Nutrition in the First 1000 Days - Save the Children

We also manage large food security programs with a focus on child nutrition in 10 countries. Working together, we have saved millions of children's lives. The tragedy is that so many more could be helped, if only more resources were available to ensure these lifesaving programs reach all those who need them. This report ...
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Nutrition in the First 1,000 Days State of the World’s Mothers 2012

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Contents Foreword by Dr. Rajiv Shah. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Introduction by Carolyn Miles. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Executive Summary: Key Findings and Recommendations.. . . . . . . . . . . . . . . . . . . . . . . 5 Why Focus on the First 1,000 Days?.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 The Global Malnutrition Crisis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Saving Lives and Building a Better Future: Low-Cost Solutions That Work. . . . . . 23 • The Lifesaving Six. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 • Infant and Toddler Feeding Scorecard. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 • Health Workers Are Key to Success. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Breastfeeding in the Industrialized World. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Take Action Now. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Appendix: 13th Annual Mothers’ Index and Country Rankings.. . . . . . . . . . . . . . . . . 47 Methodology and Research Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 Endnotes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Front cover Hemanti, an 18-year-old mother in Nepal, prepares to breastfeed her 28-day-old baby who was born underweight. The baby has not yet been named. Photo by Michael Bisceglie Save the Children, May 2012. All rights reserved. ISBN 1-888393-24-6 State of the World’s Mothers 2012 was published with generous support from Johnson & Johnson, Mattel, Inc. and Brookstone.

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Nutrition in the First 1,000 Days In commemoration of Mother’s Day, Save the Children is publishing its thirteenth annual State of the World’s Mothers report. The focus is on the 171 million children globally who do not have the opportunity to reach their full potential due to the physical and mental effects of poor nutrition in the earliest months of life. This report shows which countries are doing the best – and which are doing the worst – at providing nutrition during the critical window of development that starts during a mother’s pregnancy and goes through her child’s second birthday. It looks at six key nutrition solutions, including breastfeeding, that have the greatest potential to save lives, and shows that these solutions are affordable, even in the world’s poorest countries. The Infant and Toddler Feeding Scorecard ranks 73 developing countries on measures of early child nutrition. The Breastfeeding Policy Scorecard examines maternity leave laws, the right to nursing breaks at work and other indicators to rank 36 developed countries on the degree to which their policies support women who want to breastfeed. And the annual Mothers’ Index evaluates the status of women’s health, nutrition, education, economic well-being and political participation to rank 165 countries – both in the industrialized and developing world – to show where mothers and children fare best and where they face the greatest hardships.

MOZAMBIQUE

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Foreword

It’s hard to believe, but a child’s future can be determined years before they even reach their fifth birthday. As a father of three, I see unlimited potential when I look at my kids. But for many children, this is not the case. In some countries, half of all children are chronically undernourished or “stunted.” Despite significant pr