Topic-specific proposal from the existing IFT content
The idea to investigate
Link household and school nutrition assessment with safe food, water, counselling, referral and outcome follow-up.
This is a proposed pilot, not a completed project. The responsible team, location, budget, baseline and independent review must be agreed before implementation.
Data reference table
Evidence Snapshot
Read each value with its reporting period, population and limitations. A historical national reference is not a local baseline or proof that an IFT proposal works.
5 source-linked reference records. 3 measurement records still need data and a review of their relevance.
| Signal | Reference Value | Period / Population | How to Read It | Source Status |
|---|---|---|---|---|
| Stunting among children under five | 35.5% Historical reference | NFHS-5, 2019–21 India; children under age five | Low height for age is a child-growth indicator; it is not a count of children enrolled in a nutrition programme. Limitations: Historical household-survey estimate. Sampling, non-response and measurement limitations apply; the India figure cannot be assigned to a district or an individual. | Ministry of Finance, Government of India; underlying NFHS data: Ministry of Health and Family Welfare Official government release Economic Survey 2022–23: health indicator table Published: 2023-01-31 Publication checked: 2026-11-04 Value, period and coverage checked in publication |
| Wasting among children under five | 19.3% Historical reference | NFHS-5, 2019–21 India; children under age five | Low weight for height measures a different growth condition from stunting; the percentages must not be added. Limitations: Historical household-survey estimate. Sampling, non-response and measurement limitations apply; the India figure cannot be assigned to a district or an individual. | Ministry of Finance, Government of India; underlying NFHS data: Ministry of Health and Family Welfare Official government release Economic Survey 2022–23: health indicator table Published: 2023-01-31 Publication checked: 2026-11-04 Value, period and coverage checked in publication |
| Underweight among children under five | 32.1% Historical reference | NFHS-5, 2019–21 India; children under age five | Low weight for age is distinct from low height for age and low weight for height. Limitations: Historical household-survey estimate. Sampling, non-response and measurement limitations apply; the India figure cannot be assigned to a district or an individual. | Ministry of Finance, Government of India; underlying NFHS data: Ministry of Health and Family Welfare Official government release Economic Survey 2022–23: health indicator table Published: 2023-01-31 Publication checked: 2026-11-04 Value, period and coverage checked in publication |
| Exclusive breastfeeding under six months | 63.7% Historical reference | NFHS-5, 2019–21 India; children under age six months | This is the survey feeding-practice indicator for eligible infants, not a measure of maternity-leave coverage or an individual care instruction. Limitations: Historical household-survey estimate. Sampling, non-response and measurement limitations apply; the India figure cannot be assigned to a district or an individual. Feeding recall and the survey definition must be retained. | Ministry of Finance, Government of India; underlying NFHS data: Ministry of Health and Family Welfare Official government release Economic Survey 2022–23: health indicator table Published: 2023-01-31 Publication checked: 2026-11-04 Value, period and coverage checked in publication |
| Anaemia among children aged 6–59 months | 67.1% Historical reference | NFHS-5, 2019–21 India; children aged 6–59 months | The age interval excludes younger infants. Compare only with the same age group and testing definition. Limitations: Historical household-survey estimate. Sampling, non-response and measurement limitations apply; the India figure cannot be assigned to a district or an individual. Anaemia is not interchangeable with stunting, wasting or iron deficiency alone. | Ministry of Health and Family Welfare, Government of India Official government release Anaemia Mukt Bharat: NFHS-5 prevalence by population group Published: 2022-02-04 Publication checked: 2026-11-04 Value, period and coverage checked in publication |
| Growth and nutrition status | Not established Data required — not zero | Reporting period: Information Required Population and geography: Information Required | Proposed measure; no observed value is established here. Limitations: Define the measure, unit, reporting period and covered population; obtain a traceable dataset and review its suitability for this topic before using a number. | Source organisation: Information Required Direct source URL: not yet verified Source publication date: not established Verification status: Data required |
| Anaemia assessment and response | Not established Data required — not zero | Reporting period: Information Required Population and geography: Information Required | Proposed measure; no observed value is established here. Limitations: Define the measure, unit, reporting period and covered population; obtain a traceable dataset and review its suitability for this topic before using a number. | Source organisation: Information Required Direct source URL: not yet verified Source publication date: not established Verification status: Data required |
| Diet diversity | Not established Data required — not zero | Reporting period: Information Required Population and geography: Information Required | Proposed measure; no observed value is established here. Limitations: Define the measure, unit, reporting period and covered population; obtain a traceable dataset and review its suitability for this topic before using a number. | Source organisation: Information Required Direct source URL: not yet verified Source publication date: not established Verification status: Data required |
Different surveys, administrative records, estimates and reporting years are not interchangeable. No combined IFT score is calculated from these rows.
Evidence coverage and review log (CSV) · Structured evidence register (JSON)
Section 01
Where the problem happens
Describe the patient or population failure precisely.
Undernutrition, micronutrient deficiency, unsafe food and rising diet-related disease require different diagnoses, not one generic nutrition campaign.
Connect safe food and adequate nutrition to learning, health and productivity. This topic requires evidence of actual access, readiness, quality, safety, affordability and continuity—not only a scheme, facility or installed asset.
Required context
Record state, district, city/block, village/ward or facility; date and time; population or patient group without unnecessary identity; service stage; observed harm or delay; source/method; and uncertainty. For emergencies and personal treatment, contact qualified local services rather than waiting for platform review.
Section 02
Why the problem happens
Investigate the service chain, not only the visible symptom.
Need & access
Who needs care, who reaches it and who is excluded? Test records, direct observation, staff and patient experience, and credible alternatives before calling it a verified cause.
Capacity & capability
Are the correct people, skills, rooms, equipment and supplies functional?
Flow & coordination
Where do queues, referrals, reports and handoffs fail?
Quality & safety
Are clinical, infection, medication, privacy and dignity standards met?
Finance & governance
Who owns, pays, operates, maintains, monitors and corrects failure?
Context & equity
How do geography, gender, disability, income, language and season change the pathway?
Section 03
How the parts work together
Every component needs an accountable operating definition.
Child, adolescent and maternal nutrition
Define eligibility, service standard, responsible team, required inputs, handoff, safety rule, data record, escalation and follow-up.
- Protein and micronutrient adequacy
- Anaemia and malnutrition
- Obesity prevention
- School meals
- Food safety and safe water
- Nutrition education
Section 04
A solution suited to India
Repair the weakest handoff while protecting the whole pathway.
Verify baseline
Measure the actual local failure in nutrition & food health, including distribution and missing evidence.
Protect immediately
Contain urgent patient-safety, infection, supply, access or continuity risks before longer reform.
Redesign service
Join people, workflow, infrastructure, supplies, digital support and accountability around the user journey.
Pilot safely
Link household and school nutrition assessment with safe food, water, counselling, referral and outcome follow-up.
Independent review
Compare benefit, harm, equity, cost, workforce burden and maintainability before expansion.
Decision checks
Clinical safety; Access; Consent; Privacy; Equity; Workforce; Affordability; Maintenance; Evidence
Section 05
Roadmap
Protect now, pilot carefully and build durable capability.
- 0–90 DAYS
- Diagnose & protect
Verify the pathway, immediate risk, accountable owner, minimum safe standard and urgent correction.
- 3–18 MONTHS
- Pilot & measure
Link household and school nutrition assessment with safe food, water, counselling, referral and outcome follow-up.
- 1–5+ YEARS
- Institutionalise
Fund workforce, operations, maintenance, interoperability, supervision, public correction, independent evaluation and continuous learning.
Section 06
How to measure improvement
Track health benefit, safety, equity and durability—not activity alone.
KPI 01
Growth and nutrition status
Record the definition, baseline, target, actual result, source, reporting period, affected group and uncertainty.
KPI 02
Anaemia assessment and response
KPI 03
Diet diversity
KPI 04
Food-safety compliance
KPI 05
Referral completion
Result status: Planned, baseline pending, active measurement, insufficient evidence, improved, mixed, no improvement or harmful. Never label a programme successful from spending, training, installation or coverage alone.
Section 07
Risks and protections
Improvement must not create avoidable clinical or social harm.
Clinical risk
Unsafe standardisation, delay, false reassurance or inappropriate escalation.
Equity risk
Remote, poor, disabled, female, older or language-minority users excluded.
Data risk
Consent failure, exposure, cyber harm, misidentification or bad-quality records.
Workforce risk
Automation or targets increase unsafe workload and conceal skill gaps.
Governance risk
Responsibility, funding, maintenance or remedy remains unclear.
