AS per Global Nutrition Report 2016, Bangladesh is slipping back in exclusive breastfeeding and also doing poorly in the rest five indicators out of eight set for National Nutrition Index. However, the country has made good progress in two – such as stunting and child overweight. But it is not clearly understood why breastfeeding is slowing down. The overall tone of the report is that the country is ‘on course’ but question also arises as to why the country has not developed the nutritional condition as a whole when we are producing enough food and the government is spending enough on the health sector. There is a point that a big number of people are at extreme poverty level and are not getting sufficient food good to make up the nutritional gap although there is enough supply in the market. They can’t buy the needed food. The issue needs to be properly evaluated in the context of the nutrition goals set for the nation.
Reports said the rate of stunting – low height for age – is still high at 36.1 percent in Bangladesh although it is dropping which was 41 percent in 2011 and 51 percent in 2004. It appears that there is some progress only in two indicators but slower achievement in case of other indicators is worrying. However, Health Ministry’s claim that the government is working to build a nutrition-rich country seems to indicate progress is under way. But such claim can’t be properly verified by development in the ground.
It is alarming when the report said more than 50 percent of women suffer from chronic energy deficiency and more children suffer from high rates of micronutrient deficiencies, particularly Vitamin A, iron, iodine and zinc deficiency. More than 54 percent of preschool-age children, which is equivalent to more than 9.5 millions, are stunted, 56 percent are underweight. This worrisome nutritional rate raises question why the health sector is failing to overcome the vulnerability and inefficiency to bring about steady improvement in nutritional health.
As it appears population growth and cereal production has a direct link to improving nutrition status. It is true that significant progress has been made in cereal production in the country over the past decades but rapid population growth and the resultant rise in food requirements continue to remain the prime challenge to nutritional self-sufficiency. We need to have a good agricultural policy now to give fair price of food grains to farmers to encourage them to bring enough land under cultivation, which would produce more food.
If enough food is secured, nutritional status will improve. In the interest of public health, government needs to diversify food sources both in terms of environmental sustainability and developing rural economy to ensure increased production of food to lead to increased consumption. If that happens it will only improve the people’s nutritional standard at national and individual level.
