Developing strategies to end hunger
 

Pakistan Joins the Scaling Up Nutrition Movement

This blog was submitted by Pirbhu Satyani, who is an intern in Bread for the World Institute.   He has a Hubert H. Humphrey Fellowship through American University and comes from Tharparkar/Sindh, Pakistan.    

  Pirbhu pic

Pakistan, a middle-income country, has taken the significant step of becoming the 46th member country of the SUN (Scaling Up Nutrition) Movement. An important role of SUN member countries is to collaborate with each other in making the issue of nutrition a top priority. SUN helps member countries design nutrition-focused policies and use resources efficiently to achieve improved nutrition, especially among women and children.  

In my country, malnutrition is a serious issue with many causes, including ineffective government policies, a poor health infrastructure system, food insecurity, and widespread poverty. In terms of Millennium Development Goal 4 (MDG 4), Pakistan is still far behind in reducing its under-5 child mortality rate. Every year, 800,000 children die in Pakistan -- 35 percent due to malnutrition. The risk of death is nine times higher for a child suffering from malnutrition than for a child with a balanced diet. PS blog 1 Pakistan’s National Nutrition Survey in 2011 indicated that 58.1 percent of households were food insecure. The government and non-governmental organizations (NGOs) are working on small projects, but there is no comprehensive and focused long-term plan or strategy to address the situation, to scale up successful programs with a goal of reducing the child mortality rate. The provincial governments (there are four) have been trying to make changes in policies and practices to improve the health and nutrition system since the 2010 introduction of the 18th Amendment to Pakistan’s Constitution, which empowered provinces to take action.  

Malnutrition arises when people have little access to food and limited health services. In Pakistan, the majority of the population (around 63 percent) lives in rural areas, where health services are very limited. The main livelihood of most people is agriculture – even though it would seem that being a farmer and being malnourished contradict each other. In Pakistan it is lack of access to a diversified diet that causes malnutrition. PS blog2 An unprecedented natural disaster (flood) in 2010-2011 made poor communities even more vulnerable. An estimated 20 million people were displaced, millions of acres of land were damaged, and there was widespread damage to crops, mostly wheat and rice. Farmers were unable to feed their families and malnutrition increased rapidly.   

Malnutrition in Pakistan can only be addressed through collaborative efforts -- by engaging the international donor community and by initiating long–term, sustainable programs such as food security, women’s empowerment, agricultural safety nets, early childhood development programs, and quality health service at the grassroots level (meaning reaching to rural communities). Pakistan hopes that best practices and effective government policies around the world can be shared with and imitated in Pakistan as it seeks ways to scale up successful nutrition actions via the platform the SUN movement has provided.

The commitment of Pakistan’s government to join the SUN movement may open more opportunities for technical support and may mobilize resources by engaging international donors to invest more in improving policies and strategies in the health and agriculture sectors, and in building the capacity of human resources and systems. If that is achieved, effective implementation of services can be ensured at all levels to improve health and nutrition for all in my country.

Scott Bleggi

« Raising the Minimum Wage is Still Good for the Poor, CBO Report Shows Meet Nadine: Social Exclusion and Hunger »

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