Global and Regional Perspective on Maternal, Infant & Young Child Nutrition: Overview of Progress and way forward for Sustainable Development Goals Ms. Barbara Nalubanga Regional Coordinator – IBFAN Africa 1

Presentation Outline Introduction Magnitude of Malnutrition Global MIYCN WHA 2025 targets Progress in Selected Indicators Conclusion Way Forward for the SDGs 2

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 3

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) 4

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%) 5

Progress in Child Stunting 6 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)

Progress in Maternal Anaemia 7 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%)

Trend in EBF for Africa Source: Global Nutrition Report  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

Progress in EBF (2015) 9 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)

Progress of EBF in Africa Rating38 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 10 Source: Global Nutrition Report 2015

Progress in Child Wasting 11 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%)

Progress on the 6 Indicators # of Targets # Countries on Course African Countries 51Kenya [1] 44Ghana [1] 312 Algeria, Benin, Burundi, Liberia, Swaziland, Uganda, Zimbabwe [7] 233 Burkina Faso, CAR, DRC, the Gambia, Guinea- Bissau, Lesotho, Malawi, Mauritania, Namibia, Niger, Rwanda, Sudan, Tunisia, Tanzania, Togo [15] 120 Cameroon, Congo, Cote d’Ivoire, Egypt, Ethiopia, Guinea, Nigeria, Senegal, Sierra Leone, Somalia, Togo [11] 04Mozambique [1] 12 Source: Global Nutrition Report 2015

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 13

Way Forward for SDGs With 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 14

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 15