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Nutrition Situation
Promotion of Food Based Approaches 14th April 2011, Pakistan.
Background
Pakistan suffers from high rates of malnutrition with 39% of children moderately or severely underweight
Pakistan is not on track to achieve MDG T-1C, i.e. halving the 1990 level of malnutrition by 2015.
Slow progress over the last two decades in addressing the issue of malnutrition
Underweight Stunting
---------
38% 36.8%
Wasting / GAM
SAM
---------------------
13.2%
03% 66.5% 35.6% 50.9%
Iron Deficiency
Vitamin A Deficiency (Indirect estimates) Bitots spot Low serum retinol 12.5% 1.2% 12% 37%
2 3
6.5% 17%
22.9%
5.9%
Vitamin A Deficiency 6.5%
Trends in Malnutrition
GAM
25% 20% 18% 15% 13% 10% 10% 5% 0% 2002 2003 2004 2005 2006 2007 2008 2009 2010 National Punjab Linear (Punjab) Sindh Linear (Sindh) 13% 14% 16% 23% 22% 70% 60% 59% 50% 40% 37% 30% 20% 10% 50% 66%
Stunting
42%
53%
0%
2002 2003 2004 2005 2006 2007 2008 2009 2010 National Sindh
Punjab
Linear (Punjab)
Linear (Sindh)
Prevalence of acute malnutrition in Sindh ,Punjab & KPK (FANS, Nov/Dec 2010)
25
22.9 21.2
20
15
13.9
10
7.3
6.1
5
2.9
3.5 1
N.Sindh
S.Sindh
KPK
Stunting (%)
Wasting (%)
23 February 2011
10
Pakistan and Nepal Are Not on Track to Achieve MDG on Reduction in Malnutrition (weight for age)
(1990=100%, Target reduction to 50% of 1990 level by 2015)
100 Target
38
Bangladesh India
90
48
Nepal Pakistan
80
30
47
48
Sri Lanka
70
60 1990 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08
Sprinkles Project
Piloted in four districts Based on Results recommended for up-scaling throughout the country Budgetary provisions for implementation
Reviewing National Nutrition Strategy Gap analysis of the Infant and Young Child Feeding Policy and Strategy. Activating Infant Feeding Board at national level and activating Infant Feeding Committees at provincial level. Establishing SCs in 15 districts in KP, Sindh Punjab and Baluchistan. Establishing Surveillance system in these 10 districts. Integrating WHO new growth charts into health care services.
Government commitment to allocate resources (By approving proposed nutrition programme). Focus on addressing micronutrient issues BCC focused on key behaviors change(Early Initiation, breastfeeding, complimentary feeding) Broaden traditional Growth Monitoring and supplementary feeding programs CCTs for well child care among the poor and malnourished Focus on treatment of severely malnourished Food security interventions in families
That is why we are here today and we need to Act, Thank you