lecture 3

Question 1

what are some causes of malnutrition in nepal?

Answer 1

nutrition transition, climate crisis (earthquakes), loss of key infrastructure, cultural practices (early marriage, daughter aversion), lack of education, poverty, lack of land ownership

Question 2

state of malnutrition in children (<5) in nepal

Answer 2

• chronic malnutrition is more common than acute malnutrition
• child malnutrition is of medium severity
• we see children being born with poor nutritional status

Question 3

impact of ethnicity on growth

Answer 3

• race has a small impact on preschool growth, compared to environmental impacts
• only tends to differ with adolescents

Question 4

UNICEF framework

Answer 4

a) immediate causes: act on individual
b) underlying cause: act on household/community
c) basic (root) cause: act on whole society

Question 5

underlying causes

Answer 5

household food insecurity, inadequate care, unhealthy household environment and lack of health services

Question 5

immediate causes

Answer 5

disease and inadequate dietary intake

Question 6

basic causes

Answer 6

inadequate financial, human, physical and social capital; socioultural, economic and political context; household access to adequate resources (land, education, employment, income and technology)

Question 7

difference between old and new UNICEF frameworks

Answer 7

old framework explains causes and conssequences of undernutrition, whereas the new framework explains determinants and outcomes of good nutrition (more positive narrative)

Question 8

outcomes of good nutritional status (child)- new UNICEF framework

Answer 8

improved survival, health, physical growth, cognitive development, school readiness and school performance

Question 9

outcomes of good nutritional status (adults)- new UNICEF framework

Answer 9

improved survival, health, productivity and wages in adults, and improved prosperity and social cohesion for societies