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Nutrition Status of Bangladesh




Adapted from, green vegetables.jpg
Current Nutrition Status of Bangladesh
• Overall diet is highly imbalanced: lacks vitamins and minerals
         - rice and cereal contributes 80% of the diet
         -vegetables contributes only 3% of the diet

• Downward trend in the intake of
       - cereals, pulses, vegetables, fruits
       - fish, meat, milk and oil
o among all the people of Bangladesh

• Increase in the amount of energy-dense and poor quality diet
         - chips, soft-drinks, juice
         -ice-cream, burger, chocolate
o especially among the rich and urban population

Source: Banglapedia and BRAC
Double Burden of Malnutrition in
                    Bangladesh
•   Undernutrition:

    -High prevalence of communicable disease: pneumonia, diarrheal
    diseases, tuberculosis, measles, dengue, malaria, kala azar and
    filariasis.
    - major cause of morbidity and mortality

• Energy-dense food:

    - Rapidly increasing epidemics of diabetes and cardiovascular disease
    - From 1986 to 2006, 60% increase in chronic non-communicable
    diseases (Global Health Action, 2009)

Source: ICDDR,B and United Nations
Child and Maternal Nutrition in Bangladesh
                     Nutrition                                               % of the population
Malnutrition, in children (birth to 59 months)

          Wasting (weight-for-height)                                                    17.42
            Stunting (height-for-age)                                                    43.22
         Underweight (weight-for-age)                                                     412
Low birth-weight                                                                          361
Exclusive breastfeeding (birth to 6 months)                                               432


Anemia, in children (6 - 23 months)                                                       643
Chronic energy deficiency, in mothers                                                     325
Night blindness (Vitamin A deficiency), in                                               0.045
children
(18-59 months)
Iodine deficiency, in children (6-12 years                                               33.86
1 Statistical Yearbook of Bangladesh, Bangladesh Bureau of Statistics, 2004
2 Bangladesh Demographic and Health Survey, 2007
3 Helen Keller International / Institute of Public Health and Nutrition, 2002
4 Child and Mother Nutrition Survey of Bangladesh, 2005
5 Nutrition Surveillance Programme; Helen Keller International / Institute of Public Health and Nutrition, 2005
6 Bangladesh Iodine Deficiency Disorder / Universal Salt Iodization Survey, 2005
Causes

• Changes in dietary patterns (structure and
  composition of diets and availability of processed
  foods)

• Lifestyle (increased motorization, reduced physical
  labor, increased mechanization related activities)

• Urbanization

• Food insecurity/ poverty
Examples

According to Food and Agricultural Organization
(FAO), 56 Kg meat and 365 eggs should be consumed
per person per year where only 11.27 Kg meat and 30
eggs are consumed per head in Bangladesh
Involvement of organizations
 Governmental Public Health Agencies:
• Ministry of Health and Family Welfare

•   Institute of public health and nutrition

• Bangladesh Medical Research Council

• Shobuj Chata, Shurjer Hashi

 UN and International :

•   WHO, UNICEF, World Bank

• ICDDR,B: Centre for Nutrition



(Adapted from: Bangladesh Development Research Center. 2009.
   http://www.bangladeshstudies.org/files/WPS_no7.pdf )
Contributions

• Clinical development

• Free vaccination

• Supplement of vitamin A

• Increased availability of iodine salt

• Significant progress in cereal production

• Increased food security
Challenges

• Over-population
  (According to UNICEF, the population grows at the
  rate of 1.40%)

• Lack of concentration on prevention than cure

• Corruption
Recommendations to improve nutrition
 • Maintain a healthy balanced diet containing adequate
 micronutrients

 • Maintenance of proper family planning

 • Inclusion of effective nutrition interventions

 • Encouragement of intake of cereal food

 • More involvement of non-governmental organizations

 • Arrangements of campaigns of health awareness
References
Banglapedia. Malnutrition.
   http://www.banglapedia.org/httpdocs/HT/M_0112.
   HTM
BRAC. “Patterns and Trends in Food Consumption.”
   http://www.bracresearch.org/reports/patterns_and_
   trends_of_food_consumption_field_survey_results_
   pdf.pdf
ICDDR,B. “Infectious Disease and Vaccine Sciences.”
   https://centre.icddrb.org/activity/index.jsp?activityO
   bjectID=33
IRIN. “Bangladesh: Children and Women Suffer Serious
   Malnutrition,”
   http://www.irinnews.org/Report/81544/BANGLADES
   H-Children-and-women-suffer-severe-malnutrition
References continued……
Right Diagnosis. “Statistics by Country of Overweight.”
  http://www.rightdiagnosis.com/o/overweight/stats-
  country.htm
United Nations. “The Nutrition Transition to 2030.”
  www.ifpri.cgiar.org/sites/default/files/pubs/divs/.../f
  cndp105.pdf

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Nutrition status in bangladesh

  • 1. Nutrition Status of Bangladesh Adapted from, green vegetables.jpg
  • 2. Current Nutrition Status of Bangladesh • Overall diet is highly imbalanced: lacks vitamins and minerals - rice and cereal contributes 80% of the diet -vegetables contributes only 3% of the diet • Downward trend in the intake of - cereals, pulses, vegetables, fruits - fish, meat, milk and oil o among all the people of Bangladesh • Increase in the amount of energy-dense and poor quality diet - chips, soft-drinks, juice -ice-cream, burger, chocolate o especially among the rich and urban population Source: Banglapedia and BRAC
  • 3. Double Burden of Malnutrition in Bangladesh • Undernutrition: -High prevalence of communicable disease: pneumonia, diarrheal diseases, tuberculosis, measles, dengue, malaria, kala azar and filariasis. - major cause of morbidity and mortality • Energy-dense food: - Rapidly increasing epidemics of diabetes and cardiovascular disease - From 1986 to 2006, 60% increase in chronic non-communicable diseases (Global Health Action, 2009) Source: ICDDR,B and United Nations
  • 4. Child and Maternal Nutrition in Bangladesh Nutrition % of the population Malnutrition, in children (birth to 59 months) Wasting (weight-for-height) 17.42 Stunting (height-for-age) 43.22 Underweight (weight-for-age) 412 Low birth-weight 361 Exclusive breastfeeding (birth to 6 months) 432 Anemia, in children (6 - 23 months) 643 Chronic energy deficiency, in mothers 325 Night blindness (Vitamin A deficiency), in 0.045 children (18-59 months) Iodine deficiency, in children (6-12 years 33.86 1 Statistical Yearbook of Bangladesh, Bangladesh Bureau of Statistics, 2004 2 Bangladesh Demographic and Health Survey, 2007 3 Helen Keller International / Institute of Public Health and Nutrition, 2002 4 Child and Mother Nutrition Survey of Bangladesh, 2005 5 Nutrition Surveillance Programme; Helen Keller International / Institute of Public Health and Nutrition, 2005 6 Bangladesh Iodine Deficiency Disorder / Universal Salt Iodization Survey, 2005
  • 5. Causes • Changes in dietary patterns (structure and composition of diets and availability of processed foods) • Lifestyle (increased motorization, reduced physical labor, increased mechanization related activities) • Urbanization • Food insecurity/ poverty
  • 6. Examples According to Food and Agricultural Organization (FAO), 56 Kg meat and 365 eggs should be consumed per person per year where only 11.27 Kg meat and 30 eggs are consumed per head in Bangladesh
  • 7. Involvement of organizations  Governmental Public Health Agencies: • Ministry of Health and Family Welfare • Institute of public health and nutrition • Bangladesh Medical Research Council • Shobuj Chata, Shurjer Hashi  UN and International : • WHO, UNICEF, World Bank • ICDDR,B: Centre for Nutrition (Adapted from: Bangladesh Development Research Center. 2009. http://www.bangladeshstudies.org/files/WPS_no7.pdf )
  • 8. Contributions • Clinical development • Free vaccination • Supplement of vitamin A • Increased availability of iodine salt • Significant progress in cereal production • Increased food security
  • 9. Challenges • Over-population (According to UNICEF, the population grows at the rate of 1.40%) • Lack of concentration on prevention than cure • Corruption
  • 10. Recommendations to improve nutrition • Maintain a healthy balanced diet containing adequate micronutrients • Maintenance of proper family planning • Inclusion of effective nutrition interventions • Encouragement of intake of cereal food • More involvement of non-governmental organizations • Arrangements of campaigns of health awareness
  • 11. References Banglapedia. Malnutrition. http://www.banglapedia.org/httpdocs/HT/M_0112. HTM BRAC. “Patterns and Trends in Food Consumption.” http://www.bracresearch.org/reports/patterns_and_ trends_of_food_consumption_field_survey_results_ pdf.pdf ICDDR,B. “Infectious Disease and Vaccine Sciences.” https://centre.icddrb.org/activity/index.jsp?activityO bjectID=33 IRIN. “Bangladesh: Children and Women Suffer Serious Malnutrition,” http://www.irinnews.org/Report/81544/BANGLADES H-Children-and-women-suffer-severe-malnutrition
  • 12. References continued…… Right Diagnosis. “Statistics by Country of Overweight.” http://www.rightdiagnosis.com/o/overweight/stats- country.htm United Nations. “The Nutrition Transition to 2030.” www.ifpri.cgiar.org/sites/default/files/pubs/divs/.../f cndp105.pdf

Editor's Notes

  1. “Good nutrition – an adequate, well balanced diet combined with regular physical activity – is a cornerstone of good health”
  2. Increasing number of restaurants