This document was the result of the discussions, conclusions and recommendations reached during the Expert Consultation in consultation held in Bhubaneswar, India, 16-19 October 2001. It was based on country reviews (Bangladesh, Bhutan, India, Myanmar, Pakistan, Nepal, and Sri Lanka), a synthesis paper (India), a technical guideline paper (Chinese experience) and resource expert papers (diseases and health management, water use and environment, nutrition and feeding) made available or presented during the Expert Consultation.