Babloo is too short for his age. In India, and especially in the poor eastern state of Bihar, that is unfortunately not unusual. Two of every five pre-school children are stunted. But Babloo's malnutrition is so severe that he can barely move and lies on his back all day. With three other children in tow, his mother, herself thin as a reed, is at her wit's end.
Even at the start of their pregnancy, 42% of Indian women are underweight and as per latest statistics, 50 percent are also anaemic. So it is no surprise that half the stunted children in India are born underweight. Underweight mothers are also often not able to breastfeed their infants. This inter-generational transmission of undernutrition stymies generation after generation.
An underage mother breastfeeding her child in Bihar's Muzaffarpur district | November 2016
So, Prime Minister Narendra Modi's grand New Year's Eve announcement to provide a cash grant to pregnant women was welcomed with much fanfare. But disappointingly it turned out to be nothing more than old wine in a new bottle. In fact, for three years the government had scuttled its legal responsibility spelt out in the ambitious 2013 Food Law to pay Indian mothers a modest ₹6000 as maternity entitlements for each child born.
Frustratingly, the Finance Minister in his latest budget has further short-changed Indian mothers. With the stingy allocation, not even a quarter of the 27 million pregnant and lactating women in India can be meaningfully covered. Succeeding generations of Indian children will pay the price for this short-sightedness.
These modest sums can go a long way to support the greater nutritional and health needs of pregnant and lactating women.
The Ministry of Women and Child Development is now likely to impose conditionalities for eligibility. The cash may be only for first-borns, though subsequent deliveries are usually more vulnerable. Further, 38% of children who are not fully immunised may be deemed ineligible. Also, 21% of Indian children born at home are likely to be disqualified. These conditionalities violate the letter and spirit of universality enshrined in the law. Mothers with the greatest need are also more likely to be left out.
Why maternity entitlements?
On the other hand, the progressive southern state of Tamil Nadu already pays mothers twice the amount of maternity entitlements (₹12,000) from its own coffers. Research shows that most women use this money judiciously for nutritious food and medicines, rather than fritter it away. It also helps mothers to rest after childbirth, take time off work, eat better and breastfeed their children for longer durations.
Tamil Nadu also recently began to give new mothers a handy Amma Baby Care Kit. Finland (which has one of the lowest rates of infant mortality in the world) is the inspiration, which for 75 years has been giving all new mothers a newborn "starter kit" with a cardboard crib, childcare products, toiletries and clothes.
A teacher in her uniform at a government nursery for children under 6 years in Tamil Nadu | July 2010
Mothers across the rest of India, however, struggle to juggle their childcare responsibilities as 90% of Indian women work in the informal sector or in unpaid work without any childcare provisions. The Oscar-nominated film The Lion movingly portrays the extent of their angst. So almost half of all children are not exclusively breastfed for six months as recommended by the World Health Organisation.
Last week, the Indian Parliament passed the new 2016 Maternity Benefit Bill to provide 26 weeks of paid leave to 10 percent of women in the formal sector. But unlike these privileged few or those in the developed world, women in the informal sector are unable to accrue generous packages of maternity benefits and paid leave. In fact, even India's modest maternity entitlements are barely equivalent to five weeks of minimum wages in Bihar. In contrast, women in Britain enjoy 52 weeks (of which nine months are paid leave) and Mexico 12 weeks (four months).
Source: OECD 2015
Indian women also have a greater burden of household responsibilities while men often barely lift a finger. Every day women in India spend an average of five hours on childcare and domestic chores, compared to only 52 minutes for men. This is not only amongst the highest workloads but also the most unequal in the world.
Worse, the silent practice of "maternal buffering"—which is the practice of eating less to feed the family more (especially husbands and sons) — is common. The sway of patriarchy is so acute that women also invariably eat last and often the least.
For three years, the government blithely subverted the law. So this year, Right to Food Campaign activists from across India sent postcards to the Prime Minister to remind him of every mother's right to maternity entitlements as per the Food Act. In September 2015, even the Supreme Court issued notices to the government for non-implementation. Then last November as another reminder women's activists from across the country organised a day of action. Signatures and palm-prints were collected in various states and sent to policymakers. Press conferences and marches were also organised to drum up solidarity. In labour chowks (squares) and village corners, women expressed their acute need for money, especially in the wake of demonetisation, but were largely unaware of their maternity rights.
Women in Jharkhand's labour chowk (square) adding their signatures to demand the payment of maternity entitlements | November 2016 | Photo Credit: Ananya Saha, Right to Food Campaign Jharkhand
Maternity entitlements in India are conceptualised not only as a right for all women but as wage compensation for the 90% in the unorganised sector. So Indian activists are demanding universal, unconditional maternity entitlements to be paid to women. These modest sums can go a long way to support and drive home the message - literally - of the greater nutritional and health needs of pregnant and lactating women. Even without retrospective effect from 2013, at least ₹14,000 crores ($2 billion or a mere 0.1% of GDP) are essential.
Babloo's future and that of millions of India's malnourished mothers and children — in this generation and successive ones — depends on this small change.
* This piece was originally published in she-files.com