Global Nutrition Report 2016 general presentation

1. From Promise to
Impact

2. The Global Nutrition Report
• Independent
• Global
• All Forms of Nutrition
• Data Driven
• Encourages Accountability

3. What’s New in 2016?
• New Era: Global shift to SDGs
• New Opportunities: UN Decade of
Action
• New Data: On Implementation,
Budgets
• New Analyses: Funding Gaps
• New Success Stories: Ghana,
Kenya, Chile
• New Calls to Action

4. Outline
• Key Findings
• Calls to Action
• Takeaways
• What you can do

5. Key
Findings

6. 1. Malnutrition creates ripples of
individual and societal challenges &
opportunities

7. Akin Adesina
President of the
African Development
Bank
“We need to
invest in gray
matter
infrastructure.”
“Neuronal
infrastructure is
quite possibly going
to be the most
important
infrastructure.”
Jim Kim
President, World Bank
We couldn’t have said it better
ourselves..

8. 2. The world is off track
to reach global
targets—but there is
hope.

9. Meeting Targets: Where are we now?
Source: Authors, based on data from Stevens et al. (2013), UNICEF (2016b), UNICEF, WHO, and World Bank (2015),
and WHO (2015a).

10. 3. Nutrition is central
to the SDGs

11. Nutrition feeds into 12 of the 17 SDGs — and
dozens of the indicators used to track the SDGs
1
1
2
2
3
3
3
3
7
7
12
12
Goal 12: Sustainable cons &…
Goal 17: Global Partnerships
Goal 8: Growth & Employment
Goal 16: Peace and Justice
Goal 4: Education
Goal 6: WASH
Goal 10: Reduce Inequality
Goal 11: Cities
Goal 1: Poverty
Goal 2: Hunger and Nutrition
Goal 3: Healthy Lives
Goal 5: Gender Equality
Number of indicators highly relevant to nutrition
Number of indicators not highly relelvant to nutrition
Source: Authors

12. 4. There is a gap between
current commitments and need

13. There are few SMART targets in country
plans
48 46
33
30
27
10
Stunting Exclusive
breastfeeding
Anemia in
women
Wasting Low birth
weight
Under 5
overweight
Percent of 122 Nutrition Plans with SMART Targets for..
Source: Authors, based on data from Chizuru Nishida and Kaia Engesveen.

14. Few Countries have Targets for Diet Related
NCDs
32 32
25
Obesity Diabetes Salt Reduction
Source: Unpublished self-reported data from the NCD Country Capacity Survey, provided by the WHO
Surveillance and Population-based Prevention Unit, Department for Prevention of NCDs. Printed with permission.
%
Percent of 174 countries with targets for…

15. 5. SMART Commitments
and Targets Matter

16. • Countries: Nutrition targets & rate of stunting reduction
• Companies: Targets & performance
• Donors: Public commitment & spending on nutrition
Commitment and Impact go hand in
hand

17. • SMART? Only 29%
• Aligned to all forms of
malnutrition? No. NCDs and
obesity missing.
• Response rate in 2016?
o 55% overall
o 30% for businesses
• Financial commitments?
o 60% met – good
Nutrition 4 Growth Commitments

18. 6. We must move
beyond talk to action

19. Coverage of nutrition-specific
interventions remains highly variable
across countries
0
20
40
60
80
100
Exclusive
breastfeeding<6
months
Minimum dietary
diversity (6-23
mo)
Zinc treatment for
diarrhoea (U5)
Vitamin A suppl.
(U5)
Iron suppl. (U5) Salt iodization
(household)
Iron-Folic acid
suppl. 90+ days
(pregnant
women)
Coverage%

20. Implementation of the International Code on
the Marketing of Breast Milk Substitutes is
weak
47 45
61
95
100
82
62
Africa Asia Latin
America
and the
Caribbean
Europe North
America
Oceania GLOBAL
Percent of countries with data (n=183) with no or few provisions of the Code in law
Source: WHO, UNICEF, IBFAN 2016. Marketing of Breast-milk Substitutes: National Implementation of the International Code,
Status Report 2016. Geneva: WHO

21. Data source: WHO, 2015,
Progress on Implementing Diet
Policies is Slow

22. 7. Today’s nutrition data are not
sufficient to maximize investment

23. Stunting prevalence by
region

24. Map of stunting rates in
Cambodia

25. • Number of people displaced by war has
risen
o 45 million in 2012, 60 million in 2014
• Too little data on nutrition of refugee
populations
o When they are measured (UNHCR),
they are vulnerable
• In the era of “Leave No One Behind” we
need
o Better monitoring of nutrition status
Leave no one behind—refugees
included.

26. Calls to
Action

27. 1. Make the
political choice to
end all forms of
malnutrition

28. Reject current trends
continuation of current trends
WHA
goal
15% by 2025
15% by 2084
Anemia in Women

29. The ingredients for
success are well
known… ...and can
lead
to rapid
improvement
s
in nutrition.
Political leadership
& SMART
commitment
Brazil
Ethiopia
Kenya
Maharashtra
Nutrition-
oriented
development
Bangladesh
Colombia
Ghana
Tanzania
Data
Systems
Guatemala
Indonesia
Peru
Strong
implementation
Argentina
Burkina Faso
Chile

30. 2. Invest more and
allocate better

31. To meet WHA targets by 2025 funding will
have to multiply:
Governments x 2
Donors x 3.5
Total x 3
World Bank/R4D
Shekar et al. 2016
Funding gaps: Substantial but
bridgeable

32. Mismatch of donor funding and
disease burden for diet-related NCDs
10%0.04%
0.04% of donor aid
spending to diet
related NCDs
($50m)
Source: GNR 2016
10% % of disease burden
in sub-Saharan Africa from
diet related NCDs
Source: GBD Update 2015

34. 4. Invest in
proven solutions
& find new ones

35. Look outside nutrition to affect
nutrition status
Source: Authors, based on data and analysis by Monica Kothari, Demographic and Health (DHS)
surveys, 2005–2014.
Source: Authors, based on data and analysis by Monica Kothari, Demographic and Health (DHS) surveys, 2005–2014.

36. agriculture and food
systems
social protection
women’s
empowerment
WASH
education
There are many ways to
support nutrition
GNR analysis shows all 5
areas need strengthening

37. 5. Tackle malnutrition—in all its
forms

38. Under 5 Stunting
Women’s Anemia
Adult Overweight
Ethiopia, Rwanda
Ghana, Japan, Senegal, Sri Lanka, Thailand
Argentina,
Australia, Brazil,
Chile, Colombia,
Costa Rica,
Germany,
Mexico,
Paraguay, Peru,
FYR Macedonia,
Tonga, USA,
Uruguay
Afghanistan,
Angola, Bangladesh, Benin, Bhutan,
Burkina Faso, Burundi, Cambodia,
Cameroon, Central African Republic,
Chad, Comoros, Congo, Côte d’Ivoire,
Democratic People’s Republic of
Korea, Democratic Republic of the
Congo, Djibouti, Eritrea, Gambia,
Guinea, Guinea-Bissau, India,
Indonesia, Kenya, Lao People’s
Democratic Republic, Liberia,
Madagascar, Malawi, Maldives, Mali,
Mauritania, Mozambique, Myanmar,
Nepal, Niger, Nigeria, Pakistan,
Philippines, Sao Tome and Principe,
Sierra Leone, Somalia, Sudan, Timor-
Leste, Togo, Uganda, Tanzania,
Zambia, Zimbabwe
Honduras,
Nicaragua
Algeria, Azerbaijan,
Barbados, Belarus, Belize,
Bolivia, Bosnia and
Herzegovina, Brunei
Darussalam, Dominican
republic, El Salvador,
Gabon, Georgia, Guyana,
Iran, Jamaica, Jordan,
Kazakhstan, Kuwait,
Kyrgyzstan, Malaysia,
Mongolia, Montenegro,
Morocco, Oman, Panama,
Republic of Moldova, Saint
Lucia, Saudi Arabia, Serbia,
Seychelles, Suriname,
Tunisia, Turkey,
Uzbekistan, Venezuela
Albania,
Armenia,
Botswana,
Ecuador, Egypt,
Equatorial
Guinea,
Guatemala,
Haiti, Iraq,
Lesotho, Libya,
Namibia, Papua
New Guinea,
Solomon Islands,
South Africa,
Swaziland, Syria,
Tajikistan,
Vanuatu, Yemen
57 countries—Serious
Problems

39. Malnutrition is not destiny. Ending it is a
political choice—supported by SMART
commitments for accountability.
Many countries are on course to meet targe
Many more are on the verge of doing so.
Coexistence of multiple forms of
malnutrition is the new normal. Nutrition
stakeholders need to unite and then
grow the nutrition constituency.
Three takeaways

40. Three things you can do
• Challenge decision makers with evidence
on the slow pace of malnutrition reduction
• Make those essential but challenging
alliances for nutrition with those outside
your immediate circle
• Make SMART commitments for nutrition
and ask others to do the same

41. Thank you
Thank
you
INTERNATIONAL
FOODPOLICY
RESEARCH
INSTITUTE
IFPRI
RESEA RCH
PROGRA M ON
Agriculture for
Nutrition
and Health
LED BYIFPRI
Universityof Indonesia
Senegal (CLM)PakistanNigeriaMalawiGuatemala(SESAN)Ethiopia
Universityof Abomey-Calavi
Indonesia