How countries can reduce child stunting at scale: lessons from exemplar countries

The American Journal of Clinical Nutrition
Zulfiqar A BhuttaRobert Black

Abstract

Child stunting and linear growth faltering have declined over the past few decades and several countries have made exemplary progress. To synthesize findings from mixed methods studies of exemplar countries to provide guidance on how to accelerate reduction in child stunting. We did a qualitative and quantitative synthesis of findings from existing literature and 5 exemplar country studies (Nepal, Ethiopia, Peru, Kyrgyz Republic, Senegal). Methodology included 4 broad research activities: 1) a series of descriptive analyses of cross-sectional data from demographic and health surveys and multiple indicator cluster surveys; 2) multivariable analysis of quantitative drivers of change in linear growth; 3) interviews and focus groups with national experts and community stakeholders and mothers; and 4) a review of policy and program evolution related to nutrition. Several countries have dramatically reduced child stunting prevalence, with or without closing geographical, economic, and other population inequalities. Countries made progress through interventions from within and outside the health sector, and despite significant heterogeneity and differences in context, contributions were comparable from health and nutrition sectors (40...Continue Reading

References

Jan 22, 2008·Lancet·Saul S MorrisUNKNOWN Maternal and Child Undernutrition Study Group
Jan 22, 2008·Lancet·Zulfiqar A BhuttaUNKNOWN Maternal and Child Undernutrition Study Group
Jan 22, 2008·Lancet·Robert E BlackUNKNOWN Maternal and Child Undernutrition Study Group
Feb 17, 2010·Pediatrics·Cesar Gomes VictoraRoger Shrimpton
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Jun 12, 2013·Lancet·Robert E BlackUNKNOWN Maternal and Child Nutrition Study Group
Jun 12, 2013·Lancet·Joanne KatzUNKNOWN CHERG Small-for-Gestational-Age-Preterm Birth Working Group
Jun 12, 2013·Lancet·Zulfiqar A BhuttaUNKNOWN Lancet Nutrition Interventions Review Group, the Maternal and Child Nutrition Study Group
May 18, 2016·Maternal & Child Nutrition·Víctor M Aguayo, Purnima Menon
Jun 30, 2016·Nature Reviews. Gastroenterology & Hepatology·Zulfiqar A Bhutta
Oct 9, 2016·Lancet·Maureen M BlackUNKNOWN Lancet Early Childhood Development Series Steering Committee
May 5, 2017·Archives of Disease in Childhood·Muttaquina HossainTahmeed Ahmed
Jul 26, 2017·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·B CaballeroJ A Rivera
Mar 2, 2018·Nature·Aaron Osgood-ZimmermanSimon I Hay
Feb 26, 2019·Advances in Nutrition·Jef L Leroy, Edward A Frongillo
Apr 27, 2019·Frontiers in Psychology·James L CroftJohn E A Bertram
Sep 16, 2019·The Lancet Child & Adolescent Health·Jonathan C K WellsCarmel Dolan
Dec 20, 2019·Lancet·Barry M PopkinLaurence M Grummer-Strawn
Feb 26, 2020·International Journal of Environmental Research and Public Health·Cindy NeedhamClaudia Strugnell
Jul 11, 2020·The American Journal of Clinical Nutrition·Nadia AkseerZulfiqar A Bhutta
Aug 30, 2020·The American Journal of Clinical Nutrition·Tyler VaivadaZulfiqar A Bhutta

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Citations

Jun 20, 2020·The American Journal of Clinical Nutrition·Nadia AkseerZulfiqar A Bhutta
Oct 23, 2020·International Journal of Environmental Research and Public Health·Perpetua Modjadji, Josephine Mashishi
Apr 20, 2021·Global Food Security·Thomas ReardonBarry M Popkin
Jul 3, 2021·International Journal of Environmental Research and Public Health·Nadia Koyratty On Behalf Of The Shine Trial Team

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