Tag Archive for: Malnutrition

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Buying Food, a Struggle in the Solomon Islands

Buying_Food_a_Struggle_in_the_Solomon_Islands
A child’s diet for the first 1,000 days of their life is crucial to developing both mentally and physically. Unfortunately, one-third of children under the age of five in the Solomon Islands are considered stunted—too small for their age due to malnutrition. Children who are stunted are often more susceptible to infections and diseases.

The Solomon Islands are not short on food resources.  There is a plethora of fish and sea food available; however, it is common for families to not have the funds required to purchase fresh fish or even canned tuna. Of the citizens who live in rural areas, 60 percent rely on food that they grow themselves. The Solomon Islands have ideal conditions for agriculture; however, those living in urban areas do not have access to land and are forced to purchase overpriced food that they simply cannot afford.

According to the Solomon Islands National Statistical Office, many people suffer from “hidden hunger,” meaning while things might not look physically dire, they are actually desperately lacking the proper nutrition to live long, healthy lives.

Solomon Island communities try to look out for each other and share food. Not only do the citizens highly value their family and friends, they also have their own “wantok”—their neighbors and extended family—who they share cheap food with. The cheapest foods can be bought in bulk like rice and noodles, but it can be very dangerous to live off these foods alone. The people of the Solomon Islands experience high rates of anemia and diarrhea from their lack of proper nutrition.

Also contributing to the lack of proper nutrients is overpopulation; the population of the Solomon Islands grows by 2.8 percent each year. More and more people are in need of food, with less and less of it being available due to the small income the islanders receive. Addressing this problem will involve taking a hard look at the economy and finding a way for citizens to receive an adequate income capable of consistently sustaining them.

– Melissa Binns

Sources: CGIRA, SPREP
Photo: Flickr

​Chad: Highest Rates of Malnutrition in West Africa

Those who suffer from undernourishment are more vulnerable to infections and diseases like malaria. Due to the country Chad’s lack of health care, frequent droughts and lack of access to safe drinking water, 790,000 citizens need emergency food assistance, while three million are in need of humanitarian assistance in general. The country is believed to have the highest rate of malnutrition in West Africa compared to its other impoverished countries.

According to a SMART nutrition survey, the child malnutrition rates in 2014 were between 6.8 and 13.3 percent. Those living in the Sahelian area of Chad experienced the worst: five regions in that area exceeded a 10 percent rate, and six regions exceeded a 15 percent rate of malnutrition. Fifteen percent is considered the minimal rate needed to declare a hunger emergency. It should be noted that contributing to these malnutrition rates are refugees from the Central African Republic and Sudan. There are up to 450,000 who have pursued safety in Chad, and while there has been no official survey conducted yet, up to 14 percent of child refugees at just a few refugee sites have been screened as “acutely malnourished.”

Chad’s traditional health services are underwhelming, with less than one qualified person who can provide medical aid for every 1,000 people. The government allocates a mere three percent of its budget toward health initiatives. This has prompted outside help to intervene in this dire situation.

While there are a few programs to provide medical aid to those suffering in hunger, the problem will not be solved until the core issue of poverty is looked at. According to Richard Currie of Médecins Sans Frontières, or MSF, five percent of children die in their care—and those are the ones receiving treatment.

“It is tremendously rewarding to discharge a previously critically ill child from our program as ‘cured,’ but in the absence of adequate nutrition in the home and an improved food security situation in the community, the child remains at risk of falling back into illness later and eventually re-entering the program,” Currie explained.

Other organizations lending a hand are UNICEF and the U.N. World Food Programme, which are trying to distribute food and introduce programs that will help citizens before emergency medical treatment is required. WFP claims to have targeted 1.3 million citizens in 2014. Nourishment rates in 2014 showed improvement compared to previous years, and hopefully the intervention of all these organizations will improve the rates even more for 2015.

– Melissa Binns

Sources: Irin News, World Food Programme
Photo: UNICEF

Five Factors Contributing to Hunger in Samoa

hunger_in_samoaLocated in the South Pacific Ocean, Samoa is not a particularly well-known country. Split between two islands called Savai’i and ­Upolu, it spans a grand total of 1,097 square miles. Made famous by Robert Louis Stevenson, who spent his last years in a house on the latter island, its people have been the subjects of many genetic, linguistic and anthropological studies. Apart from studies though, the developed world seems to have left Samoa behind. Below are five factors contributing to hunger in Samoa.

1. Food Dependence

The people of Samoa depend upon foods that they receive from other countries. Additionally, access to these foods is unequal, so the Samoans who do have access to the imported foods tend to eat all of it. For lack of complete meals, a large percentage of the population becomes obese.

2. Nutritional Imbalance

In Samoa, the top five food group shares in its total food supply, as of 2011, are as follows:
Cereals – 18.5 percent
Roots – 10.2 percent
Meat – 16.3 percent
Vegetable oils and animal fats – 9 percent
Sugars and honey – 8.6 percent
What’s missing? Vegetables and fruits. The people of Samoa become obese in large part because healthy foods are not made available to them in large enough amounts to provide an adequate diet to the overwhelming majority.

3. Inadequate Reporting

In April 2013, Samoa Observer released an article titled, “Samoa praised for ‘cutting hunger’ in half”. However, upon closer research, an astute Samoan writer named Mata’afa Keni Lesa discovered that the story was inaccurate. The article claimed to have met the first of the Millennium Development Goals, but Lesa pointed out that the other two had gone unmet. These goals are:

Target 1.a: Halve, between 1990 and 2015, the proportion of people whose income is below the basic needs poverty line

Target 1.B: Achieve full and productive employment and decent work for all, including women and young people.

The 2012 Pacific Regional MDGs Tracking Report states, “…the increase in the level and depth of hardship was significant for the rural areas, especially Savai’I, which accounts for a quarter of the poor in Samoa.” With such a high percentage of Samoans below the poverty line, how can they possibly have enough income or resources to get their dietary needs met?

4. Demographics

As of 2014, 80.73 percent of the Samoan population lives in rural regions, meaning that about 81 percent of Samoans do not have easy access to trade routes,  This percentage has only increased from 1999, when it was 78.16 percent.

5. Geographical Breakdown

Only a small percentage of their land, less than 5 percent, is arable. On top of this, their access to machines like agricultural tractors is improbable, averaging 2.14 tractors per 1000 hectares of arable land. In 2012, unsafe fertilizers were banned from farming techniques.

– Leah Zazofsky

Sources: Faostat,  Samoa Observer,  Food Anthro

Photo: Google Images

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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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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

Combatting Malnutrition in Bolivia

Combatting Malnutrition Bolivia
Malnutrition is devastating Bolivia, with over 75 percent of households lacking access to basic food items. Conditions are much worse in the indigenous and rural communities, especially among children and pregnant women. Almost a quarter of Bolivian children suffer from hunger, while one in three children under the age of five suffers from stunting — a result of chronic malnutrition. Bolivia has the second-highest stunting rates in Latin America and the Caribbean, indicating the urgent need for food security solutions.

Furthermore, among women of childbearing age, nearly 27 percent are considered so anemic that they are at risk of passing iron deficiency to their unborn children. Anemia is often the result of poor dieting, which in certain parts of Bolivia is based on cheap carbohydrates such as rice and other starchy foods high in fat.

In response to this long-standing reality, the Government of Bolivia established a National Zero Malnutrition program in 2006 to combat severe malnutrition among the most vulnerable populations. The nonprofit organization Action Against Hunger has taken on parts of the plan and has aimed to provide long-term food security and agricultural support while strengthening the healthcare system to better serve children who are chronically malnourished.

By working closely with local communities, Action Against Hunger is able to propose alternative methods to deal with seasonal hunger, including diversifying livelihood options, promoting diet diversification and ensuring affordability of more nutritious foods.

In addition, the organization has provided sustainable solutions for Bolivia’s ongoing drought problem. In 2010, the country was facing a severe drought that caused widespread water scarcity and staple crop damage. Action Against Hunger immediately secured water supplies for over 50 communities, while also helping over 4,000 farmers retool their destroyed harvests. Moreover, the team is working on community-based agricultural projects in Rio Grande’s lower basin, and other areas prone to drought, by promoting techniques that maintain soil moisture and avoid soil destruction. Some methods include demonstrating proper crop rotation techniques and teaching ways to overcome livestock overgrazing. These projects are already making great strides in combating malnutrition in Bolivia and are paving the way to a healthier and more prosperous country.

– Leeda Jewayni

Sources: FSD International, IADB, Action Against Hunger
Photo: BCPS

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Malnutrition in Benin

malnutrition_in_Benin
Malnutrition in Benin, like in many countries in Sub-Saharan Africa, is currently widespread. However, some experts have suggested the malnutrition rate can decrease if nutrition programs focus on education and community empowerment.

Malnutrition and Stunting

Malnutrition is defined by the World Food Programme as “a state in which the physical function of an individual is impaired to the point where he or she can no longer maintain adequate bodily performance process such as growth, pregnancy, lactation, physical work and resisting and recovering from disease.” Globally, it contributes to more than 50 percent of children’s deaths.

Researchers measure chronic malnutrition in terms of “stunting,” or low height for age. Other aspects of malnutrition include the presence or absence of edema, which is dependent upon the relationship between total calorie intake and protein intake. In addition, micronutrient deficiencies, particularly in iodine and vitamin A, characterize malnutrition, leading to growth problems in children.

Malnutrition in Benin

In Benin, roughly 4 in 10 children are chronically malnourished, according to the World Bank. In the north of the country, one UNICEF representative set the rate of severe malnutrition, which often requires immediate hospitalization, at 34.6 percent.

Thus, the problem is severe and threatens the lives of children each and every day. However, the task of reducing malnutrition in Benin faces many obstacles.

For one, 50 different languages are spoken throughout the country, limiting the scope that nutrition programs can realistically aim for in most cases. Also, many entrenched cultural beliefs induce malnutrition inadvertently, so medical personnel have expressed a need to replace myth with other forms of knowledge.

“The main cause of malnutrition is ignorance,” one nurse in North Benin said.

One myth holds that children who eat eggs become thieves. Moreover, it is culturally acceptable for a man to eat first and to leave whatever remains of his share for his wife and children.

The weapon against ignorance is education, which some experts argue must be community-driven in order to work around the country’s linguistic and cultural diversity.

Educational Programs in Benin

One such educational program is the Community Nutrition Education Project launched in 2012. Through this program, 12,607 grandmothers in various communities were taught how to promote the health of pregnant women and children. As important figures in their communities, these grandmothers are in prime positions to educate village members.

The lessons are not complicated. Village members are being taught how to use readily available foods to improve the nutrition of meals. For example, instead of feeding a child only millet, a mother could enrich the dish with soya, moringa or other local foods.

Organizations are working on a broader scale as well, but education remains a key aspect of their work. In 2013, the World Bank approved a payment of $28 million to secure nutrition services for hundreds of thousands of children and training for about 75,000 pregnant mothers and adolescents.

Focus on Cultural Factors

Certainly, structural factors are currently acting to keep malnutrition a problem in Benin. General food insecurity is high, with nearly 12% of food produced going to waste, and, as previously mentioned, the country’s diversity complicates the process of reform.

However, addressing the cultural factors leading to malnourishment can effectively reduce malnutrition in Benin, structural hindrances notwithstanding.

– Ryan Yanke

Sources: UNICEF, World Bank 1, World Bank 2, Panapress, Sci Dev Net, University of Michigan
Photo: VECO

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Infant Death from Malnutrition

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Malnutrition can originate from all sorts of sources: lack of funds, lack of access to food or even negligence. According to the World Health Organization, 45 percent of infant deaths are caused by a lack of nutrition. And malnutrition may not always be the direct cause of death in these children. Often they may pass from things like malaria, pneumonia and diarrhea, all of which stem from a lack of nutrition.

In areas like South Africa, malnutrition is an issue affecting 64 percent of infants. UNICEF has made significant efforts to pervade the country and educate mothers on the benefits of breastfeeding. It seems the primary source of a lack of nutrition has been mixed-feeding practices. In these cases, supplemental food is certainly less than enough from a nutritional standpoint. Nevertheless, 53 percent of infants in South Africa under six months of age are mix-fed.

UNICEF has taken initiative by directly corresponding with the Department of Health in South Africa in order to improve policies and education. They have also taken the approach to focus malnutrition on HIV transmission. With babies more severely undernourished, they are much more apt to receive HIV from their mothers because they are weak and unable to grow.

Deaths under the age of five occur in very specific regions, precisely sub-Saharan Africa and Southern India. The good news is that the rest of the world has seen a drop from 1990 from 32 percent to 18 percent in the percentage of infant deaths under the age of five.

While infants in certain parts of the world suffer from malnutrition due to a lack of finance or education, it seems almost everywhere in the world malnutrition can happen as a result of negligence. For example in 2010 a baby died in South Korea after only a three months of life at a mere 5.5 pounds. CNN reported that the couple was too engaged in online gaming to have paid attention to their newborn. Ironically the game they were playing involved raising a virtual child.

In northern France this year, an infant died of malnourishment at 11 months of age. Parents magazine reported that the vegan couple was only breastfeeding the infant. At this age babies should be introduced to more solid foods, and especially in the case of a vegan couple. Because the infant’s mother was not receiving enough protein, she died with both a Vitamin A and B12 deficiency.

Regardless of what may cause malnutrition in infants, it is something that clearly needs to be monitored. It gives us hope that certain statistics are falling, but the world needs to send its focus more so to the problem areas. We can give our donations, but best of all we can give our wisdom and our health knowledge to prevent more infants from unnecessarily leaving this earth.

– Kathleen Lee

Sources: WHO, Parenting, CNN, UNICEF 
Photo: Flickr

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Malnutrition in Bangladesh

Malnutrition in Bangladesh remains a severe problem, especially for women and children.

According to the United Nations, 33 percent of Bangladeshi adolescent girls are anemic and micronutrient deficient and 25 percent of women ages 15-44 are unhealthily thin for their height. About 48 percent of Bangladeshi children are malnourished and 1.5 million of them die each year from diarrhea that both worsens and is worsened by malnutrition.

A variety of factors cause malnutrition in Bangladesh, the two most prominent being poverty and food insecurity. These two problems limit one’s ability to live on a diet that provides all the nutrients necessary for healthy living, leading to malnutrition.

The country has high levels of absolute poverty, with nearly 50 million of its people unable to obtain food, clothing or shelter. Thus, even while Bangladesh has managed to reduce poverty by 50 percent since 1971, almost one-third of the population is still impoverished. Poverty is in turn exacerbated by a major distress to Bangladesh: natural disasters.

Consider the food crisis of 1974-75. A deluge destroyed two rice crops in a row, robbing heavily impoverished rural populations of their main source of income. In addition, the lack of rice contributed to malnutrition on an extreme scale. One in four children became “third-degree malnourished,” meaning they were less than 60 percent of a median weight-for-age measure.

Even more problematic, natural disasters in Bangladesh have been described as “frequent,” though not all have been as devastating as the ’74 flood.

In addition to and as a result of poverty, the people of Bangladesh suffer from high levels of food insecurity. The recently released Global Food Security Index (GFSI) ranked Bangladesh 88th out of 109 countries and reported that Bangladesh’s decline in food security was the ninth fastest in the world.

The Bangladeshi diet has the lowest share of non-starchy foods of all the countries studied in the GFSI. This indicates very poor nutrition and diet diversification, which of course induce micronutrient deficiencies.

Other causes of malnutrition in Bangladesh include the fact that many Bangladeshi mothers were never taught proper child-rearing behaviors; in addition, mothers often lack access to health services that are necessary to secure the health of their children.

Despite all of these problems, there is hope. Rates of childhood malnutrition have fallen recently, albeit gradually. In the past 15 years, vitamin A deficiencies among Bangladeshi children have been significantly reduced.

Also, income levels in Bangladesh are on the rise. Typically, this correlates with a decline in malnutrition, and while some South Asian countries mysteriously lack this correlation, Bangladesh is not one of them.

As International Food Policy Research Institute researcher Derek Headey noted in his 2013 study: “From 1997 to 2007, Bangladesh recorded one of the fastest prolonged reductions in child underweight and stunting prevalence in recorded history, 1.1. and 1.3 percentage points per year, respectively.”

Thus, while malnutrition in Bangladesh continues to be a major problem, some signs suggest the country is heading in the right direction for attacking that problem. Moreover, if the country’s overall food security increases somehow, a major reduction in malnutrition may follow.

– Ryan Yanke

Sources: The Hunger Project, JSTOR, FAO, World Food Programme, International Food Policy Research Institute, Global Food Security Index, NHS, Bread for the World, The American Journal of Tropical Medicine and Hygiene
Photo: Axis of Logic

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Malnutrition Plagues Children of Rural China

China became an economic superpower in only a matter of decades. Forbes Magazine’s annual rich list reported that China has had 152 billionaires this past year. The once struggling nation has shown promising improvement. According to the World Bank, the number of impoverished people living in China dropped from 683 million in 1990 to 157 million in 2009. This improvement is a result of the rapid urbanization in China in recent years. Greater economic opportunity and government assistance is now available in cities. However, children in rural villages are stuck in a seemingly unbreakable cycle of poverty.

The children of rural China face a variety of challenges that are virtually nonexistent in the cities. Among one of the most glaring is the struggle against malnutrition. UNICEF estimates that there are 12.7 million stunted children in China; this life-long condition that results from severe malnutrition plagues children most during early childhood.

In addition to malnutrition, anemia takes a tremendous toll on rural Chinese children. Stanford University conducted a test on 1824 babies in China’s Shaanxi Province. Forty nine percent of the babies tested were anemic and 28 percent were near anemic. Furthermore, of all the babies tested, 40 percent displayed cognitive or motor problems.

Why are rates of anemia so high? Stanford reports that while the parents were generally willing to spend additional money on food for their children, they were uninformed on what type of nutritional value the food should have. Many micronutrients, such as iron, were missing, indicating that fresh fruits and vegetables were consumed infrequently. Additionally, further investigation revealed that mothers stopped breastfeeding after six months. From that point on, the child would typically eat rice porridge or soups.

Misinformed parents are often responsible for their children’s poor health. Parents often do not introduce solid food into children’s diets until they are 12 to 18 months old, though it is recommended that solid food make up half of a one-year-old’s diet. Many parents believe myths that babies cannot digest hard foods or that particular foods, like rice, are better for cognitive development.

Treating anemia and replenishing nutrients is actually quite easy. Stanford researchers state that simply taking iron supplements can counter anemia. To address the rampant malnutrition in China’s poor, rural provinces, UNICEF has begun to distribute a nutrition supplement called Ying Yang Bao. Ying Yang Bao is a small packet of powdered vitamins, minerals and proteins that can be mixed into solid foods like porridge.

Many rural Chinese families cannot afford to buy fresh fruits, vegetables and proteins like beef. Dairy products are also expensive and difficult to access. Often, noodles, porridge, rice and starches like potatoes constitute meals. Fortunately, the micronutrients in Ying Yang Bao are easily dissolved in porridges and soups.

UNICEF reports that, between 2008 and 2011, more than 30,000 rural children received Ying Yang Bao. After consumption, anemia levels were cut in half. A long-term solution to malnutrition is still in the works. While aid from UNICEF and other organizations is improving the health of rural children, education is a key issue to be addressed. Parents are misguided by myths and superstitions, which has led to the silent suffering on many children. A public education program has not been officially instituted, but would be another component of China’s long-term solution for malnutrition.

– Bridget Tobin

Sources: UNICEF, Stanford, World Bank, CNBC, The Guardian
Photo: China.org