency and corruption. People steal from the cheap-food shops of the Public Distribution System (PDS) on an industrial scale. Newspapers call a case of theft now under investigation in Uttar Pradesh the mother of all scams. At one point, the countrys top investigative agency said it had given up even trying to cope with the 50,000 separate charges. But again, other countries have corrupt bureaucracies, tooor none, which may be as bad.
So the most convincing explanations for Indias nutritional failures probably lie elsewhere.
Women are the most important influences upon their childrens healthand the status of women in India is notoriously low. Brides are deemed to join their husbands family on marriage and are often treated as unpaid skivvies. The mothers arent allowed to look after themselves, says Mrs Khan. Their job is simply to have healthy babies. But if mothers are unhealthy, their children frequently are, too.
India is also riven by caste and tribal divisions. It is no coincidence that states with the most dalits (former untouchables) or tribes (such as Bihar and Orissa) have higher malnutrition rates than those, like Andhra Pradesh and Kerala, with fewer of these excluded groups. So-called scheduled castes and tribes are more likely than other Indians to suffer the ills of poor diet.
But that cannot be the whole story.
Astonishingly, a third of the wealthiest 20% of Indian children are malnourished, too, and they are neither poor nor excluded. Bad practice plays some partnotably a reluctance to breastfeed babies. There may also be an element of choice. Long ago, a study in Maharashtra showed that people spend only two-thirds of their extra income on foodand this is true whether they are middle-income or dirt-poor. That may seem perverse. But a mobile phone may be more useful to the poor than better food, since the phone may generate income during the next harvest failure, and good food will not.
Wanted: Bolsa India
These explanations matter because they raise questions about the Indian governments current attempt to offer a universal right to food. Over the past 20 years, the supreme court has said that Indians have various social rights (to work, education and so on) and can sue the government if they are not honoured. The free school-meal programme was an attempt to implement a right to food. Now the government wants to go further. It is talking about giving cheap food to about 90% of country-dwellers and 50% of city folkthree-quarters of all Indians.
Leave aside the budgetary implications, which are awe-inspiring. Such a programme would hugely expand the terminally dysfunctional PDS. It would do little or nothing for neglected castes and tribes. It would not raise the status of women, or encourage breastfeeding and early nutrition. (As Mrs Khan says, the crucial time is between the ages of nought and three, but were not really reaching them.) Giving cash, rather than food itself, would be better. Better still, India should look to international experience and introduce a conditional cash-transfer scheme, such as Brazils Bolsa Família, which pays the mother if her children attend school.
India hankers after universal benefits that would leave millions malnourished. It should instead learn from schemes that target those who need helpand which actually work.