Complementary feeding, defined as the process of providing foods in addition to milk when breast milk or milk formula alone are no longer adequate to meet nutritional requirements, generally starts at age 6 months and continues until 23 months of age. This is a developmental period when it is critical for children to learn to accept healthy foods and beverages and establish long-term dietary patterns. It also coincides with the peak period for risk of growth faltering and nutrient deficiencies. This guideline provides global, normative evidence-based recommendations on complementary feeding of infants and young children 6–23 months of age living in low, middle- and high-income countries. It considers the needs of both breastfed and non-breastfed children. The guideline supersedes the earlier Guiding Principles for Complementary Feeding of the Breastfed Child and Guiding principles for feeding non-breastfed children 6-24 months of age. The recommendations in the guideline are intended for a wide audience, including policy-makers, and technical and programme staff at government institutions and organizations involved in the design, implementation and scaling of programmes for infant and young child feeding. The guideline may also be used by caregivers, health-care professionals, clinicians, academic and research institutions, and training institutions.

This guideline will have new recommendations on the prevention of wasting and on the clinical management of moderate wasting. It will also update and consolidate the recommendations in the 2013 WHO guidelines for severe acute malnutrition[1] which covered eight broad areas in identification and treatment of infants and children with severe wasting and oedema and also included a limited number of recommendations for infants under six months of age.

Understanding the causes of anemia is critical to inform appropriate strategies to prevent and treat anemia, particularly to reduce the risk of anemia and the burden of disease. The strength of this book lies in its cross-disciplinary nature. This publication summarizes the current state of evidence on the multifactorial causes of anemia, with a specific focus on nutritional anemia. The chapter authors are leading experts in nutrition and global health. The introductory chapters provide an overview of the global burden of anemia prevalence, the economic implications and functional consequences of anemia, and the significance of these factors to guide policy and programs. Subsequent chapters provide current evidence on iron and other micronutrient metabolism and homeostasis in regards to anemia, the multifactorial contributors to anemia (e.g. infection and genetics), and the interactions between nutrients that may contribute to anemia. The summarizing chapters detail program and policy approaches to treat, prevent and reduce anemia in the global context. Nutritional Anemia is a comprehensive resource for those involved in global health and nutrition policy, strategy, programming, or research, and serves as a guide for how government, NGO, and international agencies can effectively treat, prevent and reduce anemia globally.

WHO has long recognized the link between health and education and the potential for schools to play a central role in safeguarding student health and well-being. In 1995, WHO launched the Global School Health Initiative, which aimed to strengthen approaches to health promotion in schools. This WHO guideline on school health services will contribute to the creation of a common language around school health services, will promote evidence-based care through its menu of interventions, will strengthen school nursing and school health professions around the world, and ultimately will improve the health of children.

Malnutrition among children remains a persistent problem around the world. This publication aims to map the challenges within the global landscape of childhood nutrition and considers the importance of nutrition both prior to conception and in children beyond two years of age. Session I provides an updated picture of malnutrition around the world, the recent progress that has been made in eliminating malnutrition in all its forms and several data limitations to track such progress. The role of milk in early life is covered in session II. The chapters describe different aspects of cow’s milk and the possible role of optimized plant proteins as an alternative to dairy ingredients in treating children with severe acute malnutrition. Session III considers the ramifications of environmental constraints to healthy child growth. The chapters cover the issue of how persistent gut damage and systemic inflammation can precipitate malnutrition as well as the putative effects of alterations in the gut microbiota. This overview of diverse issues is relevant to the epidemiology, biology of nutrition in early life, programmatic implications, and future directions.

This issue of the Abstract Digest features our new Policy Note, summarizing costs of delivering a set of essential nutrition interventions at scale in India. We also bring to you the new WHO guidelines for improving the quality of maternal and newborn health and infant and young child feeding (IYCF) practices, two Alive & Thrive studies on IYCF, work on the performance of anganwadis under the Integrated Child Development Services (ICDS), models for the management of severe acute malnutrition (SAM), and studies on ICDS and health programs that deliver the essential nutrition interventions in India.

The Nutrition-Friendly Schools Initiative (NFSI) was developed in 2006 to provide a framework for ensuring integrated school-based programmes which address the double burden of nutrition-related ill health and to become the nutrition module of the Health Promoting Schools. The NFSI has since been used around the world, including as a self-appraisal tool for schools in 18 countries, in national NFSI programmes and as part of academic research and evaluation projects. The NFSI Framework outlines 26 essential criteria within five broad components: 1. school nutrition policies, 2. awareness and capacity building of the school community, 3. nutrition and health promoting curricula, 4. supportive school environment for good nutrition, and 5. supportive school nutrition and health services. This review summarizes the synthesized evidence from 117 reviews identified as relating to the five components and the 26 essential criteria of the NFSI. The findings may be used — in conjunction with existing UN and WHO guidance and tools — to inform the work of governments, policy-makers and researchers concerned with school-based health and nutrition promotion programmes and initiatives.

The 2020 report on the State of Food Security and Nutrition in the Asia and Pacific region, provides an update on progress towards the 2030 targets (SDGs and WHA) at the regional and country level. Selected indicators look at undernourishment, food insecurity, childhood stunting, wasting and overweight, adult overweight, child minimum acceptable diet, exclusive and continued breastfeeding, and anaemia in women and children. While the region continues to work towards ending all forms of malnutrition and achieving Zero Hunger, progress on food security and nutrition has slowed, and the Asia and Pacific region is not on track to achieving 2030 targets. About 350.6 million people in the Asia and Pacific region are estimated to have been undernourished in 2019, about 51 percent of the global total. An estimated 74.5 million children under five years of age were stunted and a total of 31.5 million were wasted in the Asia and Pacific region. The majority of these children in the region live in Southern Asia with 55.9 million stunted and 25.2 million wasted children. Estimates predict a 14.3 percent increase in the prevalence of moderate or severe wasting among children under 5 years of age, equal to an additional 6.7 million children, due to the COVID-19 pandemic. With basic food prices and disposable incomes influencing household decisions on food and dietary intake, they are critical to improve food security and nutrition in the region. However, in the Asia and Pacific region, 1.9 billion people are unable to afford a healthy diet, driven by high prices of fruits, vegetables and dairy products, making it impossible for the poor to achieve healthy diets.In Part 2, the 2020 report promotes a systems approach to healthy maternal and child diets, involving and coordinating institutions and actors in the Food, Water and Sanitation, Health, Social Protection and Education systems, to collectively create the enabling environment for healthy diets. Integration of healthy diets and nutrition-focused Social Behavior Change Communication (SBCC) mainstreamed throughout these systems will lead to greater uptake and sustainability of healthy behaviours and caregiver’s knowledge.

Global Health: Diseases, Programs, Systems, and Policies, Fourth Edition brings together contributions from the world's leading authorities into a single comprehensive text. It thoroughly examines the wide range of global health challenges facing low- and middle-income countries today and the various approaches nations adopt to deal with them. These challenges include measurement of health status, infectious and chronic diseases, injuries, nutrition, reproductive health, global environmental health, and complex emergencies. The book also explores the financing and management of emerging health systems as well as the roles of nation states, international agencies, the private sector, and nongovernmental organizations in promoting health. Designed for graduate-level students, this text provides an expansive view of today's issues and challenges in global health and be an invaluable resource in the years to come. Updated throughout to reflect new and emerging issues, the Fourth Edition o