128 posts categorized "Malnutrition"

Good news for data nerds: The OECD has just released its latest disposable income, poverty and inequality numbers for all of its 34 member states. You can access the entire data set here, but don't miss the the fun interacive tools that were released along with it. OECD was kind enought to make them embeddable:

So what are the key stories in this beautifully arranged chart? You may not find them all that surprising:

• Poverty and  inequality have grown in OECD countries since the global recession of 2007-2008.
• The United States still has greater-than-average inequality and relative poverty than the typical OECD country.
• The United States has less pre-tax/transfer poverty than most other countries.
• The overall OECD unemployment rate has eased slightly to 8.0%.
• Iceland, Slovenia, Norway and Denmark shared the lowest poverty rate of member countries, while Israel bore the highest at 21%.

This data release is well timed, just before the 39^th G-8 summit to be held in Lough Erne, Northern Ireland between June 17-18. As member states gather to focus on shared global development goals like advancing trade, ensuring tax compliance, and promoting greater transparency, the OECD offers a humbling reminder that poverty, hunger, and inequality are on the rise across the developed world. A global committment to solving the poverty problem will require committment from all countries, regardless of income level. This is still everyone's problem.

In my last blog I mentioned that we now know what malnutrition is and what to do to overcome it. Much has been written about the “1,000-day window of opportunity,” the period from a woman’s pregnancy to her child’s second birthday. A growing body of scientific evidence shows that malnutrition during this critical time can carry lifelong consequences for a person’s health, education and earnings. When chronic malnutrition affects a large number of people, it can even affect a country’s economy.

The better news is that interventions to prevent and treat malnutrition during the 1,000-day window are not only highly effective, but also great investments in development, with very high returns for every dollar invested. Since nutrition is an integral part of all development sectors, it is often referred to as being “cross-sectoral” in nature. It means that improving a person’s health, or education, or economic situation can have a positive, sustainable influence on malnutrition. Improving nutrition isn’t just about growing more food or having better access to food anymore.

So, if we know what malnutrition is and what actions are required to defeat it, and if we have shown that investing in nutrition is a smart thing to do, what is holding back “scaling up” nutrition on a global scale?  The Scaling Up Nutrition (SUN) movement now includes 35 countries, all with high levels of malnutrition. Even though some SUN members are among the poorest countries in the world, every SUN country has committed political and financial resources to take action against malnutrition. Could it be that a country’s commitment to fighting hunger and malnutrition is what is important?

What if an index of a country’s commitment was available to help measure and motivate concerted action?  The Institute of Development Studies in the United Kingdom, along with the British and Irish aid agencies, has produced just such an index, called the Hunger and Nutrition Commitment Index (HANCI). Last year, the International Food and Policy Research Institute (IFPRI) noted in its Global Hunger Index that in recent years, progress in reducing hunger has been “worryingly slow.” The report found that in many developing countries, significant economic growth has not necessarily led to lower levels of malnutrition and hunger. Rather, a driving factor in making (or not making) progress on malnutrition seems to be a government’s political will (or lack thereof).

The Global Hunger Index treats efforts to reduce hunger and to reduce malnutrition as separate issues. Hunger is a key driver of migration, conflict, and gender discrimination. Malnutrition, the report found, can have different causes and consequences. It does not always come directly from hunger. One example of another cause is an impaired ability to absorb vitamins and minerals (micronutrients) due to disease.

So which countries are doing well according to the HANCI?  The results indicate that Guatemala ranks at the top and Guinea Bissau (a small West African nation) at the bottom. The index provides an interesting set of information graphics that can be studied. Guatemala has made a substantial political commitment to improving access to clean drinking water, ensuring improved sanitation, promoting complementary feeding practices, and investing in health interventions. I’ve blogged previously about its “Zero Hunger Plan.” Guinea Bissau, on the other hand, has a low ranking because it has failed to invest in agriculture, leaving women in particular vulnerable to hunger and malnutrition; in addition, the country has not yet developed effective safety nets that can provide its citizens with a measure of food security.

In recent years, we’ve seen a truly incredible level of global momentum on nutrition. But how are the major donors doing when it comes to following through on their political commitments to ending hunger and malnutrition?  Where would the United States, Canada, Australia, and the EU rank on the HANCI? Do these governments endorse policies and provide funding for programs that augment the efforts of the developing countries most affected by hunger, chronic food insecurity, and malnutrition?

A series of events in June 2013 will help answer these questions, indicating whether donor governments are “walking the walk” -- or just talking -- about their commitment to nutrition.

First, in London on June 8, the U.K. government will host the “Nutrition for Growth” event, during which governments will pledge specific monetary amounts to help scale up nutrition. Following this, during Bread’s National Gathering, we are hosting an event in Washington, DC, called “Sustaining Political Commitments to Scaling Up Nutrition”, to build on our very successful 2011 event. The Call to Action will bring 40 civil society representatives from SUN countries to discuss SUN’s next steps -- and what’s needed to carry them out -- with U.S. government officials, non-governmental organization nutrition stakeholders, and others, including Bread’s grassroots activists who will be in Washington, DC, for the National Gathering. Participants will be able to judge for themselves whether the U.S. government is “walking the walk” on its commitment to ending malnutrition, particularly among women and children.

Stay tuned to this space and the Bread for the World blog for more information.

Scott Bleggi is Senior International Policy Analyst in Bread for the World Institute

One of Bangladesh's main exports is fish. Photo credit: USAID.

Dr. Muhammed Yunus and the Grameen Bank are well-known pioneers of microfinance -- i.e., making modest loans to poor people that enable them to create sustainable improvements in their lives, largely by building small businesses. When Yunus founded the Grameen Bank in Bangladesh in 1983, the necessity of country-led development, let alone decision-making by poor people themselves, was not recognized. Lending a woman $75 to buy a sewing machine was a revolutionary concept.

Much has been written since then about the microfinance movement, its accomplishments, continuing debates, and more. Here, we emphasize one of Grameen's contributions to our understanding of global poverty: a very concrete definition that can help educate policymakers in donor countries about its realities and solutions.

In the United States, we tend to define poverty in terms of dollar income. So we readily understand the idea of an international poverty line -- originally $1 a day, now $1.25. Donors also realize that poverty has many implications for hunger, health, education, and other spheres. But the Grameen Bank recognized early on that poverty occurs in a context, and that communities themselves must determine who is poor and what it means to leave poverty.

Yunus and Grameen developed a checklist of 10 indicators that gauge whether a microfinance participant and her family have, in fact, escaped from poverty in Bangladesh. It's a helpful counterbalance to our sometimes abstract notions of who "the poor" are and what their priority needs might be. The specifics are:

• The family home has a tin roof or is valued at 25,000 taka or more (about $300-$325). Each member of the family sleeps in a bed rather than on the floor.
• The family drinks clean water -- either from wells, or boiled, or purified using arsenic-free tablets.
• All children age 6 or older are either going to school or have finished primary school.
• The microloan is being repaid in installments of at least 200 taka a week (about $2.50). 
• The family uses a sanitary latrine.
• Family members have adequate everyday clothing, warm clothing for winter (such as sweaters and blankets), and mosquito nets.
• The family has a source of additional income, such as a vegetable garden or fruit trees, that they can fall back on when necessary.
• The microloan borrower maintains an average savings account balance of 5,000 taka (about $60-$65).
• The family has no difficulty providing each member with three square meals a day throughout the year. 
• The family can afford necessary medical treatment if someone falls ill.

Grameen's indicators proved to be a reliable way of identifying those most in need and gauging their progress. Later, the indicators were broadened to form the Progress out of Poverty Index (PPI). The PPI uses similar data -- including what material a family's roof is made of -- to enable development organizations to calculate how likely it is that a given family lives below the national poverty line. So far, PPIs have been tailored to conditions in 45 countries.

Just a couple of weeks ago, Yunus was here in Washington, DC, to receive the Congressional Gold Medal. Along with the Presidential Medal of Freedom, it is the highest American award for civilians. In 2006, Yunus and Grameen Bank won the Nobel Peace Price. Both have clearly made major contributions to Bangladesh's significant progress against hunger. For more on how that progress is being sustained, see the introduction to the 2013 Hunger Report, Within Reach: Global Development Goals.

Michele Learner is associate editor for Bread for the World Institute.

It’s easy to forget that hunger and malnutrition are still big problems here in the Western Hemisphere. The focus tends to be on countries in Africa and South Asia, where malnourished women and children are more visible and international organizations more active. In previous posts on Institute Notes, I’ve written about traveling to Guatemala and described efforts now under way to reduce the country’s stubbornly high rates of maternal/child malnutrition.

Today 1,000 children will be born in Guatemala. If the past predicts the future, half of these babies will grow up stunted (far too short for their age). Stunting causes children to be more susceptible to illness and less likely to do well in school. People who are stunted have lower lifetime earnings than their peers, and they are more likely to raise stunted children themselves. Does this make you a little angry?  When a national survey in Guatemala revealed that less than 1 percent of the respondents thought malnutrition was a problem in the country, it angered President Perez Molina more than a little. He ordered every member of his cabinet to spend time living with a family facing chronic food shortages and malnutrition. Many such families are indigenous Guatemalans in difficult to reach mountainous regions.

It didn’t stop with the cabinet. In the end, 6,212 middle- and high-income Guatemalans -- officials, families, members of church and civil society groups -- connected with some of the poorest people in their country. The result was a nationwide commitment to break the cycle of malnutrition and stunting. It’s an ambitious goal in the sense that malnutrition is an entrenched problem that has persisted for decades despite earlier attempts to solve it. In a country whose president is limited to one term (four years), it has proven difficult to muster the political will to initiate actions that might not be sustained. But the Perez Molina administration reconvened after the rural visits to launch a concerted nationwide effort to scale up nutrition in Guatemala. The Zero Hunger Pact was born.

“Zero Hunger” has two main goals:  to reduce chronic malnutrition among children by 10 percent and to prevent deaths caused by acute malnutrition by focusing on seasonal hunger (the spike in hunger that generally comes just prior to harvest time). A series of specific actions to combat malnutrition and to encourage people to participate have been developed. The pact’s other areas of focus are to include promoting development and fighting poverty, especially among indigenous rural women. Activities have now begun in various parts of the country, and plans call for expansion in 2014 and 2015.

Last week, I attended a meeting about the Zero Hunger Pact at the State Department, along with Guatemalan government leaders; the State Department’s Acting Special Representative for Global Food Security, Jonathan Shrier; and USAID’s Assistant to the Administrator for the Bureau of Food Security, Paul Weisenfeld. With the strong backing of Guatemala’s president, leaders from government, the private sector, nongovernmental organizations, and civil society are working together on a plan to make sustainable improvements in nutrition.

Guatemala has been active in the global Scaling Up Nutrition (SUN) movement, which now brings together 34 countries committed to improving maternal and child nutrition. The world now knows what to do and how to do it. What Guatemala has added is political will at its highest level, a national budget allocation, and public commitment.

The Zero Hunger Pact says it best:

“Today we dare dream about a different Guatemala, in which children with smiles are free from hunger and reach their full potential. We have launched the process of change and as a society we are ready to pay the cost for reaching our collective success. What used to divide us, brings us together now in the fight for one single cause:  to eradicate malnutrition.”

So with this blog we can salute Guatemala for its efforts, along with other SUN Movement countries who are making political decisions and changing government policies to reduce malnutrition.

  Scott Bleggi is Senior International Policy Analyst in Bread for the World Institute

The Obama administration's FY2014 budget request includes several reforms to U.S. emergency food assistance that Bread for the World has long supported. Perhaps most important, it allows greater flexibility in where and how food aid can be purchased and distributed.

This week, USAID Administrator Rajiv Shah explained very clearly why the change is needed. Here's part of what he said about his visit to a refugee camp in Kenya at the height of the Somali famine of 2011: 

"Armed groups ... attacked our food convoys and targeted food distribution centers. In the hardest hit areas of southern Somalia where these militants ruled, food aid couldn’t save lives.

"But cash transfers could. Through electronic cash transfers and vouchers, we could extend a lifeline to communities our food aid couldn’t reach. Thanks to this flexibility, we were able to help more than 90,000 families in inaccessible and insecure areas buy readily available food in their communities."

Saving lives in emergencies is, of course, the primary goal of food aid. That's reason enough. But look again at the last phrase in Shah's quote: "readily available food in their communities." It's a reference to a second highly persuasive argument for increased flexibility for local and regional purchase of food aid, one that dovetails perfectly with our focus here at Bread on longer-term solutions to hunger. Often, food is available, even as large numbers of children die of malnutrition. The problem is that local food prices skyrocket during droughts and other natural disasters, and families cannot afford to buy food. Supporting community-based solutions to emergencies -- i.e., enabling families to purchase food locally, thus generating income for other local families -- will help communities recover.

Once the acute phase of a hunger crisis is over, communities are left to rebuild their food systems. As an April 11 statement endorsed by Bread and 10 partner organizations explains, the proposed reforms would "Promot[e] sustainable solutions that build local food markets and support small producers to become more productive and resilient in countries that struggle to overcome chronic food insecurity."

For more information, read Bread's statement on the FY2014 budget proposal.

  Michele Learner is associate editor for Bread for the World Institute.

Precise, complete, and up-to-date data. Everyone working on hunger policy knows how important it is. In fact, access to it would be a dream come true. Instead of wishing after the fact that we could have done more to prevent or at least mitigate hunger crises large and small, chronic malnutrition in the 1,000-day window before a child’s second birthday, and the micronutrient deficiencies that cause conditions such as rickets and intellectual disabilities, we would have the information available in time to “do something.”

We’re getting closer to that dream, thanks to ever-expanding global networks and the rapid progress of real-time communication technologies. The United Nations Food and Agriculture Organization (FAO), arguably the most comprehensive and reliable source of international hunger and food security data, has just unveiled a promising new hunger tracking tool — perhaps its first true hunger tracking tool — which uses the new technology to speed up the collection of accurate data. FAO calls it the Voices of the Hungry Project. The name fits, since the goal is to lend a far more sensitive and responsive ear to people living with hunger.

Even at FAO, existing hunger data collection and analysis methods take as long as two or three years to bring accurate data from its source to world attention. By then it is often too late to respond effectively. Most FAO food consumption surveys are administered only every five years, and they don’t always include individual-level responses.

Exciting news! @faonews to pilot a new, faster, more precise way of measuring global #hunger and #foodsecurity: ow.ly/j9x0q

— Bread Institute (@breadinstitute) March 18, 2013

Twitter was all abuzz over  FAO's new tool. Bread for the World Institute was talking about it too. 

The Voices of the Hungry Project will select representative samples of 1,000 to 5,000 people per country, depending on the national population. Individuals will be asked to answer eight questions to gauge the depth and frequency of any food insecurity they experienced in the previous year. More specifically, the questions measure whether respondents are experiencing mild, moderate, or severe food insecurity on a “Food Insecurity Experience Scale.” 

Respondents are asked to indicate whether, in the past 12 months, there was a time when, because of lack of money or other resources:

1.    You were worried you would run out of food.
2.    You were unable to eat healthy and nutritious food. 
3.    You ate only a few kinds of foods.
4.    You had to skip a meal.
5.    You ate less than you thought you should.
6.    Your household ran out of food.
7.    You were hungry but did not eat.
8.    You went without eating for a whole day.

The survey results will be available in days rather than years, allowing FAO to take an almost real-time snapshot of a nation's food security situation.

Chapter 1 of Bread for the World Institute’s 2013 Hunger Report delineates the high costs of delayed data collection. It tells the story of FAO’s struggle to accurately track rising hunger and food insecurity during and after the food price crisis of 2008-2009. The data was not made available until a year or more after the crisis began. Moreover, some of it was later discovered to be significantly inaccurate.

The effectiveness of nutrition programs, the credibility of statements about progress or lack of progress on hunger, and the integrity of broader development initiatives such as the Millennium Development Goals (MDGs) depend on reliable data. Measurable, accurate results provide the crucial backing to show whether a proposed solution is likely to work. FAO’s Voices of the Hungry Project will help get the facts about who is hungry out in a faster, more accurate way.

Read more about the food price crisis of 2008-2009, changing data collection methods, and the MDGs in chapter one of the 2013 Hunger Report, Within Reach: Global Development Goals.  

Although each of the U.N. Millennium Development Goals (MDGs) is important, some include more specifics than others. MDG 3 is to "promote gender equality" -- quite a sweeping task-- but its specific targets and indicators focus mainly on gender parity in education (at all levels -- primary, secondary, and tertiary) and a related indicator, the ratio of literate women to men in the age group 15 to 24. It's clear that education for girls is critically important and leads to improvements both in women's own lives and those of their children. By itself, though, gender parity in education is not enough to achieve gender equality. 

Yet gender equality is not only a core development objective, it is also smart economics. Empowered women and men can improve a society's productivity, offer their children greater opportunities, and make institutions more representative. It benefits everyone.

Bread for the World Institute's 2013 Hunger Report,  Within Reach: Global Development Goals emphasizes both the intrinsic value and instrumental value of gender equality. Today, we know that removing barriers that prevent women from having the same access as men to education, economic opportunities, and productive inputs can generate broad based productivity gains -- gains all the more important in an increasingly competitive society. Additionally, leveling the playing field so that women and men have equal chances to actively engage socially and politically -- to make decisions and shape policies -- is likely to lead over time to more representative, and more inclusive institutions and policy responses.

Staggering evidence based on the upcoming 2012 Global Food Policy Report of the  International Food Policy Research Institute (IFPRI) reveals that almost 55 percent of the reduction in hunger from 1970 to 1995 can be attributed to improvements in women’s status in society. Additionally, it is estimated that global malnutrition could be reduced by 12 percent to 17 percent if gender barriers were eliminated and women farmers were able to match the yields of male farmers.

It is true that the lives of girls and women have changed dramatically over the past 50 years. While the pace of change has been astonishing in some areas, in other areas, progress toward gender equality has been limited — even in developed countries.

Photo Credit: FAO-IFAD-WFP

What is also becoming increasingly clear is that income growth by itself does not deliver greater gender equality on all fronts. In fact, where gender gaps have closed quickly, it is because of how institutions and markets — both formal and informal—have functioned and evolved, how growth has played out, and how all these factors have interacted through household decisions. For example, how has the global progress in girls' education come about? A combination of factors -- income growth (which loosens budget constraints), markets (which open new employment opportunities for women), and formal institutions (which expand school systems and lower costs) -- came together in a broad range of countries to influence household decisions in favor of educating girls and young women.

So is women's empowerment important? Yes -- in order to achieve the MDGs, we must redouble our commitment to support women and girls in achieving their full potential. We need to prioritize MDG 3 alongside the other seven goals.

Knowing is not enough, we must apply. Willing is not enough, we must do-- Johann Wolfgang

   Faustine Wabwire is senior foreign assistance policy analyst at Bread for the World Institute.

International Women’s Day on March 8 kicked off a conversation about the progress being made in improving nutrition among vulnerable groups such as pregnant women and young children. For good reason, much of the U.S. development assistance for nutrition is focused on the 1,000-day “window of opportunity” from a woman’s pregnancy to her child’s second birthday. Improvements in nutrition during this period can benefit children for a lifetime.

But “breaking the cycle” of poverty, hunger, and malnutrition is difficult for structural, economic, political, and social reasons. Poorly nourished women are more likely to give birth to low birth weight babies who often do less well in school and suffer lifelong health problems. The cycle continues when this generation has its own babies, particularly among girls who give birth when they are still at too young an age. In many countries this cycle has continued for generations, especially among vulnerable groups such as ethnic minorities and those who live in remote, hard to reach areas. During my visit last year to Bangladesh, I saw some of these problems but I also noticed signs that the situation is improving. Two factors that are helping are better educational opportunities for girls and women, and a trend toward smaller families. Fewer children generally means more food and better nutrition – it’s more likely that there will be enough food left over for a youngest daughter, even in cultures where men, boys, and older girls eat first.

A Bangladeshi mother and daughter at a health clinic.  Photo: Todd Post

In South Asia, many women and girls are chronically ill due to a lack of proper nutrition. There are several contributing factors: poverty; lack of proper health care; malnutrition early in life, which leaves its survivors more susceptible to disease; lack of nutritional knowledge; and patriarchal family structures that may relegate girls and women to eating only whatever is left over or primarily less nutritious foods. Ambassador David Lane, U.S. ambassador to the U.N. Agencies for Food and Agriculture, recently mentioned the “3 A’s” that affect both the quantity and quality of food consumption. These are availability of a nutritious and diverse supply of food, access to it (it’s better not to be that youngest daughter), and absorption of vitamins and minerals. He called for a multisectoral strategy to find solutions in these three areas.

The impact of all the various factors that make young women likely to be malnourished and chronically ill come to a head during pregnancy -- one of the most vulnerable times in a person’s life. About 60 percent of South Asian women in their childbearing years are underweight due partly to a lack of proper nutrition during their own childhoods. Also, eight out of 10 South Asian women are anemic (lack iron) during pregnancy, and many suffer from chronic energy deficit (lack of sufficient calories).

A lack of adequate nutritional knowledge is a big contributor to malnutrition, carrying with it the risk of improper cooking methods, poor hygiene, and too little variety in the diet. Also a major contributor is a lack of resources to prepare food using safe water and to purchase and consume a variety of fruits, vegetables, and protein-rich foods. Development assistance programs that recognize the important role of nutrition in various sectors, such as agriculture, health, and gender, offer countries an opportunity to educate families so that the cycle of malnutrition can be broken rather than repeated.

  Scott Bleggi is Senior International Policy Analyst in Bread for the World Institute