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`Job guarantee can help fight under-nourishment'

By Siddharth Varadarajan

NEW DELHI, JAN. 8. Broadening the debate over the proposed job guarantee scheme, Professor Amartya Sen has said that the elimination of under-nourishment requires a broad social package in which the greater public provision of healthcare and nutrition support is integrated with the proposed Employment Guarantee.

"The removal of massive under-nourishment in India requires a combination of health initiatives, nutrition interventions such as mid-day meals, and the creation of extra income, particularly for those whose families are hungry because they have no work," the Nobel Prize-winning economist told The Hindu in an exclusive interview here last week.

Hailing the successful impact of the mid-day meal scheme introduced in primary schools nationwide, Prof. Sen said that a job guarantee for the rural poor would provide another crucial pillar of nutrition support for the under-nourished.

"What the school meals do in providing publicly supplied food and thereby reducing under-nourishment can be supplemented by private income generated by employment, especially of very poor people who are ready to work for a low wage."

Prof. Sen also called for the dramatic overhaul of India's public health system, noting with alarm that since governments have more or less abdicated their responsibilities in this sector, the rural poor are forced to rely on private practitioners, many of whom are quacks. "I think the combination of quackery and crookery which takes place in the form of private medicine in some of the poorest areas of India — and which mainly has the effect of making poor people part with whatever little money they have — is something which has to stop."

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