Assam: Rural health camps expose deepening malnutrition crisis in Tinsukia tea gardens

Regular rural health camps conducted across tea garden areas in Tinsukia have brought to light a worsening nutritional crisis, with alarming levels of anaemia, underweight conditions, and stunting among women and children in Assam’s tea belt.

The camps, organised by the state health department in collaboration with NGOs, screened hundreds of residents in remote tea estates. Findings point to a pattern of “hidden hunger” driven by low wages, poor dietary diversity, and limited access to healthcare.

Medical teams reported widespread anaemia among women of reproductive age, along with deficiencies in iron, protein, and essential micronutrients. Many were found to be underweight. Among children, signs of stunting and impaired growth were prevalent—indicating chronic nutritional deprivation rather than short-term issues.

“These are not isolated cases but symptoms of long-term dietary shortfalls,” a senior health official said on condition of anonymity, noting that most families rely heavily on staple foods lacking essential nutrients.

The camps also revealed low awareness about nutrition despite the presence of government schemes such as the Public Distribution System (PDS), Integrated Child Development Services (ICDS), and maternal health programmes. Tea garden families, largely dependent on daily wages, often struggle to afford balanced diets.

A volunteer doctor, speaking off record, highlighted the long-term implications: “We are witnessing intergenerational impacts, reduced immunity, increased maternal health risks, and compromised child development. If left unchecked, this could affect the community’s future.”

Recent data supports these findings. Studies indicate that anaemia affects nearly 68% of women and children in Assam’s tea garden communities. Over a third of workers, especially women, have low Body Mass Index (BMI). Trends from the National Family Health Survey (NFHS-5) also show high levels of child stunting and anaemia in the state.

Experts warn that without targeted interventions, such as fortified food programmes, improved delivery of welfare schemes, nutrition education, and access to diverse diets, the crisis could intensify. They stress prioritising pregnant women and young children to break the cycle of malnutrition.

Local authorities have announced plans for follow-up health drives and awareness campaigns. Stakeholders are calling for stronger coordination between government bodies, tea estate management, and NGOs to ensure sustained action.