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Building Commitment for Nutrition

Ashi Kathuria's picture

Imagine that after an animated discussion on nutrition, a film star commits: 'From now on, in all my movies, I will dedicate 5 minutes to the issue of malnutrition and build awareness about prevention.' or

The mayor pledges: 'I will organize awareness camps on malnutrition in all the wards of my city and will try to involve everybody.' or

A Member of Parliament promises: 'Malnutrition free villages will be created in 21 impoverished hamlets. If more money is required, we will provide it from our funds.' or

An editor undertakes: 'Every week we will provide space for the views of experts on malnutrition.' or

The University Vice Chancellor vows: 'We will start a course on health and nutrition in our university, so that we have enough trained people to deal with this problem in India.' or

An industry representative pledges: 'We will adopt 10 malnourished children every year and see to their health care, education, and other day to day requirements.'

Well, these and many more such commitments were publicly made in 21 high-malnutrition districts of Uttar Pradesh and Bihar – two states in India where the levels of malnutrition are alarming.

Renewable biogas provides clean, affordable energy for rural households in Nepal

Environmental Specialist Javaid Afzal demonstrates supervision practices of Bank staff as he inspects the internal workings of a biogas plant currently under construction.

Trecking through the remote and rugged mountainous areas of Nepal, it was evident to me that the abundance of natural beauty starkly contrasted with the scarcity of access to affordable and environmentally sustainable energy sources.

In Nepal, Most households still rely on traditional energy sources for cooking and heating, such as firewood or agriculture residue with few having access to electricity.

The high demand for firewood has created a number of environmental problems such as deforestation, soil degradation, and flooding. Firewood also requires considerable time for families to collect and its use results in indoor air pollution which particularly impacts women and children.

A solution has been the introduction of biogas as a way to bring cleaner, safer, and more affordable energy to rural households. It is created when animal and human waste are converted into clean sources of cooking fuel, replacing the need for wood, dried dung, and fossil fuel based sources of energy. Its byproduct can also be used as a natural fertilizer to increase agricultural yield.

African Successes

Shanta Devarajan's picture

In recent years, a broad swath of African countries has begun to show a remarkable dynamism.  From Mozambique’s impressive growth rate (averaging 8% p.a. for more than a decade) to Kenya’s emergence as a major global supplier of cut flowers, from M-pesa’s mobile phone-based cash transfers to KickStart’s low-cost irrigation technology for small-holder farmers, and from Rwanda’s gorilla tourism to Lagos City’s Bus Rapid Transit system, Africa is seeing a dramatic transformation.  This favorable trend is spurred by, among other things, stronger leadership, better governance, an improving business climate, innovation, market-based solutions, a more involved citizenry, and an increasing reliance on home-grown solutions.  More and more, Africans are driving African development. 

The global economic crisis of 2008-09 threatens to undermine the optimism that Africa can harness this dynamism for long-lasting development.  In light of this, it might be useful to re-visit recent achievements.  The African Successes study aims to do just that.

The study will identify a wide range of development successes (see list), from which around 20 cases will be selected for in-depth study.  The analysis of each successful experience will evaluate the following: (1) the drivers of success—what has worked and why; (2) the sustainability of the successful outcome(s); and (3) the potential for scaling up successful experiences.  African success stories offer valuable insights and practical lessons to other countries in the region. 

I welcome your comments and suggestions for success stories. Click here to see the list of what we have come up with so far.

Useful Reading on Africa: Links of the week for Sept. 4, 2009

Shanta Devarajan's picture

Here is some good reading on Africa:

- As Africa grows richer, there are reasons to be pessimistic about its ability to capitalize on the benefits of a reduction in population growth, says The Economist. One reason is that one in two Africans is a child, which means that traditional ways of caring for children in extended families are breaking down.

A Daughter Deficit in Africa?

Shanta Devarajan's picture

An excellent special issue of the New York Times magazine on Women and Development  had an article on the “daughter deficit”—the phenomenon, observed in India and China, of many fewer girls than boys being born, and surviving to age 5.  Up to now, I had been thinking of this as an Asian phenomenon, associated with cultural values in India and China.  But the finding by my colleagues Jed Friedman and Norbert Schady, reported in this blog , that in Africa the mortality rate from a drop in income is about twice as high for girls as for boys, makes me think that the daughter deficit (or “son preference”) may be coming to Africa. 

Indonesia's 'big bang' decentralization experiment: Helping poor regions spend resources well

Wolfgang Fengler's picture

After five years in Indonesia, my family and I have left this wonderful country and moved to Kenya. The last five years have been excellent years for Indonesia. The economy stabilized, growth resumed and services started to improve, although modestly and not in all areas. Indonesia still remains an underrated country, but this may change. Indonesia has only mildly been affected by the global crisis.

National Solidarity Program (NSP), a community-led reconstruction and rural infrastructure initiative.

Karina Manasseh's picture

The National Solidarity Program (NSP) is a community-led reconstruction and rural infrastructure initiative. The program has made significant achievements in empowering communities, improving community relations, and increasing public faith in the system of government.

World Bank Awards $840,000 for Grassroot Organizations to Fight Undernutrition

Joe Qian's picture

The Nutrition Development Marketplace was held in Dhaka on Wednesday August 5th. Twenty-one civil society organizations from across South Asia won grants from an $840,000 award pool funded by the South Asia Region Development Marketplace (DM). The winners received up to $40,000 each to implement innovative ideas on how to improve nutrition in their respective countries.

Titled “Family and Community Approaches to Improve Infant and Young Child Nutrition,” the competition was designed to identify some of the most innovative ideas to improve nutrition, focusing especially on children under two years of age and pregnant women.

South Asia has experienced high economic growth during the last decade. The region, however, still has both the highest rates and the largest numbers of undernourished children in the world. While poverty is often the underlying cause of child undernutrition, the high economic growth experienced by South Asian countries has not made an impact on the nutritional status of South Asian children.

Why South Asia has the largest numbers of undernourished and micronourished children in the world?

South Asia’s undernourishment problem has many numbers of factors, including the following: Low birth weight, infant and young child feeding practices, poor household hygiene, and status of women in society.

This video, A Call for Action, highlights some of the challenges and opportunities of undernutrition in the South Asia region with a focus on India.

Development Marketplace: My Tryst With Nutrition

Sundararajan Gopalan's picture

For more information on the Nutrition Development Marketplace, please see the accompanying Feature Story and Press Release

The year was 1975. I was a final year medical student in Pondicherry, South India. I was going for my practical test on Preventive and Social Medicine (PSM). PSM was (and probably still is) one of the least favorite subjects in the medical curriculum for most students. “Why should we prevent diseases? If we prevent all diseases what will we all do with our medical degrees? Isn’t that professional suicide?” asked one of my class-mates! But I digress. Coming back to the test, I was unusually nervous because I had not studied everything well. For some reason, one chapter that I did study the night before was nutrition. I had also volunteered for two months in a Nutrition Rehabilitation Center (NRC) which meant that it was one chapter that I was more confident about. As my luck would have it, every single question that the examiner asked me that day was on nutrition! I blasted my way through the test, and thanked my stars for that exceptional bit of good fortune. From that day, nutrition has always been close to my heart.

The NRC is a somewhat outdated concept nowadays. The idea was to have a malnourished child and mother live for a month in the NRC and learn good household behaviors that could result in better nutritional outcomes.

Of Perceptions and Reality

Maitreyi Bordia Das's picture
Reflections from the Padma. (c) Maitreyi Bordia Das

The widespread perception of Bangladesh as a mis-governed poor cousin continues and thrives in India. Stories in the media focus on fallen trade deals, undocumented migration and security hazards to India. Yet, not-so-recent articles by economist Jean Dreze and Minister of State Jairam Ramesh have pointed out that Bangladesh fares much better than India on a range of social outcomes.  But these are few and far between and don’t get the attention they deserve.

During my first visit to Bangladesh I remember being blown away by the villages. Toilets are common and in use, schools actually function and pools of dirty water don’t clog village paths. Take also the case of health. Although India spends twice as much per capita as Bangladesh on health care, it has worse outcomes in every health indicator except maternal mortality.


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