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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,”

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