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Poor sanitation is stunting children in Pakistan

Ghazala Mansuri's picture
A nutrition assistant measures 1 year old Gullalay’s mid-upper arm circumference (MUAC) at UNICEF supported nutrition center in Civil Dispensary Kaskoruna, Mardan District, Khyber-Pakhtunkhwa province, Pakistan.
With a stunting rate of 38 percent, Pakistan is still among the group of countries with the highest rates of stunting globally and the pace of decline remains slow and uneven. In Sindh, for example, things have worsened over time, with one in two children now stunted. Credit: UNICEF


More than one in every three children born in Pakistan today is stunted.

Child stunting, measured as low height for age, is associated with numerous health, cognition and productivity risks with potential intergenerational impacts.

With a stunting rate of 38 percent (Demographic & Health Survey 2018), Pakistan is still among the group of countries with the highest rates of stunting globally and the pace of decline remains slow and uneven.

In Sindh, for example, things have worsened over time, with one in two children now stunted!

The policy response to this enormous health crisis has been almost entirely centered on interventions at the household level—reducing open defecation (OD), improving household behaviors like child feeding and care practices and food intake.  

A recent World Bank report, which I co-authored, suggests that a major shift is this policy focus is required for significant progress on child stunting.

The report begins by showing that over the past 15 years Pakistan has made enormous progress in reducing extreme poverty, with the poverty rate falling from 64 percent to just under 25 percent in 2016.

This has improved dietary diversity, even among the poorest, and increased household investment in a range of assets, including toilets within the home.

This has, in turn, led to a major drop in OD, from 29 percent to just 13 percent. Curative care has also expanded, with the mainstreaming of basic health units and the lady health worker program.
 

Five takeaways for better nutrition in South Asia—and beyond

Felipe F. Dizon's picture
In many developing countries, governments and health authorities face the dilemma of how to feed their growing population while ensuring their food is nutritious. Credit: World Bank

Together with more than 1,500 academics, scientists, and policymakers, we participated last week in the Rice Olympics.
 
The event—formally known as the International Rice Congress (IRC)—provides a unique window on the latest innovations and policies about the globe’s most important staple crop.
 
For many, rice may not seem worth the cost of a conference trip. Yet, half of the world’s population depend on it as their main supply of nutrients and energy.  
 
Rice isn’t just a crop,” said Rajan Garjaria, Executive Vice President for Business Platforms at Corteva Agriscience. “It’s a way of life. A place can be made or broken, based on their rice crop.
 
The Congress discussed a breadth of topics, but what stood out the most is that rice can be instrumental in making people healthier and in sustaining the planet.
 
The South Asia Food and Nutrition Security Initiative (SAFANSI), a World Bank partnership that aims to improve food and nutrition security across the region, participated in the Symposium on Sustainable Food Systems and Diets and presented its latest research on linkages among food prices, diet quality, and nutrition security.  
 
Overall, the event underscored how governments and health authorities in many developing countries face the dilemma of how to feed their growing population while ensuring their food is nutritious and discussed relevant strategies to transform nutrition security challenges into opportunities.

Building up Bhutan’s resilience to disasters and climate change

Dechen Tshering's picture
Building Bhutans Resilience
Despite progress, Bhutan still has ways to go to understand and adapt to the impacts of climate change. And with the effects of climate change intensifying, the frequency of significant hydro-meteorological hazards are expected to increase. Photo Credit: Zachary Collier


The 2016 monsoon was much heavier than usual affecting almost all of Bhutan, especially in the south.
 
Landslides damaged most of the country’s major highways and smaller roads. Bridges were washed away, isolating communities.
 
The Phuentsholing -Thimphu highway which carries food and fuel from India to half of Bhutan was hit in several locations, and the Kamji bridge partially collapsed, setting residents of the capital city and nearby districts into panic for fear of food and fuel shortages.
 
Overall the floods drove down Bhutan’s gross domestic product by 0.36 percent.

While not as destructive as the 2016 monsoon, flash floods, and landslides are becoming a yearly occurrence along Bhutan’s roads.

Technology can help Afghanistan better manage its natural disasters

Julian Palma's picture
Also available in: دری | پښتو
 Rumi Consultancy / World Bank
Photo Credit: Rumi Consultancy / World Bank

To associate a gun shot with foul play seems logical. But that’s not necessarily the case in Guldara, a district nearly 40 kilometers outside of Kabul City in Afghanistan.

Gun shots typically come from communities living at the top of the mountain to warn vulnerable downhill communities of potential flooding from the Guldara river. The Guldara river is both a blessing and a curse for the local communities.

Its water is the main source of livelihood since nearly 75 percent of the local economy depends on agriculture. It is also a threat to life and assets. In March 2017, when the mountain snow melted, heavy floods killed two children and washed away the only road that connects the city with Kabul.

استفاده از تکنالوژی خطرات ناشی از حوادث طبیعی در افغانستان را مهار ساخته میتواند

Julian Palma's picture
Also available in: English | پښتو
 Rumi Consultancy / World Bank
عکس: شرکت مشورتی رومی/ بانک جهانی


معمولاً فیر تفنگ کار غیرمنطقی و ناشایسته پنداشته میشود، اما در ولسوالی گلدره که تقریباً ۴۰ کیلومتر از شهر کابل فاصله دارد، چنین نیست. بعضی اوقات این فیر تفنگ توسط کسانی صورت میگیرد که در قلۀ کوه زندگی میکنند و هدف آن هشدار به اهالی پایینِ دره از احتمال سرازیر شدن سیلاب در دریای گلدره میباشد.

اهالی گلدره دریای گلدره هم یک نعمت و هم یک مصیبت می شمارند. این دریا بزرگترین منبع تأمین معیشت اهالی آن ولسوالی است زیرا تقریباً ۷۵ در صد اقتصاد آن وابسته به زراعت میباشد. به همین گونه این دریا یک منبع خطر برای زندگی و دارایی مردم نیز پنداشته میشود.

در ماه مارچ سال ۲۰۱۷ میلادی، زمانی که برف کوه ها آب شد، سیلاب شدید جان دو کودک را گرفت و یگانه راه ترانسپورتی را که این دره را به شهر کابل متصل میسازد، نیز تخریب کرد.

له ټکنالوژۍ څخه ګټه اخیستنه په افغانستان کې د طبیعي پېښو خطرونه مهارولۍ شي

Julian Palma's picture
Also available in: English | دری
 Rumi Consultancy / World Bank
انځور: د رومی مشورتي شرکت / د نړیوال بانک

د ټوپک ‌ډز معمولاً ناوړه او غیرمنطقي کار ګڼل کېږي، خو د ګلدرې په ولسوالۍ کې چې له کابل ښار څخه تقریباً ۴۰ کیلومتره لرې دی، داسې نه ده. کله کله د ټوپک ډز هغه وګړي کوي، چې د غره په لوړو څوکو کې اوسېږي او له دې سره هغو خلکو ته چې د درې په لاندې برخو کې مېشت دي، خبرداری ورکوي، چې کېدای شي د ګلدرې په سین کې سېلاب راشي.

د ګلدرې وګړي د ګلدرې سین هم یو نعمت ګڼي او هم یو مصیبت. دغه سین د دې ولسوالۍ د اوسېدونکو د معیشت او روزګار تر ټولو لویه منبع ده، ځکه چې د هغوی د اقتصاد شاو خوا ۷۵ سلنه پر کرنه ولاړ دی.

دا سین د دې خلکو سر او مال ته خطر هم بلل کیږي. د ۲۰۱۷ میلادي کال په مارچ میاشت کې، کله چې د غرونو واورې ویلې شوې، سخت سېلاب وبهېد او دوه ماشومان یې ووژل او هغه یوازینۍ لاره یې، چې دا ولسوالي له کابل سره نښلوي، ورانه کړه.

How can Bangladesh increase its resilience to disasters through data sharing?

Debashish Paul Shuvra's picture
 
How can Bangladesh increase its resilience to disasters?

Schools across Bangladesh are highly vulnerable to floods, cyclones, and earthquakes. How can the country mitigate and respond to the risks of these natural hazards?

By using the GeoDASH platform - a geospatial data sharing platform - the Directorate of Primary Education of Bangladesh has assessed 35,000 schools with respect to the type of infrastructure, water and sanitation facilities, access to roads, and overall capacity during natural disasters.

The GeoDASH platform is a reliable and extensive geographic and information (geospatial) data network.

These data are Geographic Information System (GIS) and other geolocation services-based information to represent objects or locations on a globally referenceable platform to enable mapping.

For example, locations of road network data can be merged with the flood risk map to get a single map for identifying vulnerable road communication in flood-prone areas.

This type of data will allow the Government of Bangladesh, communities, and the private sector to create, share and use disaster risk and climate change information to inform risk-sensitive decision making.

#IndiaWeWant Photo Contest: Shortlisted Entries

Roli Mahajan's picture

The World Bank in India ran the #IndiaWeWant photo competition through our Facebook and Twitter channels, where we invited participants to share photographs capturing the key development priority for India. The #IndiaWeWant photo competition was open for a month and we have received many compelling entries. 

Now it is time for us to choose our winners.

We asked a jury of three members comprising professional and development photographers -- Michael Foley, Anirban Dutta, Anupam Joshi-- to come together and do the honours.

Here are the #IndiaWeWant entries that have made it to the longlist. They will be deliberating over these soon and selecting the WINNER as well as the 9 others, as stated in the rules.

Let us know what you think in the comments section below and if one of your entries has been selected then please do send us an email ([email protected]) with the actual photograph and your details (Name, Phone Number).
 

Banking on women’s empowerment for a sustainable and stronger India 
The global efforts for achieving the Sustainable Development Goals could be accelerated by synergising women's empowerment with environmental conservation. 
Since past 32 years, Barli Development Institute for Rural Women (BDIRW) has been empowering rural and tribal women through organising free 6-monthly residential training program covering literacy, organic-farming, solar-cooking, health and tailoring&cutting. More than 8200 women have been empowered, who are changing the sustainable development horizons of their families and tribal communities (www.barli.org#IndiaWeWant 
In Picture: The women-trainees from Alirajpur (Dhauli, Rita, Angita, Karmi) planting trees in BDIRW campus (Indore, India) 
Photo credit: Yogesh Jadhav
 
For India, developing priority should be the education of girls in rural areas. They enrolled in school in beginning but they are not able to make it till the end, either they are forced to marry at the age of 10 or 13. In future, they are illiterate mothers who cannot read and write properly and also they become a victim of domestic violence as they are unaware about their rights. #IndiaWeWant
Photo Credit: Neha Rawat
To me, development is more than improvement in nation's GDP. It must be conceived as a multidimensional process, involving changes in the entire spectrum through which human capabilities are expanded, like education, healthcare, social participation or the freedom to make choices. The primary objective of development is to benefit people and improve the quality of life, which can only be achieved if all marginalised and excluded groups are equal stakeholders in the process alongwith active involvement in the planning, execution and monitoring of development programs.
The couple below selling lights which are battery operated but thankfully their smiles are not.#IndiaWeWant
Photo Credit: Maneka Naren Yadav‎

Indian agriculture at a crossroads: Smart solutions towards doubling farmers’ incomes

Martien van Nieuwkoop's picture
A few weeks ago, I felt a sense of déjà vu.  I was at a roundtable on agriculture in Delhi, in the same conference hall where, ten years ago, I participated in the consultations on the Bank’s World Development Report 2008 on Agriculture for Development
 
This time we were discussing how India can build a stronger agriculture sector without further harm to the environment or depletion of its natural resources.  The high-level dialogue was attended by senior representatives from India’s Niti Aayog, Ministry of Agriculture and Farmers’ Welfare, leaders of farmers’ associations from Punjab and Haryana, as well as by researchers, academics, and donors.

We focused on the ‘agriculture-water-energy’ nexus, achieving India’s second green revolution, making agriculture more climate resilient, as well as options to stop the burning of crop residue that is worsening air quality in much of northern India. It was heartening to see the torch bearers of India’s drive towards food security unhesitatingly debate a host of complex and sensitive issues.
 
Photo Credit: Alamy Stock Photo

Over the past six decades, India has come a long way from being a famine-prone country to comfortably producing food for 1.25 billion people from finite arable land. Food security firmly in hand, the government is now targeting to double farmers’ incomes by 2022.  Today, with rapidly growing urban food markets, India is emerging as a global agricultural powerhouse.

জলবায়ু পরিবর্তনের সাথে কি সুন্দরবন এলাকায় মাছের প্রাপ্যতা কমবে?

Susmita Dasgupta's picture

  
মাতৃমৃত্যু বা শিশু মৃত্যু কমানোর মতো বাংলাদেশের স্বাস্থ্য খাতে বহু অর্জন থাকা সত্ত্বেও  দেশের অসংখ্য মানুষ অপুষ্টির শিকার। দেশের প্রায় ৩৩-৩৬ শতাংশ শিশু এবং ১৯ শতাংশ মহিলা অপুষ্টিতে ভুগছে।  অপুষ্টির হার স্বভাবতই দরিদ্র এবং নিম্নবিত্ত  পরিবারগুলোতে বেশি ।  ওয়ার্ল্ড ফিশ এবং বিভিন্ন গবেষণা সংস্থা জানিয়েছে অপুষ্টির সমাধান  রয়েছে বাঙালির চিরন্তন ঐতিহ্য "মাছে  ভাতে"। নানা ধরণের ছোট মাছ শরীরে ফ্যাটি এসিড, ভিটামিন ডি, এ, বি, ক্যালসিয়াম, ফসফরাস, আয়োডিন, জিঙ্ক, আয়রন এর ঘাটতি মেটায়। তাই অপুষ্টি এড়াতে নিম্নবিত্ত পরিবারের খাবারের তালিকায় নানা  রকমের টাটকা মাছ - বিশেষত ছোট মাছের পরিমান বাড়াতে হবে। 

পরিবেশ উষ্ণায়নের সাথে সাথে কিন্তু মাছের যোগান পাল্টাবে । 
পরিবেশ উষ্ণায়নের সাথে সাথে পৃথিবীতে সমুদ্রের উচ্চতা বাড়ছে - জানিয়েছে জলবায়ু পরিবর্তন বিষয়ে বিশেষজ্ঞ আন্তর্জাতিক প্যানেল (আই,পি, সি, সি). গত কয়েক দশক ধরেই প্রতি বছর অগ্রহায়ণ থেকে শুরু করে জ্যৈষ্ঠ মাস পর্যন্ত দক্ষিণ পশ্চিম উপকূলবর্তী  এলাকায়  নদী  নালায় নোনা পানির সমস্যা দেখা যাচ্ছে।  বিশ্বব্যাংক এবং ইনস্টিটিউট অফ ওয়াটার মডেলিং বাংলাদেশে তাদের গবেষণা প্রতিবেদনে (River Salinity and Climate Change: Evidence from Coastal Bangladesh) জানিয়েছে সমুদ্রের উচ্চতা বৃদ্ধির কারণে ইছামতি, বলেশ্বর, শিবসা, পশুর, আধারমানিক সহ বিভিন্ন নদী এবং সংলগ্ন খাল বিলে  নোনা  পানির সমস্যা শুকনো মৌসুমে আরো বাড়বে| ফলে, দক্ষিণ  পশ্চিম উপকূলবর্তী   অনেক উপজেলায় মিঠা  পানির মাছের প্রাকৃতিক আবাস কমে যাবে।  স্বভাবতই এর ফলে  মিঠা পানির মাছের যোগান কমবে।

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