Two nutrition numbers
NFHS-6: ~29% stunted, ~19% wasted. Poshan Tracker’s August 2026 district average: 25% and 3%. Stunting is a family argument. Wasting is two countries.
Practical guidance for corporate CSR teams and non-profits: Companies Act compliance, healthcare programme design, and evidence-based impact measurement across India.
From designing Gujarat's award-winning last-mile healthcare models to enabling Bihar's record-breaking 33 lakh+ single-day COVID-19 vaccinations — the journey behind Causewave.
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Poshan Tracker vs NFHS-6: stunting is a family argument, wasting is two countries. A five-part series on India’s nutrition dashboard.
View series hubNFHS-6: ~29% stunted, ~19% wasted. Poshan Tracker’s August 2026 district average: 25% and 3%. Stunting is a family argument. Wasting is two countries.
West Singhbhum 66% stunted. Nandurbar 63%. 132 districts the dashboard itself still puts in very high risk — 38 of them in Madhya Pradesh.
April 2023 to August 2026: 634 districts got better, 94 got worse. Slope and level are different sentences — Gujarat can fall and still have names on the 132.
Madhya Pradesh, Bihar, Jharkhand, Tripura: 16% of districts, 52% of the very-high-risk list. Four states hold half the red.
Dashboard wasting: 6.5% in April 2023, 3.2% in August 2026, no monsoon spike. Survey still ~19%. Anyone putting 3% on a success slide has to beat that gap first.
Why India’s CSR cheque stays near ₹35 lakh — concentrators vs sprayers, education and health as volume machines, and a playbook to design for depth.
View series hubSpend grew ~3× in a decade. The average project is still about ₹35 lakh. Five forces explain why Indian CSR scales by adding projects — not by raising ticket size.
The national average is produced by two portfolio geometries: rare concentrators with large rows, and common sprayers with many small tickets — same Section 135, opposite design.
Rank CSR by average cheque per sector — not total crore — and the podium changes. Education and health dominate spend but sit near the national mean; that is why ticket size will not budge.
Rank CSR by average ticket per geography and the map flips: Pan-India and Odisha run fat cheques; Maharashtra-shaped volume states dominate spend with ordinary tickets.
₹35 lakh is the spend-weighted average. The typical company-year files ~₹11–12 lakh per project and ~₹23 lakh for the whole year. Meet the median — and why it cannot move the national ticket.
Education and health are ~52% of CSR spent and ~48% of rows, at ~₹37–40 lakh a ticket. They are not the fat causes — they are the volume machines that are the average.
Average ticket = spend ÷ rows. Five counterfactuals that would move ₹35 lakh — and five that look busy while leaving the mean exactly where it is.
Part 7 was physics. This is Monday: diagnose your geometry, playbook by annual CSR budget, and a 90-day plan that does not need a new Schedule VII.
Standalone essays that sit next to a series without becoming a numbered part.
Direct, own foundation, or NGO: the pen changed hands over a decade. The cheque did not grow. The channel that absorbed the volume is the one that got thinner.
Newspaper-style weeklies. The PDF is the issue. They sit apart from the authored series and on-site guides.
View Sunday weekliesThe WHO documented a CSR-backed eye-care programme as a national model, a state tranche releases only when 600 rural youth land jobs, and a skilling centre announced offers at its inauguration.
A diagnostic model beat doctors on paper, a meta-analysis showed humans rarely correct a wrong machine, and the FDA’s first generative-AI docket closed under a pile of letters.
Deep-dive articles on corporate CSR strategy, Section 135 compliance, healthcare programme design, and impact assessment — hosted on Causewave.
CSR compliance for corporates: Section 135 thresholds, board obligations, Schedule VII, annual reporting, and penalties — for CSR leads and company secretaries.
Flagship healthcare CSR programme design: community trust, data, logistics at scale, and partnerships that survive beyond the funding cycle.
Impact measurement & advisory: a four-step M&E framework with indicator examples, reporting cadence, and board-ready impact practices for CSR teams.
Essays originally published on LinkedIn by Dr. Hemant L. Patel.
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