By Atsuko Aoyama

"Good food is vital to take care of or increase overall healthiness, and people's skill to safe an enough nutrition is key to attaining social and fiscal advances. even though the dietary prestige of most folk within the center East and North Africa (MENA) zone has stronger during the last 20 years, undernutrition and micronutrient deficiencies stay a major risk to public health." the aim of this meals overview of the MENA quarter is to strengthen a base of data and a quarter approach, and to assist satisfy the realm Bank's mandate for poverty relief. this can be the 1st complete evaluate of dietary concerns within the area, placing jointly the issues in an total monetary improvement context. The evaluation specializes in the wellbeing and fitness implications of dietary matters, and supplementations a nearby examine of nutrients subsidy courses and the neighborhood health and wellbeing, food and inhabitants zone process paper. It goals to: • verify the region's dietary prestige; • learn the explanations and outcomes of dietary difficulties and their implications for future health; • recommend a technique to enhance the food and future health of the folks within the quarter; • increase a database from to be had assets and literature.

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Additional info for Toward a Virtuous Circle: A Nutrition Review of the Middle East and North Africa (Human Development Network Series)

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Page 10 Yemen, the lowest income country In Yemen child health and nutrition problems are more severe than in the region overall. (246) and most social indicators are also poorlife expectancy at birth is 57 years; the female adult literacy rate is only 26 percent; infant mortality rate (IMR) is 93 per 1,000 live births; and the maternal mortality ratio (MMR) is 1,000 per 100,000 live births (Table 1, Annex 3). In 1995, Yemen's rate of immunization coverage was only 49 percent,4 compared with over 80 percent for most MENA countries.

Severe forms of child malnutrition, marasmus and kwashiorkor, rarely observed before 1990, are increasing rapidly (Figure 9). 5(Source: 150) Obesity is increasing throughout the world, and the MENA region is no exception to this trend. Obesity and diet-related non-communicable diseases are a public health issue in most MENA countries. Table 3 shows average per capita intake of dietary energy, protein and fat. Average intakes5 of dietary energy and protein in most MENA countries are higher than the Recommended Dietary Allowance (RDA) (Annex 1).

In this environment, nutritional intervention is essential but as of October 1998, there were only seven trained nutrition specialists in the Ministry of Public Health. (field interviews) They have backgrounds in medicine, agriculture, and some of them have attended a regional training course in nutrition. Box 1: Nutrition Implications of Qat Chewing in Yemen Most of the adults in Yemen chew the leaves of the qat plant as an afternoon social activity, usually taking place over a three- to five-hour period.

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