slides from the global nutrition report dhaka launch nov 4, 2015
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Slides from the Global Nutrition Report Dhaka launch Nov 4, 2015, Bangladesh, IFPRITRANSCRIPT
Dhaka, Bangladesh November 4, 2015
• Assess Progress• Identify Actions • Improve Accountability
www.globalnutritionreport.org
• Stakeholder Group• Independent Expert Group• 70 authors• 80+ indicators, 193
countries• open access data
www.globalnutritionreport.org
• What is malnutrition?• Why should your country
invest in improving nutrition?
• Nutrition status in Bangladesh and other SAARC countries
• What we can do about it
Outline
Malnutrition- Children do not grow properly- Adults are too thin- People are deficient in vitamins & minerals- Adults are overweight or obese
Caused by- Interaction of poor diets & unhealthy environments
Whichever way you look at the world…
…malnutrition affects every countrywww.globalnutritionreport.org
Alive and
thriving
Intergenerational
equity
Human Rights
Economic Benefits
Why invest in improving nutrition?
of all child
deaths from poor
nutrition
45%
www.globalnutritionreport.org
$back for every $ invested in nutrition programmes
The economics is also convincing
30 year compound
rate of interest of
10%www.globalnutritionreport.org
Progress on Nutrition Status in SAARC Countries
Global Nutrition Report 2015
On course
Off course, some progress
Off course, no progress
Not enough data to make assessment
Prevalence of under-5 stunting (%)
Some progress on reducing Stunting, half of the SAARC countries are on course to meet World Health Assembly Targets for 2025
Sri Lanka 2012
Maldives 2009
Bhutan 2010
Bangladesh 2014
India 2014 Nepal 2011 Afghanistan 2013
Pakistan 2012
1520
34 36 39 41 4145
Global Nutrition Report 2015
No progress on reducing Wasting: all SAARC countries off course to meet World Health Assembly Targets for 2025
Bhutan 2010
Afghanistan 2013
Maldives 2009
Pakistan 2012
Nepal 2011 Bangladesh 2014
India 2014 Sri Lanka 2012
6
10 10 11 11
14 15
21
Prevalence of under-5 wasting (%)
Global Nutrition Report 2015
Progress on reducing under-5 overweight: most SAARC countries off course to meet World Health Assembly Targets for 2025
Sri Lanka 2014
Bangladesh 2014
Nepal 2014 India 2014 Pakistan 2010
Afghanistan 2013
Maldives 2014
Bhutan 2014
0.61.4 1.5 1.9
4.85.4
6.5
7.6Prevalence of under-5 overweight (%)
On course- good progress
On course-at risk
Off course, some progress
Off course, no progress
Not enough data to make assessment
Global Nutrition Report 2015
On course Off course, no progress
Not enough data to make assessment
No progress on increasing Exclusive Breastfeeding Rates: all countries off course to meet World Health Assembly Targets for 2025
Pakist
an 2013
India 2005-2006
Maldive
s 2009
Bhutan 2010
Bangla
desh 2014
Nepal
2014
Sri La
nka 2006-2007
Afghan
istan
37.746.4 47.8 48.7
55.3 56.9
75.8
n/a
Exclusive breastfeeding (%)
Global Nutrition Report 2015Note: all data estimated. 2011
On course
Off course
All SAARC countries off course to meet World Health Assembly Targets for 2025 on Anemia in Women
Sri Lanka Afghanistan Nepal Maldives Bangladesh Bhutan India Pakistan
26
3336 37
44 4448
51Anemia in women of reproductive age (%)
Global Nutrition Report 2015
Low & increasing
High & increasing
Note: all data estimated. 2014. WHO
All SAARC countries off course to meet World Health Assembly Targets for 2025 for Adult Overweight and Obesity
Bhutan Afghanistan Maldives Pakistan Nepal Bangladesh India Sri Lanka
19
24 25 25 26 26 26 26
Adult overweight and obesity (%)
4Stunting children under 5
Wastingchildren under 5
Overweightchildren under 5
Anemiawomen aged 15-49 yearsExclusive Breastfeeding, 0-6 monthsAdult Overweight + Obesity (BMI≥ 25)
Adult Obesity (BMI≥ 30)
Adult Diabeteshigh blood sugar
31
5
341
8
1
8
8
Global Target
Missing data Off course, little/no progress Off course, some progress On courseOn course, at risk
Number of SAARC countries at various stages of progress against global nutrition targets
8
2
8
Global Nutrition Report 2015
Stunting children under 5
Wastingchildren under 5
Overweightchildren under 5
Anemiawomen aged 15-49 yearsExclusive Breastfeeding, 0-6 monthsAdult Overweight + Obesity (BMI≥ 25)
Adult Obesity (BMI≥ 30)
Adult Diabeteshigh blood sugar
Global Target
Missing data Off course, little/no progress Off course, some progress On courseOn course, at risk
Bangladesh at various stages of progress against global nutrition targets
What can Governments & other stakeholders
do about it?
1. Show Commitment
Which SAARC countries are Signatories to the 2013
Nutrition for Growth Compact?Yes NoBangladesh AfghanistanSri Lanka Bhutan
IndiaMaldivesNepalPakistan
Make public pledges for nutrition
Join the Scaling Up Nutrition (SUN) Movement
SAARC country a member of SUN?
Yes NoBangladesh AfghanistanNepal BhutanPakistan IndiaSri Lanka Maldives
Number of times different words appear in the 2013 Bangladesh
National Sustainable Development Strategy
Stunting
Nutrition
Climate
Health
Education
0
51
122
133
160
http://www.plancomm.gov.bd/wp-content/uploads/2013/09/National-Sustainable-Development-Strategy.pdf
2. Measure Coverage of Programmes
Coverage of programs matters. An example from Odisha, India
Nutrition co
unseling
Advice o
n IFA
Receive
d IFA
Receive
d food su
ppl
Consumed fo
od
BF initiati
on advic
e
Home visit
last
3 mo
Advice o
n BF at h
ome visit
Receive
d food su
ppl
Home visit
last
3 mo
Advice o
n CF
Vitamin A su
pplemen
t
Pediat
ric IF
A
Food su
pplemen
t
Consumed fo
od0
102030405060708090
100Pregnancy 0-6 months 6-24 months
Avula et al., forthcoming
% of population receiving
3. Strive for Policy Coherence
Underlying determinant dashboard for Bangladesh
% Food insecure (FAO)
Nurses and Midwives/1000 people
% girls never in secondary school
Unimproved water (%)
Unimproved sanitation (%)
Gender inequality score (0=low, 1 = high inequality)
Gov Exp on Health, Ed, SP, Ag (as % of budget)
17
0.218
43
15
15
0.529
32
http://globalnutritionreport.org/files/2014/12/gnr14_cp_south_africa.pdf
4. Cash: Invest More in Nutrition Actions
Domestic Budget Allocations to Nutrition as % of total Government BudgetAverage of 14 countries: 1.3%
Nepal 0.26%
% are medians
14 countries in SUN
Waiting for Bangladesh to complete the
exercise
More resources are needed for nutritionto meet WHA undernutrition targets
Spending on nutrition specific interventions, 2015-2025
x x
Governments Donors
R4D and World Bank estimates for stunting reduction
5. Community: Delivery and accountability
Maharashtra Extraordinary things can happen
Economic Growth
Poverty reduction
Nutrition and Health
MissionsImproved Program
Performance
Frontline nutrition staff
recruitedNutrition spending
stunting fell from 37% to 24% in 7 years
www.globalnutritionreport.org
6. Count: Invest in Data to Monitor Success
Global Nutrition Report 2015
Which SAARC countries are missing the most data on
nutrition indicators?
Nepal Bangladesh Pakistan India Sri Lanka Maldives Bhutan Afghanistan
6 8 8 9 1217
33
45
% Missing Indicators in Nutrition Country Profiles
Calls to Action1. Commitment
• Strengthen national targets on nutrition• Make a Nutrition for Growth commitment at Rio 2016• Join SUN!
2. Coverage • Increase coverage of nutrition programmes & measure
coverage! 3. Coherence
• Build alliances between nutrition & other communities 4. Cash
• Find more funding for nutrition action 5. Community
• Front line delivery6. Counting
• Identify the data gaps that hinder action—and fill them
GN
R
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