So is it the case, then, that the decline in per capita
calorie consumption is simply a positive reflection
of development in various forms? Unfortunately, such
an optimistic conclusion cannot be arrived at so easily,
and may probably be misleading. While very rigid norms
may not be successful at allowing for differential
requirements of individuals, there are other ways
to estimate a possible nutritional deficit. One way
is in terms of defining a reference "consumer
unit" and then applying conversion factors to
all the population according to age and gender.
This is what the NSS has been doing with its definition
of a consumer unit at 2700 calories, which it has
taken as the daily calorific requirement of a normal
male person doing sedentary work and belonging to
the age group 20-39 years. Other persons are assigned
conversion factors based on age and gender, so that
each household can then be defined in terms of the
number of consumer units, which would be less than
the number of household members.
This provides some indication of aggregate nutritional
deficiency. Calorie consumption at less than 90 per
cent would indicate nutritional deficiency. There
are also suggestions of the prevalence of far greater
nutritional deficiency at less than 70 per cent of
the consumer unit norm. Nevertheless, here we consider
only the broader estimate.
Chart 6 provides estimates of how such nutritional
deficiency has moved over time. The results are quite
stark. In the rural areas, the percentage of population
with less than 90 per cent of the norm of calorie
intake increased from 40 per cent in 1983 to 45 per
cent in 1999-2000. And if the sense that the latest
period survey overestimated food consumption is correct,
the ratio is likely to be even higher. In the urban
areas, the proportion of nutritionally deficient population
declined to around 48 per cent by the early 1990s,
but appears to have remained at that level thereafter.
Chart
6 >> Click
to Enlarge
Of course, this all-India figure hides very substantial
regional variation. Charts 7 and 8 indicate just how
marked such variation is across states, in terms of
average per capita calorie consumption across the
rural and urban areas of the major states. The lowest
rural average nutrient intake is to be found in the
states of Assam, Gujarat, Kerala, Maharashtra and
Tamil Nadu. Note that these are not (except Assam)
states with above-average incidence of rural poverty,
and indeed have higher than average per capita income.
Furthermore, in several of these states (except Kerala
and Maharashtra) the average intake worsened over
the 1990s.
Chart
7 >> Click
to Enlarge
Chart
8 >> Click
to Enlarge
Another state with relatively poor nutrient intake
is Andhra Pradesh, in which also the situation appears
to have worsened over time. This is especially surprising
in view of the fairly extensive and highly subsidised
Public Distribution System that was set up by the
state government, although the reduction in food subsidy
over the 1990s may have played some role in the worsening
intake in rural areas in that state. Karnataka also
indicates low average calorie intake in the rural
areas.
It is of course possible that such state-wise variations
are related to differing physiological requirements
and cultural habits. However, another factor may also
be at work: the deficiency of cereals production in
these states. The Report of the High-Level Committee
on Long-Term Grain Policy (July 2002) makes the following
point: "Along with Bihar, these states have the
lowest per capita cereals production among all the
major states. This not only emphasises the continued
importance of cereals even in relatively rich states,
but also the limitations of trade.
A production deficit by itself does not imply food
insecurity but involved additional costs and effort
of getting supplies from elsewhere. Deficit production
and relatively long distances from surplus regions
lead to relatively high prices, e.g. NSS implicit
prices of cereals purchased were 30-70 per cent higher
in the South Indian states of Karnataka, Kerala and
Tamil Nadu than in Uttar Pradesh. This restrains cereal
consumption and keeps total nutrient intake even below
that in the poorest states.” (page 120).
Two important points are made here: the relevance
of local production in states, and the role of price
movements of food, and cereals in particular. This
latter factor may be a key element in explaining the
calorie consumption puzzle, especially in the 1990s,
since the decline in calorie intake is closely related
to the fall in cereals consumption.
This was a decade marked by rising relative prices
of cereals, all over India. While the NSS data show
that cereals consumption has declined and that of
non-cereals has increased, it is important to note
that the share of cereals in food expenditure
has not fallen. The fact that cereals prices increased
faster than other food prices may have prompted a
shift towards other kinds of food to the extent possible,
and caused the decline in actual cereal intake (and
therefore calorie intake). It should be remembered
that cereals still account for half the food expenditure
of the poor, and its share in household food budgets
remains largely unchanged.
Tables 1 and 2, which present data on the changes
in per capita calorie consumption in the rural and
urban areas of the major states, bring to light further
puzzles. The general decline in rural per capita calorie
consumption is not universal; some states like Orissa
(one of the poorest states) and Maharashtra actually
show improvement after 1983. The decline is very sharp
in rural Haryana and Punjab, which are richer states,
but also in Madhya Pradesh and Rajasthan, which are
poorer states. All these issues deserve much more
careful investigation and analysis.
Table
1 >> Click
to Enlarge
Table
2 >> Click
to Enlarge
In urban areas, by contrast, average calorie consumption
appears to have increased after 1983, in most states.
The states where it has declined (such as Haryana,
Karnataka and Kerala) are not distinguished by any
common feature that could explain the decline.
However, in terms of extent of nutrition deficiency,
the trend appears to be much more definitive. As Table
3 shows, across the major states of India, the proportion
of people with nutritional intake less than 90 per
cent of the norm, increased, especially after 1993.
In some cases, as in West Bengal, this reflected an
increase after a decade of decline, such that the
1999-2000 figure was still below that of 1983. But
in most other states, the ratio of nutritionally deficient
population kept increasing. In some states this increase
was quite sharp, including in Andhra Pradesh.
Table
3 >> Click
to Enlarge
In urban areas, the picture is more mixed. For the
decade 1983-93, there appears to have been a decline,
but substantially the proportion of nutritionally
deficient population has stagnated at fairly high
levels.
Another way to estimate the extent of adequacy of
nutrition is to estimate chronic food deficiency based
on body-mass indicators. Such an estimate for the
major states, based on work done by the M.S. Swaminathan
Foundation, is represented in Chart 9. This indicates
very high levels of chronic energy deficiency of 50
per cent or more in many of the major and most populous
states. The outlier here is Assam, for unknown reasons.
Chart
9 >> Click
to Enlarge
All in all, the picture that emerges throws up more
questions than can be answered here, especially in
terms of the trend and regional pattern of calorie
consumption. But the basic conclusion that must be
drawn is that the current state of nutritional intake
in the country is quite appalling, and needs immediate
policy attention to ensure adequate access to food
to people across the country.