India Spotlight

232 Pages·2016·6.42 MB·English

ACCESS TO
NUTRITION
INDEX
INDIA
SPOTLIGHT
INDEX 2016
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Acknowledgements
FUNDERS The 2016 India Spotlight Index would not have been possible without the
generous support of the Bill & Melinda Gates Foundation, the Children’s
Investment Fund Foundation and the Wellcome Trust.
This India Spotlight Index was produced by the ATNF team which consists of
Inge Kauer, Marije Boomsma and Simona Kramer along with Senior Advisor
Rachel Crossley. The team also drafted this report.
As noted in the report, the ATNF team drew on the expertise and advice of
two multi-stakeholder advisory groups, the Independent Advisory Panel and
the Expert Group. Their close engagement throughout the ATNI development
process has been a source of invaluable guidance, and this report benefted
greatly from their input and advice. The views expressed in this report,
however, do not necessarily refect the views of these two groups’ members
or of their institutions.
RESEARCH SUPPORT
Sustainalytics, a leading global ESG research and rating provider, that
scored and ranked company performance for the Global Access to Nutrition
Index in 2016, has also produced the company scores and rankings for the
India Spotlight Index. Sustainalytics has contributed to the development of
the methodology, report and company scorecards for the Index, and engaged
with food and beverage companies during the data collection and analysis
process. Sustainalytics’ project team consisted of Andrea van Dijk, Larysa
Metanchuk, Marion Oliver, and Trisha Taneja.
The George Institute, health and medical research institute, conducted the
Product Profle assessment in India for the Access to Nutrition Foundation.
The George Institute team consisted of Dr Elizabeth Dunford, Alexandra Jones,
Dr Bruce Neal, Thout Sudhir Raj and Fraser Taylor with advice of Professor
Mike Rayner at Oxford University.
Westat, a health and social science research organization, conducted the
in-country assessment in India of companies that market breast-milk
substitutes. The Westat team included Steve Durako, Brenda Brewer,
Vibha Vij, Annie Lo, and Katherine Stone. In-country data collection was
performed by Westat’s subcontractor, CMS in Mumbai, led by
Paramita Dasgupta.
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ACCESS TO NUTRITION INDEX
INDIA SPOTLIGHT INDEX 2016
December 2016
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Preface
I am very pleased to introduce the frst edition of the India Spotlight Index. This is a
groundbreaking publication. It provides the frst fully independent national assessment of
the contribution by India’s largest food and beverage (F&B) manufacturers to better health
outcomes through good nutrition.
The double burden of malnutrition poses daunting challenges for India: it has both a large
undernourished population with the highest number of stunted children in the world –
48 million under the age of 5 are wasted – and a growing pandemic of overweight and obese
people suffering from chronic diet-related diseases such as diabetes. Today, the prevalence of
overweight and obese children and adolescents between 5 and 19 stands at a staggering 22%.
Given the growth in consumption of packaged foods in India and increasing demand in urban
areas for healthy food, the nation’s F&B manufacturers have the potential to play a pivotal role
in tackling the double burden of malnutrition.

Of the 10 largest F&B manufacturers in the country, seven engaged fully in the research for
the Index, suggesting widespread awareness of this potential. These seven companies shared
confdential data with the Access to Nutrition Foundation (ATNF) in addition to the information
they publish.
The 2016 Index refects extensive consultations conducted between 2013 and 2016.
It furnishes a comprehensive and objective assessment of India’s major F&B manufacturers’
nutrition and undernutrition-related policies and practices in nutrition governance, product
formulation, accessibility, marketing, lifestyles, labeling and stakeholder engagement. The Index
identifes and highlights a number of best practices that all companies can learn from.
It also presents an in-depth analysis of the nutritional quality of the products these companies
sell based on the Health Star Rating system. Moreover, the critical importance of advancing
and protecting breastfeeding in India is addressed by assessing compliance with India’s IMS Act
and the International Code of Marketing of Breast-milk Substitutes.
A principal conclusion of our extensive research is that F&B manufacturers in India are falling
far short of what they need to do if they are to fulfl their potential in helping to fght the
mounting double burden of malnutrition in India. There are also, however, some positive signs:
ATNF has identifed many good nutrition practices that could be adopted across the industry
and several valuable initiatives run by NGOs.

The Government of India, too, has taken important steps towards better nutrition – by, for
instance, strengthened food labeling regulations, technical standards for fortifcation and by
having adopted and successfully enforced strong regulations with respect to breast-milk
substitute marketing.
To what extent will India’s F&B industry rise to the challenge of confronting the double burden
of malnutrition? The potential for the industry to be a central actor in meeting the challenge is
self-evident. I hope when we publish the second India Spotlight Index in 2018 we will be able
to show that the industry has made great strides to address this most critical issue.

I would like to thank the Bill & Melinda Gates Foundation, the Children’s Investment Fund
Foundation and the Wellcome Trust for supporting ATNF’s work. I would also like to thank the
members of the Access to Nutrition Foundation Board, the Independent Advisory Panel and
the Expert Group, and many Indian experts, our research partners Sustainalytics, Westat and
The George Institute, and the ATNF team for their enormous efforts and support in producing
the frst India Spotlight Index.
Inge Kauer
Executive Director Access to Nutrition Foundation
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Executive summary
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Oweivrev
In India, the double burden of malnutrition poses a serious challenge – the need to tackle both persistent levels
of undernutrition at the same time as rising levels of overweight and obesity. Severe undernutrition has been
a national problem for generations and remains so today. According to the latest available data from the
National Survey undertaken by the Ministry of Women and Child Development in 2013-14, the prevalence of
stunting in children below fve years is 39%. This equates to around 48 million children – or two in every fve
children under the age of fve – making India home to the largest number of stunted children in the world.
Moreover, among the same population, more than 70% suffer from iron defciency, 65% are defcient in
vitamin A and 45% are zinc defcient.
The gravity of this situation has been greatly compounded in recent years by an alarmingly rapid rise in levels
of overweight and obesity in the population. India now ranks third, after the US and China, in terms of the
absolute number of obese people. Around 20% of children and adolescents are overweight. These trends,
which are predicted to increase substantially, are already causing serious pandemic diseases in the form of
diabetes, heart disease, stroke and certain cancers.
Food and beverage (F&B) manufacturers in India have the potential – and the responsibility - to be part of
the solution. The serious health consequences of poor nutrition lend urgency to the need for India’s F&B
manufacturers to proactively adopt impactful initiatives to improve the nutritional quality of their products, as
well as other aspects of their businesses, augmented by other non-commercial practices (e.g. how they direct
the mandatory Corporate Social Responsibility tax funds). It is in the companies’ fnancial and business
interests to do so. Clear incentives are emerging: Indian urban consumers are increasingly demanding
healthier foods and the Government is becoming
increasingly active by, for example, introducing tighter
nutrition labeling regulations and standards for
fortifcation.
The Access To Nutrition Index (ATNI) evaluates the
largest food and beverage manufacturers’ policies,
practices and disclosure related to nutrition, both
in individual countries and globally. They provide
companies with a tool to benchmark their
performance on nutrition against others in their
sector and they provide stakeholders with
consistent, in-depth information on companies’
contributions to improving nutrition. The aim of
the Index is to encourage companies to increase
access to healthy products and to responsibly
exercise their infuence on consumers’ choice
and behavior.
The frst Global Index was launched in 2013 and the second in 2016. It gained a positive response from
stakeholders, including food and beverage manufacturers, NGOs and investors. Following the publication of
the frst Global Index, the Access to Nutrition Foundation (ATNF), the organization that designs and publishes
the Indexes, conducted research to explore the feasibility of launching Spotlight Indexes to assess companies
in markets with a high double burden of malnutrition – India, Mexico and South Africa. The purpose of such
Spotlight Indexes is to gather and publish empirical evidence on the performance of companies on nutrition
and to strengthen the basis for national dialogue and action to address the double burden.
In this regard, the India Spotlight Index 2016 is groundbreaking. It is the frst such Spotlight
Index to be published. It assesses the policies, practices and disclosure of the largest
multinational and Indian food and beverage manufacturers in India, as well as the nutritional
quality of their product portfolios. Moreover, a critical element of the Index is an assessment
of the compliance of manufacturers of infant formula and complementary foods (known as
breast-milk substitutes or BMS) with local marketing regulations and the International Code
of Marketing of Breast-milk Substitutes.
6 ACCESS TO NUTRITION INDEX INDIA SPOTLIGHT INDEX 2016
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EXECUTIVE SUMMARY
Methodology and approach
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dn a de t a l e r - n o i t i r t u n rs et d n n e u m t i m m o c dn a ,s e i c i l o p I xe d n ot ss e s s a tn a f n i sd o o f ’s e i n a p m o c gn i t e k r a m se c i t c a r p
se c i t c a r p dn a er u s o l c s i d ni ne v e s C:se i r o g e t a ni h t i w I .a i d n I t se s s e s s a es e h t ’s e i n a p m o c ec n a i l p m o c ht i w
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s t c u d o r p fo tn a f n i al u m r o f dn a ytr na e m e l p m o c sd o o f .e . i T eh I ai d n I tn a f n
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B reast-milk substitutes marketing assessment – de d u l c n i ni eh t . y d u t s
a yd u t s ta h t se s s e s s a eh t gn i t e k r a m se c i t c a r p fo yb a b
do o f se i n a p m o c ni I .a i d n Teh Product Profle yli r a m i r p se s s e s s a eh t la n o i t i r t u n yt i l a u q
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er o c s h c i h w ( st c e � e r no i t c a ti se tk a ni tc e p s e r fo
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EXECUTIVE SUMMARY
Overall Score and Ranking
In the India Spotlight Index, all companies are given two separate scores and ranks: one for the
Corporate Profle and one for the Product Profle.
INDIA INDEX 2016 PRODUCT MATRIX
Product Profile
10
9
8
7
6 Mother Dairy
5 Hindustan Unilever
Amul
4 Britannia Industries
Parle Products
Coca-Cola India Nestlé India
3
PepsiCo India
2
Mondelez India
1
0 1 2 3 4 5 6 7 8 9 10
Corporate Profile
The overall ranking matrix presents companies’ performance on the two key elements of the India Spotlight Index:
the Corporate Profle and the Product Profle.
• The Corporate Profle score summarizes companies’ performance across all seven Categories of the Corporate
Profle methodology in terms of their response to obesity, diet-related chronic diseases as well as undernutrition.
Companies with a low rank and score make little if any information about their nutrition policies and practices
publicly available and had minimal or no engagement in the research process. Companies with a higher rank and
score typically publish more information, engaged in the research process and have stronger nutrition commitments
and practices. The scores of the companies that produce and market breast-milk substitutes in India have been
adjusted based on their scores on the BMS assessment.
• The Product Profle shows how nutritious the products are that each company sells in India, i.e. the nutritional quality
of their product portfolio weighted by retail sales. Companies that score relatively low derive the majority of their
sales from less nutritious products. Companies with a higher rank and score generate a higher proportion of their
sales from more nutritious products.
8 ACCESS TO NUTRITION INDEX INDIA SPOTLIGHT INDEX 2016
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