The Global Nutrition Report 2014: actions and accountability to accelerate the world's progress on nutrition.
The Global Nutrition Report 2014: actions and accountability to accelerate the world's progress on nutrition.
复制标题
DOI：
10.3945/jn.114.206078
复制
发表时间：
2015-04
期刊：
影响因子：
--
通讯作者：
Reddy KS
中科院分区：
文献类型：
--
作者：
Haddad L;Achadi E;Bendech MA;Ahuja A;Bhatia K;Bhutta Z;Blössner M;Borghi E;Colecraft E;de Onis M;Eriksen K;Fanzo J;Flores-Ayala R;Fracassi P;Kimani-Murage E;Nago Koukoubou E;Krasevec J;Newby H;Nugent R;Oenema S;Martin-Prével Y;Randel J;Requejo J;Shyam T;Udomkesmalee E;Reddy KS
2013年，营养促增长峰会呼吁发布全球营养报告（GNR），以加强营养问责，从而加快减少营养不良的进程。本文总结了第一次 GNR 的结果。通过关注营养不良和超重问题，GNR 以新的视角审视营养不良问题。世界上几乎每个国家都受到营养不良的影响，多重营养不良负担已成为“新常态”。不幸的是，世界正在偏离实现 2025 年世界卫生大会 (WHA) 营养目标的轨道。然而，许多国家在世界卫生大会指标方面取得了良好进展，为其他国家提供了启发和指导。除了世界卫生大会目标之外，营养问题还需要在可持续发展目标（SDG）框架中得到更强有力的体现。目前，尽管改善营养状况将为实现这些目标做出许多贡献，但仅在 169 个可持续发展目标中的 1 个中明确提及。为了改善营养状况，扩大营养计划至关重要。我们确定了扩大针对营养和营养敏感的方法的瓶颈，并强调了加快覆盖范围和覆盖面的行动。让利益相关者对营养行动的实施负责需要一个运作良好的问责基础设施，而这在营养方面是缺乏的。新的问责机制需要试点和评估，需要明确营养方面的财政资源流向，应制定营养支出目标，并需要填补一些关键数据空白。例如，许多联合国成员国无法报告其世界卫生大会的进展情况，而那些成员国往往只能依赖 5 年以上的数据。世界可以大幅加速减少营养不良，但这需要更强有力的问责机制，让所有利益相关者承担责任。
In 2013, the Nutrition for Growth Summit called for a Global Nutrition Report (GNR) to strengthen accountability in nutrition so that progress in reducing malnutrition could be accelerated. This article summarizes the results of the first GNR. By focusing on undernutrition and overweight, the GNR puts malnutrition in a new light. Nearly every country in the world is affected by malnutrition, and multiple malnutrition burdens are the “new normal.” Unfortunately, the world is off track to meet the 2025 World Health Assembly (WHA) targets for nutrition. Many countries are, however, making good progress on WHA indicators, providing inspiration and guidance for others. Beyond the WHA goals, nutrition needs to be more strongly represented in the Sustainable Development Goal (SDG) framework. At present, it is only explicitly mentioned in 1 of 169 SDG targets despite the many contributions improved nutritional status will make to their attainment. To achieve improvements in nutrition status, it is vital to scale up nutrition programs. We identify bottlenecks in the scale-up of nutrition-specific and nutrition-sensitive approaches and highlight actions to accelerate coverage and reach. Holding stakeholders to account for delivery on nutrition actions requires a well-functioning accountability infrastructure, which is lacking in nutrition. New accountability mechanisms need piloting and evaluation, financial resource flows to nutrition need to be made explicit, nutrition spending targets should be established, and some key data gaps need to be filled. For example, many UN member states cannot report on their WHA progress and those that can often rely on data >5 y old. The world can accelerate malnutrition reduction substantially, but this will require stronger accountability mechanisms to hold all stakeholders to account.
登录
查看更多内容
影响因子：
168.9
作者：
Bhutta, Zulfiqar A.;Das, Jai K.;Black, Robert E.
通讯作者：
Black, Robert E.
影响因子：
168.9
作者：
Adair, Linda S.;Fall, Caroline H. D.;Osmond, Clive;Stein, Aryeh D.;Martorell, Reynaldo;Ramirez-Zea, Manuel;Sachdev, Harshpal Singh;Dahly, Darren L.;Bas, Isabelita;Norris, Shane A.;Micklesfield, Lisa;Hallal, Pedro;Victora, Cesar G.
通讯作者：
Victora, Cesar G.
影响因子：
3.4
作者：
Hoddinott, John;Alderman, Harold;Horton, Susan
通讯作者：
Horton, Susan
影响因子：
1.9
作者：
Haddad, Lawrence;Isenman, Paul
通讯作者：
Isenman, Paul
影响因子：
168.9
作者：
Black, Robert E.;Victora, Cesar G.;Uauy, Ricardo
通讯作者：
Uauy, Ricardo