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Transitioning to Good Health and Well-Being
Transitioning to Good Health and Well-Being addresses critical issues of health in the context of sustainability, which need to be tackled in order to achieve Agenda 2030. Acknowledging the dramatic improvements that have been made in the past decades with regards to health, we also face disparities that remain amongst and within countries. While life expectancy has more than doubled, we are, at the same time, confronted with the challenges that come along with population growth alongside environmental change, migration, ageing, and economic disparities. In its 2018 progress report concerning SDG 3, the UN stated that, while the quality of global health is increasing, “people are still suf...
The African Food Environments
In many respects, the continent of Africa is in transition. Prominent among them – currently – is the nutrition transition. One consequence of the nutrition transition is the increase in prevalence of nutrition-related non-communicable diseases (NCDs) such as obesity, type 2 diabetes, cardiovascular diseases, and certain cancers. Although NCDs are a global public health problem, the rate of increase in NCDs morbidity and mortality in some African countries is staggering. This surge has been linked to modifiable environmental factors – factors that facilitate the consumption of obesogenic (energy-dense nutrient-poor foods), rather than unrefined cereals, fruits, and vegetables. It has long been recognized that the physical and social environments - in which people live, work, and eat are critical determinants of their health. More recently, there has been a greater focus on the food environment as a key determinant of health. Available evidence shows that unhealthy food environments drive unhealthy diets; and unhealthy diet is one of four main risk factors for NCDs.
Nourishing millions: Stories of change in nutrition: Synopsis
In recent years, the world has seen unprecedented attention and political commitment to addressing malnutrition. Milestones such as the Scaling Up Nutrition (SUN) Movement, the Lancet Maternal and Child Nutrition Series, and the Second International Conference on Nutrition (ICN2) have marked the rapid rise of nutrition on the global policy and research agenda. These developments reverse years of relative neglect for nutrition. Undernutrition is a global challenge with huge social and economic costs. It kills millions of young children annually, stunts growth, erodes child development, reduces the amount of schooling children attain, and increases the likelihood of their being poor as adults, if they survive. Stunting persists through a lifetime and beyond—underweight mothers are more likely to give birth to underweight children, perpetuating undernutrition across generations. Undernutrition reduces global gross domestic product by US$1.4–$2.1 trillion a year—the size of the total economy of Africa south of the Sahara.
WHO Guideline for complementary feeding of infants and young children 6-23 months of age
Complementary feeding, defined as the process of providing foods in addition to milk when breast milk or milk formula alone are no longer adequate to meet nutritional requirements, generally starts at age 6 months and continues until 23 months of age. This is a developmental period when it is critical for children to learn to accept healthy foods and beverages and establish long-term dietary patterns. It also coincides with the peak period for risk of growth faltering and nutrient deficiencies. This guideline provides global, normative evidence-based recommendations on complementary feeding of infants and young children 6–23 months of age living in low, middle- and high-income countries. I...
Ghana country brief: Understanding the differences between child stunting and anemia reduction and identifying outstanding challenges
In the past decade, Ghana has seen a significant reduction in stunting among children under five years of age. However, anemia only declined marginally over the same period, with the result that the rate of child anemia continues to be a severe public health emergency. These changes occurred within a socioeconomic context considered favorable for nutrition outcomes, marked by expansion and diversification of the economy, and investments in key infrastructure, healthcare, education, and water and sanitation. The Stories of Change in Nutrition study in Ghana aimed to better understand the changes in stunting and anemia between 2009 and 2018, as well as the potential drivers of these changes. Such findings can be used to inform agendasetting, implementation of existing policies, and future planning at national and subnational levels in Ghana. This study’s findings are important because both stunting and anemia are linked to significant adverse health and well-being impacts, particularly in low-income settings [1], and are listed among the global targets for nutrition for 2025 agreed by national ministers of health (including Ghana’s) at the World Health Assembly.
Food for All
This book is a historical review of international food and agriculture since the founding of the international organizations following the Second World War, including the World Bank and the Food and Agriculture Organization of the United Nations (FAO), the World Food Programme (WFP) and into the 1970s, when CGIAR was established and the International Fund for Agricultural Development (IFAD) was created to recycle petrodollars. Despite numerous international consultations and an increased number of actors, there has been no real growth in international assistance, except for the work of the Bill and Melinda Gates Foundation. The book concurrently focuses on the structural transformation of de...
Transitioning the midwifery models of care
The “Transitioning to Midwifery Models of Care: Global Position Paper” is a comprehensive document produced by the World Health Organization (WHO) Department of Maternal, Newborn, Child and Adolescent health and ageing, under the Strategic Technical Advisory Group of Experts for Maternal, Newborn, Child and Adolescent health and nutrition (STAGE), in collaboration with WHO technical departments, regional offices and numerous stakeholders. In the pursuit of providing high-quality health services to improve health and well-being for all in the context of Universal Health Coverage, transitioning to midwifery models of care represents a cost-effective strategy to optimize outcomes for women ...
Public Health Nutrition
Issues related to nutrition are among the most pressing public health concerns in modern times. Worldwide, malnutrition affects nearly 1 billion individuals, or more than one in seven people. Many Protein-energy malnutrition and micronutrient deficiencies play roles in more than half of all childhood deaths. Effects of malnutrition include mortality, decreased economic productivity, morbidities, such as blindness and stunting, and development of chronic diseases. With a unique focus on Global Health, this book is a comprehensive introduction to Public Health Nutrition. Designed for MPH programs, this book will prepare students to become successful global public health professionals, with a c...
Negotiated Breastfeeding
Based on an ethnography of postpartum consultations by independent midwives in Switzerland, this book produces unique insights into home-birth parents’ breastfeeding journey from the first hours after birth to weaning. Considered the "natural" continuity of childbirth without intervention, breastfeeding is a fundamental component of the holistic, continuous and individualised care independent midwives provide as they engage with parents in a shared construction of meaning around breastfeeding. This book offers new perspectives on the conceptualisation of breastfeeding as a shared process. Parents, in collaboration with their midwife and baby, are jointly constructing "negotiated breastfeed...
Achieving Health for All
How did seven low- and middle-income countries, inspired by the landmark Alma-Ata Declaration, dramatically improve citizen health by focusing on primary health care? The Alma-Ata Declaration of 1978 marked a potential turning point in global health, signaling a commitment to primary health care that could have improved the safety of air, food, water, roads, homes, and workplaces in all 180 countries that signed it. Unfortunately, progress in many countries stalled in the 1980s. The declaration was, however, embraced by a number of countries, where its implementation led to substantial improvement in citizen health. Achieving Health for All reveals how, inspired by Alma-Ata, the governments ...
