Towards Improved Food and Nutrition Security in Sindh Province, Pakistan

Authors

  • Shahid Fazal,

    1. Nutrition Coordinator of Action Against Hunger Pakistan (ACF USA) and manages ACF's Nutrition, Community-based Management of Acute Malnutrition (CMAM) and Infant and Young Child Feeding (IYCF) interventions in Pakistan.
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  • Paola María Valdettaro,

    1. Worked as Food Security and Livelihoods Coordinator for Action Against Hunger (ACF USA) in Pakistan until January 2013; she is now the Programme Coordinator for ACF Spain in Mauritania.
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  • Joanna Friedman,

    1. Has been with Action Against Hunger (ACF USA) since June 2012.
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  • Cécile Basquin,

    1. Joined Action Against Hunger (ACF USA) in 2010 and managed the Community-based Management of Acute Malnutrition (CMAM), nutrition surveillance and community mobilisation programmes in the Democratic Republic of Congo and Uganda.
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  • Silke Pietzsch

    1. Has worked at the Action Against Hunger (ACF USA) headquarters since 2008, and since 2012 as Technical Director.
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Abstract

The 2011 National Nutrition Survey (NNS) in Pakistan showed that Sindh province continues to have some of the worst undernutrition rates in South Asia. For determinants of acute and chronic malnutrition to be better understood, Action Against Hunger (ACF) conducted a Nutrition Causal Analysis (NCA) in two districts of Sindh province, where persistently critical prevalences of wasting were recorded, for example, Dadu district with GAM and SAM rates at 19.5 per cent and 5.3 per cent respectively (October 2011). ACF findings confirmed that Infant and Young Child Feeding (IYCF) practices do not receive the attention required to prevent the irreversible damages caused by undernutrition when occurring during the critical 1,000 days window. The study also showed a high occurrence of illnesses related to poor access to water and sanitation infrastructures, as well as a high level of poverty paired with the lack of alternative income sources.

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