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104 posts categorized "Hunger Hotspots"
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.
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.
Posted by Scott Bleggi on March 04, 2015 in A Climate to End Hunger, Africa, Agriculture, Asia, Assets for the Poor, Data to End Hunger, Development Assistance, Economic Development, Food Aid, Food Prices, Foreign Aid Reform, Gender, Global Hunger, Good Governance, Hunger Hotspots, Hunger Report, Immigration, Inequality, Latin America, Malnutrition, Maternal and Child Nutrition, Millennium Development Goals, Success in Fighting Hunger, Trade, U.S. Hunger, Weblogs, Women's History Month | Comments (0) | TrackBack (0)
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.
Posted by Scott Bleggi on February 13, 2015 in A Climate to End Hunger, Africa, Agriculture, Asia, Assets for the Poor, Climate Change, Data to End Hunger, Development Assistance, Economic Development, Food Aid, Food Prices, Foreign Aid Reform, Gender, Global Hunger, Good Governance, Hunger Hotspots, Hunger Report, Immigration, Inequality, Latin America, Malnutrition, Maternal and Child Nutrition, Millennium Challenge Account, Millennium Development Goals, Religion and Hunger, Success in Fighting Hunger, Trade, Weblogs | Comments (0) | TrackBack (0)
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.
Posted by Scott Bleggi on February 06, 2015 in A Climate to End Hunger, Africa, Agriculture, Asia, Assets for the Poor, Climate Change, Data to End Hunger, Development Assistance, Economic Development, Food Aid, Food Prices, Foreign Aid Reform, Gender, Global Hunger, Good Governance, Hunger Hotspots, Hunger Report, Immigration, Inequality, Latin America, Malnutrition, Maternal and Child Nutrition, Millennium Challenge Account, Millennium Development Goals, Religion and Hunger, Success in Fighting Hunger, Trade, U.S. Hunger, Weblogs | Comments (0) | TrackBack (0)
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:
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.
Posted by Bread on December 15, 2014 in Africa, Asia, Assets for the Poor, Data to End Hunger, Development Assistance, Economic Development, Food Aid, Foreign Aid Reform, Gender, Global Hunger, Good Governance, Hunger Hotspots, Hunger Report, Inequality, Latin America, Malnutrition, Maternal and Child Nutrition, Millennium Development Goals, Success in Fighting Hunger, Weblogs | Comments (0) | TrackBack (0)
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.
Posted by Scott Bleggi on December 10, 2014 in A Climate to End Hunger, Africa, Agriculture, Asia, Assets for the Poor, Climate Change, Data to End Hunger, Development Assistance, Economic Development, Food Aid, Food Prices, Foreign Aid Reform, Gender, Global Hunger, Good Governance, Hunger Hotspots, Latin America, Malnutrition, Maternal and Child Nutrition, Millennium Development Goals, Religion and Hunger, Success in Fighting Hunger, Weblogs | Comments (0) | TrackBack (0)
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.
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.
Posted by Scott Bleggi on November 21, 2014 in A Climate to End Hunger, Africa, Agriculture, Asia, Assets for the Poor, Climate Change, Development Assistance, Economic Development, Food Aid, Food Prices, Gender, Global Hunger, Good Governance, Hunger Hotspots, Hunger Report, Immigration, Inequality, Latin America, Malnutrition, Maternal and Child Nutrition, Religion and Hunger, Success in Fighting Hunger, Weblogs | Comments (1) | TrackBack (0)
Policy discussions of U.S. development assistance that promote women’s empowerment tend to head in two directions: improving women’s ability to participate in the economy and increasing girls’ enrollment in school.
There’s no question that policymakers should indeed be talking about these dimensions of empowerment. But I wish they’d also talk about what I’ll describe as a “third way”: increasing the share of women leaders in government. Here we scarcely hear a word.
The eight Millennium Development Goals include a goal to promote gender equality and empower women. One of the targets is to increase the percentage of women in national parliaments to 33 percent. Globally, women currently hold about 25 percent of seats in national parliaments. Given that women are half the population, I think it’s fair to say that they are still grossly underrepresented in government leadership. In addition to the obvious injustice here, there are implications for efforts to end hunger and poverty. Experience worldwide shows that when women gain a larger share of political power, governments enact more policies that reduce gender inequalities and promote women’s empowerment.
Earlier this year I was in Rwanda, the only country in the world where women hold a majority of the seats in the national parliament. Sixty-three percent of Rwandan parliamentarians are women. One way countries have increased the share of women in parliament is by reserving a fixed percentage of seats for women. These countries include Rwanda, which reserves 30 percent of seats for women. But in the last three election cycles, women’s share of parliamentary seats has increased from 49 percent to 56 percent to 63 percent. Clearly, it’s more than the reservation policy that has brought a majority female parliament to Rwanda.
I went to Rwanda because I wanted to see the effects on policy development of having a majority of women in parliament, and I guess I wanted also to test my own assumptions about women’s leadership. I tend to think that the fastest way to reduce gender inequality and promote women’s empowerment is to elect more women to office. I’m all for improving women’s ability to participate in the economy and increasing enrollment rates of girls in school, but those are part of the longer-term strategy. A reservation policy allows a society to put gender equity on the fast track by giving a jolt to the status quo.
Having a female parliamentary majority has made Rwanda a more equitable society. For example, all proposed legislation is reviewed to determine whether it perpetuates or reduces gender bias. No piece of legislation that moves through parliament escapes this scrutiny. That’s the kind of jolt I’m talking about.
In the 2015 Bread for the World Institute Hunger Report, When Women Flourish…We Can End Hunger, we recommend that all U.S. development assistance include similar gender analysis – aimed at ensuring that policies and programs do not perpetuate gender inequalities or discriminate against women and girls. In practice, this would mean, for instance, that agricultural development assistance must serve female and male farmers equitably.
A major change like this might even produce a great enough seismic effect to affect how the U.S. government conducts domestic policy. Here in the United States, women hold less than 20 percent of seats in Congress. In the 1970s, when Congress was debating the Equal Rights Amendment, policymakers considered congressional reservations as a way of giving women more political voice. This was not the sole reason the ERA failed to gain ratification, but an association with the ERA may be one reason we scarcely ever hear members of Congress -- including women -- talk about political reservations as a strategy to increase the share of women in Congress.
It is difficult to imagine what the impact on legislation of a female majority in Congress would be. Perhaps there would be no difference at all, although I doubt it. There is too much room for improvement. Just one example: the United States remains the only developed country in the world that does not offer paid maternity leave. I suspect that would change if there were a majority of women in Congress.
Posted by todd post on November 20, 2014 in Africa, Agriculture, Asia, Data to End Hunger, Development Assistance, Economic Development, Gender, Global Hunger, Good Governance, Hunger Hotspots, Hunger Report, Inequality, Latin America, Malnutrition, Maternal and Child Nutrition, Millennium Development Goals, Success in Fighting Hunger, U.S. Hunger | Comments (0) | TrackBack (0)
(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!
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.
Posted by Scott Bleggi on October 28, 2014 in Africa, Agriculture, Asia, Climate Change, Data to End Hunger, Development Assistance, Economic Development, Food Aid, Food Prices, Foreign Aid Reform, Gender, Global Hunger, Good Governance, Hunger Hotspots, Hunger Report, Latin America, Malnutrition, Maternal and Child Nutrition, Millennium Development Goals, Success in Fighting Hunger, Weblogs | Comments (0) | TrackBack (0)
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.
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.
Posted by Scott Bleggi on September 22, 2014 in A Climate to End Hunger, Africa, Agriculture, Asia, Climate Change, Data to End Hunger, Development Assistance, Economic Development, Food Aid, Foreign Aid Reform, Gender, Global Hunger, Good Governance, Hunger Hotspots, Hunger Report, Latin America, Malnutrition, Maternal and Child Nutrition, Millennium Development Goals, Success in Fighting Hunger, Weblogs | Comments (0) | TrackBack (0)
The U.S. Department of Agriculture’s Economic Research Service (ERS) recently issued a report that projects the food security of 76 low- and middle-income countries for the years 2014-2024. The assessment was based on two main factors: capacity to produce food, and capacity to import.
The report is a follow-up to ERS’ first report that made 10-year food security projections, which covered 2013-2023 and was based on the same factors.
The ability to produce food domestically is, of course, especially important in the parts of Asia and Africa that rely most heavily on local agriculture. The ability to pay for food imports is a much more significant factor in Latin America, the Caribbean, and North Africa, where countries import a large proportion of the food they need. ERS weighed both factors in order to project the number of people in each country or region who will be food-insecure.
Over the short term, ERS believes that the overall situation in the 76 countries will improve. The share of the population that is food-insecure fell 1.6 percent during the year 2013 to 2014. This is expected to translate into a 9 percent drop in the overall numbers of hungry people, from 539 million in 2013 to 490 million in 2014 (for the 76 countries in the report).
However, over the decade 2014-2024, ERS projects that the number of people who are food-insecure will increase. This is because the share of the population that is food-insecure is expected to grow from 13.9 percent now to 14.6 percent in 2024. As might be expected, the main reason that ERS identified is that the food supply – what can be produced domestically plus what a country can afford to import – is expected to grow slowly, while demand for food is already strong and will grow more quickly.
What does the report mean for global hunger? The ERS says that short-term improvements in improving food security in these countries, while positive, will not be sustained in the long-term due to population growth, weak country infrastructure and other factors. Improving production capacities of small-holder farmers, most often women, is essential. Giving women farmers improved access to land, seed, fertilizer and markets in these countries is an important key to this, and will help build the foundation to a future where food insecurity and hunger are a thing of the past.
Posted by Scott Bleggi on July 23, 2014 in A Climate to End Hunger, Africa, Asia, Assets for the Poor, Climate Change, Data to End Hunger, Development Assistance, Economic Development, Food Aid, Foreign Aid Reform, Gender, Global Hunger, Hunger Hotspots, Hunger Report, Inequality, Latin America, Malnutrition, Maternal and Child Nutrition, Success in Fighting Hunger, Weblogs | Comments (0) | TrackBack (0)
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