World BankUNICEF2013-03-292013-03-292012-02-08https://hdl.handle.net/10986/13058Undernutrition in Tajikistan remains an important public health challenge, albeit a hidden problem. Stunting, iodine deficiency, and maternal and child anemia represent the largest burden of undernutrition in Tajikistan. In 2009, around 29 percent of children in all regions of the country were stunted. Iodine deficiency was observed in 53 percent of children and in 58.6 percent of women. The national prevalence of anemia in children was 28.8 percent; however, rates were as high as 39.8 percent in Ghorno-Badakhshan Autonomous Province and in 32 percent directly ruled districts (DRD). The prevalence of anemia among mothers was 24.2 percent. The long-term effects of these conditions negatively affect the health of adults throughout their life, as well as their potential productivity in the work force and possible economic contribution to the nation. The highest priority interventions will improve infant and young child feeding. Strengthening and scaling up breastfeeding promotion will save lives and help to reduce stunting as would complementary feeding for babies six months and older. Promoting exclusive breastfeeding for infants under six months is the most efficacious intervention to save lives, averting nearly 20 percent of deaths in children under-five. Effective programs need to be designed to make more women aware of the benefits of breastfeeding and sound nutrition. A comprehensive, multi-sector approach is needed to ensure success of these interventions. This report also makes several other recommendations including: supplementing pregnant women with either iron folic acid or multiple micronutrients, maintain twice-annually vitamin A supplementation, implementing a deworming program, support for flour fortification, scale up and maintain zinc for the management of diarrhea, and address the underlying and basic causes of undernutrition through other sectors.en-USCC BY 3.0 IGOABORTIONABORTION COMPLICATIONSACCESS TO EDUCATIONACCESS TO HEALTH CAREACCESS TO HEALTH SERVICESACUTE MALNUTRITIONAGEDANEMIAANTENATAL CAREARIBABIESBABYBEHAVIOR CHANGEBREASTFEEDINGBREASTFEEDING PROMOTIONBULLETINCAPACITY BUILDINGCARDIOVASCULAR DISEASECARE CENTERSCAUSES OF DEATHCHILD CARECHILD DEATHSCHILD FEEDINGCHILD GROWTHCHILD GROWTH MONITORINGCHILD HEALTH SERVICESCHILD MALNUTRITIONCHILD MORTALITYCHILD MORTALITY RATESCHILD NUTRITIONCHILD SURVIVALCHILDBEARINGCHILDHOOD ILLNESSESCIVIL WARCLINICSCOMPLEMENTARY FEEDINGCOMPLEMENTARY FOODCOST EFFECTIVENESSCYCLE OF POVERTYDECISION MAKINGDELIVERY COSTSDEMOGRAPHIC FACTORSDEVELOPING COUNTRIESDEVELOPMENT INTERVENTIONSDEVELOPMENT OBJECTIVESDEVELOPMENT PLANNINGDIARRHEADIARRHEAL DISEASEDIETDISABILITYDISEASESDISSEMINATIONEARLY CHILDHOODECONOMIC DEVELOPMENTECONOMIC GROWTHECONOMIC PRODUCTIVITYEDUCATED WOMENEMERGENCY CAREEMERGENCY OBSTETRIC CAREEMERGENCY RELIEFEMPLOYMENT OPPORTUNITIESEMPOWERMENT OF WOMENEPIDEMIOLOGYFAMILIESFAMILY PLANNINGFOLIC ACIDFOOD INSECURITYFOOD SECURITYFREQUENT PREGNANCIESGENDER EQUALITYGLOBAL CONSENSUSGLOBAL DEVELOPMENTHEALTH CAREHEALTH CARE PROFESSIONALSHEALTH CARE PROVIDERSHEALTH CARE SERVICESHEALTH CONSEQUENCESHEALTH INDICATORSHEALTH INTERVENTIONSHEALTH OUTCOMESHEALTH POLICYHEALTH PROBLEMSHEALTH REFORMHEALTH RISKSHEALTH SECTORHEALTH SERVICESHEALTH SYSTEMHEALTH SYSTEMSHEALTH WORKERSHEALTHY LIFEHEMORRHAGEHOSPITALHOSPITAL BEDSHOSPITALSHUMAN CAPITALHUMAN DEVELOPMENTHUMAN RIGHTSHYGIENEHYGIENE PRACTICESIDDILL HEALTHIMMUNIZATIONINFANTINFANT MORTALITYINFANTSINFECTIONINFORMATION SYSTEMINSTITUTIONAL CAPACITYINTERVENTIONIODINEIODINE DEFICIENCYIRONLABOR FORCELARGE FAMILIESLBWLEADING CAUSESLEADING CAUSES OF DEATHLEVELS OF EDUCATIONLIVE BIRTHSLIVING STANDARDSLOW BIRTH WEIGHTLOW-INCOME COUNTRIESMALARIAMALNOURISHED CHILDRENMALNUTRITIONMARKETINGMATERNAL AND CHILD HEALTHMATERNAL AND CHILD HEALTH CAREMATERNAL DEATHSMATERNAL MORTALITYMATERNAL MORTALITY RATIOMATERNAL NUTRITIONMATERNITY HOSPITALSMEASLESMEDICAL EQUIPMENTMEDICAL PERSONNELMICRONUTRIENT DEFICIENCIESMIDWIVESMIGRANTSMIGRATIONMILLENNIUM DEVELOPMENT GOALSMINISTRY OF HEALTHMORBIDITYMORTALITYMORTALITY RATEMORTALITY REDUCTIONSMOTHERNATIONAL LEVELNEEDS ASSESSMENTNEONATAL MORTALITYNEWBORNNEWBORNSNUMBER OF PEOPLENURSESNUTRITIONNUTRITION EDUCATIONNUTRITION INTERVENTIONSNUTRITION OUTCOMESNUTRITION PROGRAMSNUTRITIONAL PRACTICESNUTRITIONAL STATUSOBESITYOLD AGEPARASITESPATIENTPATIENT SATISFACTIONPENSIONSPERINATAL MORTALITYPHYSICAL ACTIVITYPHYSICAL DEVELOPMENTPHYSICAL GROWTHPOLICY BRIEFPOLICY MAKERSPOLIOPOOR HEALTHPOPULATION MOVEMENTSPREGNANCYPREGNANT WOMENPREMATURE DEATHPRIMARY HEALTH CAREPRODUCTIVITYPROGRESSPUBLIC EDUCATIONPUBLIC HEALTHPUBLIC HEALTH CONCERNPUBLIC HEALTH PROBLEMPURCHASING POWERQUALITY OF CAREQUALITY OF HEALTH CAREQUALITY SERVICESREMITTANCESREPRODUCTIVE AGEREPRODUCTIVE HEALTHREPRODUCTIVE HEALTH SERVICESRESOURCE ALLOCATIONSRICHER COUNTRIESRISK FACTORSRISK OF INFECTIONRURAL AREASRURAL DEVELOPMENTSANITATIONSCHOOL CURRICULASECONDARY EDUCATIONSERVICE DELIVERYSKILLED PERSONNELSOCIAL MARKETINGSTUNTINGTECHNICAL ASSISTANCEUNDERNUTRITIONUNDERWEIGHT CHILDRENUNEMPLOYMENTURBAN AREASVICIOUS CYCLEVITAMIN AVITAMIN A DEFICIENCYVITAMIN A SUPPLEMENTATIONVITAMIN DEFICIENCYVITAMINSVULNERABLE GROUPSWASTINGWOMEN OF CHILDBEARING AGEWORK FORCEWORKERSWORKFORCEWORLD HEALTH ORGANIZATIONYOUNG CHILDYOUNG CHILDRENWorld Bank10.1596/13058