Angola Nutrition Gap Analysis
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World Bank, Washington, DC
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Despite remarkable economic growth in
the past decade, undernutrition remains a serious public
health problem in Angola. High rates of child stunting and
micronutrient deficiencies are contributing to an under-five
mortality rate of 161 deaths per 1,000 live births, limiting
the growth and development of children, hindering
productivity, and preventing the country from reaching
millennium development goals one and four. In response to
this situation, the objectives of this report are to: a)
synthesize available information on the nutrition situation
in Angola; b) discuss the three main determinants of
undernutrition using the United Nations Children's Fund
(UNICEF) conceptual framework; c) summarize existing
nutrition policies and programs in the country; and d)
propose next steps for action. Nutrition policy agenda is
slowly gaining momentum in the country. The national food
security and nutrition strategy released in 2009 include
nutrition actions for children under five. The national
nutrition policy is in the process of being finalized. High
priority problems include the dearth of up-to-date,
reliable, and comprehensive information on the nutrition
situation in the country, severe shortages of trained
nutritionists, and an exclusion of nutrition from
community-based health activities. The following
recommendations are proposed as next steps: 1) incorporate
the collection of nutrition data into routine, planned
surveys; 2) finalize the national nutrition policy, conduct
a rigorous gap analysis, and develop a costed implementation
plan to effectively scale-up nutrition activities in the
country; 3) enhance capacity building efforts in the field
of nutrition; 4) improve nutrition surveillance and
screening activities and; 5) incorporate nutrition into
community-based activities.
Palabras clave
ACCESS TO HEALTH SERVICES, ACUTE MALNUTRITION, ADOLESCENT GIRLS, AGED, ANEMIA, ANTENATAL CARE, ARI, BABY, BEHAVIOR CHANGE, BLINDNESS, BREAST MILK, BREAST MILK SUBSTITUTES, BREASTFEEDING, BREASTFEEDING PRACTICES, CHILD FEEDING, CHILD FEEDING PRACTICES, CHILD GROWTH, CHILD HEALTH, CHILD MORTALITY, CHILD STUNTING, CHILD SURVIVAL, CHILDHOOD EDUCATION, CHILDHOOD ILLNESSES, CHILDREN PER WOMAN, CHRONIC DISEASE, CIVIL WAR, COMMUNICABLE DISEASES, COMMUNITY HEALTH, COMPLEMENTARY FEEDING, COMPLICATIONS, DELIVERY CARE, DEPENDENCY RATIO, DEVELOPING COUNTRIES, DIARRHEA, DIARRHEAL DISEASE, DIARRHEAL DISEASES, DIET, DISADVANTAGED GROUPS, DRINKING WATER, EARLY CHILDHOOD, ECONOMIC GROWTH, ECONOMIC POLICIES, ECONOMIC PRODUCTIVITY, ECONOMIC PROSPERITY, ENERGY CONSUMPTION, ETHNIC GROUPS, FAMILIES, FERTILITY, FERTILITY RATE, FOLIC ACID, FOOD INSECURITY, FOOD PRODUCTION, FOOD SECURITY, GENDER INEQUALITY, GROSS DOMESTIC PRODUCT, GROSS NATIONAL INCOME, HEALTH CENTERS, HEALTH CONSEQUENCES, HEALTH FACILITIES, HEALTH INTERVENTIONS, HEALTH POLICY, HEALTH PROBLEMS, HEALTH SECTOR, HEALTH SERVICES, HEALTH SYSTEM, HEALTH WORKERS, HEALTHY LIFE, HEMORRHAGE, HIV, HIV/AIDS, HOSPITAL, HOSPITALIZATION, HOSPITALS, HUMAN BODY, HUMAN DEVELOPMENT, HUMAN DIGNITY, HUMAN RIGHT, HYGIENE, IDD, ILLITERACY, ILLNESS, ILLNESSES, IMCI, IMMUNIZATION, INADEQUATE FOOD INTAKE, INCOME INEQUALITY, INDUSTRIALIZATION, INFANT, INFANT FEEDING, INFANT MORTALITY, INFANT MORTALITY RATE, INFANTS, INFECTION, INFECTIOUS DISEASES, INFORMATION SYSTEM, INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS, INTERNATIONAL ASSISTANCE, INTERNATIONAL COMMUNITY, INTERVENTION, IODINE, IODINE DEFICIENCY, IODINE DEFICIENCY DISORDERS, IRON, JOB TRAINING, JUVENILE DELINQUENCY, JUVENILE JUSTICE, LAND MINES, LARGE POPULATION, LBW, LEVELS OF CONSUMPTION, LIFE EXPECTANCY, LIVE BIRTHS, LOW BIRTHWEIGHT, MALARIA, MALNOURISHED CHILDREN, MARKETING, MASS MEDIA, MATERNAL HEALTH, MATERNAL MORTALITY, MATERNAL MORTALITY RATE, MEASLES, MEASLES IMMUNIZATION, MEDICAL CARE, MICRONUTRIENT DEFICIENCIES, MIGRATION, MILLENNIUM DEVELOPMENT GOAL, MILLENNIUM DEVELOPMENT GOALS, MINISTRY OF HEALTH, MORBIDITY, MORTALITY, MORTALITY RATES, MUNICIPAL AUTHORITIES, NATIONAL AGENDA, NATIONAL COUNCIL, NATIONAL DEVELOPMENT, NATIONAL HEALTH POLICY, NATIONAL HEALTH SYSTEM, NATIONAL LEVEL, NATIONAL POLICIES, NATIONAL POLICY, NATIONAL PRIORITIES, NATURAL RESOURCES, NURSES, NURSING, NUTRITION, NUTRITION COMPONENTS, NUTRITION EDUCATION, NUTRITION INTERVENTIONS, NUTRITION PROGRAMS, NUTRITIONAL DEFICIENCIES, NUTRITIONAL STATUS, NUTRITIONISTS, OFFICIAL LANGUAGE, ORAL REHYDRATION SOLUTION, ORPHANS, ORS, PHYSICAL ACTIVITY, PHYSICIANS, PLAN OF ACTION, POLICY DOCUMENT, POOR HEALTH, POPULATION DENSITY, POPULATION GROWTH, POPULATION GROWTH RATE, POPULATION MOVEMENTS, PREGNANCY, PREGNANT WOMEN, PRESCHOOL CHILDREN, PRETERM BIRTH, PRIMARY EDUCATION, PRIMARY HEALTH CARE, PRIMARY HEALTH CARE SYSTEM, PROGRESS, PROVISION OF SUPPORT, PUBLIC HEALTH, PUBLIC HEALTH CONCERN, PUBLIC HEALTH PROBLEM, PUBLIC POLICY, QUALITY CARE, QUALITY OF LIFE, RATES OF URBANIZATION, REFERRAL HOSPITALS, REPRODUCTIVE HEALTH, RESPECT, RESPIRATORY INFECTIONS, RURAL AREAS, SAFE MOTHERHOOD, SAFETY NETS, SANITATION, SANITATION FACILITIES, SCIENTIFIC EVIDENCE, SCREENING, SECURITY SITUATION, SERVICE DELIVERY, SEX, SEXUALLY TRANSMITTED INFECTIONS, SOCIAL JUSTICE, SOCIAL MARKETING, SOCIAL SECURITY, SOCIAL SERVICES, SOCIAL WELFARE, SOCIOECONOMIC STATUS, STUNTING, TECHNICAL ASSISTANCE, TRAINING OPPORTUNITIES, TRANSPORTATION, TUBERCULOSIS, UNDER 5 MORTALITY, UNDERNUTRITION, URBAN AREAS, URBAN CENTERS, URBAN MIGRATION, VIOLENCE, VITAMIN A, VITAMIN A DEFICIENCY, VITAMIN A SUPPLEMENTATION, VITAMINS, VULNERABILITY, WASTING, WORKERS, WORKFORCE, WORKING CONDITIONS, WORLD HEALTH ORGANIZATION, YOUNG CHILD, YOUNG CHILDREN