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Hidden hunger deserves the same urgency as hunger itself

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A child can eat enough every day and still lack the iron her body needs. She may just seem tired, or slow to keep up in class. Nobody notices.

In a Sept. 7, 2026, column for Times Now, Ankur Garg, Executive Vice President and India Country Director for Evidence Action, argues that micronutrient deficiencies, often called hidden hunger, deserve the same urgency India has given to hunger itself.

The burden is large. India's National Family Health Survey found anemia in 67.1% of children aged 6 to 59 months, 59.1% of adolescent girls aged 15 to 19, and 31.1% of adolescent boys of the same age.

Hidden hunger in India

Share of each group living with anemia

Young childrenaged 6 to 59 months

Adolescent girlsaged 15 to 19

Adolescent boysaged 15 to 19

Source: National Family Health Survey (NFHS-5), 2019–21.

Anemia carries across generations. A girl who is anemic at 14 is more likely to become an anemic mother with a low-birth-weight baby. Breaking that cycle is central to India's nutrition goals.

Government leads at scale

Iron and folic acid supplementation coverage has risen sharply

Five years earlierLatest scorecard
01Children aged 6 to 59 months
Five years earlier
14%
Now
48%+

More than 3x higher

02Children aged 5 to 9
Five years earlier
15%
Now
68%+

More than 4x higher

03Adolescents aged 10 to 19
Five years earlier
19%
Now
72%+

Nearly 4x higher

“+” indicates coverage now exceeds the figure shown. Source: Government of India, Anemia Mukt Bharat scorecards, as cited by Ankur Garg in Times Now.

Government leads, at a scale only government can. India delivers iron and folic acid (IFA) supplements through schools and Anganwadi centres. Coverage in the government's Anemia Mukt Bharat scorecards has risen sharply. Among adolescents aged 10 to 19, it grew from just above 19% to more than 72%.

"A child can consume enough calories every day and still carry a deficiency that quietly shapes how she learns, how she grows, and how healthy her own children will one day be," Ankur writes.

From policy to classroom

How an iron tablet reaches a child

Where Evidence Action provides technical assistance to government. Select a step to learn more.

Through our technical partner in India, EAII Advisors, we support the government to turn anemia prevention policy into reliable delivery: strengthening supply chains so tablets reach every classroom on time, and training frontline workers to give supplements correctly and consistently.