Tag: malnutrition

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 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.

Guest Post: Fighting for the Health of Women, Children and Community in Guatemala – Access to Health Care #Marchis4Nutrition

In honor of National Nutrition Month in March, 1,000 Days is amplifying the critical role the world’s mothers play in nourishing the next generation through our annual online #Marchis4Nutrition campaign. Throughout the month, we will also be highlighting stories from our partners. Follow along and get involved on Twitter and Facebook with the hashtag #Marchis4Nutrition.

The National Alliance of Indigenous Women for Reproductive Health (ALIANMISAR) consists of more than 90 organizations and actively participates in citizen monitoring, advocacy, and policy dialogue to promote better, more culturally-appropriate health services that are accessible to the indigenous populations, especially those living in rural areas and in poverty.

Vitalina de Leon Santos is a member of ALIANMISAR in Guatemala. This is her story.

My name is Vitalina de León Santos, I am 45 years old, married to Miguel Ajxup, a construction laborer, I live in the municipality of Momostenango, department of Totonicapán, Guatemala. I am the mother of two girls and a boy. The health of my children is my priority and although my family have scarce resources, I try to give them as much care as possible following the recommendations of the health services.

In 2012, municipality residents encouraged me to join the National Alliance of Indigenous Women for Reproductive Health (ALIANMISAR), which supports the HP+ project with USAID funds, to fight for our reproductive rights. In this organization, I have been involved in the training process that helped me to become aware, first of all, of the need to value myself as a woman and of the importance of my children’s health care. Since I became pregnant with my last daughter, Astrid Mireya Yulisa Ajxup de León 5 years ago, I took everything I learned into account and during my pregnancy I attended the health center to receive prenatal care where I was provided with iron and folic acid which I consumed with full knowledge of its importance. After the birth of Astrid, I gave her exclusive breastfeeding from the first hour of birth until she was 6 months old. I fed myself with cereals and stimulating herbs so that I had enough milk and my daughter was well nourished. After the six months, I have always tried to give her a healthy and nutritious diet.  I also attended the Health Center so that my daughter had her complete immunization schedule, vitamins and deworming medications.

My daughter is 4 years old now and I am very proud because I believe that these efforts have results in her good health, since she has not been malnourished and has not become ill, despite the fact that in my community many children are suffering malnutrition (The chronic malnutrition rate in children under 5 is 52% in Momostenango Municipality, one of the highest in the country).

Now, as ALIANMISAR municipal coordinator, I participate in the meetings of the Municipal Commission for Food and Nutritional Security of Children and Adolescents, as well as the Municipal Development Council, which allows us to advocate for the approval of projects that benefit the health of our people.   This is the case of the extension of the municipal capital health center for weight and height monitoring, which was requested to the municipality in 2017 and is currently being built.

I have also become a counselor about the upbringing and feeding of children in my community, visiting mothers to share the knowledge acquired in ALIANMISAR.

The ALIANMISAR is an organization of indigenous women that ensures compliance with reproductive rights and nutrition, with cultural relevance, through advocacy, monitoring and policy dialogue to promote the formulation and implementation of public policies that contribute to reducing maternal mortality and chronic malnutrition in Guatemala.

ICAN Strategy Meetings Pave the Road Ahead

The International Coalition for Advocacy on Nutrition (ICAN) met last week in London to develop an advocacy strategy for the year ahead.

The coalition is comprised of organizations working to improve policies and scale-up investments in nutrition globally. ICAN grew out of collaborative efforts in the lead-up to Nutrition for Growth 2013 in London and since then, the coalition has grown significantly, now representing over 40 organizations from 15 different countries.

Given the significant funding gap globally for nutrition, ICAN has focused on mobilizing new resources for nutrition. The World Bank estimates that an additional $7 billion is needed each year to close the funding gap for 4 of the 6 World Health Assembly targets. Importantly, this amount is even higher when considering that an enabling an environment for good nutrition is also needed, including WASH, gender empowerment and production of healthy foods. Although it will take more than just money, additional funding remains critical to ending hunger and malnutrition.

In addition to new resources, ICAN also advocates for better use of existing resources for global nutrition. By ensuring that donors and governments use funding wisely, ICAN members help ensure that programming efficiently reaches the communities that need it most.

Government Donors

A top priority of ICAN has been, and remains, engaging the world’s biggest donors, primarily the G7 countries, to mobilize new and better resources for nutrition. By advocating during government budget cycles and pressuring world leaders to pledge at key global moments, ICAN members have kept the focus on investing in nutrition.

As recognized during last week’s strategy discussion, this work takes place in a difficult context. In recent years, there has been a decline in foreign assistance or overseas development assistance (ODA). Donors are spending less than 1% of ODA on high-impact nutrition interventions that build the foundation for a healthy, prosperous life.

In a difficult political and fiscal environment, the focus of many governments are immediate crises and domestic issues, often at the expense of foreign assistance. However, foreign assistance is equally an important tool for economic growth and global stability. During strategy discussions, it was clear that ICAN members are as dedicated as ever to advocating to donors to improve foreign assistance for nutrition, even in challenging times.

Holding donors accountable for the commitments that they have made to improve the lives of women and children through better nutrition is a key piece of ICAN’s strategy in 2018. G7 countries committed in 2015 to lift 500 million people out of hunger and malnutrition, and yet little has been done to advance that promise. In fact, hunger and malnutrition is on the rise globally, signaling that much more advocacy and pressure is still needed.

The World Bank

The World Bank has shown significant leadership for nutrition over the past few years with President Jim Yong Kim championing the issue, calling on countries to invest more in human capital, including investments in nutrition.

Good nutrition is critical to cognitive development and in turn, can have a significant impact on an individual’s earning potential and in turn, a nation’s economic growth. Between 2018 – 2020, the Bank has identified at least $1.7 billion for nutrition through International Development Association (IDA) loans and grants.

ICAN has worked closely with the Bank to maximize and increase these resources. The World Bank Annual and Spring meetings, for example, have provided an opportunity for civil society to highlight nutrition as a human capital investment and call on Finance Ministers to invest in national nutrition plans.

This will continue to be an important advocacy venue and ICAN members strategized on ways to improve its advocacy to ensure that the Bank is a driving force for improved nutrition for years to come. Relatedly, ICAN is exploring how innovative financing mechanisms like the Global Financing Facility (GFF) and the Power of Nutrition, can be used to leverage more and existing funding for nutrition.

Innovation & Creativity

At the ICAN meeting, the coalition was challenged by a provocative presentation from Danny Sriskandarajah, Secretary General of CIVICUS and Member of the Scaling Up Nutrition (SUN) Lead Group. He reiterated that advocates need to think and operate differently to achieve the Sustainable Development Goals (SDGs) by 2030.

ICAN is continuously striving to improve its way of working together and rise to the challenge of the SDGs. At this year’s coalition meeting, the coalition was joined by five members of SUN civil society alliances – advocates from Guatemala, Myanmar, Kenya, Senegal and the Philippines – that are building political will in their countries to improve nutrition.

ICAN partner organizations have a role to play in supporting country advocates and ensuring that country success stories and challenges are being brought to global attention. Coordinating this effort is not always easy but it is extremely necessary to promote country-led efforts to increase funding and improve policies for nutrition.

The Road Ahead

ICAN is reinvigorated to collaborate on these efforts and more in 2018, with an eye keenly focused on the horizon and the potential for a global pledging summit in 2020. In December, Japan announced its commitment to host a nutrition summit alongside the Tokyo Olympics.

While this is still two years away, the foundation is being laid now to work with the Japanese government, build momentum amongst world leaders and unite around a common vision. Together, with the collective voices of over 40 organizations, ICAN is a powerful voice in the nutrition space with an ambitious agenda ahead.

Statement on the Global Nutrition Summit

1,000 Days celebrates the 2017 Global Nutrition Summit, organized by the Food and Agriculture Organization, the World Health Organization, the United Kingdom Department for International Development, the Bill & Melinda Gates Foundation and the Global Nutrition Report, for putting nutrition at the forefront of the global agenda. As the world faces competing challenges, we must remain laser focused on the often-overlooked crisis of malnutrition that continues to be responsible for 45% of child deaths and a major obstacle to the achievement of economic prosperity.

The Global Nutrition Summit offered an opportunity to highlight the critical importance and cost-effectiveness of good nutrition to save and improve lives – and in response – recommit to ending malnutrition by 2030, a goal that requires sustained political will from all stakeholders.

In total, the summit mobilized $3.4 billion for nutrition, including $640 million in new commitments. The Eleanor Crook Foundation, a U.S.-based family philanthropy, pledged $100 million by 2030 to focus on research, capacity building and advocacy for good nutrition. In a tremendous reflection of American generosity and leadership, thirteen U.S. civil society organizations pledged a collective $1.17 billion for 2018 – 2020 for nutrition. Additional commitments from foundations in Switzerland, Nigeria, Nepal, and India will also contribute to transformative programming. Several affected countries, including Côte D’Ivoire, El Salvador, and Madagascar, made commitments to expand domestic efforts to fight malnutrition. These combined efforts should embolden governments and donors alike to follow suit with investments of their own that are similarly targeted and impactful.

If we are to end malnutrition, efforts must be urgently redoubled to ensure investments in nutrition are reaching the most vulnerable populations. The newly released Global Nutrition Report, an annual publication designed to hold donors accountable for commitments to global nutrition, serves as a sobering reminder that almost every country in the world is affected by poor nutrition, devastating families and destabilizing the global economy.

Turning the tide on malnutrition will require nothing short of a “turbo-charged” effort. With new funding and demonstrated political will, the Global Nutrition Summit can be the spark that ignites a global response. 1,000 Days is committed to work in partnership with all stakeholders to make this a reality.

Nutrition & WASH: A Recipe for Success

In the lead-up to World Water Week, WaterAid, SHARE (Sanitation and Hygiene Applied Research for Equity) and Action Against Hunger launched a new report, “The recipe for success,” in which they discuss a key ingredient for fighting global malnutrition – WASH (water, sanitation and hygiene). The report highlights that 50% of undernutrition in children under five is associated with repeated diarrhea and infections resulting from poor WASH conditions. Additionally, poor sanitation is listed as the second leading cause of stunting worldwide.

Given the report’s findings, it is clear that poor WASH conditions can undermine access to good nutrition. A better understanding of how WASH and nutrition are linked prove critical in the fight against malnutrition.

The findings of this report are playing out around the world, but one acute example is taking place in Yemen right now. More than 60 percent of the Yemeni population faces hunger and starvation, and UNICEF estimates that the country is currently home to the worst outbreak of cholera in the world. The outbreak affects nearly all of Yemen and there have been nearly 500,000 cases of suspected cholera and about 2,000 associated deaths reported to date. Unsurprisingly, the UN Office for Coordination of Humanitarian Affairs reports that, “Malnourished children and pregnant women are at greatest risk of death as they face the “triple threat” of conflict, famine and cholera.”

Poor WASH systems and a lack of access to good nutrition, mixed with conflict, is undermining the resilience of the already vulnerable Yemeni population. This makes it harder for women and children to recover from extreme bouts of diarrhea caused by cholera. The situation is so dire that at this moment, urgent humanitarian assistance and an end to conflict in the region is needed to save lives.

The children that survive these circumstances are still at risk of suffering the long-term consequences of chronic malnutrition and stunted growth. The potential for children to attain optimal growth in life lies within the first 1,000 days between when a woman becomes pregnant and her child’s second birthday. We must ensure that even in the face of crises this period in life is protected.

This World Water Week (Aug 27 – Sept 1) is a time to refocus on the needs around water and sanitation but hopefully also a time to make policymakers aware that WASH and nutrition are connected and in-turn, so are the solutions. Just as malnutrition and poor WASH mutually reinforce bad health outcomes, promotion of good nutrition and WASH policies that work together result in healthier and more nourished communities. This means ensuring that WASH and nutrition are included in each other’s policies and plans, implementation is consistent and institutional structures are strengthened. WASH and nutrition programming that work together to mitigate the malnutrition crisis worldwide must be a priority.

Mwandwe Chileshe is a Global Program Associate at 1,000 Days and a Global Health Corps fellow. In her role at 1,000 Days, Mwandwe supports the organization’s efforts to mobilize greater resources for global nutrition by supporting the management of ICAN and participating in international coalitions. She previously led the Zambia Civil Society Scaling up Nutrition Alliance, a network that works to improve the status of nutrition in Zambia.

Roger Thurow Testifies: How The Effects of Famine Stretch Far Further Than Hunger

Roger Thurow, a friend of and champion for 1,000 Days, recently testified before the House Foreign Affairs Subcommittee on Africa, Global Health, Global Human Rights, and International Organizations on the individual, societal and economic costs of malnutrition and famine. Watch the hearing or read his written testimony below.

Thank you, Chairman Smith, Ranking Member Bass, and distinguished Members of the Committee for inviting me to testify today on this this very important and very timely topic. Thank you for your steadfast support of agricultural development efforts, and for raising the clamor about famine in your resolution. And thank you for this opportunity to testify about the causes and consequences of famine. That this medieval suffering continues now into the second decade of the 21st century is, I believe, the biggest stain on the world’s conscience.

I have witnessed famine and hunger crises, unfortunately, many times in my four decades as a journalist—first as a foreign correspondent with The Wall Street Journal and now as a senior fellow for the Chicago Council on Global Affairs and author of three books on hunger and malnutrition in the 21st Century.

My first travels in the hunger zones of Africa came during the Ethiopian famine of 2003, when 14 million people were on the doorstep of starvation. It was the first great hunger catastrophe of our grand new Millennium. On my first day in Addis Ababa, the capital, I met with World Food Programme workers who were scrambling to provide relief as the hunger spread. One of them gave me this piece of advice, which to me sounded like an ominous warning: “Looking into the eyes of someone dying of hunger becomes a disease of the soul. For what you see is that nobody should have to die of hunger.”

Certainly, not now, not in the 21st century when so many scientific and technological achievements are literally at our finger tips. The next day, I stepped into an emergency feeding tent filled with dozens of starving children and their parents—and I looked into their empty, lifeless eyes. What I saw did indeed infect my soul, like a disease. In addition to the immense human suffering, I saw resignation and defeat of the farmers who had lost everything. I saw families on the move—abandoning homes and hope. I saw communities shattered, an entire generation, the children, vanishing in their parents’ arms. From the women, I saw that the deepest form of misery was to be a mother unable to stop the crying of a hungry child.

For me, it was impossible to see and not act. Thus, as a journalist, an author and senior fellow at the Council I continue to write and write and write about hunger and malnutrition. I believe that those of you who recently traveled to South Sudan and Uganda also looked into the eyes of the hungry. And thus, with similarly diseased souls, I imagine you too feel compelled to act about hunger and malnutrition.

What propels my writing—and, I’m sure, your action—is the firm conviction that things don’t have to be this way. Yes, droughts will occur. Conflicts will rage. Corruption will complicate relief efforts. But starvation and famine can be avoided. Timely humanitarian response with food aid, and water, and shelter, and medical assistance, is absolutely necessary to reduce the suffering and save lives. I’ve seen it happen, heroically, with American leadership.

Emergency responses and food aid are crucial action now, but it alone won’t prevent the next famine. This we must acknowledge and remember. The next famine will only be prevented by long-term agricultural development investments—the investments that give farmers, particularly small-scale farmers, and their families resiliency against climate and economic shocks, that provide food security, that reduce conflict, that promote economic prosperity, that spread hope of better futures. The kind of investments we’ve seen under Feed the Future, made possible by the Global Food Security Act—which the Chairman staunchly championed and continues to do. Thanks to the long arc of American leadership in the post-World War II era, progress has been made on reducing hunger and malnutrition and stunting—and the 114th Congress can now add its name to that long and storied list after passing the global food security act. Now is not time to retreat. Exactly seventy years ago this month, with hunger looming in Europe after the war, the Marshall Plan was launched and now the EU is our largest trading partner. Today, famine and hunger on a scale rarely seen in Africa and the Middle East call us to act.

We know these investments in agricultural development work. The programs that have been in play on the ground in Ethiopia since the 2003 famine have created a resiliency that has the country better prepared to combat the current drought, better than its neighbors. According to new USAID evidence, Ethiopian households reached by US agricultural development programs were far more resilient than their neighbors, both within Ethiopia and in surrounding countries, to maintain their food security in the face of an historic drought.

I have seen the benefits of agricultural development investments myself. In my books, I have followed farmers and their families over time. As harvests improve, as surpluses grow, the hunger season wanes. Malnutrition disappears. Children stay in school longer—I have seen families celebrate high school and even college graduations because of increased prosperity from agricultural advancement. The farmers become more entrepreneurial, eagerly expanding their operations to feed not only their own families but their communities and their countries as well. They no longer strive merely to survive, but to robustly thrive.

Ending hunger wherever it may be is certainly the right thing to do—and that should motivate us all. We’re told by the World Food Programme that today about 5.4 million children are dangerously malnourished and more than one million are at risk of starvation during the current famines raging in Africa and the Middle East, and that without sufficient and timely relief, up to 600,000 children are at imminent risk of death in the coming months. That’s shocking and unconscionable.

Doing what we can to prevent those deaths and end that suffering is also the smart thing to do. For famine isn’t just something that happens “over there” somewhere. Famine impacts all of us. The economic ripples of hunger and malnutrition are powerful and long-lasting—they roll over time and space. Even though a famine may end, the costs continue to accumulate. The most pernicious impact of any hunger crisis—along with the lives lost—is what becomes of those who survive.

The impact is greatest on women and children, particularly in the first 1,000 days—the time from the beginning of a mother’s pregnancy to the second birthday of her child. Any lack of food, any bout of malnutrition, often leads to stunting—physically and cognitively. Stunting is a life sentence of underachievement and underperformance. Currently, in our world today, one in every four children under the age of five is stunted. One in four children. Think about that.

The toll on the individual, the family, the community are profound in the loss of education and labor productivity over time—for a stunted child becomes a stunted adult. Collectively, the problem weakens our trading partners, limits global opportunities. Childhood malnutrition and stunting can cost individual countries 8-10-12% of their annual GDP according to the World Bank. The World Bank also estimates the costs to the global economy at $3.5 trillion annually in lost productivity, higher health care costs, and lessened trade—that is “trillion” with a “T.”

Those are big numbers. But perhaps the greatest cost of childhood malnutrition and stunting are immeasurable: A poem not written. A gadget not invented. A horizon not explored. An idea not formed. An innovation not nurtured. A cure not discovered. What might a child have contributed to the world if he or she hadn’t been stunted? You see, a stunted child anywhere becomes a stunted child everywhere.

In closing, I’ll return briefly to Ethiopia. During the 2003 famine, the first eyes of a starving child I looked into belonged to a 5-year-old boy named Hagirso. He had withered away to skin and bones, the doctors and nurses worried that he might not survive. What I saw that day continued to haunt me. I often wondered whatever happened to Hagirso? Ten years later I returned to the scene of that awful famine. I was delighted to find that Hagirso had survived. But he clearly wasn’t thriving—he was severely stunted, physically and cognitively. At 15 years old, he only came up to the bottom of my rib cage. And he had just begun attending first grade classes, learning the alphabet.

For me, he is the embodiment of what is at stake when we allow famines to continue. What might this child have accomplished were he not stunted? A lost chance at greatness for one child is a lost chance for us all.

That is what compels us to act today. The American imperative to lead the way to the end of hunger and malnutrition and stunting abides, stronger than ever.

Proposed Budget Cuts Would Leave Behind The World’s Most Vulnerable, Undermine Our Future

1,000 Days is deeply troubled by the Trump Administration’s proposed budget for Fiscal Year 2018, which, through drastic cuts to lifesaving foreign assistance programs, would hurt the world’s poorest and most vulnerable people.  These cuts come at a time when the world is facing a vast crisis of malnutrition and famine that is taking the lives of young children each day.

The Administration’s proposed 28% cut to the foreign assistance budget is simply not in the national interest of the United States. It will not make Americans any safer or more prosperous and will do little to balance our country’s budget. On the contrary, this shortsighted request will ultimately cost American taxpayers more money, requiring more costly interventions in subsequent years to address the destabilizing effect that malnutrition, poverty, and disease have on communities.

Foreign assistance programs, which constitute less than 1% of the federal budget, have outsized impact around the world. U.S. investments to combat global malnutrition deliver proven interventions that save and improve lives and build trading partners for American businesses. Annual GDP losses attributable to malnutrition average 12% in Africa and Asia, eclipsing the GDP losses experienced after the 2008 global financial crisis. But, for every $1 invested in improving nutrition in the 1,000 day window between pregnancy and age two, we see a return of $48 in better health and economic productivity.

To see sustainable gains in nutrition, we must ensure that a multi-sectoral range of programs is protected and, ultimately, grown. This includes bilateral U.S. development investments as well as our country’s contributions to critical multilateral organizations, such as the United Nations and the World Bank. And, to effectively deliver, we must ensure that the expertise of USAID, the U.S. government’s lead development agency, is strengthened.

We look to Members of Congress to continue their remarkable leadership in promoting international development by securing and protecting the FY 2018 International Affairs budget as an investment in our national security and in our future prosperity.

Reflecting on 2016

As 2016 comes to a close, we at 1,000 Days are struck by the important work that has been accomplished – and how much is left to be done. Over the past year we have continued to fight for a healthier future for moms and babies here in the U.S. and around the world. We launched new findings and reports, we worked with new partners and champions, we grew our team – we even added two new babies to our 1,000 Days family!

Here are a few of our highlights from the last year:

  • In January we hand-delivered over 230,000+ petition signatures in support of paid family leave to members of Congress.
  • In April – at an event featuring Bill Gates – we launched a groundbreaking study providing a roadmap for how the world can accelerate progress against malnutrition.
  • Also in April, we sent a letter to President Obama – signed by over 100 athletes – in support of all children receiving a fair start to life with good nutrition.
  • In August we launched our Babies Unite video series in support of ending malnutrition worldwide (which has received over 400,000 views and counting!)
  • In September we released a first-of-its-kind report on nutritional health of America’s mothers, infants and toddlers.
  • In November we urged the presidential candidates to prioritize paid family leave and encouraged the FDA to regulate misleading infant formula marketing.
  • In December we presented findings from qualitative research we conducted to better understand the realities of the first 1,000 days among low-income families in the U.S.

This work would not have been possible without the incredible support of our partners and supporters. You help power our work at 1,000 Days, whether we’re pushing for a national paid family leave policy, fighting for greater investment in programs that save lives of children around the world, or supporting and promoting every woman’s right to breastfeed.

We’ve come a long way this past year, laying the groundwork in our fight for healthy moms and babies. But, there is still more to be done. We look forward to continuing to help build a healthier and more prosperous future for children and their families in the year to come, for there is no better investment we can make than in the health and well-being of our children.