Publication:
The Nutrition MDG Indicator : Interpreting Progress

Loading...
Thumbnail Image
Files in English
English PDF (1.13 MB)
295 downloads
English Text (160.29 KB)
90 downloads
Published
2004-05
ISSN
Date
2013-05-29
Editor(s)
Abstract
This paper argues for more nuance in the interpretation of progress towards the Nutrition Millennium Development Goal indicator (halving the prevalence of underweight children, under 5 years old, by 2015). Interpretation of a country's performance based on trends alone is ambiguous, and can lead to erroneous prioritization of countries in need of donor assistance. For instance, a country may halve the prevalence by 2015, but will still have unacceptable high malnutrition rates. This paper analyses which countries are showing satisfactory and unsatisfactory progress using the Annual Rate of Change (ARC), and then introduces the World Health Organization-classification of severity of malnutrition in the analysis to provide more nuance. It highlights that a little less than half of the Bank's client population is likely to halve underweight by 2015. Although the paper uses national data only, it flags the risks and recommends that countries take regional disparities into their needs-analysis. The paper also argues for more attention to the other important nutrition indicators, stunting and micronutrient deficiencies, which remain enormous problems, and briefly discusses solutions to reducing underweight malnutrition.
Link to Data Set
Citation
Chhabra, Ritu; Rokx, Claudia. 2004. The Nutrition MDG Indicator : Interpreting Progress. HNP discussion paper series;. © World Bank. http://hdl.handle.net/10986/13624 License: CC BY 3.0 IGO.
Associated URLs
Associated content
Report Series
Other publications in this report series
Journal
Journal Volume
Journal Issue

Related items

Showing items related by metadata.

  • Publication
    Repositioning Nutrition as Central to Development : A Strategy for Large Scale Action
    (Washington, DC, 2006) World Bank
    Persistent malnutrition is contributing not only to widespread failure to meet the first Millennium Development Goals-to halve poverty and hunger-but to meet other goals in maternal and child health, HIV/AIDS, education, and gender equity. The choice is now between continuing to fail, or to finally make nutrition central to development. Underweight prevalence among children is the key indicator for measuring progress on non-income poverty and malnutrition remains the world's most serious health problem and the single biggest contributor to child mortality. Nearly a third of children in the developing world are either underweight or stunted, and more than 30 percent of the developing world's population suffers from micronutrient deficiencies. There are also new dimensions to malnutrition. The epidemic of obesity and diet-related non-communicable diseases is spreading to the developing world and malnutrition is also linked to the growing HIV/AIDS pandemic. This report makes the case for development partners and developing countries to focus on nutrition, and to fund nutrition investments much more heavily than has been the case in the past. This case is based on evidence that such programs are excellent economic investments and essential for faster progress in reducing poverty; and on program experience showing that they can improve nutrition much faster than relying on economic growth alone. The report sets out a global strategy for stepped-up action in nutrition, for discussion in the international development community.
  • Publication
    Prospects for Improving Nutrition in Eastern Europe and Central Asia
    (Washington, DC: World Bank, 2002) Rokx, Claudia; Galloway, Rae; Brown, Lynn
    Under-nutrition, and micronutrient deficiencies are critical issues for Eastern Europe and Central Asia. Failure to target programs to address the impact of malnutrition, has led to high rates of under-nutrition, and iron and iodine deficiencies. This report highlights the life-threatening nutrition problems confronting people in the region, and suggests strategies for change: a) improving infant feeding, particularly in Central Asia, to reduce unacceptably high rates of under-nutrition in young children; b) increasing consumption of iodized salt, to reduce compromised intelligence levels; and, c) developing programs to reduce iron deficiency anemia in women, and young children. Policymakers, and healthcare providers must develop, and deliver consistent, persuasive messages. This book aims to help raise awareness of nutrition problems in the region, and, suggests solutions for reducing malnutrition.
  • Publication
    Poverty and Nutrition in Bolivia
    (Washington, DC, 2002-08-20) World Bank
    Malnutrition is crippling Bolivia, and the country must now face the political, and bureaucratic failure in addressing malnutrition. This study defines the nature, and extent of the malnutrition problem in the country, identifies the underlying reasons for the failed response, and outlines actions for both immediate, and more long-term results. The study further estimates that less than ten percent of government, and non-government expenditures, with an explicit nutrition, or food security component, is devoted to effective programs serving the neediest - poor pregnant women, and malnourished children under two. Public and private expenditures on nutrition are often misdirected, for although Bolivia did achieve successes in the advancement of nutrition over the past twenty years, the problem of malnutrition still requires action on several fronts. Primarily, nutrition needs a national strategy, and functional leadership, able to provide the population with accurate, and practical nutritional knowledge, prioritizing effective interventions for the most vulnerable. The study suggests improvements in program design, by targeting assistance, and exploiting the opportunities to improve nutrition through water and sanitation, rural development, roads, and education projects, which can have a profound effect on nutrition. Recommendations include the development of nutrition education focused on high-priority population, towards creating a private commission to demand continuity of Government attention to nutrition, as well as community participation in nutrition programming.
  • Publication
    What Can We Learn from Nutrition Impact Evaluations? Lessons from a Review of Interventions to Reduce Child Malnutrition in Developing Countries
    (Washington, DC: World Bank, 2010) Independent Evaluation Group
    This paper reviews recent impact evaluations of interventions and programs to improve child anthropometric outcomes- height, weight, and birth weight-with an emphasis on both the findings and the limitations of the literature and on understanding what might happen in a non-research setting. It further reviews the experience and lessons from evaluations of the impact of the World Bank-supported programs on nutrition outcomes. Specifically, the review addresses the following four questions: 1) what can be said about the impact of different interventions on children's anthropometric outcomes? 2) How do these findings vary across settings and within target groups, and what accounts for this variability? 3) What is the evidence of the cost-effectiveness of these interventions? 4) What have been the lessons from implementing impact evaluations of Bank-supported programs with anthropometric impacts? Although many different dimensions of child nutrition could be explored, this report focuses on child anthropometric outcomes-weight, height, and birth weight. These are the most common nutrition outcome indicators in the literature and the ones most frequently monitored by national nutrition programs supported by the World Bank. Low weight for age (underweight) is also the indicator for one of the Millennium Development Goals.
  • Publication
    Angola Nutrition Gap Analysis
    (World Bank, Washington, DC, 2011-12) McDonald, Christine; Hyder, Ziauddin; Albino Cossa, Humberto
    Despite remarkable economic growth in the past decade, undernutrition remains a serious public health problem in Angola. High rates of child stunting and micronutrient deficiencies are contributing to an under-five mortality rate of 161 deaths per 1,000 live births, limiting the growth and development of children, hindering productivity, and preventing the country from reaching millennium development goals one and four. In response to this situation, the objectives of this report are to: a) synthesize available information on the nutrition situation in Angola; b) discuss the three main determinants of undernutrition using the United Nations Children's Fund (UNICEF) conceptual framework; c) summarize existing nutrition policies and programs in the country; and d) propose next steps for action. Nutrition policy agenda is slowly gaining momentum in the country. The national food security and nutrition strategy released in 2009 include nutrition actions for children under five. The national nutrition policy is in the process of being finalized. High priority problems include the dearth of up-to-date, reliable, and comprehensive information on the nutrition situation in the country, severe shortages of trained nutritionists, and an exclusion of nutrition from community-based health activities. The following recommendations are proposed as next steps: 1) incorporate the collection of nutrition data into routine, planned surveys; 2) finalize the national nutrition policy, conduct a rigorous gap analysis, and develop a costed implementation plan to effectively scale-up nutrition activities in the country; 3) enhance capacity building efforts in the field of nutrition; 4) improve nutrition surveillance and screening activities and; 5) incorporate nutrition into community-based activities.

Users also downloaded

Showing related downloaded files

  • Publication
    Classroom Assessment to Support Foundational Literacy
    (Washington, DC: World Bank, 2025-03-21) Luna-Bazaldua, Diego; Levin, Victoria; Liberman, Julia; Gala, Priyal Mukesh
    This document focuses primarily on how classroom assessment activities can measure students’ literacy skills as they progress along a learning trajectory towards reading fluently and with comprehension by the end of primary school grades. The document addresses considerations regarding the design and implementation of early grade reading classroom assessment, provides examples of assessment activities from a variety of countries and contexts, and discusses the importance of incorporating classroom assessment practices into teacher training and professional development opportunities for teachers. The structure of the document is as follows. The first section presents definitions and addresses basic questions on classroom assessment. Section 2 covers the intersection between assessment and early grade reading by discussing how learning assessment can measure early grade reading skills following the reading learning trajectory. Section 3 compares some of the most common early grade literacy assessment tools with respect to the early grade reading skills and developmental phases. Section 4 of the document addresses teacher training considerations in developing, scoring, and using early grade reading assessment. Additional issues in assessing reading skills in the classroom and using assessment results to improve teaching and learning are reviewed in section 5. Throughout the document, country cases are presented to demonstrate how assessment activities can be implemented in the classroom in different contexts.
  • Publication
    World Development Report 2006
    (Washington, DC, 2005) World Bank
    This year’s Word Development Report (WDR), the twenty-eighth, looks at the role of equity in the development process. It defines equity in terms of two basic principles. The first is equal opportunities: that a person’s chances in life should be determined by his or her talents and efforts, rather than by pre-determined circumstances such as race, gender, social or family background. The second principle is the avoidance of extreme deprivation in outcomes, particularly in health, education and consumption levels. This principle thus includes the objective of poverty reduction. The report’s main message is that, in the long run, the pursuit of equity and the pursuit of economic prosperity are complementary. In addition to detailed chapters exploring these and related issues, the Report contains selected data from the World Development Indicators 2005‹an appendix of economic and social data for over 200 countries. This Report offers practical insights for policymakers, executives, scholars, and all those with an interest in economic development.
  • Publication
    Argentina Country Climate and Development Report
    (World Bank, Washington, DC, 2022-11) World Bank Group
    The Argentina Country Climate and Development Report (CCDR) explores opportunities and identifies trade-offs for aligning Argentina’s growth and poverty reduction policies with its commitments on, and its ability to withstand, climate change. It assesses how the country can: reduce its vulnerability to climate shocks through targeted public and private investments and adequation of social protection. The report also shows how Argentina can seize the benefits of a global decarbonization path to sustain a more robust economic growth through further development of Argentina’s potential for renewable energy, energy efficiency actions, the lithium value chain, as well as climate-smart agriculture (and land use) options. Given Argentina’s context, this CCDR focuses on win-win policies and investments, which have large co-benefits or can contribute to raising the country’s growth while helping to adapt the economy, also considering how human capital actions can accompany a just transition.
  • Publication
    Morocco Economic Update, Winter 2025
    (Washington, DC: World Bank, 2025-04-03) World Bank
    Despite the drought causing a modest deceleration of overall GDP growth to 3.2 percent, the Moroccan economy has exhibited some encouraging trends in 2024. Non-agricultural growth has accelerated to an estimated 3.8 percent, driven by a revitalized industrial sector and a rebound in gross capital formation. Inflation has dropped below 1 percent, allowing Bank al-Maghrib to begin easing its monetary policy. While rural labor markets remain depressed, the economy has added close to 162,000 jobs in urban areas. Morocco’s external position remains strong overall, with a moderate current account deficit largely financed by growing foreign direct investment inflows, underpinned by solid investor confidence indicators. Despite significant spending pressures, the debt-to-GDP ratio is slowly declining.
  • Publication
    Digital Africa
    (Washington, DC: World Bank, 2023-03-13) Begazo, Tania; Dutz, Mark Andrew; Blimpo, Moussa
    All African countries need better and more jobs for their growing populations. "Digital Africa: Technological Transformation for Jobs" shows that broader use of productivity-enhancing, digital technologies by enterprises and households is imperative to generate such jobs, including for lower-skilled people. At the same time, it can support not only countries’ short-term objective of postpandemic economic recovery but also their vision of economic transformation with more inclusive growth. These outcomes are not automatic, however. Mobile internet availability has increased throughout the continent in recent years, but Africa’s uptake gap is the highest in the world. Areas with at least 3G mobile internet service now cover 84 percent of Africa’s population, but only 22 percent uses such services. And the average African business lags in the use of smartphones and computers as well as more sophisticated digital technologies that catalyze further productivity gains. Two issues explain the usage gap: affordability of these new technologies and willingness to use them. For the 40 percent of Africans below the extreme poverty line, mobile data plans alone would cost one-third of their incomes—in addition to the price of access devices, apps, and electricity. Data plans for small- and medium-size businesses are also more expensive than in other regions. Moreover, shortcomings in the quality of internet services—and in the supply of attractive, skills-appropriate apps that promote entrepreneurship and raise earnings—dampen people’s willingness to use them. For those countries already using these technologies, the development payoffs are significant. New empirical studies for this report add to the rapidly growing evidence that mobile internet availability directly raises enterprise productivity, increases jobs, and reduces poverty throughout Africa. To realize these and other benefits more widely, Africa’s countries must implement complementary and mutually reinforcing policies to strengthen both consumers’ ability to pay and willingness to use digital technologies. These interventions must prioritize productive use to generate large numbers of inclusive jobs in a region poised to benefit from a massive, youthful workforce—one projected to become the world’s largest by the end of this century.