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Nutrition

UNICEF/Togo/2007/Pudlowski
© UNICEF/Togo/2007/Pudlowski
Immediate and exclusive breastfeeding is the best source of nutrition for newborns.

Malnutrition contributes to 35 per cent of child deaths in the region.

Malnutrition and child mortality
Each year, in West and Central Africa, one million children under five die from causes related to malnutrition.

This human suffering and waste happen because of illness — much of it preventable; because breastfeeding is stopped too early; because children’s nutritional needs are not sufficiently understood; because long-entrenched prejudices imprison women and children in poverty.

Tackling child malnutrition is essential to attaining the Millennium Development Goal to reduce child malnutrition (MDG 1) and child mortality (MDG 4) rates by two thirds by 2015. The other health-related goals – MDG 5 on maternal health and MDG 6 on combating key diseases – are also intimately linked to nutrition, given that an undernourished body is in every way more vulnerable.

Causes of child malnutrition
There is no one kind of malnutrition and malnutrition is not a simple matter of whether a child can satisfy her appetite. A child who eats enough to satisfy immediate hunger can still be malnourished.

Malnutrition is usually the result of a combination of inadequate dietary intake and infection. To get a measure of malnutrition in a population, young children can be weighed and measured and the results compared to those of a ‘reference population’ known to have grown well. Measuring weight and height is the most common way of assessing malnutrition in populations.

Malnutrition can take a variety of forms that often appear in combination and contribute to each other, such as protein-energy malnutrition, iodine deficiency disorders and deficiencies of iron and vitamin A, to name a few.

Many involve deficiencies of ‘micronutrients’ — substances like vitamin A and iodine that the human body cannot make itself but that are needed, often in only tiny amounts, to ensure adequate bodily functions.

Each type of malnutrition is the result of a complex interplay of factors involving such diverse elements as household access to food, child and maternal care, safe water and sanitation and access to basic health services.

A few figures
• An estimated 6.6 million children under five suffer from acute malnutrition (wasting) in West and Central Africa (2.2 million in Nigeria, 1.6 million in DRC and 1.3 million in the countries of the Sahel).
• Chronic malnutrition (stunting) affects 23.9 million children in the region (9.4 million in Nigeria and 4.7 million in DRC)
• Underweight, the indicator used for MDG 1, affects 15.9 million children in the region (6.0 million in Nigeria and 3.4 million in DRC)

High time to act
New evidence indicates that if high-impact health and nutrition interventions such as breastfeeding, complementary feeding and vitamin A and zinc supplementation are scaled up, they will have a synergistic impact on child growth and development, as well as survival.
 

UNICEF/Niger/2005/Pirozzi
© UNICEF/Niger/2005/Pirozzi
Pour être en bonne santé et se développer, un enfant doit recevoir un ensemble de nutriments essentiels au bon fonctionnement de son métabolisme.

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La malnutrition contribue à 35 pour cent des décès d’enfants de moins de cinq ans dans la région.

Les enfants mal nourris tombent malade plus souvent.  Quand ils survivent, ils peuvent souffrir d’handicap mental ou physique durable.

Malnutrition et mortalité des enfants
Chaque année en Afrique de l’Ouest et du Centre, un million d’enfants meurent de causes associées à la malnutrition.

S’attaquer à la malnutrition est essentiel pour réaliser les Objectifs du Millénaire pour le développement visant à réduire la malnutrition infantile (OMD 1) et la mortalité des enfants de moins de cinq ans (OMD 4) de deux tiers d’ici à 2015. Les autres objectifs liés à la santé - l'OMD 5 sur la santé maternelle et l'OMD 6 sur la lutte contre les principales maladies - sont eux aussi étroitement liés à la nutrition, tant il est vrai qu'un organisme dénutri est en tout point plus vulnérable.

Quelques chiffres
• On estime que 6,6 millions d’enfants de moins de cinq ans souffrent de malnutrition aigue globale en Afrique de l’Ouest et du Centre (2,2 millions au Nigéria, 1,6 million en RDC et 1,3 million dans les pays du Sahel).
• La malnutrition chronique touché 23,9 millions d’enfants dans la région (9,4 millions au Nigéria et 4,7 millions en RDC)
• L’insuffisance pondérale, l’indicateur utilisé pour évaluer les progrès vers l’OMD 1, touche 15,9 millions d’enfants dans la région (6 millions au Nigéria et 3,4 millions en RDC)

Il est grand temps d’agir
Il ressort de nouveaux éléments d'information que si l'on multiplie des interventions à fort impact - allaitement au sein, alimentation complémentaire, supplémentation en vitamine A et en zinc -- elles auront des répercussions sur la croissance et le développement ainsi que sur la survie.

 

 
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