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塞拉利昂——投资于营养以减少贫困:行动呼吁。

Sierra Leone--investing in nutrition to reduce poverty: a call for action.

作者信息

Aguayo Victor M, Scott Sylvetta, Ross Jay

机构信息

Regional Nutrition and Child Survival Advisor for Africa, Helen Keller International, Quinzambougou, Bamako, Mali.

出版信息

Public Health Nutr. 2003 Oct;6(7):653-7. doi: 10.1079/phn2003484.

Abstract

BACKGROUND

Malnutrition rates in Sierra Leone are among the highest in the world. However, policy-makers do not always recognise the fight against malnutrition as a policy priority to ensure the healthy human capital needed to fight poverty and achieve sustained positive economic growth.

OBJECTIVE

The analysis presented here was conducted by an intersectoral and inter-agency group of Sierra Leonean senior policy advisors to quantify some of the potential human and economic benefits of improved policies and programmes to reduce malnutrition.

FINDINGS

The analysis revealed that 46% of child deaths in Sierra Leone are attributable to malnutrition, the single greatest cause of child mortality in the country. In the absence of adequate policy and programme action, malnutrition will be the underlying cause of an estimated 74000 child deaths over the next five years. The analysis also revealed that if current levels of iodine deficiency remain unchanged over the next five years, 252000 children could be born with varying degrees of mental retardation as a result of intrauterine iodine deficiency. Finally, the analysis showed that, in the absence of adequate policy and programme action to reduce the unacceptable rates of anaemia in women, the monetary value of agricultural productivity losses associated with anaemia in the female labour force over the next five years will exceed dollars 94.5 million.

CONCLUSION

Sustained investment in nutrition in Sierra Leone could bring about enormous human and economic benefits to develop the social sector, revitalise the economy, and attain the poverty reduction goals that Sierra Leone has set forth.

摘要

背景

塞拉利昂的营养不良率位居世界前列。然而,政策制定者并不总是将抗击营养不良视为一项政策重点,以确保拥有战胜贫困和实现持续积极经济增长所需的健康人力资本。

目标

此处所呈现的分析由塞拉利昂高级政策顾问组成的跨部门和跨机构小组开展,旨在量化改善减少营养不良的政策和计划可能带来的一些人力和经济效益。

研究结果

分析显示,塞拉利昂46%的儿童死亡归因于营养不良,这是该国儿童死亡的单一最大原因。若缺乏适当的政策和计划行动,营养不良将成为未来五年预计74000例儿童死亡的根本原因。分析还表明,如果未来五年碘缺乏的现状保持不变,252000名儿童可能因子宫内碘缺乏而出生时患有不同程度的智力迟钝。最后,分析表明,若缺乏适当的政策和计划行动来降低妇女中令人无法接受的贫血率,未来五年女性劳动力贫血导致的农业生产力损失的货币价值将超过9450万美元。

结论

塞拉利昂对营养的持续投资可为发展社会部门、振兴经济以及实现塞拉利昂设定的减贫目标带来巨大的人力和经济效益。

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