Developing strategies to end hunger
 

157 posts categorized "Foreign Aid Reform"

Three Charts, Three Reasons Empowered Women and Progress on Malnutrition Go Hand in Hand

Improvements in the status of women drove about half of the dramatic reduction in child malnutrition that the developing world has achieved in recent decades. This and many more pieces of evidence brought together in the 2015 Hunger Report affirm that ending discrimination against women and girls–besides being the right thing to do–is crucial to ending hunger. Here are three compelling charts that show how this plays out across an array of important empowerment measures:

As More Girls Complete Secondary School, Stunting Rates Fall

As More Girls are Married before Age 18, Stunting Rates Rise

As Maternal Deaths Increase, Stunting Rates Rise

 

The three charts above compare rates of child stunting (a key measure of chronic malnutrition) in low- and middle-income countries against three sample empowerment indicators: rates of secondary school completion for females; rates of death from complications of pregnancy or childbirth; and rates of child marriage. Each dot represents one country. 

Measuring gender discrimination is complicated because it is pervasive. It cuts across all aspects of human life. This is why the United Nations named a minimum list of 52 gender indicators that are essential to gauging progress. (Yes – these 52 items are the minimum list). The indicators encompass five areas: health, education, human rights, public life, and economic participation.

We can see that stunting rates are lower in countries where women are more empowered – i.e., where they do better on these indicators. This is an issue that merits a more robust research agenda because it shows us an important way forward on hunger.

A note on stunting: stunting means that a child has suffered chronic malnutrition before her/his second birthday. We can “tell by looking” because stunted children are far too short for their age, but the most significant effects can’t be seen: damage to health and cognitive development. Stunting undermines how well a child does in school and even her lifetime earnings. At the national level, stunting can cost several percentage points in GDP growth. Globally, one in four children is stunted.

Visit an interactive tool on the 2015 Hunger Report website to compare global stunting rates with any of 15 important women’s empowerment indicators, view trends by region, and see where individual countries fall. Read this to learn the story of how the tool was created.   

This post is part of Institute Notes’ ongoing series on data to end hunger.

Derek Schwabe

A Global Nutrition Report: Passing Grades, But More Effort Needed

GNRBlog 120914

These children will reach higher and go farther with proper nutrition. (Photo credit: accesstonutrition.org)

What is the extent of malnutrition and how effective are the measures being taken to fight it around the world? What’s being done by governments through policy mechanisms, development assistance, and donors with their program partners? Is civil society sufficiently prepared to be active partners and eventually take over efforts in their own countries? What measures of program and policy effectiveness have been developed?

The Global Nutrition Report (GNR) seeks answers to all these questions. First launched in London last month, its launch in Washington, DC, takes place today with events at the International Food Policy Research Institute (IFPRI), which co-authored the report, and later at USAID, where Administrator Rajiv Shah will speak to his agency’s and U.S. government efforts to reduce malnutrition through its programs and policies. The GNR is a “call to action” to place malnutrition – both undernutrition and obesity – higher on the development agenda.

IRPRI notes in the GNR that "165 million children under the age of five are estimated to be stunted (i.e. low height for age). Two billion people are estimated to be deficient in one or more micronutrients. Nearly 1.5 billion people are estimated to be overweight and over 500 million to be obese. These conditions all have severe consequences for survival, for morbidity, and for the ability of individuals, the economy and society to thrive.... and yet, resources to specific nutrition programs amount to a small fraction of one per cent of domestic or aid budgets."

The GNR includes a “dashboard” of more than 80 indicators of nutrition outcomes, program coverage, funding, and political commitments for all 193 United Nations member countries, “…which they can use to hold policymakers to their commitments and urge them to make new ones.” The report was first announced at the Nutrition for Growth Summit in 2013, and its release was a main topic of discussion at the Second International Conference on Nutrition (ICN2) held in Rome last month.

The report was delivered by an Independent Expert Group and guided at a strategic level by a Stakeholder Group whose members also reviewed the report. IFPRI oversaw the production and dissemination of the report, with the support of the Institute of Development Studies (IDS) in London. The Lancet medical journal provided an external review of the report, which is funded by the U.K. Department for International Development (DFID), the Bill & Melinda Gates Foundation, the Government of Canada, the Children's Investment Fund Foundation, the European Commission, Irish Aid, 1,000 Days, and the CGIAR Research Program on Agriculture for Nutrition & Health.

Recommendations in the report for governments, donors, NGOs, and nutrition community stakeholders include:

  • Building and sustaining global alliances to generate substantial improvements in nutritional status at the national level;
  • Larger investments in human infrastructure;
  • Scaling up nutrition interventions by scaling up local partner capacities; and
  • Expanding investments in “nutrition-sensitive” actions in agriculture, social protection, water, sanitation and hygiene, education, and women’s empowerment programs.

The GNR emphasizes that key challenges remain -- especially in the area of accountability, which must be strengthened in all areas. The report notes pointedly that relying on coordinated actions across development sectors, none of which have nutrition as the primary goal, allows policymakers to avoid responsibility.

Three suggestions were made for improving accountability and leadership. First, in the new set of Sustainable Development Goals (SDGs) for 2030 that is currently being developed through a global process, the nutrition stakeholder community needs to ensure that more ambitious SDG targets are set, including a target for nutrition, and that additional nutrition indicators are included. Second, national legislation and policies must insist on accountability among nutrition stakeholders, including self-evaluation and monitoring processes for member countries of the Scaling Up Nutrition (SUN) movement.

And finally, there is an urgent need to fill the huge gaps that remain in collecting nutrition data. As an example of this, the report says that only 60 percent of the 193 member states of the UN have sufficient data to assess whether or not they are on course to meet global targets.

Without better data and stronger accountability, we stand to lose much of the global momentum on fighting malnutrition that has been built in just a few years’ time. The next GNR could contain more failures than passing grades. But if we sustain the political will that has been created, build local capacities, and scale up successful nutrition interventions, a goal once thought to be merely aspirational gets ever closer: ending hunger and malnutrition in our lifetimes. Scott Bleggi

World AIDS Day 2014: Thoughts from Mozambique

By Rebecca Vander Meulen

Editor's Note: Rebecca Vander Meulen has lived and worked in the province of Niassa in northern Mozambique since 2003. Bread for the World Institute thanks Rebecca for allowing us to repost her World AIDS Day 2014 reflection and photos from her website, Views from Mozambique.

   2014-10-Lichinga 136-001

   Photo by Rebecca J. Vander Meulen

 AIDS in Africa is no longer the cover story that it was when magazines like Newsweek and Time drew my attention to it back in 2000. We have responded deeply—both those of us in places where HIV touches every family, and those of us in places where HIV hides in pockets, away from the view of many.

Globally, the number of new HIV infections each day has gone down steadily since 2000. More than 13 million people around the world are now taking life-giving HIV medications. How miraculous are these antiretrovirals!

Mona’s daughter, Fernanda, who didn’t believe in antiretrovirals (ARVs) and was convinced they would make her sicker, now vigorously runs her household and serves as an informal neighborhood ARV officer, hounding her positive neighbors when they are late in going to the health post to replenish their ARV stock.

And Esperança, whose story I shared two years ago, continues strong.

In 2004, there were fewer than a dozen sites in the whole diocese (the northern half of Mozambique) where HIV testing was available, and even fewer offering HIV treatment. I didn’t actively encourage people to get HIV tests, because if they found out they were positive, it was hard to know what to do. I remember thinking that the global “3 by 5” goals (getting 3 million people on treatment by 2005) were excessively ambitious—but those goals have been met, and now we’re talking about 20 x 20 (20 million people on treatment by 2020). Science has made great strides, and we are at a point where medical understanding and pharmaceuticals mean that a person living with HIV can live as long and as well as a person not living with HIV. What progress we’ve made in the past decade!

IMG-20141201-WA0007

Photo by Rebecca J. Vander Meulen

But this is not the reality for many people living with HIV in Mozambique. Perhaps we have claimed victory too soon. There is still much more work ahead of us—oh, so much more. At least three friends died of AIDS-related causes this year. One had told me of his HIV positive status and proclaimed how eager he was to live openly with HIV, but when he told his wife, she beat him and refused to acknowledge his status. He then decided that telling people he’d gotten a false positive result—and not pursuing treatment—was easier than bearing the stigma associated with HIV. Another friend developed cerebral TB, but her family took her to traditional healers for several weeks before seeking hospital treatment. She was too unwell to argue. And another had been a keen student of HIV, asking just the right questions and understanding the key role of the church in responding to HIV. I never knew he was living with HIV until he died a few months later. We live in the already-but-not-yet of advent—so much good has already happened, and so much is left to be done.

Global figures hide specific pockets, and Mozambique is one of those pockets in which the fight against HIV and its effects is lagging behind. As a country, we are making much slower progress than our neighboring countries. I am particularly concerned about young girls—kids who I might have carried on my back when I first started working in Mozambique—and who now are at risk of acquiring HIV sexually. 6% of Mozambican women aged 15-24 are living with HIV (more than double the level of men in the same age group), and a quarter of all girls have had their first sexual relations before age 15, many with older boys or men, and often in exchange for a simple gift, like a new skirt. Just yesterday in a conversation about HIV, a church leader decided that the root of the problem was that we see women as objects, not as equal human beings. In Mozambique, the community of people living with HIV grows by one every five minutes, on average, and every seven minutes a family loses someone to AIDS-related causes. The science may be there, but we still have so much work to do in terms of improving access to testing and treatment, in providing safe environments in which talking about HIV is as non-interesting and matter-of-fact as talking about malaria, in helping everyone understand how HIV can be prevented, and in creating contexts in which people who choose to prevent HIV are able to do so. “Até quando?,” we lament! “How much longer?”

Last year, in the week before Christmas, a close friend came to me with the worry that his diarrhea was becoming a little bit too frequent and a little bit too intense, and suspected IMG-20141201-WA0005

Photo by Rebecca J. Vander Meulen

that HIV might be behind it. He was spot-on, and his HIV result was positive. We went to the hospital together for a follow-up CD4 count, and when the nurse gave a result of 29, I asked for clarification—certainly I wasn’t hearing him correctly. I’d never before met someone with a CD4 count so low who was still managing to walk and get on with life. But Paulo’s CD4 count is now in the 300’s, and he’s back at work (doing a lot of manual labor), and just got a promotion. His wife and baby daughter are still negative, and they shamelessly accompany him to his appointments. Paulo is alive thanks to antiretroviral medications.

And as I was writing this, Rafael came into my office to talk about his robust business. If he hadn’t sent me a text message first, I might not have recognized him. Not so long ago, he looked like someone who might be blown away by a strong Lichinga wind—but now, taking antiretrovirals, he is now strong and healthy. HIV is no longer the focus of Rafael’s life. HIV didn’t come up in the conversation until I asked about his CD4 count, which last registered at 1050—a level well within the range of someone not living with HIV. Yes, he’ll need to  2012-11-cobue 227

Esperanza, whose name means "hope." Photo by Rebecca J. Vander Meulen

take medication for the rest of his life, but he’s not alone in that: his eight-year-old daughter affectionately pesters him not to forget his medication, ever.

As I post this, we are wrapping up the first 22 of 52 World AIDS Day celebrations to be held this week in the Diocese of Niassa. The 3,000 activists taking part are together celebrating the progress made and re-kindling the energy that will drive the continued work ahead. May we each let those around us know they have our love—regardless of whether or not there is a specific virus circulating in their veins. We must continue, united. Onward.
==

Footnote: HIV is not just a Mozambican issue. More than 1.2 million people in the United States are living with HIV, and almost 1 in 7 are unaware of their infection. If Washington, DC, were a country in Africa, it would rank 23rd out of 54 countries in percentage of people living with HIV. For those in the United States, AIDSvu can show you local prevalence levels, and perhaps one of the organizations listed on Avert’s website of services available in the United States could help you get an HIV test or put you in touch with someone who would be willing to trust you with his or her story. If you are not someone living with HIV, try to get to know someone living with HIV in your own community—and learn how HIV can so quickly affect more than just physical health. We enrich each other.

Engaging Discussion Launches the New Hunger Report on Gender

  Photo for Hunger Report 2015

There was a lot of energy in the room -- particularly for a Monday morning -- as Bread for the World Institute released our 2015 Hunger Report, When Women Flourish...We Can End Hunger, yesterday at the National Press Club in Washington, DC.

Our understanding of several issues raised in the report, some older and some newer, was enhanced by the experiences and perspectives of our speakers: 

        Fouzia Dahir, executive director of the Northern Organization for Social Empowerment in Kenya, which works to help women from pastoralist backgrounds transition to agriculture and bring an end to gender discrimination;

        Victoria Stanley, senior rural development and land specialist at the World Bank, whose focus is on efforts to make development programs more fair and effective by ensuring that they have been seen through a "gender lens" (here's an example of the Bank's development work in rural Bangladesh);

 

        Gary Barker, international director of Promundo-US, which engages men and boys in several parts of the developing world in the effort to end gender discrimination, particularly violence against women;

        Andrea James, executive director of Families for Justice as Healing, which raises awareness of the toll that rising female incarceration rates in the United States takes on children and communities, and advocates for alternatives based on community wellness.

        Asma Lateef, director of Bread for the World Institute, just returned from ICN2, the second International Conference on Nutrition.

Many of the current barriers to women's empowerment have already been the subject of decades of struggle. For example, although the U.S. Equal Pay Act was enacted in 1963, women in 2014 continue to be paid less than men for the same work. The wage gap is a major cause of poverty: in fact, if it were closed, poverty would be cut in half among single mothers and their families.

Gender-based violence is another "old" problem that remains at epidemic levels. In many countries, a woman cannot  leave the house on errands, earn a living by working on her farm or traveling to a job in a nearby city, or sometimes even sleep at night without fear of violence. A fairly new and promising approach to the problem -- taken by male and female advocates alike -- is to engage with men, helping them to see how greater respect for women can help not only their wives and daughters, but themselves and their families as a whole. Adolescent boys and young men are often open to these messages.

Other barriers have become visible more recently, sometimes as a side effect of progress in other areas and the swift pace of change in women's roles in many societies. As Fouzia Dahir explained, in some Kenyan cultures, girls simply didn't go to school, let alone secondary school. When this changed fairly recently, bullying and lack of proper sanitation facilities emerged as obstacles that still stand between many girls and their hopes of an education. 

A significant amount of the energy at the launch was among the audience -- more than 100 professionals committed to gender equality, access to nutritious food for all,  and respect for human rights. Moderator Sandra Joireman, chair of Bread for the World's board of directors, and Bread President David Beckmann emphasized the opportunities now before us to move toward the goal of ending hunger by 2030. If we are to end hunger -- and secure women's rights as human beings -- global communities must work in collaborative ways to ensure that gender is no longer a barrier to developing and contributing to one's full potential, whether as a worker, a parent, a citizen, or any of a myriad of other roles.

Learn more about this year's Hunger Report and see interactive features at the 2015 Hunger Report website.

 Michele Learner

Benefits of Addressing Neglected Tropical Diseases and Malnutrition in Tandem

(Blog was originally submitted to the Sabin Vaccine Institute and the Global Network for Neglected Tropical Diseases in support of their policy brief Toward a Healthy Future: Working Together to End Neglected Tropical Diseases and Malnutrition, endorsed by 22 global health organizations)

Nutrition is a foundational element in human development, and a growing body of evidence shows that it is a vital link across international development sectors. Although nutrition was once solely the domain of public health professionals, development assistance practitioners in agriculture, education, gender, and water/sanitation/hygiene (WASH) are realizing that their successful project outcomes can have a direct and positive effect on nutrition.

Does a value-chain project in horticulture or livestock production improve nutrition? What about efforts to keep girls in school an extra year or two before they assume family and village responsibilities? Does improved hand-washing and food preparation hygiene improve nutrition?  The answer to all these questions is a resounding yes!

Sabin_for Botes blog 102814
WASH activities are nutrition-sensitive! Photo credit: Sabin Vaccine Institute

The number of people in the world affected by at least one of the 17 NTDs listed by WHO is approaching 1.5 billion, and we know now that NTDs can damage a person’s nutritional status at any point in life. Worse, contracting an NTD can cause infection and other problems that cancel out or even reverse efforts to improve nutrition.

As nutrition started to be at the core of development assistance across sectors, it was clear that a comprehensive strategy to coordinate efforts was necessary. In May 2014, USAID announced its Nutrition Strategy. Bread for the World Institute participated in its development, along with other members of the nutrition stakeholder community (advocacy and operational partners of USAID).

The nutrition strategy recognizes the essential role of nutrition in human development (especially during the “1,000 Days” period from pregnancy to age 2). Moreover, the strategy acknowledges that high rates of chronic malnutrition can cause significant losses in a nation’s GDP and impose other economic costs. The USAID strategy also lays the foundation for the development of a comprehensive Global Nutrition Coordination Plan among all U.S. government offices.

The strategy treats nutrition as “multi-sectoral”-- meaning that effective nutrition interventions can be made not only in health programming, but also in agriculture, education, and WASH projects. The most important direct nutrition interventions include 11 “essential nutrition actions” articulated by the World Health Organization and identified as particularly effective in fighting malnutrition in the research published in the Lancet Maternal and Child Nutrition series. Indirect nutrition actions are nutrition-sensitive activities that target the underlying causes of undernutrition, and direct interventions can be complemented by indirect nutrition actions for maximum impact. In fact, combining direct and indirect actions by “bundling” projects that include both has been found to be the most effective development investment a country can make.

USAID is committed to the World Health Assembly 2025 Nutrition Targets and is developing additional nutrition targets it will use to track and evaluate its development assistance. Included in these is a target in Feed the Future of reducing stunting  by 20 percent in five years in regions where this initiative has programs.

Companion legislative bills have been introduced in the Senate and the House that would authorize Feed the Future as the government’s primary program for global food and nutrition security. Despite recent improvements reported by FAO, there are still 805 million chronically undernourished people in the world. With legislation, we can solidify U.S. leadership in fighting hunger and malnutrition, build and improve upon vital work that has been done, and leverage a government approach across all sectors and programs to meet specific goals for progress against global hunger and malnutrition.

Scott Bleggi

Long-Term Solutions to the Child Migration Crisis

Mother & Child Nutrition

Photo by Joseph Molieri/Bread for the World

The child migration surge is out of the headlines and the number of children reaching the U.S. border has decreased dramatically, but the three nations of Central America’s Northern Triangle continue to grapple with violence and poverty. It may be only a matter of time until history repeats itself, because the root causes of unauthorized migration for both children and adults remain unchanged.

At the height of the crisis, Congress granted U.S. government agencies such as the Department of Homeland Security’s Customs and Border Patrol and the Department of Health and Human Services’ Office of Refugee Resettlement increased flexibility in spending previously allocated funds to respond to the crisis. So far, however, Congress has not approved Obama administration requests for additional funding, either for services at the border or for development assistance in the child migrants’ home countries of Honduras, Guatemala, and El Salvador.

Some congressional policy makers continue to seek long-term legislative solutions to the poverty and violence driving migration through increased and more effective U.S. foreign development assistance to the region. Bread for the World supports integrating migration issues into U.S. development assistance, including targeting programs to high-propensity migration regions in Central America and other regions that are sources of many immigrants.

In addition to congressional efforts to build momentum for a comprehensive solution to the root causes of migration from Central America, country-led solutions to reduce insecurity and poverty in the region are emerging. Multilateral organizations such as the Inter-American Development Bank are also involved in these discussions.

One of the plans emerging is the "Plan of the Alliance for Prosperity in the Northern Triangle." This plan was announced in late September 2014 by Secretary of State John Kerry and the foreign ministers of Guatemala, Honduras, and El Salvador during the UN General Assembly meeting in New York. It includes a plan by Central American governments to boost economic growth in the region and reduce unauthorized immigration to the United States.

So far few details of the plan have been made public, but the focus on the “root causes” in migrants’ nations of origin is a promising first step -- both in responding to the poverty and violence that drive child and adult unauthorized migrants from Central America to the United States and in engaging all countries involved in doing their part. It will take the engagement of both the United States and Central American nations to help solve the socioeconomic problems driving immigrants north.  Andrew Wainer

Child Migration Decreases, But Poverty and Violence Do Not

Uacsouthwestborder
Central American child migrants are less likely to be in the U.S. headlines these days, but that doesn’t mean children are not still struggling to get to the United States. It’s just that fewer are reaching the U.S.-Mexico border than during this past June and July.

Almost 60,000 Central American child migrants have arrived so far in 2014, but in recent weeks the number who cross the border has dropped dramatically. The Border Patrol reported that the number of child migrants was 60 percent lower in August than during the height of the migration earlier in the summer.

With the lower numbers comes the key question: Why?

There are probably multiple causes. One may be the weather. There is a seasonal pattern of unauthorized migration to the southwestern United States: the migration of Central Americans through Mexico traditionally drops during the summer because of the extremely hot temperatures in the desert that straddles part of the U.S. –Mexico border. Reports also indicate that heavy rains and flooding along the Mexican-Guatemala border may have deterred some migrants from making the journey in the late summer.

For its part, the Department of Homeland Security claimed that its increased and quickened deportations of adult migrants reinforced the message to Central Americans that unauthorized migrants arriving in the United States will not be given refuge and deterred some from leaving home. The U.S. government also claimed that its public relations campaign in Central America, which advised people considering migration not to risk the difficult journey to the United States, contributed to the decline in unauthorized migrants at the border — although this was questioned by experts who noted the failure of similar past efforts.

Perhaps the most important factor in the decreasing number of Central Americans reaching the border is a crackdown on illegal migration in Mexico. Immigration authorities have stepped up their efforts to interdict and deport Central Americans heading across Mexico to the United States. As a National Public Radio (NPR) report stated, “Under pressure from the United States, Mexico has begun arresting and deporting tens of thousands of Central Americans long before they reach the U.S. border.”

Traditionally, the Mexican government has not stopped Central American migrants en route to the United States, but migrants now report more immigration checkpoints in Mexico’s interior, and the Mexican government announced that it would heavily reinforce its southern border with Central America. NPR quoted one Mexican expert, "We are now the servants of the [United States] in this role."

What does this new role of Mexico as a sort of “buffer state” for the United States in interdicting unauthorized migrants mean for Central Americans trying to reach the United States?

Mexican analyst Sergio Aguayo said that migrants are still fleeing Central America and that the root causes -- poverty, exploitation, and violence -- remain. "It is not a simple issue that can be solved by closing the doors of Mexico or convincing them not to come."

The problem can hardly be considered solved just because it has dropped off U.S. news reports. The first wave of the child migrant crisis has abated without signs of improvement in the poverty and violence that are driving children to flee. In future posts, we’ll examine some of the long-term policy options that Bread for the World supports to improve conditions in Central America so that its people – whether adults or children – are not compelled to leave their homes to survive.

 

Andrew Wainer

Children’s Mortality Cut By Half

A new report, issued by UNICEF along with other U.N. agencies and the World Bank, highlights a dramatic decrease in child mortality. Since 1990, the number of children under age 5 who die each year has been cut in half: from 12.7 million then to 6.3 million now. This is a remarkable achievement that amounts to saving 17,000 lives every day.

Looking at it another way, the rate of decline in child mortality is falling three times faster than previously projected. As a result, 100 million children are alive who would have died if the death rate had remained at 1990 levels—including 24 million newborns that would not have made it more than a few weeks.

UNICEF pic 091914

Girls playing in Angola, which still has the world’s highest rate of under-5 mortality. Young children there are 25 times more likely to die than those born in the United States.  © UNICEF/NYHQ2007-1773/Nesbitt

The report, Committing to Child Survival: A Promise Renewed, says that the child deaths over the past 20 years were largely preventable. There were large geographical disparities: where a child was born made a big difference as to whether he or she survived.

Together, sub-Saharan Africa and South Asia were the homes of 80 percent of those who died. In sub-Saharan Africa, one in every 11 children die before their fifth birthday. That is 15 times the death rate in high-income countries, where an average of one in 159 children don’t reach their fifth birthday.

Moving forward, the most important area in which to focus health and nutrition interventions is the first month of a child’s life, which is called the neonatal period. Two million infants die within a week of birth. Some effective and low-cost interventions for both mothers and children are available. These could make a big difference, but sometimes this needs to be communicated to pregnant women, their husbands, their families, and their communities. For example, breastfeeding within an hour of birth reduces the risk of neonatal death by 44 percent—but less than half of newborns around the world have that opportunity.

The “Promise Renewed” of the report title has two goals. The first is to keep the promises of Millennium Development Goal (MDG) 4 — to reduce the under-5 mortality rate by two-thirds between 1990 and 2015, and MDG 5 – to reduce maternal mortality by three-fourths in this time period.  The second goal is to keep moving forward, beyond 2015, until no child or mother dies from preventable causes. In 2012, nearly 180 governments pledged to scale up efforts and speed up the decline in preventable maternal, newborn, and child deaths.

The Institute has written extensively about the MDGs, most recently in a blog about another recent report, the 2014 State of Food Insecurity in the World,  whichconfirms that the goal of halving hunger that is part of MDG 1 is within reach. What’s clear in both reports is that despite recent successes, a concerted effort focused on MDG goals and targets must be sustained. Further country-led development efforts in nutrition, health, and agriculture are key to achieving the goals.

The U.S. contribution to the MDGs is largely made through two USAID programs, the Global Health Initiative (GHI) and Feed the Future (FtF).  Congress has enacted legislation on the President’s Emergency Plan for AIDS Relief, PEPFAR (part of GHI), through which nutrition funding is authorized. FtF currently lacks formal authorization through legislation, but both the House of Representatives and the Senate are considering versions of the Global Food Security Act, which will make FtF part of U.S. law.

U.S. efforts in international agricultural development and nutrition largely focus on the 1,000 Days, the “window of opportunity” between a woman’s pregnancy and her child’s second birthday.  Leading economists agree that development assistance investments here yield a very high rate of return. More importantly, these investments save mothers’ and children’s lives.

Scott Bleggi

 

Fleeing Gender-Based Violence in Central America

Girls and violence

“In Honduras, violence against women is widespread and systematic,” U.N. Special Rapporteur on violence against women, Rashida Manjoo, July 2014

Between October 2013 and July 2014 57,000 unaccompanied child migrants (UAC) arrived at the U.S. southern border. The large majority were from the Northern Triangle nations of El Salvador, Honduras, and Nicaragua. During this time, 22,000 children travelling with at least one parent also arrived from this region. The surge of children – alone and sometimes with a parent – is widely acknowledged as a humanitarian crisis.

Within the broader influx of children and mothers is an even greater increase in UAC girls. Since October 2013 there has been a 77 percent increase in unaccompanied girls going to the United States compared to only an 8 percent increase for boys. Over the same period more than 13,000 UAC Honduran girls under traveled to the United States compared with just over 7,000 for the previous fiscal year. For girls 12 and younger the increase has been even larger – 140 percent.

What would cause parents to go into debt to send their daughters on a dangerous journey more than 1000 miles long – sometimes alone – to the United States? United Nations interviews with child migrants finds that they are typically fleeing a combination of poverty and violence. Among Honduran UACs, the UN found that 44 percent included violence as a reason for migration and 80 percent included work and study opportunities and a chance to help their families.

Some of society’s most vulnerable members – women and girls face additional threats beyond the endemic violence and pervasive poverty in the Northern Triangle. During a recent visit to Honduras, the United Nations Special Rapporteur on violence against women Rashida Manjoo, said, “Violence against women is widespread and systematic. The climate of fear, in both the public and private spheres, and the lack of accountability for violations of human rights of women, is the norm rather than the exception.”

Honduras is the murder capital of the world and presents a dangerous environment for most Hondurans and particularly for the poor. But for women and girls the persistent fear is compounded by gender-driven violence and coercion. Manjoo said the country suffered from “high levels of domestic violence, femicide and sexual violence” with a 263 percent increase in the number of violent deaths of women between 2005 and 2013.

With weak rule-of-law and compromised police and judicial systems there are few options for Honduran women to defend themselves. There’s a laundry list of societal barriers facing women seeking justice: Lack of effective implementation of legislation, gender discrimination in the justice system, and the lack of access to services that prevent future acts of violence are just some of the gaps and barriers Honduran women face. With an estimated 95 per cent impunity rate for sexual violence and femicide crimes in Honduras, it shouldn’t be surprising that Honduran women and girls are compelled to flee the country no matter what the cost

  Andrew Wainer

Data to End Hunger: How to Save 800,000 Infant and Toddler Lives Every Year

As Bread for the World Institute has noted in other posts in our Data to End Hunger series, frequently we are able to identify specific problems related to hunger without necessarily being able to select the solutions that will work best because "we just don't have the data." In fact, just a few weeks ago, our first-ever hackathon helped illustrate the fact that the global community is missing an enormous amount of data that could help drive much more rapid progress on women's empowerment.

In some cases, though, we *do* have the data. It's not new or controversial.

 Breastfeeding week
 Credit: UNICEF.

- See more at: http://news.thousanddays.org/maternal-child-health/breastfeeding-number-one-impact-last-progress/#sthash.3Y1FapP6.dpuf

According to the World Health Organization (WHO), exclusive breastfeeding for six months is the optimal way of feeding infants. The evidence shows that improvements in breastfeeding could prevent the deaths of 800,000 young children every year. It is the most effective strategy we have to protect babies' lives.

Globally, only 39 percent of children under six months of age are exclusively breastfed, and only 20 countries have made any significant progress in the last decade - See more at: http://news.thousanddays.org/maternal-child-health/breastfeeding-number-one-impact-last-progress/#sthash.4s5Sz5nL.dpuf
It is startling then that these facts about breastfeeding are well established, yet it is progressing the least.  Globally, only 39 percent of children under six months of age are exclusively breastfed, and only 20 countries have made any significant progress in the last decade.  In Africa, only 15 percent of countries are currently on track to reach the - See more at: http://news.thousanddays.org/maternal-child-health/breastfeeding-number-one-impact-last-progress/#sthash.4s5Sz5nL.dpuf
It is startling then that these facts about breastfeeding are well established, yet it is progressing the least.  Globally, only 39 percent of children under six months of age are exclusively breastfed, and only 20 countries have made any significant progress in the last decade.  In Africa, only 15 percent of countries are currently on track to reach the - See more at: http://news.thousanddays.org/maternal-child-health/breastfeeding-number-one-impact-last-progress/#sthash.4s5Sz5nL.dpuf

"It is startling then that these facts about breastfeeding are well established, yet it is progressing the least," said Casie Tesfai, technical nutrition policy advisor for the International Rescue Committee. "Globally, only 39 percent of children under six months of age are exclusively breastfed, and only 20 countries have made any significant progress in the last decade. In Africa, only 15 percent of countries are currently on track to reach the Millennium Development Goals targets on breastfeeding."

For more from Tesfai, including her perspective on why efforts to advocate and support breastfeeding must focus not only on pregnant women, but on men, midwives, other healthcare workers, and community leaders, see her piece "Breastfeeding: Number One in Impact, Last in Progress."

In addition to the many events, updates, and reflections related to last week's celebration of World Breastfeeding Week, the attention of the development community was, of course, closely focused on events surrounding the Africa Leaders Summit in Washington, DC. There were reports on the administration's Feed the Future global food security initiative (which has now reached 9.4 million children in 12 African countries with improved nutrition), the New Alliance for Global Food Security, the commitments made at the recent AU summit in Malabo, Equatorial Guinea, and a number of other hunger-related efforts.

Here is just one of the useful summaries of the Africa Leaders Summit as a whole, including a list of the "dizzying but encouraging array of new partnerships" that were announced. 

The buzz from last week's events was significant, and that's heartening: the global momentum on food and nutrition security is still very much in evidence. At the same time, the world also continues to largely miss a "no-brainer" opportunity to save children's lives.

Michele Learner

Stay Connected

Bread for the World