Developing strategies to end hunger
 

188 posts categorized "Malnutrition"

World Food Day 2014: A Clearer Look at Climate Change

  Photo for World Food Day 2014

This year's World Food Day focuses on supporting and strengthening the 500 million smallholders growing food in developing countries, including Joao, a maize farmer in Mozambique. Photo by Kate Raisz.

Over the past few years, most lists of global problems have come to include climate change -- along with older concerns such as hunger, poverty, limited resources, and population growth. It often appears to be simply another challenge on the list. But although our mission of ending hunger requires facing and overcoming a number of challenges, climate change is different from other problems.

We can't make an "apples to apples" comparison between climate change and longstanding human problems. Climate change is much more like an apple tree than simply an apple among other apples. If we don't find ways to prevent further damage to Earth's climate and to mitigate the impacts that poor communities in particular have already been suffering for years, it will not matter nearly as much what we do about individual apples. Responding effectively to the dangers of climate change (improving the health of the tree, if you will) is a precondition for responding effectively to any other development challenge.

As we mark World Food Day (and, bracketing today, the three-day Borlaug Dialogue in Des Moines, Iowa), I've been thinking about the concept that language shapes our reality. What people think about the importance and urgency of climate change depends partly on how we talk about it. For example, when the administration launched its Global Alliance for Climate Smart Agriculture last month, it said that climate change poses "a range of unprecedented threats to the livelihoods of the world’s most vulnerable people..." [emphasis added]. By definition, "unprecedented" can only be used once for any given category of events -- otherwise, it's just hyperbole. It's a word that should catch people's attention, information overload notwithstanding.

The evidence shows that human activity is causing the changes in the world's climate that are now so readily observable. Climate change must be an urgent global priority for the foreseeable future if we are to contain the damage we have already caused to the planet that sustains us.

One pressing need is for communities to be able to access data on climate issues specific to them, so that they can make informed decisions at the local level. This is a relatively neglected middle ground between global- and continent-level data, and a myriad of anecdotal accounts from people who are witnessing climate change firsthand.

Three U.S. agencies, including the National Aeronautics and Space Administration (NASA), are making available higher-resolution elevation datasets based on information collected by sensors on the U.S. space shuttle. Datasets for Africa have been released and are available at the USGS’s Earth Explorer website. Datasets for Latin America are to follow in the coming months. 

Designed "to empower local authorities to better plan for the impacts of severe environmental changes," the data resolves to 30 meters (compared to the 90 meters that was the clearest previously available) and will be used to "improve environmental monitoring, climate change research including sea-level rise impact assessments, and local decision support."

Of course, better data alone will not enable local leaders to solve a global problem with roots in faraway developed countries. But equally obviously, informed decision-making requires information. Climate change is enormously complex. Distilling what is happening in particular locations will help support country ownership of a global problem.

Michele Learner

 

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

 

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

Too Many SDGs?

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Vuk Jeremić, President of the sixty-seventh session of the General Assembly, opens the first session of the Open Working Group on Sustainable Development Goals (SDGs). Photo source: UN Multimedia.

Late last month, the U.N. General Assembly’s Open Working Group on Sustainable Development Goals (SDGs) submitted its proposal for a set of goals to succeed the Millennium Development Goals (MDGs) when their deadline, December 2015, passes.

The SDGs, to be presented for approval at the U.N. General Assembly meeting in September, are an effort to accelerate and intensify the gains in human development that the MDGs began. The MDGs galvanized remarkable global political commitment from rich and poor countries alike – and this is why they inspired significant progress against poverty and hunger.

The eight MDGs are concise and easy to remember – e.g., cut the rate of extreme poverty in half, reduce maternal mortality by three-fourths. They have proven to be easy to explain to the public and to adapt to the circumstances of individual countries.  At this writing, there are 17 proposed SDGs – which run the risk of losing the simplicity that made their predecessors so popular and effective.  It may sound simplistic, but it is also accurate:  in order to spur lasting improvements, the SDGs must be marketable.

One of the most significant critiques of the MDGs has been the non-inclusive way in which they were formulated. The voices of developing country leaders, civil society, and low-income people themselves were largely absent from the MDG discussion. This is something that the UN has worked very hard to remedy this time around. A list of 17 proposed SDGs is a good sign— many more people have contributed their thoughts, making it more likely that the SDGs will avoid the blind spots of the MDGs.

Stronger global partnerships based on mutual respect are also a major theme of the Africa Leaders Summit, taking place this week in Washington, DC. The emphasis on trade in this first-ever event reflects the evolving view of U.S.-Africa relations – and U.S. relations with all developing regions – as focused on shared goals that are nonetheless country-owned. Thus, each country will pursue goals such as ending hunger by 2030 according to its own national circumstances and priorities. If well-packaged and well-presented, the SDGs will undergird this partnership model.

Keeping the list of SDGs wieldy is essential, however. Early research in the psychology of memory found that generally, human beings do not retain lists of more than seven or eight meaningful concepts at once. The results of a more recent study by psychologists at the University of Missouri, Columbia indicated an even smaller list, placing the optimal number of distinct ideas that a young adult can store in short-term “working memory” at three to five. Conventional wisdom, from speeches and sermons to advertisements, affirms this finding.  Three-point speeches are the norm, and you will never see a commercial that tries to sell you on 17 concepts at once.

Like many other stakeholders, we at Bread for the World Institute have made our case for why the issues most important to us—a goal to end hunger and a nutrition target—should be represented in the SDGs. And there are many other critically important concerns. But there are only so many seats on the plane. What’s most important in the end is that the plane is light enough to take off. If people can’t grasp the goals easily, they will have a much harder time getting behind them.

The General Assembly should explore practical ways to preserve the breadth of the proposed SDGs while making them as accessible as possible. Grouping is one possibility:  the 17 goals could be sorted into four or five descriptive categories that are easier to name and summarize.

Communicating complex ideas without oversimplifying or alienating your audience is about striking a delicate balance. The potential impact of the SDGs hangs in that balance.       Derek Schwabe

A Perfect Opportunity to Make Progress Against Hunger

Photo for African Leaders Summit

 Photo by Laura Elizabeth Pohl

Heads of state and government have converged on Washington, DC,  for President Obama's historic summit with African leaders, taking place today, August 4, through Wednesday, August 6.

In addition to its focus on advancing trade and investment in Africa, the summit will "[highlight] the depth and breadth of the United States’ commitment to the African continent and... enable discussion of concrete ideas to deepen the partnership," according to the White House.

One sign that this deeper partnership is becoming a reality is the U.S. government's four-year-old global food security initiative, Feed the Future. As we've discussed frequently on Institute Notes, Feed the Future focuses on smallholder farmers as the key to the agriculture-led growth necessary to significantly reduce hunger and poverty. In just the past year, Feed the Future has reached nearly 7 million smallholder farmers, and Bread for the World Institute President David Beckmann calls the initiative "a down payment on global food and nutrition security." For more on the future of Feed the Future, listen to a Voice of America interview with Institute senior foreign assistance policy analyst Faustine Wabwire.

The African Union, for its part, committed to ending hunger by 2025 at its 2014 summit, held in late June in Malabo, Equatorial Guinea. This year also marks 10 years since the adoption of the Comprehensive Africa Agriculture Development Program (CAADP), where governments committed to making agriculture a higher priority. As discussed in the Institute's short paper, The Push-Up Decade: CAADP at 10,10 of the 54 African Union member states have reached the target set at the outset of allocating 10 percent of their national budgets to agriculture.

Equipping Africa's next generation with the tools needed to build a more peaceful and prosperous future is a top priority for both African countries and the U.S. government.  The African Leaders Summit is paired with another first-of-its-kind effort, a U.S.-based training program and White House summit for 500 African leaders ages 25 to 35, part of the Young African Leaders Initiative (YALI) launched by the administration in 2010.

Simple numbers tell us why the focus must be on the next generation: as of 2012, the median age in sub-Saharan countries was 19.7 (by comparison, the U.S. median age is about 37). A startling 85 percent of all the people in sub-Saharan Africa are younger than 45.

The potential of such a young continent is enormous. But the data also point to an immense barrier to realizing that potential: hunger and malnutrition. In some countries, stunting -- an indication of chronic malnutrition early in life that affects a person's health and intellectual development for a lifetime -- affects more than 40 percent of all children.

Of the current 53 member countries of the Scaling Up Nutrition (SUN) movement, 34 are sub-Saharan African nations. SUN member countries have identified malnutrition, particularly during the 1,000 Days between a woman's pregnancy and her child's second birthday, as a critical problem in their societies. They are working together to bring proven nutrition interventions  -- many of them straightforward and inexpensive actions such as providing iron supplements to pregnant women -- to many more women, infants, and toddlers at risk. 

The African Leaders Summit, particularly today's discussion of "Resilience and Food Security in a Changing Climate," is a rare chance for leaders to use the growing partnership links between the United States and African countries to solidify global goals and concrete actions on hunger and nutrition. 

Michele Learner

The 10-Year Outlook for International Food Security

Blog 072314The 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.

Scott Bleggi

 

For Families in Central America, Heartbreaking Decisions

Percent Change in Unaccompanied minors
Why are so many more unaccompanied children crossing the U.S. border with Mexico? Most (about 75 percent) of the new wave of minors are not actually from Mexico, but have made the long journey through Mexico from the Central American countries of Honduras, Guatemala, and El Salvador.

If the surge of child migrants were caused by softer U.S. policies -- or rumors of softer U.S. policies -- we would expect many to be from Mexico. After all, Mexico, which shares its long border with the United States, is the home country of the majority of undocumented immigrants here. But as we see in the above graphic, Mexico is not the source of the increase. In fact, the number of unaccompanied Mexican children has changed little, and even declined since 2009.

The primary causes are, instead, deep poverty and extreme levels of violence in Central America. The striking disparities between the haves and have-nots in Honduras, Guatemala, and El Salvador sustain high levels of hunger and malnutrition, particularly among young children, whose rates of stunting are soaring. At the same time, the three are the most violence-plagued nations in the hemisphere. Gangs often choose to recruit elementary school children; those who refuse to join are sometimes killed along with their entire families, and girls are frequently targeted for gang rape. This is why so many of those trying to cross the U.S. border are children and teenagers.

Honduras, El Salvador, Guatemala Lead the World in Murder Rates
As long as poverty, inequality, and weak governance persist – and often worsen – many families in these three countries face a dilemma no parent should have to face: keep their children home even though they can’t protect them, or send them on long, dangerous journeys in hopes that they will reach a safer place.

To resolve the crisis of the unaccompanied child migrants, border control is not enough. The root causes are at home. Thousands of desperate families have determined that fleeing, even with the risk of never reaching their destination, is the best option their children have. The United States can do a great deal to help alleviate poverty and enable Central American governments to protect their citizens. Read more about specific policy recommendations from the Institute’s senior immigration policy analyst, Andrew Wainer. Derek Schwabe

Hacking For Women's Empowerment: What We Accomplished

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This past Saturday, Bread for the World Institute, in partnership with the website, HelpMeViz, hosted the very first HelpMeViz Hunger Report Hackathon at Bread's Washington, DC office. The event brought together a diverse group of justice-minded statisticians, web developers, coders, designers, and data geeks who volunteered their time, skills, and creative energy to take on two  compelling data questions on global women’s empowerment and nutrition. The goal? To scour massive World Bank and UN datasets to find and visualize answers. We gave them four hours. They gave us a lot to think about. Here’s our storify-style recap of how the day went down:

Two Data Challenges—Two Dynamic Groups

Challenge 1:  There’s a lot of data missing on women’s empowerment. How do we tell that story visually?

Challenge 2: Stunting hurts one in four children around the world. When women are more empowered, do stunting rates drop?

Getting Started: Cleaning Data and Brainstorming Ideas

Both teams were thrown a number of very large datasets. Some were manageable and easy to understand—most were not. So the first step was to get to know the data, share some tips on where to start, and find ways to clean it up and make it easier to analyze. The close second step was to begin brainstorming ideas for how to use that data. 

Team 1: How Do You Visualize Nothing?

Team 1 had an atypical data challenge—not to tell a story about the data that we have, but to focus on what's missing. Thankfully, they were up to it. 

Team 2: Reaching Two Audiences

After cleaning their data, team two quickly began to find correlations between increased empowerment of women and lower stunting rates. But they wondered about the best way to tell the story. For advocates and academics, a data-heavy visualization would work, but probably not for policy makers. So the team decided to craft two ways of telling the same story: an infographic, and an interactive data app. They made good use of the sketch pads. 

Four Hours Later: Data—Visualized!

By the end of the hackathon, both teams, with some help from online participants, produced some impressive visualizations and prototypes that attacked the data challenges from all angles. Heat maps, small multiples, scatter plots, bar charts and some very artful designs all brought fresh insight to the nutrition and women’s empowerment policy discussion, and striking content ideas to the 2015 Hunger Report. Here are some of them:

Number of Missing Data Points, East Asia & Pacific

Missing Women DNA Photo

 Stunting rate vs. Rate of Population with Secondary Education or Higher

We Had a Lot of Thanking to Do

New Friends Made, New Projects Started

Next Steps

It’s clear to see that many stellar ideas were born in the three hours that our two teams had to work at this hackathon. The next step in some cases is simply to refine and polish. But in others it may be to continue building out the concept. We at Bread for the World Institute are eager to create opportunities for the teams to continue their work and to ultimately ready their visualizations for publication in the 2015 Hunger Report. We are now following up to decide on the best way to continue partnering with participants to carry on the work to that point. 

Derek Schwabe

Which Country Is Most Committed to Ending Hunger?

This time last year, I  blogged about the Hunger and Nutrition Commitment Index (HANCI), which combines a number of variables to come up with a ranking of how serious a country’s central government is about fighting hunger and malnutrition. We know that lack of political will is the only reason the world hasn’t ended hunger yet – so efforts like HANCI are important.

Government commitment was measured by indicators such as the creation and implementation of new policies and programs, the strength of existing programs, and whether the efforts are supported with sufficient funding. The first HANCI, last year, ranked Guatemala at the top because of its substantial “improvements in providing clean drinking water, ensuring improved sanitation, promoting complementary feeding practices, and investing in health interventions.” HANCI also noted that the Guatemalan government had launched a national campaign, the Zero Hunger Plan.

The second HANCI report, released this week, once again ranks Guatemala, along with Peru and Malawi, at the top. In these countries, governments, civil society organizations, and international partners are collaborating on programs that are making a difference to people’s health and well-being. It is no surprise that the three are also leaders in the Scaling Up Nutrition (SUN) movement, with active civil society networks that advocate for improved nutrition with their governments. SUN countries emphasize the “1,000 Days” window of opportunity on nutrition, which lasts from a woman’s pregnancy to her child’s second birthday.

HANCI 2

In this chart from the HANCI report, nutrition rankings are the Y axis (vertical) and hunger rankings are the X axis (horizontal). The closer a country is to (1,1), like Guatemala (GTM), the higher its score.

Learn more about Guatemala’s efforts by watching a recent PBS NewsHour segment, “Widespread childhood malnutrition is a paradox in agriculturally rich Guatemala".

 

The PBS broadcast features interviews with government leaders such as Luis Enrique Monterosso, head of the country’s hunger and malnutrition agency; leading private sector businesspeople on why they believe that ending malnutrition in Guatemala is imperative; and Save the Children-Guatemala, which implements programs funded by the U.S. Agency for International Development (USAID).

Early successes in Guatemala stem from the recognition that nutrition is important across development sectors; offices devoted to agriculture, health, education, and water, sanitation, and hygiene (WASH) are all working on nutrition issues. In health, direct nutrition interventions such as feeding malnourished infants are complemented by “nutrition-sensitive” actions in other areas – actions aimed at tackling the underlying causes of malnutrition. These programs together comprise “bundled interventions,” which experts at The Lancet medical journal, the Copenhagen Consensus, and IFPRI consider one of the best uses of development assistance. Bundled interventions fight malnutrition in cost-effective ways; in fact, the benefits they bring are worth many times their cost.

Scott Bleggi

Poverty Holds Back Africa's Rise

Photo for Mozambique IMF conferenceRecently (May 29-30), the International Monetary Fund (IMF) and the government of Mozambique hosted Africa Rising: Building to the Future, a gathering of African finance ministers, central bank governors, and other leaders to look at key challenges and next steps for African economies.

“The gains of the last decade, during which many countries in sub-Saharan Africa saw sustained high rates of economic growth and an impressive reduction in poverty, have been nothing short of remarkable,” said IMF Managing Director Christine Lagarde.

“However, there is still a long way ahead to meet the aspirations of the continent," she continued. "Extreme poverty is still too prevalent ... Now is the time to look at the policies that will take the region to the next phase of its economic development.”

We know that the link between economic growth and lower poverty rates is not automatic or guaranteed. In fact, Mozambique, the host country, vividly illustrates the idea that growth, while necessary, is not sufficient.

In 2013, researchers reported that although Mozambique has enjoyed economic growth of 7 percent to 8 percent for two decades, more than half of the nation's population lives below the poverty line. Stunting among children under 5 fell only slightly in the decade 2003-2013, from 48 percent to 43 percent.

Carlos Castel Branco, an economist at the Institute for Social and Economic Studies (IESE) in Maputo, pointed out that over the same decade, 2003-2013, food production per capita in Mozambique did not increase. In fact, it has declined slightly, while food prices have increased. Castel Branco said that less than 1 percent of all private investment went to basic food production for the domestic market.

Edna Possolo, head of the nutrition department at Mozambique's Ministry of Health, said it is encouraging that Mozambique is part of the Scaling Up Nutrition (SUN) movement. The government has prepared a multi-sectoral plan to fight malnutrition; Possolo said that the greatest difficulties are in implementing the plan. Many people believe that malnutrition is purely a health problem, and thus, only the Ministry of Health needs to be involved. Donors often prefer to fund programs to cope with the symptoms of malnutrition, rather than structural approaches that take longer to achieve tangible results.

But more donors are involved than five years ago, Possolo said. And Mozambique's civil society is receiving support from the SUN Multi-Partner Trust to help ensure that the full plan is implemented.

The priority measures that Mozambique has identified and begun to carry out include: a large-scale vitamin A supplementation and deworming program for children ages 6 months to 5 years; iron and folic acid supplementation for pregnant and postpartum women; treatment of acute malnutrition; optimization of infant and young child feeding practices; and large-scale fortification of wheat flour and edible oils.                     .

These two areas of focus -- supplementation for vulnerable people and fortification to supply the nutrients everyone needs -- are in line with the emphasis on ordinary low-income people that the Africa Rising meeting participants agreed is needed to fight poverty in Africa. A deeper structural transformation is needed so that ordinary citizens can benefit from the boom, participants declared. As the joint declaration approved at the meeting points out: "Policies need to be designed in such a way to ensure that a surge in growth can also spur structural transformation."

Photo: Gustavo, 2, with his mother Constantia in Cobue, Mozambique. Gustavo has recovered from severe malnutrition -- the result of a bout of malaria at a year old. Photo by Rebecca Vander Meulen.

Michele Learner

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