<figure><img width="1600" height="1200" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221129151140/638619ea9c7e80680e0ccccfjpeg.jpg" alt=""/><figcaption>Young children suffering from undernutrition have poorer school achievement, diminished cognitive and language ability, and more behavioural problems. Adults who were malnourished in childhood have less economic productivity and increased incidence of health problems.</figcaption></figure>Malnutrition has long been identified as a major barrier to development in Nepal, and other low-income countries. The solution seems obvious: ensure that children eat enough of a balanced diet so they get the needed proteins, vitamins and minerals.Two recent projects set out to do just that. The first provided animal source foods (meat, fish, eggs and dairy), vegetables and a diverse diet to children in low-income farming households in Nepal’s Banke district. The second helped women in Bajura to grow vegetables in kitchen gardens. Both succeeded, but would have done even better if the beneficiary families did not face so many other obstacles.In Bajura, researchers found that ‘structural barriers’ prevented some women participants, all of who were pregnant or had children two years old or younger, from committing fully to the garden.‘Participants demonstrated high levels of knowledge about the program’s nutrition messages and expressed interest in and motivation to engage in the program,’ wrote the study’s authors. ‘However, access to water, land, and time determined the extent to which their full participation in the program was feasible.’<a href="https://www.nepalitimes.com/banner/nearly-half-of-nepali-children-still-malnourished/">Nearly half of Nepali children still malnourished</a>, Sonia Awale <img width="1600" height="1200" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221129151140/638619ef9c7e80680e0cccd0jpeg.jpg" alt="">That finding was not surprising, says Pooja Pandey Rana, deputy chief of party for the Suaahara nutrition program, the operational arm of Nepal’s multi-sector nutrition plan. Based at Helen Keller International, which carried out the garden project, Rana was a co-author of the study, ‘Navigating structural barriers to the implementation of agriculture-nutrition programs in Nepal’ published in the journal <a href="https://link.springer.com/article/10.1007/s12571-020-01031-0" data-saferedirecturl="https://www.google.com/url?q=https://link.springer.com/article/10.1007/s12571-020-01031-0&amp;source=gmail&amp;ust=1589177540738000&amp;usg=AFQjCNFVbcRmzXA6g1wjMOG3fB0pgUvJzQ">Food Security</a> in April 2020.<a href="https://www.nepalitimes.com/latest/covid-19-affecting-food-security-in-nepal-wfp/">COVID-19 affecting food security in Nepal: WFP</a>, Nepali Times“We have made massive progress on stunting, on the nutrition indicators. But on the underlying barriers, access to food, to all these resources, I think we can do a lot more and not one project can do everything,” said Rana in a telephone interview. “It also raises the question of what the broader interventions we can do in a nutrition program, and are donors ready to support them. They have their own targets, their own agenda and theory of change.”The study notes that difficulties accessing water were raised in nearly every conversation researchers had with participants and staff and in focus group discussions with female community health volunteers. In some cases, the barrier was the time required to fetch water, in others it was a ban on Dalit villagers using taps or scarcity of water overall.The research suggested solutions to overcome such barriers, at least in the short term. For water, that included ‘micro-irrigation’ equipment (sprinklers and hoses). ‘Enabling households to access such equipment, possibly by subsidising it or through community sharing schemes, could ease access to water and substantially reduce the work burden associated with kitchen garden cultivation for many participants,’ the report said.<a href="http://nepalitimes.com/article/nation/child-undernourishment-a-major-risk-after-the-earthquake,2379" target="blank" rel="noopener noreferrer">You eat what you sow</a>, Sahina ShresthaRana says that phase two of the project has incorporated some such ideas. These include training women farmers on wastewater management and forming village farmer networks so women growers can better negotiate with traders.Overall, she is optimistic, partly because of interest from local governments: “Most of the municipal leaders we’ve interacted with want to do really good, impactful work. But they need support on strategic things, for example who to contact for poultry vaccination. They need these sorts of networks and connections and capacity-building.” <img width="1600" height="1200" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221129151140/638619f29c7e80680e0cccd1jpeg.jpg" alt="">In Banke, researchers found that over four years the contribution of diet to developmental status were striking. ‘Even small changes in dietary intake were associated with impressive improvements in child developmental performance,’ wrote the authors in the journal <a href="https://onlinelibrary.wiley.com/doi/epdf/10.1111/mcn.12964" data-saferedirecturl="https://www.google.com/url?q=https://onlinelibrary.wiley.com/doi/epdf/10.1111/mcn.12964&amp;source=gmail&amp;ust=1589177540739000&amp;usg=AFQjCNHBxK1QHeXh453q39WMO2zTUc8MEg">Maternal &amp; Child Nutrition</a> in January.   But that impact was tempered by household wealth, mother’s education and ‘home environmental quality’ including such things as availability of toys, dolls, and books, interactive activities such as mothers and children reading together, telling stories, and playing, and how often the child was left alone or under the supervision of another child.‘Limited resource environments present many potential hazards to growing children, including poor nutrition, lack of medical care, increased exposure to infections, physical and emotional neglect,stress, and lack of stimulation for cognitive development ... lower educational levels of the parents (particularly the mother) are one of many additional risk factors in impoverished households.’<a href="http://nepalitimes.com/article/nation/the-face-of-hunger-debt-malnutrition,3604" target="blank" rel="noopener noreferrer">The face of hunger</a>, Om Astha Rai‘We found that child developmental scores were significantly associated with household wealth, maternal education, and the home environmental quality’, the authors concluded.Those findings echo the analysis in <a href="https://www.nepalitimes.com/opinion/newborn-deaths-and-a-vision-for-a-post-pandemic-nepal/" data-saferedirecturl="https://www.google.com/url?q=https://www.nepalitimes.com/opinion/newborn-deaths-and-a-vision-for-a-post-pandemic-nepal/&amp;source=gmail&amp;ust=1589177540739000&amp;usg=AFQjCNFcHt-4ZzGFqJg6SysOZykYQjFvvg">another recent study</a>, which concluded that Nepal’s poorest families are 50 years behind its richest households in terms of newborn health. Key risk factors for neonatal mortality were a mother’s lack of a tetanus vaccination, her education status, giving birth before the age of 20, household air pollution, poverty, and having no toilet at home.Rana says she sees hope in the next generation of women, who are different than their mothers: “Almost 70% of them have access to cell phones in Bajura. How do we use that technology to empower them? They want to do more, study more … The progress we’ve made is tremendous in terms of nutrition indicators but adolescence and youth is a missed opportunity — we need to do more.”Read also:<a href="https://archive.nepalitimes.com/article/nation/malnutrition-stunting-wasting,3603">Thought for food</a>, Marty Logan<a href="https://www.nepalitimes.com/banner/junk-food-is-making-nepali-children-shorter/">Junk food is making Nepali children shorter</a>, Marty Logan

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Food for thought for Nepal’s nutrition planners

<figure><img title="page-1a" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108151124/636a66fe9c7e80680e0599b5jpeg.jpg" alt="page-1a"/><figcaption>Photo : SHEILIN TEO</figcaption></figure>At the cusp of a new year and a new decade, Nepalis must take stock of promises not kept and the opportunities lost to take the country forward in the last 10 years.In 2010, there was optimism that with <a href="http://archive.nepalitimes.com/news.php?id=10616#.XftPE9UzbIV" target="_blank" rel="noopener">the war ended</a> and a new <a href="https://www.nepalitimes.com/here-now/nepals-constitution-3-years-later/" target="_blank" rel="noopener">constitution</a> being drafted, the country could convert stability into prosperity. The vision was turned into a political slogan, but the decade was squandered.Read also:<a href="https://www.nepalitimes.com/?p=38038&amp;preview_nonce=e8166bf726&amp;preview=true" target="_blank" rel="noopener">Another decade to get it right</a>, Editorial<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/?p=38051&amp;preview_nonce=38f8426e6c&amp;preview=true" target="_blank" rel="noopener">Nepal in 2030,</a> Sanghamitra SubbaThe most spectacular failure has been in governance, and over the past two years. Despite local elections that promised accountability and a ruling party commanding a two-thirds majority, Nepal is still drifting aimlessly without a coherent strategy for the future.But Nepal never fails to surprise. We make progress regardless of all the obstacles. This is the only low-income country with low growth that has more than halved its <a href="https://archive.nepalitimes.com/article/editorial/Nepal-%20Multidimensional-Poverty-Index,4115" target="_blank" rel="noopener">poverty rate in the past 10 years</a>. Despite conflict and disasters, and despite government, Nepal took rapid strides in human development. Imagine how much further we would have gone if we had better leadership.Read also:<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/?p=38061&amp;preview_nonce=012fb23553&amp;preview=true" target="_blank" rel="noopener">Nepal in the 2020s</a>, Sewa Bhattarai<a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/?p=38073&amp;preview_nonce=5c5e53a600&amp;preview=true" target="_blank" rel="noopener">How will Nepal develop in the next decade?,</a> Sonia AwaleIn this year-ender edition we take a look forward to see what the coming decade has in store for us. Where will Nepal be in 2030? Planners, and even astrologers, are optimistic the country will take a great leap forward.We would like to believe National Planning Commission Member Min Bahadur Shahi when he says: “The 2020s will be a progressive decade of sustainable and just development. There will be double-digit growth, increased investment from the government and the focus will be on quality, not quantity.”Read also: <a style="background-color: #ffffff; font-size: 15px; letter-spacing: 0.01em;" href="https://www.nepalitimes.com/?p=38046&amp;preview_nonce=d2d7129548&amp;preview=true" target="_blank" rel="noopener">A future written in the stars,</a> Sanghamitra SubbaNepalis have been let down before, and they will have a chance in 2022 to cast their verdict in the next elections. But the challenge for planners is to get out of the low-growth, high-migration trap so the country can graduate to middle-income status by 2030.

Towards 2030

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Food for thought for Nepal’s nutrition planners

Towards 2030