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Global and Regional Perspective on Maternal, Infant & Young Child Nutrition: Overview of Progress and way forward for Sustainable Development GoalsMs. Barbara NalubangaRegional Coordinator – IBFAN Africa

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Presentation Outline• Introduction• Magnitude of Malnutrition • Global MIYCN WHA 2025 targets• Progress in Selected Indicators• Conclusion • Way Forward for the SDGs

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Introduction • Populations with good nutrition are key to

sustainable development• Malnutrition is multi-faceted and linked to

45% of all mortality among the under age 5• Resources and expertise from different

sectors and areas should be aligned to the evolving nature of malnutrition • Significant information gaps, particularly

those that constrain priority actions and impede accountability

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Magnitude of Malnutrition• Numbers of people affected difficult to

sum because one person can have different types of malnutrition• 2 billion people experience micronutrient

malnutrition• 1.9 billion adults and 42 million children

under age 5 are overweight or obese• 161 million children under age 5 are stunted • 51 million children under age 5 are wasted• 794 million people are estimated to be

calorie deficient (FAO)

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Global MIYCN Targets WHA (2012)1. 40% reduction in number of children under

age 5 who are stunted (162m to 100m)2. 50% reduction of anaemia in women of

reproductive age (29% to 15%)3. 30% reduction in low birth weight (15% to 10%)4. No increase in childhood overweight (7% to ≤7%)5. Increase rate of Exclusive Breastfeeding in

the first 6 months up to at least 50% (38% to ≥50%)

6. Reduce and maintain childhood wasting to less than 5% (8% to <5%)

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Progress in Child Stunting

Source: Global Nutrition Report 2014 & 2015

Proportion of countries on course increased from 22% in 2014 to 34% in 2015

(Country with rate of stunting ≤5% or fast rate of decrease in stunting)

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Progress in Maternal Anaemia

Source: Global Nutrition Report 2014 & 2015

Proportion of countries on course remained at 3% in 2014 and 2015

(Country with average annual rate of reduction of ≥5.2%)

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Trend in EBF for Africa

Source: Global Nutrition Report 2014

Increase in rate from 30% to 36% in the decade between 2000 and 2010

Global target of 50% by 2025

Greatest effort required in countries from western & middle Africa

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Progress in EBF (2015)

Source: Global Nutrition Report 2015

Comparable data for 2014 was not available but 41% of countries was on course in 2015

(Country with Average Annual Percentage Point Increase [AAPPI] greater than target AAPPI)

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Progress of EBF in AfricaRating 38 Countries (out of the 78 with

data)Off course, reversal (1) Egypt

Off course, no progress (13)

Cameroon, Congo, Guinea, Madagascar, Malawi, Mozambique, Sao Tome and Principe, Senegal, Sierra Leone, Somalia, Togo, Tunisia, Tanzania

Off course, some progress (3)

Cote d’Ivoire, Ethiopia, Nigeria

On course (21)

Algeria, Benin, Burkina Faso, Burundi, Central African Republic, DRC, the Gambia, Ghana, Guinea-Bissau, Kenya, Lesotho, Liberia, Mauritania, Namibia, Niger, Rwanda, Sudan, Swaziland, Uganda, Zambia, Zimbabwe

Source: Global Nutrition Report 2015

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Progress in Child Wasting

Source: Global Nutrition Report 2015

Proportion of countries on course increased from 48% in 2014 to 52% in 2015

(Country with current rate of wasting in children under age 5 of <5%)

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Progress on the 6 Indicators

# of Targe

ts

# Countrie

s on Course

African Countries

5 1 Kenya [1]4 4 Ghana [1]

3 12 Algeria, Benin, Burundi, Liberia, Swaziland, Uganda, Zimbabwe [7]

2 33Burkina Faso, CAR, DRC, the Gambia, Guinea-Bissau, Lesotho, Malawi, Mauritania, Namibia, Niger, Rwanda, Sudan, Tunisia, Tanzania, Togo [15]

1 20Cameroon, Congo, Cote d’Ivoire, Egypt, Ethiopia, Guinea, Nigeria, Senegal, Sierra Leone, Somalia, Togo [11]

0 4 Mozambique [1]Source: Global Nutrition Report 2015

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Conclusion • The existing data shows that some

progress has been initiated towards attaining the WHA MIYCN targets• Globally, there is need for more

innovative and concerted efforts in order to get fully on course towards the WHA MIYCN targets• MIYCN data from all countries should be

regularly entered in the global databases to facilitate accurate monitoring

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Way Forward for SDGsWith a target to eliminate all forms of malnutrition by 2030, effectively tackling it is also key to meeting other SDG targets, and hence:1. Create a supportive policy environment

for implementation of MIYCN interventions

2. Integrate all the effective MIYCN interventions in the national nutrition action plans

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Way Forward…3. Strengthen the multi-sectoral

response to MIYCN through appropriate policies and programs

4. Invest sufficient resources, including human and financial, for implementation of MIYCN interventions

5. Monitor and evaluate the implementation of MIYCN policies and programs