Chronic undernutrition is characterized by long-term exposure to food of insufficient quality and inadequate quantity, including restricted intake of energy, protein, fat, micronutrients, essential amino acids, vitamins and minerals. Physiologically, in a state of chronic food insufficiency, the human body conserves energy by prioritizing essential metabolic processes resulting in impaired linear growth and delayed reproductive maturation. Consequently, height can theoretically be considered a measure of an individual’s cumulative health and nutrition. Therefore, a deviation from the ‘normal’ height relative to one’s age represents a deviation from one’s optimal growth and, potentially, the presence of other issues. Similarly, the delayed onset of puberty is another common physiological response to food insufficiency, often accompanying impaired linear growth. Chronic undernutrition can arise from chronic disease, congenital abnormalities and insufficient food intake. In this review, we will explore the hypothesis of CUG during adolescence, given the relationship between impaired linear growth and the delayed onset of puberty in children suffering from chronic undernutrition due to a lack of sufficient quality and quantity of food.
Susan Campisi; Bianca Carducci; Olle Söder; Zulfiqar Bhutta
Fiscal incidence analysis is the most widely used methodology to assess the distributional effects of fiscal policies. However, for 40 years, it has lacked a child lens. A child focus on the redistributive capacity of fiscal policy is increasingly important due to the disproportionate incidence of poverty among children globally. This paper provides a child-dedicated focus on fiscal incidence analysis by tracking child-relevant benefits, turning children the unit of analysis, and using multidimensional child poverty metrics. The analysis—Commitment to Equity for Children, or CEQ4C—integrates three analytical frameworks, namely, public finance, fiscal incidence analysis, and multidimensional child poverty analysis. The paper develops a proof of concept for Uganda that includes measurement, diagnostics, and a policy simulation package replicable across diverse contexts. The proof of concept confirms that CEQ4C provides a higher-resolution fiscal incidence analysis for children than the traditional fiscal incidence analysis.
A pre-post study examining the effectiveness of a parenting support programme in the Eastern Cape, South Africa, showed reductions in child abuse, child delinquency, parent and child depression, parenting stress and substance use. It also showed improvements in parental supervision, positive parenting and social support. In addition to the pre-post study, a qualitative enquiry was conducted with the programme facilitators. This paper explores the experiences and perception of local child and youth care workers, who were trained to deliver the parenting programme in vulnerable, semi-rural communities. The purpose of this publication is to make recommendations on how to improve the programme for scale-up, in South Africa and beyond.
This paper develops an econometric strategy to operationalize the United Nations Children’s Fund (UNICEF’s) conceptual framework for nutrition, estimating the effects on child stunting that additional investments in water, sanitation, and hygiene (WASH) intervention packages have across population groups (poor and non-poor) and residence (urban and rural). Moving away from estimating single intervention marginal returns, the empirical framework is tested in Tunisia; a country with notable but uneven progress in child nutrition. A successful reduction of stunting will involve mapping the distinctive most effective intervention packages by residence and socioeconomic status, moving away from universal policies.
The 2008 financial crisis triggered the worst global recession since the Great Depression. Many OECD countries responded to the crisis by reducing social spending. Through 11 diverse country case studies (Belgium, Germany, Greece, Hungary, Ireland, Italy, Japan, Spain, Sweden, United Kingdom, and the United States), this volume describes the evolution of child poverty and material well-being during the crisis, and links these outcomes with the responses by governments. The analysis underlines that countries with fragmented social protection systems were less able to protect the incomes of households with children at the time when unemployment soared. In contrast, countries with more comprehensive social protection cushioned the impact of the crisis on households with children, especially if they had implemented fiscal stimulus packages at the onset of the crisis. Although the macroeconomic 'shock' itself and the starting positions differed greatly across countries, while the responses by governments covered a very wide range of policy levers and varied with their circumstances, cuts in social spending and tax increases often played a major role in the impact that the crisis had on the living standards of families and children.
The new Sustainable Development Goals (SDGs) and the 2030 Agenda for Sustainable Development aim to build on the achievements made under the UN Millennium Development Goals (MDGs) by broadening their scope and building upon a consultative process. The MDGs contributed to substantial social progress in eight key areas: poverty; education; gender equality; child mortality; maternal health; disease; the environment; and global partnership. The SDGs not only include a greater number of development goals than the MDGs, but are also global in focus, including advanced economies for the first time. This paper draws attention to the main challenges the 2030 Agenda presents for rich countries, by highlighting a set of critical child specific indicators, evaluating countries’ progress towards meeting the Goals, and highlighting gaps in existing data. The paper will inform UNICEFs Report Card 14, Building the Future: Children and the Sustainable Development Goals in Rich Countries.
The attitudes that we hold are shaped and nurtured by society, institutions, religion and family; they involve feelings, beliefs and behaviours and represent a form of judgement. These attitudes and values define the power relations, dynamics, opportunities and choices between men and women, boys and girls. Societies vary significantly in the scale of egalitarian attitudes and beliefs related to gender roles and opportunities in education, politics, the family, and the workforce. Progress towards more egalitarian gender values is crucial for achieving gender equality among children and young people, which in turn is a pre-condition for sustainable development.
The new universal Sustainable Development Goals (SDGs) call for “reducing at least by half the proportion of men, women and children of all ages living in poverty in all its dimensions according to national definitions” by 2030.