Are Data Available For Tracking Progress On Nutrition Policies Programs And Outcomes In Nepal
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| Author | : Neupane, Sumanta |
| Publisher | : Intl Food Policy Res Inst |
| Total Pages | : 48 |
| Release | : 2021-07-15 |
| Genre | : Political Science |
| ISBN | : |
The World Health Organization (WHO) and other global nutrition and health agencies recommend nutrition actions throughout the life-course to address malnutrition in all its forms. In this report, we examined how Nepal’s nutrition policies and programs addressed recommended nutrition actions, nutrition outcomes, and the determinants of these outcomes. We reviewed population-based surveys and administrative data systems in order to assess the data availability on nutrition actions, and on the indicators of determinants and outcomes. Our policy review identified a total of 53 recommended evidence-based nutrition actions, of which 50 nutrition actions were applicable in Nepal. Of these, 45 were addressed in the country’s nutrition policies and programs and some of the actions were only available in some districts. Nutrition actions that were not included in current policies and programs included calcium supplementation and advice on consuming calcium during pregnancy, and daily iron and folic acid (IFA) supplementation during childhood. Current policies addressed daily or intermittent IFA supplementation during preconception and food supplementation for malnourished lactating women during the postnatal period; however, there was no program to implement these actions. Nepal’s Multi-Sector Nutrition Plan (MSNP) recognized and addressed all key determinants of nutrition; it also expressed an intent to address all SDG nutrition targets for maternal, infant, and young child nutrition. Noncommunicable diseases (NCDs), however, were addressed separately by a multisectoral plan for NCDs. Our data review found that out of 45 actions that policies and programs addressed, population-based surveys contained data on only 27 actions and administrative data systems contained data on only 25 actions. Population-based surveys and administrative data sources contained no data on: food supplementation during adolescence; weight monitoring and various types of counseling during pregnancy; optimal timing (delayed) of umbilical cord clamping, support for breastfeeding and immediate skin-to-skin contact, optimal feeding of low-birth-weight infants and counseling of mothers of low-birth-weight infants on kangaroo mother care (KMC) during delivery and in the postpartum period; breastfeeding counseling, counseling on appropriate complementary feeding, counseling after growth monitoring, and inpatient management of severe acute malnutrition (SAM) during early childhood. Population-based surveys contained data on most of the indicators of immediate and underlying determinants, while administrative data systems did not have data on all indicators of immediate determinants. Data on all indicators of nutrition outcomes were available from population-based surveys. In conclusion, Nepal’s policy and program landscape for nutrition is robust, however the gaps in data availability for tracking progress on nutrition actions are much larger than the gap in policies and programs for addressing recommended actions. Future population-based surveys and modifications of administrative data systems should aim to fill the identified data gaps for nutrition actions.
| Author | : Neupane, Sumanta |
| Publisher | : Intl Food Policy Res Inst |
| Total Pages | : 42 |
| Release | : 2021-07-15 |
| Genre | : Political Science |
| ISBN | : |
The World Health Organization (WHO) and other global nutrition and health agencies recommend nutrition actions across the life-course to address malnutrition in all its forms. In this report, we examined how Maldives’ nutrition policies and programs addressed recommended nutrition actions, determinants, and outcomes. We reviewed population-based surveys and assess the availability of data on nutrition actions, nutrition outcomes, and the determinants of these outcomes. Our policy review identified a total of 53 recommended evidence-based nutrition actions; of these, 49 nutrition actions were applicable in Maldives and 31 were addressed in the country’s nutrition policies and programs. The Maldives nutrition plan (the Integrated National Nutrition Strategic Plan, or INNSP) recognized and addressed all key determinants of nutrition except women’s status (appropriate age of marriage/childbirth) and infectious diseases; the country’s nutrition plan aimed to track progress on all nutrition outcome indicators. Our data review found that of 31 actions addressed by policies and programs, population-based surveys contained data on only 22 actions. Neither of the population-based surveys contained data on a range of actions, including advice on consuming iron and folic acid (IFA) during pregnancy, support for early initiation of breastfeeding and immediate skin-to-skin contact, optimal feeding of low-birth-weight infants, counseling of mothers of low-birth-weight infants on kangaroo mother care (KMC) during delivery and postpartum period, counseling on infant and young child feeding (IYCF), growth monitoring, and counseling after growth monitoring during early childhood. The population-based surveys contained data on most of the indicators for immediate and underlying determinants; indicators that were not available included maternal dietary diversity during pregnancy, household food insecurity, and coverage under social protection schemes. With the exception of anemia among non-pregnant women, data on all nutrition outcomes was available in population-based surveys. In conclusion, Maldives should consider updating its national policies and programs to address existing gaps in recommended nutrition actions; in addition, future population-based surveys may also need to be revised to fill identified data gaps around nutrition actions and determinants.
| Author | : Neupane, Sumanta |
| Publisher | : Intl Food Policy Res Inst |
| Total Pages | : 46 |
| Release | : 2021-07-15 |
| Genre | : Political Science |
| ISBN | : |
The World Health Organization (WHO) and other global nutrition and health agencies recommend nutrition actions throughout the life-course to address malnutrition in all its forms. In this report, we examined how Pakistan’s nutrition policies and programs addressed recommended nutrition actions, nutrition outcomes, and the determinants of these outcomes. We reviewed population-based surveys and administrative data systems to assess the availability of data on nutrition actions and on indicators of determinants and outcomes. Our policy review identified a total of 53 recommended evidence-based nutrition actions, of which 51 were applicable to Pakistan; of those, 47 were addressed in nutrition policies and programs. Nutrition actions not included in current policies and programs were: daily iron and folic acid (IFA) supplementation and deworming during preconception; and food supplementation for complementary feeding, and daily IFA supplementation during early childhood. The Pakistan Multi-Sectoral Nutrition Strategy (PMNS) (2018–2025) was found to recognize and address all the key determinants of nutrition; it also expressed an intent to address all the Sustainable Development Goal (SDG) nutrition targets for maternal, infant, and young child nutrition. Targets for noncommunicable diseases (NCDs) were not currently set in the national strategies. Our data review found that, out of 47 actions that policies and programs addressed, population-based surveys contained data on 26 actions and administrative data sources contained data on 22 actions. Neither surveys nor administrative sources contained data on any actions aimed at adolescence, on energy and protein dietary supplements, on various types of counseling, on birth preparedness during pregnancy, or on optimal timing (delayed) of umbilical cord clamping; they also did not contain data on indicators related to newborn care, IFA supplementation around delivery and in the postpartum period, or counseling after growth monitoring during early childhood. The data gaps in population-based surveys on nutrition actions during early childhood were compensated for by the data on these nutrition actions that was available from administrative sources. Neither of the population-based surveys contained data on nutrition actions during early childhood such as breastfeeding counseling, counseling on appropriate complementary feeding, growth monitoring, and identification and management of severe acute malnutrition (SAM), or management of moderate acute malnutrition (MAM); administrative data sources, however, contained data on these actions. Population-based surveys contained data on most of the indicators on immediate and underlying determinants of undernutrition, but administrative data sources lacked data on indicators of immediate determinants. Population-based surveys contained data on all outcome indicators. In conclusion, Pakistan’s policy landscape for nutrition is robust, but there is limited consideration of targets for NCDs. The gaps in data availability for tracking progress on nutrition are much greater than are the gaps in policies and programs for addressing the recommended actions. Future population-based surveys and future modifications of other data systems should aim to fill the identified data gaps for nutrition actions.
| Author | : Jangid, Manita |
| Publisher | : Intl Food Policy Res Inst |
| Total Pages | : 10 |
| Release | : 2021-07-16 |
| Genre | : Political Science |
| ISBN | : |
The World Health Organization (WHO) and other global nutrition and health agencies recommend nutrition actions throughout the life-course to address malnutrition in all its forms. As global recommendations are updated based on available evidence, it is anticipated that governments and stakeholders will, in turn, build on these recommendations to update national policies and programs. Little is known in the South Asia region about policy coherence with globally recommended actions. Even less is known about the degree to which countries are able to track their progress on nutrition actions. To address the gap, this brief summarizes the policy and program gaps in addressing nutrition actions, along with data gaps in population-based surveys in all the countries in the South Asia region, including Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan, and Sri Lanka.
| Author | : International Food Policy Research Institute (IFPRI) |
| Publisher | : Intl Food Policy Res Inst |
| Total Pages | : 180 |
| Release | : 2016-06-14 |
| Genre | : Political Science |
| ISBN | : 0896295842 |
Few challenges facing the global community today match the scale of malnutrition, a condition that directly affects 1 in 3 people. Malnutrition manifests itself in many different ways: as poor child growth and development; as individuals who are skin and bone or prone to infection; as those who are carrying too much weight or whose blood contains too much sugar, salt, fat, or cholesterol; or those who are deficient in important vitamins or minerals. Malnutrition and diet are by far the biggest risk factors for the global burden of disease: every country is facing a serious public health challenge from malnutrition. The economic consequences represent losses of 11 percent of gross domestic product (GDP) every year in Africa and Asia, whereas preventing malnutrion delivers $16 in returns on investment for every $1 spent. The world’s countries have agreed on targets for nutrition, but despite some progress in recent years the world is off track to reach those targets. This third stocktaking of the state of the world’s nutrition points to ways to reverse this trend and end all forms of malnutrition by 2030.
| Author | : International Food Policy Research Institute |
| Publisher | : Intl Food Policy Res Inst |
| Total Pages | : 118 |
| Release | : 2014-11-13 |
| Genre | : Social Science |
| ISBN | : 0896295648 |
At the 2013 Nutrition for Growth Summit in London, 96 signatories (governments, civil society organizations, donors, United Nations agencies, and businesses) agreed to support the creation of an annual report on global nutrition that would be authored by an independent expert group, in partnership with a large number of contributors. The first edition of this report, the Global Nutrition Report 2014, puts a spotlight on worldwide progress by the 193 member countries of the United Nations in improving their nutrition status, identifies bottlenecks to change, highlights opportunities for action, and contributes to strengthened nutrition accountability on country and global levels.
| Author | : Yosef, Sivan |
| Publisher | : Intl Food Policy Res Inst |
| Total Pages | : 8 |
| Release | : 2016-06-29 |
| Genre | : Political Science |
| ISBN | : 0896299902 |
In recent years, the world has seen unprecedented attention and political commitment to addressing malnutrition. Milestones such as the Scaling Up Nutrition (SUN) Movement, the Lancet Maternal and Child Nutrition Series, and the Second International Conference on Nutrition (ICN2) have marked the rapid rise of nutrition on the global policy and research agenda. These developments reverse years of relative neglect for nutrition. Undernutrition is a global challenge with huge social and economic costs. It kills millions of young children annually, stunts growth, erodes child development, reduces the amount of schooling children attain, and increases the likelihood of their being poor as adults, if they survive. Stunting persists through a lifetime and beyond—underweight mothers are more likely to give birth to underweight children, perpetuating undernutrition across generations. Undernutrition reduces global gross domestic product by US$1.4–$2.1 trillion a year—the size of the total economy of Africa south of the Sahara.
| Author | : Food and Agriculture Organization of the United Nations |
| Publisher | : Food & Agriculture Org. |
| Total Pages | : 278 |
| Release | : 2018-09-14 |
| Genre | : Political Science |
| ISBN | : 9251305722 |
New evidence this year corroborates the rise in world hunger observed in this report last year, sending a warning that more action is needed if we aspire to end world hunger and malnutrition in all its forms by 2030. Updated estimates show the number of people who suffer from hunger has been growing over the past three years, returning to prevailing levels from almost a decade ago. Although progress continues to be made in reducing child stunting, over 22 percent of children under five years of age are still affected. Other forms of malnutrition are also growing: adult obesity continues to increase in countries irrespective of their income levels, and many countries are coping with multiple forms of malnutrition at the same time – overweight and obesity, as well as anaemia in women, and child stunting and wasting.
| Author | : Food and Agriculture Organization of the United Nations |
| Publisher | : Food & Agriculture Org. |
| Total Pages | : 320 |
| Release | : 2020-07-01 |
| Genre | : Political Science |
| ISBN | : 925132901X |
Updates for many countries have made it possible to estimate hunger in the world with greater accuracy this year. In particular, newly accessible data enabled the revision of the entire series of undernourishment estimates for China back to 2000, resulting in a substantial downward shift of the series of the number of undernourished in the world. Nevertheless, the revision confirms the trend reported in past editions: the number of people affected by hunger globally has been slowly on the rise since 2014. The report also shows that the burden of malnutrition in all its forms continues to be a challenge. There has been some progress for child stunting, low birthweight and exclusive breastfeeding, but at a pace that is still too slow. Childhood overweight is not improving and adult obesity is on the rise in all regions. The report complements the usual assessment of food security and nutrition with projections of what the world may look like in 2030, if trends of the last decade continue. Projections show that the world is not on track to achieve Zero Hunger by 2030 and, despite some progress, most indicators are also not on track to meet global nutrition targets. The food security and nutritional status of the most vulnerable population groups is likely to deteriorate further due to the health and socio economic impacts of the COVID-19 pandemic. The report puts a spotlight on diet quality as a critical link between food security and nutrition. Meeting SDG 2 targets will only be possible if people have enough food to eat and if what they are eating is nutritious and affordable. The report also introduces new analysis of the cost and affordability of healthy diets around the world, by region and in different development contexts. It presents valuations of the health and climate-change costs associated with current food consumption patterns, as well as the potential cost savings if food consumption patterns were to shift towards healthy diets that include sustainability considerations. The report then concludes with a discussion of the policies and strategies to transform food systems to ensure affordable healthy diets, as part of the required efforts to end both hunger and all forms of malnutrition.
| Author | : Behrman, Jere R. |
| Publisher | : Intl Food Policy Res Inst |
| Total Pages | : 86 |
| Release | : 2019-06-22 |
| Genre | : Political Science |
| ISBN | : |
IFPRI’s Poverty, Health, and Nutrition Division (PHND) and the CGIAR Research Program on Agriculture for Nutrition and Health (A4NH) have conducted research since 2003 on the critical links between nutrition, health, and agriculture. This evaluation considers the impact of the work carried out through 2016, looking at the research strategy, engagement, capacity building, and impact on programs and policies and global dialogue. Findings suggest that the Diet Quality and Health of the Poor program has been successful in developing and sharing valuable research, knowledge, and data, and has brought new issues and approaches to partners and stakeholders. Through a range of projects, the program has effectively engaged with stakeholders, partners, and governments to support capacity enhancement and to help shape national interventions to improve nutrition.
