Stunting and Underweight among Adolescent Girls of Indigenous Communities in Telangana, India: A Cross-Sectional Study.

India's indigenous groups remain vulnerable to malnutrition, despite economic progress, reflecting the reliance on traditional agriculture and the problems of poverty and inadequate education and sanitation. This mixed-methods study analyzed the incidence, causes and determinants of chronic malnutrition, measured through stunting, thinness and underweight among adolescent indigenous girls in Telangana. Using 2017 data on 695 girls aged 11-18 years from 2542 households, the analysis showed that 13% had normal nutritional status, while 87% were stunted, underweight or thin. Early adolescents (11-14 years) had higher underweight prevalence (24.4%), while late adolescents (15-18 years) showed greater stunting (30%). Regressions identified key influencing factors. Higher education levels of heads of households and the girls themselves alongside household toilet access significantly improved nutritional status and reduced stunting and underweight. The sociocultural emphasis on starchy staple-based diets and early marriage also impacted outcomes. Tackling this crisis requires mainstreaming nutrition across development agendas via comprehensive policies, education, communication and community participation. Further research can guide context-specific solutions. But, evidence-based investments in indigenous education, livelihoods, sanitation and women's empowerment are the first steps. Nutrition-sensitive development is indispensable for indigenous groups to fully participate in and benefit from India's progress.

Understanding nutritional outcomes through gendered analysis of time-use patterns in semi-arid India.

The objective of this paper is to understand individual nutritional outcomes through an examination of gendered time use patterns. The analysis of the data from eight villages in the Semi-Arid Tropics (SAT), India confirm previous conclusions about the gendered influence of agricultural interventions, especially time demands on the rural poor. Agricultural interventions in the harsh, drought-prone environment of the SAT tend to increase the time burden on women. Sociological perspectives indicate that changes in time use patterns are also due to changing agricultural practices such as cropping patterns, type of productive work (farm to non-farm) among other factors, leading to variations in outcomes like nutrition for different members of the household. These changes demand innovative gender-responsive approaches and policies to leverage agriculture for nutrition and health. The paper concludes that empowering women through more information and control over income, assets and resources enhances their agency to make decisions for efficient time use, food consumption, sanitation and healthy practices. The authors opine that the context is important and policies must be based on sound data and rigorous analysis, including social and gender considerations.