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Cited by 295

The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.

Reproductive health, and child health and nutrition in India: meeting the challenge

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Paul, Vinod Kumar, Sachdev, Harshpal Singh, Mavalankar, Dileep, Ramachandran, Prema, Sankar, Mari Jeeva, Bhandari, Nita, Sreenivas, Vishnubhatla, Sundararaman, Thiagarajan, Govil, Dipti, Osrin, David, Kirkwood, Betty·2011·The Lancet
DOI 10.1016/s0140-6736(10)61492-4
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Abstract

India, with a population of more than 1 billion people, has many challenges in improving the health and nutrition of its citizens. Steady declines have been noted in fertility, maternal, infant and child mortalities, and the prevalence of severe manifestations of nutritional deficiencies, but the pace has been slow and falls short of national and Millennium Development Goal targets. The likely explanations include social inequities, disparities in health systems between and within states, and consequences of urbanisation and demographic transition. In 2005, India embarked on the National Rural Health Mission, an extraordinary effort to strengthen the health systems. However, coverage of priority interventions remains insufficient, and the content and quality of existing interventions are suboptimum. Substantial unmet need for contraception remains, adolescent pregnancies are common, and access to safe abortion is inadequate. Increases in the numbers of deliveries in institutions have not been matched by improvements in the quality of intrapartum and neonatal care. Infants and young children do not get the health care they need; access to effective treatment for neonatal illness, diarrhoea, and pneumonia shows little improvement; and the coverage of nutrition programmes is inadequate. Absence of well functioning health systems is indicated by the inadequacies related to planning, financing, human resources, infrastructure, supply systems, governance, information, and monitoring. We provide a case for transformation of health systems through effective stewardship, decentralised planning in districts, a reasoned approach to financing that affects demand for health care, a campaign to create awareness and change health and nutrition behaviour, and revision of programmes for child nutrition on the basis of evidence. This agenda needs political commitment of the highest order and the development of a people’s movement.

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Metadata

Authors
Paul, V. K., Sachdev, H. S., Mavalankar, D., Ramachandran, P., Sankar, M. J., Bhandari, N., Sreenivas, V., Sundararaman, T., Govil, D., Osrin, D., & Kirkwood, B.
Venue
The Lancet
Publisher
Elsevier BV
Published
2011-01
Volume
377
Issue
9762
Pages
332-349
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
DOI
10.1016/s0140-6736(10)61492-4
OpenAlex
W1993680954
Cited by
295
References
4
FWCI
28.47
Type
journal article
Language
en
Open access
green
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)

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CoChat. (2026). Citation check: Reproductive health, and child health and nutrition in India: meeting the challenge. https://app.cochat.ai/papers/10.1016/s0140-6736(10)61492-4
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Paul, V. K., Sachdev, H. S., Mavalankar, D., Ramachandran, P., Sankar, M. J., Bhandari, N., Sreenivas, V., Sundararaman, T., Govil, D., Osrin, D., & Kirkwood, B. (2011). Reproductive health, and child health and nutrition in India: meeting the challenge. The Lancet. https://doi.org/10.1016/s0140-6736(10)61492-4

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