A
new UNICEF report issued on 15th April 2013 offers evidence that real progress
is being made in the fight against stunted growth the hidden face of poverty
for 165 million children under the age of five. The report shows that
accelerated progress is both possible and necessary.
Improving
Child Nutrition: The achievable imperative for global progress confirms that a
key to success against stunting is focusing attention on pregnancy and the
first two years of a child's life. Stunting in a child is not only about being
too short for his or her age. It can also mean suffering from stunted
development of the brain and cognitive capacity.
"Stunting
can kill opportunities in life for a child and kill opportunities for
development of a nation," said UNICEF Executive Director Anthony Lake.
"Our evidence of the progress that is being achieved shows that now is the
time to accelerate it."
One
in four of all under-5 children globally are stunted because of chronic under
nutrition in crucial periods of growth. An estimated 80 per cent of the world's
stunted children live in just 14 countries.
The
UNICEF report highlights successes in scaling up nutrition and improving
policies, programmes and behaviour change in 11 countries: Ethiopia, Haiti,
India, Nepal, Peru, Rwanda, the Democratic Republic of the Congo, Sri Lanka,
Kyrgyzstan, the United Republic of Tanzania and Viet Nam.
The
damage done to a child's body and brain by stunting is irreversible. It drags
down performance at school and future earnings. It is an injustice often passed
from generation to generation that cuts away at national development. Stunted
children are also at a higher risk of dying from infectious diseases than other
children.
But
in parts of India home to 61 million stunted children progress is still being
made. In Maharashtra, the country's wealthiest state and second most populous,
39 per cent of children under two were stunted in 2005-2006. That however
dropped to 23 per cent by 2012, according to a statewide nutritional survey,
largely by supporting frontline workers improving child nutrition.
In
Peru, stunting fell by a third between 2006 and 2011 following a Child
Malnutrition Initiative that lobbied political candidates to sign a '5 by 5 by
5' commitment to reduce stunting in children under 5 by 5 per cent in 5 years
and to lessen inequities between urban and rural areas. Peru drew on its experience
of successful smaller projects and integrated nutrition with other programmes.
It also focused on the most disadvantaged children and women and decentralized
government structures.
Ethiopia
cut stunting from 57 per cent to 44 per cent and under-5 mortality from 139
deaths per 1,000 live births to 77 per 1,000 between 2000 and 2011. Key steps
included a national nutrition programme, providing a safety net in the poorest
areas and boosting nutrition assistance through communities.
Stunting
and other forms of under nutrition are reduced through a series of simple and
proven steps such as improving women's nutrition, early and exclusive
breastfeeding, providing additional vitamins and minerals as well as
appropriate food especially in pregnancy and the first two years of a child's
life.
The
report says that existing solutions and the work of new partnerships, including
the Scaling Up Nutrition movement, create an unprecedented opportunity to
address child under nutrition through countries accelerating progress through
coordinated projects with donor support and measurable targets.
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