No hay notas en la diapositiva.
Consensus that Lancet 2013 provides a guidance for nutrition-specific interventions and programmes. See detailed list in the blue box
Lancet 2013 provides a well known conceptual framework for actions by sectors and stakeholders
Today we will focus on the dietary, behavioural and health determinants of optimum fetal and child growth and development.
Small for gestational age: 27% of all births in LMICs. Risk factor for newborn deaths and stunting at 24 months and for development of some kinds of NCD in adulthood
Under-nutrition - fetal growth restriction, suboptimum breastfeeding, stunting, wasting and deficiencies of Vitamin A and zinc – causes 45% of all deaths of children younger than 5 years.
Iron and calcium deficiencies contribute to maternal deaths. Anaemia is a risk factor for maternal death (23% of total deaths). Calcium increases the risk of pre-eclampsia (19% of total deaths).
Maternal overweight has increased steadily since 1980. Maternal overweight and obesity increase risks of maternal morbidity and infant mortality.
Prevalence of child overweight in high-income countries is more than double that in LMICs but 76% of affected children (out of the total) live in LMICs. Early recognition of excessive weight gain relative to linear growth is essential.
The 2013 Lancet series strengthens the case for a continued focus on the crucial 1000 day window during pregnancy and the first 2 years. It also shows the importance of intervening early in pregnancy and even before conception.
WASH within Health refers to the quality of drinking water (e.g. treatment at point of use) and hygiene practices
No mentioning of HIV/AIDS, TB
Because women do not access nutrition promoting services until month 5 or 6 of pregnancy it is important that they enter pregnancy in a state of optimum nutrition.
The emerging platform for adolescent health and nutrition offers opportunities for enhanced benefits.
Interventions on the top row summarize those that are recommended using a life cycle approach. Those in the bottom are health-based interventions.