The share of non-communicable diseases in the total burden of disease increased to 55% in 2016 from 30% in 1990.
Malnutrition is particularly severe in so-called empowered action group (EAG) states that are socioeconomically backward— Assam, Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Odisha, Rajasthan, Uttaranchal and Uttar Pradesh. Malnutrition is higher among females.
The extent of the crisis becomes clear when the Disability Adjusted Life Years, or DALY, rate—that is,
11.9 disease burden expressed as the number of years lost due to illhealth, disability or early death—is taken into consideration. It was nine-fold for diarrhoeal diseases and tuberculosis, and seven-fold for lower respiratory infections in 2016.
The under-five mortality rate has come down substantially in all states, but there was a four-fold difference in the rate between the