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Malnutrition in Kazakhstan Region

malnutrition in kazakhstan
Malnutrition in Kazakhstan? In the heart of Central Asia, a region known for issues with health, Kazakhstan stands as a possible success story in the well being of its people. With child malnutrition rates below five percent, lower than the Central Asian average and well below the rates for some of its neighbors, the Kazakh government and aid organizations working in the country have made improvements in malnutrition efforts worthy of praise.

Born in the post-Soviet world, Kazakhstan is still a relatively new state. Made up of ethnic Kazakhs as well as a large population of ethnic Russians, Kazakhstan is the largest country to come out of the USSR other than Russia itself. It dwarfs its neighbors of Turkmenistan, Uzbekistan, Tajikistan and Kyrgyzstan, spanning across almost three million square miles of continent but remaining landlocked. It is the biggest economy in Central Asia and is currently going through an economic diversification process that the government hopes will stabilize and lengthen growth.

Almost all indicators of malnutrition have improved in Kazakhstan in the last decade. From 2004 to 2014, the prevalence of food inadequacy declined from 10.1 percent to 5.9 percent. The percent of children who are stunted declined from 17.5 percent in 2006 to 13.1 percent just four years later.

The prevalence of anaemia in children, which is characterized by fatigue and decreased work output, decreased from 35.4 percent in 2004 to 30 percent in 2011. However, the overall presence of undernourishment had almost no change from 2004 to 2007, leaving 800,000 people vulnerable to undernourishment.

Central Asia as a region has an ongoing battle with undernourishment and malnutrition. Common demarcations of this are anaemia, which is a decrease in the amount of red blood cells in the blood, iodine deficiency, iron deficiency and Vitamin A deficiency.

Kazakhstan preformed well in all of these categories. Iodine deficiency, which was a huge problem after the collapse of the Soviet Union, has been almost completely eradicated in Kazakhstan by iodizing all salt consumed in the country. Anaemia levels are lower in the country than in most of its neighbors. Regional averages for iron deficiencies and vitamin A deficiencies hover around 50-60 percent for women and children.

While by no means in the clear with malnutrition, especially for children, Kazakhstan has continued to improve in most indicators. It is working towards a more stable, diversified economy that will hopefully keep food prices low and unchanging.

– Caitlin Huber

Sources: CIA,  Knoema,  IRIN
Photo: Inter Press Service News Agency

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Violence Exacerbating Malnutrition in CAR

malnutrition in CAR
Last year, clashes in the Central African Republic, or CAR, between Christian and Islamic militants claimed the lives 2,116 civilians. The CAR is fast becoming home to a ghastly humanitarian crisis, in which violence is exacerbating malnutrition.

In the capital city of Bangui, the number of children facing life-threatening malnutrition has tripled since violence began escalating in December of 2013. Their situation is being complicated by the brutal course that the conflict has taken.

Action Against Hunger collected over 1,000 case studies of parents of malnourished children in the CAR between July 2013 and March 2014, and found that 75 percent presented symptoms of PTSD.

PTSD can significantly impair a mother’s ability to nurse a child. Nurses in health centers around Bangui have reported that some traumatized mothers become convinced that they cannot produce milk. Others simply do not respond to their child’s needs—some have even attempted suicide and infanticide. PTSD in children can also play a role in malnourishment, as traumatized children may refuse to eat.

The conflict in the Central African Republic is not only causing malnutrition—it is also exporting it.

Over the past year, conflict in Nigeria and the Central African Republic has displaced some 1.2 million people. These migrants typically seek refuge in neighboring countries like Chad, Niger and Cameroon, further straining the resources of countries already dealing with rampant malnourishment.

On Feb. 12, the U.N. requested $2 billion in aid for people across Africa’s Sahel belt—a semi-arid strip of land south of the Sahara Desert that stretches from the Atlantic Ocean to the Red Sea.

“The violence and conflict has a devastating effect, it is casting a shadow across the region,” said Robert Piper, U.N. regional humanitarian coordinator for the Sahel.

– Parker Carroll

Sources: Eyewitness News, The Guardian 1,  The Guardian 2,   The Guardian 3
Photo: Africa Up Close

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What Causes Hunger in Africa

What causes hunger in Africa? To be certain, Africa is by no means a single entity. The second largest continent on Earth, Africa is an enormous landmass that is home to a wide variety of landscapes, cultures and people.

That said, the continent is also home to much of the world’s hunger, spread across several of the world’s poorest countries. Approximately 30 million people in Africa face the effects of severe food insecurity, including malnutrition, starvation and poverty.

Ending hunger not just in Africa but wherever it occurs is crucial to solving impoverishment and, accordingly, is a leading priority for many humanitarian organizations.

 

Causes of Hunger in Africa

 

1. Lack of Infrastructure

Many of the African countries in which there is widespread hunger are countries in which there is also plenty of food. Agriculture is the leading economic industry in several of the hungriest African nations including Niger, Ethiopia and Somalia.

The issue is not that there is a lack of food, the issue is that there are are often no reliable pathways for getting that food from the fields into that hands of the people who need it the most. Many hungry countries lack accessible rural roads on which food could be transported into the countryside.

Where it does not already exist, building the infrastructure necessary for distributing food is essential to ending hunger in Africa.

2. Poverty

Poverty is a cause of hunger in Africa as well as an effect. Nearly a third of individuals living in sub-Saharan Africa are “undernourished,” and 41 percent of people in that same area live on less than U.S. $1 daily. That’s no coincidence; high rates of poverty are correlated with high rates of hunger because acquiring adequate food provisions requires ample resources, not only financial but social as practical as well.

3. Gender Inequality

According to one of the most successful hunger-focused humanitarian organizations, The Hunger Project, gender inequality is a major driving force behind hunger because food tends to go further in the hands of women. When women have adequate food supplies, they as well as their families experience better health and social outcomes than when men have sole control of food rations.

However, in many African nations experiencing hunger crises, though women do the majority of agricultural work, they do not control their own access to food. Addressing gender inequality where it occurs in Africa will be central to eradicating hunger.

4. AIDS

AIDS is especially prevalent in southern Africa (Lesotho, Malawi, Mozambique, Namibia, South Africa, Zambia and Zimbabwe), where approximately six million people are estimated to live with the condition. Not only does AIDS render these individuals too sick to do any sort of agricultural work (which, if farming is their livelihood, can throw them into poverty), it can also render them to sick to leave their homes to acquire food for themselves and their families.

– Elise L. Riley

Sources: Save the Children, The Hunger Project, World Food Programme
Photo: Ceasefire Magazine

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Uzbekistan’s Progress in Eradicating Hunger

uzbekistan food security
This year, the Global Hunger Index (GHI) ranks Uzbekistan at 5.7 percent for its undernourished population from 2011 to 2013.

More than 800 million people suffer from hunger and the GHI examines 120 of the low-income countries that account for the vast majority of global undernourishment.

In the last 14 years, Uzbekistan has shown a steady improvement in eradicating hunger, with a decline from 3.6 million to 1.7 million of the country’s population facing food insecurity.

However, the country is still in need of renewed political commitment to achieving food security in order to continue making progress against hunger, which not only stunts physical, intellectual and even economic growth but can also lead to death.

Yuriko Shoji, the recently appointed Food and Agriculture Organization (FAO) Sub-regional Coordinator for Central Asia and country representative for Uzbekistan, spoke on the topic at a launch event at Tashkent State Agrarian University.

“Despite good progress made in the past two decades and an increasingly favorable environment, the full potential of agriculture – and food security for everyone – have yet to be achieved,” said Shoji. “With renewed political commitment, and good practice that can be shared with the world, food security of each and every household is within reach.”

Shoji highlighted the key requirements for overcoming the limitations to prioritize food security and nutrition issues. The event served as a platform for discussing global hunger and malnutrition.

Uzbekistan’s positive trend to combat malnutrition serves Millennium Development Goal (MDG) 1 of halving the proportion of undernourished people by next year. It’s a goal that is within reach if Uzbekistan and other developing countries continue making political efforts toward food security.

According to the FAO, 63 developing countries have reached the MDG target and six more are on track to reach it by 2015.

Though Uzbekistan has seen significant progress in hunger, the country must continue to set the path for others that remain chronically undernourished in order to meet next year’s MDG target.

– Chelsee Yee

Sources: The Guardian, UN, Data Wrapper
Photo: EurasiaNet

Hunger in Bhutan

hunger in bhutanThe small kingdom of Bhutan, a landlocked country in South Asia (between China and India), exists in an area of extreme climate—earthquakes, floods, landslides and fires—and a terrain that limits its agricultural self-sufficiency and isolates its rural population. Consequently, it depends on imports for approximately half of its food. 

Background

The United Nations Children’s Fund reported that Bhutan reached Low-Middle-Income status in 2007, and in 2023 graduated from the Least Developed Country group. Still, 2022 saw multidimensional poverty at 17.8%, with over 61% of the poor in rural areas and children disproportionately poor (20.7%). Issues include access to health, quality and inclusiveness of social services, neonatal mortality, child protection, gender equality and women’s empowerment and youth unemployment. 

Malnutrition and hunger in Bhutan are nothing new for the country or its policymakers. In November 2023, it was reported to UNICEF that malnutrition continued to be a public health concern in Bhutan. Both UNICEF and the World Food Programme refer to Bhutan’s “triple burden” of malnutrition: undernutrition, overnutrition (overweight and obesity) and micronutrient deficiencies. 

UNICEF notes that 23% of children under 5 suffer from undernutrition with stunting. In addition, adolescent girls and women experience micronutrient deficiencies and 45% of the population is not able to afford a healthy diet. WFP notes that 86% of Bhutanese are not eating enough fruits and vegetables.

School Feeding Programs

UNICEF and WFP have partnered with several Bhutan ministries—Education and Skills Development (MoESD), Health (MoH) and Agriculture and Livestock (MoAL) to address these deficiencies through national school feeding and nutrition policies and strategies. UNICEF, WFP and the Ministry of Health revised the 2020-2030 National Health Policy and developed a five-year action plan through 2025. WFP has worked with the MoESD to draft a National School Feeding Strategy and a social behavior change strategy. 

School nutrition strategies include:

  • connecting schools and farmers to provide nutritious diverse foods for school meals (with the added benefit of supporting almost 3,000 small farmers, 60% of whom are women)
  • developing standards for school kitchens and supporting new construction
  • introducing fuel-efficient equipment
  • utilizing menu planners
  • training kitchen staff

Research in 2022 on dietary behavior led to the implementation in 15 schools of a strategy and action plan to promote nutritious diets. Social media, school curricula and children’s TV were all employed as various media advocacy campaigns were launched. Collaboration with the Tarayana Foundation supported grassroots outreach and advocacy programs in 16 rural communities.

WFP also worked with the government to increase food fortification in schools, monastic institutions and gradually in the wider community. 

Breastfeeding Support

UNICEF’s focus also includes attention to pregnant women, new mothers and babies and young toddlers. Breastfeeding, feeding practices, nurturing care and other means of supporting the best nutrition growth and development are emphasized. In addition to addressing anemia, low birth weight and stunting, UNICEF advocates for restrictions on the marketing of unhealthy foods and breastmilk substitutes. 

The UNICEF and WFP partnerships have targeted objectives that specifically relate to the U.N.’s Sustainable Development Goal 2, Zero Hunger. Bhutan still has work to do to achieve this goal but is making progress. While stunting in children under 5 continues to be a major challenge, wasting in children under 5 is now considered a lesser challenge, and the prevalence of obesity is decreasing. 

– Staff Reports

Photo: Flickr
Updated: July 28, 2024

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Top Charities to Donate to for Hunger

donate to for hunger
The United Nations Food and Agriculture Organization has estimated that around 870 million people of the 7.1 billion people in the world –  that is, one in eight – were suffering from undernourishment between 2010 and 2012. Almost all the hungry people, 852 million to be exact, live in developing countries.

There are 16 million people undernourished in developed countries. Thankfully the number of undernourished people has decreased almost 30 percent in Asia and the Pacific, from 739 million to 563 million.

The decline in hungry people could be accredited to charities that make it their mission to end world hunger. One charity helping alleviate hunger for example treated 42,000 severely malnourished children in Democratic Republic of Congo in 2012. This charity is called Action Against Hunger.

Action Against Hunger has 30 years of expertise in specific areas like conflict, natural disaster and chronic food insecurity. It runs life-saving programs in over 40 countries benefiting seven million people each year.

In America, the number one charity to donate to for hunger is Feeding America. Formerly known as America’s Second Harvest, it provides food assistance to more than 25 million low-income people facing hunger in the United States, including more than nine million children and almost three million seniors. Feeding America services all 50 states with more than 200 food banks.

While considering which charity to donate to, a third charity to consider is the Bread for the World Institute. The Institute is a lot like The Borgen Project in that it aims to educate its advocacy network, opinion leaders, policy makers and the public about hunger in the United States and abroad. One of the primary goals of the Institute is to end hunger in the United States by 2030.

Thanks to donations and hardworking volunteers, world hunger has been cut in half; however, hunger still kills more people every year than AIDS, malaria and tuberculosis combined. For example, Asia currently has the most people on its continent that are hungry, making up about two thirds of the area. In order to stay on track and end hunger by 2030, donations are imperative and any of the charities listed above are rapidly working to make sure the money donated is used in the most efficient way.

– Brooke Smith

Sources: about.com, Bread for the World Institute, Action Against the World, WFP
Photo: flickr

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Fast Facts on Hunger in Africa

hunger_in_africa
The first of the U.N. Millennium Development Goals is that of eradicating extreme poverty and hunger. But according to the recently released 2014 Human Development Report, there are still 1.2 billion people living on $1.25 a day or less with little access to adequate food — and a vast majority of Africans fall into this group.

Here are six facts to know about hunger in Africa:

1. Although Africa is the second largest continent and covers close to one fifth of the Earth’s land area, the 54 countries that comprise the continent cannot feed their people. This is not due to a lack of food but instead a lack of agricultural infrastructure, raised food prices, drought and conflict.

2. In the most recent estimate (2010), approximately 239 million people in sub-Saharan Africa were hungry. Out of those, 30 percent were undernourished.

3. There are many mouths to feed. African population growth expanded from 221 million in 1950 to 1 billion in 2009 and is expected to be 4 billion in the year 2100. With such a high population, it is nearly impossible to produce enough food for everyone.

4. Poverty is a cause of hunger, hunger is a cause of poverty. Living under the poverty line makes it extremely difficult to buy food. Without food and with hunger, a person has lack of energy and can develop health problems which mean lost days at work and more medical needs.

5. According to the International Food Policy Research Institute, 160 million African children are malnourished, and one in five children will never reach 5 years of age.

6. Vitamin and mineral deficiencies are a major cause of death in women and children. These deficiencies are often referred to as “hidden hunger.” To combat this problem, UNICEF reported that “The WHO, the New Economic Partnership for African Development, the Development Bank of Southern Africa, the Micronutrient Initiative  and the Global Alliance for Improved Nutrition” have ensured that two-thirds of the sub-Saharan population now have access to iodized salt and children have been give vitamin A supplements.

While these facts are startling and seem unconquerable, they do not need to be. By moving to action, Africa can put an end to its hunger crisis. Moves to action may include donation to a charity or NGOs, such as The Borgen Project and contacting your state senator and asking them to support increase aid in U.S. foreign policy to end hunger in Africa.

– Kori Withers

Sources: UNICEF, NPR, United Nations, World Issues 360, Hunger Notes, United Nations Development Program
Photo: Flickr

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Hunger in Comoros with Hope on the Rise

With high rates of hunger, infant mortality and population increase, it’s easy to see why the World Hunger Index ranked Comoros third on the list of the world’s hungriest nations. It is just one of nineteen nations still labeled as “alarming” or “extremely alarming” on the Global Hunger Index, leaving 870 million without food.

The Poverty Reduction and Growth Strategy Paper produced by the officials of Comoros stated that, “information on the economic environment supports the assumption that the socio-economic situation is deteriorating and that poverty is on the rise.”

Much of this social upheaval has been attributed to what can only be described as an unstable government. Comoros has been the site of 20 coups and attempted coups since its independence in 1975. The newest elected leader, Ikililou Dhoinine, a native born to the islands, took office in May 2011. He looks to spearhead the reduction of poverty by pledging “to stop at nothing in the fight against corruption.” Despite this hopeful claim, the people of Comoros are among the poorest in Africa and heavily dependent on foreign aid.

But others have joined the goals of Dhoinine. Dominic MacSorley, Chief Executive of Concern stated that, “firefighting with emergency aid is not enough.” Comoros conducted its own comprehensive household survey and found that many locals agreed that the way to bolster the economy was to show “importance of recovery in the private sector, particularly in the agro-foods area, to ensure a robust economic growth and achieve a significant reduction in poverty.”

Engagement Communautaire pour le Développement Durable, or the ECDD, has been working toward just that by creating a model of community landscape management integrating improved livelihoods with natural resource management.

Agroecology and Market Gardening were two of the techniques implemented. Agroecology refers to the process of conserving the land while simultaneously respecting ecological principles and learning from nature. For example, learning how the rainforest continually recycles nutrients back into the soil. Market Gardening is the process of growing vegetables to take to market for a profit.

ECDD’s project slogan, ‘Komori ya lao na meso,’ means ‘The Comoros of today and tomorrow.’ It is plain to see that this slogan was embodied at the very hearts of the ECDD efforts. These practices have set a new precedence in the hopeful fight against hunger in Comoros and the world.

– Frederick Wood II

Sources: International Food Policy Research Institute, ECDD Comoros 1, ECDD Comoros 2, BBC, trust.org, International Monetary Fund
Photo: Flickr

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Lingering Malnutrition in Iran

A 1965 study found that 31 percent of children under the age of five who were admitted to hospitals in Tehran during 1965 were suffering from malnutrition, leading to nearly 100 deaths. Moreover, as much as 53 percent of women and girls suffered from anemia around the same time.

Today, though, Iran has the lowest rate of childhood malnutrition in the region that includes the Middle East and North Africa. Roughly four percent of Iranian children are malnourished, a dramatic decrease from the percentages in the 1960s. Adequate vitamin A consumption is the norm, and 99 percent of households consume iodized salt, which provides the iodine necessary for proper brain development in children.

Thus, Iran was remarkably successful in dealing with the malnutrition problem. However, there is still much room for improvement. Iran still demonstrates what one might term “provincial malnutrition.”

For example, the province of Hormuzgan has a rate of underweight children triple that of the country’s average rate. In Sistan-Baluchestan, 21 percent of children will not grow to their full height potential because of malnutrition.

It is a common phenomenon: malnutrition reduction in urban areas and the lack of reduction (or the opposite) in rural areas.

Certain population groups, such as the large Afghan refugee population in Iran, are struggling with food insecurity and higher levels of malnutrition as well. Wasting among Afghan refugee children was found to be 12.7 percent, higher than the urban average. The diet diversity of refugee families is poor, too; around 15 percent of households go without fruits and vegetables for spans longer than a month.

Another population group, the elderly, was also found to have higher levels of malnutrition than the national average.

The reduction of malnutrition in Iran has not been universal, then. And even in urban areas, where people are more food secure, another problem related to malnutrition has appeared—namely, obesity. The obesity rate among children in the cities doubled during the past decade, and obesity is compatible and even correlated with malnutrition.

Fortunately, one expert, Dr. Zahra Abdollahi, the Health Ministry’s deputy for improving nutrition, is working to make the reduction of malnutrition in certain provinces a priority.

Ensuring such a reduction would improve children’s school performance and overall quality of life, according to Abdollahi. It would also improve the health of mothers and newborns, an area for needed improvement across the globe.

One major obstacle these efforts will face is Iran’s increasing population. Iran’s population of over 80 million strains the government’s ability to feed everyone in part because of its heavy reliance on grain imports. Reducing malnutrition requires increasing food security, a requirement that unsustainable population growth makes difficult to achieve.

– Ryan Yanke

Sources: World Bank, UNICEF, Iranian Journal of Epidemiology, IRNA, World Food Programme, Breitbart, Green Party of Iran
Photo: Flickr

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Hunger in Liberia

Widespread hunger in Liberia has plagued the country partly as a result of a coup d’état in 1980. However, a combination of president Ellen Johnson-Sirleaf’s poverty reduction programs, other government programs and nongovernmental initiatives has led to a reduction in hunger.

In 1980, a military regime replaced the civilian government in Liberia. The people rebelled in 1989. The resulting conflict continued until 2003, when a peace agreement was signed. Then, in 2006, Sirleaf, the first post-war president, was sworn into office. The relative stability since 2006 proved helpful in the effort of reducing hunger in Liberia.

Nearly one-third of the Liberian population is undernourished. Every fifth household is food insecure, according to a 2012 government-led survey.

The staple food for families is rice. Liberia imports 90 percent of this commodity, so any change in price has a large impact on the Liberian people. For example, in 2008, the price for a 110 pound bag of rice equaled one month’s salary for a security guard in the country’s capital of Monrovia, a relatively well-paying position. That bag of rice could only feed a family of seven (the average is five in Liberia) for around two weeks.

In addition, about 14 percent of children under five are underweight and these children’s mortality rate was 7.8 percent in 2011. At one point in 2009, health officials feared that an estimated 74,000 Liberian children would die from malnutrition by 2015.

That fear motivated them to act.

In 2009, health officials succeeded in getting the government to adopt a policy committing them to improve food security, especially in the rural areas where it were most needed. John Agbor, head of child survival at UNICEF, said back then that the policy “refocuses nutrition and puts it where it ought to be—on the higher agenda of government.”

Sirleaf’s government did even more. Acknowledging that poverty and food insecurity are strongly correlated, Sirleaf’s government first implemented Poverty Reduction Strategy and then Poverty Reduction Strategy II, which built upon the successes its predecessor.

The policies’ successes were possibly reflected in 2013’s Global Hunger Index. While Liberia ranked only 50th out of 78 and remained in a “serious” status, its GHI ranking has been steadily improving since 1995.

Unfortunately, the recent Ebola outbreak in Liberia has presented Sirleaf’s government with new challenges in reducing hunger.

In a controversial move, Sirleaf ordered a quarantine of sizable villages, which have been cordoned off by the military. The villagers lack access to food and medical supplies, and the threat of starvation is motivating some to attempt an escape, which many fear will help Ebola spread.

Unless the government and other organizations can find a way to keep these quarantined populations fed, hunger among the people could make Ebola quite difficult to contain in Liberia.

– Ryan Yanke

Sources: World Food Programme, Action Against Hunger, IRIN, Newsweek, International Food Policy Research Institute 1, International Food Policy Research Institute 2, World Health Organization
Photo: Flickr