Global Nutrition Report Slides, Bangkok launch January 2016

Bangkok, Thailand January 22, 2016

• Assess Progress• Identify Actions • Improve Accountability

www.globalnutritionreport.org

What is the Global Nutrition Report?

• Stakeholder Group• Independent Expert Group• 70 authors• 80+ indicators, 193

countries• open access data

www.globalnutritionreport.org

• Why should countries invest in improving nutrition?

• Nutrition status in the ASEAN countries

• What we can do to improve nutrition status?

Outline

Alive and

thriving

Intergenerational

equity

Human Rights

Economic Benefits

Why invest in improving nutrition?

Whichever way you look at the world…

…malnutrition affects every countrywww.globalnutritionreport.org

of all child

deaths from poor

nutrition

45%

www.globalnutritionreport.org

$back for every $ invested in nutrition programmes

The economics is also convincing

www.globalnutritionreport.org

48 Indonesia44 Philippines36 Viet Nam

Progress on Nutrition Status in ASEAN Countries

On course

Off course, some progress

Off course, no progress

Not enough data to make assessment

Prevalence of under-5 stunting (%)

Some progress on reducing Stunting: 3 countries on course to meet World Health Assembly Targets for 2025

16 1719 20

3032

35 36

44

0

Little progress on reducing Wasting: 1 country on course to meet World Health Assembly Targets for 2025

3

66 7

8 8

10

14

Prevalence of under-5 wasting (%)

2 23

5 5

8

1112

Prevalence of under-5 overweight (%)

Some progress on reducing under-5 overweight: 5 countries on course to meet World Health Assembly Targets for 2025

On course- good progress

On course-at risk

Off course, some progress

Off course, no progress

Not enough data to make assessment

Some progress on increasing Exclusive Breastfeeding Rates: 3 countries on course for World Health Assembly Targets 2025

On course

Off course, some progress

Off course, no progress

Not enough data to make assessment

12

24 2429

3440 42

65Exclusive breastfeeding (%)

Note: all data estimated. 2011 On course

Off course

All countries off course to meet World Health Assembly Targets for 2025 on Anemia in Women

14

20 21 22 23 24 2530 31

44

Anemia in women of reproductive age (%)

Low & increasing

High & increasingNote: all data estimated. 2014. WHO

All countries off course to meet World Health Assembly Targets for 2025 for Adult Overweight and Obesity

18 18 19 2124 25

3033

39

47Adult overweight and obesity (%)

3Stunting children under 5

Wastingchildren under 5

Overweightchildren under 5

Anemiawomen aged 15-49 yearsExclusive Breastfeeding, 0-6 monthsAdult Overweight + Obesity (BMI≥ 25)

Adult Obesity (BMI≥ 30)

Adult Diabeteshigh blood sugar

4

31

9

1

10

10

Global Target

Missing data Off course, little/no progress Off course, some progress On courseOn course, at risk

Number of ASEAN countries at various stages of progress against global nutrition targets

9

1

7 1

3

2

1

2 1

2

3 1

5

1

Stunting children under 5

Wastingchildren under 5

Overweightchildren under 5

Anemiawomen aged 15-49 yearsExclusive Breastfeeding, 0-6 monthsAdult Overweight + Obesity (BMI≥ 25)

Adult Obesity (BMI≥ 30)

Adult Diabeteshigh blood sugar

Global Target

Missing data Off course, little/no progress Off course, some progress On courseOn course, at risk

Thailand at various stages of progress against global nutrition targets

What can Governments & other stakeholders

do about it?

1. Show Commitment

All ASEAN countries have signed up to the

• World Health Assembly targets for 2025• ICN2 targets for 2025• SDG targets for 2030

but...

Which countries are Signatories to the 2013

Nutrition for Growth Compact?Yes NoBrunei DarussalamCambodiaIndonesiaLao PDRMalaysiaMyanmarPhilippinesSingaporeThailandViet Nam

Join the Scaling Up Nutrition (SUN) Movement

Country a member of SUN?Yes NoCambodia

Brunei Darussalam

Indonesia SingaporeLao PDR ThailandMyanmar MalaysiaPhilippinesViet Nam

2. Measure Coverage of Nutrition Programmes

An example from Odisha, India

Nutrition co

unseling

Advice o

n IFA

Receive

d IFA

Receive

d food su

ppl

Consumed fo

od

BF initiati

on advic

e

Home visit

last

3 mo

Advice o

n BF at h

ome visit

Receive

d food su

ppl

Home visit

last

3 mo

Advice o

n CF

Vitamin A su

pplemen

t

Pediat

ric IF

A

Food su

pplemen

t

Consumed fo

od0

102030405060708090

100Pregnancy 0-6 months 6-24 months

Avula et al., forthcoming

% of population receiving

3. Strive for Policy Coherence

Underlying determinant dashboard Thailand

% Food insecure (FAO)

Nurses and Midwives/1000 people

% girls not enrolled in secondary school

Unimproved water (%)

Unimproved or no sanitation (%)

Gender inequality rank (1=highest)

Gov Exp on Health, Ed, Ag, SP (as % of budget)

7

2.077

11

2

0

70

41.4

http://ebrary.ifpri.org/utils/getfile/collection/p15738coll2/id/130070/filename/130281.pdf

Food Consumption

Diversity

Health and Nutrition

StatusFood

Affordability

Environ-mental

Sustainability

Dashboard for Food Systems(13 indicators)

Food SystemsHow nutrition-friendly are yours?

4. Cash: Invest More in Nutrition Actions

Domestic Budget Allocations to Nutrition (upper bound) as % of total Government Budget

Average of 30 countries: 4%

Indonesia 1.22% Philippines 1.94%Viet Nam 0.1%% are

medians

More resources are needed for nutritionto meet WHA undernutrition targets

Spending on nutrition specific interventions, 2015-2025

x x

Governments Donors

R4D and World Bank estimates for stunting reduction

5. Community: Delivery and accountability

Maharashtra Extraordinary things can happen

Economic Growth

Poverty reduction

Nutrition and Health

MissionsImproved Program

Performance

Frontline nutrition staff

recruitedNutrition spending

stunting fell from 37% to 24% in 7 years

www.globalnutritionreport.org

6. Count: Invest in Data

to Monitor Success

Which countries are missing the most data on nutrition indicators?

Thail

and

Indonesia

Philippines

Viet Nam

Cambodia

Myanmar

Lao Peo

ple's D

emocra

tic Rep

ublic

Malaysi

a

Singa

pore

Brunei Daru

ssalam

7 10 12 14 1825 27 29

37

59

% Missing Indicators in Nutrition Country Profiles

Calls to Action to all ASEAN countries

1. Commitment• Make a Nutrition for Growth commitment at Rio 2016• Join SUN

2. Coverage • Increase coverage of nutrition programmes & measure

coverage3. Coherence

• Think multi-sectorally • Build alliances between nutrition & other communities

4. Cash • Find more funding for nutrition action

5. Community• Front line delivery

6. Count• Identify the data gaps that hinder action—and fill them

Thailand was once the world’s nutrition role model, but now...

• Off course on all 8 nutrition indicators• On undernutrition, progress has halted at fairly high

levels• While obesity is still only at 8.5% (2014) it is increasing

(up from 6.7% in 2010) and is a new problem• Now is the opportunity for Thailand to have another

big push on undernutrition-- before all resources become tied up in trying to prevent and treat overweight, obesity and diabetes

• Thailand has the opportunity to become the world’s role model--again

Thank You