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in India, the effect of family planning indicators on
          nutritional outcomes, and regional variation in India. For
          conducting secondary analysis, data from the recent
          National Family Health Survey was used.


          The study revealed that FP affects nutrition in myriad
          direct and indirect ways. By helping women and
          couples have the number of children they want at the
          healthiest times in life, family planning can benefit
          mothers, infants, and children. Well-spaced births allow
          women’s bodies to recuperate and replenish essential
          nutrients and lead to better nutritional outcomes, such
          as healthy birth weight for their infants. The benefits of
          optimal birth spacing also have far-reaching effects in
          childhood, reducing the prevalence of one key measure
          of malnutrition—stunting—among children under five.
          Also, family planning can help women avoid high-risk
          pregnancies and have children at the healthiest times
          in life. Thus, national and local programs aiming to
          improve nutrition may benefit from strengthening FP
          services and integrating FP strategies into multisectoral
          development policies and implementation plans.

          Studies have also shown that the first 1,000 days of a
          child are the most critical as infants and young children
          are exceptionally vulnerable to poor diet and infection
          during this time. There is a need for strong advocacy
          for empowering women through programs, which can
          improve maternal, infant, and young child nutrition
          (MIYCN). Integration of family planning (FP) services
          (to avoid unintended pregnancy and choose whether
          or when to have a child) and MIYCN programs have a
          crucial role to play.
                                                               nutritional status of mothers and children, birth
          In 2011, the National Rural Health Mission launched   order, and nutritional status of children. When
          the Healthy Timing and Spacing of pregnancies Initiative   births are well-spaced, mothers have more time,
          in three districts of Bihar using the behaviour change   energy, and resources to adequately breastfeed
          communication model developed by Pathfinder’s        and feed their young infants and children.
          PRACHAR program. Although NGOs have had some         Research studies showed that breastfeeding
          success with spacing, they have found it much more   practices improve, leading to improved nutrition,
          difficult to persuade couples to delay the birth of their   leads to empowerment, allowing them to make
          first child until the mother was 18 due to strong social   better choices that ultimately benefit the health
          pressure on newly married couples to demonstrate     and nutrition of children and families.
          fertility by producing a child, especially a son.

                                                               Dr. Sujeet Ranjan is a public health professional and heads the Nutrition theme
          Most fundamentally, spacing affects people in myriad   of Tata Trusts. Dr. Ranjan’s key focus is on social impact, establishing strategic
          ways and it advances human rights. The knowledge     relations and alliances with government, civil society, and social & private sectors.
                                                               His core interest areas are strategy, innovation, and organization building.
          and use of family planning methods can regulate      Dr. Ranjan has also worked as Executive Director – CFNS and Director – CARE
          the planning of birth in terms of birth interval and   India.


          34  Devi Sansthan                                                                                                                                                                                           Devi Sansthan 35
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