Bain Luchuo Engelbert, Awah Paschal Kum, Geraldine Ngia, Kindong Njem Peter, Sigal Yelena, Bernard Nsah, Tanjeko Ajime Tom
Braun School of Public Health and Community Medicine, Hebrew University of Jerusalem, Israel - Centre for Population Studies and Health Promotion, CPSHP, BP 7535, Yaoundé, Cameroon ; Faculty of Arts, Letters and Social Sciences, FALSS, University of Yaoundé I, Cameroon.
Pan Afr Med J. 2013 Aug 6;15:120. doi: 10.11604/pamj.2013.15.120.2535. eCollection 2013.
Malnutrition is estimated to contribute to more than one third of all child deaths, although it is rarely listed as the direct cause. Contributing to more than half of deaths in children worldwide; child malnutrition was associated with 54% of deaths in children in developing countries in 2001. Poverty remains the major contributor to this ill. The vicious cycle of poverty, disease and illness aggravates this situation. Grooming undernourished children causes children to start life at mentally sub optimal levels. This becomes a serious developmental threat. Lack of education especially amongst women disadvantages children, especially as far as healthy practices like breastfeeding and child healthy foods are concerned. Adverse climatic conditions have also played significant roles like droughts, poor soils and deforestation. Sociocultural barriers are major hindrances in some communities, with female children usually being the most affected. Corruption and lack of government interest and investment are key players that must be addressed to solve this problem. A multisectorial approach is vital in tackling this problem. Improvement in government policy, fight against corruption, adopting a horizontal approach in implementing programmes at community level must be recognized. Genetically modified foods to increase food production and to survive adverse climatic conditions could be gateways in solving these problems. Socio cultural peculiarities of each community are an essential base line consideration for the implementation of any nutrition health promotion programs.
据估计,营养不良导致了超过三分之一的儿童死亡,尽管它很少被列为直接死因。儿童营养不良导致了全球一半以上的儿童死亡;2001年,发展中国家54%的儿童死亡与儿童营养不良有关。贫困仍然是这一疾病的主要成因。贫困、疾病和病痛的恶性循环加剧了这种情况。养育营养不良的儿童会使儿童在智力发育低于最佳水平的状态下开始人生。这成为一个严重的发展威胁。缺乏教育,尤其是女性缺乏教育,对儿童不利,特别是在母乳喂养和儿童健康食品等健康做法方面。不利的气候条件,如干旱、土壤贫瘠和森林砍伐,也起到了重要作用。社会文化障碍在一些社区是主要障碍,女童通常受影响最大。腐败以及政府缺乏关注和投资是解决这一问题必须应对的关键因素。多部门方法对于解决这一问题至关重要。必须认识到改善政府政策、打击腐败、在社区层面实施项目时采用横向方法。转基因食品以增加粮食产量并在不利气候条件下生存,可能是解决这些问题的途径。每个社区的社会文化特点是实施任何营养健康促进项目的基本基线考虑因素。