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Scaling up Nutrition for sustainable results

Scaling up Nutrition for sustainable results. Why and how. A focus on prevention. Stunting prevalence Stunting affects approximately one-third of under-fives in the developing world. Source: UNICEF Global Database, Nov 2009 Compiled from MICS, DHS and other national surveys. (UN.

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Scaling up Nutrition for sustainable results

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  1. Scaling up Nutritionfor sustainable results Why and how. A focus on prevention

  2. Stunting prevalence Stunting affects approximately one-third of under-fives in the developing world Source: UNICEF Global Database, Nov 2009 Compiled from MICS, DHS and other national surveys

  3. (UN Lancet 2008: Causal pathways in undernutrition, UNICEF 1991

  4. Impact of undernutrition during pregnancy and early childhood • Increased risk of dying from infectious diseases (one-third of child deaths) • Stunting is associated with reduced school performance equivalent to 2-3 yrs of schooling • Stunting associated with reduced income earning capacity (22% average; up to 45% has been reported!) • Increased risk of non-communicable diseases in adult life • Stunted girl is more likely to give birth to undernourished baby • Reduced GMP by 2-3% • About 20 million children suffer from severe acute malnutrition which greatly increases risk of death

  5. Nutrition interventions in the life cycle needed to reduce stunting and wasting and their coverage rates Developing country data based on SOWC 2012; * based on estimation

  6. 24 countries with increases in exclusive breastfeeding > 20 percentage points Source: UNICEF database 2011. The baseline is defined as between circa 1998 (1995-2001) and circa 2008 (2005-2011)

  7. Status of complementary feeding Selected countries with data on “minimum acceptable diet” (breastfed children 6-23 m), and “introduction of complementary foods” (6-8m old, BF & non BF children)

  8. Programme Success Factors • Situation analysis: The starting point for good programme design • Political commitment and partnership: Strong and clear government ownership, leadership and commitment are required • Evidence based policies and linkages with other sectors: the essential nutrition package needs to be implemented with key interventions from other sectors (WASH, HIV, etc) • Food security. • Capacity-building: is required at all levels • Communication for behavioral change: essential and often lacking • Community based programmmes: essential and often inappropriately done or not done at all • Corporate social responsibility: Should increase availability of appropriate and affordable products (e.g. high-quality complementary foods, micronutrient-fortified staple foods, etc) • Resources: Adequate financial investment is required.

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