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    2 - Nutrition Status in Pakistan

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    2 - Nutrition Status in Pakistan

    Uploaded by

    Shafaat Hussain
    8 views10 pages
    123

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    2- Nutrition Status in Pakistan

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    8 views10 pages

    2 - Nutrition Status in Pakistan

    Uploaded by

    Shafaat Hussain
    123

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    © All Rights Reserved
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    of 10

    Nutrition Status in Sindh

    Dr Dure Shahwar Khan


    Provincial Nutrition Focal Person
    Health Department
    Government of Sindh
    Nutrition – Basic Human Right

    • Freedom from hunger and malnutrition is a


    basic human right
    • According to UN Article 24, states are mandated
    to provide medical assistance & health care to
    all children, combat disease & malnutrition
    through provision of adequate nutritious foods,
    safe drinking water & adequate sanitation and
    provide families with information about the
    advantages of breast feeding
    2
    Situation in Pakistan
    • In Pakistan, the nutritional status of children under
    five years of age is extremely poor
    • Child Malnutrition rates in Pakistan, significantly high
    • NNS (2002) reveals 13% global acute malnutrition
    (GAM)
    • At a national level almost 40% of children < 5 are
    underweight. Over half the children are affected by
    stunting and about 9% by wasting
    • Significant provincial variations in malnutrition rates

    3
    Situation …
    • Anthropometric deficits are systematically higher
    in rural areas
    • In the Pakistani diet cereals remain the main
    staple food providing 62% of total energy
    • Milk consumption is significant in Pakistan while
    the consumption of fish, meat, vegetables and
    fruits remains very low

    4
    Factors affecting nutritional status
    • Poverty
    • Shortage of food
    • Food consumption
    • Morbidity
    • Poor health infrastructure
    • And other socio-economic factors

    5
    Indicators
    Sr. Indicator PC-1/ Human NNS
    NNS 85-87 Condition 2001-02
    Report ‘02

    1. Low Birth Weight %(Less than 2500gm) 25% 30%


    2. Wasting % (Low Weight for Height) 15.3% 11.7% 11.6%
    3. Stunting%(low Height for Age) 46.3% 61.9% 31.%
    4. Under Weight%(Low Weight for Age) 51.5% 44.6% 41.5%
    5 Anemia (Children) 42% 42% 50.9%
    6. Anemia (Women) 45% 60% 29.4%
    7. Iron Deficiency Anemia (Children) - - 35.6%

    8. Iron Deficiency Anemia (Women) - - 25.5%


    9. Vitamin A Def (Children) (Serum Retinol - - 12.5%
    Level)
    10. Vitamin A Def (Mothers) (Serum Retinol - - 5.9%
    Level)

    6
    Situation in Sindh
    • Flood Affected Nutrition Survey (FANS)
    • Northern & Southern Sindh
    • Objectives:
    – Provide updated information on the nutritional
    situation of children 6-59 months in flood affected
    villages
    – Assess coverage of Vitamin A supplementation and
    measles and polio vaccination
    – Recommend immediate and medium/ long-term
    interventions to save lives and support livelihoods
    7
    Northern Sindh
    Reference
    Results
    Criteria
    Global Acute Malnutrition (GAM) (87) 23,1 %
    WFH <-2 z-score and/or edema (18,9 - 28,0 95% C.I.)
    N = 376 Moderate Acute Malnutrition (MAM) (64) 17,0 %
    WHO WFH <-2 et ≥-3 z-score, without edema (13,6 - 21,1 95% C.I.)

    Severe Acute Malnutrition (SAM) (23) 6,1 %


    WFH <-3 z-score and/or edema (3,7 - 9,9 95% C.I.)
    Global Acute Malnutrition (GAM) (81) 21,0 %
    WFH <-2 z-score and/or edema (16,0 - 27,0 95% C.I.)
    NCHS N = 386 Moderate Acute Malnutrition (MAM) (73) 18,9 %
    WFH <-2 et ≥-3 z-score, without edema (14,3 - 24,6 95% C.I.)
    1977
    Severe Acute Malnutrition (SAM) (8) 2,1 %
    WFH <-3 z-score and/or edema (0,8 - 5,3 95% C.I.)

    8
    Southern Sindh
    Reference
    Results
    Criteria
    Global Acute Malnutrition (GAM) 21,2 %
    WFH <-2 z-score and/or edema (17,3 - 25,6 95% C.I.)
    WHO N = 373 Moderate Acute Malnutrition (MAM) 18,2 %
    2006 WFH <-2 et ≥-3 z-score, without (14,8 - 22,3 95% C.I.)
    edema
    Severe Acute Malnutrition (SAM) 2,9 %
    WFH <-3 z-score and/or edema (1,7 - 5,1 95% C.I.)
    Global Acute Malnutrition (GAM) 20,4 %
    WFH <-2 z-score and/or edema (16,6 - 24,9 95% C.I.)
    NCHS N = 377 Moderate Acute Malnutrition (MAM) 19,1 %
    1977 WFH <-2 et ≥-3 z-score, without (15,6 - 23,2 95% C.I.)
    edema
    Severe Acute Malnutrition (SAM) 1,3 %
    WFH <-3 z-score and/or edema (0,5 - 3,7 95% C.I.)
    9
    Emergency
    • Rate of Global Acute Malnutrition = > 15 %

    is

    CRITICAL
    10

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