global nutrition report slides, bangkok launch january 2016
TRANSCRIPT
Bangkok, Thailand January 22, 2016
• Assess Progress• Identify Actions • Improve Accountability
www.globalnutritionreport.org
What is the Global Nutrition Report?
• Stakeholder Group• Independent Expert Group• 70 authors• 80+ indicators, 193
countries• open access data
www.globalnutritionreport.org
• Why should countries invest in improving nutrition?
• Nutrition status in the ASEAN countries
• What we can do to improve nutrition status?
Outline
Alive and
thriving
Intergenerational
equity
Human Rights
Economic Benefits
Why invest in improving nutrition?
Whichever way you look at the world…
…malnutrition affects every countrywww.globalnutritionreport.org
of all child
deaths from poor
nutrition
45%
www.globalnutritionreport.org
$back for every $ invested in nutrition programmes
The economics is also convincing
www.globalnutritionreport.org
48 Indonesia44 Philippines36 Viet Nam
Progress on Nutrition Status in ASEAN Countries
On course
Off course, some progress
Off course, no progress
Not enough data to make assessment
Prevalence of under-5 stunting (%)
Some progress on reducing Stunting: 3 countries on course to meet World Health Assembly Targets for 2025
16 1719 20
3032
35 36
44
0
Little progress on reducing Wasting: 1 country on course to meet World Health Assembly Targets for 2025
3
66 7
8 8
10
14
Prevalence of under-5 wasting (%)
2 23
5 5
8
1112
Prevalence of under-5 overweight (%)
Some progress on reducing under-5 overweight: 5 countries on course to meet World Health Assembly Targets for 2025
On course- good progress
On course-at risk
Off course, some progress
Off course, no progress
Not enough data to make assessment
Some progress on increasing Exclusive Breastfeeding Rates: 3 countries on course for World Health Assembly Targets 2025
On course
Off course, some progress
Off course, no progress
Not enough data to make assessment
12
24 2429
3440 42
65Exclusive breastfeeding (%)
Note: all data estimated. 2011 On course
Off course
All countries off course to meet World Health Assembly Targets for 2025 on Anemia in Women
14
20 21 22 23 24 2530 31
44
Anemia in women of reproductive age (%)
Low & increasing
High & increasingNote: all data estimated. 2014. WHO
All countries off course to meet World Health Assembly Targets for 2025 for Adult Overweight and Obesity
18 18 19 2124 25
3033
39
47Adult overweight and obesity (%)
3Stunting children under 5
Wastingchildren under 5
Overweightchildren under 5
Anemiawomen aged 15-49 yearsExclusive Breastfeeding, 0-6 monthsAdult Overweight + Obesity (BMI≥ 25)
Adult Obesity (BMI≥ 30)
Adult Diabeteshigh blood sugar
4
31
9
1
10
10
Global Target
Missing data Off course, little/no progress Off course, some progress On courseOn course, at risk
Number of ASEAN countries at various stages of progress against global nutrition targets
9
1
7 1
3
2
1
2 1
2
3 1
5
1
Stunting children under 5
Wastingchildren under 5
Overweightchildren under 5
Anemiawomen aged 15-49 yearsExclusive Breastfeeding, 0-6 monthsAdult Overweight + Obesity (BMI≥ 25)
Adult Obesity (BMI≥ 30)
Adult Diabeteshigh blood sugar
Global Target
Missing data Off course, little/no progress Off course, some progress On courseOn course, at risk
Thailand at various stages of progress against global nutrition targets
What can Governments & other stakeholders
do about it?
1. Show Commitment
All ASEAN countries have signed up to the
• World Health Assembly targets for 2025• ICN2 targets for 2025• SDG targets for 2030
but...
Which countries are Signatories to the 2013
Nutrition for Growth Compact?Yes NoBrunei DarussalamCambodiaIndonesiaLao PDRMalaysiaMyanmarPhilippinesSingaporeThailandViet Nam
Join the Scaling Up Nutrition (SUN) Movement
Country a member of SUN?Yes NoCambodia
Brunei Darussalam
Indonesia SingaporeLao PDR ThailandMyanmar MalaysiaPhilippinesViet Nam
2. Measure Coverage of Nutrition Programmes
An example from Odisha, India
Nutrition co
unseling
Advice o
n IFA
Receive
d IFA
Receive
d food su
ppl
Consumed fo
od
BF initiati
on advic
e
Home visit
last
3 mo
Advice o
n BF at h
ome visit
Receive
d food su
ppl
Home visit
last
3 mo
Advice o
n CF
Vitamin A su
pplemen
t
Pediat
ric IF
A
Food su
pplemen
t
Consumed fo
od0
102030405060708090
100Pregnancy 0-6 months 6-24 months
Avula et al., forthcoming
% of population receiving
3. Strive for Policy Coherence
Underlying determinant dashboard Thailand
% Food insecure (FAO)
Nurses and Midwives/1000 people
% girls not enrolled in secondary school
Unimproved water (%)
Unimproved or no sanitation (%)
Gender inequality rank (1=highest)
Gov Exp on Health, Ed, Ag, SP (as % of budget)
7
2.077
11
2
0
70
41.4
http://ebrary.ifpri.org/utils/getfile/collection/p15738coll2/id/130070/filename/130281.pdf
Food Consumption
Diversity
Health and Nutrition
StatusFood
Affordability
Environ-mental
Sustainability
Dashboard for Food Systems(13 indicators)
Food SystemsHow nutrition-friendly are yours?
4. Cash: Invest More in Nutrition Actions
Domestic Budget Allocations to Nutrition (upper bound) as % of total Government Budget
Average of 30 countries: 4%
Indonesia 1.22% Philippines 1.94%Viet Nam 0.1%% are
medians
More resources are needed for nutritionto meet WHA undernutrition targets
Spending on nutrition specific interventions, 2015-2025
x x
Governments Donors
R4D and World Bank estimates for stunting reduction
5. Community: Delivery and accountability
Maharashtra Extraordinary things can happen
Economic Growth
Poverty reduction
Nutrition and Health
MissionsImproved Program
Performance
Frontline nutrition staff
recruitedNutrition spending
stunting fell from 37% to 24% in 7 years
www.globalnutritionreport.org
6. Count: Invest in Data
to Monitor Success
Which countries are missing the most data on nutrition indicators?
Thail
and
Indonesia
Philippines
Viet Nam
Cambodia
Myanmar
Lao Peo
ple's D
emocra
tic Rep
ublic
Malaysi
a
Singa
pore
Brunei Daru
ssalam
7 10 12 14 1825 27 29
37
59
% Missing Indicators in Nutrition Country Profiles
Calls to Action to all ASEAN countries
1. Commitment• Make a Nutrition for Growth commitment at Rio 2016• Join SUN
2. Coverage • Increase coverage of nutrition programmes & measure
coverage3. Coherence
• Think multi-sectorally • Build alliances between nutrition & other communities
4. Cash • Find more funding for nutrition action
5. Community• Front line delivery
6. Count• Identify the data gaps that hinder action—and fill them
Thailand was once the world’s nutrition role model, but now...
• Off course on all 8 nutrition indicators• On undernutrition, progress has halted at fairly high
levels• While obesity is still only at 8.5% (2014) it is increasing
(up from 6.7% in 2010) and is a new problem• Now is the opportunity for Thailand to have another
big push on undernutrition-- before all resources become tied up in trying to prevent and treat overweight, obesity and diabetes
• Thailand has the opportunity to become the world’s role model--again
Thank You