"In West Bengal, though the number of children under five years of age suffering from anaemia decreased by seven percentage points over the last decade (from 61% in 2005-06 to 54.2% in 2015-16), one in every two children is still anaemic," Atindra Nath Das, regional director (East), Child Rights and You told PTI while quoting from the report.
Mothers do not fare any better than children in this regard either, as more than 60% of all women and 53.2% of pregnant women were found anaemic in the state, the survey revealed.
"The nutritional status of children in West Bengal is found to have improved only marginally, in comparison to that of the previous NFHS data, published almost a decade ago," Das said.
The much-awaited survey on India's health indicators was released by the health ministry recently. While the report indicates an improvement in the overall health of children, the rate of progression on annual basis was alarming.
Besides child malnutrition, quality of ante-natal and delivery care for expecting mothers also showed worrying trends negatively impacting child-health in the state, as findings of the recent survey suggested.
However, overall findings of the first phase of the NFHS-4 show marginal improvement in the maternal and child health and nutrition across 13 states and two Union Territories.
Even though West Bengal has done fairly well in several child health and nutrition indicators like immunisation and treatment of critical childhood diseases, the progression rate of critical indicators like child nutrition, which has direct linkage with children's overall growth and development, remained far below than expectation, Das said.
"The NFHS is not just a reflection of the state of health and nutritional wellbeing of children but, it also provides a direction for corrective measures in state policies and programmes," he added.
According to the report, the data for West Bengal reinforced the need for the state to address nutritional security of children and expecting mothers as an emergency. "In the context of malnutrition, strengthening of anganwadi centres and a robust system of growth monitoring, becomes imperative," Das said.
NFHS findings give three sets of data as child malnutrition indicators -- stunting (low height for age), wasting (low weight for height) and underweight (low weight for age).
While the percentage of stunted children in West Bengal has decreased by only 12% over the last decade (from 44.6% in 2005-06 to 32.5% in 2015-16), percentage of wasted and severely wasted children increased by almost 4% (from 16.9% to 20.3%) and 3% (from 4.5% to 6.5%) over the same period of time.
"More worrying is the fact that of all children in West Bengal, one in every three (31.5) is still underweight. This percentage was 38.7 in 2005-06," the report said.
According to the NFHS findings, anaemia in children was found to have decreased marginally across most of the states, but still remained worryingly widespread.
The poor status of consumption of iron and folic acid supplements and lack of proper ante-natal care for expecting mothers were also areas of concern, the report said.
"Only 28.1% of mothers consumed iron-folic during pregnancy and only 21.8% of them had full ante-natal care. These data suggest that in West Bengal, quality maternity care is still a distant cry," Das said.
Also the average out-of-pocket expenditure (OOPE) per delivery in public health facilities stood at Rs 7,782 in West Bengal, remarkably high in comparison to that of other states.
Data also revealed that nine of 11 states have not been able to reduce the infant mortality rate even by two percentage points annually.
According to the analysis of critical child health indicators of NFHS-4 done by CRY, the only two states to sustain a pace of annual reduction in IMR by two points were West Bengal and Tripura.
Currently in India, 40 out of 1,000 infants don't celebrate their first birthday.
The status of nutrition for children under five years of age shows marginal improvement, the report said.
Mission Indradhanush, the national initiative aimed at achieving cent per cent immunisation, seemed to be a distant dream in light of the status of immunisation revealed by NFHS, Das said.
In eight of 11 states (Tamil Nadu, Haryana, Uttarakhand, Tripura, Karnataka, Goa, MP and Sikkim) of the country, one out of three children do not receive full immunisation.
Further analysis showed that these states have failed to increase their immunisation coverage even by 2% per year.
The first phase of the survey included Andhra Pradesh, Bihar, Goa, Haryana, Karnataka, Madhya Pradesh, Meghalaya, Sikkim, Tamil Nadu, Telangana, Tripura, Uttarakhand, West Bengal and two Union Territories of Andaman and Nicobar Islands and Puducherry.