Are data available for tracking progress on nutrition policies, programs, and outcomes in Sri Lanka?
Are data available for tracking progress on nutrition policies, programs, and outcomes in Sri Lanka?

Author: Neupane, Sumanta

Publisher: Intl Food Policy Res Inst

Published: 2021-07-15

Total Pages: 56

ISBN-13:

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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 Sri Lanka’s nutrition policies and programs addressed the recommended nutrition actions, determinants, and outcomes. We reviewed population-based surveys to assess the availability of data on nutrition actions, nutrition outcomes, and determinants of these outcomes; we also assessed the data availability in administrative data systems for selected nutrition actions. Our policy review identified a total of 53 recommended evidence-based nutrition actions, of which 47 nutrition actions were applicable in Sri Lanka; of these, 44 were addressed in the country’s nutrition policies and programs. Nutrition actions not included in current policies and programs were food supplementation during adolescence and food supplementation for complementary feeding during early childhood. Although policies addressed daily or intermittent iron and folic acid (IFA) supplementation during preconception, the country’s preconception care program has not yet implemented it. Sri Lanka’s multisectoral nutrition plan recognized and addressed all key determinants of nutrition except women’s status; the country’s multisectoral nutrition plan and its national nutrition policy were found to also express an intent to track the progress of all Sustainable Development Goal (SDG) nutrition targets for maternal, infant, and young child nutrition and also the indicators related to non-communicable diseases (NCDs). Our data review found that out of 44 actions that were addressed by Sri Lanka’s policies and programs, the population-based surveys we reviewed contained data on only 22 actions; similarly, out of 15 selected actions we reviewed in the administrative data system, data was available on only five actions. Data was not available in either of the surveys on the following interventions: various types of counseling during pregnancy, optimal timing (delayed) of umbilical cord clamping, indicators related to newborn care and care of low-birth-weight infants, postpartum IFA supplementation and breastfeeding counseling and around delivery and in the postpartum period, counseling on infant and young child feeding (IYCF), growth monitoring and identification and treatment of severe acute malnutrition (SAM) and moderate acute malnutrition (MAM) during early childhood. In the administrative data source data was not available on IFA supplementation, nutrition counseling and advice on consuming IFA during pregnancy, IFA supplementation during lactation, micronutrient powders (MNPs) and zinc supplementation and on identification and management of SAM and MAM during early childhood. Population-based surveys contained data on most of the indicators on determinants and on all indicators on outcomes. In conclusion, Sri Lanka’s policy landscape for nutrition is robust; however, the gaps in data availability for tracking progress on nutrition are much greater than are the gaps in policies and programs for addressing recommended actions. Future population-based surveys and future modifications of other data systems should aim to fill the identified data gaps for nutrition actions.

Are data available for tracking progress on nutrition policies and programs in South Asia?
Are data available for tracking progress on nutrition policies and programs in South Asia?

Author: Jangid, Manita

Publisher: Intl Food Policy Res Inst

Published: 2021-07-16

Total Pages: 10

ISBN-13:

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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.

Are data available for tracking progress on nutrition policies, programs, and outcomes in Nepal?
Are data available for tracking progress on nutrition policies, programs, and outcomes in Nepal?

Author: Neupane, Sumanta

Publisher: Intl Food Policy Res Inst

Published: 2021-07-15

Total Pages: 48

ISBN-13:

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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.

Are data available for tracking progress on nutrition policies, programs, and outcomes in Pakistan?
Are data available for tracking progress on nutrition policies, programs, and outcomes in Pakistan?

Author: Neupane, Sumanta

Publisher: Intl Food Policy Res Inst

Published: 2021-07-15

Total Pages: 46

ISBN-13:

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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.

Global Nutrition Report 2014
Global Nutrition Report 2014

Author: International Food Policy Research Institute

Publisher: Intl Food Policy Res Inst

Published: 2014-11-13

Total Pages: 118

ISBN-13: 0896295648

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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.

Nourishing millions: Stories of change in nutrition: Synopsis
Nourishing millions: Stories of change in nutrition: Synopsis

Author: Yosef, Sivan

Publisher: Intl Food Policy Res Inst

Published: 2016-06-29

Total Pages: 8

ISBN-13: 0896299902

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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.

Global Nutrition Report 2016
Global Nutrition Report 2016

Author: International Food Policy Research Institute (IFPRI)

Publisher: Intl Food Policy Res Inst

Published: 2016-06-14

Total Pages: 180

ISBN-13: 0896295842

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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.

Ready to Learn
Ready to Learn

Author: Tara Beteille

Publisher: World Bank Publications

Published: 2020-03-06

Total Pages: 364

ISBN-13: 1464813396

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Countries that have sustained rapid growth over decades have typically had a strong public commitment to expanding education as well as to improving learning outcomes. South Asian countries have made considerable progress in expanding access to primary and secondary schooling, with countries having achieved near-universal enrollment of the primary-school-age cohort (ages 6†“11), except for Afghanistan and Pakistan. Secondary enrollment shows an upward trend as well. Beyond school, many more people have access to skilling opportunities and higher education today. Although governments have consistently pursued policies to expand access, a prominent feature of the region has been the role played by nonstate actors—private nonprofit and forprofit entities—in expanding access at every level of education. Though learning levels remain low, countries in the region have shown a strong commitment to improving learning. All countries in South Asia have taken the first step, which is to assess learning outcomes regularly. Since 2010, there has been a rapid increase in the number of large-scale student learning assessments conducted in the region. But to use the findings of these assessments to improve schooling, countries must build their capacity to design assessments and analyze and use findings to inform policy.

The Impact of Climate Change and Bioenergy on Nutrition
The Impact of Climate Change and Bioenergy on Nutrition

Author: Brian Thompson

Publisher: Springer Science & Business Media

Published: 2012-04-23

Total Pages: 131

ISBN-13: 9400701101

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Climate changes will affect food production in a number of ways. Crop yields, aquatic populations and forest productivity will decline, invasive insect and plant species will proliferate and desertification, soil salinization and water stress will increase. Each of these impacts will decrease food and nutrition security, primarily by reducing access to and availability of food, and also by increasing the risk of infectious disease. Although increased biofuel demand has the potential to increase incomes among producers, it can also negatively affect food and nutrition security. Land used for cultivating food crops may be diverted to biofuel production, creating food shortages and raising prices. Accelerations in unregulated or poorly regulated foreign direct investment, deforestation and unsustainable use of chemical fertilizers may also result. Biofuel production may reduce women’s control of resources, which may in turn reduce the quality of household diets. Each of these effects increases risk of poor food and nutrition security, either through decreased physical availability of food, decreased purchasing power, or increased risk of disease. The Impact of Climate Change and Bioenergy on Nutrition articulates the links between current environmental issues and food and nutrition security. It provides a unique collection of nutrition statistics, climate change projections, biofuel scenarios and food security information under one cover which will be of interest to policymakers, academia, agronomists, food and nutrition security planners, programme implementers, health workers and all those concerned about the current challenges of climate change, energy production, hunger and malnutrition.