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Dhaka, Bangladesh

November 4, 2015

Assess Progress
Identify Actions
Improve Accountability

www.globalnutritionreport.org

Stakeholder Group
Independent Expert Group
70 authors
80+ indicators, 193
countries
open access data
www.globalnutritionreport.org

Outlin
e

What is malnutrition?
Why should your
country invest in
improving nutrition?
Nutrition status in
Bangladesh and other
SAARC countries
What we can do about
it

Malnutrition
-

Children do not grow properly


Adults are too thin
People are deficient in vitamins & minerals
Adults are overweight or obese

Caused by
- Interaction of poor diets & unhealthy environments

Whichever way you look at


the world

malnutrition affects

every

www.globalnutritionreport.org

country

Why invest in improving


nutrition?
Human Rights
Alive
and
thriving

Intergeneration
al
equity

Economic
Benefits

45
%

of all
child
deaths
from
poor
nutritio
n
www.globalnutritionreport.org

The economics is
also convincing

back for every $ invested


in nutrition programmes
www.globalnutritionreport.org

30 year
compound
rate of
interest of
10%

Progress on Nutrition Status


in SAARC Countries

Some progress on reducing Stunting, half of the


SAARC countries are on course to meet World
Health Assembly Targets for 2025
Prevalence of under-5 stunting (%)

34
15

On
course

36

39

41

41

45

20

Off course, some


progress

Off course, no
progress
Global Nutrition Report 2015

Not enough data to make


assessment

No progress on reducing Wasting: all


SAARC countries off course to meet World
Health Assembly Targets for 2025
21

Prevalence of under-5 wasting (%)


14
10

10

11

11

Global Nutrition Report 2015

15

Progress on reducing under-5 overweight:


most SAARC countries off course to meet
World Health Assembly Targets for 2025
Prevalence of under-5 overweight (%)

7.6
6.5

4.8

0.6

On coursegood
progress

1.4

On courseat risk

1.5

5.4

1.9

Off course,
some
progress

Off course,
no progress

Global Nutrition Report 2015

Not enough data to


make assessment

No progress on increasing Exclusive Breastfeeding


Rates: all countries off course to meet World Health
Assembly Targets for 2025
Exclusive breastfeeding (%)

37.7

46.4

47.8

75.8
48.7

55.3

56.9

On course

Off course, no
progress

Not enough data to make


assessment

Global Nutrition Report 2015

All SAARC countries off course to meet World


Health Assembly Targets for 2025 on Anemia
in Women
Anemia in women of reproductive age (%)
44
33

36

37

26

On
course
Note: all data estimated. 2011

Off course

Global Nutrition Report 2015

44

48

51

All SAARC countries off course to meet World


Health Assembly Targets for 2025 for Adult
Overweight and Obesity
Adult overweight and obesity (%)

24

25

25

26

26

19

Low &
increasing

High &
increasing

Note: all data estimated. 2014. WHO


Global Nutrition Report 2015

26

26

Number of SAARC countries at various stages of progress against global nutrition targets
Missing data

Off course, little/no


progress

Off course, some progressOn course, at risk On course

Stunting
children under 5
Wasting
children
under 5
Overweight
children
under
5
Anemia
women aged
15-49 years
Exclusive
Breastfeeding,
0-6 months
Adult
Overweight +
Obesity (BMI
25)
Adult Obesity
(BMI 30)
Adult
Diabetes
high
bloodReport 2015
Global
Nutrition

8
1

8
5

8
8
8
Global Target

Bangladesh at various stages of progress against global nutrition targets


Missing data

Off course, little/no


progress

Off course, some progressOn course, at risk On course

Stunting
children under 5
Wasting
children
under 5
Overweight
children
under
5
Anemia
women aged
15-49 years
Exclusive
Breastfeeding,
0-6 months
Adult
Overweight +
Obesity (BMI
25)
Adult Obesity
(BMI 30)
Adult
Diabetes
high blood

Global Target

What can Governments


& other stakeholders
do about it?

1. Show Commitment

Make public pledges for


nutrition
Which SAARC countries are Signatories to
Yes

the 2013
Nutrition for Growth Compact?

Bangladesh
Sri Lanka

No

Afghanistan
Bhutan
India
Maldives
Nepal
Pakistan

Join the Scaling Up Nutrition (SUN)


Movement

SAARC country a member of


SUN?

Yes

No

Bangladesh
Nepal
Pakistan
Sri Lanka

Afghanistan
Bhutan
India
Maldives

Number of times different words


appear in the 2013 Bangladesh
National Sustainable Development
Strategy
160
133
122
51
0

/www.plancomm.gov.bd/wp-content/uploads/2013/09/National-Sustainable-Development-Strategy.pdf

2. Measure Coverage of
Programmes

Coverage of programs matters.


An example from Odisha, India
Pregnancy

0-6 months

6-24 months

% of
populati
on
receivin
g

Avula et al., forthcoming

3. Strive for Policy


Coherence

Underlying determinant dashboard


for Bangladesh
Gov Exp on Health, Ed, SP, Ag (as % of budget)

32

Gender inequality score (0=low, 1 = high inequality) 0.53


Unimproved sanitation (%)

15

Unimproved water (%)

15

% girls never in secondary school

43

Nurses and Midwives/1000 people 0.22


% Food insecure (FAO)

http://globalnutritionreport.org/files/2014/12/gnr14_cp_south_africa.pdf

17

4. Cash: Invest More in


Nutrition Actions

14
countries in
SUN

Domestic Budget
Allocations to
Nutrition as % of
total
Government
Average of 14
Budget
countries: 1.3%
Nepal 0.26%

% are

Waiting for
Bangladesh to
complete the

More resources are needed for


nutrition
to meet WHA undernutrition
targets
Government
Donors

Spending on nutrition specific interventions, 2015-2025

R4D and World Bank estimates for stunting

5. Community:
Delivery and
accountability

Extraordinary things can happen

Maharashtra

stunting fell from 37% to 24% in 7 years


Economic
Growth
Poverty
reduction

Nutrition and
Health
Missions
Improved
Program
Performance
www.globalnutritionreport.org

Frontline
nutrition staff
recruited
Nutrition
spending

6. Count: Invest in
Data to Monitor
Success

Which SAARC countries are


missing the most data on
nutrition indicators?
% Missing Indicators in Nutrition Country Profiles

45
33

12

Global Nutrition Report 2015

17

Calls to Action

1. Commitment

Strengthen national targets on nutrition


Make a Nutrition for Growth commitment at Rio
2016
Join SUN!

2. Coverage

Increase coverage of nutrition programmes &


measure coverage!

3. Coherence

Build alliances between nutrition & other


communities

4. Cash

Find more funding for nutrition action

5. Community
Front line delivery

6. Counting

Want Designer Babies?


Invest in Nutrition!

Thank You