Malnutrition is a serious problem in Mali, where 11% of the population is undernourished. The main causes are poverty, environmental factors like drought that damage crops, and political conflicts that displace people. Over 1 million Malian children are at risk of severe malnutrition, and 38% of children under 5 suffer from chronic malnutrition. Malnutrition leads to health effects like wasting, stunting, weakness, and increased susceptibility to disease. It is a major contributor to Mali's high child mortality rate, with 25% of children dying before age 5 due to hunger or malnutrition. International aid organizations like Doctors Without Borders are working to address malnutrition in Mali by providing healthcare, food supplements, and treating large numbers
2. Hunger
Discomfort or
weakness is felt due
to a lack of food
Malnutrition
Insufficient/unbalanced amount necessary nutrient
Impaired utilization of nutrients
3. Mali, Africa
Population: 13
million
11% of population
undernourished
4. Causes - Poverty
69% below national
poverty line
Cannot afford basic
necessities
5. Causes – Environmental factors
Spiked food prices due to impact to harvests that were
necessary for people who relied on it
6. Causes – Political Conflict
Conflict between Malian army and armed groups
Displaced 250000 people since beginning of 2012
Refugees arrive in:
Drought affected areas
Lack of infrastructure
Poor accessibility for aid organizations
Lack of electricity
7. Prevalence of Children
Over 1 million lives of children at rick due to severe
malnutrition
38% of children under the age of 5 suffering from chronic
malnutrition
8. Effects - Wasting
Substantial weight loss
Result of nutritional deficits or acute illness, especially diarrhea
23% children aged under 3 are wasted or too thin for their height
Stunting: shortness for age
9. Effects of Nutritional Deficiencies
Without sufficient calories and nutrition, immune functions a
greatly affected
Fever and malaria account for 48% of all illness cases
Diarrhea accounts for 2%
10. Effects - Health
Appear fatigue and have low energy
Underweight
Stunted growth
Weakened muscles
Bloated stomachs
Fragile bones
Improper organ functions
Malnourished pregnant woman is at great risk of an
underweight child with a lower chance of survival
11. Effects - Death
25% of Malian children die before age of 5 due to hunger or
malnutrition
57% of deaths among children related to malnutrition
14. Goal 1:
Stats:
Population living undernourished
- 1991: 2 million
- 2006: 2 million
Percentage of population living under $1 a day
- 1990: 86.1%
- 2006: 51.4%
Target:
Halve proportion of people
who suffer from hunger
Halve proportion of people
who suffer from poverty
16. Goal 8:
Target:
Address the special needs
Deal with debt problems
Provide affordable essential drugs
17. Doctors Without Borders
Since 1984
Currently 360 staff in Mali
(2011)
Admit over 800 severely
malnourished children every
3 months consistently
18.
19. Kanagaba, Koulikoro region
Free basic healthcare to 6500 people
2012 plans: offering antimalarial drugs
20. Koutiala region
53000 children treated
20000 paediatric consolations
1700 children with
supplementary food
21. Mali: the Koutiala Pediatric Project
http://www.youtube.com/watch?v=sYAF7bGV5wM
Editor's Notes
Hunger: discomfort/weakness felt due to lack of food. In this case, very severe to the point that their lives become at risk in addition to healthMalnutrition:When one has an insufficient amount of one or more necessary nutrient, an unbalanced intake of nutrients, or impaired utilization of nutrients
Population: 13 millionRanked 160th of 169 countries in 2010 UNDP Human Development IndexMuch to progressOver 80% of rural population dependant on subsistence farming and livestock herding11% of entire population undernourished
69% of the population lives below national poverty linePoverty results in incompetent dietCannot afford basic living necessities like shelter, food, waterEnvironmental conditions affect harvests, thus spiking food prices
Spiked food prices due to impact to harvests that were necessary for people who relied on itErratic rains, pest infections, limited arable land, unpredictable weather, environmental degradation, fluctuation commodity prices, drought, floods
Conflict between the Malian army and armed groups Driven refugees to migrate, displacement of over 250000 people in northern Mali since the beginning of 2012 Refugees arrive in drought-affected areas, putting themselves in life-threatening situations due to the lack of water and food Migrate to neighboring countries such as Niger, already suffer from a hunger and malnutrition crisis Poor infrastructure, aid organizations struggling to deliver humanitarian aid due to accessibility Lack of reliable electricity affect production of potable water
Result of nutritional deficits or acute illness, especially diarrhea 23% children aged under 3 are wasted or too thin for their heightStunting: when a child is not meeting the necessary calorie intake for development, his or her growth can stop
Vitamin A deficiency: cause blindness, leading cause in the developing world Severe vitamin A deficiency: greater risk of getting sick or dying from infections such as measles or diarrheaWithout sufficient calories and nutrition, immune functions a greatly affectedSusceptibility to illness increases and immune system will have a greater difficulty fighting it offFever and malaria account for 48% of all illness casesDiarrhea accounts for 2%
Appear fatigue and have low energy, underweight, stunted growth, weakened muscles, bloated stomachs, fragile bones, improper organ functionsMalnourished pregnant woman is at great risk of an underweight child with a lower chance of survival
25% of Malian children die before the age of 5 due to hunger or malnutritionPlacing Mali 5th highest in the worldEstimated 57% of deaths among children related to malnutrition
MSF teams are providing nutritional treatment and pediatric care in 5 health centers
360 staff in Mali (2011)Been working in country since 1984Admitted over 800 severely malnourished children within 3 months, a consistent rate of admission from past years2 paediatric programmes run by MSF in southern MaliKanagaba and Konseguela
11 health centres, delivering free basic healthcare to 6500 people, half were children under 5Hospital receives up to 5x number of admissions during malaria peak (Aug-Nov) Total capacity increases to 350 bedsOver 6600 children admitted to paediatric wardAnother 4800 admitted to therapeutic feeding centre2012 plans: start offering antimalarial drugs as a preventive measure during annual malaria season to all children under five
MSF working on 5 health centres and paediatric ward of the Koutiala district hospital since 2009Assists Ministry of Health and works in 4 community health centresProvide additional staff and supervisionDonation of drugs and logistical support in carrying out outpatient consultations and vaccinationsScreening and treatment for malnutritionStaff treated 53000 children, 30000 of them for malariaIn fifth health centre (Konseguela) MSF offers comprehensive health services for childrenEvery 3-6 months, healthy children aged 6 months – 2 years are seen to receive supplementary milk-based food, routine vaccinations, mosquito netsMSF carried out 20000 paediatric consultations1700 children with supplementary food