When it comes to economic success, Tanzania offers a model for the rest of Sub-Saharan Africa. Growth has averaged 6.5 percent per year over the past decade, and between 2007 and 2012 nearly a third of the poorest 40% of the population rose out of poverty. However, the progress towards improving water and sanitation access for all has not kept a similar pace.
A new report by the World Bank, ‘Reaching For The SDGs’ was launched by the Honorable Eng. Isack Kamwelwe, Minister of Water and Irrigation on March 20 in Dar es Salaam. In her welcome address, Ms. Bella Bird, Country Director for Tanzania, Malawi, and Burundi said, “adequate WASH is a crucial component of basic human necessities that allow a person to thrive in life”. The report shows how water and sanitation services need to advance substantially in order to achieve much needed improvements in health and wellbeing that will help the country fulfill its true potential. Progress in this area still has a long way to go.
Millions of children around the world are prevented from reaching their full developmental potential because of poor environment and nutrition. In the more extreme cases, these children face stunting — a condition that arises when children grow much less than is expected for their age.
In 2016, an estimated 155 million kids – about one quarter of all young children worldwide – were affected by stunting. Sadly, undernutrition claims about 3 million young lives every year – representing almost half of all deaths of children under the age of five.
Young children who lack access to pre-primary education also lack access to essential services that support a healthy childhood. Kids who are poorly nourished, who are stunted, and who do not receive adequate stimulation before their fifth birthday are likely to learn less at school and earn less as adults. They are also less ready to compete as adults in an increasingly digital economy.
In Central Asia, I am glad to say that we are starting to see progress on the path toward eliminating childhood stunting. In every country in the region, the share of children who are stunted is on the decrease. This is a remarkable achievement, due in large part to the commitment of governments and communities to address malnutrition. We must remain determined to ensure this progress continues.
Maternal and child nutrition is a key driver for sustainable development, yet about 155 million children worldwide are still stunted (children below average height for their age). According to the 2008 Lancet Maternal and Child Undernutrition Series “more than a third of child deaths and 11% of the total diseases burden worldwide are due to maternal and child undernutrition.”
More recent estimates released in May 2017 by UNICEF, WHO, and World Bank suggest that number of children under 5 stunted has decreased from 254.2 million in 1990 to 154.8 million in 2016. While this a great progress in the last 26 years, 154.8 million stunted children is still a staggering number.
Source: WHO, UNICEF, World Bank
In Indonesia, chronic malnutrition is widespread with more than one-third of young children being stunted. Despite the reduction of the poverty rate from 16.6% to 11.4% from 2007 to 2013, the rate of stunting amongst children under the age of five has remained alarmingly high, exceeding 37% in 2013, although that figure has declined in the last two years. Stunting has important lifelong consequences for health, as well as for cognitive development, education, human capital accumulation, and ultimately for economic productivity.
However, to reduce stunting it’s not only important to focus on the health sector. It also requires improvements in other sectors such as agriculture, education, social protection, and water, sanitation, and hygiene (WASH). As originally emphasized by the UNICEF conceptual framework, to ensure that a child receives adequate nutrition depends on four critical factors: care, health, environment, and food security, areas that straddle multiple sectors.
Alassane Sow, World Bank Country Manager for Cambodia, and Rana Flowers, UNICEF Representative to Cambodia, wrote an op-ed for The Phnom Penh Post. Read the op-ed below, courtesy of The Phnom Penh Post.Did you know that in communities where a high proportion of people defecate outdoors, children are on average shorter than children living in communities where most people use toilets?
The evidence tells us that malnutrition costs lives, perpetuates poverty, and slows economic growth. We now know that nearly half of all child deaths globally are attributed to malnutrition. I have seen in my own country, Indonesia, how stunting caused by malnutrition has diminished too many children’s futures before they even begin. Malnourished children are more likely to perform poorly in school and drop out earlier than their better-nourished peers, limiting their future earnings. Data from Guatemala show that boys who had good nutrition before age 3 are earning nearly 50% more as adults, and girls had a greater likelihood of having an independent source of income and were less likely to live in poor households.
Malnutrition diminishes not only the futures of individuals, but also of nations. Recent estimates suggest that as much as 11% of gross national product in Africa and Asia is lost annually to the impact of malnutrition. To end extreme poverty and promote shared prosperity, the world must commit to end child stunting due to malnutrition. I will be joining leaders from around the world in London this week to focus on this critical challenge.