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Nutrition in contemporary Zimbabwe: a situational analysis 当代津巴布韦的营养状况:情境分析
Pub Date : 2020-11-23 DOI: 10.51745/NAJFNR.4.09.S25-S35
T. Matsungo, P. Chopera
Background: Malnutrition in all its forms continues to be a global public health challenge affecting mostly women and children in Africa. The socioeconomic consequences of poor nutrition are far-reaching and cross-generational. Objective: To provide an update on the nutrition situation in Zimbabwe in the context of the United Nations 2030 sustainable development agenda. Key findings: In Zimbabwe, the leading nutrition problems include high levels of childhood stunting, micronutrient deficiencies (Vitamin A, Iron, Zinc, and Selenium) affecting mostly children younger than 5 years and women aged 15-49 years. This paper presents evidence on the emergence of obesity and associated complications like diabetes, hypertension, and several cancers in addition to the traditional problem of undernutrition burden “multiple burden of malnutrition”. These nutrition challenges can be attributed to poor breastfeeding and infant and young child feeding (IYCF) practices, the low dietary diversity affecting mostly rural households and nutrition transition. Cultural and religious beliefs are barriers to the adoption of appropriate breastfeeding and IYCF practices. Conclusion: The multiple burden of malnutrition exists in Zimbabwe. Although there is political, commitment and multisectoral initiatives to address malnutrition and food insecurity, the declining socio-economic situation and the COVID-19 associated restrictions are worsening the situation and poor households are getting more vulnerable. Considering that Zimbabwe’s economy is agriculture-based there is a need to put emphasis on promoting nutrition-sensitive agriculture initiatives and urgently implement the Food-Based Dietary Guidelines (FBDGs) to propel the adoption of healthy lifestyles and dietary behaviors.Keywords: Stunting, Breastfeeding, IYCF, Micronutrient deficiency, SDGs, COVID-19, Zimbabwe.
背景:各种形式的营养不良仍然是一项全球公共卫生挑战,主要影响非洲的妇女和儿童。营养不良的社会经济后果影响深远,而且是跨代的。目标:在联合国2030年可持续发展议程的背景下,提供津巴布韦营养状况的最新情况。主要发现:在津巴布韦,主要的营养问题包括儿童发育迟缓和微量营养素缺乏症(维生素A、铁、锌和硒),主要影响5岁以下儿童和15-49岁妇女。除了传统的营养不足问题“多重营养不良负担”之外,本文还提供了肥胖及其相关并发症(如糖尿病、高血压和几种癌症)出现的证据。这些营养挑战可归因于不良的母乳喂养和婴幼儿喂养做法、主要影响农村家庭的饮食多样性低以及营养转型。文化和宗教信仰是采取适当的母乳喂养和国际儿童基金会做法的障碍。结论:津巴布韦存在多重营养不良负担。尽管有解决营养不良和粮食不安全问题的政治承诺和多部门举措,但不断恶化的社会经济状况和与COVID-19相关的限制使情况恶化,贫困家庭变得更加脆弱。考虑到津巴布韦的经济以农业为基础,有必要把重点放在促进营养敏感型农业举措上,并紧急执行《以食物为基础的膳食指南》,以推动采用健康的生活方式和饮食行为。关键词:发育迟缓,母乳喂养,IYCF,微量营养素缺乏症,可持续发展目标,COVID-19,津巴布韦
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引用次数: 3
Update of the nutritional situation in the Republic of Sudan 苏丹共和国营养状况的最新情况
Pub Date : 2020-11-15 DOI: 10.51745/NAJFNR.4.09.S17-S24
H. Abusalih, Zeinab Abu Sabeib
Background: Sudan is situated in the northeastern part of Africa. The population of the country is approximately 43 million, spread over 1.88 million square kilometers. Although Sudan has great resources, most of the population suffers from poverty and food deficiency because of the conflicts in the different parts of the country .The suffering was augmented by climatic drought and floods which resulted in food insecurity. The population’s internal displacement is disadvantageous regarding access to health services and is consequently more vulnerable to diseases and malnutrition. In Sudan, thirty-three percent of the population suffered from food deprivation according to the national survey of 2010. The prevalence of undernourishment was 31% and 34 % percent for urban and rural populations respectively. Furthermore, based on WHO epidemiologic criteria, the prevalence of stunting and wasting are classified as profound, 38.2%, for stunting which is more than the average of the developing countries( 25%), wasting defined as low weight for height also has a higher prevalence in under-five in Sudan comparing it to the developing countries' average which is 16.8% and 8.9% respectively. Although recent national survey data are lacking, it is evident that micronutrient deficiencies are a major public health concern from the sporadic studies’ findings. Notwithstanding these challenges, the government and the Federal Ministry of Health, move along to make progress towards nutrition and food security, some supplementation campaigns have been conducted but coverage of the population is still low. Sudan is one of the 61 countries that leading a global movement to end up malnutrition in all its forms.Keywords: Sudan, deficiencies, food, micronutrient, mortality, insecurity.
背景:苏丹位于非洲东北部。全国人口约4300万,面积188万平方公里。虽然苏丹拥有丰富的资源,但由于该国各地的冲突,大多数人口遭受贫困和粮食短缺,气候干旱和洪水导致粮食不安全,加剧了这种痛苦。人口的国内流离失所不利于获得保健服务,因此更容易患病和营养不良。根据2010年的全国调查,在苏丹,33%的人口遭受食物剥夺。城市和农村人口的营养不良发生率分别为31%和34%。此外,根据世卫组织流行病学标准,发育迟缓和消瘦的患病率被归为重度,为38.2%,高于发展中国家的平均水平(25%)。苏丹五岁以下儿童的消瘦定义为体重与身高之比过低,其患病率也高于发展中国家的平均水平(分别为16.8%和8.9%)。虽然缺乏最近的全国调查数据,但从零星的研究结果来看,微量营养素缺乏显然是一个主要的公共卫生问题。尽管面临这些挑战,政府和联邦卫生部仍在努力在营养和粮食安全方面取得进展,开展了一些补充运动,但人口覆盖率仍然很低。苏丹是领导全球消除各种形式营养不良运动的61个国家之一。关键词:苏丹,缺乏,食物,微量营养素,死亡率,不安全。
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引用次数: 1
Nutrition and food security in Mali from 2010 to 2020 2010年至2020年马里的营养和粮食安全
Pub Date : 2020-09-15 DOI: 10.51745/NAJFNR.4.09.S1-S6
F. Konaté, A. Ag Iknane, F. Diawara, D. Coulibaly, A. Koné
Mali, a Sahelian country in West Africa, faces many climatic, natural and security constraints. This situation has accentuated the nutritional issues which are largely responsible for the high morbidity and mortality rates. The aim of the current review is to understand the main issues related to nutrition and diet among vulnerable groups in Mali during the last decade. The exclusive breastfeeding rate remains relatively low (40%). The Complementary feeding practices are inadequate 49%. These practices are coupled with chronic food insecurity, limited access to health care and services and water coverage and inadequate hygiene practices. The 2019 nutrition survey showed a wasting prevalence of 9.4% in children under the age of 5 and a prevalence of stunting of 27% in young children 0-23 months. In addition, there is a nutritional transition limited to the urban environment, where almost one in three adult women is overweight or obese. Simultaneously, undernutrition perseveres among women, particularly in rural areas (18.5%). The persistence of micronutrient deficiencies is accentuated, especially anemia with a prevalence rate of 82% in children under 5 years. The strategy of universal salt iodization has led to a marked reduction in iodine deficiency disorders. Vitamin A deficiency is a public health problem in women with a retinolemia rate of 35%. There is a Nutrition Policy document, an intersectoral coordination unit with a view to strengthening interventions to better achieve the Sustainable Development Goals.Keywords: Malnutrition, Infants under 5, Micronutrients, Food Insecurity, Mali.
马里是西非的一个萨赫勒国家,面临许多气候、自然和安全限制。这种情况使营养问题更加突出,而营养问题是造成高发病率和高死亡率的主要原因。本次审查的目的是了解马里脆弱群体在过去十年中与营养和饮食有关的主要问题。纯母乳喂养率仍然相对较低(40%)。辅助喂养方法不足49%。这些做法还伴随着长期的粮食不安全、获得保健和服务的机会有限以及水的覆盖范围有限以及不适当的卫生习惯。2019年的营养调查显示,5岁以下儿童的消瘦率为9.4%,0-23个月幼儿的发育迟缓率为27%。此外,还有一种营养转变仅限于城市环境,在那里几乎三分之一的成年妇女超重或肥胖。与此同时,营养不良现象在妇女中持续存在,特别是在农村地区(18.5%)。微量营养素缺乏的持续性更加突出,特别是贫血,5岁以下儿童的患病率为82%。普遍食盐加碘的战略导致碘缺乏症的显著减少。维生素A缺乏症是女性的一个公共健康问题,视黄醇血症发生率为35%。有一份营养政策文件,这是一个部门间协调单位,旨在加强干预措施,更好地实现可持续发展目标。关键词:营养不良,5岁以下婴儿,微量营养素,粮食不安全,马里
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引用次数: 2
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Special Issue July-December 2020
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