Situational Analysis Improving Economic Outcomes by Expanding Nutrition Programming in Tajikistan

Undernutrition in Tajikistan remains an important public health challenge, albeit a hidden problem. Stunting, iodine deficiency, and maternal and child anemia represent the largest burden of undernutrition in Tajikistan. In 2009, around 29 percent...

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Bibliographic Details
Main Authors:	World Bank, UNICEF
Format:	Other Health Study
Language:	English en_US
Published:	World Bank, Washington, DC 2013
Subjects:	ABORTION ABORTION COMPLICATIONS ACCESS TO EDUCATION ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES ACUTE MALNUTRITION AGED ANEMIA ANTENATAL CARE ARI BABIES BABY BEHAVIOR CHANGE BREASTFEEDING BREASTFEEDING PROMOTION BULLETIN CAPACITY BUILDING CARDIOVASCULAR DISEASE CARE CENTERS CAUSES OF DEATH CHILD CARE CHILD DEATHS CHILD FEEDING CHILD GROWTH CHILD GROWTH MONITORING CHILD HEALTH SERVICES CHILD MALNUTRITION CHILD MORTALITY CHILD MORTALITY RATES CHILD NUTRITION CHILD SURVIVAL CHILDBEARING CHILDHOOD ILLNESSES CIVIL WAR CLINICS COMPLEMENTARY FEEDING COMPLEMENTARY FOOD COST EFFECTIVENESS CYCLE OF POVERTY DECISION MAKING DELIVERY COSTS DEMOGRAPHIC FACTORS DEVELOPING COUNTRIES DEVELOPMENT INTERVENTIONS DEVELOPMENT OBJECTIVES DEVELOPMENT PLANNING DIARRHEA DIARRHEAL DISEASE DIET DISABILITY DISEASES DISSEMINATION EARLY CHILDHOOD ECONOMIC DEVELOPMENT ECONOMIC GROWTH ECONOMIC PRODUCTIVITY EDUCATED WOMEN EMERGENCY CARE EMERGENCY OBSTETRIC CARE EMERGENCY RELIEF EMPLOYMENT OPPORTUNITIES EMPOWERMENT OF WOMEN EPIDEMIOLOGY FAMILIES FAMILY PLANNING FOLIC ACID FOOD INSECURITY FOOD SECURITY FREQUENT PREGNANCIES GENDER EQUALITY GLOBAL CONSENSUS GLOBAL DEVELOPMENT HEALTH CARE HEALTH CARE PROFESSIONALS HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CONSEQUENCES HEALTH INDICATORS HEALTH INTERVENTIONS HEALTH OUTCOMES HEALTH POLICY HEALTH PROBLEMS HEALTH REFORM HEALTH RISKS HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEALTHY LIFE HEMORRHAGE HOSPITAL HOSPITAL BEDS HOSPITALS HUMAN CAPITAL HUMAN DEVELOPMENT HUMAN RIGHTS HYGIENE HYGIENE PRACTICES IDD ILL HEALTH IMMUNIZATION INFANT INFANT MORTALITY INFANTS INFECTION INFORMATION SYSTEM INSTITUTIONAL CAPACITY INTERVENTION IODINE IODINE DEFICIENCY IRON LABOR FORCE LARGE FAMILIES LBW LEADING CAUSES LEADING CAUSES OF DEATH LEVELS OF EDUCATION LIVE BIRTHS LIVING STANDARDS LOW BIRTH WEIGHT LOW-INCOME COUNTRIES MALARIA MALNOURISHED CHILDREN MALNUTRITION MARKETING MATERNAL AND CHILD HEALTH MATERNAL AND CHILD HEALTH CARE MATERNAL DEATHS MATERNAL MORTALITY MATERNAL MORTALITY RATIO MATERNAL NUTRITION MATERNITY HOSPITALS MEASLES MEDICAL EQUIPMENT MEDICAL PERSONNEL MICRONUTRIENT DEFICIENCIES MIDWIVES MIGRANTS MIGRATION MILLENNIUM DEVELOPMENT GOALS MINISTRY OF HEALTH MORBIDITY MORTALITY MORTALITY RATE MORTALITY REDUCTIONS MOTHER NATIONAL LEVEL NEEDS ASSESSMENT NEONATAL MORTALITY NEWBORN NEWBORNS NUMBER OF PEOPLE NURSES NUTRITION NUTRITION EDUCATION NUTRITION INTERVENTIONS NUTRITION OUTCOMES NUTRITION PROGRAMS NUTRITIONAL PRACTICES NUTRITIONAL STATUS OBESITY OLD AGE PARASITES PATIENT PATIENT SATISFACTION PENSIONS PERINATAL MORTALITY PHYSICAL ACTIVITY PHYSICAL DEVELOPMENT PHYSICAL GROWTH POLICY BRIEF POLICY MAKERS POLIO POOR HEALTH POPULATION MOVEMENTS PREGNANCY PREGNANT WOMEN PREMATURE DEATH PRIMARY HEALTH CARE PRODUCTIVITY PROGRESS PUBLIC EDUCATION PUBLIC HEALTH PUBLIC HEALTH CONCERN PUBLIC HEALTH PROBLEM PURCHASING POWER QUALITY OF CARE QUALITY OF HEALTH CARE QUALITY SERVICES REMITTANCES REPRODUCTIVE AGE REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH SERVICES RESOURCE ALLOCATIONS RICHER COUNTRIES RISK FACTORS RISK OF INFECTION RURAL AREAS RURAL DEVELOPMENT SANITATION SCHOOL CURRICULA SECONDARY EDUCATION SERVICE DELIVERY SKILLED PERSONNEL SOCIAL MARKETING STUNTING TECHNICAL ASSISTANCE UNDERNUTRITION UNDERWEIGHT CHILDREN UNEMPLOYMENT URBAN AREAS VICIOUS CYCLE VITAMIN A VITAMIN A DEFICIENCY VITAMIN A SUPPLEMENTATION VITAMIN DEFICIENCY VITAMINS VULNERABLE GROUPS WASTING WOMEN OF CHILDBEARING AGE WORK FORCE WORKERS WORKFORCE WORLD HEALTH ORGANIZATION YOUNG CHILD YOUNG CHILDREN
Online Access:	http://documents.worldbank.org/curated/en/2012/02/16332711/tajikistan-situational-analysis-improving-economic-outcomes-expanding-nutrition-programming-tajikistan http://hdl.handle.net/10986/13058

Description
Summary:	Undernutrition in Tajikistan remains an important public health challenge, albeit a hidden problem. Stunting, iodine deficiency, and maternal and child anemia represent the largest burden of undernutrition in Tajikistan. In 2009, around 29 percent of children in all regions of the country were stunted. Iodine deficiency was observed in 53 percent of children and in 58.6 percent of women. The national prevalence of anemia in children was 28.8 percent; however, rates were as high as 39.8 percent in Ghorno-Badakhshan Autonomous Province and in 32 percent directly ruled districts (DRD). The prevalence of anemia among mothers was 24.2 percent. The long-term effects of these conditions negatively affect the health of adults throughout their life, as well as their potential productivity in the work force and possible economic contribution to the nation. The highest priority interventions will improve infant and young child feeding. Strengthening and scaling up breastfeeding promotion will save lives and help to reduce stunting as would complementary feeding for babies six months and older. Promoting exclusive breastfeeding for infants under six months is the most efficacious intervention to save lives, averting nearly 20 percent of deaths in children under-five. Effective programs need to be designed to make more women aware of the benefits of breastfeeding and sound nutrition. A comprehensive, multi-sector approach is needed to ensure success of these interventions. This report also makes several other recommendations including: supplementing pregnant women with either iron folic acid or multiple micronutrients, maintain twice-annually vitamin A supplementation, implementing a deworming program, support for flour fortification, scale up and maintain zinc for the management of diarrhea, and address the underlying and basic causes of undernutrition through other sectors.

Situational Analysis Improving Economic Outcomes by Expanding Nutrition Programming in Tajikistan

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