The Global Nutrition Report 2014: Actions and accountability to accelerate the world’s progress on nutrition
The Global Nutrition Report 2014 is the first in an annual series that assesses progress in improving nutrition status across the globe, identifies obstacles to change, emphasizes potential for action, and enhances nutrition accountability mechanisms. The report series was called for by the 90+ signatories of the Nutrition for Growth Summit (N4G) in 2013. It is delivered by an Independent Group of Experts in collaboration with a large number of external partners and is supported by a wide-ranging group of stakeholders.
The Global Nutrition Report 2014 brings together 82 indicators on nutrition status, determinants, intervention coverage, and resources for all 193 UN member countries, which are available online as individual country profiles aimed at helping nutrition champions assess progress in nutrition and advocate for greater action at the country level.
The Report presents analyses of these data to assess global progress in improving nutrition and related determinants, and to recognise country-level experiences in relation to regional and global trends. In addition to highlighting key areas for action, the Report makes recommendations of measures that can be taken to accelerate malnutrition reduction. It also assesses signatories’ self-reported progress towards the N4G compact, and acts as an accountability mechanism for the financial and non-financial commitments made by countries, donors, business and civil society organizations at the summit.
A key finding of the Report is that malnutrition affects nearly every country in the world. For the 122 countries in the world with comparable data, all except two experience at least one of three common forms of malnutrition at levels that are of public health significance: adult overweight, under-5 stunting, or anaemia in women of reproductive age. The co-existence of different forms of malnutrition is so widespread that dealing with multiple burdens of malnutrition can be considered the “new normal”.
The Report examines the world’s progress towards meeting the nutrition targets for 2025 agreed to by the World Health Assembly in 2012, concluding that it is off-course. Many countries have made progress in improving nutrition outcomes, but at the global level, little progress is being made in decreasing rates for anaemia, low birth weight, wasting in children under age five, and over¬weight in children under age five. Progress in increasing exclusive breastfeeding rates has been slow, and while more progress has been made in reducing stunting rates in children under five, it is insufficient to meet the global target.
Improvements in the underlying drivers of nutrition – such as education, sanitation and hygiene, and healthcare – as well as the low coverage levels of nutrition-specific interventions – such as vitamin A supplementation and zinc treatment for diarrhoea – are examined in the Report. It also recommends that policies that support nutrition action can be measured and must be strengthened to tackle undernutrition, as well as the growing scourge of nutrition-related non-communicable diseases. The Report demonstrates how tracking financial resources available for nutrition is challenging, but states that measuring donor spending on nutrition can be achieved with better co-ordination across the different actors.
Underlying many of the obstacles to improved nutrition are large data gaps, highlighted in the Report, which can impede action, progress and accountability. In addition to more data collection, it is essential to strengthen the quality and comparability of data collection efforts, and to make better use of existing data across the globe. Nutrition needs a data revolution for healthy and well-nourished populations.
At its core, the Report, and the relevant country profile, aims to empower national nutrition champions to advocate for greater leadership, resourcing, research and capacity for improved nutrition in every country.
The stakeholders and contributors of the Global Nutrition Report 2014 see it as more than just a report, but as an intervention that reframes the way we view and act on malnutrition in every country in the world.
RECOMMENDED READINGS FROM THE AUTHORS
- The World Health Organization's global target for reducing childhood stunting by 2025: rationale and proposed actions
- M. de Onís; K.G. Dewey; E. Borghi / Maternal & Child Nutrition 2013
- In 2012, the World Health Organization adopted a resolution on maternal, infant and young child nutrition that included a global target to reduce by 40% the number of stunted under-five children by 2025. The target was based on analys...
- Diet, nutrition and the prevention of chronic diseases: report of a joint WHO/FAO expert consultation.
- World Health Organization 2003
- Diet and nutrition have a key role in disease prevention activities. Chronic diseases linked to diet include obesity, diabetes, cardio-vascular diseases, cancer, osteoporosis and dental diseases. This document is a report of a joint W...
- The nutrition transition: worldwide obesity dynamics and their determinants
- B.M. Popkin; P Gordon-Larsen / Nature Publishing Group 2004
- Published in the International Journal of Obesity, this article explores the major changes in diet and physical activity patterns around the world, focusing on shifts in obesity (the condition of being extremely overweight). Key findi...
- Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost?
- Z.A. Bhutta; J.K. Das; A. Rizvi / The Lancet 2013
- Maternal undernutrition contributes to 800,000 neonatal deaths annually; stunting, wasting, and micronutrient deficiencies are estimated to underlie nearly 3.1 million child deaths annually. Progress has been made with many interventi...
- Global nutrition report: Actions and accountability to accelerate the world's progress on nutrition
- International Food Policy Research Institute 2014
- Malnutrition affects one in two people on the planet. Of these, 165 million children under the age of five are estimated to be stunted (i.e. low height for age). Two billion people are estimated to be deficient in one or more micronut...