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Brussels Development Briefing no. 41

Brussels Development Briefing no. 41 Improving Nutrition through Accountability, Ownership and Partnership. Overview: Undernutrition , Malnutrition and How to Improve Nutrition at Scale? Marie Ruel Director | Poverty, Health and Nutrition | IFPRI. Malnutrition: A Continuum

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Brussels Development Briefing no. 41

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  1. Brussels Development Briefing no. 41 Improving Nutrition through Accountability, Ownership and Partnership Overview: Undernutrition, Malnutrition and How to Improve Nutrition at Scale? Marie Ruel Director | Poverty, Health and Nutrition | IFPRI

  2. Malnutrition: A Continuum From hunger (lack of food), to deficits in protein, energy, essential micronutrients to unbalanced diets (excess fat, sugar, salt) leading to overweight/obesity/NCDs 1 common thread: poor diets

  3. THE CHALLENGE

  4. Hunger: 805 Million still undernourished Prevalenceof undernourishment (%) Source: FAO 2014

  5. Stunting: ~162 M children (1 in 4) • Figure 4 2.1% annual rate of reduction is not fast enough to reach WHA target Source: Lancet 2013

  6. Wasting: 52M (19M severely) Source: Lancet 2013

  7. Wasting: 52M (19M severely) Source: Lancet 2013

  8. Micronutrient deficiencies: 2 Billion people Prevalence of Iron, Vitamin A, Zinc Deficiencies Source: HarvestPlus 2011 from WHO data

  9. Overweight/obesity: increasing rapidly Women Alsorisingrapidly in children: 41% of theworld’soverweight/obese childrenlive in Asia Source: Lancet 2013

  10. Under and over-nutrition coexist Egypt In same country In same individual Anemia in overweight/ Obese women In same household

  11. WHY DOES NUTRITION MATTER? 2 12-y oldBangladeshigirls

  12. A stunted child is a stunted adult • Damage is irreversible 81.2 Height at 18 y Height at 3 y Severe Moderate Mild Well-nourished

  13. Nutrition is the foundation of development • For survival (45% child deaths associated with poor nutrition) • For health, physical and cognitive development • For education, economic productivity, income • For breaking the inter-generational transmission of poverty • For preventing NCDs Economic cost of malnutrition: $2.8- 3.5 trillion (4-5% global GDP) (FAO 2013) Fuente: Shenggen Fan, 2014

  14. HOW CAN WE ACCELERATE PROGRESS IN IMPROVING NUTRITION?

  15. 1. Focus on the 1st 1000 days Source: Kay Dewey

  16. 2. Scale-up nutrition-specific interventions Set of 10 nutrition-specific interventions that focus on FOOD, HEALTH, CARE: (e.g. Optimal BF + CF; MN supplementation; high-quality diets; preventive health care; treatment of severe acute malnutrition, etc.

  17. 3. Work multi-sectorally to address underlying determinants of malnutrition multiple sectors Gender Health Agriculture & Food Systems Education Social Protection Water and Sanitation

  18. 4. Make the food system more nutrition-sensitive FOOD SYSTEM ENVIRONMENT Health & Nutrition Biophysical Environment SocioeconomicEnvironment Political Environment Demographic Environment Policies that: • Increase availability/access to nutrient-rich foods & diets • Make value chains more nutrition-sensitive • Reduce inequalities • PPP in food marketing sector FOOD SYSTEM Natural Resources & Inputs PrimaryProduction Transport, Storage, Processing Retailing, Marketing Consumption HEALTH & NUTRITION CHANGES IN FOOD SYSTEM ENVIRONMENT OUTCOMES

  19. 5. Empower Women Source: Sundberg, Birxs, Ruel; BMGF LearningSession; January 2014

  20. Final Messages • Be purposeful about nutrition and gender • Make multisectorality a mindset • Develop/embed right set of incentives for multisectoral work at all levels (top to ground) • Strengthen capacity • Build solid partnerships • Recognize opportunities, risks, limitations of agriculture/food systems, exploit synergies with other sectors • Ensure policy coherence & coordinationaround nutrition • Invest • Document and measure – build evidence base

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