3. Asian Enigma
• “In the public imagination, the home of the
malnourished child is sub-Saharan Africa. But the
league tables clearly show that the worst affected
region is not Africa but South Asia. Just over 30% of
Africa's children are underweight, but the
corresponding figure for South Asia is over 50%.
And in Bangladesh and India, the proportion of
children malnourished is very significantly higher
than in even the poorest countries of the sub-
Sahara.”
(Ramalingaswamy et al., 2006)
Poverty, Food & Nutrition Security: Determinants 3
6. League Table of Malnutrition: Notes
• The figures for each country indicate the percentage
of children moderately or severely
malnourished, defined as having a weight-for-age
which is more than two standard deviations below
the median weight-for- age (using the international
standard recognized by WHO).
• The data are drawn from nationally representative
surveys conducted by developing countries between
1990 and 1995 (surveys included Demographic and
Health Surveys, National Nutrition Surveys, and other
national surveys in which the measurement of
anthropometric data was included).
Poverty, Food & Nutrition Security:
6
Determinants
7. Asian Enigma & Explanations
• Poverty? No, levels of income are the same.
• Agricultural performance? No, similar levels
of per capita food production.
• Higher child mortality rate in Africa? No, the
difference is marginal.
• Higher inequality? No, Income share of the
poorest quintile is much less in SSA than in
SA.
Poverty, Food & Nutrition Security:
7
Determinants
8. Asian Enigma & Explanations
• Vegetarian Diet? No, Milk & milk products
are good sources of protein.
• Policy indifference? No, ICDS in India.
• Inappropriate Growth Standards?
No, Growth curves of children are similar.
• Possible explanation: Children in SA either
not well-fed, or not well-cared-for, or both.
Poverty, Food & Nutrition Security:
8
Determinants
9. Asian Enigma & Explanations
• Evidence:
Incidence of low birth weight
Level of anemia
• Myth:
Lack of food only reason for malnutrition
• Solution:
Good feeding practices
Address poor sanitation due to high population
density
Poverty, Food & Nutrition Security:
9
Determinants
18. Poverty & Food Insecurity: Policy Options
• Policy options to tackle food and nutrition deprivation differ
between rural and urban sectors.
• Economic access as defined by income and prices largely
matter in the urban sector while physical access as defined by
production matter in the rural sector in general.
• Rural sector: Seasonal Price shocks?
Poverty, Food & Nutrition Security:
18
Determinants