percent of all children under age five in these 107 countries.15 In the spirit of collaboration and avoidance of duplication,


the Global Nutrition Report has coordinated its reporting of the WHA data with WHO, UNICEF, and the World Bank. The new UN Global Target Tracking Tool will be launched at the Second International Conference on Nutrition in November 2014. Fu- ture Global Nutrition Reports will continue to describe the WHA data in new ways and juxtapose them with other types of data to strengthen their analytical value.


The two-page nutrition country profiles, which have been pro- duced to accompany this report and appear online (www.global nutritionreport.org), should be a useful input into analyses that sup- port country efforts to understand why they might be on course for some indicators and not others and what to do about it.16


Data Gaps


If 99 countries have data to assess progress on all four WHA targets, what is the distribution of the remaining 94 countries? Figure 3.8 shows that 79 of the 193 countries cannot track more than two of the four WHA indicators and 5 countries cannot track any.


Of the 94 countries that had missing data on at least one


indicator, nearly half of them were in Europe and Northern America (Figure 3.9). These high-income countries typically have the necessary data, but they are not reported in ways that make them internationally comparable. High-income countries will need to align their reporting systems with the global reporting requirements.


FIGURE 3.5 AVERAGE PREVALENCE OF ANEMIA IN WOMEN OF REPRODUCTIVE AGE BY UN SUBREGION (%) AFRICA 47 33 28 28 20 23 50 39 31 22 16 20 18 ASIA 46 EUROPE


28 16 20 12 17


29 20 18


LATIN AMERICA & CARIBBEAN


NORTHERN AMERICA


Source: Stevens et al. (2013), based on modeled estimates for 2011. Note: Data are population-weighted averages.


TABLE 3.3 PROPOSED WHO RULES FOR DEFINING WHETHER A COUNTRY IS ON OR OFF COURSE TO MEET GLOBAL WHA TARGETS Indicator


On course Stunting (under-five) Wastinga (under-five) Overweight (under-five) Anemia (women of reproductive age)


Exclusive breastfeeding (infants < 6 months) Low birth weight (live births < 2,500 g)


Off course


Current AARR ≥ country-specific required AARR to meet global goal Current AARR < country-specific required AARR to meet global goal


< 5%


< 7% and no increase in prevalence compared with country baseline


Current AARR ≥ 5.2% n.a. n.a.


≥ 5%


≥ 7% or increase in prevalence compared with country baseline


Current AARR < 5.2% n.a. n.a.


Source: WHO (2014a), updated August 2014. Notes: AARR = average annual rate of reduction. n.a. = rules are not yet available. The country baseline rate is the latest national estimate after 2005 and up to 2012, the lat- est year for which data are available. Our assessments of progress are based on comparisons between historical trends previous to the baseline and required rates of progress


toward 2025. The rules for exclusive breastfeeding and low birth weight are currently being finalized by UNICEF, WHO, and the World Bank. a


WHO (2014a) gives the following basis for the WHO rule for wasting: “The presentation of the wasting target is slightly different because trends for this condition are not meaningful. Wasting refers to children that are too thin for their height. Wasting rates can change rapidly following sudden impacts such as natural or man-made disasters.”


20 GLOBAL NUTRITION REPORT 2014


OCEANIA


Eastern Africa Middle Africa


Northern Africa Southern Africa Western Africa


Caribbean Central America South America


Central Asia Eastern Asia South-Eastern Asia Southern Asia Western Asia


Northern America


Eastern Europe Northern Europe Southern Europe Western Europe


Australia & New Zealand Melanesia Micronesia Polynesia


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