Poverty and Nutrition in Bolivia

Malnutrition is crippling Bolivia, and the country must now face the political, and bureaucratic failure in addressing malnutrition. This study defines the nature, and extent of the malnutrition problem in the country, identifies the underlying reasons for the failed response, and outlines actions for both immediate, and more long-term results. The study further estimates that less than ten percent of government, and non-government expenditures, with an explicit nutrition, or food security component, is devoted to effective programs serving the neediest - poor pregnant women, and malnourished children under two. Public and private expenditures on nutrition are often misdirected, for although Bolivia did achieve successes in the advancement of nutrition over the past twenty years, the problem of malnutrition still requires action on several fronts. Primarily, nutrition needs a national strategy, and functional leadership, able to provide the population with accurate, and practical nutritional knowledge, prioritizing effective interventions for the most vulnerable. The study suggests improvements in program design, by targeting assistance, and exploiting the opportunities to improve nutrition through water and sanitation, rural development, roads, and education projects, which can have a profound effect on nutrition. Recommendations include the development of nutrition education focused on high-priority population, towards creating a private commission to demand continuity of Government attention to nutrition, as well as community participation in nutrition programming.

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Bibliographic Details
Main Author: World Bank
Language:English
en_US
Published: Washington, DC 2002-08-20
Subjects:ACUTE MALNUTRITION, AGED, AGRICULTURE, ANEMIA, ANNUAL REPORT, ARI, BASIC SERVICES, BIRTHS, BIRTHWEIGHTS, BREASTFEEDING, CHILD FEEDING, CHILD MALNUTRITION, CHILD MORTALITY, CHILD MORTALITY RATES, CHRONIC MALNUTRITION, COMPLEMENTARY FOODS, COOKING, CROPS, DECENTRALIZATION, DECISION MAKING, DIARRHEA, DIET, ECONOMIC GROWTH, ECONOMICS, EDUCATION, EDUCATIONAL ATTAINMENT, EMPLOYMENT, EXPENDITURES, EXTREME POVERTY, FAMILIES, FOOD CONSUMPTION, FOOD FORTIFICATION, FOOD SECURITY, FOOD SUPPLEMENTATION, FOOD SUPPLEMENTATION PROGRAMS, FOOD SUPPLEMENTS, FORTIFIED FOODS, GROWTH MONITORING, GROWTH PROMOTION, HEALTH, HEALTH INSURANCE, HEALTH INTERVENTIONS, HEALTH PROGRAMS, HEALTH SERVICES, HOSPITALS, HOUSEHOLDS, HUMAN RIGHTS, HUNGER, ILLITERACY, IMCI, IMMUNE SYSTEM, INCOME, INFANT MORTALITY, INFANTS, INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS, INTERVENTION, IODINE, IODINE DEFICIENCY, IODIZATION, IRON, IRON DEFICIENCY, IRON SUPPLEMENTS, LOW BIRTH WEIGHT, LOW BIRTHWEIGHT, MALNOURISHED CHILDREN, MALNUTRITION, MALNUTRITION RATES, MANAGERS, MARKETING, MEAT, MEDIA, MICRONUTRIENT DEFICIENCIES, MICRONUTRIENTS, MORTALITY, MOTHERS, NEONATAL MORTALITY, NON- GOVERNMENTAL ORGANIZATIONS, NONGOVERNMENTAL ORGANIZATIONS, NURSES, NUTRIENT INTAKE, NUTRIENTS, NUTRITION, NUTRITION COUNSELING, NUTRITION EDUCATION, NUTRITION INDICATORS, NUTRITION INTERVENTIONS, NUTRITION KNOWLEDGE, NUTRITION OUTCOMES, NUTRITION PROBLEMS, NUTRITION PROGRAMS, NUTRITION STATUS, NUTRITION SURVEILLANCE, NUTRITIONAL STATUS, NUTRITIONISTS, OLD CHILDREN, PHYSICAL DEVELOPMENT, PHYSICAL GROWTH, POOR CHILDREN, POVERTY REDUCTION, PREGNANCY, PREGNANT WOMEN, PREVALENCE OF MALNUTRITION, PRIVATE SECTOR, PRODUCTIVITY, PUBLIC SECTOR, QUALITY CONTROL, RESPIRATORY INFECTIONS, ROADS, RURAL DEVELOPMENT, SALT IODIZATION, SANITATION, SCHOOL FEEDING PROGRAMS, SCHOOL NUTRITION PROGRAMS, SOCIAL MARKETING, SOCIAL SERVICES, STUNTED CHILD, STUNTING, SUSTAINABLE LIVELIHOODS, VITAMIN A, VITAMIN A DEFICIENCY, WASTE, WORLD FOOD PROGRAM POVERTY INCIDENCE, PUBLIC EXPENDITURES, MALNUTRITION IN CHILDREN, STRATEGIC PLANNING, TARGETED ASSISTANCE, NUTRITION & HEALTH CARE, PROGRAM DESIGN, INSTITUTIONAL FRAMEWORK, PRIVATE SECTOR PARTICIPATION, GOVERNMENT ROLE, COMMUNITY PARTICIPATION,
Online Access:http://documents.worldbank.org/curated/en/2002/08/1993693/bolivia-poverty-nutrition-bolivia
https://hdl.handle.net/10986/15394
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Summary:Malnutrition is crippling Bolivia, and the country must now face the political, and bureaucratic failure in addressing malnutrition. This study defines the nature, and extent of the malnutrition problem in the country, identifies the underlying reasons for the failed response, and outlines actions for both immediate, and more long-term results. The study further estimates that less than ten percent of government, and non-government expenditures, with an explicit nutrition, or food security component, is devoted to effective programs serving the neediest - poor pregnant women, and malnourished children under two. Public and private expenditures on nutrition are often misdirected, for although Bolivia did achieve successes in the advancement of nutrition over the past twenty years, the problem of malnutrition still requires action on several fronts. Primarily, nutrition needs a national strategy, and functional leadership, able to provide the population with accurate, and practical nutritional knowledge, prioritizing effective interventions for the most vulnerable. The study suggests improvements in program design, by targeting assistance, and exploiting the opportunities to improve nutrition through water and sanitation, rural development, roads, and education projects, which can have a profound effect on nutrition. Recommendations include the development of nutrition education focused on high-priority population, towards creating a private commission to demand continuity of Government attention to nutrition, as well as community participation in nutrition programming.