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26 — Vanguard, TUESDAY, NOVEMBER 22, 2022<br />
‘<br />
How micronutrient deficiencies rob<br />
Nigerian children of optimal health<br />
• As experts worry over rising malnutrition cases<br />
THE United Nations<br />
Children’s Fund,<br />
UNICEF, says babies’<br />
brain develops at a pace<br />
that is never repeated in<br />
the first 1,000 days of life.<br />
Unfortunately, in Nigeria,<br />
millions of children<br />
miss such opportunities<br />
due to poor nutrition, resulting<br />
in permanent<br />
damage even till adulthood.<br />
Chioma Obinna<br />
writes.<br />
Nigeria has the second<br />
highest burden of<br />
stunted children in the<br />
world, with a national<br />
prevalence rate of 32 per<br />
cent of children under<br />
five. An estimated 2 million<br />
children in Nigeria<br />
suffer from severe acute<br />
malnutrition (SAM), but<br />
only two out of every 10<br />
children affected are currently<br />
reached with treatment.<br />
Seven per cent of<br />
women of childbearing<br />
age also suffer from acute<br />
malnutrition.<br />
Six months after Cecilia<br />
Handa, 27, was duly certified<br />
married upon<br />
completion of the necessary<br />
marriage rites, her<br />
dream was to begin a family<br />
with her husband. As<br />
she desired, a few months<br />
later, she became pregnant.<br />
The news of her<br />
pregnancy, however,<br />
brought enormous joy to<br />
the young couple who<br />
had been in a relationship<br />
for five years before<br />
marriage.<br />
Cecilia who was residing<br />
in Abuja joined her<br />
husband in Benue. A few<br />
months later, fate struck;<br />
her husband fell into the<br />
knife of a killer herdsman.<br />
Shattered, Cecilia was<br />
broken, without a job, she<br />
struggle all through the<br />
nine months but fate was<br />
cruel to her and left her<br />
with little or nothing to<br />
eat on daily basis.<br />
Nine months after, she<br />
delivered a baby boy with<br />
low birth weight. There<br />
and then, trouble started<br />
and a few months later<br />
the child became malnourished.<br />
Cecilia’s child missed<br />
out on adequate nutrition<br />
from conception.<br />
The baby’s case is just<br />
one out of the estimated 2<br />
million Nigerian children<br />
that suffer from severe<br />
acute malnutrition<br />
(SAM), and only two out<br />
of every 10 affected are<br />
treated.<br />
Cecilia is also part of the<br />
7 per cent of women of<br />
childbearing age who<br />
suffer from acute malnutrition<br />
due to poor diets.<br />
Worst still, global nutrition<br />
targets showed that<br />
Nigeria is not making<br />
progress towards achiev-<br />
ing the target of reducing<br />
anaemia among women of<br />
reproductive age, with<br />
55.1 per cent of women<br />
aged 15 to 49 years now<br />
affected.<br />
Rising malnutrition<br />
cases<br />
However, the escalating<br />
child malnutrition<br />
cases in Nigeria have also<br />
been traced to household<br />
food insecurity, widespread<br />
poverty and exponential<br />
population<br />
growth, inadequate care<br />
and feeding practices, and<br />
limited access to health<br />
Cross section of children<br />
and sanitation services<br />
which results in infection<br />
and diseases.<br />
Also, the World’s Children<br />
2019: Children, food<br />
and nutrition finds that<br />
almost 2 in 3 children<br />
between six months and<br />
two years of age are not<br />
fed food that supports their<br />
rapidly growing bodies<br />
and brains. This puts them<br />
at risk of poor brain development,<br />
weak learning,<br />
low immunity, increased<br />
infections and, in<br />
many cases, death.<br />
Poor feeding<br />
practices<br />
The report warns that<br />
poor eating and feeding<br />
practices start from the earliest<br />
days of a child’s life.<br />
Though breastfeeding<br />
can save lives, in Nigeria,<br />
less than 50 per cent<br />
of children under six<br />
months of age are exclusively<br />
breastfed and an<br />
increasing number of children<br />
are fed infant formula.<br />
This means many Nigerian<br />
children are missing<br />
out on the life-saving benefits<br />
of breastmilk which<br />
is a baby’s first vaccine<br />
and offers the best possible<br />
nutrition at the start<br />
of life.<br />
Also, a UNICEF report<br />
entitled: “Fed to Fail? The<br />
Crisis of Children’s Diets<br />
in Early Life”, one in three<br />
children in Nigeria is very<br />
small while one in 10 children<br />
is wasted and the<br />
country is not on track to<br />
achieve the Sustainable<br />
Development Goal (SDG)<br />
2 – “Zero Hunger” by<br />
2030.<br />
While food insecurity<br />
and violence have continued<br />
to threaten adequate<br />
nutrition among children<br />
and adults at large, scientists<br />
say micronutrient<br />
deficiencies have been a<br />
major cause of malnutrition.<br />
According to the World<br />
Health Organisation,<br />
micronutrients are vitamins<br />
and minerals<br />
needed by the body in<br />
very small amounts. But<br />
their impacts on a body’s<br />
health are critical, and<br />
any deficiency can cause<br />
severe and even lifethreatening<br />
conditions.<br />
WHO added that micronutrient<br />
deficiencies<br />
can cause visible and<br />
2 in 3 children<br />
between<br />
six months<br />
and two years<br />
are not fed<br />
food that<br />
supports their<br />
rapidly growing<br />
bodies<br />
and brains<br />
dangerous health conditions,<br />
but they can also<br />
lead to less clinically notable<br />
reductions in energy<br />
level, mental clarity and<br />
overall capacity that can<br />
to reduced educational<br />
outcomes, reduced work<br />
productivity and increased<br />
risk from other<br />
diseases and health conditions.<br />
Findings have shown<br />
that low- and middle-income<br />
countries like Nigeria<br />
bear the disproportionate<br />
burden of micronutrient<br />
deficiencies.<br />
The WHO says many of<br />
these deficiencies are preventable<br />
through nutrition<br />
education and the<br />
consumption of a healthy<br />
diet containing diverse<br />
foods and food fortification<br />
and supplementation,<br />
where needed.<br />
Corroborating WHO,<br />
the Manager, of Central<br />
and West Africa,<br />
(Anglophone countries),<br />
Nestlé Nutrition Institute,<br />
Dr Kanalio Olaloku,<br />
babies are at risk of developmental<br />
delays in<br />
pregnant women with<br />
iron deficiency and it is<br />
responsible for 50 per<br />
cent of anaemia cases,<br />
cognitive development<br />
impairment and reduced<br />
physical performance.<br />
It affects normal growth<br />
and development in children<br />
while inhibiting economic<br />
progress and increased<br />
healthcare<br />
costs.”<br />
According to medical<br />
experts, vitamins and<br />
minerals, also called micronutrients,<br />
are the<br />
building blocks for good<br />
health. People who do not<br />
have enough of these essential<br />
nutrients develop<br />
micronutrient malnutrition,<br />
which can be devastating.<br />
Consequences include<br />
serious birth defects, undeveloped<br />
cognitive ability,<br />
and reduced productivity.<br />
Severe micronutrient<br />
malnutrition contributes<br />
to maternal and infant<br />
deaths and childhood<br />
blindness.<br />
To address the malnutrition<br />
challenges,<br />
UNICEF recommended<br />
that the government, the<br />
Health professionals, EY harp<br />
on technology to bridge gaps<br />
in Nigeria's healthcare<br />
By Bolaji Babatunde<br />
WITH the COVID-19<br />
pandemic exposing and<br />
widening gaps in healthcare<br />
infrastructure, health professionals<br />
have said that investments<br />
in technology supported<br />
by public-private partnerships<br />
will bridge the gap<br />
in healthcare infrastructure as<br />
well as improve the poor<br />
health indices in Nigeria.<br />
The experts who spoke during<br />
the 2022 Ernst & Young<br />
(EY) annual healthcare conference<br />
themed: ‘Accelerating<br />
Access to quality healthcare<br />
in Nigeria’ noted that Nigerians<br />
are faced with several<br />
challenges including pipeborne<br />
water.<br />
Speaking, Founder/CEO<br />
First Cardiologist, Adeyemi<br />
Johnson who delivered the<br />
keynote address called said<br />
that Nigeria needs the political<br />
will to turn things around<br />
in the health sector.<br />
Johnson who noted that one<br />
of the advantages of the new<br />
Health Insurance Act, NHIA,<br />
which makes it mandatory for<br />
individuals to be insured said<br />
investment in health technology<br />
was the sure way to bridge<br />
gaps between Nigeria's health<br />
sector and the developed<br />
world.<br />
He said Nigeria can leverage<br />
technology for healthcare<br />
delivery as advocated by<br />
stakeholders in the sector that<br />
the country adopts a mobile<br />
phone-type initiative with the<br />
capacity to accommodate everybody.<br />
“Technology is now helping<br />
to do surgeries and other lifesaving<br />
procedures. In most<br />
cases, you don’t have to be<br />
there to deliver care. Though<br />
expensive but it can get us<br />
there.”<br />
“Part of the technical improvement<br />
will be data collection;<br />
with data, a lot can be<br />
done. Technology is going to<br />
get us out of this mess we are<br />
in quicker than we think.”<br />
Speaking, the Senior Partner/Head<br />
of Markets, Ernst &<br />
Young (EY) West Africa, Mr.<br />
Ashish Bakhshi said publicprivate-<br />
partnership will help<br />
to deliver more joint ventures;<br />
more hospitals and better<br />
healthcare delivery outcomes<br />
private sector, donors,<br />
parents, families and<br />
businesses should help<br />
children grow healthy by<br />
investing more resources<br />
in interventions aimed at<br />
preventing malnutrition<br />
among young children<br />
and supporting treatment<br />
when prevention fails,<br />
supporting nursing mothers<br />
to adequately feed<br />
and care for their children,<br />
empowering flies, children<br />
and young people<br />
to demand nutritious<br />
food, including the vision<br />
of improved nutrition<br />
education and using<br />
proven legislation – such<br />
as sugar taxes – to reduce<br />
demand for unhealthy<br />
foods among others.<br />
for Nigerians.<br />
In an interview with journalists,<br />
he said: “Healthcare<br />
is very important to Nigeria<br />
and EY globally believes every<br />
country needs to have a<br />
good healthcare system and<br />
as a consulting firm we try to<br />
help both public and private<br />
organisations.<br />
He said Nigeria can develop<br />
its healthcare infrastructure<br />
to curb medical<br />
tourism, as well as help Nigerians,<br />
get easy access to<br />
healthcare services along the<br />
entire value-chain of the<br />
healthcare ecosystem in Nigeria.<br />
“One of the expected outcomes<br />
of the annual<br />
healthcare conference would<br />
be more education on what<br />
can be done about healthcare<br />
delivery service. EY has a very<br />
strong CSR programme and<br />
part of that is helping to set<br />
up science laboratories”.<br />
Also speaking in a chat, the<br />
Partner, Strategy & Transactions/Consumer<br />
Goods Industry<br />
Leader, EY West Africa,<br />
Damilola Aloba who moderated<br />
one of the sessions explained<br />
that the conference<br />
was put together to create<br />
awareness about the challenges<br />
facing the country as<br />
well as find solutions to them/<br />
Aloba explained that the<br />
conference brought together<br />
healthcare providers and<br />
other stakeholders to talk<br />
about the challenges in the<br />
sector, ways to revert them<br />
and how the country can ensure<br />
sustainable financing for<br />
healthcare as well as achieving<br />
self-sufficiency in pharmaceutical<br />
products.<br />
“At the end of the day, we<br />
will make sure that some of<br />
the key actions are implemented<br />
for example how<br />
to drive health insurance<br />
above the 5 per cent, how<br />
health providers can have<br />
access to funding etc, we<br />
cannot be importing drugs<br />
all the time.<br />
It will also prevail on government<br />
to take the sector<br />
from its present challenges<br />
by adopting the practical<br />
initiatives to address brain<br />
drain, dearth of infrastructures<br />
etc,”