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Tamer RabieSenior Health Specialist

The World Bank Europe & Central AsiaBuilding Tomorrow Through Better Nutrition

Human Development Europe & Central AsiaThe World Bank Europe & Central Asia1Irrefutable Evidence for Nutrition

The World Bank Europe & Central AsiaHuman Development Europe & Central AsiaThe World Bank Europe & Central Asia2

The World Bank Europe & Central AsiaHuman Development Europe & Central AsiaThe World Bank Europe & Central Asia3Impact of Undernutrition Interventions on the MDGsMDGImpact of Undernutrition Intervention1.Eradicate poverty & hungerTarget is to reduce prevalence of underweight children < 5 years

2.Achieve universal primary educationReducing undernutrition increases cognitive development, contributes to learning & school completion rates3.Promote gender equality Maternal education and empowerment lead to better nutrition and health practices. Reduces discrimination against girls in family feeding practices. The World Bank Europe & Central AsiaHuman Development Europe & Central AsiaThe World Bank Europe & Central AsiaImpact of Undernutrition Interventions on the MDGs contdMDGImpact of Undernutrition Intervention4.Reduce child mortalityEnormous impact of reducing undernutrition on decreasing child mortality.

5.Improve maternal healthReduced maternal mortality by reducing anemia with IFA or multiple MN supplementation. The World Bank Europe & Central AsiaHuman Development Europe & Central AsiaThe World Bank Europe & Central AsiaBackground for KG Nutrition ReportJoint World Bank/UNICEF report

Objective

to calculate the potential human & economic benefits from increasing nutrition investments

Situational Analysis

Epidemiology of undernutritionPhysical & economic consequences Systems for delivering nutrition interventions Coverage of nutrition interventionsEconomic gainsThe World Bank Europe & Central AsiaHuman Development Europe & Central AsiaThe World Bank Europe & Central AsiaThree Domains for Nutrition AnalysisDomainContentEpidemiologicalNutrition burden, evidence for efficacy & effectiveness of interventions OperationalCoverage, quality & utilization of nutrition -related programs, capacities, opportunities, & constraints to improving themEconomic and sociopoliticalFactors from community, national & international levels that may enhance or inhibit efforts and strengthen policies & programsThe World Bank Europe & Central AsiaHuman Development Europe & Central AsiaThe World Bank Europe & Central Asia(A)Physical Burden of UndernutritionThe World Bank Europe & Central AsiaHuman Development Europe & Central AsiaThe World Bank Europe & Central Asia8Deaths Resulting from UndernutritionPrevalenceAnnual DeathsLow birth weight1,5001,999 g0.61392,0002,499 g4.4249Vitamin A deficiency< 5 months18.0146659 months32.0105Stunting