Hidden hunger in South Asia: a review of recent trends and persistent challenges.

Hidden hunger in South Asia: a review of recent trends and persistent challenges.
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DOI:
10.1017/s1368980017003202
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发表时间:
2018-03
影响因子:
3.2
通讯作者:
Webb P
Webb P
中科院分区:
医学3区
文献类型:
--
作者:
Harding KL;Aguayo VM;Webb P

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“隐性饥饿”是一个术语,用来描述人类缺乏关键的维生素和矿物质,也被称为微量营养素。尽管在全球范围内,微量营养素缺乏症的流行率在南亚特别高,尽管最近在经济增长、农业产出和保健方面取得了成功。本文件审查了关于整个区域隐性饥饿的模式和趋势的最新证据,重点是最严重的缺乏症-碘、铁、维生素A和锌-并从健康和经济后果的角度加以解释。南亚决策者面临的挑战是投资于能够以成本效益高的方式解决数百万家庭面临的长期营养缺口的行动。今天已经有了适当的解决办法,因此各国政府应在循证成功的基础上再接再厉,将联合收割机有针对性地提供优质服务的卫生系统与精心设计的多部门行动结合起来,帮助促进更健康的饮食,减少贫困,同时确保社会保障。
‘Hidden hunger’ is a term used to describe human deficiencies of key vitamins and minerals, also known as micronutrients. While global in scale, the prevalence of micronutrient deficiencies is particularly high in South Asia despite recent successes in economic growth, agricultural output and health care. The present paper reviews the most recent evidence on patterns and trends of hidden hunger across the region, with a focus on the most significant deficiencies – iodine, Fe, vitamin A and Zn – and interprets these in terms of health and economic consequences. The challenge for South Asian policy makers is to invest in actions that can cost-effectively resolve chronic nutrient gaps facing millions of households. Appropriate solutions are available today, so governments should build on evidence-based successes that combine targeted health system delivery of quality services with carefully designed multisector actions that help promote healthier diets, reduce poverty and ensure social protection simultaneously.