Malnourished children swell ranks of world's hungry
Hopes of achieving the most important of the Millennium Development Goals - halving the proportion of hungry people between 1990-2015 - have been dashed by the latest report that the number of hungry people surpassed the one billion mark in 2009. Children have been the main victims.
WITH the number of hungry people growing to more than a billion last year, the world is 'nowhere near' reaching the objectives outlined in the Millennium Development Goals (MDGs), according to the latest Global Hunger Index (GHI) released on 4 October.
The first MDG - to halve the proportion of hungry people between 1990 and 2015 - is an unlikely hope, says the 2010 GHI report.
Though the percentage of undernourished people fell from 20% in 1990-92 to 16% in 2004-06, recent global events have reversed that progress. The widespread economic recession and lingering effects of the 2007-08 global food crisis saw the number of undernourished people surpass one billion in 2009.
The GHI, a multidimensional measure of global hunger, is published jointly by the International Food Policy Research Institute, Concern Worldwide, and Welthungerhilfe.
It combines three equally-weighted indicators to assess hunger - the proportion of undernourished in the population, the prevalence of underweight in children under the age of five, and the mortality rate of children under the age of five - and to establish a score.
Of the three components that compose the current world GHI score of 15.1, child underweight contributes nearly half the points, about 7.4.
Stunting affects about 195 million children under the age of five in the developing world - about one in three children. Nearly one in four children under age five - 129 million - is underweight, and one in 10 is severely underweight.
'To improve their scores, many countries must accelerate progress in reducing child malnutrition,' explained Marie Ruel, director of the Poverty, Health and Nutrition division of the International Food Policy Research Institute and co-author of the report.
'Considerable research shows that the window of opportunity for improving nutrition spans from conception to age two. After age two, the negative effects of under-nutrition are largely irreversible,' she said.
Efforts to combat child under-nutrition have not been widely successful. After 20 years, the proportion of children underweight in Sub-Saharan Africa has improved only slightly from 27.2% to 23.6%.
Past policies and programmes targeted children under the age of five for intervention in many countries. But recent evidence in the 2010 GHI report shows that more effective intervention programmes require greater precision.
The window of opportunity for improving nutrition is much narrower, spanning the 1,000 days between conception and a child's second birthday.
After the age of two, the effects of under-nutrition are largely irreversible. Lack of nutrition during this vital window can cause lifelong damage, including poor physical and cognitive development, poor health, and even death.
The newfound importance of the 1,000 days between conception and two years of age presents a need to refocus intervention methods more toward women in the future, the report says.
'The health of women, specifically mothers, is crucial to reducing child malnutrition. Mothers who were poorly nourished as girls tend to give birth to underweight babies, perpetuating the cycle of malnutrition,' noted Welthungerhilfe chairperson Barbel Dieckmann.
'Nutrition interventions should be targeted towards girls and women throughout the life cycle and especially as adolescents before they become pregnant,' she said.
Going forward, the report recommends that countries target pregnant and breastfeeding women and children in their first two years of life. In addition, successful policies that address the underlying causes of under-nutrition, including poverty, gender inequality, and conflict, should be continued.
The global score fell from 19.8 in 1990 to 15.1 in 2010, but the picture varies greatly by region and country.
countries still have levels of hunger that are 'extremely alarming'
or 'alarming'. All countries with 'extremely alarming' hunger statistics
regions of highest hunger are
High child mortality and a high proportion of people who cannot meet their calorie requirements in Sub-Saharan Africa are due to low government effectiveness, conflict, political instability, and high rates of HIV and AIDS, the report says.
region has experienced improvements since 1990. But
The inverse relationship between economic performance and hunger levels helps explain GHI improvements to some degree.
'Countries with high levels of gross national income (GNI) per capita - an important measure of economic performance - tend to have low 2010 GHI scores,' the report says. 'And countries with low levels of GNI per capita tend to have high GHI scores.'
However, the relationship does not always hold, as conflict, disease, inequality, poor governance and gender discrimination can negatively outweigh the benefits of increased income.
countries made great improvements to their scores, reducing by 13 points
or more, including
The most disturbing outlier is the Democratic Republic of Congo. Plagued with violent conflict and political instability, the GHI increased 65% since 1990. Three-quarters of the population are now undernourished.
circumstances contributed to GHI rises in
security was undermined in
*Third World Resurgence No. 242/243, October-November 2010, pp 60-61