ODISHA, A STATE of 42 million people in eastern India, is one of the poorest in the country. It has faced many development challenges over the years, including insurgent movements, large pockets of extreme deprivation among scheduled tribe communities, social disparities, and natural disasters, as well as a relatively late fiscal turnaround (in 2004–2005) in comparison with other states. Yet Odisha has made significant progress in reducing child undernutrition—less than India as a whole, but more than many other richer states. How has it achieved this progress?
MORE THAN 660 million people lack access to an improved water source and 2.4 billion people lack access to improved sanitation. Growing awareness of the global challenge we face in improving water, sanitation, and hygiene, widely known as WASH, has gained the problem a prominent place on global nutrition and health agendas. And an expanding body of research points to the great potential of WASH, as a set of interventions, to improve nutrition and health. For example, systematic reviews have shown that improving water quality can reduce the risk of diarrhea by 17 percent; and introducing hand hygiene interventions can reduce gastrointestinal by 31 percent and respiratory illness by 21 percent
This book is an attempt to meet for narratives of what has worked well by combining a review of various analyses and studies with a narrative approach to convey the drivers and pathways of success in nutrition in different contexts and at different times. It seeks to inspire as well as to inform. In recent years, there has been a growing focus on the potential of narrative and storytelling to inspire and promote change.4 Stories can turn the key in ways that help the reader intuitively grasp why change is needed, what it involves, how it happens, and—crucially—how it can be made to happen. Stories enable listeners to extrapolate from case studies and to see analogies with their own backgrounds, their own contexts, and their own fields of expertise. Research has shown that stories catalyze change because they are natural and easy to tell, they show connections between things, and they cut through complexity. They are memorable, non-adversarial, non-hierarchical
REMARKABLE IMPROVEMENTS IN welfare and human development indicators in Bangladesh—including a notable reduction in the poverty headcount—have accompanied recent economic growth.1 Some aspects of nutrition have been part of this success story. For example, the percentage of underweight children declined by 1.1 percent per year and stunting rates declined by 1.3 percent per year between 1997 and 2007.2 And this trend has continued, with rates of child stunting falling to 36 percent in 2014 (Figure 12.1). Other countries may have experienced shorter, quicker reductions, but the Bangladesh story reflects “one of the fastest prolonged reductions in child underweight and stunting prevalence in recorded history.
DESPITE SIGNIFICANT ECONOMIC growth, South Asia remains notorious for its alarmingly high rates of undernutrition. This “Asian enigma” has long puzzled both researchers and policymakers. However, Nepal’s recent experience presents yet another enigma: a rapid reduction in maternal and child undernutrition during a period of civil war and prolonged political and economic instability. From 1996 to 2011, the prevalence of stunting among children under two years of age fell from 48 to 27 percent, and the prevalence of maternal underweight decreased from 28 to 20 percent.
OVERWEIGHT AND OBESITY prevalence has increased substantially over the past decades, affecting 2.1 billion people worldwide and causing 3.4 million deaths globally.1 Currently, 42 million children are overweight or obese—the result of a staggering 47.1 percent rise in prevalence between 1980 and 2013.2 No longer exclusive to affluent societies, obesity has reached alarmingly high levels in many low- and middle-income countries (LMICs).3 In fact, the number of individuals who are overweight or obese (1.9 billion) has now surpassed the 794 million people who do not get enough calories.4 Nearly half of all overweight children under 5 years of age now live in Asia, and a further 25 percent are found in Africa.
SEVERE ACUTE MALNUTRITION (SAM)—extremely low weight for one’s height—is a life-threatening condition affecting mostly children under five years of age. It is caused by a combination of infection, such as diarrheal disease, and poor diets that are inadequate for nutritional needs. SAM is one of the top three nutrition-related causes of death in children under five according to the 2008 Maternal and Child Nutrition Lancet Series. A child with SAM is 11 times more likely to die than a well-nourished child. Despite the size of the problem, until the early 2000s SAM appeared to be a so-called neglected disease: little support went to large-scale treatment programs targeted toward children with SAM. Few countries-even among those with a high prevalence of malnutrition-had a clear national policy for detecting and treating SAM children.10 The development and adoption of a new approach-the community-based management of acute malnutrition (CMAM)-was to change the public health nutrition landscape by bringing treatment out of hospitals and into the community
THAILAND REDUCED CHILD undernutrition by more than half within one decade—an achievement recognized by the nutrition community as one of the best examples of a successful national nutrition program. Underweight rates among children under five decreased from more than 50 percent to less than 20 percent from 1982 to 1991, and severe and moderate underweight rates were nearly eliminated. The underweight rate was further reduced to 10 percent by 1996 and to 9 percent by 2012. Maternal care interventions were also successful. Thailand improved the reach of antenatal care—coverage increased from 35 percent in 1981 to near 95 percent in 2006. And iron-deficiency anemia prevalence among pregnant women was reduced from nearly 60 percent in the 1960s to 10 percent in 2005.
PERUVIANS HAVE MUCH to celebrate in regards to the rapid progress the country has made in reducing malnutrition. In 2013, only 3.5 percent of children under five years of age in Peru were underweight. Even smaller proportions— 0.5 percent and 0.1 percent—were moderately or severely wasted. But the statistic that many nutritionists point to when lauding the country as a nutrition success is Peru’s rate of childhood stunting (Figure 14.1). In 2014, 14.6 percent of children under five years of age were stunted. While this rate is not as low as the country’s other nutrition indicators, it reflects a remarkable improvement. Less than a decade earlier, the prevalence was twice as high (29.5 percent).4 How was this rapid progress achieved—not only at a national level, but across all of Peru’s diverse regions, even poor rural ones including the Andean Highlands, and even amongst the poorest 20 percent of the population?
MORE THAN 660 million people lack access to an improved water source and 2.4 billion people lack access to improved sanitation. Growing awareness of the global challenge we face in improving water, sanitation, and hygiene, widely known as WASH, has gained the problem a prominent place on global nutrition and health agendas. And an expanding body of research points to the great potential of WASH, as a set of interventions, to improve nutrition and health. For example, systematic reviews have shown that improving water quality can reduce the risk of diarrhea by 17 percent; and introducing hand hygiene interventions can reduce gastrointestinal by 31 percent and respiratory illness by 21 percent
This book is an attempt to meet for narratives of what has worked well by combining a review of various analyses and studies with a narrative approach to convey the drivers and pathways of success in nutrition in different contexts and at different times. It seeks to inspire as well as to inform. In recent years, there has been a growing focus on the potential of narrative and storytelling to inspire and promote change.4 Stories can turn the key in ways that help the reader intuitively grasp why change is needed, what it involves, how it happens, and—crucially—how it can be made to happen. Stories enable listeners to extrapolate from case studies and to see analogies with their own backgrounds, their own contexts, and their own fields of expertise. Research has shown that stories catalyze change because they are natural and easy to tell, they show connections between things, and they cut through complexity. They are memorable, non-adversarial, non-hierarchical
REMARKABLE IMPROVEMENTS IN welfare and human development indicators in Bangladesh—including a notable reduction in the poverty headcount—have accompanied recent economic growth.1 Some aspects of nutrition have been part of this success story. For example, the percentage of underweight children declined by 1.1 percent per year and stunting rates declined by 1.3 percent per year between 1997 and 2007.2 And this trend has continued, with rates of child stunting falling to 36 percent in 2014 (Figure 12.1). Other countries may have experienced shorter, quicker reductions, but the Bangladesh story reflects “one of the fastest prolonged reductions in child underweight and stunting prevalence in recorded history.
DESPITE SIGNIFICANT ECONOMIC growth, South Asia remains notorious for its alarmingly high rates of undernutrition. This “Asian enigma” has long puzzled both researchers and policymakers. However, Nepal’s recent experience presents yet another enigma: a rapid reduction in maternal and child undernutrition during a period of civil war and prolonged political and economic instability. From 1996 to 2011, the prevalence of stunting among children under two years of age fell from 48 to 27 percent, and the prevalence of maternal underweight decreased from 28 to 20 percent.
OVERWEIGHT AND OBESITY prevalence has increased substantially over the past decades, affecting 2.1 billion people worldwide and causing 3.4 million deaths globally.1 Currently, 42 million children are overweight or obese—the result of a staggering 47.1 percent rise in prevalence between 1980 and 2013.2 No longer exclusive to affluent societies, obesity has reached alarmingly high levels in many low- and middle-income countries (LMICs).3 In fact, the number of individuals who are overweight or obese (1.9 billion) has now surpassed the 794 million people who do not get enough calories.4 Nearly half of all overweight children under 5 years of age now live in Asia, and a further 25 percent are found in Africa.
SEVERE ACUTE MALNUTRITION (SAM)—extremely low weight for one’s height—is a life-threatening condition affecting mostly children under five years of age. It is caused by a combination of infection, such as diarrheal disease, and poor diets that are inadequate for nutritional needs. SAM is one of the top three nutrition-related causes of death in children under five according to the 2008 Maternal and Child Nutrition Lancet Series. A child with SAM is 11 times more likely to die than a well-nourished child. Despite the size of the problem, until the early 2000s SAM appeared to be a so-called neglected disease: little support went to large-scale treatment programs targeted toward children with SAM. Few countries-even among those with a high prevalence of malnutrition-had a clear national policy for detecting and treating SAM children.10 The development and adoption of a new approach-the community-based management of acute malnutrition (CMAM)-was to change the public health nutrition landscape by bringing treatment out of hospitals and into the community
THAILAND REDUCED CHILD undernutrition by more than half within one decade—an achievement recognized by the nutrition community as one of the best examples of a successful national nutrition program. Underweight rates among children under five decreased from more than 50 percent to less than 20 percent from 1982 to 1991, and severe and moderate underweight rates were nearly eliminated. The underweight rate was further reduced to 10 percent by 1996 and to 9 percent by 2012. Maternal care interventions were also successful. Thailand improved the reach of antenatal care—coverage increased from 35 percent in 1981 to near 95 percent in 2006. And iron-deficiency anemia prevalence among pregnant women was reduced from nearly 60 percent in the 1960s to 10 percent in 2005.
PERUVIANS HAVE MUCH to celebrate in regards to the rapid progress the country has made in reducing malnutrition. In 2013, only 3.5 percent of children under five years of age in Peru were underweight. Even smaller proportions— 0.5 percent and 0.1 percent—were moderately or severely wasted. But the statistic that many nutritionists point to when lauding the country as a nutrition success is Peru’s rate of childhood stunting (Figure 14.1). In 2014, 14.6 percent of children under five years of age were stunted. While this rate is not as low as the country’s other nutrition indicators, it reflects a remarkable improvement. Less than a decade earlier, the prevalence was twice as high (29.5 percent).4 How was this rapid progress achieved—not only at a national level, but across all of Peru’s diverse regions, even poor rural ones including the Andean Highlands, and even amongst the poorest 20 percent of the population?
VIETNAM HAS MADE dramatic progress in improving nutrition over the past three decades. Following the introduction of Vietnam’s Doi Moi (“renovation”) economic policies in 1986, the country’s economic performance began to improve rapidly. By the 1990s, Vietnam was among the fastest growing economies in the world. From one of the five poorest countries in the world in 1984, Vietnam rose to a rank of 167 out of 206 by 1999. As the country transitioned to a market-oriented economy, rapid economic growth was accompanied by a similarly dramatic decline in the poverty rate, which fell from nearly 75 percent of the population in 1984, to 58 percent in 1993, and down to 37 percent by 1998. Economic growth enabled the country to provide improved health services, which contributed directly to reductions in child malnutrition.
RAPID ADVANCES IN economic development and healthcare in Brazil have contributed to significant improvements in child health and nutrition in recent decades. Brazil met Millennium Development Goal 1—halving the proportion of people whose income is less than $1 a day and halving the proportion of people who suffer from hunger, and Goal 4—reducing by two-thirds the under-five mortality rate. Beyond significant advances in reducing poverty and improving food and nutrition security throughout the country, Brazil has also been successful in reducing socioeconomic inequality in malnutrition. What lies behind this success? This case study examines the policies, approaches, and process that contributed to the reduction in child stunting and other key indicators of malnutrition.
Whatever advances have been made in terms of technologies, interventions, and their delivery platforms in recent decades, it is households and communities that remain on the front lines in combating malnutrition. During the past half century, several significant attempts have been made to initiate and implement community-based nutrition programs. This chapter assesses the evolution and performance of
Malnutrition costs the world trillions of dollars, but global commitment to improving people’s nutrition is on the rise, and so is our knowledge of how to do so. Over the past 50 years, understanding of nutrition has evolved beyond a narrow focus on hunger and famine. We now know that good nutrition depends not only on people’s access to a wide variety of foods, but also on the care they receive and the environment they live in. A number of countries and programs have exploited this new understanding to make enormous strides in nutrition. Nourishing Millions: Stories of Change in Nutrition brings together the most intriguing stories from the past five decades to show what works in nutrition, what does not, and the factors that contribute to success. The stories gathered here examine interventions that address nutrition directly—such as community nutrition programming and feeding programs for infants and young children—as well as nutrition-sensitive policies related to agriculture, social protection, and clean water and sanitation. The authors consider efforts to combat the severest forms of acute malnutrition as well as overweight and obesity. They shed light on nutrition success stories on the ground in places ranging from Bangladesh, Brazil, Nepal, Peru, Thailand, and Vietnam to Ethiopia and the state of Odisha in India. The book also examines how nutrition “champions” emerge and drive change. Altogether, Nourishing Millions is a unique look at past and emerging nutrition successes and challenges around the world.
THE CALLS FOR strong leadership in the fight against global and national malnutrition have multiplied during the past decade. The role of nutrition champions in advocating for nutrition, formulating policies, and coordinating and implementing action in nutrition have increasingly been recognized in such countries as Peru, Brazil, Thailand, and the Indian states of Tamil Nadu and Maharashtra. Global initiatives such as the Scaling Up Nutrition (SUN) Movement, the African Nutrition Leadership Programme, and the European Nutrition Leadership Platform have invested in building up capacity for leadership among national governments, civil society, and the private sector. The World Public Health Nutrition Association’s guide on competencies needed to build up the workforce in global public health nutrition identified leadership as key. More widely, leadership within the field of public health has been highlighted as key to moving child or maternal health higher up on the global agenda and tackling critical issues such as HIV and AIDS at the national and community levels.
BY WEAVING STORIES together with analysis and description in this book, we have sought to convey the variety of experiences in tackling malnutrition in different contexts throughout the past five decades. This narrative approach is intended to help the reader translate an experience into his or her own context, showing many examples of what can be done and how success can be achieved. Our aim is not only to inform action, but to inspire.
FEW SECTORS HAVE clearer links to nutrition than agriculture. Most simply, of course, agriculture is a source of food. Because many poor households around the world grow food that they both consume and sell for income, agricultural interventions can have a massive effect on the lives of people in developing countries. Through the decades, and most famously in Asia’s Green Revolution, development projects have sought to boost agricultural production of staple foods as a way of improving people’s nutrition. Yet, while consuming a sufficient quantity of calories is important, especially among undernourished populations, quality matters too. Thus, the traditional focus on producing enough food to meet people’s calorie needs has evolved into a deeper understanding that to improve nutrition, we also need people to consume balanced, high-quality, and diverse diets that contain enough essential nutrients to meet their daily requirements.
OVER THE PAST 25 years, Ethiopia has made remarkable headway in addressing the country’s nutrition situation. Despite ongoing challenges, significant progress has been made toward meeting the United Nations Millennium Development Goals, including halving child mortality, doubling the number of people with access to clean water, and quadrupling primary school enrollment. Ethiopia is also on track to eradicate extreme hunger and poverty. The country was one of the top five performing countries in the 2000s in terms of reducing stunting by reducing its prevalence from 57.4 percent in 2000 to 44.2 percent in 2011, although levels remained high at 40.0 percent in 2014.2 The same 2014 Demographic and Health Survey found that a further 9 percent of children younger than 5 years old experience wasting, and only 4 percent of children meet the standards for a minimal acceptable diet (a World Health Organization [WHO]/UNICEF indicator for complementary feeding).3 Significant regional differences persist, with the highest rates of stunting (52 percent) found in Amhara and the lowest found in Gambela (27 percent) and Addis Ababa (22 percent). Overall, stunting is more prevalent in rural (46 percent) than in urban areas (36 percent).
Evaluate strategies for improving household nutritional diversity in Maliafrica-rising
Poster prepared by C.M. Sobgui, H. Diarra, P. Coulibaly, J.B. Tignegre and A. Tenkouano for the AfrIca RISING West Africa Review and Planning Meeting, Accra, 30 March–1 April 2016
In recent years, the world has seen unprecedented attention and political commitment to addressing malnutrition. As nutrition rapidly rises on the global agenda, guidance is urgently needed on how to design, implement, and evaluate nutrition-enhancing policies and interventions. Nourishing Millions: Stories of Change in Nutrition brings together the most intriguing stories about improving nutrition from the past five decades. These stories provide insight into what works in nutrition, what does not, and the factors that contribute to success.
Barry M. Popkin
SPECIAL EVENT
28th Annual Martin J. Forman Memorial Lecture
Confronting the New Face of Malnutrition: Regulatory and Fiscal Approaches to Improving Diets
OCT 29, 2018 - 12:15 PM TO 01:45 PM EDT
Ellen G. Piwoz
MARTIN J. FORMAN MEMORIAL LECTURE
Virtual Event - Seizing Opportunity from the Jaws of Crisis: A Playbook for Nutrition
DEC 10, 2020 - 10:00 AM TO 11:30 AM EST
The economic case for investing in nutritionGlo_PAN
Presented by Shawn Baker, Director of the Nutrition team at the Bill and Melinda Gates Foundation, during the launch of "African Leaders for Nutrition" at the African Development Bank Annual meeting (23 May 2016, Lusaka, Zambia).
More info: Glopan.org/african-leaders-nutrition
On December 5th, 2016, Transform Nutrition Co-Research Director John Hoddinott gave a seminar on issues surrounding chronic undernutrition in Ethiopia. In addition to reviewing current trends and the factors associated with these, Dr Hoddinott summarized TN research on chronic undernutrition in Ethiopia, conveying key messages and outlining areas requiring attention in the future. The lecture was attended by representatives from civil society organizations, academics, government officials and researchers.
Ensuring agricultural biodiversity and nutrition remain central to addressing...Bioversity International
Given at Bioversity/FAO meeting on Biodiversity and sustainable diets, 3-5 November 2010. Read more about Bioversity International’s work on diet diversity for nutrition and health: http://www.bioversityinternational.org/research-portfolio/diet-diversity/
AROUND THE WORLD, more than 2 billion people are thought to be affected by an often invisible form of malnutrition: micronutrient malnutrition, commonly known as hidden hunger.1 Vitamin and mineral deficiencies—at least in mild to moderate forms—may not be as observable as wasting or obesity, but their effects are far-reaching. Globally, vitamin A deficiency (VAD) is the leading cause of blindness in children.2 Iodine deficiency causes 18 million babies to be born mentally impaired each year.3 And severe anemia caused by lack of iron is associated with the deaths of 115,000 women annually during childbirth.4 Vitamin A, iodine, and iron are classified as “the big three,” but deficiencies of other micronutrients, such as folate, zinc, vitamin B12, and vitamin D, are also important.
This seminar was held in partnership with WFP under the title of "Utilizing evidence-based research to inform policy: The Case of School Feeding Programs"
VIETNAM HAS MADE dramatic progress in improving nutrition over the past three decades. Following the introduction of Vietnam’s Doi Moi (“renovation”) economic policies in 1986, the country’s economic performance began to improve rapidly. By the 1990s, Vietnam was among the fastest growing economies in the world. From one of the five poorest countries in the world in 1984, Vietnam rose to a rank of 167 out of 206 by 1999. As the country transitioned to a market-oriented economy, rapid economic growth was accompanied by a similarly dramatic decline in the poverty rate, which fell from nearly 75 percent of the population in 1984, to 58 percent in 1993, and down to 37 percent by 1998. Economic growth enabled the country to provide improved health services, which contributed directly to reductions in child malnutrition.
RAPID ADVANCES IN economic development and healthcare in Brazil have contributed to significant improvements in child health and nutrition in recent decades. Brazil met Millennium Development Goal 1—halving the proportion of people whose income is less than $1 a day and halving the proportion of people who suffer from hunger, and Goal 4—reducing by two-thirds the under-five mortality rate. Beyond significant advances in reducing poverty and improving food and nutrition security throughout the country, Brazil has also been successful in reducing socioeconomic inequality in malnutrition. What lies behind this success? This case study examines the policies, approaches, and process that contributed to the reduction in child stunting and other key indicators of malnutrition.
Whatever advances have been made in terms of technologies, interventions, and their delivery platforms in recent decades, it is households and communities that remain on the front lines in combating malnutrition. During the past half century, several significant attempts have been made to initiate and implement community-based nutrition programs. This chapter assesses the evolution and performance of
Malnutrition costs the world trillions of dollars, but global commitment to improving people’s nutrition is on the rise, and so is our knowledge of how to do so. Over the past 50 years, understanding of nutrition has evolved beyond a narrow focus on hunger and famine. We now know that good nutrition depends not only on people’s access to a wide variety of foods, but also on the care they receive and the environment they live in. A number of countries and programs have exploited this new understanding to make enormous strides in nutrition. Nourishing Millions: Stories of Change in Nutrition brings together the most intriguing stories from the past five decades to show what works in nutrition, what does not, and the factors that contribute to success. The stories gathered here examine interventions that address nutrition directly—such as community nutrition programming and feeding programs for infants and young children—as well as nutrition-sensitive policies related to agriculture, social protection, and clean water and sanitation. The authors consider efforts to combat the severest forms of acute malnutrition as well as overweight and obesity. They shed light on nutrition success stories on the ground in places ranging from Bangladesh, Brazil, Nepal, Peru, Thailand, and Vietnam to Ethiopia and the state of Odisha in India. The book also examines how nutrition “champions” emerge and drive change. Altogether, Nourishing Millions is a unique look at past and emerging nutrition successes and challenges around the world.
THE CALLS FOR strong leadership in the fight against global and national malnutrition have multiplied during the past decade. The role of nutrition champions in advocating for nutrition, formulating policies, and coordinating and implementing action in nutrition have increasingly been recognized in such countries as Peru, Brazil, Thailand, and the Indian states of Tamil Nadu and Maharashtra. Global initiatives such as the Scaling Up Nutrition (SUN) Movement, the African Nutrition Leadership Programme, and the European Nutrition Leadership Platform have invested in building up capacity for leadership among national governments, civil society, and the private sector. The World Public Health Nutrition Association’s guide on competencies needed to build up the workforce in global public health nutrition identified leadership as key. More widely, leadership within the field of public health has been highlighted as key to moving child or maternal health higher up on the global agenda and tackling critical issues such as HIV and AIDS at the national and community levels.
BY WEAVING STORIES together with analysis and description in this book, we have sought to convey the variety of experiences in tackling malnutrition in different contexts throughout the past five decades. This narrative approach is intended to help the reader translate an experience into his or her own context, showing many examples of what can be done and how success can be achieved. Our aim is not only to inform action, but to inspire.
FEW SECTORS HAVE clearer links to nutrition than agriculture. Most simply, of course, agriculture is a source of food. Because many poor households around the world grow food that they both consume and sell for income, agricultural interventions can have a massive effect on the lives of people in developing countries. Through the decades, and most famously in Asia’s Green Revolution, development projects have sought to boost agricultural production of staple foods as a way of improving people’s nutrition. Yet, while consuming a sufficient quantity of calories is important, especially among undernourished populations, quality matters too. Thus, the traditional focus on producing enough food to meet people’s calorie needs has evolved into a deeper understanding that to improve nutrition, we also need people to consume balanced, high-quality, and diverse diets that contain enough essential nutrients to meet their daily requirements.
OVER THE PAST 25 years, Ethiopia has made remarkable headway in addressing the country’s nutrition situation. Despite ongoing challenges, significant progress has been made toward meeting the United Nations Millennium Development Goals, including halving child mortality, doubling the number of people with access to clean water, and quadrupling primary school enrollment. Ethiopia is also on track to eradicate extreme hunger and poverty. The country was one of the top five performing countries in the 2000s in terms of reducing stunting by reducing its prevalence from 57.4 percent in 2000 to 44.2 percent in 2011, although levels remained high at 40.0 percent in 2014.2 The same 2014 Demographic and Health Survey found that a further 9 percent of children younger than 5 years old experience wasting, and only 4 percent of children meet the standards for a minimal acceptable diet (a World Health Organization [WHO]/UNICEF indicator for complementary feeding).3 Significant regional differences persist, with the highest rates of stunting (52 percent) found in Amhara and the lowest found in Gambela (27 percent) and Addis Ababa (22 percent). Overall, stunting is more prevalent in rural (46 percent) than in urban areas (36 percent).
Evaluate strategies for improving household nutritional diversity in Maliafrica-rising
Poster prepared by C.M. Sobgui, H. Diarra, P. Coulibaly, J.B. Tignegre and A. Tenkouano for the AfrIca RISING West Africa Review and Planning Meeting, Accra, 30 March–1 April 2016
In recent years, the world has seen unprecedented attention and political commitment to addressing malnutrition. As nutrition rapidly rises on the global agenda, guidance is urgently needed on how to design, implement, and evaluate nutrition-enhancing policies and interventions. Nourishing Millions: Stories of Change in Nutrition brings together the most intriguing stories about improving nutrition from the past five decades. These stories provide insight into what works in nutrition, what does not, and the factors that contribute to success.
Barry M. Popkin
SPECIAL EVENT
28th Annual Martin J. Forman Memorial Lecture
Confronting the New Face of Malnutrition: Regulatory and Fiscal Approaches to Improving Diets
OCT 29, 2018 - 12:15 PM TO 01:45 PM EDT
Ellen G. Piwoz
MARTIN J. FORMAN MEMORIAL LECTURE
Virtual Event - Seizing Opportunity from the Jaws of Crisis: A Playbook for Nutrition
DEC 10, 2020 - 10:00 AM TO 11:30 AM EST
The economic case for investing in nutritionGlo_PAN
Presented by Shawn Baker, Director of the Nutrition team at the Bill and Melinda Gates Foundation, during the launch of "African Leaders for Nutrition" at the African Development Bank Annual meeting (23 May 2016, Lusaka, Zambia).
More info: Glopan.org/african-leaders-nutrition
On December 5th, 2016, Transform Nutrition Co-Research Director John Hoddinott gave a seminar on issues surrounding chronic undernutrition in Ethiopia. In addition to reviewing current trends and the factors associated with these, Dr Hoddinott summarized TN research on chronic undernutrition in Ethiopia, conveying key messages and outlining areas requiring attention in the future. The lecture was attended by representatives from civil society organizations, academics, government officials and researchers.
Ensuring agricultural biodiversity and nutrition remain central to addressing...Bioversity International
Given at Bioversity/FAO meeting on Biodiversity and sustainable diets, 3-5 November 2010. Read more about Bioversity International’s work on diet diversity for nutrition and health: http://www.bioversityinternational.org/research-portfolio/diet-diversity/
AROUND THE WORLD, more than 2 billion people are thought to be affected by an often invisible form of malnutrition: micronutrient malnutrition, commonly known as hidden hunger.1 Vitamin and mineral deficiencies—at least in mild to moderate forms—may not be as observable as wasting or obesity, but their effects are far-reaching. Globally, vitamin A deficiency (VAD) is the leading cause of blindness in children.2 Iodine deficiency causes 18 million babies to be born mentally impaired each year.3 And severe anemia caused by lack of iron is associated with the deaths of 115,000 women annually during childbirth.4 Vitamin A, iodine, and iron are classified as “the big three,” but deficiencies of other micronutrients, such as folate, zinc, vitamin B12, and vitamin D, are also important.
This seminar was held in partnership with WFP under the title of "Utilizing evidence-based research to inform policy: The Case of School Feeding Programs"
Frederic Baudron presentation during the event "Conservation Agriculture: Overcoming the challenges to adoption and scaling-up" held by IFAD jointly with the International Maize and Wheat Improvement Center (CIMMYT)
CORE Group Fall Meeting 2010. Maximizing Nutritional Benefits of Agricultural Interventions. A Review of the Food Security and Nutritional Impacts of Agriculture Interventions. - Tom Schaetzel, Infant & Young Child Nutrition (IYCN) Project
engineers are encouraged to take up new initiative under my mentorship to learn new things and do something good for the world.pl do encourage young engineers from colleges and adopt them for better future.
The MLOVE Report summarizes crucial topics for the Future of Mobile – as much more than a technical platform or a media channel: Mobile is becoming the remote control for our lives. The content features key insights from renowned international speakers of the MLOVE ConFestival 2011 and beautiful illustrations by ImageThink, New York.
“The MLOVE ConFestival 2011 cemented its reputation as a ‘TED for Mobile’ by spoiling attendees by three days of inspirational talks and workshops” stated Will Samson, Editor at Contagious Magazine.
“We learned. We ate. We drank. We burned things!” Find out more about this atmosphere in a 200 year old castle when an eclectic group 250+ mobile passionistas and thought leaders spend 2 nights and 3 days in an inspiring event format called the MLOVE ConFestival.
The MLOVE Report features topics like communication, education, entertainment, Japan, mHealth, Singularity and Sustainability. Interactive formats documented include the first MLOVE Teen Camp, open space and Future Cubes: ideation workshops in the setting of a 200-year-old barn.
Creating a Non-Violent Juvenile JusticeThomas Müller
Child Helpline International is part of the "International NGO Council of Violence against Children", which developed this report. This report from creates an enriching
vision of a non-violent juvenile justice system.
The vision is no more than the fulfillment of states’
obligations under international law to create a distinct
and separate justice system which takes account of
the special status of the child, focuses exclusively on
rehabilitation and reintegration and protects the child
from all forms of violence.
Wir haben uns mit dem Thema „Big Data – Vorsprung durch Wissen“ näher auseinander gesetzt und mit Experten der Szene diskutiert. Mit hochwertigen Expertenartikeln und Interviews stellt das vorliegende Whitepaper das Potential von Big Data ausführlich dar.
Historical maps of Hamburg are warped on top of google maps. The project is a website and an iPhone/iPad webapp for Coding Da Vinci Nord 2016. http://mprove.de/chronoscope
A discourse the ideal feeding practices from pregnancy to infancy with a closer look into malnutrition, breastfeeding, complementary feeding and related interventions.
Presented in a one day policy consultation workshop jointly organized by the A N Sinha Institute of Social Science (ANSISS), and the International Food Policy Research Institute (IFPRI) on ‘‘Food Security Portal Partnership and Policy Dialogue in India Emerging Food Security Issues in Bihar’’ on Saturday, April 25, 2015 in, Patna, Bihar. The main objective of the policy consultative workshop is to deliberate on the options and strategies for making food system efficient and effective in Bihar. Also to get valuable input with regard to other emerging issues in Bihar i.e. water management, nutrition and diversification and markets for food security.
Prevalence of Undernutrition among Baalwadi Going Children between 2 5 Years ...ijtsrd
Children are the backbone of any country. Under nutrition is the underlying cause of more than half of all deaths in children aged less than five years worldwide. This study was designed majorly to study the prevalence of undernutrition in children. The objectives of the study were to assess the prevalence of undernutrition stunting, underweight and wasting in children between 2 5 years of age and to analyse major determinants influencing undernutrition. 102 children aged between 2 5 years of age were selected from two different baalwadis of Mumbai through purposive, random sampling. Socio demographic data was collected using a self designed, structured questionnaire from mothers. Anthropometric measurements like weight, height, MUAC were done to determine nutritional status. Anthropometric data revealed that out of total children screened n=102 , 34 children were well nourished and 66 children were undernourished where 27 children were underweight, 24 were wasted 16 were stunted. 55 children had low MUAC. The factors that were found to be significantly associated with child undernutrition were age p=0.046 , gender p=0.000 , maternal education p=0.007 , employment status of mother p=0.001 and number of meals taken by the child daily p=0.000 . The prevalence of undernutrition among children of Baalwadi was high considering the sample size was small. Shraddha Shripal Parmar | Dr Rupali Sengupta ""Prevalence of Undernutrition among Baalwadi Going Children between 2-5 Years of Age in Western Mumbai"" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-3 , April 2019, URL: https://www.ijtsrd.com/papers/ijtsrd23133.pdf
Paper URL: https://www.ijtsrd.com/home-science/child-care-and-development/23133/prevalence-of-undernutrition-among-baalwadi-going-children-between-2-5-years-of-age-in-western-mumbai/shraddha-shripal-parmar
These set of slides were presented at the BEP Seminar "Targeting in Development Projects: Approaches, challenges, and lessons learned" held last Oct. 2, 2023 in Cairo, Egypt
Caitlin Welsh
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Food System Repercussions of the Russia-Ukraine War
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Food System Repercussions of the Russia-Ukraine War
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Antonina Broyaka
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2023 Borlaug Dialogue Breakout session
Co-organized by IFPRI and CGIAR
OCT 26, 2023 - 1:10 TO 2:10PM EDT
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Mananze, Sosdito. 2023. Examples of remote sensing application in agriculture monitoring. PowerPoint presentation given during the Project Inception Workshop, VIP Grand Hotel, Maputo, Mozambique, April 20, 2023
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International Food Policy Research Institute (IFPRI). 2023. Statistics from Space: Next-Generation Agricultural Production Information for Enhanced Monitoring of Food Security in Mozambique. PowerPoint presentation given during the Project Kickoff Meeting (virtual), January 12, 2023
International Food Policy Research Institute (IFPRI). 2023. Statistics from Space: Next-Generation Agricultural Production Information for Enhanced Monitoring of Food Security in Mozambique. Component 1. Stakeholder engagement for impacts. PowerPoint presentation given during the Project Inception Workshop, VIP Grand Hotel, Maputo, Mozambique, April 20, 2023
Centro de Estudos de Políticas e Programas Agroalimentares (CEPPAG). 2023. Statistics from Space: Next-Generation Agricultural Production Information for Enhanced Monitoring of Food Security in Mozambique. Component 3. Digital collection of groundtruthing data. PowerPoint presentation given during the Project Inception Workshop, VIP Grand Hotel, Maputo, Mozambique, April 20, 2023
ITC/University of Twente. 2023. Statistics from Space: Next-Generation Agricultural Production Information for Enhanced Monitoring of Food Security in Mozambique. Component 2. Enhanced area sampling frames. PowerPoint presentation given during the Project Inception Workshop, VIP Grand Hotel, Maputo, Mozambique, April 20, 2023
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IFPRI-AMIS SEMINAR SERIES
A Look at Global Rice Markets: Export Restrictions, El Niño, and Price Controls
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Lead authors Jonathan Mockshell and Danielle Resnick presented these slides at the Virtual Book Launch of the Political Economy and Policy Analysis (PEPA) Sourcebook on October 10, 2023.
An output of the Myanmar Strategy Support Program, with USAID and Michigan State University. Presented by Paul Dorosh, Director, Development Strategy and Governance Unit, International Food Policy Research Institute and Nilar Aung, Research Specialist, Michigan State University.
Bedru Balana, Research Fellow, IFPRI, presented these slides at the AAAE2023 Conference, Durban, South Africa, 18-21 September 2023. The authors acknowledged the contributions of CGIAR Initiative on National Policies and Strategies, Google, the International Rescue Committee, IFPRI, and USAID.
Sara McHattie
IFPRI-AMIS SEMINAR SERIES
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http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
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Chapter 17: 25 Years of Scaling Up: Nutrition and health interventions in Odisha, India [Nourishing Millions]
1.
2. 25 Years of Scaling Up: Nutrition
and Health Interventions in
Odisha, India
Purnima Menon, Neha Kohli, Mara van den Bold, Elisabeth Becker, Nicholas
Nisbett, Lawrence Haddad, and Rasmi Avula
3. http://nourishingmillions.ifpri.info/
Odisha
Odisha made significant progress in reducing child undernutrition – more than
many other richer states – despite a number of development challenges
including insurgent movements, social disparities, natural disasters, and a
relatively late fiscal turnaround.
Impact
• The proportion of stunted children <3 yrs fell from 49% to 44% between 1998/9
and 2005/6 (compared with an all-India decline from 51% to 45% during the
same period).
• Odisha performed better than richer states in a number of immediate
determinants of undernutrition and nutrition-specific interventions including
• Infants 6–8 months old receiving solid, semisolid, or soft foods
• Minimum dietary diversity during complementary feeding
• Mothers of children <3 yrs who received 3 or more antenatal care checkups
• Children 12–23 mths old who were fully immunized
4. http://nourishingmillions.ifpri.info/
Odisha
Factors contributing to success
• A vision for impact focused on accelerating
reductions in infant and maternal mortality
and total fertility rates
• Delivering interventions through multiple
operational platforms
• Catalysts for action, individual champions,
and ownership by leaders and bureaucrats
• Diverse pathways for scaling up
• Gradually building up strategic and
operational capacities
• Adequate, stable, and flexible financing
• Creating an enabling policy environment
• Measurement, learning, and accountability
DFID/P. Ranger
5. http://nourishingmillions.ifpri.info/
Odisha: Lessons learned
• Setting specific goals focused on infant
and maternal mortality rates contributed
significantly to several key actions that
were scaled up to successfully reduce
mortality.
• Ensuring bureaucratic stability, capacity,
and motivation to deliver was critical to
achieving these goals.
• Much of Odisha’s success was driven by
the creation of an enabling environment
with little to no political interference,
adequate financing from diverse sources,
and adequate technical support.
DFID/P. Ranger