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• W3018086332 abstract "Malnutrition is indeed a global emergency, and courageous and timely actions are needed from governments, media outlets, non-governmental organisations, and civil society.1The Lancet Child nutrition: the need for courageous action.Lancet. 2019; 394: 1387Summary Full Text Full Text PDF PubMed Scopus (1) Google Scholar Nevertheless, I believe that a reduction in malnutrition is only possible if there is political will, economic stability, and a prioritisation of malnutrition as public policy and a developmental issue by governments, especially in developing countries. In Pakistan, public health is a conundrum as the country is facing challenges such as high rates of teenage pregnancies, early child marriages, undernourished mothers, and less-spaced pregnancies (<24 months between pregnancies). These challenges lead to a vicious cycle of high morbidity and high mortality and, thus, adverse child health outcomes.2Government of Pakistan. National Nutrition Survey of Pakistan 2017-18, UNICEF and Nutrition Wing Ministry of National Health Services, Regulations and Coordination. Islamabad: Government of Pakistan, 2018.Google Scholar Unfortunately, malnutrition is not a public priority in many developing countries including Pakistan due to the lack of essential resources (eg, low tax-to-gross domestic product ratio or adverse balance of payment situation) and expertise (eg, human resources, technology, and a general understanding of the issue). Furthermore, in most developing countries, obesity is not a topic of public debate. For example, in Pakistan, it was only in 2012 that data for obesity began to be collected in the National Nutrition, and Demographic and Health surveys. Although 40% of children aged younger than 5 years are stunted, 19% are wasted, and at least 10% are obese in Pakistan according to the National Nutrition Survey (2017–18),2Government of Pakistan. National Nutrition Survey of Pakistan 2017-18, UNICEF and Nutrition Wing Ministry of National Health Services, Regulations and Coordination. Islamabad: Government of Pakistan, 2018.Google Scholar there is no government document that prioritises obesity as a public health challenge in the making. Just like in Pakistan, governments in developing countries should introduce a sugar tax, which would be a starting point for tackling malnutrition. Media is another approach that can be used to educate and create awareness on malnutrition, and maternal and child health. I declare no competing interests. Child nutrition: the need for courageous actionDame Sally Davies has stepped down as Chief Medical Officer for England, using her final report to make strong and ambitious recommendations for the UK to stem childhood obesity. Her proposals include a cap on the calories per serving for food sold in restaurants and takeout outlets, a ban on eating and drinking on public transport, and the possibility of introducing plain packaging for unhealthy foods, similar to that used with success for tobacco. Nearly a third of young people aged 5–19 years in the UK are overweight or obese. Full-Text PDF" @default.
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• W3018086332 date "2020-04-01" @default.
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• W3018086332 title "Malnutrition needs prioritisation and public resources" @default.
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• W3018086332 doi "https://doi.org/10.1016/s0140-6736(20)30229-4" @default.
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