Constructing a nutrition deficiency index: Applications for the Democratic Republic of the Congo under a decade of humanitarian crises

Constructing a nutrition deficiency index: Applications for the Democratic Republic of the Congo under a decade of humanitarian crises

Author: Mirindi, Patrice L.

Publisher: Intl Food Policy Res Inst

Published: 2021-02-03

Total Pages: 50

ISBN-13:

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The Democratic Republic of the Congo (DRC) is perennially plagued by prolonged phases of poverty, conflict, and increased internal migration, as well as pandemic outbreaks such as Ebola and COVID-19, and limited livelihood opportunities. Such unexpected or catastrophic events have rendered households vulnerable and resulted in poor health outcomes. Given this background, we intend to analyze the nutritional profile of households for a period spanning almost a decade using the Household Consumption Expenditure Survey (HCES). We construct a composite nutrition deficiency index (NDI), capturing intake of 14 different macro- and micronutrients (which we refer to as dimensions)—namely, calories, protein, calcium, zinc, folate, thiamine, niacin, iron, vitamin A, vitamin B12, vitamin D, vitamin B6, vitamin C, and vitamin E—using the popular Alkire-Foster methodology. This methodology, usually used to construct multidimensional poverty indexes, in this case helps measure the incidence, intensity, and combined extent of multinutrient deprivation. DRC’s values on the multidimensional NDI vary regionally from 0.13 to 0.73. Urban DRC performs worse than rural DRC. Regions subject to the conflict and Ebola crises are the worst-affected of the nutritionally deprived regions. Deficiency in calorie and protein intake contributes to the highest values of the NDI, but we also find evidence of a double burden of malnutrition, with households lacking consumption of both macro- and micronutrients. South Kivu is the worst-performing of all regions and Mongala the best. The northern parts of DRC have fewer nutritionally deprived households, as compared with the central and southwestern parts. Our main policy recommendation is to help improve market access in urban areas so that people consume a more diverse diet. In rural areas, the government should support improving nutrition-sensitive agricultural production. Although the World Food Programme has a sustained presence in the country, uplifting households from severe hunger, active participation by the government and collaboration with multiple stakeholders is called for.


Book Synopsis Constructing a nutrition deficiency index: Applications for the Democratic Republic of the Congo under a decade of humanitarian crises by : Mirindi, Patrice L.

Download or read book Constructing a nutrition deficiency index: Applications for the Democratic Republic of the Congo under a decade of humanitarian crises written by Mirindi, Patrice L. and published by Intl Food Policy Res Inst. This book was released on 2021-02-03 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Democratic Republic of the Congo (DRC) is perennially plagued by prolonged phases of poverty, conflict, and increased internal migration, as well as pandemic outbreaks such as Ebola and COVID-19, and limited livelihood opportunities. Such unexpected or catastrophic events have rendered households vulnerable and resulted in poor health outcomes. Given this background, we intend to analyze the nutritional profile of households for a period spanning almost a decade using the Household Consumption Expenditure Survey (HCES). We construct a composite nutrition deficiency index (NDI), capturing intake of 14 different macro- and micronutrients (which we refer to as dimensions)—namely, calories, protein, calcium, zinc, folate, thiamine, niacin, iron, vitamin A, vitamin B12, vitamin D, vitamin B6, vitamin C, and vitamin E—using the popular Alkire-Foster methodology. This methodology, usually used to construct multidimensional poverty indexes, in this case helps measure the incidence, intensity, and combined extent of multinutrient deprivation. DRC’s values on the multidimensional NDI vary regionally from 0.13 to 0.73. Urban DRC performs worse than rural DRC. Regions subject to the conflict and Ebola crises are the worst-affected of the nutritionally deprived regions. Deficiency in calorie and protein intake contributes to the highest values of the NDI, but we also find evidence of a double burden of malnutrition, with households lacking consumption of both macro- and micronutrients. South Kivu is the worst-performing of all regions and Mongala the best. The northern parts of DRC have fewer nutritionally deprived households, as compared with the central and southwestern parts. Our main policy recommendation is to help improve market access in urban areas so that people consume a more diverse diet. In rural areas, the government should support improving nutrition-sensitive agricultural production. Although the World Food Programme has a sustained presence in the country, uplifting households from severe hunger, active participation by the government and collaboration with multiple stakeholders is called for.


Constructing a Nutrition Deficiency Index

Constructing a Nutrition Deficiency Index

Author: Patrice L. Mirindi

Publisher:

Published: 2021

Total Pages: 0

ISBN-13:

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Book Synopsis Constructing a Nutrition Deficiency Index by : Patrice L. Mirindi

Download or read book Constructing a Nutrition Deficiency Index written by Patrice L. Mirindi and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:


Democratic Republic of the Congo

Democratic Republic of the Congo

Author: International Monetary Fund. African Dept.

Publisher: International Monetary Fund

Published: 2013-07-23

Total Pages: 122

ISBN-13: 1484313186

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This Poverty Reduction Strategy Paper on the Democratic Republic of Congo discusses economic policies and development. The macroeconomic and budget framework has been developed to take into account the effects of sectoral policies to maintain macroeconomic stability, a necessary condition for laying the foundation of economic growth and poverty reduction. It is based on the profile of public spending, the assessment of costs for achieving the Millennium Development Goals by 2020, and the sector-based economic growth theories taking into account the uncertainties of the international environment and the real potential of the Congolese economy. It is found that it allows for a realistic programming of public spending while highlighting the main budgetary choices proposed by the government.


Book Synopsis Democratic Republic of the Congo by : International Monetary Fund. African Dept.

Download or read book Democratic Republic of the Congo written by International Monetary Fund. African Dept. and published by International Monetary Fund. This book was released on 2013-07-23 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Poverty Reduction Strategy Paper on the Democratic Republic of Congo discusses economic policies and development. The macroeconomic and budget framework has been developed to take into account the effects of sectoral policies to maintain macroeconomic stability, a necessary condition for laying the foundation of economic growth and poverty reduction. It is based on the profile of public spending, the assessment of costs for achieving the Millennium Development Goals by 2020, and the sector-based economic growth theories taking into account the uncertainties of the international environment and the real potential of the Congolese economy. It is found that it allows for a realistic programming of public spending while highlighting the main budgetary choices proposed by the government.


The cash for nutrition intervention in Yemen: Impact evaluation study

The cash for nutrition intervention in Yemen: Impact evaluation study

Author: Kurdi, Sikandra

Publisher: Intl Food Policy Res Inst

Published: 2019-04-26

Total Pages: 66

ISBN-13:

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This evaluation of Yemen’s Cash for Nutrition intervention, a cash transfer program combined with nutritional trainings implemented by the Yemen Social Fund for Development (YSF), examines the program’s impacts on child nutrition indicators and related intermediate variables during a period of conflict. The decline in several indicators of welfare for the sample population that occurred after the beginning of the civil conflict in Yemen is also traced. Overall, the program decreased the share of children diagnosed with moderate or severe malnutrition and improved anthropometric indicators of nutritional status in children in the poorest third of households. The Cash for Nutrition program was funded by the World Bank through the United Nations Development Programme as part of the Yemen Emergency Crisis Response Project.


Book Synopsis The cash for nutrition intervention in Yemen: Impact evaluation study by : Kurdi, Sikandra

Download or read book The cash for nutrition intervention in Yemen: Impact evaluation study written by Kurdi, Sikandra and published by Intl Food Policy Res Inst. This book was released on 2019-04-26 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt: This evaluation of Yemen’s Cash for Nutrition intervention, a cash transfer program combined with nutritional trainings implemented by the Yemen Social Fund for Development (YSF), examines the program’s impacts on child nutrition indicators and related intermediate variables during a period of conflict. The decline in several indicators of welfare for the sample population that occurred after the beginning of the civil conflict in Yemen is also traced. Overall, the program decreased the share of children diagnosed with moderate or severe malnutrition and improved anthropometric indicators of nutritional status in children in the poorest third of households. The Cash for Nutrition program was funded by the World Bank through the United Nations Development Programme as part of the Yemen Emergency Crisis Response Project.


The State of Food Security and Nutrition in the World 2018

The State of Food Security and Nutrition in the World 2018

Author: Food and Agriculture Organization of the United Nations

Publisher: Food & Agriculture Org.

Published: 2018-09-14

Total Pages: 302

ISBN-13: 9251305722

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New evidence this year corroborates the rise in world hunger observed in this report last year, sending a warning that more action is needed if we aspire to end world hunger and malnutrition in all its forms by 2030. Updated estimates show the number of people who suffer from hunger has been growing over the past three years, returning to prevailing levels from almost a decade ago. Although progress continues to be made in reducing child stunting, over 22 percent of children under five years of age are still affected. Other forms of malnutrition are also growing: adult obesity continues to increase in countries irrespective of their income levels, and many countries are coping with multiple forms of malnutrition at the same time – overweight and obesity, as well as anaemia in women, and child stunting and wasting.


Book Synopsis The State of Food Security and Nutrition in the World 2018 by : Food and Agriculture Organization of the United Nations

Download or read book The State of Food Security and Nutrition in the World 2018 written by Food and Agriculture Organization of the United Nations and published by Food & Agriculture Org.. This book was released on 2018-09-14 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: New evidence this year corroborates the rise in world hunger observed in this report last year, sending a warning that more action is needed if we aspire to end world hunger and malnutrition in all its forms by 2030. Updated estimates show the number of people who suffer from hunger has been growing over the past three years, returning to prevailing levels from almost a decade ago. Although progress continues to be made in reducing child stunting, over 22 percent of children under five years of age are still affected. Other forms of malnutrition are also growing: adult obesity continues to increase in countries irrespective of their income levels, and many countries are coping with multiple forms of malnutrition at the same time – overweight and obesity, as well as anaemia in women, and child stunting and wasting.


The State of Food Security and Nutrition in the World 2019

The State of Food Security and Nutrition in the World 2019

Author: Food and Agriculture Organization

Publisher: United Nations

Published: 2019-07-15

Total Pages: 236

ISBN-13: 9210043634

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The State of Food Security and Nutrition in the World gives updates on the prevalence of undernourishment globally and the absolute number of undernourished, as well as the latest estimates for a number of global nutrition targets. This latest edition looks at the role of economic slowdowns and downturns in the rise of hunger and makes policy recommendations to safeguard food security and nutrition worldwide.


Book Synopsis The State of Food Security and Nutrition in the World 2019 by : Food and Agriculture Organization

Download or read book The State of Food Security and Nutrition in the World 2019 written by Food and Agriculture Organization and published by United Nations. This book was released on 2019-07-15 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: The State of Food Security and Nutrition in the World gives updates on the prevalence of undernourishment globally and the absolute number of undernourished, as well as the latest estimates for a number of global nutrition targets. This latest edition looks at the role of economic slowdowns and downturns in the rise of hunger and makes policy recommendations to safeguard food security and nutrition worldwide.


Health in Humanitarian Emergencies

Health in Humanitarian Emergencies

Author: David Townes

Publisher: Cambridge University Press

Published: 2018-05-31

Total Pages: 509

ISBN-13: 1107062683

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A comprehensive, best practices resource for public health and healthcare practitioners and students interested in humanitarian emergencies.


Book Synopsis Health in Humanitarian Emergencies by : David Townes

Download or read book Health in Humanitarian Emergencies written by David Townes and published by Cambridge University Press. This book was released on 2018-05-31 with total page 509 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive, best practices resource for public health and healthcare practitioners and students interested in humanitarian emergencies.


The State of Food Security and Nutrition in the World 2019

The State of Food Security and Nutrition in the World 2019

Author: Food and Agriculture Organization of the United Nations

Publisher: Food & Agriculture Org.

Published: 2019-07-15

Total Pages: 239

ISBN-13: 9251315701

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This year’s report presents evidence that the absolute number of people who suffer from hunger continues to slowly increase. The report also highlights that food insecurity is more than just hunger. For the first time, the report provides evidence that many people in the world, even if not hungry, experience moderate food insecurity as they face uncertainties about their ability to obtain food and are forced to compromise on the quality and/or quantity of the food they consume. This phenomenon is observed globally, not only in low- and middle-income countries but also in high income countries. The report also shows that the world is not on track to meet global nutrition targets, including those on low birthweight and on reducing stunting among children under five years. Moreover, overweight and obesity continue to increase in all regions, particularly among school-age children and adults. The report stresses that no region is exempt from the epidemic of overweight and obesity, underscoring the necessity of multifaceted, multisectoral approaches to halt and reverse these worrying trends. In light of the fragile state of the world economy, the report presents new evidence confirming that hunger has been on the rise for many countries where the economy has slowed down or contracted. Unpacking the links between economic slowdowns and downturns and food insecurity and malnutrition, the report contends that the effects of the former on the latter can only be offset by addressing the root causes of hunger and malnutrition: poverty, inequality and marginalization.


Book Synopsis The State of Food Security and Nutrition in the World 2019 by : Food and Agriculture Organization of the United Nations

Download or read book The State of Food Security and Nutrition in the World 2019 written by Food and Agriculture Organization of the United Nations and published by Food & Agriculture Org.. This book was released on 2019-07-15 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: This year’s report presents evidence that the absolute number of people who suffer from hunger continues to slowly increase. The report also highlights that food insecurity is more than just hunger. For the first time, the report provides evidence that many people in the world, even if not hungry, experience moderate food insecurity as they face uncertainties about their ability to obtain food and are forced to compromise on the quality and/or quantity of the food they consume. This phenomenon is observed globally, not only in low- and middle-income countries but also in high income countries. The report also shows that the world is not on track to meet global nutrition targets, including those on low birthweight and on reducing stunting among children under five years. Moreover, overweight and obesity continue to increase in all regions, particularly among school-age children and adults. The report stresses that no region is exempt from the epidemic of overweight and obesity, underscoring the necessity of multifaceted, multisectoral approaches to halt and reverse these worrying trends. In light of the fragile state of the world economy, the report presents new evidence confirming that hunger has been on the rise for many countries where the economy has slowed down or contracted. Unpacking the links between economic slowdowns and downturns and food insecurity and malnutrition, the report contends that the effects of the former on the latter can only be offset by addressing the root causes of hunger and malnutrition: poverty, inequality and marginalization.


Investing to Overcome the Global Impact of Neglected Tropical Diseases

Investing to Overcome the Global Impact of Neglected Tropical Diseases

Author: World Health Organization

Publisher: World Health Organization

Published: 2015-08-05

Total Pages: 211

ISBN-13: 9241564865

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"The presence, or absence, of neglected tropical diseases (NTDs) can be seen as a proxy for poverty and for the success of interventions aimed at reducing poverty. Today, coverage of the public-health interventions recommended by the World Health Organization (WHO) against NTDs may be interpreted as a proxy for universal health coverage and shared prosperity - in short, a proxy for coverage against neglect. As the world's focus shifts from development to sustainable development, from poverty eradication to shared prosperity, and from disease-specific goals to universal health coverage, control of NTDs will assume an important role towards the target of achieving universal health coverage, including individual financial risk protection. Success in overcoming NTDs is a "litmus test" for universal health coverage against NTDs in endemic countries. The first WHO report on NTDs (2010) set the scene by presenting the evidence for how these interventions had produced results. The second report (2013) assessed the progress made in deploying them and detailed the obstacles to their implementation. This third report analyses for the first time the investments needed to achieve the scale up of implementation required to achieve the targets of the WHO Roadmap on NTDs and universal coverage against NTDs. INVESTING TO OVERCOME THE GLOBAL IMPACT OF NEGLECTED TROPICAL DISEASES presents an investment strategy for NTDs and analyses the specific investment case for prevention, control, elimination and eradication of 12 of the 17 NTDs. Such an analysis is justified following the adoption by the Sixty-sixth World Health Assembly in 2013 of resolution WHA6612 on neglected tropical diseases, which called for sufficient and predictable funding to achieve the Roadmap's targets and sustain control efforts. The report cautions, however, that it is wise investment and not investment alone that will yield success. The report registers progress and challenges and signals those that lie ahead. Climate change is expected to increase the spread of several vector-borne NTDs, notably dengue, transmission of which is directly influenced by temperature, rainfall, relative humidity and climate variability primarily through their effects on the vector. Investments in vector-borne diseases will avoid the potentially catastrophic expenditures associated with their control. The presence of NTDs will thereby signal an early warning system for climate-sensitive diseases. The ultimate goal is to deliver enhanced and equitable interventions to the most marginalized populations in the context of a changing public-health and investment landscape to ensure that all peoples affected by NTDs have an opportunity to lead healthier and wealthier lives."--Publisher's description.


Book Synopsis Investing to Overcome the Global Impact of Neglected Tropical Diseases by : World Health Organization

Download or read book Investing to Overcome the Global Impact of Neglected Tropical Diseases written by World Health Organization and published by World Health Organization. This book was released on 2015-08-05 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The presence, or absence, of neglected tropical diseases (NTDs) can be seen as a proxy for poverty and for the success of interventions aimed at reducing poverty. Today, coverage of the public-health interventions recommended by the World Health Organization (WHO) against NTDs may be interpreted as a proxy for universal health coverage and shared prosperity - in short, a proxy for coverage against neglect. As the world's focus shifts from development to sustainable development, from poverty eradication to shared prosperity, and from disease-specific goals to universal health coverage, control of NTDs will assume an important role towards the target of achieving universal health coverage, including individual financial risk protection. Success in overcoming NTDs is a "litmus test" for universal health coverage against NTDs in endemic countries. The first WHO report on NTDs (2010) set the scene by presenting the evidence for how these interventions had produced results. The second report (2013) assessed the progress made in deploying them and detailed the obstacles to their implementation. This third report analyses for the first time the investments needed to achieve the scale up of implementation required to achieve the targets of the WHO Roadmap on NTDs and universal coverage against NTDs. INVESTING TO OVERCOME THE GLOBAL IMPACT OF NEGLECTED TROPICAL DISEASES presents an investment strategy for NTDs and analyses the specific investment case for prevention, control, elimination and eradication of 12 of the 17 NTDs. Such an analysis is justified following the adoption by the Sixty-sixth World Health Assembly in 2013 of resolution WHA6612 on neglected tropical diseases, which called for sufficient and predictable funding to achieve the Roadmap's targets and sustain control efforts. The report cautions, however, that it is wise investment and not investment alone that will yield success. The report registers progress and challenges and signals those that lie ahead. Climate change is expected to increase the spread of several vector-borne NTDs, notably dengue, transmission of which is directly influenced by temperature, rainfall, relative humidity and climate variability primarily through their effects on the vector. Investments in vector-borne diseases will avoid the potentially catastrophic expenditures associated with their control. The presence of NTDs will thereby signal an early warning system for climate-sensitive diseases. The ultimate goal is to deliver enhanced and equitable interventions to the most marginalized populations in the context of a changing public-health and investment landscape to ensure that all peoples affected by NTDs have an opportunity to lead healthier and wealthier lives."--Publisher's description.


The State of Food Security and Nutrition in the World 2020

The State of Food Security and Nutrition in the World 2020

Author: Food and Agriculture Organization of the United Nations

Publisher: Food & Agriculture Org.

Published: 2020-07-01

Total Pages: 320

ISBN-13: 925132901X

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Updates for many countries have made it possible to estimate hunger in the world with greater accuracy this year. In particular, newly accessible data enabled the revision of the entire series of undernourishment estimates for China back to 2000, resulting in a substantial downward shift of the series of the number of undernourished in the world. Nevertheless, the revision confirms the trend reported in past editions: the number of people affected by hunger globally has been slowly on the rise since 2014. The report also shows that the burden of malnutrition in all its forms continues to be a challenge. There has been some progress for child stunting, low birthweight and exclusive breastfeeding, but at a pace that is still too slow. Childhood overweight is not improving and adult obesity is on the rise in all regions. The report complements the usual assessment of food security and nutrition with projections of what the world may look like in 2030, if trends of the last decade continue. Projections show that the world is not on track to achieve Zero Hunger by 2030 and, despite some progress, most indicators are also not on track to meet global nutrition targets. The food security and nutritional status of the most vulnerable population groups is likely to deteriorate further due to the health and socio economic impacts of the COVID-19 pandemic. The report puts a spotlight on diet quality as a critical link between food security and nutrition. Meeting SDG 2 targets will only be possible if people have enough food to eat and if what they are eating is nutritious and affordable. The report also introduces new analysis of the cost and affordability of healthy diets around the world, by region and in different development contexts. It presents valuations of the health and climate-change costs associated with current food consumption patterns, as well as the potential cost savings if food consumption patterns were to shift towards healthy diets that include sustainability considerations. The report then concludes with a discussion of the policies and strategies to transform food systems to ensure affordable healthy diets, as part of the required efforts to end both hunger and all forms of malnutrition.


Book Synopsis The State of Food Security and Nutrition in the World 2020 by : Food and Agriculture Organization of the United Nations

Download or read book The State of Food Security and Nutrition in the World 2020 written by Food and Agriculture Organization of the United Nations and published by Food & Agriculture Org.. This book was released on 2020-07-01 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updates for many countries have made it possible to estimate hunger in the world with greater accuracy this year. In particular, newly accessible data enabled the revision of the entire series of undernourishment estimates for China back to 2000, resulting in a substantial downward shift of the series of the number of undernourished in the world. Nevertheless, the revision confirms the trend reported in past editions: the number of people affected by hunger globally has been slowly on the rise since 2014. The report also shows that the burden of malnutrition in all its forms continues to be a challenge. There has been some progress for child stunting, low birthweight and exclusive breastfeeding, but at a pace that is still too slow. Childhood overweight is not improving and adult obesity is on the rise in all regions. The report complements the usual assessment of food security and nutrition with projections of what the world may look like in 2030, if trends of the last decade continue. Projections show that the world is not on track to achieve Zero Hunger by 2030 and, despite some progress, most indicators are also not on track to meet global nutrition targets. The food security and nutritional status of the most vulnerable population groups is likely to deteriorate further due to the health and socio economic impacts of the COVID-19 pandemic. The report puts a spotlight on diet quality as a critical link between food security and nutrition. Meeting SDG 2 targets will only be possible if people have enough food to eat and if what they are eating is nutritious and affordable. The report also introduces new analysis of the cost and affordability of healthy diets around the world, by region and in different development contexts. It presents valuations of the health and climate-change costs associated with current food consumption patterns, as well as the potential cost savings if food consumption patterns were to shift towards healthy diets that include sustainability considerations. The report then concludes with a discussion of the policies and strategies to transform food systems to ensure affordable healthy diets, as part of the required efforts to end both hunger and all forms of malnutrition.