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12/14/2015

6 steps to reducing global child malnutrition | ONE

Fortunately, we have an incredibly useful tool in our hands: The 2013 Lancet Series on Child
and Maternal Nutrition, a set of reports that highlights the evidence behind what works in
nutrition and who needs our urgent attention.
The 2013 Lancet report updates and expands the landmark 2008 series on nutrition that
identified a set of proven, cost-effective interventions designed to improve nutrition in the
first 1,000 days of a childs life. Here are some of this years reports biggest takeaways
for the international community as it strives to reduce the number of chronically
undernourished children by 20 million by 2020:

1. Prioritize the 1,000-day window: 3.1 million children die every year due to malnutrition.
An additional 165 million children who manage to survive malnutrition in their early years
experience stunted growth and cognitive development, undermining their future
productivity and therefore income. We need to focus on nutrition of mothers and children
during a childs first 1,000 days, an effort that can have long-term consequences for
growth, health and intellectual capacity.
2. Bring girls health into focus: More than one in four children born in low- and middleincome countries are underweight for their age. In addition, most pregnant women living in
these countries cannot access nutrition services until the fifth or sixth month of their
pregnancies, if at all. As a result, their children start their lives already malnourished. If we
prioritize the health of women and girls, we can boost general nutrition, reduce pregnancy
complications and boost fetal growth and development.
3. Expand reach through community health workers: Community health worker
programs offer a prime opportunity to increase already successful nutrition programs
coverage and provide services to populations who presently lack access. Several countries,
including Ethiopia, have already started investing in community health worker programs to
promote maternal and child health and nutrition with great success. Community health
workers hold great promise to bring nutrition services to those most vulnerable to
malnutrition, and their capacity to carry out this work should therefore be strengthened.
4. Align other sectors with nutrition goals: It seems common sense that agriculture,
social safety nets and other important sectors could also play a role in advancing nutrition
progress. Yet until this point, these programs have often not been designed, implemented
or evaluated with improved nutrition outcomes in mind. Going forward, countries should
take the opportunity to better integrate nutrition goals into these sectors. Donors should
also support rigorous impact evaluations and studies to build a richer evidence base of
what works with nutrition-sensitive approaches in agriculture, social safety nets and other
sectors.
5. Devote funding to nutrition programs: The economic toll of malnutrition, on individuals
and even countries, is astonishing. Malnutrition can rob individuals of up to 10 percent of
their annual earnings and cost African countries up to 11 percent of their annual GDP. The
good news is malnutrition solutions offer sound investments for countries futures.
However, many national nutrition plans are only 20 percent funded. Countries must start
prioritizing nutrition programs within their national budgets.
6. Sustain global commitment: Progress towards reducing malnutrition will require a
steadfast commitment from the international community. USAID recently pledged over $10
billion for global nutrition programs for 2012 to 2014, and other countries have similarly
stepped up their commitments.

Moving forward, donors will need to show patience in awaiting outcomes of nutrition
programs, as results cannot be clearly measured until a childs second birthday. We also
need to hold policymakers accountable to their commitments to nutrition progress and
harness the global momentum on nutrition to produce more effective programs.

http://www.one.org/us/2013/06/20/6-steps-to-reducing-global-child-malnutrition/

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12/14/2015

6 steps to reducing global child malnutrition | ONE

harness the global momentum on nutrition to produce more effective programs.

http://www.one.org/us/2013/06/20/6-steps-to-reducing-global-child-malnutrition/

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