Global Malnutrition:

Size: px
Start display at page:

Download "Global Malnutrition:"

Transcription

1 Global Malnutrition: A Public Health Perspective Parmi Suchdev, MD, MPH Assistant Professor of Pediatrics & Global Health, Emory Medical Epidemiologist, CDC Core Curriculum Lecture October 31, 2011

2 Lecture Pre-Test

3 What is your position? a) R1 (intern) b) R2 or R3 (senior resident) c) Fellow d) Medical student e) Faculty

4 Malnutrition contributes to approximately what percent of under-five deaths? a) 5% b) 10% c) 30% d) 50% e) 90%

5 Which of the following nutrition interventions has the highest benefit-cost ratio? a) Iron supplementation b) Salt iodization c) Zinc supplementation d) Vitamin A supplementation e) Nutrition interventions are not cost-effective

6 Which of the following is a measure of acute malnutrition? a) Stunting (low height-for-age) b) Wasting (low weight-for-height) c) Underweight (low weight-for-age) d) None of the above

7 Child height for age is the best predictor of human capital a) True b) False

8 Objectives Define malnutrition Identify factors influencing nutritional status Appreciate the global prevalence of undernutrition Understand how nutritional status is measured Describe the consequences of malnutrition Evaluate effective nutrition interventions

9

10 What is Malnutrition? Malnutrition = bad nutrition a state in which the physical function of an individual is impaired to the point where he or she can no longer maintain adequate bodily performance process such as growth, pregnancy, lactation, physical work and resisting and recovering from disease -WFP Three principle constituents: Protein-energy malnutrition Deficiency in micronutrients Overnutrition/obesity Undernutrition

11 Causes of under 5 mortality, worldwide 9.7 million children under 5 die each year WHO, 2008

12 Slide adapted from Keith West

13 Underlying causes of malnutrition Malnutrition Immediate Causes Inadequate Food Intake Infection Underlying Causes Household Food Security Social and Care Environment Access to Health Care & Healthy Environment Basic Causes Formal & Informal Infrastructure Political Ideology Resources Poverty is the root cause of malnutrition!

14 Classification of undernutrition in children Protein-energy malnutrition Acute (wasting) Chronic (stunting) Marasmus Kwashiorkor

15 Lancet, 2008

16 Acute and chronic proteinenergy malnutrition Acute Acute shortage of food Produces recent rapid weight loss Results in wasting Is reversible Measured by weight-forheight Adults can become wasted Is most important type in emergencies Chronic Chronic shortage of nutrients or presence of multiple infections Occurs over a long period Results in stunting In children > 2 years, may be irreversible Measured by height-forage Adults cannot become stunted Is very common in stable populations

17 Acute Malnutrition: Marasmus Loss of subcutaneous fat and muscle In 1 st year of life associated with contaminated bottle-feeding Clinical features Triangular face Skinny arms and legs Extended abdomen Rectal prolapse

18 Kwashiorkor Associated with severe immune deficiency and early death Clinical signs Edema Changes to hair and skin color Anemia Hepatomegaly Lethargy

19 What is the estimated mortality rate from severe acute malnutrition? a) <5% b) 10% c) 25% d) 50%

20 Which of the following children has malnutrition? a) This 2 year-old in Vietnam b) This 3 year-old in Nepal

21 Lancet, 2008

22 How to measure nutritional status? Anthropometry = measurement of body parameters to indicate nutritional status Individuals Defines who has adequate nutrition and who is malnourished Populations Determines prevalence of malnutrition in surveyed populations

23 Who to measure? Usually children 6 to 59 months of age Children most vulnerable in emergencies Health and nutrition assessments and interventions target young children Nutritional status of children proxy for overall population Vulnerable adults Women of child-bearing age

24 What do you do after you have the measurements? Calculation of Anthropometric Indices Interpreting anthropometric data using reference curves CDC/NCHS WHO Classification of malnutrition using Z-scores Percentiles % median

25 Which Growth Chart to Use? CDC recommends that health care providers: Use the WHO growth standards to monitor growth for infants and children ages 0 to 2 years of age in the U.S. Use the CDC growth charts for children age 2 years and older in the U.S.

26 WHO Child Growth Standards A growth chart for the 21 st 1 year 2 years 3 years 4 years 5 years century

27 Classification of individual malnutrition Classification Z-score Values Percentile Adequate -2 < z-score < +2 5% to 95% Moderately malnourished z-score < -2 <3% Severely malnourished z-score < -3 Unreliable

28 What is Malnutrition? Malnutrition = bad nutrition Three principle constituents: Protein-energy malnutrition Deficiency in micronutrients Overnutrition/obesity

29 IMMPaCt - International Micronutrient Malnutrition Prevention and Control Program

30 5 Major Micronutrient Deficiencies Iron Iodine Vitamin A Zinc Folate Anemia Iodine Deficiency Disorders (IDD) Xeropthalmia Multiple disorders Neural tube defects

31 Acrodermatitis Enteropathica- Zinc Deficiency

32 Corneal Xerosis- Vitamin A Deficiency

33 Iron Deficiency Anemia

34 Goiter- Iodine Deficiency

35 What are the health consequences of malnutrition?

36 Consequences of malnutrition during the life cycle

37 Leading causes of attributable global mortality and burden of disease, 2004 Attributable Mortality % 1. High blood pressure Tobacco use High blood glucose Physical inactivity Overweight and obesity High cholesterol Unsafe sex Alcohol use Childhood underweight Indoor smoke from solid fuels 3.3 Attributable DALYs % 1. Childhood underweight Unsafe sex Alcohol use Unsafe water, sanitation, hygiene High blood pressure Tobacco use Suboptimal breastfeeding High blood glucose Indoor smoke from solid fuels Overweight and obesity million total global deaths in billion total global DALYs in 2004 Health Statistics and Informatics

38 DALYs in Children < 5 Years Attributable to Nutritional Status Measures Years (millions) Together these risk factors are responsible for 35% of under-five deaths and 11% of the global total disease burden Poor growth* Sub-optimal breastfeeding Vitamin A and Zinc deficiency * Intrauterine growth restriction, stunting and wasting Lancet, 2008

39 Long-term Consequences of Malnutrition

40 How do you treat and prevent malnutrition?

41 Key Nutrition Interventions Public health measures Infection control Hygiene Immunization Dietary diversification and breastfeeding promotion Supplementation Single or multiple micronutrients Fortification Staple foods (flour, oil, sugar, salt) Home-fortification

42 Evidence-based Interventions that Work

43 Impact of Micronutrient Interventions

44

45 Nutrition Interventions are Cost- Effective For only $347 million a year, 80% of the world s hungry can get essential micronutrients adding up to > $5 billion in reduced healthcare spending and future earnings Intervention Cost/Person/ Year Benefit:Cost Ratio Vitamin A Supplementation $ :1 Zinc Supplementation $ :1 Salt Iodization $ :1 Flour Fortification $0.12 8:1 Micronutrient Powders $ :1

46

47 Take Home Points Nutrition is a central component for human, social and economic development Countries should focus resources on interventions with proven effectiveness and implement them to scale Through scaled-up nutrition efforts, we can: Reduce all child deaths by ¼ in the short-term Avert 60 million DALYs

48 Thank you!

49 Lecture Post-Test

50 Malnutrition contributes to approximately what percent of under-five deaths? a) 5% b) 10% c) 30% d) 50% e) 90%

51 Which of the following nutrition interventions has the highest benefit-cost ratio? a) Iron supplementation b) Salt iodization c) Zinc supplementation d) Vitamin A supplementation e) Nutrition interventions are not cost-effective

52 Which of the following is a measure of acute malnutrition? a) Stunting (low height-for-age) b) Wasting (low weight-for-height) c) Underweight (low weight-for-age) d) None of the above

53 Child height for age is the best predictor of human capital a) True b) False

54 Lecture Evaluation

55 The Lecture was: Clear and Understandable Strongly Agree Agree Unsure Disagree Strongly Disagree

56 The Lecture was: Informative/Covered sufficient Detail Strongly Agree Agree Unsure Disagree Strongly Disagree

57 The Lecture was: Interactive/Facilitated Discussion Strongly Agree Agree Unsure Disagree Strongly Disagree

58 The Lecture was: Well-organized Strongly Agree Agree Unsure Disagree Strongly Disagree

59 The Lecture was: Overall Good Strongly Agree Agree Unsure Disagree Strongly Disagree

Agriculture and Nutrition Global Learning and Evidence Exchange (AgN-GLEE)

Agriculture and Nutrition Global Learning and Evidence Exchange (AgN-GLEE) This presentation is part of the Agriculture and Nutrition Global Learning and Evidence Exchange (AgN-GLEE) held in Bangkok, Thailand from March 19-21, 2013. For additional presentations and related event

More information

Malnutrition Experience in Sultanate of Oman. Dr Salima almamary Family physician Nutrition Department

Malnutrition Experience in Sultanate of Oman. Dr Salima almamary Family physician Nutrition Department Malnutrition Experience in Sultanate of Oman Dr Salima almamary Family physician Nutrition Department Outline Country profile Malnutrition prevalence in Oman and interventions done to reduce it Fortification

More information

MALNUTRITION. At the end of the lecture students should be able to:

MALNUTRITION. At the end of the lecture students should be able to: MALNUTRITION 1 MALNUTRITION OBJECTIVES: At the end of the lecture students should be able to: Define and classify malnutrition Enumerate causes and effects of malnutrition Identify strategies for prevention

More information

NUTRITION, WASH, AND FOOD SECURITY

NUTRITION, WASH, AND FOOD SECURITY NUTRITION, WASH, AND FOOD SECURITY NUTRITION, WASH, AND FOOD SECURITY STRONG INTERDEPENDENCIES EXIST BETWEEN FOOD SECURITY, NUTRITION, AND WASH STRATEGIES FOR ADDRESSING POVERTY NEED TO BE NUTRITION SENSITIVE

More information

Addressing key challenges of global growth with nutrition

Addressing key challenges of global growth with nutrition DSM Capital Market Days Media Program Addressing key challenges of global growth with nutrition Stephan Tanda Basel, 27 September 2012 From 7 billion to 9 billion Page 2 Resource-constrained world Scarcity

More information

Early Nutrition and Adult Noncommunicable. that must be broken

Early Nutrition and Adult Noncommunicable. that must be broken Early Nutrition and Adult Noncommunicable diseases: A vital link that must be broken Commonwealth Health Ministers Meeting WHO, Geneva May 14, 2011 Anna Lartey (Associate Professor) Department of Nutrition

More information

Nutrition in the Post-2015 Context. Lynnda Kiess Head, Nutrition and HIV Unit, WFP

Nutrition in the Post-2015 Context. Lynnda Kiess Head, Nutrition and HIV Unit, WFP Nutrition in the Post-2015 Context Lynnda Kiess Head, Nutrition and HIV Unit, WFP Presentation Different Dimensions of Malnutrition Consequences Food Security and Nutrition Looking forward Key Points Nutrition

More information

Chapter 14. Hunger at Home and Abroad. Karen Schuster Florida Community College of Jacksonville. PowerPoint Lecture Slide Presentation created by

Chapter 14. Hunger at Home and Abroad. Karen Schuster Florida Community College of Jacksonville. PowerPoint Lecture Slide Presentation created by Chapter 14 Hunger at Home and Abroad PowerPoint Lecture Slide Presentation created by Karen Schuster Florida Community College of Jacksonville Copyright 2008 Pearson Education, Inc., publishing as Pearson

More information

Existing approaches to costing, financing and estimating cost-efficiencies for nutrition

Existing approaches to costing, financing and estimating cost-efficiencies for nutrition Existing approaches to costing, financing and estimating cost-efficiencies for nutrition February 2016 Meera Shekar Global Lead for Nutrition 1 Global Stunting Rates 159 million children stunted worldwide

More information

The global evidence-base for what different sectors can do to contribute to undernutrition

The global evidence-base for what different sectors can do to contribute to undernutrition The global evidence-base for what different sectors can do to contribute to undernutrition Marie Ruel Director, Poverty, Health and Nutrition, International Food Policy Research Institute (IFPRI) October

More information

Content. The double burden of disease in México

Content. The double burden of disease in México Can we and Prevent Malnutrition while Addressing the Challenge of NRCD s? Experiences from Mexico Content The double burden of disease in México What is currently being done in México for preventing and

More information

NUTRITION. Kate Godden RNutr (Public Health)

NUTRITION. Kate Godden RNutr (Public Health) NUTRITION Kate Godden RNutr (Public Health) Aims 2 To present an overview of the different types of malnutrition of the impacts in terms of health, wealth and mortality cost-effective interventions To

More information

Methodological issues in the use of anthropometry for evaluation of nutritional status

Methodological issues in the use of anthropometry for evaluation of nutritional status Methodological issues in the use of anthropometry for evaluation of nutritional status Monika Blössner WHO Department of Nutrition for Health and Development Methodological issues in the use of anthropometry?

More information

DIETARY REFERENCE INTAKES (DRIS) FOR MONGOLIANS

DIETARY REFERENCE INTAKES (DRIS) FOR MONGOLIANS DIETARY REFERENCE INTAKES (DRIS) FOR MONGOLIANS Tuyatsetseg Jambal, Ph.D School of Industrial Technology, Mongolian University of Science & Technology, Outline Background Mongolian DRIs Briefly report

More information

AOHS Global Health. Unit 3, Lesson 9. Causes and Effects of Malnutrition

AOHS Global Health. Unit 3, Lesson 9. Causes and Effects of Malnutrition AOHS Global Health Unit 3, Lesson 9 Causes and Effects of Malnutrition Copyright 2012 2016 NAF. All rights reserved. Nutritional status has a major impact on health status Health of pregnant women and

More information

Update on the nutrition situation in the Asia Pacific region

Update on the nutrition situation in the Asia Pacific region Update on the nutrition situation in the Asia Pacific region Mike Toole 13 th National Rural Health Conference, Darwin, 24-27 May 2015 Source: DFAT, Port Moresby, Papua New Guinea Conceptual framework

More information

IMPROVING NUTRITION SECURITY IN ASIA An EU-UNICEF Joint Action

IMPROVING NUTRITION SECURITY IN ASIA An EU-UNICEF Joint Action IMPROVING NUTRITION SECURITY IN ASIA An EU-UNICEF Joint Action One billion people in the world suffer from chronic hunger. Two thirds of them live in Asia. This is a crisis with devastating and farreaching

More information

REGIONAL TRAINING WORKSHOP ON QUALITY ASSURANCE AND QUALITY CONTROL FOR FLOUR FORTIFICATION KENYA. 27 th May 2016

REGIONAL TRAINING WORKSHOP ON QUALITY ASSURANCE AND QUALITY CONTROL FOR FLOUR FORTIFICATION KENYA. 27 th May 2016 REGIONAL TRAINING WORKSHOP ON QUALITY ASSURANCE AND QUALITY CONTROL FOR FLOUR FORTIFICATION KENYA 27 th May 2016 Malnutrition is still a global problem, developing countries are more affected. Malnutrition

More information

Maternal, infant, and young child nutrition: a global perspective

Maternal, infant, and young child nutrition: a global perspective Maternal, infant, and young child nutrition: a global perspective Kenneth H. Brown, MD Department of Nutrition, and Program in International and Community Nutrition University of California, Davis PICN

More information

Myanmar Food and Nutrition Security Profiles

Myanmar Food and Nutrition Security Profiles Key Indicators Myanmar Food and Nutrition Security Profiles Myanmar has experienced growth in Dietary Energy Supply (DES). Dietary quality remains poor, low on protein and vitamins and with high carbohydrates.

More information

Overview of the Global Burden of Disease. December 3, 2015 Ali H. Mokdad, PhD Director, Middle Eastern Initiatives Professor, Global Health

Overview of the Global Burden of Disease. December 3, 2015 Ali H. Mokdad, PhD Director, Middle Eastern Initiatives Professor, Global Health Overview of the Global Burden of Disease December 3, 2015 Ali H. Mokdad, PhD Director, Middle Eastern Initiatives Professor, Global Health Outline 1) GBD 2013 2) Key results 3) US work 4) Recommendations

More information

Public Nutrition in Complex Emergencies: Learning Objectives

Public Nutrition in Complex Emergencies: Learning Objectives Public Nutrition in Complex Emergencies: Learning Objectives To identify the principal forms of malnutrition in emergencies Protein-energy malnutrition (PEM) Micronutrient malnutrition To identify the

More information

Growth Faltering: Stunting and Severe Acute Malnutrition. Child Growth Is Assessed by Comparing to a Reference Curve

Growth Faltering: Stunting and Severe Acute Malnutrition. Child Growth Is Assessed by Comparing to a Reference Curve Growth Faltering Growth Faltering: Stunting and Severe Acute Malnutrition Rebecca Stoltzfus, PhD Professor Division of Nutritional Sciences Cornell University Growth failure can involve linear growth retardation

More information

Linking Rice Fortification Opportunities with Nutrition Objectives

Linking Rice Fortification Opportunities with Nutrition Objectives RICE FORTIFICATION IN WEST AFRICA LINKING RICE FORTIFICATION OPPORTUNITIES WITH NUTRITION OBJECTIVES 87 Linking Rice Fortification Opportunities with Nutrition Objectives Christiane Rudert UNICEF East

More information

WHO Updates Essential Nutrition Actions: Improving Women s, Newborn, Infant and Young Child Health and Nutrition

WHO Updates Essential Nutrition Actions: Improving Women s, Newborn, Infant and Young Child Health and Nutrition WHO Updates Essential Nutrition Actions: Improving Women s, Newborn, Infant and Young Child Health and Nutrition Agnes Guyon, MD, MPH Senior Child Health & Nutrition Advisor John Snow, Inc. WCPH-Kolkata

More information

Draft of the Rome Declaration on Nutrition

Draft of the Rome Declaration on Nutrition Draft of the Rome Declaration on Nutrition 1. We, Ministers and Plenipotentiaries of the Members of the World Health Organization and the Food and Agriculture Organization of the United Nations, assembled

More information

NUTRITION & MORTALITY INDICATORS IN THE CADRE HARMONISÉ. Olutayo Adeyemi

NUTRITION & MORTALITY INDICATORS IN THE CADRE HARMONISÉ. Olutayo Adeyemi NUTRITION & MORTALITY INDICATORS IN THE CADRE HARMONISÉ Olutayo Adeyemi OUTLINE Brief Introduction Measurement of nutrition basics Mortality basics Nutrition and mortality indicators in Cadre Harmonisé

More information

Myanmar - Food and Nutrition Security Profiles

Myanmar - Food and Nutrition Security Profiles Key Indicators Myanmar - Food and Nutrition Security Profiles Myanmar has experienced growth in Dietary Energy Supply (DES). Dietary quality remains poor, low on protein and vitamins and with high carbohydrates.

More information

Laos - Food and Nutrition Security Profiles

Laos - Food and Nutrition Security Profiles Key Indicators Laos - Food and Nutrition Security Profiles In Lao PDR, GDP per capita has increased consistently during recent years, as has Dietary Energy Supply (DES) per person. Nevertheless, undernutrition

More information

SUMMARY REPORT GENERAL NUTRITION SURVEY

SUMMARY REPORT GENERAL NUTRITION SURVEY SUMMARY REPORT GENERAL NUTRITION SURVEY 29-21 NATIONAL NUTRITION STRATEGY FOR 211 22, WITH A VISION TOWARD 23 NATIONAL INSTITUTE OF NUTRITION MINISTRY OF HEALTH UNITED NATIONS CHILDREN S FUND SUMMARY Assessment

More information

Solomon Islands Food and Nutrition Security Profiles

Solomon Islands Food and Nutrition Security Profiles Key Indicators Solomon Islands Food and Nutrition Security Profiles Solomon Islands has experienced stagnation in percapita GDP and undernourishment in recent years. Dietary Energy Supply (DES) has continued

More information

Overview of Micronutrient Issues And Action In The Eastern And Southern Africa Region

Overview of Micronutrient Issues And Action In The Eastern And Southern Africa Region Overview of Micronutrient Issues And Action In The Eastern And Southern Africa Region Saba Mebrahtu Regional Nutrition Advisor UNICEF ESARO Harmonization Workshop for Wheat and Maize Flour Fortification

More information

Nauru Food and Nutrition Security Profiles

Nauru Food and Nutrition Security Profiles Key Indicators Nauru Food and Nutrition Security Profiles Nauru has remained stationary in health and child survival outcomes and will not achieve the Millennium Development Goal (MDG) on child mortality.

More information

Dr. Manfred Eggersdorfer Senior Vice President Research & Development DSM Nutritional Products

Dr. Manfred Eggersdorfer Senior Vice President Research & Development DSM Nutritional Products INTERNATIONAL CONFERENCE ON CSR AND COMBATING MALNUTRITION: OBTAINING MILLENNIUM DEVELOPMENT GOALS (MDGs) IN INDONESIA Keynote Address Dr. Manfred Eggersdorfer Senior Vice President Research & Development

More information

Putting Nutrition on the Agenda

Putting Nutrition on the Agenda Putting Nutrition on the Agenda A ONE Policy Brief How can it be that 40% of Africa s children are so chronically malnourished by the age of five that they will never fully thrive, physically recover or

More information

INTRODUCTION TO RICE FORTIFICATION

INTRODUCTION TO RICE FORTIFICATION INTRODUCTION TO RICE FORTIFICATION Peiman Milani Project Director Maternal and Child Health and Nutrition PATH pmilani@path.org The Big Picture of Malnutrition Stunting Undernutrition Underweight Wasting

More information

Brunei Darussalam - Food and Nutrition Security Profiles

Brunei Darussalam - Food and Nutrition Security Profiles Key Indicators Brunei Darussalam Food and Nutrition Security Profiles Brunei Darussalam has one of the highest rates of GDP per capita and of Dietary Energy Supply (DES) per person in the region. For decades,

More information

Improving Nutrition Through Multisectoral Approaches

Improving Nutrition Through Multisectoral Approaches Improving Nutrition Through Multisectoral Approaches Health Undernutrition and health linkages Undernutrition is the single greatest cause of child deaths in most low-income and lower middle-income countries.

More information

Monitoring, Evaluation, Accountability, Learning (MEAL) Enabling Environment Finance for. Nutrition

Monitoring, Evaluation, Accountability, Learning (MEAL) Enabling Environment Finance for. Nutrition Monitoring, Evaluation, Accountability, Learning (MEAL) 2016 2020 COUNTRY DASHBOARD Country A COUNTRY A The Country Dashboard provides an overview on the progress using a standard set of indicators that

More information

Hunger in the United States

Hunger in the United States Hunger Hunger in the U.S. Estimated 48 million people live in poverty Major cause of hunger in the US is lack of financial resources/poverty Causes include: physical and mental illness, job loss, alcohol,

More information

Central African Republic

Central African Republic Monitoring, Evaluation, Accountability, Learning (MEAL) 2016 2020 COUNTRY DASHBOARD The MEAL Results Framework identifies a wide range of desired results and associated indicators of progress across various

More information

THE CONSUMER COMES FIRST MYTH OR REALITY?

THE CONSUMER COMES FIRST MYTH OR REALITY? THE CONSUMER COMES FIRST MYTH OR REALITY? PROFILING SOUTH AFRICA Population: 48+ million Almost 50/50 males to females 35% children

More information

Tuvalu Food and Nutrition Security Profiles

Tuvalu Food and Nutrition Security Profiles Key Indicators Tuvalu Food and Nutrition Security Profiles Tuvalu has experienced a decreasing trend in infant mortality rates, but the country will not meet the Millennium Development Goal (MDG) target.

More information

Alcohol and Public Health: burden and global response. Maristela G Monteiro, MD PhD Senior Advisor on Alcohol and Substance Abuse

Alcohol and Public Health: burden and global response. Maristela G Monteiro, MD PhD Senior Advisor on Alcohol and Substance Abuse .. Alcohol and Public Health: burden and global response Maristela G Monteiro, MD PhD Senior Advisor on Alcohol and Substance Abuse Currently used model for alcohol and health outcomes Societal factors

More information

Fill the Nutrient Gap Pakistan: Rationale, key findings and recommendations. Fill the Nutrient Gap National Consultation Islamabad, 11 April 2017

Fill the Nutrient Gap Pakistan: Rationale, key findings and recommendations. Fill the Nutrient Gap National Consultation Islamabad, 11 April 2017 Fill the Nutrient Gap Pakistan: Rationale, key findings and recommendations Fill the Nutrient Gap National Consultation Islamabad, 11 April 2017 Meeting nutrient requirements is a prerequisite for preventing

More information

Overview: Undernutrition, Malnutrition and How to Improve Nutrition at Scale?

Overview: Undernutrition, Malnutrition and How to Improve Nutrition at Scale? Click to edit Master title style Brussels Development Briefing no. 41 Improving Nutrition through Accountability, Ownership and Partnership Overview: Undernutrition, Malnutrition and How to Improve Nutrition

More information

MALNUTRITION: NIGERIA S SILENT CRISIS

MALNUTRITION: NIGERIA S SILENT CRISIS Malnutrition: Nigeria s Silent Crisis u Throughout the years, Nigeria has undergone some remarkable changes: more children are surviving, the economy is growing, girls are better educated, and Nigerians

More information

Brunei Darussalam - Food and Nutrition Security Profiles

Brunei Darussalam - Food and Nutrition Security Profiles Key Indicators Brunei Darussalam Food and Nutrition Security Profiles Brunei Darussalam has one of the highest rates of GDP per capita and of Dietary Energy Supply (DES) per person in the region. For decades,

More information

Introduction to Human Nutrition

Introduction to Human Nutrition Introduction to Human Nutrition The Nutrients Composition of foods Six classes of nutrients Nonnutrients Copyright 2005 Wadsworth Group, a division of Thomson Learning Body Composition Copyright 2005 Wadsworth

More information

Nourishing the World. Fixing Food Systems. Lawrence Haddad. Executive Director Global Alliance for Improved Nutrition (GAIN)

Nourishing the World. Fixing Food Systems. Lawrence Haddad. Executive Director Global Alliance for Improved Nutrition (GAIN) Nourishing the World by Fixing Food Systems Lawrence Haddad Executive Director Global Alliance for Improved Nutrition (GAIN) 1 in 3 people worldwide are malnourished Overweight or Obese Deficient in in

More information

Papua New Guinea. Monitoring, Evaluation, Accountability, Learning (MEAL) COUNTRY DASHBOARD PAPUA NEW GUINEA

Papua New Guinea. Monitoring, Evaluation, Accountability, Learning (MEAL) COUNTRY DASHBOARD PAPUA NEW GUINEA Monitoring, Evaluation, Accountability, Learning (MEAL) 2016 2020 COUNTRY DASHBOARD The MEAL Results Framework identifies a wide range of desired results and associated indicators of progress across various

More information

GAIN S GLOBAL STRATEGY ON FOOD FORTIFICATION TO IMPROVE PUBLIC HEALTH ASIA HIGHLIGHTS. Regina Moench-Pfanner, PhD Director, Singapore GAIN

GAIN S GLOBAL STRATEGY ON FOOD FORTIFICATION TO IMPROVE PUBLIC HEALTH ASIA HIGHLIGHTS. Regina Moench-Pfanner, PhD Director, Singapore GAIN GAIN S GLOBAL STRATEGY ON FOOD FORTIFICATION TO IMPROVE PUBLIC HEALTH ASIA HIGHLIGHTS Regina Moench-Pfanner, PhD Director, Singapore GAIN 1 GAIN - Introduction GAIN was founded at a UN global summit on

More information

Policy Brief. Connecting the dots between supplementary feeding and school gardens

Policy Brief. Connecting the dots between supplementary feeding and school gardens Policy Brief Connecting the dots between supplementary feeding and school gardens Introduction The Philippine National Nutrition Survey conducted by the Food and Nutrition Research Institute of the Department

More information

Reducing Malnutrition in Zambia: Summary of Estimates to Support Nutrition Advocacy ZAMBIA NUTRITION PROFILES 2017

Reducing Malnutrition in Zambia: Summary of Estimates to Support Nutrition Advocacy ZAMBIA NUTRITION PROFILES 2017 Reducing Malnutrition in Zambia: Summary of Estimates to Support Nutrition Advocacy ZAMBIA NUTRITION PROFILES 2017 This report is made possible by the generous support of the American people through the

More information

SECOND INTERNATIONAL CONFERENCE ON NUTRITION

SECOND INTERNATIONAL CONFERENCE ON NUTRITION SECOND INTERNATIONAL CONFERENCE ON NUTRITION Why an ICN2? Only an inter-governmental conference can provide the mandate and the obligations for governments to globally address global problems To identify

More information

Uganda. Monitoring, Evaluation, Accountability, Learning (MEAL) COUNTRY DASHBOARD UGANDA

Uganda. Monitoring, Evaluation, Accountability, Learning (MEAL) COUNTRY DASHBOARD UGANDA Monitoring, Evaluation, Accountability, Learning (MEAL) 2016 2020 COUNTRY DASHBOARD Uganda The MEAL Results Framework identifies a wide range of desired results and associated indicators of progress across

More information

Outline of a comprehensive implementation plan on infant and young. child nutrition as a critical component of a global multisectoral

Outline of a comprehensive implementation plan on infant and young. child nutrition as a critical component of a global multisectoral Outline of a comprehensive implementation plan on infant and young child nutrition as a critical component of a global multisectoral nutrition framework 1. The comprehensive implementation plan comprises

More information

SUN DONOR NETWORK Methodology and Guidance Note to Track Global Investments in Nutrition

SUN DONOR NETWORK Methodology and Guidance Note to Track Global Investments in Nutrition SUN DONOR NETWORK Methodology and Guidance Note to Track Global Investments in Nutrition This guidance note presents a method to track financial investments in nutrition based on the work of the SUN Donor

More information

Lao PDR. Maternal and Child Health and Nutrition status in Lao PDR. Outline

Lao PDR. Maternal and Child Health and Nutrition status in Lao PDR. Outline Maternal and Child Health and Nutrition status in Lao PDR Outline Brief overview of maternal and child health and Nutrition Key interventions Challenges Priorities Dr. Kopkeo Souphanthong Deputy Director

More information

Nutrition Profile of the WHO South-East Asia Region

Nutrition Profile of the WHO South-East Asia Region Nutrition Profile of the WHO South-East Asia Region Table of Contents iii Foreword v WHO Vision and Mandate* Department of Nutrition for Health and Development VISION vi MANDATE vii WHO South-East Asia

More information

How to strengthen the link between biology and implementation for sustainable action

How to strengthen the link between biology and implementation for sustainable action How to strengthen the link between biology and implementation for sustainable action Emorn Udomkesmalee Institute of Nutrition, Mahidol University Thailand Evidence for Implementation require composite

More information

Environmental Health and Child Survival:

Environmental Health and Child Survival: Environmental Health and Child Survival: Epidemiology and Economics Presentation by Anjali Acharya Senior Environmental Specialist World Bank What do children die from? Diarrhea kills an estimated 1.6

More information

Evidence Based Interventions for Improving Maternal and Child Nutrition: What Can be Done and at What Cost? Lancet, vol 382, , 2013

Evidence Based Interventions for Improving Maternal and Child Nutrition: What Can be Done and at What Cost? Lancet, vol 382, , 2013 Evidence Based Interventions for Improving Maternal and Child Nutrition: What Can be Done and at What Cost? Lancet, vol 382, 452 77, 2013 Dr. S.K Roy Senior Scientist Chairperson, Bangladesh Breastfeeding

More information

Scaling Up Nutrition in the Democratic Republic of Congo: What

Scaling Up Nutrition in the Democratic Republic of Congo: What Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Scaling Up Nutrition in the Democratic Republic of Congo: What Will It Cost? A Policy

More information

Madagascar. Monitoring, Evaluation, Accountability, Learning (MEAL) COUNTRY DASHBOARD MADAGASCAR

Madagascar. Monitoring, Evaluation, Accountability, Learning (MEAL) COUNTRY DASHBOARD MADAGASCAR Monitoring, Evaluation, Accountability, Learning (MEAL) 2016 2020 COUNTRY DASHBOARD Madagascar The MEAL Results Framework identifies a wide range of desired results and associated indicators of progress

More information

The Paradox of Malnutrition in Developing Countries (Pp.40-48)

The Paradox of Malnutrition in Developing Countries (Pp.40-48) An International Multi-Disciplinary Journal, Ethiopia Vol. 5 (2), Serial No. 19, April, 2011 ISSN 1994-9057 (Print) ISSN 2070-0083 (Online) The Paradox of Malnutrition in Developing Countries (Pp.40-48)

More information

From malnutrition to nutrition security

From malnutrition to nutrition security From malnutrition to nutrition security Martin W. Bloem, MD, PhD Senior Nutrition Advisor/WFP Global Coordinator UNAIDS World Food Program Nurturing development: Improving human nutrition with animal-source

More information

Democratic Republic of Congo

Democratic Republic of Congo Monitoring, Evaluation, Accountability, Learning (MEAL) 2016 2020 COUNTRY DASHBOARD Democratic Republic of Congo The MEAL Results Framework identifies a wide range of desired results and associated indicators

More information

The multiple burden of malnutrition and healthy diets

The multiple burden of malnutrition and healthy diets The multiple burden of malnutrition and healthy diets F.Branca Director Department of Nutrition for Health and development WHO/HQ Acting Executive Secretary SCN 1 Leading risk factors for global burden

More information

Monitoring, Evaluation, Accountability, Learning (MEAL) Enabling Environment Finance for. Nutrition

Monitoring, Evaluation, Accountability, Learning (MEAL) Enabling Environment Finance for. Nutrition Monitoring, Evaluation, Accountability, Learning (MEAL) 2016 2020 COUNTRY DASHBOARD Togo The MEAL Results Framework identifies a wide range of desired results and associated indicators of progress across

More information

Invest in Nutrition Now A Smart Start for Our Children, Our Future

Invest in Nutrition Now A Smart Start for Our Children, Our Future Invest in Nutrition Now A Smart Start for Our Children, Our Future For more information, contact: Dr Kavita Sethuraman, USAID FANTA Project, FHI 360 at ksethuraman@fhi360.org A Fact Sheet on Agriculture

More information

NATIONAL CONFERENCE ON MISSION MODE TO ADDRESS UNDERNUTRITION ADDRESSING INDIA'S STUNTING AND ANEMIA IN HIGH BURDEN DISTRICTS

NATIONAL CONFERENCE ON MISSION MODE TO ADDRESS UNDERNUTRITION ADDRESSING INDIA'S STUNTING AND ANEMIA IN HIGH BURDEN DISTRICTS NATIONAL CONFERENCE ON MISSION MODE TO ADDRESS UNDERNUTRITION SEPTEMBER 19, 2017 VIGYAN BHAWAN ADDRESSING INDIA'S STUNTING AND ANEMIA IN HIGH BURDEN DISTRICTS INDIA S COMMITMENT : A WILL TO DELIVER AND

More information

Nutritional disorders--objectives

Nutritional disorders--objectives Nutritional disorders--objectives Develop a plan for taking history for a child of nutritional disorders. Diagram outlines of nutritional assessment Revise the classification of protein energy malnutrition(pem)

More information

The Unfinished Agenda in Global Health. Richard Skolnik

The Unfinished Agenda in Global Health. Richard Skolnik The Unfinished Agenda in Global Health Richard Skolnik Objectives Objectives: What do poor people in poor countries get sick and die from? What are the risk factors for this burden of disease? What can

More information

The State of Food and Agriculture 2013: Food systems for better nutrition Questions and Answers

The State of Food and Agriculture 2013: Food systems for better nutrition Questions and Answers The State of Food and Agriculture 2013: Food systems for better nutrition Questions and Answers What is malnutrition? Malnutrition is an abnormal physiological condition caused by inadequate, unbalanced

More information

COUNTRY PRESENTATION NEPAL

COUNTRY PRESENTATION NEPAL 22 ND SUN MOVEMENT COUNTRY NETWORK MEETING 25-29 JANUARY 2016 COUNTRY PRESENTATION NEPAL Presentator s Name: Madhu Kumar Marasini Position: Joint Secretary, National Planning Commission, Government of

More information

Applying nutrition science to public health. Wednesday, March 12, 14

Applying nutrition science to public health. Wednesday, March 12, 14 Applying nutrition science to public health Malnutrition in Children What is Malnutrition Malnutrition is defined as a pathological state resulting from relative or absolute deficiency of one or more essential

More information

The Evolving Global Nutrition Situation: Why Forests and Trees Matter

The Evolving Global Nutrition Situation: Why Forests and Trees Matter The Evolving Global Nutrition Situation: Why Forests and Trees Matter Bronwen Powell Pennsylvania State University, USA Areas of Changing Understanding: 1. Forests and Conservation vs. Food Production

More information

National Nutrition Program

National Nutrition Program National Nutrition Program Nutrition Situation Promotion of Food Based Approaches 14 th April 2011, Pakistan. Background Pakistan suffers from high rates of malnutrition with 39% of children moderately

More information

The WASH and Nutrition Nexus

The WASH and Nutrition Nexus The WASH and Nutrition Nexus Current Operational Approaches, Lessons Learned and Practical Considerations for Future Programming WSP BBL April 1, 2014, Washington, DC Francis M. Ngure Outline The bottom

More information

From Aggregate Costing To Costing the Scale-Up: Kenya s Experience. TERRIE WEFWAFWA Ministry of Health Nutrition Unit

From Aggregate Costing To Costing the Scale-Up: Kenya s Experience. TERRIE WEFWAFWA Ministry of Health Nutrition Unit From Aggregate Costing To Costing the Scale-Up: Kenya s Experience. TERRIE WEFWAFWA Ministry of Health Nutrition Unit Presentation outline Background Information Previous Costing Methods Costing for Scale

More information

Evaluation of the Kajiado Nutrition Programme in Kenya. May By Lee Crawfurd and Serufuse Sekidde

Evaluation of the Kajiado Nutrition Programme in Kenya. May By Lee Crawfurd and Serufuse Sekidde Evaluation of the Kajiado Nutrition Programme in Kenya May 2012 By Lee Crawfurd and Serufuse Sekidde 1 2 Executive Summary This end-term evaluation assesses the performance of Concern Worldwide s Emergency

More information

CHAPTER THREE: NUTRITIONAL AND HEALTH STATUS

CHAPTER THREE: NUTRITIONAL AND HEALTH STATUS CHAPTER THREE: NUTRITIONAL AND HEALTH STATUS 53 INTRODUCTION How much a person eats and how well does he/she convert the food to energy are very important aspects to an effective biological utilization

More information

Global Burden of Respiratory Disease Lessons from Afar Scott Barnhart, MD, MPH June 18, 2010

Global Burden of Respiratory Disease Lessons from Afar Scott Barnhart, MD, MPH June 18, 2010 Global Burden of Respiratory Disease Lessons from Afar Scott Barnhart, MD, MPH June 18, 2010 Scott Barnhart, MD, MPH June 18, 2010 Three Goals An Overview of the global burden of respiratory disease relative

More information

Global database on the Implementation of Nutrition Action (GINA)

Global database on the Implementation of Nutrition Action (GINA) Global database on the Implementation of Nutrition Action (GINA) National Nutrition Policy of Sri Lanka Published by: Ministry of Healthcare and Nutrition Is the policy document adopted?: Yes Adopted by:

More information

Catalyzing Progress Toward the Global Nutrition Targets: Three Potential Financing Packages

Catalyzing Progress Toward the Global Nutrition Targets: Three Potential Financing Packages Catalyzing Progress Toward the Global Nutrition Targets: Three Potential Financing Packages By Meera Shekar, a Jakub Kakietek, a Julia Dayton Eberwein, a Mary D Alimonte, b Dylan Walters, a and Michelle

More information

Josie Grace C. Castillo, M.D.

Josie Grace C. Castillo, M.D. Josie Grace C. Castillo, M.D. 2 types of nutrients Macronutrients Carbohydrate Fats Protein Micronutrients Vitamins Minerals 1 Occur when the quantity or quality of food is not sufficient to meet a persons

More information

FOOD FORTIFICATION IN INDIA: ENRICHING FOODS, ENRICHING LIVES

FOOD FORTIFICATION IN INDIA: ENRICHING FOODS, ENRICHING LIVES FOOD FORTIFICATION IN INDIA: ENRICHING FOODS, ENRICHING LIVES Presentation by: Deepti Gulati, Senior Associate, GAIN: Global Alliance for Improved Nutrition 0 Sixty-seven Years Ago.. When India became

More information

Monitoring, Evaluation, Accountability, Learning (MEAL) Enabling Environment Finance for. Nutrition

Monitoring, Evaluation, Accountability, Learning (MEAL) Enabling Environment Finance for. Nutrition Monitoring, Evaluation, Accountability, Learning (MEAL) 2016 2020 COUNTRY DASHBOARD Philippines The MEAL Results Framework identifies a wide range of desired results and associated indicators of progress

More information

The Case for Flour Fortification

The Case for Flour Fortification FFI Global Update 1 The Case for Flour Fortification Loss of vitamins and minerals during milling of wheat 120% Fortification replaces nutrients 100% lost during the milling process and can add other vitamins

More information

Multi Sectoral Nutrition Strategy Anne M. Peniston, Chief, Nutrition Division, GH/HIDN, USAID

Multi Sectoral Nutrition Strategy Anne M. Peniston, Chief, Nutrition Division, GH/HIDN, USAID Multi Sectoral Nutrition Strategy 2014 2025 Anne M. Peniston, Chief, Nutrition Division, GH/HIDN, USAID Session Objectives Participants will be able to: Demonstrate an understanding of the background and

More information

Cook Islands Food and Nutrition Security Profiles

Cook Islands Food and Nutrition Security Profiles Key Indicators Cook Islands Food and Nutrition Security Profiles Mortality in children has shown a constant reduction over the years, but unless further acceleration, Cook Islands will not achieve the

More information

SONS AND DAUGHTERS OF THE SOIL

SONS AND DAUGHTERS OF THE SOIL SONS AND DAUGHTERS OF THE SOIL When a newborn baby opens his or her eyes to check out the new environment he/she will discover that this world is covered with brown sandy, muddy, or rocky stuff with green

More information

2003 World Health Organization (WHO) / International Society of Hypertension (ISH) Statement on Management of Hypertension.

2003 World Health Organization (WHO) / International Society of Hypertension (ISH) Statement on Management of Hypertension. 2003 World Health Organization (WHO) / International Society of Hypertension (ISH) Statement on Management of Hypertension Writing Group: Background Hypertension worldwide causes 7.1 million premature

More information

Malnutrition. March 21, Infectious Disease epidemiology BMTRY 713 (Lecture 18) Nutrition & IDs. Selassie AW (DPHS) 1

Malnutrition. March 21, Infectious Disease epidemiology BMTRY 713 (Lecture 18) Nutrition & IDs. Selassie AW (DPHS) 1 Infectious Disease Epidemiology BMTRY 713 (A. Selassie, DrPH) Lecture 18 Nutrition and IDs Learning Objectives 1. Examine the relationship between nutrition and IDs 2. Identify role of micronutrients in

More information

How Do Community Health Workers Contribute to Better Nutrition?

How Do Community Health Workers Contribute to Better Nutrition? How Do Community Health Workers Contribute to Better Nutrition? Institutionalizing Community Health Conference 2017, South Africa March 2017 Sascha Lamstein, PhD Technical Advisor and Systems Thinking

More information

Indonesia - Food and Nutrition Security Profiles

Indonesia - Food and Nutrition Security Profiles Key Indicators Indonesia - Food and Nutrition Security Profiles The levels of underweight and stunting remain persistently high in Indonesia, despite considerable increase in GDP per capita. Notable disparities

More information

Nutrition-sensitive Interventions and Programmes: How Can They Help Accelerate Progress in Improving Maternal and Child Nutrition?

Nutrition-sensitive Interventions and Programmes: How Can They Help Accelerate Progress in Improving Maternal and Child Nutrition? Nutrition-sensitive Interventions and Programmes: How Can They Help Accelerate Progress in Improving Maternal and Child Nutrition? Marie T. Ruel 1 and Harold Alderman 1 and the Maternal and Child Nutrition

More information

World Food Program Nutrition and Sustainable Food Security

World Food Program Nutrition and Sustainable Food Security World Food Program Nutrition and Sustainable Food Security Catherine Feeney WISHH Nutrition and Development March 12 th 2009 World Food Program (WFP) Food assistance agency of the United Nations Aim to

More information

Critical Issues in Child and Maternal Nutrition. Mainul Hoque

Critical Issues in Child and Maternal Nutrition. Mainul Hoque Critical Issues in Child and Maternal Nutrition Mainul Hoque Nutrition and Economic Development Nutrition is a critical factor for improved health and successful economic development about one-third of

More information