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chronic malnutrition

Can cash transfers solve Bangladesh’s malnutrition?

Rubaba Anwar's picture
Silvi and her mother arrive with Silvi’s birth certificate to enroll into Jawtno. a cash transfer program aimed to help 600,000 poor families in Bangladesh access prenatal and child care.
Silvi and her mother arrive with Silvi’s birth certificate to enroll into Jawtno. a cash transfer program that aims to help 600,000 poor families in Bangladesh access prenatal and child care. Credit: World Bank


Silvi is eight months old. She lives in a remote village in one of the poorest regions of Bangladesh.
 
Her mother Maya often reflects on her pregnancy and worries about her daughter’s wellbeing as she recalls her morning sickness, the uncertain and painful birth, and the long nights at Silvi’s side as the baby lay wide awake wailing, fighting one illness after the other.
 
She remembers, too, the thrills of hearing Silvi giggle at the sound of her rattle, and when she began to crawl.
 
Despite the little joys that her baby brings to Maya, Silvi’s early childhood was marked with apprehension: Shouldn’t she be a little heavier? When will she learn to walk? Will she be healthy and intelligent enough to earn a decent living when she grows up? Or would she be handed down her parents’ poverty and get married like Maya had to, at only sixteen?
 
But with the right kind of support, Silvi can have a chance at a better life and bring her family out of poverty.
 
Growing evidence has shown that adequate nutrition before birth and the two years after – or in the first 1,000-days – has lasting effects on a child’s intelligence and brain development.
 
When they’re properly fed and exposed to learning, children can reach their full potential and break the poverty trap.
 
Thus, investing in early childhood nutrition and cognitive development (CNCD) is critical to curbing poverty in a country like Bangladesh, where 36 percent of children below the age of 5 are stunted —or too short for their age--, low birth weight is prevalent, and maternal nutrition remains poor.
 
Sadly, poor families like Maya’s are not utilizing services available to them.  

The quest for a well-resourced holiday meal

Idah Z. Pswarayi-Riddihough's picture
Financial Markets…The dollar extended its gains on Monday, pushing oil and gold prices lower, on a better-than-expected US retail sales report for April, bolstering optimism in the world’s biggest economy. The DXY index, which tracks the greenback’s values against its major counterparts, has gained 5% since Friday. The S&P 500 index opened lower amid some profit taking after rising to a record high on Friday. US Treasuries meanwhile continued to fall, pushing the benchmark 10-year yield to a seven-week high of 1.92%, on lower demand for safe-haven government bonds.

Rural Bangladeshis filming their way to better nutrition

Wasiur Rahman Tonmoy's picture
Local communities in the Chittagong Hill Tracts have created awareness videos to encourage the consumption of nutritious foods, including indigenous foods, threatened by packaged food products with low nutritional value
Local communities in the Chittagong Hill Tracts of Bangladesh have created awareness videos to encourage the consumption of nutritious foods, including indigenous foods, threatened by packaged food products with low nutritional value.

In Bangladesh, chronic and acute malnutrition are higher than the World Health Organization’s (WHO) thresholds for public health emergencies—it is one of 14 countries where eighty percent of the world’s stunted children live.
Food insecurity remains a critical concern, especially in the Chittagong Hill Tracts (CHT).
 
Located in the southeastern part of Bangladesh, CHT is home to 1.7 million people, of whom, about a third are indigenous communities living in the hills. The economy is heavily dependent on agriculture, but farming is difficult because of the steep and rugged terrain.
 
With support from the South Asia Food and Nutrition Security Initiative (SAFANSI), the Manusher Jonno Foundation (MJF) conducted a food and nutrition analysis which finds that more than 60% of the population in CHT migrates during April – July when food becomes harder to procure.
 
Based on these findings, MJF helped raise awareness through nutrition educational materials and training.  The foundation staff also formed courtyard theatres with local youth to deliver nutrition messages, expanded food banks with nutritious and dry food items, and popularized the concept of a “one dish nutritious meal” through focal persons or “nutrition agents” among these communities.

Tackling India’s hidden hunger

Edward W. Bresnyan's picture
India’s National Dairy Development Board (NDDB)
With India’s rapidly growing dairy industry, large-scale milk fortification of Vitamins A and D is a robust vehicle for increasing micronutrients intake across the population. Credit: India’s National Dairy Development Board (NDDB)  
Micronutrient deficiencies, especially Vitamin A and D, are prevalent in India. 
 
Yet, these deficiencies -- often referred to as ‘hidden hunger’ -- go largely unnoticed and affect large populations.
 
Night blindness, a condition afflicting millions of pregnant women and children, stems from low intake of foods rich in essential nutrients like Vitamin A.
 
Budget constraints limit access to nutrient-rich foods for many families, who are unaware or unable to afford a nutritious diet.
 
National programs help supplement diets with Iron and Vitamin, but their scope is too narrow to adequately address these deficiencies.
 
 India’s National Dairy Development Board (NDDB)  
Food fortification is a relatively simple, powerful and cost-effective approach to curb micronutrient deficiencies. It is in general socially accepted and requires minimal change in existing food habits. Credit: Credit: India’s National Dairy Development Board (NDDB)


Fortified Milk Helps Increase Vitamins Intake
 
When fortified with vitamin A and D, milk, which remains a staple for many Indians, can help alleviate dietary deficiencies when supplementation is not available.

Food fortification is a relatively simple, powerful and cost-effective approach to curb micronutrient deficiencies. It is in general socially accepted and requires minimal change in existing food habits.

The process is inexpensive and costs about 2 paisa per liter or about one-tenth of a cent.  And because it only adds a fraction of daily recommended nutrients, the process is considered safe.

For these reasons, food fortification has been successfully scaled up in some emerging economies.

However, except for salt fortification with iodine, India has not yet achieved large-scale food fortification. 

With India’s rapidly growing dairy industry, large-scale milk fortification of Vitamins A and D is a robust vehicle for increasing micronutrients intake across the population.

When nutrition meets WASH: reflections from Ethiopia and Madagascar on fighting stunting

Claire Chase's picture
Photo: Sinkdd/Flickr
For many countries, damages and losses related to transport are a significant proportion of the economic impacts of disasters, often more than destruction to housing and agricult+ure in value terms. For example, a fiscal disaster risk assessment in Sri Lanka highlighted that over 1/3 of all damages and losses over the past 15 years were to the transport network. In addition, climate change increases the damages and losses.
 
In the Kyrgyz Republic, where 96% of all cargo travels by road, any disaster-related disruptions to the road network would have severe repercussions on the economy. The Minister of Transport and Roads, Mr. Zhamshitbek Kalilov, is charged with protecting these systems from all kinds of natural hazards, from avalanches to floods.
 
Working to support country officials, like Mr. Kalilov, is why the World Bank Resilient Transport Community of Practice (CoP) and the Disaster Risk Management Hub of the Global Facility for Disaster Reduction and Recovery (GFDRR) organized the Technical Knowledge Exchange on Resilient Transport on May 8-12.

Held in Tokyo, the week-long exchange brought together World Bank clients and teams from 16 countries across all regions to share concepts and practices on resilient transport, including systems planning, engineering and design, asset management, and contingency programming. The exchange drew upon the experience of several countries and international experts who showcased innovative approaches and practical advice on how to address risk at every phase of the infrastructure life-cycle.

Happy New Year! In Sri Lanka, a time to celebrate many things – and to think

Idah Z. Pswarayi-Riddihough's picture
 Joe Qian / World Bank
A group of women in a Sri Lanka Estate. Credit: Joe Qian / World Bank

Happy New Year to all our Sri Lankan friends and colleagues celebrating the Sinhala and Tamil New Year this month; and Happy Easter to those celebrating it.

This is my first opportunity to celebrate these various holidays in my adopted country. I love the energy, the buzz of excitement everywhere and the decorations coming up in many of the commercial districts. I have been asking so many questions about the importance of the New Year holiday; and at the same time enjoying the preparations for the festivities, the anticipation of the big day as well as the serious messages.

I have learnt that the Sinhala and Tamil New Year, also known as 'Aluth Avurudda' (in Sinhala) and 'Puthandu' (in Tamil) is very important to all Sri Lankans and it celebrates the traditional Lunar New Year. It is celebrated by most Sri Lankans – a point of Unity and a Joyful occasion.

Even more importantly the holiday coincides with the New Year celebrations of many traditional calendars of South and South East Asia – a regional point of unity! Above all, this is also known as the month of prosperity.

So what does the holiday mean to you as a Sri Lankan, or maybe you are someone like me who may not be Sri Lankan but loves the country and its people?    

At the World Bank Group, promoting shared prosperity and increasing the incomes of the poorest 40 percent of people in every country we work in is part of our mission. The first goal is to end extreme poverty or reduce the share of the global population that lives in extreme poverty to 3 percent by 2030.

Malnutrition denies children opportunity and stunts economic development

Axel van Trotsenburg's picture

Nearly 50 years ago, books such as Asian Drama: An Inquiry Into The Poverty Of Nations, by the Swedish economist and Nobel laureate Gunnar Myrdal, offered a dire prediction of famine and poverty for the region in coming decades.

Campaign Art: 805 million names with Zlatan Ibrahimović

Roxanne Bauer's picture

People, Spaces, Deliberation bloggers present exceptional campaign art from all over the world. These examples are meant to inspire.

There are around 805 million people facing hunger around the world, according to the State of Food Insecurity in the World 2014 report by the Food and Agriculture Organization of the United Nations. Of this total, more than 50% live in Asia and the Pacific, and around 25% live in Sub-Saharan Africa.  However, as a percentage of the population that are hungry, sub-Saharan Africa has the highest prevalence hungry people. Despite these startling figures, many people are unaware of the hunger many people face.

Zlatan Ibrahimović, one of the biggest stars in football, is working with the United Nations World Food Program to change that. On February 14, 2015, after playing against Caen, Zlatan removed his jersey to reveal 50 names he had (temporarily) tattooed on his body of people he’d never met but kept close.  They were the names of a few of the 805 million people suffering from hunger.  The World Food Programme campaign shows the detailed stories of victims of war, civil conflict and natural disasters through the personal stories of those named on Ibrahimović.   
 
805 Million Names with Zlatan Ibrahimović

Haiti: Saving lives of mothers and children with better healthcare

Marie Chantal Messier's picture
Control room at a power station in Ghana. (Photo by Jonathan Ernst / World Bank)

Much work remains to be done to ensure reliable electricity access for Africa's citizens. A number of complications are making it difficult to achieve this UN Sustainable Development Goal. Yet access rates are expanding in many nations, and technology and design improvements offer opportunities to make rapid leaps forward. 

Of the 1.1 billion people on Earth without access to electricity, about half live in Africa. And while the World Bank’s Global Tracking Framework shows progress is being made to deliver electricity to those without, most of it is taking place in Asia. In Africa, it’s a different story.