Highlights
Nutrition in Nigeria Malnutrition is a devastating problem in Nigeria, not only to its people, but also to its security and economy. Although the numbers have decreased in recent years, 41 percent of our children under the age of five are still stunted, 23 percent are still underweight, and 14 percent are still wasted, while 12 percent of mothers are clinically undernourished. In addition to a lack of basic protein and energy, the immediate causes of malnutrition are a lack of micronutrients such as vitamin A, iodine, and iron. Almost 63 percent of women are anemic and 31 percent are iodine deficient, while close to 30 percent of under-fives are vitamin A deficient. Malnutrition is concentrated in the rural areas of Nigeria, as well as the northern strip, and primarily effects poor women and children. As a global health worker you need to investigate the underlying problems leading to such high levels of malnutrition in particular for women and children, and to propose a program or strategy/s to improve nutrition and which takes into account the social, cultural and/or environmental determinants of health.
1.Introduction: A Background to a profile of the country you are based in, the health condition or illness you are working to prevent or treat and the determinants of health (social, cultural and/or environmental). Also, the type of Global Health Organisation or Agency you are working for and a summary of the proposed strategy/ program.
As a global health worker, there is an ethical imperative to strive to continuously advocate for the human rights of vulnerable population groups to ensure the highest attainable standard of health is attained. Improving access to nutrition and achieving other related health goals is a foundational requirement that is outlined in the (SDG), which focuses on aiming to “end hunger, achieve food security and improved nutrition, and promote sustainable agriculture”. In Nigeria, food insecurity and nutrient deficiencies continues to be a a long-standing concern which has persisted for years, with its magnitude increasing in recent years. The current malnourishment rates reflect the severity of the extremely critical humanitarian issue, with the effects of the crisis having a significantly detrimental impact on the lives of individuals and their communities. By implementing the proposed strategies outlined in this report, the desired outcome will contribute to facilitating opportunities for improvement to lower the burden of malnutrition.
Socioeconomic inequality is a driving force for poverty, particularly in rural and under-developed communities, denying individuals of their most basic health care needs. The underlying socio-economic causes of malnourishment in the country are a result of, scarce production and uneven food distribution, resulting in inadequate food consumption, poor preservation practices and improper preparations of foods, as well as foo restrictions and taboos. Sustainable interventions to foster nutrition-oriented health delivery services are required to alleviate malnutrition in Nigeria.
Environmental determinants of health commonly are a root cause of the global disease epidemic in the country. In rural communities there is an unavailability of safe drinking water, poor household conditions and a lack of adequate environmental sanitation (e.g. poor waste disposal systems) (Morakinyo, Adebowale, Obembe & Oloruntoba, 2020). Safe environmental conditions are paramount to reduce the burden of undernutrition in Nigeria to improve the quality of life and a promote a prolonged life span.
2.Prevalence of disease and Risk factors: Profile of the country and the disease/health issue: prevalence and/or incidence and other health metrics of the health problem in the country of interest, including tables or figures based on credible sources. The specific risk factors for that disease or health issue among the population group you are assisting in the country.
UNICEF, WHO, World Bank Prevalence of underweight, weight for age (% of children under 5)- Nigeria
The statistical data retrieved from the World Bank indicates that
Inadequate intakes of micronutrients result in the high levels of anaemia (63%) and iron deficiency (31%) experienced among women. This is a result of insufficient dietary intake, inaccessibility of food, inequitable food distribution among household members, lack of knowledge about the importance of dietary diversity and recurrent exposure to infectious diseases. The most common micronutrient deficiencies in women include, vitamin A, iodine, folate, zinc and iron.
In Nigeria maternal education about good childhood feeding practices is alarmingly low, mothers exclusively breastfeed their children without introducing complementary foods to their diets.
3.Evaluation of Strategies or Programs: An evidence-based evaluation of strategies used in other countries or regions to deal with the disease /health issue you are researching. The evaluation should link to your proposed strategy or program.
4.The Strategy or Program: Presentation of an original strategy or program to effectively deal with the health issue for the population group in the country; how to implement the strategy in your country/population group including steps involved or components of the strategy or program.
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