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Sierra Leone – investing in nutrition to reduce poverty: a call for action

Published online by Cambridge University Press:  22 December 2006

Victor M Aguayo ,
Sylvetta Scott  and
Jay Ross
Victor M Aguayo*
Affiliation:
Regional Nutrition and Child Survival Advisor for Africa, Helen Keller International, Rue 555/27, Quinzambougou, BP E-1557, Bamako, Mali
Sylvetta Scott
Affiliation:
Head of Nutrition, Ministry of Health and Sanitation, Freetown, Sierra Leone
Jay Ross
Affiliation:
Policy Coordinator, LINKAGES Project, Academy for Educational Development, Washington, DC, USA
*
*Corresponding author: Email [email protected]
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Abstract

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Background:

Malnutrition rates in Sierra Leone are among the highest in the world. However, policy-makers do not always recognise the fight against malnutrition as a policy priority to ensure the healthy human capital needed to fight poverty and achieve sustained positive economic growth.

Objective:

The analysis presented here was conducted by an intersectoral and inter-agency group of Sierra Leonean senior policy advisors to quantify some of the potential human and economic benefits of improved policies and programmes to reduce malnutrition.

Findings:

The analysis revealed that 46% of child deaths in Sierra Leone are attributable to malnutrition, the single greatest cause of child mortality in the country. In the absence of adequate policy and programme action, malnutrition will be the underlying cause of an estimated 74000 child deaths over the next five years. The analysis also revealed that if current levels of iodine deficiency remain unchanged over the next five years, 252000 children could be born with varying degrees of mental retardation as a result of intrauterine iodine deficiency. Finally, the analysis showed that, in the absence of adequate policy and programme action to reduce the unacceptable rates of anaemia in women, the monetary value of agricultural productivity losses associated with anaemia in the female labour force over the next five years will exceed $94.5 million.

Conclusion:

Sustained investment in nutrition in Sierra Leone could bring about enormous human and economic benefits to develop the social sector, revitalise the economy, and attain the poverty reduction goals that Sierra Leone has set forth.

Keywords

NutritionPoverty reductionSierra Leone
Type
Research Article
Information
Public Health Nutrition , Volume 6 , Issue 7 , October 2003 , pp. 653 - 657
Copyright
Copyright © CABI Publishing 2003

References

1United Nations Development Programme. Deepening Democracy in a Fragmented World. Human Development Report, 2002. New York: Oxford University Press, 2002.Google Scholar
2Ministry of Development and Economic Planning, Republic of Sierra Leone. Interim Poverty Reduction Strategy Paper. Freetown: Ministry of Development and Economic Planning, Republic of Sierra Leone, 2001.Google Scholar
3United Nations Children's Fund (UNICEF). State of the World's Children 2002. New York: UNICEF, 2002.Google Scholar
4United Nations Children's Fund (UNICEF). Sierra Leone: Multiple Indicators Cluster Survey II (MICS-II). Freetown: UNICEF, 2000.Google Scholar
5Pelletier, DL, Frongillo, EA Jr, Schroeder, DG, Habicht, JP. A methodology for estimating the contribution of malnutrition to child mortality in developing countries. Journal of Nutrition 1994; 124: 2106S–22S.Google ScholarPubMed
6Beaton, GH, Martorell, R, Aronson, KJ, Edmonston, B, McCabe, G, Ross, AC, et al. Effectiveness of Vitamin A Supplementation in the Control of Young Child Morbidity and Mortality in Developing Countries. United Nations Administrative Committee on Coordination/Sub-committee on Nutrition (ACC/SCN) State-of-the-art Series: Nutrition Policy Discussion Paper No. 13. Geneva: ACC/SCN, 1993.Google Scholar
7Barclay, AJ, Foster, A, Sommer, A. Vitamin A supplements and mortality related to measles: a randomised clinical trial. British Medical Journal 1987; 294: 294–6.CrossRefGoogle ScholarPubMed
8Arthur, P, Kirkwood, B, Ross, D, Morris, S, Gyapong, J, Tomkins, A, et al. Impact of vitamin A supplementation on childhood morbidity in northern Ghana. Lancet 1992; 339: 361–2.CrossRefGoogle ScholarPubMed
9Shankar, AH, Genton, B, Semba, RD, Baisor, M, Paino, J, Tamja, S, et al. Effect of vitamin A supplementation on morbidity due to Plasmodium falciparum in young children in Papua New Guinea: a randomised trial. Lancet 1999; 354: 203–9.CrossRefGoogle ScholarPubMed
10Ross, JS. Derivation of the Relative Risk of Child Mortality due to Vitamin A Deficiency. PROFILES Working Notes Series No. 2. Washington, DC: Academy for Educational Development, 1996.Google Scholar
11Micronutrient Initiative (MI)/United Nations Children's Fund (UNICEF)/Tulane University (TU). Progress in Controlling Vitamin A Deficiency. Ottawa: MI/UNICEF/TU, 1998.Google Scholar
12Jukes, M, McGuire, J, Method, F, Sternberg, R. Nutrition and education. In: United Nations Administrative Committee on Coordination/Sub-committee on Nutrition (ACC/SCN), ed. Nutrition: A Foundation for Development. Geneva: ACC/SCN, 2002.Google Scholar
13Clugston, GA, Dulberg, EM, Pandav, CS, Tiden, RL. Iodine deficiency disorders in South East Asia. In: Hetzel, BS, Dunn, JT, Stanbury, JB, eds. The Prevention and Control of Iodine Deficiency Disorders. Amsterdam: Elsevier, 1987; 65–84.Google Scholar
14Burkhalter, BR. The Structure and Models used in PROFILES 2.0. Washington, DC: Academy for Educational Development, 1994.Google Scholar
15Bleichrodt, N, Born, MP. A meta-analysis of research on iodine and its relationship to cognitive development. In: Stanbury, JB, ed. The Damaged Brain of Iodine Deficiency. New York: Cognizant Communication Corporation, 1994.Google Scholar
16Maternal and Child Health Division. National Survey on Iodine Deficiency Disorders. Freetown: Maternal and Child Health Division, 1993.Google Scholar
17Levin, HM, Pollitt, E, Galloway, R, McGuire, J. Micronutrient deficiency disorders. In: Jamison, DT, Mosley, WH, eds. Disease Control Priorities in Developing Countries. New York: Oxford University Press, 1993.Google Scholar
18Martorell, R. The role of nutrition in economic development. Nutrition Reviews 1996; 54: S66–71.CrossRefGoogle ScholarPubMed
19Pinstrup-Andersen, P, Burger, S, Habicht, JP, Peterson, K. Protein–energy malnutrition. In: Jamison, DT, Mosley, WH, eds. Disease Control Priorities in Developing Countries. New York: Oxford University Press, 1993.Google Scholar
20Haddad, LJ, Bouis, HE. The impact of nutritional status on agricultural productivity. Wage evidence from the Philippines. Oxford Bulletin of Economics and Statistics 1991; 53(1): 45–68.CrossRefGoogle Scholar
21Islamic Development Bank (IDB). Sierra Leone Feasibility Study. Freetown: IDB, 1994.Google Scholar
22Ross, JS, Thomas, EL. Iron Deficiency Anemia and Maternal Mortality. PROFILES Working Notes Series No. 3. Washington, DC: Academy for Educational Development, 1996.Google Scholar