Talk:malnutrition

https://docs.google.com/document/d/1hYAlai0JrEm3TMHtxb8WwOAsPzPcK2FtdP0zjiIqS68/edit

#	Hausa	English
1	Tamowa: Nigeria's Silent Crisis (Hausa Audio, English Subtitles)[1]	Malnutrition: Nigeria's Silent Crisis [2]
2	Kira don ɗaukar mataki	A call to action
3	Hausa SRT 1 00:00:11,330 --> 00:00:15,900 Idan muka duba shekarun baya 2 00:00:15,900 --> 00:00:17,940 a Nigeria, mun samu cigaba 3 00:00:17,940 --> 00:00:20,520 da dama. 4 00:00:20,520 --> 00:00:23,130 are surviving with child deaths dropping 5 00:00:23,130 --> 00:00:24,480 from twenty-two percent of children 6 00:00:24,480 --> 00:00:27,750 under five in 1982 thirteen percent in 7 00:00:27,750 --> 00:00:32,759 2013 our economy is growing with income 8 00:00:32,759 --> 00:00:35,850 rising from about 150 thousand naira per 9 00:00:35,850 --> 00:00:40,379 person to 350,000 era per person in 2011 10 00:00:40,379 --> 00:00:43,760 and we are better connected with about 11 00:00:43,760 --> 00:00:47,399 150 million subscribers or about 12 00:00:47,399 --> 00:00:49,219 sixty-eight percent of the population 13 00:00:49,219 --> 00:00:53,730 using cell phones today we are a nation 14 00:00:53,730 --> 00:00:57,480 on the move but there is one challenge 15 00:00:57,480 --> 00:01:01,379 when we are sadly behind malnutrition in 16 00:01:01,379 --> 00:01:04,110 mothers and children which continues to 17 00:01:04,110 --> 00:01:06,360 impose a staggering cost to the nation 18 00:01:06,360 --> 00:01:09,090 despite having the solutions today 19 00:01:09,090 --> 00:01:11,820 malnutrition contributes to the deaths 20 00:01:11,820 --> 00:01:13,890 of an estimated half a million children 21 00:01:13,890 --> 00:01:16,530 under the age of five each year in 22 00:01:16,530 --> 00:01:20,250 Nigeria or about one out of every two 23 00:01:20,250 --> 00:01:23,830 child deaths so what has 24 00:01:23,830 --> 00:01:25,780 experience on nutrition programs taught 25 00:01:25,780 --> 00:01:29,590 us over the years well the story starts 26 00:01:29,590 --> 00:01:31,720 in the 1000 a window of opportunity 27 00:01:31,720 --> 00:01:34,990 between pregnancy and a child's second 28 00:01:34,990 --> 00:01:38,140 birthday this period becomes the best 29 00:01:38,140 --> 00:01:40,840 shot at helping a child reach his or her 30 00:01:40,840 --> 00:01:43,890 potential and sets the stage for life 31 00:01:43,890 --> 00:01:46,210 let's take a closer look at just how 32 00:01:46,210 --> 00:01:48,700 critical this period is starting in the 33 00:01:48,700 --> 00:01:51,820 womb before birth the fetus is at risk 34 00:01:51,820 --> 00:01:54,100 if the mother lacks essential vitamins 35 00:01:54,100 --> 00:01:56,979 minerals and nutrients needed for brain 36 00:01:56,979 --> 00:02:00,670 bone and organ development many pregnant 37 00:02:00,670 --> 00:02:02,740 women in nigeria's suffer from anemia 38 00:02:02,740 --> 00:02:05,290 during pregnancy which can cause health 39 00:02:05,290 --> 00:02:08,679 problems for the baby once the baby is 40 00:02:08,679 --> 00:02:11,250 born from birth to the first six months 41 00:02:11,250 --> 00:02:14,380 early an exclusive breastfeeding without 42 00:02:14,380 --> 00:02:16,870 adding any other foods or liquids is the 43 00:02:16,870 --> 00:02:19,120 very best way to ensure a healthy baby 44 00:02:19,120 --> 00:02:22,300 and after the first six months of life 45 00:02:22,300 --> 00:02:24,310 add in sufficient quantities of 46 00:02:24,310 --> 00:02:26,620 nutritious solid food along with 47 00:02:26,620 --> 00:02:29,170 continued breastfeeding is absolutely 48 00:02:29,170 --> 00:02:31,269 necessary to make sure that the child 49 00:02:31,269 --> 00:02:34,480 grows correctly most stunting happens in 50 00:02:34,480 --> 00:02:40,930 this critical period there is no going 51 00:02:40,930 --> 00:02:43,170 back 52 00:02:43,280 --> 00:02:45,830 the cost of malnutrition during this 53 00:02:45,830 --> 00:02:48,580 1000 a window is almost always 54 00:02:48,580 --> 00:02:52,580 irreversible damage to the brain leading 55 00:02:52,580 --> 00:02:54,470 to poor educational performance and 56 00:02:54,470 --> 00:02:57,650 lower IQ poor growth and development are 57 00:02:57,650 --> 00:02:59,560 remarkably this early deprivation 58 00:02:59,560 --> 00:03:01,910 increases a child's risk of developing 59 00:03:01,910 --> 00:03:05,510 chronic diseases as an adult chronic 60 00:03:05,510 --> 00:03:07,610 diseases like diabetes high blood 61 00:03:07,610 --> 00:03:10,280 pressure and heart disease or requiring 62 00:03:10,280 --> 00:03:13,460 medical attention later in life 63 00:03:13,460 --> 00:03:15,520 another huge challenge is that 64 00:03:15,520 --> 00:03:17,990 malnutrition in children can happen and 65 00:03:17,990 --> 00:03:20,540 persist for years and we can't always 66 00:03:20,540 --> 00:03:24,080 see it these two little boys are both 67 00:03:24,080 --> 00:03:26,360 from the same village can you guess how 68 00:03:26,360 --> 00:03:29,870 old each boy is both boys are the same 69 00:03:29,870 --> 00:03:33,080 age they are both eight years old but 70 00:03:33,080 --> 00:03:35,210 they show very different levels of 71 00:03:35,210 --> 00:03:37,850 development the little boy on the left 72 00:03:37,850 --> 00:03:40,460 is stunted this means that he has short 73 00:03:40,460 --> 00:03:42,590 stature for his age due to chronic 74 00:03:42,590 --> 00:03:45,320 malnutrition and it's unlikely that he 75 00:03:45,320 --> 00:03:46,760 will ever catch up and reach his full 76 00:03:46,760 --> 00:03:49,280 height or his full potential like his 77 00:03:49,280 --> 00:03:52,810 taller village playmate on the right 78 00:03:52,970 --> 00:03:55,190 the invisible nature of chronic 79 00:03:55,190 --> 00:03:57,470 malnutrition also sets up a pattern that 80 00:03:57,470 --> 00:03:59,690 we see happening generation after 81 00:03:59,690 --> 00:04:02,960 generation this intergenerational cycle 82 00:04:02,960 --> 00:04:04,850 of growth failure starts with a 83 00:04:04,850 --> 00:04:07,520 malnourished woman when mothers are 84 00:04:07,520 --> 00:04:09,830 malnourished or stunted they are at 85 00:04:09,830 --> 00:04:11,450 greater risk of complications during 86 00:04:11,450 --> 00:04:14,330 pregnancy and childbirth they also have 87 00:04:14,330 --> 00:04:16,190 a greater risk of delivering an infant 88 00:04:16,190 --> 00:04:18,529 with low birth weight like this baby 89 00:04:18,529 --> 00:04:20,720 girl here who is at higher risk of 90 00:04:20,720 --> 00:04:23,360 illness and death and at higher risk of 91 00:04:23,360 --> 00:04:25,010 delayed emotional and intellectual 92 00:04:25,010 --> 00:04:28,130 development and also more likely to 93 00:04:28,130 --> 00:04:30,290 suffer from growth failure in those 94 00:04:30,290 --> 00:04:32,030 important early developmental years 95 00:04:32,030 --> 00:04:34,940 which in turn lead to low weight and 96 00:04:34,940 --> 00:04:37,700 stunting in the teen years those teen 97 00:04:37,700 --> 00:04:39,470 years that are critical for growth and 98 00:04:39,470 --> 00:04:41,390 development and the time when 99 00:04:41,390 --> 00:04:43,520 adolescents gained almost fifty percent 100 00:04:43,520 --> 00:04:45,919 of their adult body weight and twenty 101 00:04:45,919 --> 00:04:48,860 percent of their adult height and that 102 00:04:48,860 --> 00:04:50,810 takes us back to the malnourished woman 103 00:04:50,810 --> 00:04:53,480 and the cycle of poor nutrition 104 00:04:53,480 --> 00:04:55,730 perpetuates itself generation after 105 00:04:55,730 --> 00:05:00,200 generation turning now to our Google 106 00:05:00,200 --> 00:05:02,750 Earth satellite map we're going to zoom 107 00:05:02,750 --> 00:05:05,540 in on Nigeria and start our tour in the 108 00:05:05,540 --> 00:05:08,780 bustling city of Abuja here we are 109 00:05:08,780 --> 00:05:10,400 looking into the national stadium 110 00:05:10,400 --> 00:05:13,100 located on the eastern side of the city 111 00:05:13,100 --> 00:05:17,930 as we move toward the central area we 112 00:05:17,930 --> 00:05:20,380 get a sense of how much Abuja has grown 113 00:05:20,380 --> 00:05:23,240 although people often think that here in 114 00:05:23,240 --> 00:05:25,729 the seat of power malnutrition is not 115 00:05:25,729 --> 00:05:29,240 really a problem they are wrong recent 116 00:05:29,240 --> 00:05:31,220 reports show that one out of five 117 00:05:31,220 --> 00:05:34,460 children in Abuja are stunted handing 118 00:05:34,460 --> 00:05:36,890 over to Lagos we're going to focus our 119 00:05:36,890 --> 00:05:39,460 attention on the slum area of machine a 120 00:05:39,460 --> 00:05:42,470 densely populated area which is home to 121 00:05:42,470 --> 00:05:45,229 over half a million people full of 122 00:05:45,229 --> 00:05:47,060 informal settlements and poor living 123 00:05:47,060 --> 00:05:49,520 conditions malnutrition affects the 124 00:05:49,520 --> 00:05:51,830 lives of most families with more than 125 00:05:51,830 --> 00:05:55,220 one third of children stunted although 126 00:05:55,220 --> 00:05:56,960 the rate of malnutrition definitely 127 00:05:56,960 --> 00:05:59,510 increases with poverty it is not a 128 00:05:59,510 --> 00:06:03,410 problem that is unique to the poor if we 129 00:06:03,410 --> 00:06:04,889 move to equally one 130 00:06:04,889 --> 00:06:07,499 the wealthier locations in Lagos we can 131 00:06:07,499 --> 00:06:09,599 see some of the big houses and luxurious 132 00:06:09,599 --> 00:06:12,270 swimming pools it's easy to assume that 133 00:06:12,270 --> 00:06:14,159 wealthy families do not suffer from 134 00:06:14,159 --> 00:06:16,529 malnutrition how could they be 135 00:06:16,529 --> 00:06:18,409 malnourished kids in this neighborhood 136 00:06:18,409 --> 00:06:21,779 yet thirteen percent of children born to 137 00:06:21,779 --> 00:06:24,330 the richest families in Nigeria also 138 00:06:24,330 --> 00:06:28,590 suffer from stunting as we continue our 139 00:06:28,590 --> 00:06:31,499 tour we learned that there is no part of 140 00:06:31,499 --> 00:06:33,330 the country that is immune to 141 00:06:33,330 --> 00:06:37,349 malnutrition here we are along the river 142 00:06:37,349 --> 00:06:39,930 in the Niger Delta region where the land 143 00:06:39,930 --> 00:06:42,689 is rich in petroleum and many families 144 00:06:42,689 --> 00:06:44,939 rely on fishing or farming for their 145 00:06:44,939 --> 00:06:47,759 nutritional needs but the area's 146 00:06:47,759 --> 00:06:50,159 abundant supply of natural resources is 147 00:06:50,159 --> 00:06:53,069 not enough to ensure proper nutrition 148 00:06:53,069 --> 00:06:56,300 for those living in this area 149 00:06:56,300 --> 00:06:58,830 malnutrition is a major problem in the 150 00:06:58,830 --> 00:07:01,710 Delta especially among children where we 151 00:07:01,710 --> 00:07:03,719 find that one out of five children are 152 00:07:03,719 --> 00:07:08,099 stunted and finally we discover that 153 00:07:08,099 --> 00:07:10,889 malnutrition exists even in places where 154 00:07:10,889 --> 00:07:14,250 agriculture is the main livelihood like 155 00:07:14,250 --> 00:07:17,219 here in northern Nigeria an agricultural 156 00:07:17,219 --> 00:07:19,740 hub when a lot of the country's produce 157 00:07:19,740 --> 00:07:22,529 is grown a large part of the North can 158 00:07:22,529 --> 00:07:24,629 support year-round production making it 159 00:07:24,629 --> 00:07:26,759 a steady supply of food for both the 160 00:07:26,759 --> 00:07:29,849 north and other parts of the country yet 161 00:07:29,849 --> 00:07:32,189 despite the abundance of food including 162 00:07:32,189 --> 00:07:34,849 nutrition rich fruits and vegetables 163 00:07:34,849 --> 00:07:39,050 malnutrition is widespread here as well 164 00:07:39,050 --> 00:07:41,879 the other bad news is that if we look 165 00:07:41,879 --> 00:07:44,550 back over the years we don't seem to be 166 00:07:44,550 --> 00:07:47,969 making progress very quickly for more 167 00:07:47,969 --> 00:07:50,099 than a decade the rate of chronic 168 00:07:50,099 --> 00:07:52,589 malnutrition or stuntin has stagnated at 169 00:07:52,589 --> 00:07:54,990 around 40 percent with little 170 00:07:54,990 --> 00:07:57,449 improvement across the years and while 171 00:07:57,449 --> 00:07:59,339 we do see some improvement in the most 172 00:07:59,339 --> 00:08:02,430 recent survey in 2013 still more than 173 00:08:02,430 --> 00:08:04,529 one third of children across the nation 174 00:08:04,529 --> 00:08:07,700 are stunted in this 175 00:08:07,700 --> 00:08:10,130 of the regions we have a bird's-eye view 176 00:08:10,130 --> 00:08:12,920 of stunting levels across the country we 177 00:08:12,920 --> 00:08:14,900 can see that even in the areas with the 178 00:08:14,900 --> 00:08:17,600 lowest rates such as the south south and 179 00:08:17,600 --> 00:08:20,930 the southeast nearly one out of five 180 00:08:20,930 --> 00:08:23,210 children are stunted and in the 181 00:08:23,210 --> 00:08:25,790 northwest and the Northeast about half 182 00:08:25,790 --> 00:08:27,530 of all children are chronically 183 00:08:27,530 --> 00:08:29,800 malnourished 184 00:08:30,300 --> 00:08:32,110 according to the World Health 185 00:08:32,110 --> 00:08:35,080 Organization's recommendations after the 186 00:08:35,080 --> 00:08:37,750 sixth month of life children must be fed 187 00:08:37,750 --> 00:08:40,150 a variety of foods to make sure they 188 00:08:40,150 --> 00:08:43,030 receive all the nutrients they need but 189 00:08:43,030 --> 00:08:45,940 a national survey shows that two out of 190 00:08:45,940 --> 00:08:48,520 every three children are not receiving 191 00:08:48,520 --> 00:08:51,430 the right foods many are eating only 192 00:08:51,430 --> 00:08:54,340 starches like cassava and rice and they 193 00:08:54,340 --> 00:08:56,290 are not eating those vitamin rich fruits 194 00:08:56,290 --> 00:08:58,690 and vegetables or animal source foods 195 00:08:58,690 --> 00:09:02,020 like meat fish and eggs that provide the 196 00:09:02,020 --> 00:09:05,920 body's basic building blocks let's now 197 00:09:05,920 --> 00:09:08,560 turn to our trend graph or bubble chart 198 00:09:08,560 --> 00:09:11,110 and focus on the rate of exclusive 199 00:09:11,110 --> 00:09:13,480 breastfeeding over time in Nigeria and 200 00:09:13,480 --> 00:09:16,600 compare that to Ghana on the Left axis 201 00:09:16,600 --> 00:09:19,150 we have the percent of infants under 6 202 00:09:19,150 --> 00:09:21,610 months who are exclusively breastfed 203 00:09:21,610 --> 00:09:24,490 this axis goes from zero to eighty 204 00:09:24,490 --> 00:09:27,670 percent on the bottom axis we have time 205 00:09:27,670 --> 00:09:29,530 which goes from nineteen ninety four 206 00:09:29,530 --> 00:09:34,870 through 2013 in 1994 both Nigeria and 207 00:09:34,870 --> 00:09:37,210 Ghana had about seven percent of infants 208 00:09:37,210 --> 00:09:39,790 who were exclusively breastfed which is 209 00:09:39,790 --> 00:09:42,850 very very low let's play this forward 210 00:09:42,850 --> 00:09:44,560 now and watch what happens over the 211 00:09:44,560 --> 00:09:47,530 course of time in each country and we 212 00:09:47,530 --> 00:09:49,330 see right away that the percent of 213 00:09:49,330 --> 00:09:51,040 children exclusively breastfed in 214 00:09:51,040 --> 00:09:52,900 Ghana's starts to go up dramatically and 215 00:09:52,900 --> 00:09:55,500 it goes higher and then even higher 216 00:09:55,500 --> 00:09:59,050 until by 2013 sixty-three percent of 217 00:09:59,050 --> 00:10:01,000 infants are almost two out of every 218 00:10:01,000 --> 00:10:03,370 three infants in Ghana I exclusively 219 00:10:03,370 --> 00:10:05,950 breastfed while in Nigeria only 220 00:10:05,950 --> 00:10:08,080 seventeen percent of infants are about 221 00:10:08,080 --> 00:10:09,700 one in every eight infants are 222 00:10:09,700 --> 00:10:12,970 exclusively breastfed so what they gonna 223 00:10:12,970 --> 00:10:16,810 do to achieve this well since the early 224 00:10:16,810 --> 00:10:19,720 1990s they have implemented a mix of 225 00:10:19,720 --> 00:10:21,970 policies and community and facility 226 00:10:21,970 --> 00:10:24,700 based interventions to promote exclusive 227 00:10:24,700 --> 00:10:27,250 breastfeeding and the government never 228 00:10:27,250 --> 00:10:29,440 stopped making it a high priority over 229 00:10:29,440 --> 00:10:32,920 the decades if Nigeria could scale up 230 00:10:32,920 --> 00:10:35,140 its successful programs and policies and 231 00:10:35,140 --> 00:10:37,390 mobilize a similar combination of 232 00:10:37,390 --> 00:10:40,210 political will we too could make more 233 00:10:40,210 --> 00:10:42,820 rapid progress in this area 234 00:10:42,820 --> 00:10:47,360 we know we can do this because we know 235 00:10:47,360 --> 00:10:51,019 what makes a difference for well tested 236 00:10:51,019 --> 00:10:52,790 sets of interventions can protect 237 00:10:52,790 --> 00:10:55,089 mothers and children beginning with 238 00:10:55,089 --> 00:10:57,769 making sure that babies are put to the 239 00:10:57,769 --> 00:10:59,480 breast in the first half hour after 240 00:10:59,480 --> 00:11:02,209 birth and a breastfed exclusively for 241 00:11:02,209 --> 00:11:04,610 the first six months without any other 242 00:11:04,610 --> 00:11:07,490 foods or liquids not even one drop of 243 00:11:07,490 --> 00:11:11,060 water and secondly that mothers start 244 00:11:11,060 --> 00:11:13,190 giving a variety of healthy foods after 245 00:11:13,190 --> 00:11:14,810 the first six months of life in 246 00:11:14,810 --> 00:11:17,180 sufficient quantities along with 247 00:11:17,180 --> 00:11:19,430 continued breastfeeding through two 248 00:11:19,430 --> 00:11:23,029 years or beyond thirdly making sure that 249 00:11:23,029 --> 00:11:25,220 mothers and children have access to the 250 00:11:25,220 --> 00:11:27,529 right amount of foods and the right 251 00:11:27,529 --> 00:11:30,649 variety of foods so that all family 252 00:11:30,649 --> 00:11:32,660 members are consuming essential vitamins 253 00:11:32,660 --> 00:11:35,880 and minerals regularly 254 00:11:35,880 --> 00:11:38,850 and lastly making sure that parents and 255 00:11:38,850 --> 00:11:40,830 caregivers get the information and 256 00:11:40,830 --> 00:11:42,810 support that they need to feed their 257 00:11:42,810 --> 00:11:44,960 children in the best way possible 258 00:11:44,960 --> 00:11:47,520 research tells us that nutrition is a 259 00:11:47,520 --> 00:11:50,160 best buy in today's financially strapped 260 00:11:50,160 --> 00:11:52,380 environment because investments in 261 00:11:52,380 --> 00:11:57,720 nutrition pay for themselves healthy 262 00:11:57,720 --> 00:12:07,110 nutrition during the 1800 producing 263 00:12:07,110 --> 00:12:09,330 stronger football players healthier 264 00:12:09,330 --> 00:12:11,370 children complete more years in school 265 00:12:11,370 --> 00:12:14,160 and have better performance which leads 266 00:12:14,160 --> 00:12:16,710 to increased personal income and can add 267 00:12:16,710 --> 00:12:18,630 at least ten percent to lifetime 268 00:12:18,630 --> 00:12:21,630 earnings since healthy nutrition in the 269 00:12:21,630 --> 00:12:23,970 1000 a window can increase educational 270 00:12:23,970 --> 00:12:26,670 performance well nourished children grow 271 00:12:26,670 --> 00:12:28,830 into a more productive labor force as 272 00:12:28,830 --> 00:12:31,860 adults and that can mean a boost in GDP 273 00:12:31,860 --> 00:12:34,140 growth by as much as eleven percent 274 00:12:34,140 --> 00:12:36,690 annually for the country and if we look 275 00:12:36,690 --> 00:12:39,180 at the cost of benefit ratio the cost of 276 00:12:39,180 --> 00:12:41,070 key nutrition interventions compared 277 00:12:41,070 --> 00:12:43,410 with the benefits investment in 278 00:12:43,410 --> 00:12:46,410 nutrition produces returns up to 25 279 00:12:46,410 --> 00:12:47,970 times greater than the initial 280 00:12:47,970 --> 00:12:51,990 investment in other words for every 100 281 00:12:51,990 --> 00:12:54,090 thousand naira spent on key nutrition 282 00:12:54,090 --> 00:12:57,000 interventions we would generate 2.5 283 00:12:57,000 --> 00:13:00,150 million naira in economic returns so 284 00:13:00,150 --> 00:13:01,890 scaling up nutrition interventions can 285 00:13:01,890 --> 00:13:04,140 go a long way toward generating 286 00:13:04,140 --> 00:13:06,380 broad-based wealth in Nigeria 287 00:13:06,380 --> 00:13:10,070 malnutrition is a national problem 288 00:13:10,070 --> 00:13:13,080 finding solutions must be a shared 289 00:13:13,080 --> 00:13:16,290 responsibility we have the evidence and 290 00:13:16,290 --> 00:13:20,640 we know what works we ask that you speak 291 00:13:20,640 --> 00:13:23,040 out and help us advocate for reducing 292 00:13:23,040 --> 00:13:25,650 malnutrition drawing attention to the 293 00:13:25,650 --> 00:13:27,660 urgent nutritional needs of pregnant 294 00:13:27,660 --> 00:13:29,780 women and their unborn children and 295 00:13:29,780 --> 00:13:31,740 supporting mothers in proper 296 00:13:31,740 --> 00:13:34,020 breastfeeding and infant and young child 297 00:13:34,020 --> 00:13:37,020 feeding practices we ask you to ensure 298 00:13:37,020 --> 00:13:39,330 that key nutrition interventions are 299 00:13:39,330 --> 00:13:41,610 integrated into development strategies 300 00:13:41,610 --> 00:13:44,690 across all sectors including finance 301 00:13:44,690 --> 00:13:48,630 planning agriculture education women 302 00:13:48,630 --> 00:13:49,379 affairs and 303 00:13:49,379 --> 00:13:52,079 social development environment and water 304 00:13:52,079 --> 00:13:54,839 we ask that you help us coordinate 305 00:13:54,839 --> 00:13:56,759 programs and policy efforts for 306 00:13:56,759 --> 00:13:58,739 nutrition among the different ministries 307 00:13:58,739 --> 00:14:02,220 and stakeholders one first step is to 308 00:14:02,220 --> 00:14:04,739 support the National Committee on food 309 00:14:04,739 --> 00:14:07,079 and nutrition headed by the National 310 00:14:07,079 --> 00:14:09,359 Planning Commission to ensure that all 311 00:14:09,359 --> 00:14:11,939 nutrition interventions support and 312 00:14:11,939 --> 00:14:15,959 reinforce one another and lastly we ask 313 00:14:15,959 --> 00:14:18,329 you to help mobilize more funds for 314 00:14:18,329 --> 00:14:21,269 nutrition interventions we need explicit 315 00:14:21,269 --> 00:14:23,999 budget line items devoted to nutrition 316 00:14:23,999 --> 00:14:26,189 in the health budget in the agriculture 317 00:14:26,189 --> 00:14:28,499 budget and in state budget if we are 318 00:14:28,499 --> 00:14:30,749 truly serious about making a difference 319 00:14:30,749 --> 00:14:33,509 with malnutrition we can't afford to 320 00:14:33,509 --> 00:14:36,779 lose any opportunities by investing in 321 00:14:36,779 --> 00:14:40,439 simple cost-effective interventions we 322 00:14:40,439 --> 00:14:42,899 can ensure that every child reaches his 323 00:14:42,899 --> 00:14:45,869 or her full potential reduce illness and 324 00:14:45,869 --> 00:14:48,479 death in mothers and children and help 325 00:14:48,479 --> 00:14:50,879 ensure stronger economic growth in the 326 00:14:50,879 --> 00:14:54,569 future by staying positive and working 327 00:14:54,569 --> 00:14:56,420 together 328 00:14:56,420 --> 00:15:00,980 we can build on our past achievements we 329 00:15:00,980 --> 00:15:03,079 can stop the silent crisis of 330 00:15:03,079 --> 00:15:07,610 malnutrition and scale-up interventions 331 00:15:07,610 --> 00:15:12,470 for those most in need and we can wipe 332 00:15:12,470 --> 00:15:15,889 out malnutrition in Nigeria once and for 333 00:15:15,889 --> 00:15:18,880 all 334 00:15:29,990 --> 00:15:32,050 bye 335 00:15:40,110 --> 00:00:00,000 you	English SRT 1 00:00:11,330 --> 00:00:15,900 As we look back across the decades in 2 00:00:15,900 --> 00:00:17,940 Nigeria, we have witnessed some 3 00:00:17,940 --> 00:00:20,520 remarkable achievements. More children 4 00:00:20,520 --> 00:00:23,130 are surviving, with child deaths dropping 5 00:00:23,130 --> 00:00:24,480 from twenty-two percent (22%) of children 6 00:00:24,480 --> 00:00:27,750 under five in 1980, to thirteen percent (13%) in 7 00:00:27,750 --> 00:00:32,759 2013. Our economy is growing with income 8 00:00:32,759 --> 00:00:35,850 rising from about 150 thousand naira per 9 00:00:35,850 --> 00:00:40,379 person to 350,000 naira per person in 2011. 10 00:00:40,379 --> 00:00:43,760 And we are better connected with about 11 00:00:43,760 --> 00:00:47,399 150 million subscribers or about 12 00:00:47,399 --> 00:00:49,219 sixty-eight percent of the population 13 00:00:49,219 --> 00:00:53,730 using cell phones today we are a nation 14 00:00:53,730 --> 00:00:57,480 on the move but there is one challenge 15 00:00:57,480 --> 00:01:01,379 when we are sadly behind malnutrition in 16 00:01:01,379 --> 00:01:04,110 mothers and children which continues to 17 00:01:04,110 --> 00:01:06,360 impose a staggering cost to the nation 18 00:01:06,360 --> 00:01:09,090 despite having the solutions today 19 00:01:09,090 --> 00:01:11,820 malnutrition contributes to the deaths 20 00:01:11,820 --> 00:01:13,890 of an estimated half a million children 21 00:01:13,890 --> 00:01:16,530 under the age of five each year in 22 00:01:16,530 --> 00:01:20,250 Nigeria or about one out of every two 23 00:01:20,250 --> 00:01:23,830 child deaths so what has 24 00:01:23,830 --> 00:01:25,780 experience on nutrition programs taught 25 00:01:25,780 --> 00:01:29,590 us over the years well the story starts 26 00:01:29,590 --> 00:01:31,720 in the 1000 a window of opportunity 27 00:01:31,720 --> 00:01:34,990 between pregnancy and a child's second 28 00:01:34,990 --> 00:01:38,140 birthday this period becomes the best 29 00:01:38,140 --> 00:01:40,840 shot at helping a child reach his or her 30 00:01:40,840 --> 00:01:43,890 potential and sets the stage for life 31 00:01:43,890 --> 00:01:46,210 let's take a closer look at just how 32 00:01:46,210 --> 00:01:48,700 critical this period is starting in the 33 00:01:48,700 --> 00:01:51,820 womb before birth the fetus is at risk 34 00:01:51,820 --> 00:01:54,100 if the mother lacks essential vitamins 35 00:01:54,100 --> 00:01:56,979 minerals and nutrients needed for brain 36 00:01:56,979 --> 00:02:00,670 bone and organ development many pregnant 37 00:02:00,670 --> 00:02:02,740 women in nigeria's suffer from anemia 38 00:02:02,740 --> 00:02:05,290 during pregnancy which can cause health 39 00:02:05,290 --> 00:02:08,679 problems for the baby once the baby is 40 00:02:08,679 --> 00:02:11,250 born from birth to the first six months 41 00:02:11,250 --> 00:02:14,380 early an exclusive breastfeeding without 42 00:02:14,380 --> 00:02:16,870 adding any other foods or liquids is the 43 00:02:16,870 --> 00:02:19,120 very best way to ensure a healthy baby 44 00:02:19,120 --> 00:02:22,300 and after the first six months of life 45 00:02:22,300 --> 00:02:24,310 add in sufficient quantities of 46 00:02:24,310 --> 00:02:26,620 nutritious solid food along with 47 00:02:26,620 --> 00:02:29,170 continued breastfeeding is absolutely 48 00:02:29,170 --> 00:02:31,269 necessary to make sure that the child 49 00:02:31,269 --> 00:02:34,480 grows correctly most stunting happens in 50 00:02:34,480 --> 00:02:40,930 this critical period there is no going 51 00:02:40,930 --> 00:02:43,170 back 52 00:02:43,280 --> 00:02:45,830 the cost of malnutrition during this 53 00:02:45,830 --> 00:02:48,580 1000 a window is almost always 54 00:02:48,580 --> 00:02:52,580 irreversible damage to the brain leading 55 00:02:52,580 --> 00:02:54,470 to poor educational performance and 56 00:02:54,470 --> 00:02:57,650 lower IQ poor growth and development are 57 00:02:57,650 --> 00:02:59,560 remarkably this early deprivation 58 00:02:59,560 --> 00:03:01,910 increases a child's risk of developing 59 00:03:01,910 --> 00:03:05,510 chronic diseases as an adult chronic 60 00:03:05,510 --> 00:03:07,610 diseases like diabetes high blood 61 00:03:07,610 --> 00:03:10,280 pressure and heart disease or requiring 62 00:03:10,280 --> 00:03:13,460 medical attention later in life 63 00:03:13,460 --> 00:03:15,520 another huge challenge is that 64 00:03:15,520 --> 00:03:17,990 malnutrition in children can happen and 65 00:03:17,990 --> 00:03:20,540 persist for years and we can't always 66 00:03:20,540 --> 00:03:24,080 see it these two little boys are both 67 00:03:24,080 --> 00:03:26,360 from the same village can you guess how 68 00:03:26,360 --> 00:03:29,870 old each boy is both boys are the same 69 00:03:29,870 --> 00:03:33,080 age they are both eight years old but 70 00:03:33,080 --> 00:03:35,210 they show very different levels of 71 00:03:35,210 --> 00:03:37,850 development the little boy on the left 72 00:03:37,850 --> 00:03:40,460 is stunted this means that he has short 73 00:03:40,460 --> 00:03:42,590 stature for his age due to chronic 74 00:03:42,590 --> 00:03:45,320 malnutrition and it's unlikely that he 75 00:03:45,320 --> 00:03:46,760 will ever catch up and reach his full 76 00:03:46,760 --> 00:03:49,280 height or his full potential like his 77 00:03:49,280 --> 00:03:52,810 taller village playmate on the right 78 00:03:52,970 --> 00:03:55,190 the invisible nature of chronic 79 00:03:55,190 --> 00:03:57,470 malnutrition also sets up a pattern that 80 00:03:57,470 --> 00:03:59,690 we see happening generation after 81 00:03:59,690 --> 00:04:02,960 generation this intergenerational cycle 82 00:04:02,960 --> 00:04:04,850 of growth failure starts with a 83 00:04:04,850 --> 00:04:07,520 malnourished woman when mothers are 84 00:04:07,520 --> 00:04:09,830 malnourished or stunted they are at 85 00:04:09,830 --> 00:04:11,450 greater risk of complications during 86 00:04:11,450 --> 00:04:14,330 pregnancy and childbirth they also have 87 00:04:14,330 --> 00:04:16,190 a greater risk of delivering an infant 88 00:04:16,190 --> 00:04:18,529 with low birth weight like this baby 89 00:04:18,529 --> 00:04:20,720 girl here who is at higher risk of 90 00:04:20,720 --> 00:04:23,360 illness and death and at higher risk of 91 00:04:23,360 --> 00:04:25,010 delayed emotional and intellectual 92 00:04:25,010 --> 00:04:28,130 development and also more likely to 93 00:04:28,130 --> 00:04:30,290 suffer from growth failure in those 94 00:04:30,290 --> 00:04:32,030 important early developmental years 95 00:04:32,030 --> 00:04:34,940 which in turn lead to low weight and 96 00:04:34,940 --> 00:04:37,700 stunting in the teen years those teen 97 00:04:37,700 --> 00:04:39,470 years that are critical for growth and 98 00:04:39,470 --> 00:04:41,390 development and the time when 99 00:04:41,390 --> 00:04:43,520 adolescents gained almost fifty percent 100 00:04:43,520 --> 00:04:45,919 of their adult body weight and twenty 101 00:04:45,919 --> 00:04:48,860 percent of their adult height and that 102 00:04:48,860 --> 00:04:50,810 takes us back to the malnourished woman 103 00:04:50,810 --> 00:04:53,480 and the cycle of poor nutrition 104 00:04:53,480 --> 00:04:55,730 perpetuates itself generation after 105 00:04:55,730 --> 00:05:00,200 generation turning now to our Google 106 00:05:00,200 --> 00:05:02,750 Earth satellite map we're going to zoom 107 00:05:02,750 --> 00:05:05,540 in on Nigeria and start our tour in the 108 00:05:05,540 --> 00:05:08,780 bustling city of Abuja here we are 109 00:05:08,780 --> 00:05:10,400 looking into the national stadium 110 00:05:10,400 --> 00:05:13,100 located on the eastern side of the city 111 00:05:13,100 --> 00:05:17,930 as we move toward the central area we 112 00:05:17,930 --> 00:05:20,380 get a sense of how much Abuja has grown 113 00:05:20,380 --> 00:05:23,240 although people often think that here in 114 00:05:23,240 --> 00:05:25,729 the seat of power malnutrition is not 115 00:05:25,729 --> 00:05:29,240 really a problem they are wrong recent 116 00:05:29,240 --> 00:05:31,220 reports show that one out of five 117 00:05:31,220 --> 00:05:34,460 children in Abuja are stunted handing 118 00:05:34,460 --> 00:05:36,890 over to Lagos we're going to focus our 119 00:05:36,890 --> 00:05:39,460 attention on the slum area of machine a 120 00:05:39,460 --> 00:05:42,470 densely populated area which is home to 121 00:05:42,470 --> 00:05:45,229 over half a million people full of 122 00:05:45,229 --> 00:05:47,060 informal settlements and poor living 123 00:05:47,060 --> 00:05:49,520 conditions malnutrition affects the 124 00:05:49,520 --> 00:05:51,830 lives of most families with more than 125 00:05:51,830 --> 00:05:55,220 one third of children stunted although 126 00:05:55,220 --> 00:05:56,960 the rate of malnutrition definitely 127 00:05:56,960 --> 00:05:59,510 increases with poverty it is not a 128 00:05:59,510 --> 00:06:03,410 problem that is unique to the poor if we 129 00:06:03,410 --> 00:06:04,889 move to equally one 130 00:06:04,889 --> 00:06:07,499 the wealthier locations in Lagos we can 131 00:06:07,499 --> 00:06:09,599 see some of the big houses and luxurious 132 00:06:09,599 --> 00:06:12,270 swimming pools it's easy to assume that 133 00:06:12,270 --> 00:06:14,159 wealthy families do not suffer from 134 00:06:14,159 --> 00:06:16,529 malnutrition how could they be 135 00:06:16,529 --> 00:06:18,409 malnourished kids in this neighborhood 136 00:06:18,409 --> 00:06:21,779 yet thirteen percent of children born to 137 00:06:21,779 --> 00:06:24,330 the richest families in Nigeria also 138 00:06:24,330 --> 00:06:28,590 suffer from stunting as we continue our 139 00:06:28,590 --> 00:06:31,499 tour we learned that there is no part of 140 00:06:31,499 --> 00:06:33,330 the country that is immune to 141 00:06:33,330 --> 00:06:37,349 malnutrition here we are along the river 142 00:06:37,349 --> 00:06:39,930 in the Niger Delta region where the land 143 00:06:39,930 --> 00:06:42,689 is rich in petroleum and many families 144 00:06:42,689 --> 00:06:44,939 rely on fishing or farming for their 145 00:06:44,939 --> 00:06:47,759 nutritional needs but the area's 146 00:06:47,759 --> 00:06:50,159 abundant supply of natural resources is 147 00:06:50,159 --> 00:06:53,069 not enough to ensure proper nutrition 148 00:06:53,069 --> 00:06:56,300 for those living in this area 149 00:06:56,300 --> 00:06:58,830 malnutrition is a major problem in the 150 00:06:58,830 --> 00:07:01,710 Delta especially among children where we 151 00:07:01,710 --> 00:07:03,719 find that one out of five children are 152 00:07:03,719 --> 00:07:08,099 stunted and finally we discover that 153 00:07:08,099 --> 00:07:10,889 malnutrition exists even in places where 154 00:07:10,889 --> 00:07:14,250 agriculture is the main livelihood like 155 00:07:14,250 --> 00:07:17,219 here in northern Nigeria an agricultural 156 00:07:17,219 --> 00:07:19,740 hub when a lot of the country's produce 157 00:07:19,740 --> 00:07:22,529 is grown a large part of the North can 158 00:07:22,529 --> 00:07:24,629 support year-round production making it 159 00:07:24,629 --> 00:07:26,759 a steady supply of food for both the 160 00:07:26,759 --> 00:07:29,849 north and other parts of the country yet 161 00:07:29,849 --> 00:07:32,189 despite the abundance of food including 162 00:07:32,189 --> 00:07:34,849 nutrition rich fruits and vegetables 163 00:07:34,849 --> 00:07:39,050 malnutrition is widespread here as well 164 00:07:39,050 --> 00:07:41,879 the other bad news is that if we look 165 00:07:41,879 --> 00:07:44,550 back over the years we don't seem to be 166 00:07:44,550 --> 00:07:47,969 making progress very quickly for more 167 00:07:47,969 --> 00:07:50,099 than a decade the rate of chronic 168 00:07:50,099 --> 00:07:52,589 malnutrition or stuntin has stagnated at 169 00:07:52,589 --> 00:07:54,990 around 40 percent with little 170 00:07:54,990 --> 00:07:57,449 improvement across the years and while 171 00:07:57,449 --> 00:07:59,339 we do see some improvement in the most 172 00:07:59,339 --> 00:08:02,430 recent survey in 2013 still more than 173 00:08:02,430 --> 00:08:04,529 one third of children across the nation 174 00:08:04,529 --> 00:08:07,700 are stunted in this 175 00:08:07,700 --> 00:08:10,130 of the regions we have a bird's-eye view 176 00:08:10,130 --> 00:08:12,920 of stunting levels across the country we 177 00:08:12,920 --> 00:08:14,900 can see that even in the areas with the 178 00:08:14,900 --> 00:08:17,600 lowest rates such as the south south and 179 00:08:17,600 --> 00:08:20,930 the southeast nearly one out of five 180 00:08:20,930 --> 00:08:23,210 children are stunted and in the 181 00:08:23,210 --> 00:08:25,790 northwest and the Northeast about half 182 00:08:25,790 --> 00:08:27,530 of all children are chronically 183 00:08:27,530 --> 00:08:29,800 malnourished 184 00:08:30,300 --> 00:08:32,110 according to the World Health 185 00:08:32,110 --> 00:08:35,080 Organization's recommendations after the 186 00:08:35,080 --> 00:08:37,750 sixth month of life children must be fed 187 00:08:37,750 --> 00:08:40,150 a variety of foods to make sure they 188 00:08:40,150 --> 00:08:43,030 receive all the nutrients they need but 189 00:08:43,030 --> 00:08:45,940 a national survey shows that two out of 190 00:08:45,940 --> 00:08:48,520 every three children are not receiving 191 00:08:48,520 --> 00:08:51,430 the right foods many are eating only 192 00:08:51,430 --> 00:08:54,340 starches like cassava and rice and they 193 00:08:54,340 --> 00:08:56,290 are not eating those vitamin rich fruits 194 00:08:56,290 --> 00:08:58,690 and vegetables or animal source foods 195 00:08:58,690 --> 00:09:02,020 like meat fish and eggs that provide the 196 00:09:02,020 --> 00:09:05,920 body's basic building blocks let's now 197 00:09:05,920 --> 00:09:08,560 turn to our trend graph or bubble chart 198 00:09:08,560 --> 00:09:11,110 and focus on the rate of exclusive 199 00:09:11,110 --> 00:09:13,480 breastfeeding over time in Nigeria and 200 00:09:13,480 --> 00:09:16,600 compare that to Ghana on the Left axis 201 00:09:16,600 --> 00:09:19,150 we have the percent of infants under 6 202 00:09:19,150 --> 00:09:21,610 months who are exclusively breastfed 203 00:09:21,610 --> 00:09:24,490 this axis goes from zero to eighty 204 00:09:24,490 --> 00:09:27,670 percent on the bottom axis we have time 205 00:09:27,670 --> 00:09:29,530 which goes from nineteen ninety four 206 00:09:29,530 --> 00:09:34,870 through 2013 in 1994 both Nigeria and 207 00:09:34,870 --> 00:09:37,210 Ghana had about seven percent of infants 208 00:09:37,210 --> 00:09:39,790 who were exclusively breastfed which is 209 00:09:39,790 --> 00:09:42,850 very very low let's play this forward 210 00:09:42,850 --> 00:09:44,560 now and watch what happens over the 211 00:09:44,560 --> 00:09:47,530 course of time in each country and we 212 00:09:47,530 --> 00:09:49,330 see right away that the percent of 213 00:09:49,330 --> 00:09:51,040 children exclusively breastfed in 214 00:09:51,040 --> 00:09:52,900 Ghana's starts to go up dramatically and 215 00:09:52,900 --> 00:09:55,500 it goes higher and then even higher 216 00:09:55,500 --> 00:09:59,050 until by 2013 sixty-three percent of 217 00:09:59,050 --> 00:10:01,000 infants are almost two out of every 218 00:10:01,000 --> 00:10:03,370 three infants in Ghana I exclusively 219 00:10:03,370 --> 00:10:05,950 breastfed while in Nigeria only 220 00:10:05,950 --> 00:10:08,080 seventeen percent of infants are about 221 00:10:08,080 --> 00:10:09,700 one in every eight infants are 222 00:10:09,700 --> 00:10:12,970 exclusively breastfed so what they gonna 223 00:10:12,970 --> 00:10:16,810 do to achieve this well since the early 224 00:10:16,810 --> 00:10:19,720 1990s they have implemented a mix of 225 00:10:19,720 --> 00:10:21,970 policies and community and facility 226 00:10:21,970 --> 00:10:24,700 based interventions to promote exclusive 227 00:10:24,700 --> 00:10:27,250 breastfeeding and the government never 228 00:10:27,250 --> 00:10:29,440 stopped making it a high priority over 229 00:10:29,440 --> 00:10:32,920 the decades if Nigeria could scale up 230 00:10:32,920 --> 00:10:35,140 its successful programs and policies and 231 00:10:35,140 --> 00:10:37,390 mobilize a similar combination of 232 00:10:37,390 --> 00:10:40,210 political will we too could make more 233 00:10:40,210 --> 00:10:42,820 rapid progress in this area 234 00:10:42,820 --> 00:10:47,360 we know we can do this because we know 235 00:10:47,360 --> 00:10:51,019 what makes a difference for well tested 236 00:10:51,019 --> 00:10:52,790 sets of interventions can protect 237 00:10:52,790 --> 00:10:55,089 mothers and children beginning with 238 00:10:55,089 --> 00:10:57,769 making sure that babies are put to the 239 00:10:57,769 --> 00:10:59,480 breast in the first half hour after 240 00:10:59,480 --> 00:11:02,209 birth and a breastfed exclusively for 241 00:11:02,209 --> 00:11:04,610 the first six months without any other 242 00:11:04,610 --> 00:11:07,490 foods or liquids not even one drop of 243 00:11:07,490 --> 00:11:11,060 water and secondly that mothers start 244 00:11:11,060 --> 00:11:13,190 giving a variety of healthy foods after 245 00:11:13,190 --> 00:11:14,810 the first six months of life in 246 00:11:14,810 --> 00:11:17,180 sufficient quantities along with 247 00:11:17,180 --> 00:11:19,430 continued breastfeeding through two 248 00:11:19,430 --> 00:11:23,029 years or beyond thirdly making sure that 249 00:11:23,029 --> 00:11:25,220 mothers and children have access to the 250 00:11:25,220 --> 00:11:27,529 right amount of foods and the right 251 00:11:27,529 --> 00:11:30,649 variety of foods so that all family 252 00:11:30,649 --> 00:11:32,660 members are consuming essential vitamins 253 00:11:32,660 --> 00:11:35,880 and minerals regularly 254 00:11:35,880 --> 00:11:38,850 and lastly making sure that parents and 255 00:11:38,850 --> 00:11:40,830 caregivers get the information and 256 00:11:40,830 --> 00:11:42,810 support that they need to feed their 257 00:11:42,810 --> 00:11:44,960 children in the best way possible 258 00:11:44,960 --> 00:11:47,520 research tells us that nutrition is a 259 00:11:47,520 --> 00:11:50,160 best buy in today's financially strapped 260 00:11:50,160 --> 00:11:52,380 environment because investments in 261 00:11:52,380 --> 00:11:57,720 nutrition pay for themselves healthy 262 00:11:57,720 --> 00:12:07,110 nutrition during the 1800 producing 263 00:12:07,110 --> 00:12:09,330 stronger football players healthier 264 00:12:09,330 --> 00:12:11,370 children complete more years in school 265 00:12:11,370 --> 00:12:14,160 and have better performance which leads 266 00:12:14,160 --> 00:12:16,710 to increased personal income and can add 267 00:12:16,710 --> 00:12:18,630 at least ten percent to lifetime 268 00:12:18,630 --> 00:12:21,630 earnings since healthy nutrition in the 269 00:12:21,630 --> 00:12:23,970 1000 a window can increase educational 270 00:12:23,970 --> 00:12:26,670 performance well nourished children grow 271 00:12:26,670 --> 00:12:28,830 into a more productive labor force as 272 00:12:28,830 --> 00:12:31,860 adults and that can mean a boost in GDP 273 00:12:31,860 --> 00:12:34,140 growth by as much as eleven percent 274 00:12:34,140 --> 00:12:36,690 annually for the country and if we look 275 00:12:36,690 --> 00:12:39,180 at the cost of benefit ratio the cost of 276 00:12:39,180 --> 00:12:41,070 key nutrition interventions compared 277 00:12:41,070 --> 00:12:43,410 with the benefits investment in 278 00:12:43,410 --> 00:12:46,410 nutrition produces returns up to 25 279 00:12:46,410 --> 00:12:47,970 times greater than the initial 280 00:12:47,970 --> 00:12:51,990 investment in other words for every 100 281 00:12:51,990 --> 00:12:54,090 thousand naira spent on key nutrition 282 00:12:54,090 --> 00:12:57,000 interventions we would generate 2.5 283 00:12:57,000 --> 00:13:00,150 million naira in economic returns so 284 00:13:00,150 --> 00:13:01,890 scaling up nutrition interventions can 285 00:13:01,890 --> 00:13:04,140 go a long way toward generating 286 00:13:04,140 --> 00:13:06,380 broad-based wealth in Nigeria 287 00:13:06,380 --> 00:13:10,070 malnutrition is a national problem 288 00:13:10,070 --> 00:13:13,080 finding solutions must be a shared 289 00:13:13,080 --> 00:13:16,290 responsibility we have the evidence and 290 00:13:16,290 --> 00:13:20,640 we know what works we ask that you speak 291 00:13:20,640 --> 00:13:23,040 out and help us advocate for reducing 292 00:13:23,040 --> 00:13:25,650 malnutrition drawing attention to the 293 00:13:25,650 --> 00:13:27,660 urgent nutritional needs of pregnant 294 00:13:27,660 --> 00:13:29,780 women and their unborn children and 295 00:13:29,780 --> 00:13:31,740 supporting mothers in proper 296 00:13:31,740 --> 00:13:34,020 breastfeeding and infant and young child 297 00:13:34,020 --> 00:13:37,020 feeding practices we ask you to ensure 298 00:13:37,020 --> 00:13:39,330 that key nutrition interventions are 299 00:13:39,330 --> 00:13:41,610 integrated into development strategies 300 00:13:41,610 --> 00:13:44,690 across all sectors including finance 301 00:13:44,690 --> 00:13:48,630 planning agriculture education women 302 00:13:48,630 --> 00:13:49,379 affairs and 303 00:13:49,379 --> 00:13:52,079 social development environment and water 304 00:13:52,079 --> 00:13:54,839 we ask that you help us coordinate 305 00:13:54,839 --> 00:13:56,759 programs and policy efforts for 306 00:13:56,759 --> 00:13:58,739 nutrition among the different ministries 307 00:13:58,739 --> 00:14:02,220 and stakeholders one first step is to 308 00:14:02,220 --> 00:14:04,739 support the National Committee on food 309 00:14:04,739 --> 00:14:07,079 and nutrition headed by the National 310 00:14:07,079 --> 00:14:09,359 Planning Commission to ensure that all 311 00:14:09,359 --> 00:14:11,939 nutrition interventions support and 312 00:14:11,939 --> 00:14:15,959 reinforce one another and lastly we ask 313 00:14:15,959 --> 00:14:18,329 you to help mobilize more funds for 314 00:14:18,329 --> 00:14:21,269 nutrition interventions we need explicit 315 00:14:21,269 --> 00:14:23,999 budget line items devoted to nutrition 316 00:14:23,999 --> 00:14:26,189 in the health budget in the agriculture 317 00:14:26,189 --> 00:14:28,499 budget and in state budget if we are 318 00:14:28,499 --> 00:14:30,749 truly serious about making a difference 319 00:14:30,749 --> 00:14:33,509 with malnutrition we can't afford to 320 00:14:33,509 --> 00:14:36,779 lose any opportunities by investing in 321 00:14:36,779 --> 00:14:40,439 simple cost-effective interventions we 322 00:14:40,439 --> 00:14:42,899 can ensure that every child reaches his 323 00:14:42,899 --> 00:14:45,869 or her full potential reduce illness and 324 00:14:45,869 --> 00:14:48,479 death in mothers and children and help 325 00:14:48,479 --> 00:14:50,879 ensure stronger economic growth in the 326 00:14:50,879 --> 00:14:54,569 future by staying positive and working 327 00:14:54,569 --> 00:14:56,420 together 328 00:14:56,420 --> 00:15:00,980 we can build on our past achievements we 329 00:15:00,980 --> 00:15:03,079 can stop the silent crisis of 330 00:15:03,079 --> 00:15:07,610 malnutrition and scale-up interventions 331 00:15:07,610 --> 00:15:12,470 for those most in need and we can wipe 332 00:15:12,470 --> 00:15:15,889 out malnutrition in Nigeria once and for 333 00:15:15,889 --> 00:15:18,880 all 334 00:15:29,990 --> 00:15:32,050 bye 335 00:15:40,110 --> 00:00:00,000 you