Need to go Beyond Iron Supplementation for ’Anaemia Mukt Bharat’ amongst Children Under 19 Years – An Ecological Study

Abstract Introduction: Anaemia remains a prevalent issue in India, especially amongst the reproductive age group. This study was conducted to assess the contribution of micronutrient deficiencies beyond iron to this problem. Materials and Methods: Using data from the Comprehensive National Nutritional Survey 2016–2018 and key indicators from the Anaemia Mukt Bharat programme, we evaluated the role of micronutrient deficiencies in anaemia prevalence. Results: Our findings indicate that deficiencies in Vitamin A, B12, D, Zinc and folate significantly contribute to anaemia prevalence. In addition, the coverage of iron supplementation was low across many states and union territories. Conclusions: The current strategy of iron supplementation alone is insufficient. A broader approach, including multiple micronutrient supplementations, is necessary. The implementation of the AMB programme requires introspection with a focus on consistent drug supply and behavioural change campaigns in schools and Anganwadis.