09?Jun?14 -- Unicefwi Malnutrition exists in both ue and chronic foms Undernutrition Chrnic: (stunting) Acte' .. (Wasting) . t; . . Severe. Global Acute Malnutrition unicefisf-il unite for children Chronic Malnutrition (stunting) Acute Malnutrition (wasting) ?vw' Arm muscle wasted away to a circumference <11.5 cm Girl on the left is 4 years nicef-i??i Girl on the right is 1 yearU unite for children 3O 28 25 20 emergency 0 45 15 15 15 threshold?2155 0155 6:69 09% c} 0,06 $32} pa ?beg-3.. 06? 63? 095 ?600 2 9039 QL ?9o? 9? @636icef source: 83m survey? 2013 Emile tor cl?iila?ren 09-Jun?14 09-Jun?14 4.. Ch 0 I malnutfitipWHO cutoff I 42 40 point for ?h'ighprevalence 30and 'very high' . . . 33 prevalence 30 . i 29 an 24063? 05? 063? 08) '92, 55?) ?596' 05?) 0?43 ?0?3?0 060 6??90 unucef l3; Source: 33M Survey, 2013 unite for chm:an - Nun-Iber hf wast?d prevalence - 2.011 {moderate amjjsev?re, . ."tliousandsl'. 1 South Sudan .2010 23 10 333 I 2 India 2005-2006 - 20 6 25,451 3 Timur-Leste 20092010 19 7 38 4 Sudan 2010 16 5 817 5 Bangladesh 2011 15 I 4 - . 2,2515" 6 Chad 2010 15 6 320 7 Pakistan 2011 I 15 6 3,339 8 Sri Lanka 2005-2007 15 3 277 9 Nigeria 2008 14 7 3,733 10 Indonesia 2010 13 6 2,820 :Sourcem . . --. Global Nullillnn 00100000. 2012. based on Mlcs. DHS am ulnar naljnnal aways, 2007-2011. except for India 50 45 - Underweight aSiunting target t??na' . .- i SERISS 88(87 931'94 MICS 2000 SHHS 2005 SHHS 2010 1 3.1% uniceftte unite for children Total number malnourished children over a year Prevalence incidence Prevalence measure at a single point in time Incidence expected new cases over a year (2.6 incidence rate) 2013 83M prevalence 773,438 children 2.6 Total malnourished annually 2,010,939 09?Jun?14 09?Jun-14 Rapid onset if compared with other forms Higher mortality risk, although chronic malnutrition is more prevalent Much greater potential to be reversed with adequate treatment if detected early enough. Treatment of Severe acute malnutrition Mortality Management of moderated acute malnut Stunting 09?Jun-?i? - Added global acute malnutrition 83M Survey - new evidence on the magnitude of undernutrition problem data available at locality level . I shows disparities malnutrition level within states and localities - inform prioritization of interventions to where needs are highest- GAM) category - Criteria for prioritization of the target localities International emergency threshold of (SAM (215%) r) conflict affected areas with GAM 10% (conflict aggravating 1?80 SAM level 3% from remaining localities . . . Beneficiaries- 84? 1,000 1,400,000 (500:000 more) Localities 163 163 Budget??$?l?lO $110 Cluster Revscd-ta 10:31" 33 3 CS localities (HNO localities 09 :13 Health I 14 I 113 4 143 .63 ?"130 . . 09?Jun?14 Mum?sectoral: Life- addresses the saving: underiying treatment causes of under Manifestation Inadequate . Immediate . meiary intake D'sease Causas i i I. inad?qualr: care Ifor Inwmdem ?3 ?3 hasllh services 8.- Undan 1: access 1'9 food children and Cause: 9 inadequaie Teducamn Bgsoumes 33g goglml Human, economic and organizational resources Basic I Causes and {near-Ingres! Faciors Economc Strucsure. Potential {a rum?ICL/ ?ax. .J umcefi?y unite for children 09?Jun?14 unicef unite for chiitjron Global acute malnutrition: wasting - Manifests into two categories: 1. Moderate 2. Severe. 0 Caused by: illness decrease in food consumption or absorption Consequences: sudden weight loss reduced resistance to disease I . . The flesh on this little boys arm has wasted ayvay to a 5 rong aSSOClate eat circumference of less than 11.5 cm unite ior ci'iilo'ren Stunting 0 Caused by: Suboptimal infant and young child feeding Frequent and chronic illnesses Poor maternal nutrition during pregnancy Manifested as: Short height relative to the child?s age - Consequences Inhibits a child from reaching his or her full physical and mental potential - Stunting and it?s consequences are - irreversible by age two. The little girl on the left is 4 years old and the girl on the right is 1 year old - uniceftgv unite for children Sudan is a country: I With some of the highest child undernutrition rates in the world '5 Where a major nutrition crisis in children is underway 3 Acute malnutrition rates reach emergency levels (215%) Chronic malnutrition rates are over critical levels (240%) 2 million under?55 with acute malnutrition Moderate: 1.5 million - Severe: 555,203 0 2.2 million under?55 with chronic malnutrition . unite for children 09-Jun?14 .V I "1 I?ll 1?1