Stunting Takes Over in 1000 Days Chronic Malnutrition Stunting is Irreversible at 2 years old.
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Stunting Takes Over in 1000 Days
Chronic Malnutrition
Stunting is Irreversible at 2 years old
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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
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African Under Five Percentages
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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
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The Stunting Assessment is the same the world over.
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Monthly Progress Chart
Chart Weight each month
Chart Completed Vaccines
Chart Observations diarrhea, fever, malaria
Chart Interventions
Explain to mother
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% 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
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% of Children Under 5 who are Stunted by region
Source: UNICEF/WHO/World Bank Joint Child Malnutrition Estimates, 2014UNICEF Annual Results Report 2014
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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.
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Progress for Children - UNICEF 2015
Stunting is almost always higher in
rural areas.
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Healthy Diet for Mother and Child
Soy Beans, Peanuts, Beans,Lentils
Spinach,Carrots,Tomatoes,Yams
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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
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Nutritious Plate is balanced
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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
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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
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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.
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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
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Protect Mother and Child from Stuntingfor
1000 Days or 33 Months
All data from WHO and Unicef
Created by Chuck Fluegel