Download or read book Malawi stories of change in nutrition Evidence review written by Roschnik, Natalie and published by Intl Food Policy Res Inst. This book was released on 2023-01-24 with total page 6 pages. Available in PDF, EPUB and Kindle. Book excerpt: A review of evidence was conducted to understand the trends and determinants of malnutrition and identify interventions and programmes that improved maternal and child nutrition in Malawi. While children are less malnourished than two decades ago, one in three children remains stunted (37%) and 63% are anaemic. Children born from younger and less educated mothers, or from poorer rural households are more likely to be malnourished. One in ten children are born with a low birth weight (< 2.5kgs), with nearly half of them stunted by age two. The main causes of malnutrition include recurring sickness, poor infant and young child feeding and hygiene practices and low use of health and nutrition services, influenced by a wide range of factors, including food insecurity, poverty, gender inequality and food taboos. Programme evaluations and intervention trials have shown mixed results but overall highlight the need to address the multiple underlying drivers of malnutrition, rather than focus on one intervention.

Download or read book Malawi stories of change in nutrition Overview written by Harris, Jodie and published by Intl Food Policy Res Inst. This book was released on 2023-01-24 with total page 6 pages. Available in PDF, EPUB and Kindle. Book excerpt: Malawi has made significant progress in improving nutrition outcomes in the past decades. Despite this, the rates of stunting and anaemia remain high and overweight and obesity amongst women is rising. Malawi remains one of the most committed countries to nutrition, ranking 3rd out of 45 African countries on the Hunger and Nutrition Commitment Index, but effective implementation of policies is still challenging. Progress is being inhibited by a lack of dedicated budget lines for nutrition at district level, over reliance on external donors, poor coordination and competing priorities for limited resources within sectoral budgets. The pandemic, climate change and the Ukraine war have disrupted food systems, increased prices of fuel, fertilizer, and food, and caused loss of harvest and livelihoods, threatening to reverse decades of progress. Positive and coordinated action is needed to increase financial commitment to food and nutrition security, ensure nutrition is prioritised in the nation’s economic and development agenda, and continue Malawi’s progress to reducing malnutrition.

Download or read book Malawi stories of change in nutrition Lessons on advocacy written by Nowa, Mphatso and published by Intl Food Policy Res Inst. This book was released on 2023-01-24 with total page 4 pages. Available in PDF, EPUB and Kindle. Book excerpt: Malawi is one of the most committed countries in Africa to improving nutrition, yet it still has one of the highest rates of malnutrition in the region and is struggling to turn commitments into action at scale. The advocacy component of the Afikepo project strengthened capacity of national and district government and Civil Society Organisation (CSO) representatives to plan, budget and advocate for scaling up nutrition commitments at national and in 10 districts. These actions improved awareness, coordination and commitment to prioritise nutrition across sectors, within government, and CSOs and a wide range of actors at national and district level, which in turn improved governance and accountability. However, these actions did not have a substantial effect on domestic funding allocations, which are still heavily reliant on external donors. This brief summarises lessons learned and recommendations from the various advocacy and capacity building efforts over the past four years.

Download or read book Nourishing millions Stories of change in nutrition Synopsis written by Yosef, Sivan and published by Intl Food Policy Res Inst. This book was released on 2016-06-29 with total page 8 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Malawi stories of change in nutrition Funding for nutrition written by Nyirongo, Godwin and published by Intl Food Policy Res Inst. This book was released on 2023-01-24 with total page 4 pages. Available in PDF, EPUB and Kindle. Book excerpt: Malawi has strong policies and frameworks for nutrition but insufficient funding to implement them. Analyses of government budgets at national level and in 10 districts from financial years 2016/17 to 2022/23, found that domestic budget allocations for nutrition are still well below the 5% of national budget target set by the government. National budget allocations ranged between 0.5% to 3.7% depending on the year. At district level, they ranged from 0.2% to 1.6%, with only one district, in one financial year, exceeding the 1.5% target for district level nutrition budget allocations. Over 95% of nutrition activities in Malawi are currently funded by external donors. The absence of sufficient, consistent and dedicated domestic budget for nutrition at national and district level, means nutrition policies and plans will continue to be driven by, and dependent on, externally funded pilot-scale projects without national reach or ownership. Budget tracking is essential, as it provides data, which all actors can use to hold government to account on their commitments and funding targets.

Download or read book Women s Empowerment and Nutrition written by Mara van den Bold and published by Intl Food Policy Res Inst. This book was released on 2013-11-01 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many development programs that aim to alleviate poverty and improve investments in human capital consider women’s empowerment a key pathway by which to achieve impact and often target women as their main beneficiaries. Despite this, women’s empowerment dimensions are often not rigorously measured and are at times merely assumed. This paper starts by reflecting on the concept and measurement of women’s empowerment and then reviews some of the structural interventions that aim to influence underlying gender norms in society and eradicate gender discrimination. It then proceeds to review the evidence of the impact of three types of interventions—cash transfer programs, agricultural interventions, and microfinance programs—on women’s empowerment, nutrition, or both. Qualitative evidence on conditional cash transfer (CCT) programs generally points to positive impacts on women’s empowerment, although quantitative research findings are more heterogenous. CCT programs produce mixed results on long-term nutritional status, and very limited evidence exists of their impacts on micronutrient status. The little evidence available on unconditional cash transters (UCT) indicates mixed impacts on women’s empowerment and positive impacts on nutrition; however, recent reviews comparing CCT and UCT programs have found little difference in terms of their effects on stunting and they have found that conditionality is less important than other factors, such as access to healthcare and child age and sex. Evidence of cash transfer program impacts depending on the gender of the transfer recipient or on the conditionality is also mixed, although CCTs with non-health conditionalities seem to have negative impacts on nutritional status. The impacts of programs based on the gender of the transfer recipient show mixed results, but almost no experimental evidence exists of testing gender-differentiated impacts of a single program. Agricultural interventions—specifically home gardening and dairy projects—show mixed impacts on women’s empowerment measures such as time, workload, and control over income; but they demonstrate very little impact on nutrition. Implementation modalities are shown to determine differential impacts in terms of empowerment and nutrition outcomes. With regard to the impact of microfinance on women’s empowerment, evidence is also mixed, although more recent reviews do not find any impact on women’s empowerment. The impact of microfinance on nutritional status is mixed, with no evidence of impact on micronutrient status. Across all three types of programs (cash transfer programs, agricultural interventions, and microfinance programs), very little evidence exists on pathways of impact, and evidence is often biased toward a particular region. The paper ends with a discussion of the findings and remaining evidence gaps and an outline of recommendations for research.

Download or read book Micronutrient policy process in Malawi written by Babu, Suresh Chandra and published by Intl Food Policy Res Inst. This book was released on 2016-11-14 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: Micronutrient deficiencies are common across the developing world and have major effects on the health outcomes of its population. Although this is well understood, many countries find it difficult to bring about policy change in this regard. This paper uses micronutrient policies designed and implemented in Malawi as a case study to shed light on the barriers and gaps faced by developing countries for similar programs and policies. To understand the drivers of policy change, this paper uses the kaleidoscope model to trace the policy processes of three major micronutrients—iodine, vitamin A, and iron. Using a select set of policy process tools, as well as field interviews with key informants who were part of Malawi’s micronutrient policy process, the authors test a set of hypotheses on 16 variables that drive policy change in the micronutrient policy sphere. Results indicate that much of the agenda setting for micronutrient policies and programs was triggered by external events that focused on the elimination of micronutrient deficiencies as part of the global development agenda. These events include the International Conference on Nutrition, the Millennium Development Goals, and, more recently, Scaling up Nutrition. The design of micronutrient policies and program interventions in Malawi was adopted by locally mandated ministries and institutions, in collaboration with development partners who provided both financial and technical support at the design stage. The adoption of micronutrient policies and intervention programs was driven primarily by external funding, particularly through supplementation programs related to vitamin A and iron. Adoption of fortification standards for vitamin A has been going on for more than a decade due to continuous resistance from the private sector, which faces additional costs and needs greater technical expertise. The biofortification method of micronutrient interventions for iron and vitamin A is externally driven and relatively new in Malawi. Although this method is widely accepted by policy makers, no concrete strategy has been developed for its design, adoption, and implementation. Further, supplementation and fortification programs continue to face implementation challenges due to poor physical infrastructure and monitoring systems. However, the national institutional architecture required for agenda setting, design, adoption, implementation, evaluation, and review to address micronutrient deficiencies is in place in Malawi. The system needs continued support from development partners for effective functioning at all levels. The use of various tools for the policy change part of the kaleidoscope model indicate that policy change is a dynamic process; over time, changes in the nature and composition of the members of policy and institutional architecture can result in different policy outcomes. The Malawi case study demonstrates two things. First, local leadership is crucial in keeping micronutrient deficiencies on the policy-making agenda, and second, it matters where coordinating power is placed in the policy hierarchy. This paper finds that, even with policy champions, adopted policies will face implementation challenges unless they are supported with adequate resources and are systematically followed through to final execution and delivery.

Download or read book Impact of nutrition and fish supplementation on the response to anti retroviral therapy Zambia a literature review written by and published by WorldFish. This book was released on with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Disease Control Priorities Third Edition Volume 8 written by Donald A. P. Bundy and published by World Bank Publications. This book was released on 2017-11-20 with total page 977 pages. Available in PDF, EPUB and Kindle. Book excerpt: More children born today will survive to adulthood than at any time in history. It is now time to emphasize health and development in middle childhood and adolescence--developmental phases that are critical to health in adulthood and the next generation. Child and Adolescent Health and Development explores the benefits that accrue from sustained and targeted interventions across the first two decades of life. The volume outlines the investment case for effective, costed, and scalable interventions for low-resource settings, emphasizing the cross-sectoral role of education. This evidence base can guide policy makers in prioritizing actions to promote survival, health, cognition, and physical growth throughout childhood and adolescence.

Download or read book Nourishing millions written by Gillespie, Stuart and published by Intl Food Policy Res Inst. This book was released on 2016-06-29 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: The stories in this book are diverse, spanning five decades and playing out in different arenas, from local to global. They take place in developing countries all over the world, and they involve many sectors and disciplines beyond nutrition itself, including health, agriculture, education, social protection, and water and sanitation. Most importantly, they paint a nuanced picture of success as a context-specific achievement that may, or may not, endure into the future.

Download or read book New Challenges and Future Perspectives in Nutrition and Sustainable Diets in Africa written by Hettie Carina Schönfeldt and published by Frontiers Media SA. This book was released on 2024-05-06 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: Africa is confronted with the triple burden of malnutrition; it is also faced with the triple challenges of poverty, inequality and unemployment. In many African countries, large proportions of the population rely on agriculture not only for their food - but also for their livelihoods. A transformed agricultural and food system is thus a necessary condition for addressing this double-triple challenge. Additionally, post harvest and food waste and losses reduce the availability of sufficient quantities of safe, edible and preferable foods. At least one third of food produced at farm level is lost due to inappropriate storage, infrastructure and agro-processing technologies in developing countries; and one third of food purchased is wasted at household and retail level.

Download or read book School based food and nutrition education written by Food and Agriculture Organization of the United Nations and published by Food & Agriculture Org.. This book was released on 2020-12-10 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: School-based food and nutrition education (SFNE) helps schoolchildren and the school community to achieve lasting improvements in their food practices and outlooks; build the capacity to change and to adapt to external change; and pass on their learning to others. SFNE has also an important role in complementing efforts that are being made globally to improve food environments, and in empowering children and adolescents to become active participants in shaping the food system to be better able to deliver healthy and sustainable diets. Despite increasing interest for SFNE, the evidence that supports it and its potential, much of traditional SFNE, particularly in LMICs, is largely underfunded, not delivering results, and disconnected from other key interventions that aim to support the food, nutrition, environment, and education nexus. SFNE is under-resourced, with capacity development opportunities lacking throughout the school system.This White Paper is the first document of its kind, and it is based on the evidence, professional expertise, and field experience, lessons learned, and documented challenges of SFNE work in a variety of contexts. It presents the case for raising the profile and transforming the vision and learning model of SFNE. This document is directed firstly to a technical audience working in governmental organizations that deal with schoolchildren and adolescents and is also of interest to researchers, technical advisors, decision-makers, donors and investors, civil society, and UN organizations.

Download or read book Partial Stories written by Claire L. Wendland and published by University of Chicago Press. This book was released on 2022-04-22 with total page 365 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Partial Stories takes readers to Malawi, where roughly one in twenty women can expect to die of a pregnancy or childbirth complication, despite decades of safe-motherhood programs. The stories of these mothers are told in hospitals and villages, by chiefs and doctors, herbalists and nurses, epidemiologists and healers, and competing explanations proliferate. The mothers' stories are used by elders for technical education and moral instruction at a coming-of-age-ritual, a district hospital's mortality review, and in the reflected glow of a computer screen at an international conference. After orienting readers to urban Malawi's context of therapeutic pluralism and material scarcity, Claire Wendland discusses the ways various experts account for maternal death, showing how their diverse explanations reflect competing visions of the past and shared concerns about social change. She looks to a series of pregnancy-related deaths in order to consider bodies as biosocial phenomena, shaped from before birth by history and social inequality. Wendland reveals an uneven therapeutic landscape that pushes experts to improvise, clinically and ethically. Their creative, essential, and sometimes deadly improvisations ask us to reconsider the "best practice" dogmas of global health and transnational research, as well as the nature of medical authority and expertise. Wendland demonstrates how strategies of legitimation render care more dangerous and knowledge more partial than it might otherwise be"--

Download or read book The State of Food Security and Nutrition in the World 2018 written by Food and Agriculture Organization of the United Nations and published by Food & Agriculture Org.. This book was released on 2018-09-14 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Climate change and variability written by Choufani, Jowel and published by Intl Food Policy Res Inst. This book was released on 2017-06-26 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: The paper uses a food systems approach to analyze the bidirectional relationships between climate change and food and nutrition along the entire food value chain. It then identifies adaptation and mitigation interventions for each step of the food value chain to move toward a more climate-smart, nutrition-sensitive food system. The study focuses on poor rural farmers, a population especially vulnerable to the adverse effects of climate change on nutrition, although we recognize that there are other vulnerable populations, including urban poor and rural populations working outside of agriculture. Although this report does not explicitly exclude overweight and obesity, it focuses primarily on undernutrition because this nutritional status is currently more prevalent than overnutrition among our target population.

Download or read book Within Our Grasp written by Sharman Apt Russell and published by Pantheon. This book was released on 2021-04-06 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: An important, hopeful book that looks at the urgent problem of childhood malnutrition worldwide and the revolutionary progress being made to end it. A healthy Earth requires healthy children. Yet nearly one-fourth of the world’s children are stunted physically and mentally due to a lack of food or nutrients. These children do not die but endure a lifetime of diminished potential. During the past thirty years, says Sharman Russell, we have seen a revolution in how we treat these sick children and in how—with a new understanding of the human body and approach to nutrition, and new ways to reach out to hungry mothers and babies—we have gone from unwittingly killing severely malnourished children to bringing them back to health through the “miracle” of ready-to-eat therapeutic food. Intertwined with stories of scientists and nutrition experts on the front lines of finding ways to end malnutrition for good, Russell writes of her travels to Malawi, one of the poorest and least-developed countries in the world and also the site of pathbreaking, cutting-edge research into childhood malnutrition. (Eighty percent of Malawians are farmers subsisting on less than an acre of land and coping with erratic weather patterns due to global warming; fifty percent live below the poverty line; and forty-two percent of Malawi’s children are affected by a lack of food or nutrients.) As she writes of her personal exploration of new friendships and insights in a country known as “the warm heart of Africa,” Russell describes the programs that are working best to reduce childhood stunting and explores how malnutrition in children is connected to climate change, how vitamins and minerals are preventing these harmful effects, why the empowerment of women is the single most effective factor in eliminating childhood malnutrition, and what the costs of ending childhood malnutrition are. Sharman Russell, much-admired writer of luminous prose and humane heart, whose writing has been called, “elegant” (The Economist) and “extraordinarily well-crafted, far-reaching, and heart-wrenching” (Booklist), winner of the John Burroughs Medal for distinguished natural history writing, has written an illuminating, inspiring book that makes clear the promise of what is today, gratefully, within our grasp.

Download or read book Market information and access to structured markets by small farmers and traders Evidence from an action research experiment in central Malawi written by Ochieng, Dennis O. and published by Intl Food Policy Res Inst. This book was released on 2020-03-12 with total page 27 pages. Available in PDF, EPUB and Kindle. Book excerpt: Small farmers and traders often lack the market information they need to earn the most from their crop sales. This paper analyzes the effects of an action research experiment in central Malawi, in which four groups of smallholder farmers were provided with maize and soybean price information from a local commodity exchange during the 2019 marketing season, while four other groups of smallholder farmers did not receive this information. Using data from a panel survey of 399 farmers and 78 traders conducted before and after the main marketing season and using kernel propensity score matching approach to account for possible differences between the treated and non-treated farmers, we estimate the effects of the intervention on a number of outcome indicators. A before versus after analysis was also employed to evaluate changes in traders’ marketing outcomes. We find positive but statistically insignificant effects on maize and soybean selling prices, sales through structured markets and levels of commercialization after the intervention. We also find a negative and statistically significant effect on the quantity of maize sold by farmers, suggesting paradoxically that providing farmers with price information reduced their sales volumes. The proportion of traders aware of structured markets and their share of sales through structured markets also increased significantly after the intervention. The quantity of maize sold by traders as well as the selling prices for maize and soy-bean also increased significantly, although this may be due to factors other than the intervention. The study concludes that provision of price information alone is not enough to facilitate small farmers’ and traders’ use of structured markets. Greater effort is needed to sensitize farmers and traders on the quality and quantity requirements as well as the operations of structured markets.