Stunting Takes Over in 1000 Days

Chronic Malnutrition

Stunting is Irreversible at 2 years old

BIG HUNGER PICTUREUnder 5 Deaths down from 12.7 Million in 1990

To 5.9 million deaths at the end of 2014

The 5 Big Killers are:• Hunger • Neo-natal Deaths• Diarrheas/Dehydration • Pneumonia• Malaria

African Under Five Percentages

WHO major hunger categories for Under 5 children

• Stunting- too short for age

• Under Weight- low weight for age

• Wasting- low weight for height

• Micro deficiencies- Iron, Vitamin A, Iodine, Zinc

• Other possibilities- Marasmus, Kwashiorkor

The Stunting Assessment is the same the world over.

Monthly Progress Chart

Chart Weight each month

Chart Completed Vaccines

Chart Observations diarrhea, fever, malaria

Chart Interventions

Explain to mother

% of Children Under 5 who are Wasted and Severely Wasted by Region

Source: UNICEF/WHO/World Bank Joint Child Malnutrition Estimates, 2014UNICEF Annual Results Report 2014

% of Children Under 5 who are Stunted by region

Source: UNICEF/WHO/World Bank Joint Child Malnutrition Estimates, 2014UNICEF Annual Results Report 2014

Chronic malnutrition, or stunting, is another form of growth failure. Chronic malnutrition occurs over time, unlike acute malnutrition.

A child who is stunted or chronically malnourished often appears to be normally proportioned but is actually shorter than normal for his/her age.

Stunting starts before birth and is caused by poor maternal nutrition, poor feeding practices, poor food quality as well as frequent infections which can slow down growth.

Progress for Children - UNICEF 2015

Stunting is almost always higher in

rural areas.

Healthy Diet for Mother and Child

Soy Beans, Peanuts, Beans,Lentils

Spinach,Carrots,Tomatoes,Yams

Pregnant and lactating mothers need a balanced diet.Rich in proteins and vitamins

Young infants need mother’s milk exclusively for six monthsHealthy babies nurse 1 ½ to 2 years

Young children need a protein rich and vitamin rich diet.This is a challenge with no refrigeration

and very little can goods available.

Many communities have only grains to eat in between seasons

Nutritious Plate is balanced

Stunting follows the child into school, adolescence and adulthood.

10% IQ deficiency, short stature, weak bones and less disease immunity.

Stunted children often have irreversible developmental problems. Their potential is limited. They often do less well in school.

-UNICEF

AVOID STUNTING

• Identify and Treat Hunger Pathologies- Under Weight, Wasting and Micronutrient Deficiencies

• Identify available proteins, vegetables and fruits

• Improve clean water and sanitation systems

• Improve health care monitoring, vaccines and malaria treatment

IMPROVE Mother’s Chances to Birth a Healthy Baby

Support Maternal and Child Health Programs MCH Centers are committed to nutrition and safe birthing practices. UNICEF, USAID and UK love to fund these programs. Voluntary agencies such as SCF or CRS usually co-manage these new facilities until they are up and running well.

They usually include training community health workers, who teach in the villages but help the mothers continue their visits back to the Health Centers for pre and post natal visits.

Community Health Workers may manage the monthly Healthy Baby Weight charts, but refer mother and baby back to the Health Center for Nutrition Interventions or further work up.

Long Range Solutions Train more Nurses and Doctors

Train Community Health Workers

Set up and Maintain Rural Maternal and Child Clinics

Shorter Range Solutions

Support the Movers and the ShakersBread for the World

UNICEF, USAID, UK DFID, SCF, CRS

Local churches

Protect Mother and Child from Stuntingfor

1000 Days or 33 Months

All data from WHO and Unicef

Created by Chuck Fluegel