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Mali-trition

Winnie, Mathusha, and Florence of Global Outreach
  In partnership with Doctors Without Borders
Hunger
 Discomfort or
   weakness is felt due
   to a lack of food




Malnutrition
 Insufficient/unbalanced amount necessary nutrient
 Impaired utilization of nutrients
Mali, Africa
                Population: 13
                 million
                11% of population
                 undernourished
Causes - Poverty

 69% below national
  poverty line
 Cannot afford basic
  necessities
Causes – Environmental factors




 Spiked food prices due to impact to harvests that were
  necessary for people who relied on it
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
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
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
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%
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
Effects - Death




 25% of Malian children die before age of 5 due to hunger or
  malnutrition
 57% of deaths among children related to malnutrition
Activity
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
Goal 4:
          Target:
           Reduce by 2/3,
            under-five mortality
            rate


              Stats:
              Under 5 mortality rate:
              - 1990: 259.7/1000
              - 2009: 191.1/1000

              Infant mortality rate:
              - 1990: 139/1000
              - 2009: 101/1000
Goal 8:




Target:
 Address the special needs
 Deal with debt problems
 Provide affordable essential drugs
Doctors Without Borders
 Since 1984
 Currently 360 staff in Mali
  (2011)
 Admit over 800 severely
  malnourished children every
  3 months consistently
Kanagaba, Koulikoro region




     Free basic healthcare to 6500 people
     2012 plans: offering antimalarial drugs
Koutiala region
                   53000 children treated
                   20000 paediatric consolations
                   1700 children with
                    supplementary food
Mali: the Koutiala Pediatric Project
 http://www.youtube.com/watch?v=sYAF7bGV5wM

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Mali-trition: Addressing Malnutrition in Mali

  • 1. Mali-trition Winnie, Mathusha, and Florence of Global Outreach In partnership with Doctors Without Borders
  • 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
  • 13.
  • 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
  • 15. Goal 4: Target:  Reduce by 2/3, under-five mortality rate Stats: Under 5 mortality rate: - 1990: 259.7/1000 - 2009: 191.1/1000 Infant mortality rate: - 1990: 139/1000 - 2009: 101/1000
  • 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

  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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%
  8. 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
  9. 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
  10. MSF teams are providing nutritional treatment and pediatric care in 5 health centers
  11. 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
  12. 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
  13. 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