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- G8 Countries Should Ensure That Appropriate Foods Reach Vulnerable Children
SYDNEY, 24 May 2011 – The international medical humanitarian organisation, Médecins Sans Frontières, has today released preliminary findings from a study carried out among a large group of children in the west African nation of Niger in 2010. When combined with access to adequate medical care, results show that mortality rates among young children were 50 percent lower in those who received a highly nutritious supplemental food as part of a preventative distribution initiative.
The encouraging findings reinforce the need for international donors and policymakers to make high-quality foods a cornerstone of childhood health programs, especially in areas where malnutrition is rife.
Malnutrition weakens the immune system, exposing a child to higher risk of death from other illnesses, such as malaria, respiratory infections, and diarrhoea. Adding a quality supplemental food to an essential package of medical care, including vaccination and effective treatment and prevention of primary ‘killer diseases’ of young children, will accelerate the fight against child mortality.
Last year in Muskoka, Canada, G8 member states committed to refocus efforts over the next five years to cut mortality rates of children under five years of age, by two-thirds from 1990 levels. At their meeting this week in Deauville, France, G8 members should commit to ensure that appropriate foods reach vulnerable children, Médecins Sans Frontières said.
The study has demonstrated that nutritionally appropriate food for children during the most vulnerable period of 6-24 months of age paired with good access to medical care, leads to a dramatic reduction in mortality rates compared to the children who only have access to medical care. These findings underline the importance of quality nutritional supplements at a young age.
“If donors and policymakers are serious about reducing child mortality rates, then providing child-appropriate foods must be made a standard component of any paediatric program in the world’s ‘malnutrition hotspots’,” said Dr. Isabelle Defourny, Médecins Sans Frontières program manager for Niger.
At any given time, an estimated 195 million children are affected by malnutrition worldwide. Malnutrition contributes to at least one-third of the eight million annual deaths of children under five years of age.
“Providing young children with high quality nutritious foods has long been one of the foundational principles of successful malnutrition and child mortality reduction programs in Europe, Latin America and the United States, along with immunisation, for instance,” said Dr. Susan Shepherd Coordinator of the Médecins Sans Frontières Nutrition Working Group... “It’s time to stop applying different standards for children living in malnutrition hotspots. We can save children’s lives today if the appropriate resources are put behind similar interventions we deployed last year in Niger.”
BACKGROUND TO THE STUDY
For several years, Médecins Sans Frontières has been developing preventive approaches to malnutrition—based on quality supplementary foods—in order to lower the burden of deaths in ‘malnutrition hotspots’ such as in the Sahel region of Africa. The Sahel features child mortality rates among the highest in the world. During a severe food and nutrition crisis in 2010 in the Sahelian country of Niger, local authorities, together with Médecins Sans Frontières and the Nigerien organization FORSANI (Forum Santé Niger), implemented the largest-ever distribution of supplemental foods designed to prevent malnutrition in young children.
Between July and December 2010, three-to-six-month supplies of a ready-to-use paste rich in milk, minerals, and vitamins were distributed to approximately 150,000 children—most between six months and two years-of-age—in five districts of the Tahoua, Maradi, and Zinder regions. Some of the children also benefitted from protection rations (mainly cereals and fortified flours) provided by the World Food Programme. Paediatric healthcare for common childhood illnesses, such as malaria and acute malnutrition, was also available in the distribution areas, including for the children who did not receive a nutritional supplement.
Epicentre, Médecins Sans Frontière’s epidemiology branch, conducted monthly surveys among a cohort of several thousand young children living in the distribution zones. All benefitted from monitoring for signs of malnutrition and illness. Children requiring medical care were referred to Médecins Sans Frontières and its partners working within Nigerien health-care facilities. The mortality rate was seen to be more than 50 percent lower among those who received the foods tailored specifically to the nutritional requirements of young, growing children.
In the Madarounfa district in Maradi region, the observed mortality rate among children who received the enriched foods was 2.2 deaths per 10,000 children per day, compared to 5.3 deaths per 10,000 children per day among those who did not receive supplements. In the Guidan Roumji district of Maradi, mortality rates were 1.1 per 10,000 per day compared to 2.5 per 10,000 per day. In the town of Mirriah in Zinder region, the rates were 1.2 per 10,000 per day versus 3.2 per 10,000 per day.
Countries such as Mexico, Thailand, the United States, and many European nations, have successfully reduced early childhood malnutrition and mortality through programs that ensure infants and young children from even the poorest families have access to nutritious foods, such as milk and eggs. However, many food-insecure families cannot afford these animal-sourced foods, which contain the high-quality proteins, fats, and other essential nutrients that children require. National programs that fill this nutritional gap for young children are essential.
The development in recent years of a new generation of nutritional foods tailored to the needs of the most vulnerable children, which are simple to use, make possible the establishment of a new standard in childhood mortality prevention.
In 2010, in addition to malnutrition prevention activities, Médecins Sans Frontières and its partners, FORSANI and BEFEN / ALIMA, carried out paediatric and nutritional activities in 64 primary care facilities and nine hospitals in Niger’s Tahoua, Maradi and Zinder regions. Approximately 150,000 children suffering from malnutrition were treated—nearly half of all the malnourished children treated in the country in 2010—of whom approximately 24,000 were hospitalised. Between 85 and 92 percent of children were discharged. Médecins Sans Frontières and its partners also treated 216,330 cases of malaria among children under five years of age, conducted more than 370,000 paediatric consultations, and admitted more than 13,000 children to hospital.
For more information or to arrange interviews, please contact Sally McMillan
sally.mcmillan(at)sydney.msf.org +61 447 482 379
