Developing strategies to end hunger
 

108 posts categorized "Hunger Hotspots"

A Bi-Coastal Vizathon to Expose Hidden Hunger

Hidden-Hunger-Visathon-Announcment-Image, SF Register button, SF Register button, Washington, DC Register button, online

We're excited to announce our second annual HelpMeViz Data Vizathon event. On Saturday, May 30, we will partner with HelpMeViz.com and the International Food Policy Research Institute (IFPRI) to bring back our community of data heroes -- coders, data scientists, designers, and data visualizers -- to help shed light on the elusive problem of hidden hunger in the developing world. We’re especially happy to be expanding this year’s vizathon to two volunteer sites—one on the East Coast in Washington, DC, and the other on the West Coast in San Francisco.

IFPRI and Bread for the World Institute have drawn from several brand new hunger and nutrition data sets from Africa South of the Sahara to develop two data visualization challenges centered on two forms of  'hidden hunger':

Challenge 1: Exposing Hidden Hunger

“The ‘hidden hunger’ due to micronutrient deficiency does not produce hunger as we know it. You might not feel it in the belly, but it strikes at the core of your health and vitality.”  -Kul C. Gautam, former deputy executive director of UNICEF

Find a way to bring the problem of hidden hunger out of the shadows. Use the latest global data on micronutrient deficiencies to expose the story of hidden hunger and its massive human costs.

  • Demonstrate the mounting costs of hidden hunger (in lost potential, years, GDP, etc.).
  • Combine data with graphic art and photos to humanize the problem of hidden hunger, giving it a name and a face.

Challenge 2: Showing How Hunger Feeds Obesity:

Use new data on obesity and body mass index (BMI) to tell the story of obesity’s stunning rise across the developing world and the array of health problems that are beginning to mount as a result. This will mean finding ways to count the economic and health costs of obesity as well as showing the gaps in national healthcare systems being revealed by the rise in obesity. 

You can read more details on the data challenges at the event announcement on HelpMeViz.com.

Vizathon Details

HelpMeViz, IFPRI, and Bread for the World Institute are inviting up to 50 guests to each site on Saturday, May 30, from 9:30 a.m. – 4:30 p.m. to work on these two challenges. The Institute will provide the challenge data and space for participants to work. Breakfast, lunch, and afternoon snacks will be provided. Participants will also receive a printed copy of the 2016 Hunger Report, which focuses on hunger and health and will be released in November 2015.

The event will be blogged live on HelpMeViz. We hope that interested people all over the world will want to lend their voice and their skills to respond to these challenges. Data will be made available at the beginning of the event. Visualizations, conversations, and comments from both coasts and elsewhere will be posted to the vizathon’s website in real time.

If you would like to attend in Washington, DC, or San Francisco, click the links below to register.

Washington, DC: Register to attend the HelpMeViz 2015 Vizathon at the Washington, DC site.

San Francisco: Register to attend the HelpMeViz 2015 Vizathon at the San Francisco, CA site.

Participate Online: Register to participate in the HelpMeViz Vizathon online from anywhere!

The Return of an Important Acronym: A New QDDR

  Global women's movement photo
Two sources of energy for development in Bangladesh. Photo by Todd Post for Bread for the World.

By Michele Learner

When I first heard the term "QDDR," it was 2010 and Hillary Rodham Clinton was Secretary of State. Was it just another acronym on the list of official Washington's contributions to the English language?

QDDR is the Quadrennial Diplomacy and Development Review, produced by the State Department and the U.S. Agency for International Development (USAID). As you can guess from my mention of it now, it wasn't just another acronym.

Even in 2010, advocates had been arguing for some time that diplomacy and development are necessary tools for U.S. national security. As Bread and other organizations explained, development assistance to reduce hunger and poverty was "not just the right thing to do, but the smart thing to do."

Now, it seemed, the State Department and USAID agreed. The first-ever QDDR was a comprehensive assessment of how best to use diplomacy and development as tools to reach objectives such as the Millennium Development Goal of cutting hunger in half. The Department of Defense is required by law to prepare a periodic comprehensive assessment, but, of course, its Quadrennial Defense Review focuses on defense as a tool. The 2010 QDDR was a companion document that helped to elevate diplomacy and development as equal partners with defense in U.S. foreign policy.

This week, the second QDDR was released by Secretary of State John Kerry. As the State Department explains, the review identifies major trends "that constitute threats or opportunities," sets priorities, and recommends reforms "to ensure our civilian institutions are in the strongest position to shape and respond to a rapidly changing world."

The new QDDR is more narrowly focused than the first. Secretary Kerry said that he was given some good advice early in his career: If everything is important, nothing is important. Accordingly, the State Department and USAID will concentrate on four global policy priorities:

  • preventing and mitigating conflict and violent extremism
  • promoting open, resilient, and democratic societies
  • advancing inclusive economic growth
  • mitigating and adapting to climate change

"Each of these priorities is related to the need for better governance across the globe," said Kerry. "They're all linked."

Of course, developing an effective strategy for a nearly limitless topic such as "global affairs" requires a close look at that globe through more than one lens. From a different viewpoint than the policy priorities, for example, the QDDR focuses on four "cross-cutting areas." These flow from analysis of major long-term trends. They are:

  • increasing partnerships and engaging beyond the nation-state (for example, partnering with mayors since almost 60 percent of the global population will be urban by 2030)
  • improving governance (partnering with nations and individuals committed to what the review describes as "the difficult work of building strong, democratic governance")
  • managing and mitigating physical risk (Kerry's remark that "diplomats cannot avoid risks in their work" headlined some media coverage of the QDDR's release)
  • enhancing the use of data, diagnostics, and technology ("better application of data for crisis prevention," "greater accountability for strategic planning")

 Michele Learner

What a Hero Looks Like

  Photo for IWOC blog

U.S. Deputy Secretary of State Heather Higginbottom, far left, and U.S. Ambassador-at-Large for Global Women’s Issues Cathy Russell, far right, with this year's International Women of Courage awardees. Photo credit: U.S. State Department.

Humanity has a lot of stories about heroes. Even if we only count written ones, stories about heroes date back nearly 5,000 years to the epic saga of Gilgamesh, first "published" in cuneiform script on 12 clay tablets. 

"Heroine," though, doesn't necessarily convey the same meanings. Depending on the story, the heroine may be someone whose main role is to be rescued or whose hand in marriage is the goal of a hero's quest. A few heroines have stories akin to those of heroes -- for example, Atalanta, who survived being abandoned outside at birth to become a famous athlete and warrior in ancient Greece.

Since there are several ways to interpret "heroine," I've chosen to stay with "hero" for this blog post. The people pictured above are heroes: the recipients of the 2015 International Women of Courage (IWOC) Award. The award is given to women "who have exemplified exceptional courage and leadership in advocating for human rights, women’s equality, and social progress, often at great personal risk."   

One day in April 2013, an angry man asked Nadia Sharmeen, a journalist covering a political rally in Bangladesh, why she was there as a woman. She told him she wasn't there as a woman -- she was there as a journalist. "He did not accept this," she said -- a significant understatement, since moments later, a group of 50 or 60 men began attacking her. "They wanted to kill me," she said. Before colleagues managed to get her to safety, she sustained injuries that kept her in the hospital for five months. Her employer refused to pay for her medical treatment although it was clear that she was injured in the line of duty. Her family stood by her, however, which is why she later said that she felt lucky compared to some other victims of gender-based violence.

Another IWOC awardee, Tabassum Adnan of Pakistan, was married at the age of 13 to a much older man. She was a mother of three before she was out of her teens. She endured many years of domestic violence -- but went on to found and lead Da Khwendo Jirga (the Sister's Council), the country's first women's council. It is dedicated to seeking justice for victims of such crimes as acid attacks and honor killings.

A third Woman of Courage, Burmese activist May Sabe Phyu, has for several years spoken up for the rights of thousands of vulnerable women and children displaced by conflict into makeshift camps. Threats and legal harassment have not deterred her from her work as co-founder of the Kachin Peace Network and head of Gender Equality Now, an umbrella group of more than 90 women's rights organizations.

I wish I could tell the stories of all 10 of this year's IWOC heroes. But the picture above helps sum it up. Left to right (beginning immediately to Deputy Secretary Higginbottom's left) are:

  • Nadia Sharmeen, journalist, women’s rights activist (Bangladesh)
  • Majd Chourbaji, External Relations Director, Women Now for Development Centers (Syria)
  • May Sabe Phyu, Director, Gender Equality Network (Burma)
  • Captain Niloofar Rahmani, Afghan Air Force (Afghanistan)
  • Arbana Xharra, Editor-in-Chief, Zeri (Kosovo)
  • Tabassum Adnan, Founder, Khwendo Jirga (Pakistan)
  • Rosa Julieta Montaño Salvatierra, Founder and Director, Oficina Jurídica para la Mujer (Bolivia)
  • Marie Claire Tchecola, nurse, Ebola survivor and activist (Guinea)
  • Sayaka Osakabe, Founder and Representative, Matahara Net (Japan) 

The International Women of Courage Award is the only State Department award for emerging leaders who are female, and the first year it was awarded was 2007, so the total number of IWOCs is modest as yet. But each year's award winners add to the world's comparatively small supply of stories about heroes who are female. 

Michele Learner

"If she did not fight ... it would have been another story"

In sub-Saharan Africa, a girl with hopes for more than a primary education is unlikely to realize them. For rural girls, the odds are even worse. In a region where a minority of all school children—regardless of gender—even complete lower secondary school (ninth grade), parents must fight to give their daughters an equal chance. This was the experience of Fouzia Dahir, a Kenyan Somali woman whose mother personally shielded her from the social and physical forces that threatened to knock her off the path to a college degree. Fouzia’s story is featured in the 2015 Hunger Report video, just released this week and posted above.

Not only are women and girls the majority of the world’s hungry people, but they are the chief agents the world relies on to help end hunger. Evidence shows that gender discrimination causes hunger, but it also shows that removing gender discrimination leads to benefits that reach every level of society. When women are empowered, families, communities, and even economies are healthier and wealthier. Fouzia’s life and work illuminate this truth. She is the founder of the Northern Organization for Social Empowerment, a non-profit organization in Kenya that advocates for equal opportunities for rural women and girls and equips them to seize those opportunities.

Fouzia’s organization takes direct aim at the largest, most obstinate barriers that stand between rural girls and an education. The most threatening of these is deep poverty, which forces many parents to pull their children out of school to work—simply because the family’s survival depends on it. Scarce economic opportunity and the poverty that results from it exacerbate gender inequality by driving families to make difficult choices about which child gets to go to school. Fouzia’s organization trains rural women to be more productive farmers and connects them to markets so they can earn enough income to send all of their children to school and keep them there.

Social norms pose another pervasive, if invisible, threat to women’s empowerment. Fouzia’s community is no exception. Families who embrace modern education often still hesitate to educate their girls, convinced that their rightful place is in the kitchen. Early marriage is commonplace and virtually always means an end to the child bride’s education. Even girls who manage to evade an early marriage face the next challenge of balancing school and studying with an oppressive burden of domestic work that they alone are expected to shoulder. They must walk miles each way to fetch water, gather firewood, and also do the household cleaning, leaving little or no time for homework. Many eventually drop out of school. This is why Fouzia’s organization works to start conversations among families and between families and schools that encourage a more equitable sharing of household work within the family.

Fouzia is a catalyzing force in her community who is generating very real economic and social returns and making lasting improvements. This would not be possible but for the uncompromising insistence of her mother, herself illiterate, that Fouzia stay in school. Fouzia sees potential similar to her own lost in every young girl denied an education.

You can read Fouzia’s story in her own words and learn more about the importance of education to women’s empowerment by reading the 2015 Hunger Report, When Women Flourish …We Can End Hunger

Derek Schwabe

Sad Statistics for the United States on Maternal Mortality

Infant feet

As a policy analyst, my life revolves around data related to hunger, poverty and nutrition of mothers and their children. Statistics are the tool of my trade. I use them to report, to convey information, and often to advocate on issues. A few stay with me: 805 million hungry people in the world (one person in nine); 165 million stunted children who will never reach their full potential in life.

In my research for the Institute’s series celebrating Women’s History Month, I came across another statistic that will stay with me for a long time. A study by the respected British medical journal The Lancet found that the United States is one of only eight countries where maternal mortality (death from complications of pregnancy or childbirth) is on the rise. The other countries are Afghanistan, Greece, and several countries in Africa and Central America.

In this country, 18.5 mothers died for every 100,000 births in 2013—almost 800 women died here that year alone. This is double the rate of Canada and triple the rate of the United Kingdom! What is going on here? How is it that women in the United States are dying at a faster rate from causes related to pregnancy and childbirth than in almost any other place in the developed world?

There seem to be several contributing factors. Some of the reported rise in mortality is likely due to more rigorous data collection; the United States is one country where data on almost anything is readily available. Another factor is the rise in the number of pregnant women here who have conditions—such as hypertension and diabetes—that contribute to making their pregnancies “high risk.” More girls with heart or neurological diseases are surviving to adulthood—good news, but they remain at higher risk during pregnancy and childbirth.

Perhaps the most shocking statistic is that American women of color – particularly African Americans -- are three times more likely to die as a result of pregnancy or giving birth than their white counterparts. Higher poverty rates, which carry numerous consequences such as more chronic health problems and less access to prenatal care, are a major reason that women of color in our country run much higher risks in becoming mothers. 

There is a parallel between efforts to end maternal mortality and efforts to end global hunger. We know that a lack of available food is not the problem. It is getting access to nutritious food — a particular problem for pregnant women and children – that is a major problem. Affording food and reaching a place where it is available pose the biggest challenges. Researchers have found the same to be true in efforts to end maternal mortality -- particularly during or shortly after childbirth. The major problems are affordability and access to skilled care. This is true in the United States as in many developing countries.

The situation is even worse in “fragile states,” developing countries suffering armed conflict or civil war while also confronting high rates of food insecurity. 

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Mothers and small children line up at a health clinic. Credit: UN

In its State of the World’s Mothers 2014 (SOWM) report, the international organization Save the Children says: “These countries and territories (more than 50 in number) lack resilience to emergencies and face chronic underlying challenges, including extreme poverty, weak infrastructure, and poor governance. In these settings, children and mothers face an everyday emergency, whether or not a humanitarian crisis is officially recognized by the international system.”

During this Women’s History Month, I encourage you to read Save’s SOWM report and take a look at the statistics on maternal mortality compiled by the World Bank and the United Nations World Health Organization. As a result of a concerted effort by governments, international donors, and civil society, we are making remarkable progress toward the goal of ending hunger.  Much less progress has been made toward the fifth Millennium Development Goal of reducing maternal mortality by three-fourths. An equally concerted and collaborative effort, accompanied by sustained funding for healthcare programs in the United States and overseas, particularly in fragile states, is needed to help women survive as they secure humanity’s future by bearing children.

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Celebrating the Tenure of USAID Administrator Rajiv Shah

Raj Shah

Dr. Rajiv Shah welcomes guests to the launch of Bread for the World Institute's 2011 Hunger Report in November, 2010. (Laura Elizabeth Pohl/Bread for the World)


Dr. Rajiv Shah will be departing USAID (the U.S. Agency for International Development) this week. His appointment as USAID Administrator came in the wake of Haiti’s devastating earthquake in early 2010, just as famine was hitting South Sudan and at a time of continued powerful aftershocks from the global food price crisis. USAID sets and implements the U.S. government’s development and emergency food aid policies, and its employees staff U.S. Missions in countries around the world where hunger and poverty are endemic. In addition to managing a series of crises, Dr. Shah also set out to revitalize an agency that had long been criticized for being overly bureaucratic and dependent on large U.S. implementing partner organizations to carry out many of its programs.

We will remember Dr. Shah’s time at USAID for his passionate commitment to and impatience in the fight to end hunger and malnutrition. In five years, remarkable progress has been made against food insecurity and malnutrition, and U.S. leadership has played an important role. In 2010, Dr. Shah created the Bureau for Food Security at USAID to implement Feed the Future, the U.S. global food security initiative. Under his leadership, USAID also developed the first-ever Multisectoral Global Nutrition Strategy, which will improve coordination across the agency’s bureaus and programs and, most importantly, the effectiveness of U.S. investments in nutrition. 

In addition, President Obama and Administrator Shah have been relentless advocates at the global level for greater and smarter investments in agriculture, food security, and nutrition. They secured new commitments of resources from other countries, multilateral institutions, and the private sector. Dr. Shah served on the Lead Group of the Scaling Up Nutrition (SUN) movement, helping to provide strategic direction as SUN was getting off the ground. At the country level, USAID has been a key SUN partner. Today, SUN, whose members at last count are 54 countries with high rates of childhood stunting, has begun to change national policies and commit funding to fight malnutrition.

We also remember Dr. Shah’s time at USAID for increasing attention to strengthening local capacity and institutions, including recognizing the key role of local civil society. David Beckmann, president of Bread for the World, is a member of USAID’s Advisory Committee on Voluntary Foreign Aid, designed to give policy guidance directly to the Administrator, and was honored to participate in an ACVFA working group that developed a paper on local capacity development. Beckmann later co-chaired the ACVFA task force on strengthening Feed the Future’s collaborations with civil society. Reflecting on Shah’s tenure, Beckmann said, “I thank God for Raj Shah’s outstanding leadership. USAID’s increased effectiveness is making a difference in the lives of millions of people, and it has set the stage for bipartisan collaboration in the U.S. Congress on international development issues. ”

We were honored by Dr. Shah’s presence at important moments for Bread for the World. At Bread’s 2011 Hunger Report launch, Dr. Shah called the report, Our Common Interest: Ending Hunger and Malnutrition,
“the best statement [he’s] read about the importance of Feed the Future to U.S. efforts to combat global hunger and malnutrition.”  He announced the establishment of the Bureau of Food Security at the launch. Dr. Shah was also the keynote speaker at Bread’s 2012 Gala to End Hunger.

He addressed Bread for the World members, representatives of international civil society, and global nutrition stakeholders at the 2013 Sustaining Political Commitments to Scaling Up Nutrition event in Washington, DC. It was here that he announced USAID’s plan for a Global Nutrition Strategy.

Dr. Shah’s individual accomplishments, and USAID’s accomplishments during his tenure, are too numerous to list. Under his leadership the agency prospered. Bread for the World developed closer working relationships with key management and program staff. He has set the bar very high for his successor and has put in place strategies and programs that assure continued U.S. government leadership in the global fight to end hunger and extreme poverty. We at Bread for the World wish Dr. Shah continued success in all his endeavors and look forward to working with the next USAID Administrator.

Scott Bleggi

The President's Budget a Mixed Bag on Food Security and Nutrition

President Obama released his final budget on Monday, February 2, 2015. As was reported by Bread for the World in a press release, the budget invests in people as a key to sustained economic recovery. It includes increased funding for maternal, newborn and child health, and it prioritizes early childhood care and education.

The budget can be lauded for these important domestic funding initiatives, but it is more of a mixed bag in addressing international food and nutrition security. It requests a $14 million reduction from Fiscal year 2015 enacted funding levels in nutrition spending, which is allocated to USAID’s Global Health Bureau.  This is disappointing given worldwide recognition of nutrition’s role across development sectors, and global momentum to improve nutrition policies and programs, especially those focused in the 1,000 days ‘window of opportunity’ from a women’s pregnancy to her child’s second birthday.  Investments here are among the smartest that can be made, with long-term health, social and economic benefits accruing to both individuals and countries themselves.

The International Affairs (150) account in the budget, which funds overseas operations, counterterrorism efforts, humanitarian relief and development assistance is again less than 1% of the total.  At $54.8 billion it does enjoy a small (2.4%) increase over the previous year’s funding but is still many billions below what was spent as recently as the year 2010.

As was reported by the World Food Program, “…humanitarian aid programs were among those that got hit the hardest by budget cuts. Overall humanitarian accounts went down by 13%. International Disaster Assistance was cut by $154 million. Food Aid was cut by $66 million.”  All this during times of historic demand for global assistance. To say that USAID and its implementing partners are stretched thin is an understatement. In fact, according to the Famine Early Warning System web site, there are eight “areas of concern” – Central African Republic, Central America and the Caribbean, Mauritania, Nigeria, Senegal, Sierra Leone, South Sudan and Yemen – that are being watched closely.  Any of these countries or regions can easily slip into food insecurity, requiring additional funding.  Save the Children reported it was “concerned with the funding levels for humanitarian assistance”.

The President’s budget builds on the Administration’s efforts to increase access to early childhood care and education for U.S. children from birth to age five. But at the same time it proposes cuts in disaster assistance, food aid and nutrition, cuts which paradoxically, could have a devastating effect on children from birth to age five overseas in countries where help is most needed.

The President’s budget has been presented to Congress, which will likely now develop a budget of its own.  If the final budget is approved with additional cuts to the 150 Account and any new global humanitarian conflicts arise, a very tight funding scenario could turn disastrous.

The advocacy community will surely be focused with Congress on restoring funding to this critical account.  And surely Congress can find ways to not have the most vulnerable population overseas – women and children - bear a disproportionate amount of cuts in a budget of $4,000,000,000,000.

Scott Bleggi

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

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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

Second International Conference on Nutrition: Moving the Discussion Forward

In the 20 years since the first  International Conference on Nutrition (ICN), global awareness of the critical role of nutrition in human development has grown to record levels. Today, the dual problems of malnutrition -- undernutrition and obesity – are the focus of efforts by both governments and private companies. Undernutrition rates have dropped in the intervening years, but obesity has grown to the point where it now kills more than three times as many people as undernutrition. 

The first ICN was seen as an opportunity to bring leading nutrition scientists together with governments to address a growing problem. ICN2, being held this week in Rome, goes further by finalizing the wording of a Declaration on Nutrition, as well as details of its implementation, and seeking the signatures of the governments in attendance.

The proposed declaration is a pivotal document that, after reaffirming commitments made at the 1994 ICN and at World Food Summits, sets out specific plans of action and international targets that will lead to the eradication of all forms of malnutrition. Action items include reshaping food systems through public policy; improving nutrition by strengthening institutional capacity and encouraging collaboration among all stakeholders; promoting initiatives for healthy diets before pregnancy, through the 1,000 days period of early childhood, and in schools; and ensuring that a framework with actions and objectives is integrated into the 2030 global development agenda that will be finalized in the coming year.

Advocates are concerned about the very small role of nutrition thus far in this Sustainable Development Goals (SDGs) process: there are more than a dozen goals and nearly 200 targets, but nutrition is mentioned only once. The declaration also asks the United Nations General Assembly for its endorsement and declares a “Decade of Action on Nutrition.”

Proposing such aspirational goals for ICN2 has led to wide-ranging discussions. Some have criticized the declaration’s lack of accountability and spending targets. Others have criticized its lack of emphasis on nutrition-sensitive issues such as water, sanitation and hygiene (WASH), and a lack of recognition that nutrition directly impacts health interventions.  Another point raised is that in order to make advances in nutrition, there must be economic solutions as well. Critics have also pointed out that in some countries, “donor interest in nutrition is waning.” It is in fact true that scaling up successful nutrition outcomes in a district, region, or country requires multiple-year planning and adequate funding.

One bright spot of ICN2 was Pope Francis adding his voice to the fight against hunger and malnutrition.  

Francis_ICN2
Pope Francis addresses political leaders at ICN2 Photo credit: FAO

In his apostolic exhortation, Evangelii Gaudium (Joy of the Gospel), Francis said, “We are scandalized” by not having enough food for everyone and the resulting hunger. In his remarks at ICN2 on November 20, Francis said that food, nutrition, and the environment must be viewed as global public issues at a time when nations are more tightly linked with each other than ever before. He admonished global leaders to make sure their pledges to assure food security for all citizens are put into concrete practice, saying that the right to a healthy diet is about dignity, not charitable handouts.

The U.S. government’s commitment to improved nutrition increased when it began to fund the Global Health Initiative (GHI), which is now complemented by nutrition components of the Feed the Future initiative. Recognizing nutrition as a concern that crosses traditional development sectors, USAID adopted and has begun to implement a Multi-Sectoral Nutrition Strategy. Other government agencies and offices have begun working on a Global Nutrition Coordination Plan that will encourage collaboration and hopefully add value to the efforts of individual programs to improve nutrition. Finally, the House of Representatives has introduced H.R. 5656, the Global Food Security Act, which has a primary objective of reinforcing programs that “accelerat[e] inclusive agricultural-led economic growth that reduces global poverty, hunger and malnutrition, particularly among women and children….”

The objectives of ICN2, the policy goals of U.S. government nutrition strategies, and passage of H.R. 5656 are all reachable if we are, in the words of Roger Thurow, “outraged and inspired” to take action on global hunger, poverty, and malnutrition.

Scott Bleggi

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