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Studies from Ecuador and Bangladesh show reduced prevalence of stunting and improved linear growth in children after consuming eggs every day.Other than the enormous potential to improve child nutrition, eggs have the lowest environmental impacts, making it a sustainable means of supporting physical and cognitive development and reducing malnutrition in children. Despite impressive growth in egg production in the last decade, there is widespread variation in egg consumption across countries. According to Food and Agriculture Organization (FAO), China is the world’s largest producer of eggs with 37% of global production, followed by the United States and India with just 7% and 6%. Despite being the third largest producer of eggs, only one-third Indian households reportedly consume eggs. Rural household had a very low per capita consumption of eggs (1.94/month) as compared to urban (3.18/month). According to the 2016-18 comprehensive nutrition survey, only 16% children aged 2 to 4 years ate eggs making it the least consumed food among them. Among school-going children between 5 and 9 years of age and adolescents (10-19 years), 35% consumed eggs. There was widespread interstate variation in egg consumption in children under 5 years (See Figure 1) with the highest (70.8%) being in Meghalaya and lowest at 2.8% in Haryana. Children residing in urban households consumed more eggs (22%) as compared to rural (14%). Christian children had the highest consumption of egg (33%), followed by Muslims (23.3%) and lowest among Sikh (14.9%) and Hindu (13.4%). Factors including cultural beliefs, mother’s education status and household income influenced the food consumption. Looking at the type of diet consumed by children, both 0-4 and 5-9 years old children consumed vegetarian food with egg diet at 6.2% and 8.5%.
The Integrated Child Development Scheme and Mid-Day Meal Scheme are flagship programmes of the Indian government to improve the nutritional status of children and reduce incidence of malnutrition.An analysis of NFHS-4 data to ascertain the role of complementary feeding in India’s high child malnutrition rates indicates feeding children animal-sourced and Vitamin A-rich food to be associated with lower malnutrition rates. Feeding children with eggs was found to lower risk of stunting. Only 16% children below 2 years of age consume animal source foods, according to the 2015-16 national survey. Observational studies have shown strong association of consumption of animal source foods in combatting double burden of malnutrition and need for enhancing affordability and access to low income households through policy interventions. An analysis of Maharashtra’s nutrition survey indicated lower consumption of eggs to be associated with a two-fold increased odds of stunting in children 6-23 months old. Despite the well-known benefits, the egg debate continues. The map indicates the harsh reality of states with high prevalence of stunting in children under 5 years of age and no provision of eggs at the Anganwadi centres.
Well‐informed social marketing and behaviour change communication strategies have led to a large increase in egg consumption among young children.Under the supplementary food component of ICDS, states such as Odisha, Jharkhand, Tamil Nadu, Telangana, Karnataka, Andhra Pradesh, West Bengal, Tripura and Bihar supply boiled eggs to children (1-7 eggs/week). The mid-day meals in Jammu & Kashmir, Uttarakhand, Bihar, Assam, Kerala, Tripura, West Bengal, Jharkhand, Odisha, Telangana, Andhra Pradesh and Tamil Nadu provide eggs (1-5 eggs/week) in schools. Some of these states/UTs, Odisha, Jharkhand, Bihar, Uttarkhand, Jammu & Kashmir show marked improvement in stunting rates in under 5 children. We have enough evidence to understand the potential of a simple egg to fight malnutrition. At the same time, we cannot ignore the poor purchasing power or poverty that adversely influences access to quality diversified food. Cultural factors and ignorance and the lack of knowledge also play an important role in the consumption of eggs by women and children. Well‐informed social marketing and behaviour change communication strategies have led to a large increase in egg consumption among young children. The ‘POSHAN Abhiyaan’, launched in 2018, leverages on ‘Social Behavior Change Communication’ to enhance diet adequacy and can push for healthier nutrition behaviours through focused campaigns.
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Dr. Shoba Suri is a Senior Fellow with ORFs Health Initiative. Shoba is a nutritionist with experience in community and clinical research. She has worked on nutrition, ...
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