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Editorials

Global childhood malnutrition

BMJ 2024; 386 doi: https://doi.org/10.1136/bmj.q1874 (Published 30 August 2024) Cite this as: BMJ 2024;386:q1874
  1. Suneetha Kadiyala, professor of global nutrition1,
  2. Linda Richter, distinguished professor2,
  3. Bharati Kulkarni, head of reproductive and child health and nutrition3,
  4. Anita Chitaya, community promoter farmer4,
  5. Helen Harris-Fry, associate professor1
  1. 1Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK
  2. 2DSI-NRF Centre of Excellence in Human Development, University of the Witwatersrand, Johannesburg, South Africa
  3. 3Division of Reproductive and Child Health and Nutrition, Indian Council of Medical Research, V Ramalingaswami Bhawan, Ansari Nagar, New Delhi, India
  4. 4Soils, Food and Healthy Communities, Ekwendeni, Malawi
  1. Correspondence to: S Kadiyala Suneetha.kadiyala{at}lshtm.ac.uk

Policies that prioritise nutrition, regulate industry, and empower women could end it

Poor nutrition accounts for 45% of child mortality globally,1 impairs children’s physical and cognitive development, and contributes to the loss of 3-16% of gross domestic product (GDP) in low and middle income countries.2 Unicef’s 2024 report on child food poverty revealed that one in four children under 5 years old globally is fed a nutritionally deficient diet comprising two or fewer food groups each day: 181 million children are typically fed mostly starchy staples, dairy, or breastmilk and rarely consume fruits, vegetables, pulses, nuts, seeds, eggs, meat, or fish.3 In fragile contexts the situation is dire: the proportion of children consuming nutritionally deficient diets is 43% in South Sudan, 63% in Somalia, and 90% in Gaza. We are failing to nourish young bodies and minds.

Action to improve children’s diets forms part of global commitments to ensure food security, notably through sustainable development goal (SDG) 2, to “end hunger and achieve food security and improved nutrition” by 2030. However, Unicef’s report reframes dietary deficiencies within a new policy imperative of “child food poverty” and introduces a new metric for tracking …

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