Nutrition Section, UNICEF Regional Office for South Asia, Kathmandu, Nepal.
Nutrition Section, Programme Division, UNICEF, New York, New York.
Matern Child Nutr. 2018 Nov;14 Suppl 4(Suppl 4):e12739. doi: 10.1111/mcn.12739.
The sustainable development of nations relies on children developing to their full potential and leading healthy, productive, and prosperous lives. Poor nutrition in early life threatens the growth and development of children, especially so in South Asia, which has the highest burdens of stunting, wasting, and anaemia in the world. Targeted actions to reduce stunting and other forms of child malnutrition in South Asia should be informed by an understanding of what drives poor nutrition in children, who is most affected, and effective programme approaches. To this end, the UNICEF Regional Office for South Asia commissioned a series of papers in 2016-2017 to fill knowledge gaps in the current body of evidence on maternal and child nutrition in South Asia, including analyses of: (a) the links between anthropometric failure in children and child development; (b) the time trends, current distribution, disparities and inequities of child stunting, wasting and anaemia, and their direct and underlying causes, including maternal anaemia, low birth weight, breastfeeding, and complementary feeding; (c) policy and programme actions to increase the coverage of nutrition interventions during pregnancy, improve breastfeeding practices, and care for severely wasted children. This overview paper summarizes the evidence from these analyses and examines the implications for the direction of future advocacy, policy, and programme actions to improve maternal and child nutrition in South Asia.
国家的可持续发展依赖于儿童充分发挥其潜力,过上健康、富有成效和繁荣的生活。生命早期的营养不良威胁着儿童的生长和发育,在南亚地区尤为如此,该地区的发育迟缓、消瘦和贫血负担居世界之首。为了减少南亚地区发育迟缓及其他形式的儿童营养不良,应该了解导致儿童营养不良的因素、受影响最大的人群以及有效的方案方法。为此,儿基会南亚区域办事处于 2016-2017 年委托编写了一系列论文,以填补南亚地区母婴营养方面现有证据体系中的知识空白,包括对以下方面的分析:(a)儿童体格发育不良与儿童发育之间的关系;(b)儿童发育迟缓、消瘦和贫血的时间趋势、当前分布、差异和不平等及其直接和根本原因,包括母体贫血、低出生体重、母乳喂养和补充喂养;(c)提高孕期营养干预措施覆盖率、改善母乳喂养做法以及救治严重消瘦儿童的政策和方案行动。本概述文件总结了这些分析的证据,并探讨了对未来倡导、政策和方案行动方向的影响,以改善南亚地区母婴营养。