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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.

Moving India’s railways into the future

Joe Qian's picture
Laying Tracks
Progress is being made on the largest railway project in India's modern history – the Dedicated Freight Corridor Program. 
View the 3D presentation here
Thump…thump…thump...like a slow rhythmic drum, concrete ties that hold the track in place are laid down one after another with the latest machinery as rails are placed precisely on top of them.

It’s nearing sunset near the town of Hathras in India’s state of Uttar Pradesh, home to 220 million people—more than the entire population of Brazil.

Progress is being made on the largest railway project in India’s modern history that will increase prosperity by helping move people and goods more safely, effectively, and in an environmentally-friendly way.
India’s Dedicated Freight Corridor (DFC) program is building dedicated freight-only railway lines along highly congested transport corridors connecting the industrial heartland in the north to the ports of Kolkata and Mumbai on the eastern and western coasts.
India Trains
Passengers and freight trains currently share tracks in India which can cause congestion and delays. The project will help increase the speed of freight rail to up to 100km/h from the current 25km/h average. 

Through these efforts, DFC is expected to improve transport and trade logistics – bringing much needed jobs, connectivity, and urbanization opportunities to some of India’s poorest provinces – including Bihar and Uttar Pradesh while helping protect the environment. The electric locomotives will help ease India’s energy security issues and escalating concerns about traffic accidents, congestion, carbon emissions, and pollution created by road traffic. 

Near Hathras and simultaneously in different sites in the country, workers equipped with modern equipment and techniques efficiently lay 1.5 km of new track per day in different weather conditions. Once completed, electric cables are stretched above and signaling is installed, all in preparation for the electric locomotives reliably to carry their cargo across the country at maximum speed of 100km/h, compared to an average current speed of 25 km/h.

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.

How can Sri Lanka better protect its people against disasters?

Thomas Walker's picture
A recent World Bank report indicates that nine out of 10 of Sri Lankans may live in climate hotspots—or areas highly prone to floods or droughts—by 2050
A recent World Bank report indicates that nine out of 10 of Sri Lankans may live in climate hotspots—or areas highly prone to floods or droughts—by 2050

Sri Lanka has a long history of coping with weather impacts.  

About two thousand years ago, the country built one of the world’s first irrigation system to control its water supply.

This feat of engineering, which boasted hundreds of kilometers of channels, tanks, and innovative valve pits, helped the great kingdoms of Anuradhapura and Polonnaruwa flourish into sophisticated societies and protect their people against hunger.

Not unlike these early civilizations, modern social protection programs have sheltered those affected by disaster through financial assistance and other forms of support.

Today, building resilience to natural disasters and other shocks is more critical than ever.

Since 1980, the frequency of natural disasters worldwide has increased by 250 percent, and the number of affected people has more than doubled.

Sri Lanka is no exception. The country ranked fourth most vulnerable to climate change in 2016.

Further to that, a recent World Bank report indicates that nine out of 10 of Sri Lankans may live in climate hotspots—or areas highly prone to floods or droughts—by 2050.

The losses caused by significant shocks like natural disasters have long-lasting consequences.

Children, especially, can suffer permanent damages if they are not educated or fed correctly in their critical early years.  

And the loss of assets, livestock, and crops can severely hurt small business owners and farmers and further discourage them from investing.

Sadly, natural disasters hit the poor the hardest as they tend to live in disaster-prone areas, work in agriculture, and usually don’t have savings or access to credit.

When a shock hits, wellbeing declines as people cut back on food and other essentials due to their loss of income or the high cost of rebuilding their homes.

And while some people gradually restore their standards of living, some never fully recover and get stuck in poverty.

But the poor aren’t the only ones who need to worry about shocks.

Today, a third of Sri Lankans are just a shock away from falling into poverty.

Our analysis of the 2016 Household Income and Expenditure Survey reveals that a 20 percent sudden decrease in household welfare—or consumption shock—would more than double the poverty rate: almost 1 in 10 Sri Lankans would be poor.

If the shock triggered a 50 percent decrease in consumption, one in three Sri Lankan families would fall into poverty.

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

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