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sectors and between central and local governments, delivering services, and documenting what works and what does not. This report—by offering access to country-specific data and analyses, showcasing national efforts, and directly connecting to a wide range of national champions—seeks to support the work of national champions in every country.


One key tool produced in conjunction with this report is a set of nutrition country profiles—one for each of the 193 mem- ber states of the United Nations. These profiles, which showcase the global scope of the report, are available at www .global nutritionreport.org. Each two-page profile contains 84 indica- tors in categories that are consistent with the different sections of the report.5


A focus on all forms of malnutrition


The world is experiencing an overweight and obesity pan- demic. At the same time the burden of disease in low- and middle-income countries is shifting rapidly from communicable to noncommunicable diseases (Lim et al. 2012). Micronutrient deficiencies remain a concern; anemia rates, for example, have not changed appreciably for more than 20 years and neither have wasting rates (WHO 2014a).


Virtually no country is free of malnutrition, and many fami- lies, communities, and countries struggle with all of these forms of malnutrition at the same time. Moreover, the various forms of malnutrition are connected physiologically, politically, and financially. Just as families must deal with them simultaneously, so too must policy and programming. The report outlines the overlaps in malnutrition burdens at the country level.


A report that complements rather than competes with others


It has taken the nutrition community almost 30 years to come together and work across national and institutional boundaries. This report seeks to highlight the excellent work done by the


dozens of organizations that have shared country-level data with us and to complement their work by bringing it together with the work of others. In so doing, we hope to generate new insights and identify gaps that need to be filled. New reports will be published in 2015 and in 2016 to help maintain the pressure for effective action on nutrition, to guide action, and to hold actors to account.


STRUCTURE OF THE REPORT


The report is organized as follows. Drawing on new analyses, Chapter 2 highlights the returns to improved nutrition status and explores the extent of improvements that are possible by 2025. Chapter 3 describes changes in nutrition status outcomes, assesses global progress on meeting the World Health Assembly targets, and looks at country progress in the WHA indicators. Chapter 4 describes how countries are experiencing multiple forms of malnutrition and examines some critical subnational patterns. Chapter 5 reports on the coverage of nutrition-specific interventions. Chapter 6 describes some nutrition-sensitive programs and approaches, including a broader focus on trends in underlying determinants. Chapter 7 focuses on the enabling environment, tracking resources, laws, policies, and institutional transformations. Chapter 8 explores ways in which nutrition accountability can be improved. It is here that progress against the Nutrition for Growth commit- ments is assessed. Chapter 9 reflects on the gaps in nutrition data and proposes some key priorities for action to strengthen accountability and data. The report closes with some key mes- sages and recommendations for action for different audiences at the national and global levels, both within and beyond the nutrition community.6


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GLOBAL NUTRITION REPORT 2014


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