How to Protect and Promote the Nutrition of Mothers and Children in Latin America and the Caribbean

The study covered a wide range of topics, making data collection especially challenging. Key informants were sometimes new to their posts and were unable to provide details on specific programs, policies, or coverage rates. Few countries in Latin America and the Caribbean mainstream into their crisis and emergency plans protection of the nutritional status of mothers and children in the first 1,000 days of life. All countries should reinforce the promotion and protection of breastfeeding in emergencies, notably by providing an enabling space for mothers to safely breastfeed their children and by managing the provision of artificial milk formula. It is concerning that during emergencies most countries provide powdered artificial formula instead of ready-to-use artificial milk formula to infants that cannot breastfeed, greatly increasing the risks of illnesses and malnutrition as a result of inappropriate dilution and unsafe water. All countries need to reinforce their monitoring and evaluation systems, including surveillance of food and nutrition insecurity. While most countries have some form of monitoring system, few of those systems are computerized, which impairs timely and informed decision making. Systematic evaluations of emergency and crisis response are seldom performed. A number of countries would benefit from updating their nutrition policy and protocols based on the latest available evidence. Of particular importance are updates to the prevention and treatment of micronutrient deficiencies with micronutrient powders; treatment of acute malnutrition, notably with the use of ready-to-use supplements; and efficient treatment of diarrhea through the use of oral rehydration solution and zinc. Most countries will benefit from adapting the food and water rations given in emergencies to the specific nutritional needs of pregnant and lactating women and children <2 years of age.

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Bibliographic Details
Main Author: World Bank
Format: Working Paper biblioteca
Language:English
en_US
Published: World Bank, Washington, DC 2012-12-10
Subjects:ACUTE MALNUTRITION, ACUTE RESPIRATORY INFECTIONS, AGRICULTURAL ACTIVITIES, AGRICULTURAL PRODUCTION, AGRICULTURE, ANEMIA, ANEMIA PREVALENCE, ANTENATAL CARE, BABIES, BABY, BEHAVIOR CHANGE, BODY WEIGHT, BOTTLES, BREAST-MILK, BREASTFEEDING, BREASTFEEDING PRACTICES, CAREGIVERS, CEREALS, CHILD MORTALITY, CHILD NUTRITION, CHILD STUNTING, CHILDBIRTH, CHILDHOOD MALNUTRITION, CHOLERA, CHRONIC MALNUTRITION, CHRONIC UNDERNUTRITION, COMPLEMENTARY FOOD, COMPLEMENTARY FOODS, CORN, DENGUE, DIARRHEA, DIARRHEAL DISEASES, DIET, DISASTER MANAGEMENT, DISASTER VICTIMS, DISASTERS, DISSEMINATION, DRUGS, EARLY CHILDHOOD, EARLY WARNING, EARLY WARNING SYSTEMS, EARTHQUAKE, ECONOMIC PRODUCTIVITY, EMERGENCIES, EMERGENCY MANAGEMENT, EMERGENCY PERSONNEL, EMERGENCY PLANNING, EMERGENCY PLANS, EMERGENCY PREPAREDNESS, EMERGENCY RESPONSE, EMERGENCY RESPONSE PERSONNEL, EMERGENCY RESPONSES, EMERGENCY SITUATIONS, EVACUEES, FLOOD, FLOODING, FLOUR, FOLIC ACID, FOOD DISTRIBUTION, FOOD PRODUCTION, FOOD PRODUCTS, FOOD RATION, FOOD RATIONS, FOOD SAFETY, FOOD SECURITY, FOOD SUPPLEMENTS, FOOD SUPPLIES, FORTIFIED FOODS, GROWTH RETARDATION, HEALTH SECTOR, HIV, HIV/AIDS, HOME GARDENS, HOSPITAL, HUMAN CAPITAL, HYGIENE, ILLNESS, ILLNESSES, INDIGENOUS POPULATIONS, INFANT, INFANT FEEDING, INFANT FEEDING PRACTICES, INFANT NUTRITION, INFANTS, INFECTIOUS DISEASES, INFORMED DECISIONS, IODINE, IODINE DEFICIENCY, IODINE-DEFICIENCY, IRON, IRON SUPPLEMENTS, LACK OF INFORMATION, LACTATING MOTHERS, LANDSLIDES, LIVE BIRTHS, LOCAL FOOD PRODUCTION, LOW BIRTH WEIGHT, MALARIA, MASS MEDIA, MATERNAL DEATHS, MATERNAL MORTALITY, MATERNAL MORTALITY RATIO, MEAL, MEDICINE, MICRONUTRIENT DEFICIENCIES, MICRONUTRIENTS, MILK POWDER, MINISTRY OF HEALTH, MOTHER, MOTHER-TO-CHILD, MOTHER-TO-CHILD TRANSMISSION, NATIONAL EMERGENCY, NATIONAL GOVERNMENTS, NATURAL DISASTER, NATURAL DISASTERS, NUTRIENT, NUTRIENT SUPPLEMENTS, NUTRITION, NUTRITION INTERVENTIONS, NUTRITION POLICY, NUTRITION PROGRAMS, NUTRITION SURVEILLANCE, NUTRITIONAL DEFICIENCIES, NUTRITIONAL NEEDS, NUTRITIONAL REQUIREMENTS, NUTRITIONAL STATUS, NUTRITIONISTS, OBSTETRIC EMERGENCIES, ORAL REHYDRATION SOLUTION, ORS, OUTBREAKS, PERSONAL COMMUNICATION, POLICY GUIDANCE, POOR FARMERS, POPULATION GROUPS, PORRIDGE, POSTNATAL CARE, PREGNANCY, PREGNANT WOMEN, PROGRESS, PUBLIC EDUCATION, PUBLIC HEALTH, RADIO, RELIEF, REPRODUCTIVE AGE, RESPIRATORY INFECTIONS, SAFE MOTHERHOOD, SALT IODIZATION, SANITATION, SCHOOL CHILDREN, SOCIAL MARKETING, STAPLE FOODS, STORMS, STUNTING, SUGAR, TRANSPORTATION, UNDERNUTRITION, UNDERWEIGHT CHILDREN, UNFPA, URBAN AREAS, USE OF RESOURCES, VICTIMS, VITAMIN, VITAMIN A, VITAMIN A DEFICIENCY, VITAMIN A SUPPLEMENTATION, VITAMIN A SUPPLEMENTS, VULNERABILITY, VULNERABLE FAMILIES, VULNERABLE GROUPS, VULNERABLE POPULATIONS, WASTING, WEIGHT GAIN, WFP, WOMAN, YOUNG CHILD, YOUNG CHILD NUTRITION, YOUNG CHILDREN, ZINC DEFICIENCY,
Online Access:http://documents.worldbank.org/curated/en/2012/12/17058667/protect-promote-nutrition-mothers-children-country-benchmarking-latin-america-caribbean
https://hdl.handle.net/10986/23710
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Summary:The study covered a wide range of topics, making data collection especially challenging. Key informants were sometimes new to their posts and were unable to provide details on specific programs, policies, or coverage rates. Few countries in Latin America and the Caribbean mainstream into their crisis and emergency plans protection of the nutritional status of mothers and children in the first 1,000 days of life. All countries should reinforce the promotion and protection of breastfeeding in emergencies, notably by providing an enabling space for mothers to safely breastfeed their children and by managing the provision of artificial milk formula. It is concerning that during emergencies most countries provide powdered artificial formula instead of ready-to-use artificial milk formula to infants that cannot breastfeed, greatly increasing the risks of illnesses and malnutrition as a result of inappropriate dilution and unsafe water. All countries need to reinforce their monitoring and evaluation systems, including surveillance of food and nutrition insecurity. While most countries have some form of monitoring system, few of those systems are computerized, which impairs timely and informed decision making. Systematic evaluations of emergency and crisis response are seldom performed. A number of countries would benefit from updating their nutrition policy and protocols based on the latest available evidence. Of particular importance are updates to the prevention and treatment of micronutrient deficiencies with micronutrient powders; treatment of acute malnutrition, notably with the use of ready-to-use supplements; and efficient treatment of diarrhea through the use of oral rehydration solution and zinc. Most countries will benefit from adapting the food and water rations given in emergencies to the specific nutritional needs of pregnant and lactating women and children <2 years of age.