Category: 1,000 Days

Making strides towards nutrition and gender equality in Nigeria

By Lilian Okafor, CS-SUNN

In Nigeria, malnutrition not only affects individuals, but also stunts economic growth and human development. The Women and Girls’ Nutrition Project is a collaborative effort implemented by the Civil Society-Scaling Up Nutrition in Nigeria (CS-SUNN), in partnership with FHI360, Alive & Thrive, 1,000 Days, and Intake, supported by the Bill & Melinda Gates Foundation. The project aims to empower women and girls to achieve optimal nutrition and stand as crucial pillars for progress.

The project partnered with federal Ministries, Departments, and Agencies relevant to nutrition to develop a cross-cutting Action Agenda for women and girls’ nutrition in Nigeria that delivers healthy diets, care, gender equality, and a multi-system enabling environment as priorities for a thriving female from girlhood. These include:

  • Support the nutrition department of the Federal Ministry of Women Affairs and Social Development to develop national guidelines on women and girls’ empowerment for optimal nutrition by September 2024.
  • Secure commitments of Federal Ministries, Departments, and Agencies (MDAs) relevant to nutrition (Ministry of Health, Ministry of Women Affairs & Social Development, Ministry of Education, Ministry of Finance, Budget and National Planning, Ministry of Agriculture and Rural Development) to increase the number of women in decision-making positions by at least 10% by 2024.
  • Increase gender equity in the access and utilization of public economic empowerment schemes by at least 10% nationally by 2024.
  • Increase awareness of professionals at the federal level, who have the potential to become champions, on the benefits of girls staying in school beyond basic education and the impact on nutrition outcomes.

Milestones Achieved:

The journey towards this transformative vision has been marked by a series of significant milestones:

  • National Workshop on Women and Girls Nutrition: Leveraging momentum towards the pursuit of gender-inclusive nutrition, the National Workshop on Women and Girls Nutrition proved a pivotal event, uniting stakeholders from across Nigeria in a shared mission. Over two days, a dynamic blend of in-person and online participation brought together 167 virtual attendees with 30 enthusiastic on-site participants. Through a diverse array of activities spanning presentations, group discussions, and brainstorming sessions, participants collaborated to create an advocacy goal and four strategic objectives tailored to Nigeria’s unique context. Following this workshop, the coalition then agreed crafted a comprehensive advocacy strategy delineating actionable pathways towards achieving project objectives and engaging stakeholders across key sectors.
  • National Guideline for Women and Girl’s Nutrition for Optimal Nutrition: CS-SUNN successfully achieved the primary objective of the Women Nutrition Project by supporting the Federal Ministry of Women Affairs and Social Development to develop a National Guideline on Women and Girls’ Empowerment for Optimal Nutrition. This involved convening a crucial gathering of nutrition stakeholders, including government ministries, agencies, and partners, to review and shape the guidelines content and framework. The resulting guideline, spanning six key sections, addresses critical aspects of empowerment principles, program initiatives, policies, coordination mechanisms, and implementation strategies. The Guidelines were recently validated and has been adopted by the  key stakeholders including the Federal Ministry of Women Affairs, representing a key step towards empowering women and girls nationwide. It will be launched before the end of 2024.
  • Women In Power Conference: In May, the coalition hosted the Women in Power Conference for Nutrition, convening women from various spheres of society, including governor’s wives and accomplished professionals. The conference served as a platform to spotlight the pivotal roles women play in driving advancements in women and girls’ nutrition at the state level. Encouragingly, there is strong enthusiasm to establish this conference as an annual fixture in Nigeria, serving as a forum to evaluate the progress and commitments made by governor’s wives in advancing the nutrition agenda.
Governors’ Wives at the maiden Women in Power Conference for Nutrition
  • Media Engagement: Leveraging the power of media, CS-SUNN organized media roundtable sessions to raise awareness, secure media support, and promote discussion on policy actions required on women and girls’ nutrition. The events garnered extensive coverage across prominent media, amplifying the discourse on this critical issue. With series of social media campaigns like; Women and Girl’s Nutrition: Why it Matters, gender equity in accessing public economic empowerment schemes, alongside the importance of girl-child education beyond basic schooling, CS-SUNN elevated awareness and advocacies for empowering women. Collaborating with partners such as Bridge Connect, wcyheIN, and Womenadvocate and leveraging visually appealing social cards and hashtags like #NutritionTuesday, #Nutri4Women, and #Nutri4Girls, trackable metrics underscored the campaigns’ impact, with significant reach and engagement rates observed across platforms.
Media roundtable hosted by CS-SUNN
  • Community Empowerment: Recognizing the importance of grassroots engagement, community town hall meetings were conducted to mobilize support from and empower local leaders. These interactions fostered commitments by community leaders to set up committees headed by cabinet members to sensitize households within their communities on the need to empower women and the girl child through access to quality education and livelihood support.

Looking Ahead

The Women and Girls’ Nutrition Project stands as a testament to the power of collaboration, innovation, and determination. Building on the momentum generated, the project will drive lasting change by: addressing cultural barriers through community involvement; educating mothers on the importance of girl-child education; introducing media study circles to deepen media coverage on women’s nutrition; and shifting an advocacy focus to implementation, ensuring that advocacy efforts translate into tangible policy changes and action.

Through concerted efforts and unwavering commitment, we move closer to a future where every woman and girl in Nigeria has the opportunity to thrive and to contribute to a healthier, more prosperous nation.

1,000 Days Statement on FY24 Minibus

Washington, D.C., March 25, 2024 –  Last Friday, Congress passed a fiscal year (FY) 2024 minibus spending bill, which includes funding for some key U.S. foreign assistance accounts that combat malnutrition. We applaud the passage of this bipartisan bill, while recognizing there is still work to be done to ensure all families have a happy and healthy first 1,000 days.

1,000 Days was grateful to see a modest increase to the Nutrition Account, but was dismayed that overall State, Foreign Operations, and Related Programs funding levels fell short of FY23 levels. For the first time in history, annual deaths of children under 5 have dropped below 5 million, a staggering decrease from 1990 when nearly 13 million children under 5 died each year. While we celebrate this incredible progress, now is not the time to take our foot off the gas. Globally, there is still 1 child death every 6 seconds and nearly 1 in 4 children worldwide has had their growth stunted by malnutrition. U.S. global leadership has reached families across the global with low-cost, quality, and effective health services and continued commitment is needed to end preventable maternal and child deaths.

“Malnutrition is still the greatest threat to child survival worldwide. U.S. investments support delivery of cost-effective, proven, life-saving services in countries around the world and maintaining that investment is crucial”

Solianna Meaza, Acting Initiative Director, 1,000 Days

We look forward to working with the Administration and colleagues in Congress to strengthen our FY25 appropriations with stronger global investments, including:

  • $300 million in the Global Nutrition Subaccount;
  • $1.15 billion for Maternal and Child Health, including $340 million for Gavi; and
  • New and additional funding to support the United States’ flagship food security program, Feed the Future.

From Food Security to Nutrition Security: Bridging the Gap for a Healthier World

Photo: K. Trautmann via Flickr

“Fighting global food insecurity means more than feeding the world – it also means nourishing the world. Calories alone are insufficient to increase individuals’ well-being, fuel economic growth and build resilient, prosperous communities.”

2023 Feed the Future Snapshot

After more than 3 years of worst-case scenario hunger headlines, this year’s plateau in global food insecurity was, relatively, a breath of fresh air. Global hunger remained relatively unchanged this year, and we saw the gender gap in food insecurity, which got worse during the pandemic, decrease by 37%.

But despite these positive-seeming signs, we are not yet out of the woods. Global food insecurity remains far worse than it was in 2019, with 122 million more people facing hunger in 2022 than in 2019. Ongoing conflict, as well as climate and economic shocks, threaten to tip the scales and send food insecurity numbers surging again. In this crisis, it is easy to view the quality of calories as less important than the quantity, but there are millions of vulnerable people who cannot sustain themselves on calories alone. Experts estimate that over half of preschool-aged children and two-thirds of non-pregnant women of reproductive age worldwide have micronutrient deficiencies. Even if we fed every hungry person today, millions of women and children would still be malnourished, jeopardizing their wellbeing and limiting countries’ overall potential and growth. As we focus on the monumental task of addressing these sky-high rates of global hunger, we must ensure achieving nutrition security is a fundamental component of our food security strategy.

Nutrition security means making sure people not only have enough to eat, but that they have sufficient nutrients to ensure they are not malnourished. It means moving beyond solutions focused merely on providing hungry people with starchy staples that may be able to sustain life but are insufficient to meet their nutritional needs. It means ensuring people have access to diverse diets that include fruits, vegetables, legumes, and animal-sourced foods. When healthy diets are unavailable, it means providing stop-gap nutrition interventions, like specialized food supplements and fortified foods, and screening and treating severely malnourished children promptly with ready-to-use therapeutic foods (RUTF).

Nutrition is often sidelined as a secondary component of food security efforts, but for vulnerable groups, it is often the difference between life and death or a barrier to a child developing to their full potential. The most vulnerable of these groups are children in the 1000-day window between pregnancy and a child’s second birthday for whom even a short bout of malnutrition can cause lifelong physical and cognitive consequences leading them to perform less well in school and earn less as adults. We also know that in times of food insecurity, women often bear the brunt of the hunger burdens for their families, eating last and least to help food stretch further. We must ensure these women get the nutrition care they need, both for their own sakes and because malnourished mothers often give birth to malnourished babies, perpetuating an inter-generational cycle of malnutrition.

To build true food security, we must draw from models that build resilience across vulnerable communities. One such model is the U.S. Department of State’s Vision for Adapted Crops and Soils (VACS) which focuses on developing climate-resilient varieties of nutritious, indigenous crops with the potential to diversify diets and reduce rates of malnutrition. Similarly, initiatives that strengthen and embed nutrition interventions into national health systems build community resilience to food shocks by ensuring nutrition care continues even when food availability diminishes.

In the coming years, the world will face numerous threats to global food security, the most serious of which is likely the growing threat climate change poses to the quantity and quality of food that is available. Increasingly frequent climate shocks will make crops harder to grow and livestock harder to raise which will ultimately decrease food supply and incomes for agricultural workers. The food that does grow will be less nutritionally dense. In the face of these challenges, we will need to take concrete steps to shore up global food security. Clear plans to address malnutrition along with hunger will be key to any successful strategy.

This IWD, #InvestInWomen by Closing the Gender Nutrition Gap

Around the world, more than a billion adolescent girls and women suffer from undernutrition, micronutrient deficiencies and/or anemia. Malnutrition is robbing women of their earnings and energy, adolescent girls of their educational opportunities, and young girls of the chance to grow up to reach their full potential. Without tackling malnutrition, we will never reach gender equality.

The Nutrition for Growth (N4G) Summit is a global pledging moment that brings together governments, philanthropies, businesses, and NGOs to accelerate progress against malnutrition. The next N4G Summit will take place in early 2025 in Paris, France and will be a critical opportunity to spotlight women and girls’ nutrition.

This International Women’s Day, we are calling on governments and donors to prioritize women and girls’ futures by investing in closing the gender nutrition gap at N4G 2025.

Here are five key nutrition issues threatening women and girls, and some concrete solutions governments and donors can pledge to scale at the next N4G summit:

1. Women and adolescent girls face unequal burdens of micronutrient deficiencies, especially anemia.

Anemia is the number one threat to the long-term health of adolescent girls and afflicts almost one-third of women of reproductive age. Progress against anemia lags other nutrition achievements, and only one country (Guatemala) is on track to meet the globally agreed 2030 target on anemia. Meanwhile, deficiencies in vitamin and mineral status, particularly of folate, iron, vitamin A, and zinc, affect 67% of all women of reproductive age (WRA) worldwide. Micronutrient deficiencies can be life-threatening and cause extreme fatigue and poor concentration, hindering learning potential, educational attainment, and productivity. By scaling interventions that target anemia, we can cure millions of women and girls of this debilitating condition.

    Here are two actions that can help: 

    • Fortify staple foods with essential nutrients to prevent, reduce, and control micronutrient deficiencies at the population level.
    • Supply all pregnant women with multiple micronutrient supplements (MMS) with a focus on increasing adherence through improving availability combined with nutrition counseling in ANC services and mid and mass media communications.

    2. Climate change poses a disproportionate threat to women’s nutrition and food security.

    Climate change is increasing extreme weather events like heat waves, droughts, and floods, which impact food quantity, quality, and diversity. These climate shocks will put growing stress on food and nutrition security in the years to come. The food that does grow will be less nutritionally dense, which can lead to deficiencies in certain vitamins and minerals. Women are most likely to bear the brunt of this climate-related food insecurity. Not only are women more susceptible to micronutrient deficiencies, but women and girls are more likely to reduce their food intake and eat last and least in their households. Additionally, poorer regions and disadvantaged adolescent girls and women already bear the brunt of undernutrition and anemia and will be least equipped to respond to the climate impacts likely to hit many of these same regions the hardest. By investing in strategies to build resilience to climate-related malnutrition, we can mitigate some of these effects.  

      Here are two actions that can help: 

      • Promote long-term, climate-resilient food and nutrition security and protect the livelihoods of woman farmers by developing diverse, climate-resilient crop varieties. Contribute to initiatives like the Vision for Adapted Crops and Soils (VACS) Multi-Donor Fund hosted by IFAD.
      • Expand conditional cash transfers (CCTs) targeted to women to allow for greater flexibility in the face of humanitarian emergencies like natural disasters.

      3. Every year, millions of girls miss out on the opportunity to grow, learn, and earn to their full potential because of malnutrition they experience in early childhood.

        As we strive to address inequities in adult women’s nutrition, we must keep in mind the life-changing impact good nutrition can have on young girls today. Girls who are well-nourished are healthier, more productive, and more likely to finish and excel in school, be economically independent, and have healthy babies. Targeted nutrition interventions are a cost-effective way to give girls today a bright future and boost their chances of overcoming poverty and reaching their educational goals.  

        Here are three actions that can help: 

        • Protect large-scale Vitamin A supplementation to prevent vision problems, illness, and death.
        • Ensure children and their parents have access to quality nutrition counseling to promote dietary diversity and the consumption of animal-sourced foods.
        • Expand access to specialized foods (eg. RUTF and SQ-LNS) to prevent and treat child wasting 

        4. Women who choose to breastfeed often face workplace barriers and lack the support they need to be successful.

        Breastfeeding provides numerous benefits to both mothers and their babies. Breastfeeding gives all children the healthiest start in life and promotes cognitive development and acts as a baby’s first vaccine, providing critical protection from disease and death. It also reduces the burden of childhood and maternal illness, lowering health care costs, creating healthier families, and strengthening the development of nations. Family-friendly workplace policies promote gender equity and women’s economic participation, while strengthening the economy. By giving women the information and space they need to breastfeed successfully, they can be empowered to make an informed choice about how to feed their children.  

        Here are three actions that can help: 

        • Enact and promote adequate paid family leave, including maternity and parental leave, and breastfeeding breaks for women who chose to breastfeed.
        • Support breastfeeding mothers with one-to-one and group breastfeeding counseling.
        • Promote greater male engagement in infant and young child feeding (IYCF) to lessen the care burden for mothers.

        5. Commitments made at large pledging moments often lack accountability mechanisms.  

        Large pledging moments are critical for raising the profile of nutrition interventions, but they can only be truly successful if governments, philanthropies, businesses, and NGOs are held accountable for the commitments they make. This accountability requires commitment makers to invest in clear, quality data on spending, outputs, and outcomes.

        Here are three actions that can help:

        • Invest in strong nutrition data systems that ensure routine collection of data on girls and women to support effective policies and programs and to advocate for nutrition investment across sectors.
        • Improve accountability by tracking how global and national actors are currently investing in nutrition data and information systems.
        • Invest in global nutrition financing tracking system to improve coordination, resource mobilization, and resource allocation and regularly track progress on commitments made in the Nutrition Accountability Framework.

        Maximizing Potential: The Impact of Multiple Micronutrient Supplementation (MMS) for Improved Maternal and Child Health

        In the quest for improved maternal and child health and gender equality, we often overlook a fundamental intersection with the importance of good nutrition. The unique biological needs of women, gender disparities in access to food and services, and harmful social norms contribute to an ever-growing gender nutrition gap. During pregnancy, increased nutritional needs due to physical changes and the needs of a growing baby further exacerbate this gap. Micronutrient deficiencies during pregnancy put both mothers and babies at risk of birth complications, small vulnerable newborns, and even death, and the lack of nutrients in this critical period can prevent children from reaching their full physical and mental potential. Multiple Micronutrient Supplementation (MMS) during pregnancy provides a transformative solution to mitigating a wide array of harmful micronutrient deficiencies. During #March4Nutrition, we want to highlight MMS as a proven solution to meet the increased nutritional needs of women during pregnancy and further children’s growth, learning, and overall well-being.

        The highlight of our year: #March4Nutrition

        March is National Nutrition Month! Developed by our friends and colleagues at the Academy of Nutrition and Dietetics, every March we work to amplify the importance of nutrition for families in the first 1,000 days: the time between pregnancy and a baby’s second birthday.

        Throughout pregnancy, infancy and beyond, families need good nutrition, breastfeeding support, and nurturing care in order to thrive. Decades of research has shown that nutrition plays a foundational role in a child’s development and her country’s ability to prosper.

        We invite you to follow #March4Nutrition on FacebookInstagram, LinkedIn, and Twitter all month long and join the conversation. Every week in March, we’ll dive deep into a new theme and explore how nutrition lays the foundation for brighter, healthier futures.

        Week 1 March 4-10: Thriving families – What if … families had access to quality nutrition services before, during and after pregnancy?  

        Week 2 March 11-17: Women’s nutrition and gender equity – What if … nutrition was seen as a key piece of achieving gender equity?  

        Week 3 March 18-24: Nutrition & food (in)security – What if … families had access to safe, affordable and nutritious foods? 

        Week 4 March 25-31: What we can do? – What if … our work could support moms, babies, and families in the United States and around the world to access nutritious food?

        At 1,000 Days, we believe that every family, everywhere deserves the opportunity to have a healthy 1,000-day window and beyond – and that starts with access to good nutrition.

        Join us this month as we #March4Nutrition for moms and babies!

        Find the social media toolkit here.


        From Cradle to Career: The Lifelong Impact of Early Nutrition on Minds and Futures

        In the intricate dance of human development, the first 1,000 days emerge as a period of unparalleled significance, shaping the destinies of individuals and the key to unlocking potentials that extend far beyond childhood. During this crucial period, nutrition takes center stage, weaving a narrative that profoundly shapes not only the health and well-being of individuals but also the trajectory of entire generations. 

        Cognitive Development and IQ

        Scientific evidence consistently underscores the foundational role nutrition plays in cognitive development and education, making the profound impact on future generations ever clearer. A child’s brain begins to grow very early on in pregnancy and develops at an astonishing speed. At the 4th week of pregnancy, the brain has an estimated 10,000 cells—by the 24th week, it contains 10 billion. The nutrition that a baby gets from its mother through her diet is the fuel that drives much of this incredible transformation.

        The occurrence of malnutrition in the first 1,000 days can hinder brain development, leading to long-term cognitive impairment. Studies show that malnutrition-related delays in cognitive development are associated with up to an 18-point reduction in expected IQ. Additionally, peers. This isn’t a just statistical figure; it translates into tangible consequences for individuals, societies, and economies.

        Importantly, these differences persist from adolescence through mid-life, even for those who physically recover from malnutrition. An 18-point reduction in IQ is more than an entire standard deviation (IQ SD = 15 points), equating to a significant impact on an individual’s ability to contribute to society long-term.

        Investing in nutrition during the first 1,000 days becomes a strategic move to unlock the full cognitive potential of the next generation. It’s an investment in future creators, inventors, workers, and problem solvers who can drive societal progress and innovation. The implications of this investment ripple across sectors and economies, transcending individual outcomes to shape the very fabric of a nation’s intellectual capital. 

        “When you’re well nourished in your first 1,000 days, you grow taller, your brain development is better, you therefore complete more schooling and you add to your country’s economy. Across a population, this means huge shifts in better health and productivity, lifting families out of poverty, and boosting the prosperity of entire communities and nations.”

        Bill Gates, Co-Chair of the Bill & Melinda Gates Foundation

        Education: The Bridge to a Brighter Tomorrow

        Nutrition isn’t just about physical health; it’s a cornerstone of educational success. Well-nourished children not only exhibit better concentration and cognitive abilities but also demonstrate increased attendance and participation in educational activities. The nexus between malnutrition and educational outcomes is a critical aspect that demands our attention. Children who undergo severe malnutrition, especially during the first 1,000 days, complete an average of 4.64 fewer years of schooling than their well-nourished peers. Those who experience severe malnutrition and remain in school often face challenges, performing more poorly and taking longer to complete each grade.

        Children who experience stunting, a consequence of malnutrition, score significantly lower on math and English tests, even when controlling for cognitive ability. The impact on learning processes, likely due to reduced focus and micronutrient deficiency, underscores the holistic nature of the challenge. Even mild episodes of malnutrition in utero, even in developed countries, can lead to significantly lower educational performance.

        Amidst the intricate tapestry of this narrative lies a pivotal thread on gender equality. Education becomes the key for girls aspiring towards a brighter future, representing one of the most critical investments in building a world where gender equality flourishes. Each additional year of schooling not only enhances a woman’s earnings by 10-20%, but it also acts as a catalyst for achieving financial independence, gradually closing the gender-based earning gap. A stark reality persists today, with over one billion women and girls lacking access to the adequate nutrition essential for their survival and flourishing. Bridging this “gender nutrition gap” becomes not only a matter of nourishing bodies, but also of empowering minds towards a more equitable future.

        The Economic Toll of Malnutrition

        Malnutrition is not just a health concern; it is an economic imperative. Research from the World Bank reveals a staggering reality – individuals facing malnutrition can lose up to 10 percent of their annual earnings due to reduced education and productivity. More alarmingly, they are 33 percent less likely to escape poverty as adults. This revelation underscores the urgent need for a paradigm shift in our approach to nutrition, viewing it not only as a health intervention but as an economic driver, the key to unlocking the cycle of poverty and the lifelong consequences rooted in malnutrition.

        The linkage between nutrition and future development outcomes is profound. Nutrition programming, particularly during the first 1,000 days, becomes the cornerstone for lifelong health, educational attainment, wages, and livelihoods. It is a holistic investment that not only improves individual well-being but also fortifies economies, fosters resilience to global shocks, and builds grey matter infrastructure – that is the infrastructure our children’s bodies and minds need to grow, learn, and thrive.

        Investing in nutrition in the first 1,000 days is not just a moral imperative; it is a strategic move to ensure that children reach their educational potential. By addressing the root causes of malnutrition and fostering an environment conducive to learning, we pave the way for a brighter and more educated future generation that can positively impact our society and economies. As we invest in the nutrition of the youngest members of society, we are, in essence, investing in the intellectual capital of our future workforce and leaders.

        In conclusion, the first 1,000 days represent a unique and invaluable opportunity to shape the trajectory of individuals, societies, and economies. Nutrition, as the linchpin connecting health, cognitive development, and education, becomes the catalyst for a brighter tomorrow. As we navigate the complexities of global development, let us recognize the transformative power of nourishment in building minds, nurturing futures, and fostering resilience in the face of global challenges. We call on everyone to join us and invest in nutrition.

        Understanding Nutrition in the First 1,000 Days: Black Moms and Birthing People

        To improve our advocacy and nutrition education efforts, 1,000 Days strove to understand sources of nutrition information during the first 1,000-day window and gaps in culturally relevant communications about healthy diets. Through a combination of qualitative research methods, including surveys and an environmental scan, we listened to over 225 Black pregnant and birthing people about their perceptions of their health, when and how they received nutrition information related to their pregnancy, and their preferred sources of information.

        1,000 Days Statement on Increased U.S. Infant Mortality Rates

        At 1,000 Days, we are deeply concerned by the recent CDC data revealing an increase in infant mortality in the United States for the first time in two decades. Our nation has one of the highest infant and maternal mortality rates of any wealthy country. This disheartening increase is a stark reminder of the urgent need for collective action to address the critical challenges facing maternal and child health in the United States.

        The CDC found that the overall infant mortality rate increased by 3% with significant increases for mothers aged 25-29. Mortality rates also climbed for preterm babies, male infants, and for infants born in Georgia, Iowa, Missouri and Texas. The data also shows a deepening divide along racial and ethnic lines with infant mortality rates for American Indian or Alaska Native women increasing by over 20%, from 7.4 deaths to over 9 deaths per 1,000 births, while rates for White women increased by about 3% from 4.36 deaths to 4.52 deaths per 1,000 births. Infant mortality rates for infants of Black women did not drastically increase but they continue to experience the highest overall rates of mortality with nearly 11 deaths per 1,000 births, or over double the mortality rate of White infants. The significant disparities in infant mortality rates among different racial groups highlight the pervasive impact of systemic inequities on health outcomes.

        1,000 Days remains dedicated to our mission of making the health and well-being of women and children in the first 1,000 days, from pregnancy to two years of age, a policy and funding priority. We call on Congress to continue investing in maternal and child health and services, recognizing that it is critical during the 1,000-day window to deliver nutrition and support for women and infants. Access to proper nutrition and comprehensive maternal health services is a right for all women and families, and it is imperative to ensure that no one is left behind. Strong policies and investments in this critical window are not only about saving lives today but also about nurturing healthier generations.

        A strong start in life is every child’s right, and we are committed to working alongside partners, communities, and policymakers to create a world where all children can thrive. The CDC’s findings reinforce the urgency of our mission, and we stand ready to collaborate and advocate for the changes needed to ensure better outcomes for everyone.

        Together, we can strive for a future where infant mortality is a rare and unacceptable tragedy. Join us in making a difference and securing a brighter future for the next generation.

        For more insights and information, please visit the CDC report here.

        1,000 Days Statement on Senate Finance Committee Paid Leave Hearing

        Senate Finance Committee Holds Hearing on Paid Leave

        This week, the Senate Finance Committee held a hearing on paid leave, highlighting the critical need for family and medical paid leave and how our current patchwork of paid leave policies falls short of supporting all infants and families. It also confirmed the importance of paid leave for workers, businesses, and the country.

        While there have been some gains in paid family leave over the past five years, the Bureau of Labor Statistics shows that only about 1 in 4 employees (27 percent) in the private sector workforce have access to paid family leave. Access to paid family leave is lower among those receiving lower wages or working part-time. People of color also have less access to paid family leave than their white counterparts.

        This lack of paid family leave means parents are often forced to choose between taking time off from work to care for their young children and earning the income they need to support their families. It means that 1 in 4 women in America return to work just 2 weeks after giving birth, putting their health and that of their infant at risk. Policies that enable parents to spend time nurturing and caring for their babies—particularly in the early weeks after birth and for babies that are born pre-term, low birthweight or with illness—are critical to the healthy cognitive, social, and emotional development of children.

        We applaud state, local and business-level efforts to increase access to paid family leave, but it is not enough to address this public health crisis. We need a national paid family and medical leave program that is comprehensive and covers all workers, including small business employees and the self-employed. Paid leave is the biggest obstacle to working women in the U.S. in the 1,000-day window and can reduce racial and ethnic health disparities. Our 2020 qualitative paid leave report highlights real stories from families without access to paid leave and the detrimental impacts it had on their family, including their health and the health of their baby.

        We appreciate the Senate Finance Committee’s thoughtful attention to this issue. We call on Congress to take the next step, moving legislation to enact a comprehensive national paid leave policy that supports mothers and families and ensures children get the strongest start to life.