Nutrition July 3 - 4, 2019 Hotel Istana, Kuala Lumpur, Malaysia 1 - - PowerPoint PPT Presentation
Symposium 1 Maternal, Infant and Young Child Nutrition July 3 - 4, 2019 Hotel Istana, Kuala Lumpur, Malaysia 1 Low Birth Weight and Stunting in Malaysia tackling the persistent problems Zalma Abdul Razak Nutrition Division Ministry
July 3 - 4, 2019 Hotel Istana, Kuala Lumpur, Malaysia
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Zalma Abdul Razak Nutrition Division Ministry of Health Malaysia
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LOW BIRTH WEIGHT & STUNTING
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DEFINITION OF LOW BIRTH WEIGHT
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11.19 11.22 11.07 11.41 11.2 11.53 11.41 10 10.2 10.4 10.6 10.8 11 11.2 11.4 11.6 11.8 12 2010 2011 2012 2013 2014 2015 2016 Percentage (%)
TRENDS OF LOW BIRTH WEIGHT IN MALAYSIA
Source: Department of Statistics Malaysia, DOSM 6
NPANM III Target: < 8% (by 2025)
LOW BIRTH WEIGHT IN MALAYSIA
1 in 10
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DEFINITION OF UNDERNUTRITION
#anakmalaysiatinggi
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STUNTING
their height or length- for-age is below -2 SDs
Growth Standards median, and those below
as severely stunted (WHO, 2006).
undernutrition and cannot measure short- term changes in undernutrition. Stunted Severely Stunted #anakmalaysiatinggi
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Prevalence of Underweight, Stunting, Wasting & Overweight among Under 5 Children in Malaysia National Health and Morbidity Survey 2006 -2016
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STUNTING PREVALENCE IN MALAYSIA BY STATES (NHMS 2016)
12 18.1 34 14.1 19.1 25.7 20.3 23.7 20.8 18.5 26.1 23.1 23.5 10.5 24.3 5 10 15 20 25 30 35 Percentage (%)
Middle Income Countries = 6.9%
#anakmalaysiatinggi
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STUNTING PREVALENCE IN MALAYSIA BY HOUSEHOLD INCOME (NHMS 2016)
29.8 22.3 25.1 18.4 19.8 17.4 5 10 15 20 25 30 35
< RM 1,000 RM 1,000 - RM 1,999 RM 2,000 - RM 2,999 RM 3,000 - RM 3,999 RM 4,000 - 4,999 > RM 5,000
Percentage (%) #anakmalaysiatinggi
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#anakmalaysiatinggi
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1. Infants who received poor breastfeeding practices 2. Children who did not receive early initiation of breast feeding 3. Children who were not exclusive or predominantly breastfed 4. Children with illness, such as fever and diarrhoea
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#anakmalaysiatinggi
TACKLING THE PERSISTANT PROBLEMS
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supplementation
counselling for pregnant women.
at clinics and communities
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1. Breastfeeding Promotion 2. Baby-Friendly Hospital Initiative (BFHI) 3. Baby-Friendly Clinic Initiative (KRB) 4. Code Of Ethics For The Marketing Of Infant Foods And Related Products 5. Promotion Of Infant And Young Child Feeding/ Complementary feeding 6. Training on Child Growth Monitoring and IYCF Counselling (adapted from the Combined Course on Growth Assessment and IYCF Counselling, WHO, 2012) 7. Rehabilitation Program for Undernourished Children (Food Basket) 8. Community Feeding Program (targeted at aborigines)
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1. Cooking demo at clinics and community 2. Healthy menu at nurseries/preschools 3. Dissemination of nutritional knowledge in accordance to target groups such as children, parents, teachers and caregivers
4. Improving skills on healthy food preparation amongst parents, teachers and caregivers of nurseries through training/ courses
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TACKLING THE PERSISTANT PROBLEMS
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Strengthening infant and young child feeding practices with improved counselling and care of breastfeeding mothers. Increase knowledge and skills of parents using affordable and nutritious complementary foods. Broadcast of TV & radio spots focusing on early initiation & exclusivity; continuing promotion of infant feeding. Strengthening growth monitoring system – develop procedure to cater cases at risk of malnourished especially stunting Collaborative engagements with other agencies – public, private, NGOs. Use social and behavior change communication to address knowledge, behavior and social culture - beliefs and practices related to infant and young child feeding. Partnership with global network – UNICEF, WHO, World Bank, ILSI, WABA Built up alertness and awareness
stunting – to the community
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CONCEPTUAL FRAMEWORK OF DETERMINANTS OF UNDERNUTRITION (UNICEF 2013)
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