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17 March 2025
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Social welfare struggles to catch up in India

A woman feeds her malnourished child in Sheopur district, India. Malnourishment is hindering India from channelling its demographic dividend to fuel its global economic ambitions. (REUTERS)

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By Alistair Scrutton

India's government is spending billions of dollars on welfare schemes, and plans even more this year. But that is news to Poona, whose daughter may soon die from that stain on India's growth story – malnutrition.

Poona, who married at 14 and breaks quarry stones for a living, shielded her daughter's sunken face from a harsh summer sun with her blue sari. She does not know Urmila's weight, but the whimpering 18-month child looked more like a new born baby. "She eats nothing," said Poona, a lower caste woman from a northern Indian tribal community in Uttar Pradesh state. "I feel scared of losing my child."

Since helping the Congress party win re-election last year, welfare has fast become the government's knee-jerk answer to policy dilemmas as it tries to ease food inflation, help growth trickle down to the poor, and win hearts and minds in a Maoist insurgency, many experts say.

But these often corruption-ridden and badly-run programmes may add to deficit spending and hinder India from following rival China by broadening an economic boom to transform millions of its population from poverty to well-fed middle class consumers.

In Madhoun village, a mobile phone tower stood nearby. But, while symbols of modernity seep in, welfare lags. Villagers complain no officials come here, and that upper castes siphon off pre-school porridge meals to fatten their buffalo.

Sonia Gandhi, Congress party head, has drafted a food bill to give each poor family 35kg of grain a month, as the government provisionally upped its estimate of the poverty rate from 27.5 per cent to 37.2 per cent of the 1.2 billion plus population.

It also comes after Congress introduced a "revolutionary" programme to ensure 100 days of jobs for villagers each year. But the foundation stones of these schemes may be built on sand, many experts say, threatening India's ability to narrow a yawning income gap that may endanger its economic success story despite Congress promises of "inclusive growth". Welfare programmes can help millions in a country that has a third of the world's poor. Some schemes work well in states such as Tamil Nadu, which has a tradition of better governance.

But ridden by graft and often ill-conceived, welfare may have become an easy populist tool that is a second best solution to government reluctance to embrace difficult policies, like freeing up agriculture to markets – that may make deeper inroads.

Gandhi's assassinated husband, former prime minister Rajiv Gandhi, famously said that out of every rupee spent on welfare, only 15 per cent reached recipients. "There are areas where these schemes certainly work," said political analyst Mahesh Rangarajan. "They are blunt instruments. It is easier to hand out a kilo of rice than reform agriculture."

India's growth is slow at lifting poverty, in contrast to China where child malnutrition, a key poverty indicator, is at seven per cent.

Malnutrition in India has fallen only six percentage points, to roughly 46 per cent, since economic reforms began in 1991. Gross domestic product per capita boomed by 50 per cent during the same period.

"There has been no improvement here," said Shreevai, a social worker in Bahuri, a cluster of villages near Lalitpur. "We want to be like the rest of India, but we don't have the income."

India is ranked 65th out of 84 countries in the Global Hunger Index of 2009 – below countries including North Korea and Zimbabwe – hindering India's ambitions to channel its demographic dividend to fuel its global economic ambitions.

"I've never seen a country with such fast economic growth with such pathetic levels of nutrition," said Lawrence Haddad, Director of the UK-based Institute of Development Studies.

It is a stain that riles many in Congress after hopes its reelection would see it take on difficult issues such as agricultural reform needed to boost incomes and productivity in the countryside where still half the population lives.

It has sparked pressure for more welfare after Congress won several elections helped by promises of cheap food as expectation of improved infrastructure and broader economic dissipate.

Welfare counts for a growing part of the budget, worrying investors that it will make cutting a 16-year-high deficit from last year hard. The rural employment scheme now costs one per cent of GDP, while the food bill would cost an added $2 billion (Dh7.34bn). "People like [Sonia] Gandhi see their future is tied to how the under class and poor see them," said Rangarajan.

But in Madhoun, a village of some 80 families, inhabitants said they had not received government aid for months. A health worker appeared once a week, signed attendance papers, and left.

Children stood aimlessly, many with potbellies and lighter-than-normal hair, which are tell-tale signs of malnutrition. Few children go to school, spending instead days in quarries. Seven children recently died in one week in a bout of diarrhoea.

Poona said doctors asked for a Rs1,000 (Dh82) bribe for treatment – a charge echoed across several villagers. "I cannot afford to eat. How can I afford that?" Poona asked.

In theory, there is no end to welfare schemes. There is a midday school meal scheme, a pre-school scheme as well as the rural employment scheme. But few are felt on the ground.

"These programmes have not been successful at targetting those that need it most," said one senior UN official, who asked to remain anonymous. Another UN aid worker estimated that only about 65 per cent of pre-school foods reached the children in Lalitpur.

The schemes have also done little to alleviate food inflation at an 11-year-high. Prices of lentils, mainstay of India's diet, jumped by 40 per cent last year. So valuable are they that quarry owners paid villagers in lentils rather than cash.

"Kids here just eat stale bread," said Shreevai.

In one of the few child nutrition centres in Uttar Pradesh, there are only six beds, three filled in a sign of the lack of awareness and distrust of government doctors by many villagers.