PHA-Exch> Effective international action against undernutrition (another Lancet article)

[Claudio Schuftan]

From: Ruggiero, Mrs. Ana Lucia (WDC) <ruglucia at paho.org>
crossposted from : EQUIDAD at listserv.paho.org

             *The Lancet Series, Maternal and child undernutrition *

* *

*Effective international action against undernutrition:
why has it proven so difficult and what can be done to accelerate progress?*



Saul S Morris, Bruce Cogill and Ricardo Uauy for the Maternal and Child
Undernutrition Study Group Members

*The Lancet, Volume 371, Number 9612, 16 February 2008*

* *

Available online at:
http://www.thelancet.com/journals/lancet/article/PIIS014067360761695X/fulltext

[Free subscription required]

*The pattern repeats itself here. Undernutrition persists, because the
system to address it has flaws --no emphasis made on the social and
political determinants of malnutrition that, in fact, perpetuate the
problem. Does the Lancet see it otherwise? Again, a letter to the Lancet
will probably be of no help.*

*Claudio*


"…..Many transnational organisations work to support efforts to eliminate
maternal and child undernutrition in high-burden countries. Financial,
intellectual, and personal linkages bind these organisations loosely
together as components of an international nutrition system. In this paper,
we argue that such a system should deliver in four functional areas:
stewardship, mobilisation of financial resources, direct provision of
nutrition services at times of natural disaster or conflict, and human and
institutional resource strengthening. We review quantitative and qualitative
data from various sources to assess the performance of the system in each of
these areas, and find substantial shortcomings.

Fragmentation, lack of an evidence base for prioritised action,
institutional inertia, and failure to join up with promising developments in
parallel sectors are recurrent themes. Many of these weaknesses can be
attributed to systemic problems affecting most organisations working in the
field; these are analysed using a problem tree approach. We also make
recommendations to overcome some of the most important problems, and we
propose five priority actions for the development of a new international
architecture…."

* *

*
**Maternal and child undernutrition: effective action at national level*

Jennifer Bryce, Denise Coitinho, Ian Darnton-Hill, David Pelletier, Per
Pinstrup-Andersen

*The Lancet,  Volume 371, Number 9611, 9 February 2008*


Available at:
http://www.thelancet.com/journals/lancet/article/PIIS0140673607616948/fulltext



*What works? Interventions for maternal and child undernutrition and
survival*


Zulfiqar A Bhutta,  Tahmeed Ahmed,    Robert E Black,   Simon Cousens
Kathryn Dewey, Elsa Giugliani,   Batool A Haider ,  Betty Kirkwood,   Saul S
Morris,  HPS Sachdev   and   Meera Shekar

*The Lancet, Volume 371, Number 9610, 2 February 2008*


Full text available online at:
http://www.thelancet.com/journals/lancet/article/PIIS0140673607616936/fulltext

*
Maternal and child undernutrition: consequences for adult health and human
capital*


Cesar G Victora, Linda Adair, Caroline Fall, Pedro C Hallal,  Reynaldo
Martorell, Linda Richter, Harshpal Singh Sachdev
*The Lancet, Volume 371, Number 9609, 26 January 2008*



Available online at;
http://www.thelancet.com/journals/lancet/article/PIIS0140673607616924/fulltext





*Maternal and child undernutrition: global and regional exposures and health
consequences*



Robert E Black, Lindsay H Allen,  Zulfiqar A Bhutta, Laura E Caulfield,
Mercedes de Onis, Majid Ezzati, Colin Mathers, Juan Rivera
*The Lancet,  Volume 371, Number 9608, 19 January 2008*

* *

Available online at:
http://www.thelancet.com/journals/lancet/article/PIIS0140673607616900/fulltext







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