Click to edit Master title style      Opportunities and Challenges for      Achieving Nutrition Security in Low      and M...
Click to edit Master title styleGLOBAL TRENDS IN NUTRITIONINTERNATIONAL FOOD POLICY RESEARCH INSTITUTE
Click to edit Master title 5 are stunted   171 million children under styleSource: WHO Global Database on Child Growth and...
Stunting ↓ from 44-29% styleClick to edit Master title(1990-2010)                 50 %                           4 8 .6   ...
Overweight children ↑ steadily (1990-2010) Click to edit Master title style                     10                        ...
Slow progress on ↓ micronutrient deficiencies Click to edit Master title styleand low birth weight  Vitamin A: 160 millio...
Coexistence of under andtitle style Click to edit Master over nutrition                                                   ...
Click to edit Master title styleWHY DOES NUTRITION MATTER?INTERNATIONAL FOOD POLICY RESEARCH INSTITUTE
Stunted child – Stunted style   Click to edit Master title adult               Damage       is irreversible   Height     ...
Being undernourished in early childhoodClick to edit Master title style= Being handicapped for life High risk of illness ...
Click cost to society & title styleHuge to edit Master global economy                                     Malnutrition    ...
Click to edit Master title styleWHAT NEEDS TO BE DONE TOACCELERATE PROGRESS INIMPROVING NUTRITION?INTERNATIONAL FOOD POLIC...
1. PREVENT – Focus on 1st 1000 DaysClick to edit Master title style             -9 to 24 mo                               ...
2.Click to edit Master title style   Scale-up targeted nutrition Interventions  Series of Nutrition Interventions of know...
Click to edit Master title style3. Integrate nutrition into otherrelevant sectors  GOVERNANCE                             ...
4. Useto life cycle approach Click a edit Master title style
5. Focus on poor, vulnerable, left Click to edit Master title stylebehind, and on reducing inequities6. Improve data, info...
Several to edit Master title style these Click new initiatives are followingprinciples How will these translate into actio...
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Session 3 b marie ruel

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Session 3 b marie ruel

  1. 1. Click to edit Master title style Opportunities and Challenges for Achieving Nutrition Security in Low and Middle Income CountriesMarie Ruel ︳ Food Secure Arab World ︳ Beirut, Feb 6-7, 2012
  2. 2. Click to edit Master title styleGLOBAL TRENDS IN NUTRITIONINTERNATIONAL FOOD POLICY RESEARCH INSTITUTE
  3. 3. Click to edit Master title 5 are stunted 171 million children under styleSource: WHO Global Database on Child Growth and Malnutrition, May 2009 - Mercedes de Onis, BMGF meeting 2010
  4. 4. Stunting ↓ from 44-29% styleClick to edit Master title(1990-2010) 50 % 4 8 .6 200 190 4 0 .3 40 3 9 .3 3 7 .7 3 8 .2 150 138 Number of stunted (millions) 30 2 7 .6 Stunting (%) 100 2 3 .7 100 20 1 8 .1 60 1 3 .5 51 50 45 10 13 10 7 0 0 1990 2000 2010 1990 2000 2010 Mercedes de Onis, BMGF meeting 2010Source: Department of Nutrition, World Health Organization AFRICA ASIA LATIN AMERICA
  5. 5. Overweight children ↑ steadily (1990-2010) Click to edit Master title style 10 20 18 8 .5 8 15 6 .8 6 .8 6 .9 14 Number of overweight (millions) 13 13 6 Overweight (% ) 5 .7 10 4 .9 4 4 3 .7 7 3 .2 5 4 4 4 4 2 0 0 1990 2000 2010 1990 2000 2010 Source: Department of Nutrition, World Health Organization AFRICA ASIA LATIN AMERICA Mercedes de Onis, BMGF meeting 2010
  6. 6. Slow progress on ↓ micronutrient deficiencies Click to edit Master title styleand low birth weight  Vitamin A: 160 million children affected; ~30% children (40% in Africa and South Asia); also prevalent in women  Anemia: (half of which is due to iron deficiency): Static at ~45% in children (Africa and Asia); 500 million women anemic (highest burden in Asia)  Iodine: widespread deficiency  Low birth weight: 25-33% in Africa and Asia Marie Ruel ︳ Food Secure Arab World ︳ Beirut, Feb 6-7, 2012
  7. 7. Coexistence of under andtitle style Click to edit Master over nutrition Egypt 35 30 In same country 25 20 Stunting 15 Wasting 10 Overweight In same individual 5 100 90 0 80 2003 2005 2008 Anemia in women 70 60 Other Overweight In same household % 50 Obese *, † † 40 30 20 10 0 Egypt Peru Mexico Marie Ruel ︳ Food Secure Arab World ︳ Beirut, Feb 6-7, 2012
  8. 8. Click to edit Master title styleWHY DOES NUTRITION MATTER?INTERNATIONAL FOOD POLICY RESEARCH INSTITUTE
  9. 9. Stunted child – Stunted style Click to edit Master title adult  Damage is irreversible Height 81.2 at 18 y Height at 3 y Severe Moderate Mild Well-nourishedSource: Paul Melgar, INCAP
  10. 10. Being undernourished in early childhoodClick to edit Master title style= Being handicapped for life High risk of illness and mortality (associated with 35% of child deaths) Poor cognitive development, delays in starting school, poor school performance Reduced economic productivity – wages, income, skilled jobs Increased risk of obesity and NCD at adulthood (and premature death) Small mothers, small babiesMarie Ruel ︳ Food Secure Arab World ︳ Beirut, Feb 6-7, 2012
  11. 11. Click cost to society & title styleHuge to edit Master global economy Malnutrition Poverty  GPD losses > 2-3 %  US $80 billion/y (Sridhar 2007)Marie Ruel ︳ Food Secure Arab World ︳ Beirut, Feb 6-7, 2012
  12. 12. Click to edit Master title styleWHAT NEEDS TO BE DONE TOACCELERATE PROGRESS INIMPROVING NUTRITION?INTERNATIONAL FOOD POLICY RESEARCH INSTITUTE
  13. 13. 1. PREVENT – Focus on 1st 1000 DaysClick to edit Master title style -9 to 24 mo Europe & Central Asia LAC North Africa & Near East SS Africa South Asia
  14. 14. 2.Click to edit Master title style Scale-up targeted nutrition Interventions  Series of Nutrition Interventions of known efficacy (Lancet 2008): • Maternal health and nutrition during pregnancy (and before) • Appropriate child feeding practices • Micronutrient supplementation (e.g. vitamin A, zinc, iron) • Immunization • Hygiene Marie Ruel ︳ Food Secure Arab World ︳ Beirut, Feb 6-7, 2012
  15. 15. Click to edit Master title style3. Integrate nutrition into otherrelevant sectors GOVERNANCE GENDER Agriculture & Water & Food Security Sanitation Social Environment & Protection Climate Change Work Multi- Sectorally Private Sector Poverty Reduction Trade/Fiscal Health Policies 15Source: World Bank 2011
  16. 16. 4. Useto life cycle approach Click a edit Master title style
  17. 17. 5. Focus on poor, vulnerable, left Click to edit Master title stylebehind, and on reducing inequities6. Improve data, information,measurement, documentation,learning, evaluation Marie Ruel ︳ Food Secure Arab World ︳ Beirut, Feb 6-7, 2012
  18. 18. Several to edit Master title style these Click new initiatives are followingprinciples How will these translate into actions on the ground and Improvements in nutrition at scale? UK DFID Marie Ruel ︳ Food Secure Arab World ︳ Beirut, Feb 6-7, 2012

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