Tag Archive for: Malnutrition

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How Nutrition Policy Shapes Health Equity in South Africa

Health Equity in South AfricaIn South Africa, gaps in nutrition and food environment policies drive the double burden of malnutrition, including hunger, micronutrient deficiencies and rising obesity, despite sufficient food production. These policy gaps highlight the central role nutrition systems play in shaping health equity in South Africa.

How Economic Pressure Fuels Food Insecurity in South Africa

Economic pressures, rather than food availability, drive food insecurity in South Africa, pushing many families to struggle to access nutritious diets. Low-income individuals and households often choose cheaper, energy-dense alternatives that provide calories but few essential nutrients. High unemployment, structural poverty and rising living costs have made food increasingly inaccessible across South Africa.

The national energy crisis, particularly in Johannesburg and Cape Town, has further driven widespread hunger. In 2021, roughly 80% of South African households had adequate access to food, 15% had inadequate access and 6% had severe food insecurity. Food insecurity was more prevalent in urban areas, with the highest concentrations in Cape Town (241,000 households) and Johannesburg (239,000 households).

Households with young children are disproportionately affected. An estimated 683,221 households with children under age 5 experienced hunger and malnutrition. This has contributed to higher rates of stunting and impaired physical and cognitive development.

The highest prevalence is found in KwaZulu-Natal (20.1%), Johannesburg (13.6%) and Cape Town (12.4%). Since April 2021, 323 child deaths linked to malnutrition and hunger have been reported in the Eastern Cape.

Unequal Cities, Unequal Health: The Cost of Urban Planning Failures

As South Africa rapidly urbanizes, with more than 72% of the population projected to live in cities by 2030, food security policies remain inadequate. Low-income households in informal settlements and townships often lack access to affordable supermarkets. This forces them to rely on higher-priced spaza shops with limited access to fresh produce, directly deepening nutrition-related health inequities.

These failures in the urban food environment directly undermine health equity in South Africa. Energy and infrastructure instability disrupt cooking, refrigeration and food storage. This reduces households’ ability to consume fresh foods, increasing reliance on processed and street foods.

Despite social grants such as the Child Support Grant and the Social Relief of Distress (SRD), many households earn too much to qualify for assistance yet too little to afford adequate food. Even among households that do qualify, grant amounts are insufficient to cover the cost of a nutritious diet, particularly amid rising food inflation in South Africa. The criminalization of street vendors and restrictions on trading spaces undermine the informal food system.

In turn, this reduces access to affordable food for low-income households and pushes many into more severe food insecurity.

National and International Initiative To Improve Health Equity in South Africa

To address persistent nutrition-related health inequalities, the South African government uses initiatives such as the National Food and Nutrition Security Plan (NFNSP). It also implements the National School Nutrition Program (NSNP) to improve food security and child nutrition among disadvantaged populations. In 2018, South Africa introduced the NFNSP (2018–2023) to address nutrition-related health inequities by strengthening food security for low-income and vulnerable populations.

The plan aims to reduce childhood obesity and cut adult obesity by 15% by 2023. Similarly, in October 2023, the Department of Basic Education reaffirmed its commitment to the NSNP. The program feeds more than nine million learners annually and reduces child hunger.

Beyond national initiatives, the United Nations (U.N.) Sustainable Development Goal 1 (No Poverty) underscores the urgency of addressing child poverty, as many children continue to experience deprivation despite broader social assistance programs. The United Nations Children’s Fund (UNICEF) also supports South Africa by strengthening child poverty measurement. It also helps guide policies that direct government spending toward services benefiting the most impoverished children.

Additionally, in 2025, World Health Organization Member States extended the Global Nutrition Targets to 2030 and aligned them with the Sustainable Development Goals. The updated framework maintains targets to reduce stunting, anemia, low birth weight and wasting, while strengthening goals to reduce childhood overweight and increase exclusive breastfeeding. This extension reinforces global commitment to accelerating action on maternal and child nutrition and reducing nutrition-related health inequities.

Final Thoughts

Addressing health equity in South Africa requires coordinated action on the social and structural drivers of health, including poverty, inequality, limited access to primary health care and food insecurity. Strengthening primary health care, expanding universal health coverage and sustaining programs such as NSNP and NFNSP are essential to protecting vulnerable populations and reducing nutrition-related health disparities.

– Yuhan Rong

Yuhan is based in San Diego, CA, USA and focuses on Global Health and Politics for The Borgen Project.

Photo: Unsplash

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Everything To Know About Hunger in Iran

Hunger In IranHunger in Iran has been a significant national and international concern since the early 1900s. Long-term policy failures rooted in historical experiences have shaped the country’s food security challenges. Major famines during the World Wars created a lasting fear of hunger, which led political leaders after the 1979 Revolution to prioritize food self-sufficiency. To achieve this goal, the government introduced heavy subsidies, guaranteed crop prices and high tariffs on food imports to protect domestic agriculture. While these measures increased food production, they distorted markets and failed to keep pace with population growth. Iran continued to rely on imports for key staples such as wheat, rice and corn, leaving the country vulnerable to sanctions and inflation.

Roots of Hunger

According to the 2025 Global Hunger Index (GHI), Iran ranks 40th out of 123 countries, reflecting moderate hunger levels rather than extreme deprivation. Although the number of people experiencing hunger has declined, food security has become increasingly unstable. Western sanctions linked to Iran’s human rights record and nuclear program have worsened this deterioration by restricting food imports and driving unprecedented food inflation. At the same time, reduced rainfall has weakened agricultural production and intensified existing vulnerabilities.

The COVID-19 pandemic further reduced household incomes and increased unemployment, which limited access to affordable food. These economic pressures placed low-income families at particular risk and made it difficult for many households to obtain even basic nutrition.

Environmental mismanagement has also played a major role, particularly poor water governance. Agriculture consumes the majority of Iran’s water resources because the government heavily subsidizes water.

As a result, farmers have little incentive to conserve water and often rely on inefficient irrigation practices that drive excessive water consumption. These policies have pushed Iran into severe water stress and weakened the country’s ability to ensure stable and affordable food supplies.

Consequences of Hunger and Malnutrition

Rising food prices have made nutritious foods such as meat and dairy increasingly unaffordable. Iran’s Deputy Health Minister, Alireza Raisi, has reported that Iranians consume less than half of the recommended levels of meat and dairy.

Malnutrition does not only appear as undernourishment due to nutrient deficiencies; it also appears as abdominal obesity driven by reliance on starchy, low-quality foods. This dietary pattern has fueled rising obesity rates across Iran and increased the risk of cardiovascular disease and other life-threatening illnesses.

Addressing the Crisis

In present-day Iran, hunger involves more than empty plates. Poor-quality diets, declining health and rising rates of diet-related diseases all reflect the depth of the crisis. Hunger persists because existing systems fail to ensure that all Iranians can access nutritious food at affordable prices. Changing weather patterns, ineffective policies, international sanctions, prolonged drought and economic instability continue to intensify the problem.

Despite these challenges, international organizations and nonprofit groups continue to operate programs that address hunger and support vulnerable populations in Iran.

One of the most significant ongoing efforts in Iran comes from the World Food Programme (WFP), which has supported refugees in the country for decades. Iran hosts approximately 3.4 million refugees, many of whom face severe food insecurity. Through school feeding programs and direct food assistance, WFP reduces pressure on the Iranian government and its limited resources. These programs improve food access for refugees and promote integration into host communities through supporting livelihood and income-generating activities that strengthen economic independence among refugee populations.

Smaller-scale nonprofit organizations also play a critical role in addressing hunger at the community level. Moms Against Poverty, for example, has delivered approximately 2.6 million meals as of 2024 to thousands of Iranian children and families experiencing food insecurity.

Even though the hunger in Iran still requires attention, international organizations and nonprofit groups continue to push forward, working toward a future free from hunger.

– Ameena Khan

Ameena is based in Canberra, Australia, and focuses on Global Health for The Borgen Project.

Photo: Unsplash

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Quick Facts About Hunger and Poverty in Honduras

poverty in HondurasHonduras is a country located in Central America. Home to remarkable landscapes and Mayan remains, it also has an important role in world trade. Honduras is a main provider of coffee, palm oil and bananas. However, even with this, Hondurans still suffer from food insecurity.

What is Food Insecurity?

Food insecurity is a lack of access to vital food sources. This threat heightens illnesses and harm to people’s lives. This can lead to: desperation, disease and death. Families facing this are forced to make an income through selling possessions or skipping meals, as they are desperate to earn a living.

This is traced back to the problem of poverty, which deeply affects the developing countries and the people living there. The hunger crisis is an unfortunate consequence of this.

In Honduras, 63% of the population lives in poverty, which affects the most vulnerable members of society, like children. Children’s health, well-being and education are negatively affected. Eventually, this causes a reduced quality of life for the people of Honduras.

Natural Disasters and Weather Conditions

Honduras’s hunger crisis is a result of natural disasters and destructive weather conditions, like drought, which have harmed farms, increasing the chances of burning the land. Not only a crucial food source, but a hotspot for coffee production, which causes an economic decline. More than 100,000 families rely on the coffee trade as an income, showing the importance of agriculture.

Located in the Dry Corridor, the area is prone to dry spells, making food more difficult to grow and reducing the amount available to the people. With the lack of harvests, some families have to migrate to survive these harsh conditions.

Another part of the hunger crisis is linked with the extreme weather conditions, such as hurricanes. From people fleeing their homes to safety, it has negative effects on lives, not just food sources. In 2024, the hurricane season doubled the expected rainfall. This is bad because it can flood food sources and wash them away. Primarily, this affected the southern and western areas, therefore increasing the possibility of emergency food insecurity.

Malnutrition and Undernourishment

Malnutrition is a prevalent issue in Honduras. Indeed, one in four children under the age of 5 struggles with chronic malnutrition, according to the World Food Program (WFP). This is a severe issue, as it stunts growth. This takes place when a diet does not have enough healthy nutrients. On the other hand, obesity is unfortunately increasing with younger women. Therefore, this shows the issue of food access, as not enough Hondurans are able to have a healthy diet.

In 2024, 20.4%  people in Honduras suffered from undernourishment. Rural areas of Honduras are particularly affected, as they face more poverty and starvation. This is because food insecurity is increased by the lack of opportunities for employment and access to standard services. Challenges make it harder for people like: farmers, women and people with medical conditions to access balanced diets.

The people of Honduras are in great need of fundamental food. More than 25% of Hondurans are relying on humanitarian assistance for survival. This takes place by action groups providing help by giving: medical care, food and water.

Lack of Awareness

Honduras was the least funded country in 2023, meaning that the lack of awareness about the daily threats is huge, with violence being one of the examples.

In 2022, there was an average of 253 homicides monthly, translating to 31% of homicides for every 100,000 people.

Fortunately, this has been decreasing yearly, but sexual violence and abuse have remained an issue in society. This has impacted many lives in Honduras.

Solutions

Certainly, Honduras faces many setbacks like hunger, poverty and extreme weather conditions, but this has not stop the country from making progress.

According to the National Institute of Statistics, poverty reduced in Honduras from 73.6% to 60.1%. For extreme poverty, it had reduced from 53.7% to 38.3%. Also, the population above the poverty line has expanded, therefore highlighting improvements in standards of living.

Employment and job opportunities have also increased. From 4.2 million people now working, the unemployment rate has decreased to 4.9%. All of these factors help the country to flourish economically. Even with substantial challenges, Honduras is beginning to develop and transform into a successful country.

– Daisy Sheena

Daisy is based in Manchester, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Malnutrition and Poverty in India

Malnutrition and Poverty in IndiaIn Delhi’s crowded Seemapuri settlement, 32-year-old Savitri Devi begins each morning wondering whether she can feed her children more than one meal that day. “Sometimes we just eat rice and salt,” she says quietly. “I tell my daughter to drink water so she won’t feel hungry.”

For families like Savitri’s, malnutrition is not just a health crisis; it’s a poverty trap that limits learning, weakens productivity and keeps entire communities from escaping hardship. The issue of malnutrition and poverty in India remains deeply intertwined, particularly in urban slums where wages are low and food prices rise faster than incomes.

The Cycle of Poverty and Malnutrition in India

The world’s highest concentration of undernourished people is found in India. The Global Hunger Index 2025 states that 32.9% of children under 5 in India are stunted and 12% of the country’s population is undernourished. This crisis is made worse in Delhi’s urban slums by overcrowding, contaminated water and inconsistent incomes.

Daily-wage families frequently rely on the least expensive, high-calorie foods that are deficient in vital nutrients to make ends meet. Poor nutrition harms both economic and educational outcomes. Malnourished children are more likely to experience cognitive delays, poorer academic performance and lower adult incomes.

According to the Food and Agriculture Organization, chronic malnutrition can result in decreased productivity and lower a nation’s GDP by 2-4%.

A Mother’s Struggle in Delhi

The connection between food and survival is painfully obvious to Savitri, who sells plastic bottles gathered from trash heaps. “I can’t work if I get sick. We don’t eat if I’m not working,” she says. Similar experiences are shared by many Seemapuri women who juggle taking care of malnourished children while working long hours in informal jobs.

According to the National Family Health Survey (NFHS-5), 24% of children under 5 in South Delhi are underweight and 27% are stunted. These figures underscore the severity of nutritional inequality, even in India’s affluent capital.

Government Efforts: ICDS and PM Garib Kalyan Anna Yojana

Through Anganwadi centers, the Integrated Child Development Services (ICDS) program remains India’s premier nutrition initiative, providing food, health examinations and preschool education. The Delhi government operates more than 10,000 centers serving children and pregnant women. Savitri states, “My daughter receives one hot meal per day from the Anganwadi, but occasionally they close early or run out of supplies.”

Delivery irregularities and infrastructure gaps continue to impact the access of the most impoverished families. More than 800 million people received 5 kg of food grains per person per month through the PM Garib Kalyan Anna Yojana (PMGKAY) during the COVID-19 pandemic. This lifeline helped Savitri’s family and many other urban low-income families avoid hunger.

She remembers: “We got rice from the ration shop during those months.” “At least there was something, even though it wasn’t enough.” Under the National Food Security Act, the government continues to distribute free food grains, even though PMGKAY ended in 2023.

Why Nutrition Is an Economic Investment

Malnutrition and poverty in India deplete public resources as well as human potential. According to the World Bank, increased productivity and lower health care costs can result in up to $16 in economic returns for every $1 invested in nutrition. Women who eat healthily are more likely to keep steady jobs and take better care of their families.

Better nutrition could lower health care costs, increase work participation and improve school attendance in Delhi’s informal settlements. The nutritional status of the city’s most vulnerable communities can be improved by enhancing maternal education, ensuring consistent food supply chains and strengthening local Anganwadi infrastructure. India’s poverty and malnutrition problems demonstrate that investing in nutrition is a prudent financial decision, rather than a charitable endeavor.

Breaking the Cycle

More than just distributing food is needed to end malnutrition; social inclusion and accountability are also necessary. “Perhaps they would understand if officials came and asked us what we really need,” Savitri says. Community participation through local monitoring committees and women’s groups can help ensure that programs respond to lived realities rather than relying solely on statistics.

The cycle of poverty can start to end when individuals, governments and nongovernmental organizations collaborate to make nutrition a key component of development. Appropriate nutrition is not charity for the millions of people living on the margins in Delhi; rather, it is a basis for growth, opportunity and dignity. 

– Chhahat Kaur Gandhi

Chhahat is based in New Delhi, India and focuses on Business and New Markets for The Borgen Project.

Photo: Flickr

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Tackling Indigenous Poverty in Guatemala

Indigenous Poverty in GuatemalaGuatemala, a small country in Central America with a population of 18.4 million, continues to face widespread poverty, especially among Indigenous communities. 

Brief History of Indigenous People in Guatemala

The Maya people, Guatemala’s largest Indigenous group, have endured centuries worth of colonization, conquest and neocolonial forms of violence and domination. Their struggles and systemic discrimination increased during the Guatemalan Civil War that lasted from 1960 to 1996. During the civil war, the Maya people were accused of being affiliated with or supporters of the Guerrillas (a paramilitary group).

The Guatemalan government burned entire villages and innocent people were massacred. What is now considered a genocide resulted in more than 200,000 deaths, the internal displacement of one million people and 30,000 fleeing as refugees to other countries. The Peace Accords were signed in 1996, allowing most refugees to return home to Guatemala.

The next crucial step was the signing of the Accord on Identity and Rights for Indigenous Peoples, designed to protect Guatemala’s Indigenous communities. Unfortunately, it wasn’t implemented.

The Numbers

Indigenous poverty in Guatemala stems from long-standing inequality—Indigenous people do not receive the same opportunities or respect as non-Indigenous populations. Indeed, four out of five Indigenous Guatemalans live in poverty, with limited access to healthcare, education and other basic necessities. Around 75% of Guatemala’s Indigenous population lives in rural areas, where government support is often limited.

Approximately 58% of Indigenous people suffer from chronic malnutrition (compared to 38% of the non-Indigenous population), which stunts children’s growth and learning, perpetuating the cycle of poverty. Additionally, many Indigenous children do not complete secondary school and literacy rates remain particularly low among Indigenous women.

Why These Inequalities Persist

These disparities are rooted in structural and institutional discrimination:

  • Structural Racism: According to The International Work Group for Indigenous Affairs (IWGIA), the social and political gap between Indigenous and non-Indigenous Guatemalans reflects systemic racism, a legacy of colonialism that remains interwoven into modern governance.
  • Unequal Public Investment: The stark difference in daily per-capita spending ($0.40 vs. $0.90) highlights how Indigenous lives are under-resourced by the state.
  • Land Dispossession: Many Indigenous communities lack formal land titles. Without recognized land rights, they remain vulnerable to eviction, exploitation and external development projects.
  • Geographical Isolation: With most Indigenous people living in rural areas, many communities are physically and economically remote, making access to services extremely difficult.

The Change

Despite the debilitating history and hardships, Indigenous and campesino (peasant farmer) movements and organizations have taken the lead in improving the livelihood of Indigenous people in Guatemala. For more than 36 years, the Campesino Committee of the Highlands (CCDA) has fought for access to land, the defense of territory, decent work and justice. Founded in 1981, after the signing of the Peace Accords, it expanded to the Alta Verapaz region.

Currently, CCDA works in 20 departments around Guatemala. Regarding the chronic malnutrition affecting more than half of the Indigenous population, the Crecer Sano Project addresses malnutrition from a sectoral perspective. This organization focuses on expanding access to basic healthcare in remote areas, improving water access and improving sanitation.

More than 31,000 families have received water filters through this program. The initiative emphasizes behavior change by integrating traditional practices, ensuring that these communities receive culturally appropriate care. Guatemala is also vulnerable to natural disasters, which include hurricanes, droughts and earthquakes.

These natural occurrences disproportionately affect the most impoverished communities. International initiatives have supported Indigenous-led development as well. For instance, the Dedicated Grant Mechanism (DGM) for Indigenous Peoples and Local Communities is part of Guatemala’s Forest Investment Program, which seeks to reduce deforestation and promote sustainable forest management. The DGM strengthens Indigenous communities’ capacity to manage land and forests sustainably by combining traditional knowledge with economic opportunities that incentivize environmental stewardship.

Moving Forward

Progress has been slow. However, organizations such as CCDA, the Crecer Sano Project and DGM demonstrate that addressing Indigenous poverty in Guatemala through empowerment and environmental protection can be achieved in tandem. Achieving true equality will require continued investment, respect for Indigenous land rights and a national commitment to justice and inclusion.

Guatemala’s Indigenous poverty is not just a legacy of the past; it is a current, structural problem. High rates of malnutrition, poverty and exclusion reflect centuries of marginalization. But the story is not only one of suffering: Indigenous communities, supported by international partners, are leading initiatives for healthier, more just futures via projects like Crecer Sano and rural development partnerships.

To build a more equitable Guatemala, it will take sustained political will, fair resource distribution, secured land rights and respect for Indigenous leadership. Only then can Guatemala truly fulfill its constitutional commitment to being a multicultural nation.

– Arielle Telfort

Arielle is based in Purchase, NY, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr

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Maternal and Child Malnutrition in Afghanistan

Malnutrition in AfghanistanWith more than 15 million people in Afghanistan experiencing acute food insecurity, women and children are facing the brunt of this harsh reality. Afghanistan is among the most dangerous countries for babies, children and mothers, with soaring rates of malnutrition and access to health care beyond reach for many.

Causes of the Afghan Food Crisis

The high levels of food instability in Afghanistan are driven primarily by a fragile economy, exacerbated by sociopolitical turmoil and environmental disasters. These disasters have recently had an especially severe impact on food security, as about 80% of Afghanistan’s population consists of farmers who rely on their own production for sustenance and income. Because of environmental instability, harvests are often lost or missed due to displacement, leaving markets empty.

Social mores and low health literacy also hinder women’s access to and understanding of proper nutrition for themselves and their children. Taliban restrictions on women’s education and mobility have severely curtailed their access to care. Additionally, increased poverty means that many women, especially pregnant women, are unable to utilize health care services such as perinatal visits.

Women are also unable to travel without being escorted by a male relative, hindering their access to pre- and postnatal care. The systematic stripping of women’s autonomy in Afghanistan means that malnutrition is having disastrous consequences for pregnant women, mothers and their children. On top of these, donor funding and NGO intervention were cut following the Taliban takeover in 2021, as Taliban policies limited how much donors were willing to help.

Health Care System

Afghanistan’s health care system is highly reliant on foreign aid. When this abruptly stopped in 2021, preventative education and care for those malnourished ceased, affecting women and children the most. Sanctions were imposed on the Taliban government, further restricting Afghan citizens’ access to food and medical supplies.

This crisis has been exacerbated by Afghanistan’s largest donor, the U.S., halting nearly all aid earlier this year. John Aylieff, the WFP’s country director, underscored the impact of these cuts, stating, “Food assistance kept a lid on this country hunger and malnutrition… The lid has now been lifted. The soaring of malnutrition is placing the lives of more than three million children in peril.”

Consequences of Malnutrition for Mothers and Their Children

The year began in Afghanistan with one of the highest recorded increases in child malnutrition, with only 12% of children aged 6 to 24 months receiving adequate quantities and quality of food. The food crisis also has a deeply gendered dimension. According to UNICEF, women are disproportionately affected and the gender gap in food access continues to widen.

Women’s and girls’ health is crucial to infants’ health, as malnutrition creates an intergenerational cycle. When women lack adequate nutrition, rates of undernourished children rise, with devastating consequences for growth and learning. According to the U.N., nearly half of all Afghan children are stunted due to limited diets.

Since the Taliban takeover, the situation has only continued to worsen and new insights have come forth in a report by Johns Hopkins titled “The Crisis of Maternal and Child Health in Afghanistan.” One third of the health professionals interviewed have perceived that infant and maternal mortality have increased. Another lamented that women in labor or those with sick children do not come to clinics for lack of money or fears of the Taliban.

The rise in child mortality is visible across Afghanistan. At the Sheidaee graveyard, BBC journalists counted graves with no official records. They found that roughly two-thirds belonged to children. They also visited the malnutrition ward of Badakhshan Regional Hospital, where 26 children shared 12 beds.

The youngest patient, Sana, was only three months old and suffered from malnutrition, acute diarrhea and a cleft lip. When journalists followed up with her family, they learned that Sana had sadly passed away.

What Is Being Done?

Despite this, there has been a shift toward community-based prevention efforts to aid malnutrition in women and children. In August this year, UNICEF and the WFP launched a joint plan to stop child wasting in Afghanistan. This action reinforces the importance of maternal nutrition, local food solutions and the convergence of community-based services.

What is evident here is a renewed push to address the root causes of malnutrition. They have pledged to ensure malnourished children receive treatment and help break the intergenerational cycle by improving breastfeeding practices and nutrition education. The WFP has also offered women safe spaces through its skills training and livelihood programs, which offer women the opportunity to earn an income and build a community.

While there have been significant strides to address malnutrition in Afghanistan, aid is under constant threat of being slashed due to funding cuts. As UNICEF Executive Director, Catherine Russell commented, “When a girl or woman does not get adequate nutrition, gender inequality is perpetuated.” A well-balanced diet is the bedrock of child survival, so it is integral that life-saving support is directed to those who need it most.

– Libby Foxwell

Libby is based in Sherborne, Dorset and focuses on Global Health for The Borgen Project.

Photo: Flickr

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A Double Burden: Malnutrition in the Dominican Republic

Malnutrition in the Dominican RepublicFor decades, malnutrition in the Dominican Republic was synonymous with hunger. Children in rural provinces and low-income neighborhoods often depended on public school food programs that fell short and malnutrition rates rose. In the ’90s, chronic child malnutrition affected more than 30% of children younger than 5. Over time, however, the country has made measurable progress. By the early 2010s, undernourishment had dropped by more than half, partly thanks to school food programs and targeted interventions.

The New Face of Malnutrition

Today, the face of malnutrition in the Dominican Republic has changed. While stunting still affects 6.7% of children under age 5, the more pressing concerns are anemia, obesity and overweight. According to UNICEF, about 8% of children under 5 are overweight. Likewise, 31% of public school students were overweight or obese during the 2021–2022 school year. At the same time, nearly 28% of children under 5 still suffer from anemia.

As nutrition specialist Ana Carolina Báez Abbott told The Borgen Project in an interview: “Now the problem isn’t underweight, but overweight and obesity… and often these overweight children have micronutrient deficiencies. What we call hidden hunger.” The country now grapples with what public health experts call the “double burden” of malnutrition: undernutrition and overnutrition coexisting in the same communities.

Band-Aid Policies Yield Uneven Results

This transition highlights a pattern of “band-aid” solutions. The government and international organizations previously focused on school feeding programs to reduce hunger. By 2013, the FAO reported that undernourishment had declined by more than half compared to the ’90s. Yet policymakers ignored the quality of meals, which often filled stomachs but lacked the nutrients needed for healthy development.

Abbott explained that when she worked with the Programa de Alimentación Escolar (School Feeding Program), her team uncovered serious flaws in the menus. “There was a high sugar content in the school menu,” said Abbott. “For example, a juice with an average of 23 grams of sugar that the children consumed daily. We decided to exclude it and replace it with fresh fruit.”

She also noted efforts to improve fiber intake: “We ensured that every lunch dish included vegetables, along with protein and carbohydrates. It was a way to educate children on proper nutrition.”

Today, the government’s promises tell a similar story. The ruling Modern Revolutionary Party (PRM) has pledged investments in rural health infrastructure. In its 2025 report, the Ministry of Public Health estimated that malnutrition and obesity cost the country 2.6% of GDP annually. Health budgets remain skewed toward urban hospitals, leaving rural maternal and child nutrition programs underfunded.

Approval of Schooling Feeding Program

In 2024, legislators made school feeding a permanent state policy, banning junk food in cafeterias and guaranteeing potable water. This represents a milestone, showing that nutrition is finally being addressed as a permanent right rather than a temporary fix.

Still, as Abbott notes: “These are changes that you may not see results from right now, but you are preventing children from receiving a super-high sugar load… and that impacts the reduction of health complications in the future.”

Her perspective aligns with findings from Diario Libre’s 2022 and 2024 reports: the Dominican Republic has established key tools like the National Institute of Student Welfare (INABIE) and school nutrition laws — but their impact depends on how effectively these programs are implemented, especially in rural areas.

While progress is undeniable, the country still struggles with underlying inequities, where malnutrition has evolved and not disappeared. Rural poverty, limited access to nutritious food and weak program delivery mean that the country still fails its youngest citizens.

Abbott emphasized the role of poverty and inequality: “The problems of poverty and inequality exacerbate the problem. Many mothers stop breastfeeding early and opt for sweetened formulas, creating children with a preference for sweets from a very young age.”

A Political Gap

The Dominican Republic’s struggle with malnutrition is political as much as it is nutritional. Budget priorities favor urban hospitals over preventive care. Maternal and child nutrition remain secondary concerns in national planning. Lawmakers pass laws but fail to implement them fully.

According to Abbott, stronger public policies are essential. “We need more public policies, more laws and regulations,” she explains. “We need schools to be safe spaces where what is sold in cafeterias is controlled. And we need massive educational campaigns to raise awareness among the population.”

The 2024 nutrition law, INABIE’s expanded reach and the PRM’s rural health pledges show that nutrition is gaining attention on the national agenda. The challenge is no longer whether policies exist, but whether they are strong enough, consistent enough and inclusive enough to close the remaining gaps.

Abbott points out that measures like food reformulation and labeling could help: “There is a proposed regulation for front-of-package labeling with nutritional warnings… we, as a state, have a responsibility to inform consumers.”

The Road Ahead

Malnutrition in the Dominican Republic has changed forms over the decades, but it remains a serious problem. The Dominican Republic has reduced hunger but now faces a more complex challenge: tackling anemia, obesity and stunting together. This requires moving beyond short-term fixes toward structural change: investing in maternal diets, rural programs and school nutrition that emphasizes quality, not just quantity.

Until then, malnutrition in the Dominican Republic will remain a familiar story told in new forms: a problem solved on paper, but not in the lives of Dominican children.

– Shannon Garrido

Shannon is based in Brighton, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr

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A Hard Look at Food and Water Scarcity in Afghanistan

Water Scarcity in AfghanistanFor many years, millions of people in Afghanistan have been facing severe levels of food insecurity compounded by critical water scarcity. Despite improvements in the winter season of 2021-2022, the crisis has remained mostly stagnant.

This results from drought, flash floods, dependence on other nations and damaged or insufficient infrastructure.

Water Scarcity

Afghanistan has been in the midst of a crippling drought since 2021. As of March, it’s estimated that 33 million Afghans do not have reliable access to water, according to the Red Cross. In 2023, 25 out of 34 provinces in Afghanistan were experiencing drastic water scarcity due to drought conditions. Similarly, UNICEF has reported that 80% of Afghans drink from unsafe, unregulated sources.

About 93% of children in Afghanistan reside in areas with high water vulnerability. The primary water source for Afghans is wells, of which there are more than 310,000. Mercy Corps has also reported an additional 120,000 borewells in and around Kabul alone. However, many of these wells have become unreliable. As of 2023, nearly half of Kabul’s borewells have run completely dry, while the remaining operable ones are deficient, retaining only 60% of their capacity.

In addition, Al Jazeera reports that “up to 80% of groundwater [in Kabul] is believed to be unsafe, with high levels of sewage, arsenic and salinity.” Furthermore, according to the U.N., in early 2024, many of the country’s northern and eastern regions experienced only 45–60% of the average precipitation. Mercy Corps reported that “Kabul’s aquifer levels have plummeted 25–30 meters in the past decade, with extraction exceeding natural recharge by a staggering 44 million cubic meters annually.”

By 2030, Kabul is predicted to become the first major city in the world to completely deplete its water sources, leaving six million people in dire need. However, there have been initiatives to combat this nationwide issue. In 2024, the Red Cross reported that its efforts to rebuild infrastructure in urban areas such as Kabul, Herat and Kandahar improved access to water for more than 1.1 million people. It also repaired more than 1,300 pumps and supplied villages with more than 1,800 sand filters, ultimately helping more than 275,000 Afghans. In May, the U.N. allocated $16.6 million to the Afghan government to help reduce the effects of drought in the north and northeastern regions.

Food Insecurity

As of 2023, 45% of Afghans were employed in the agricultural sector. However, flash floods, drought, earthquakes and poor infrastructure have proven catastrophic to crop yields, further worsening the nation’s dwindling food supply. According to the Integrated Food Security Phase Classification, as of April, an estimated 12.6 million Afghans were experiencing high levels of food insecurity. This is more than a quarter of the population. Of this group, 10.6 million were classified as emergency cases, while 1.95 million were in the crisis category.

According to the World Food Programme (WFP), 4.7 million women and children in Afghanistan currently need treatment for malnutrition. UNICEF also reports that one in three adolescent girls is anemic and only 12% of children aged 6–24 months receive the appropriate variety of nutrition for their age. This issue has been exacerbated by recent earthquakes, which have put 37,000 children at even greater risk.

The U.N. has also reported that “desertification has affected more than 75% of the total land area in the country’s northern, western and southern regions, reducing vegetation cover for pasture, accelerating land degradation and affecting crop farming in the last four decades.” Furthermore, the WFP was forced to halt aid distribution in May due to funding shortfalls. The nonprofit also stated that more than $560 million would be needed to continue its efforts.

However, UNICEF still provides aid. As of 2024, it reported supplying more than 62,000 families with micronutrient powder to combat malnutrition, with that number continuing to rise into this year. The organization also supports pregnant and lactating women, as well as children, in 34 regions. In total, UNICEF said it helped more than 630,000 children combat malnutrition in 2024 alone.

– Owen Armentrout

Owen is based in Detroit, MI, USA and focuses on Global Health and Politics for The Borgen Project.

Photo: Pexels

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How US Support Is Tackling Hunger and Malnutrition in Kenya

Hunger and Malnutrition in KenyaKenya faces a persistent hunger and malnutrition crisis, with more than 18.7 million people, more than one-third of the population, undernourished. Recurring droughts, floods and disease outbreaks exacerbate this process. However, United States (U.S.) foreign aid alleviates this situation through various programs and initiatives.

US Humanitarian Assistance in Kenya

In response to the 2023 Horn of Africa drought, the U.S. government, through USAID, provided nearly $310 million in humanitarian assistance to Kenya. This funding supported emergency food aid, nutrition programs and resilience-building activities.

Additionally, the U.S. Department of Agriculture (USDA) has been instrumental in combating child malnutrition in Kenya through the McGovern-Dole Food for Education Program. In 2023, this program supplied U.S.-grown food to more than 650,000 children across more than 2,000 schools, ensuring they receive nutritious meals that support their education and overall well-being.

Addressing Acute Malnutrition

Acute malnutrition remains a significant concern, particularly among children under 5. As of October 2023, approximately 847,000 children in Kenya were facing acute malnutrition. U.S. aid contributes to programs that provide therapeutic feeding, micronutrient supplementation and community-based nutrition interventions to address this issue.

Supporting Refugees and Vulnerable Populations

Kenya hosts a substantial refugee population, many of whom are at heightened risk of food insecurity. In 2024, the U.S. government allocated $37 million to support refugees in Kenya, enabling the World Food Programme (WFP) to increase food rations and resume cash transfers in camps like Dadaab and Kakuma. These efforts are crucial in preventing malnutrition and promoting the self-reliance of displaced individuals.

Challenges and Ongoing Needs

Despite these efforts, challenges persist. The Global Hunger Index 2024 categorizes Kenya’s hunger level as “serious,” with indicators such as child stunting and undernourishment remaining high. Moreover, recent U.S. aid cuts have led to significant reductions in food assistance for refugees, with some receiving only 28% of the recommended food rations, putting vulnerable populations at further risk.

Funding shortfalls have also become a pressing challenge. In recent years, reductions in U.S. aid have forced humanitarian organizations to scale back food assistance. Such shortfalls endanger vulnerable populations and risk undoing years of progress in improving food security. Without sustained investment, cycles of hunger and malnutrition in Kenya could worsen, especially during climate shocks.

Another obstacle is climate instability. Kenya’s heavy reliance on rain-fed agriculture makes its population highly vulnerable to droughts and floods. Extreme weather events have become more frequent, damaging crops, killing livestock and reducing access to safe water. While humanitarian assistance can provide short-term relief, long-term resilience requires greater investment in sustainable farming practices, climate adaptation and diversified food systems.

U.S. programs that combine food assistance with resilience-building measures are therefore vital. However, their reach remains limited compared to the scale of the crisis.

Looking Forward

The partnership between the U.S. and Kenya shows the importance of international cooperation in fighting hunger. U.S. assistance has helped millions of Kenyans access life-saving food, reduced rates of acute malnutrition among children and supported education through school meals. Often among the hardest hit, refugees have also benefited from direct food aid and cash transfers that restore dignity and choice in how families feed themselves.

Still, the persistence of hunger in Kenya serves as a reminder that humanitarian aid cannot be the only solution. Addressing root causes—poverty, inequality, climate instability and fragile health systems—is essential for long-term progress. Programs that integrate food assistance with agricultural development, women’s empowerment and climate adaptation can create more sustainable outcomes. The U.S., alongside Kenyan institutions and international partners, will need to continue expanding investments in these areas to prevent recurring food crises.

Ultimately, U.S. foreign aid is more than just emergency relief—it is an investment in human potential and stability. By ensuring children are well-nourished, families are food-secure and communities are resilient, these efforts contribute to Kenya’s broader development goals. While challenges remain, ongoing U.S. support provides a foundation of hope that Kenya can reduce hunger and malnutrition, even in the face of climate and economic pressures.

– Skylar Roy

Skylar is based in Carlsbad, California, USA and focuses on Good News and Politics for The Borgen Project.

Photo: Wikimedia Commons

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US aid fighting hunger in Kenya

hunger in kenyaKenya faces a persistent hunger and malnutrition crisis, with more than 18.7 million people, more than one-third of the population, undernourished. Recurring droughts, floods and disease outbreaks exacerbate this process. However, U.S. foreign aid alleviates this situation through various programs and initiatives.

US Humanitarian Assistance in Kenya

In response to the 2023 Horn of Africa drought, the U.S. government, through USAID, provided nearly $310 million in humanitarian assistance to Kenya. This funding supported emergency food aid, nutrition programs and resilience-building activities.

Additionally, the U.S. Department of Agriculture (USDA) has been instrumental in combating child malnutrition in Kenya through the McGovern-Dole Food for Education Program. In 2023, this program supplied U.S.-grown food to more than 650,000 children across more than 2,000 schools, ensuring they receive nutritious meals that support their education and overall well-being.

Addressing Acute Malnutrition

Acute malnutrition remains a significant concern, particularly among children under 5. As of October 2023, approximately 847,000 children in Kenya were facing acute malnutrition. U.S. aid contributes to programs that provide therapeutic feeding, micronutrient supplementation and community-based nutrition interventions to address this issue.

Kenya hosts a substantial refugee population, many of whom are at heightened risk of food insecurity. In 2024, the U.S. government allocated $37 million to support refugees in Kenya, enabling the World Food Programme (WFP) to increase food rations and resume cash transfers in camps like Dadaab and Kakuma. These efforts are crucial in preventing malnutrition and promoting the self-reliance of displaced individuals.

Challenges and Ongoing Needs

Despite these efforts, challenges persist. The Global Hunger Index 2024 categorizes Kenya’s hunger level as “serious,” with indicators such as child stunting and undernourishment remaining high. Moreover, recent U.S. aid cuts have led to significant reductions in food assistance for refugees, with some receiving only 28% of the recommended food rations, putting vulnerable populations at further risk.

Funding shortfalls have also become a pressing challenge. In recent years, reductions in U.S. aid have forced humanitarian organizations to scale back food assistance. Such shortfalls endanger vulnerable populations and risk undoing years of progress in improving food security. Without sustained investment, cycles of hunger and malnutrition could worsen, especially during weather shocks.

Another obstacle is climate instability. Kenya’s heavy reliance on rain-fed agriculture makes its population highly vulnerable to droughts and floods. Extreme weather events have become more frequent, damaging crops, killing livestock and reducing access to safe water. While humanitarian assistance can provide short-term relief, long-term resilience requires greater investment in sustainable farming practices, climate adaptation and diversified food systems.

U.S. programs that combine food assistance with resilience-building measures are therefore vital. However, their reach remains limited compared to the scale of the crisis.

Looking Forward

The partnership between the U.S. and Kenya shows the importance of international cooperation in fighting hunger. U.S. assistance has helped millions of Kenyans access life-saving food, reduced rates of acute malnutrition among children and supported education through school meals. Often among the hardest hit, refugees have also benefited from direct food aid and cash transfers that restore dignity and choice in how families feed themselves.

Still, the persistence of hunger in Kenya serves as a reminder that humanitarian aid cannot be the only solution. Addressing root causes—poverty, inequality, weather instability and fragile health systems—is essential for long-term progress. Programs that integrate food assistance with agricultural development, women’s empowerment and climate adaptation can create more sustainable outcomes. The U.S., alongside Kenyan institutions and international partners, will need to continue expanding investments in these areas to prevent recurring food crises.

Ultimately, U.S. foreign aid is more than just emergency relief—it is an investment in human potential and stability. By ensuring children are well-nourished, families are food-secure and communities are resilient, these efforts contribute to Kenya’s broader development goals. While challenges remain, ongoing U.S. support provides a foundation of hope that Kenya can reduce hunger and malnutrition, even in the face of climate and economic pressures.

– Skylar Roy

Skylar is based in Carlsbad, CA, U.S.A and focuses on Good News and Global Health for The Borgen Project.

Photo: Wikimedia Commons