Wednesday, April 17, 2013

A BABIES FIRST 1000 DAYS



I have always loved children.
I enrolled to become a primary school teacher when I was fresh out of high school but then I won a sports scholarship to the Australian Institute of Sport for playing squash for 2 years and as I grew older my priorities changed.  For those 2 years on scholarship I did work in a child care centre part time as I also trained as an elite athlete during that time.  I have been lucky enough to have been included in the growing up of my beautiful god-daughters Zoe and Tess.  I have been a part of their lives right from the ½ hour after each of them was born.  Yes I love kids.

I have always enjoyed the older children and envisaged that I would be working with the 4-8 years olds’ when I finally did find some work here in Kenya.  I enjoy the interaction with that age, and a little selfishly I like the attention I got back from them, to hear their unjudged thoughts, their purity and not yet tainted by the world that we live in, well certainly Western children.  Africa children I guess are a little more ‘hardened’ to life at an earlier age and then being an orphan or coming from a crime or very poor family also changes that dynamic and thinking.  For me to work with the older children I would have to pay for a taxi (Steven) to take me to the children’s orphanage and it was going to cost me 23AUD each way, and for a volunteer post, I was and am not in a position to pay those costs, so it is a little by circumstance that I find myself at the Halfway House with the babies.  But as things always happen for a reason I was talking to Katie about it and she mentioned that the first 1000 days of a baby’s life is like a blue print for the rest of their life.  It made me sit back, take stock and I think working with the babies seems even more rewarding than I ever thought possible and when you put into those kinds of terms I am having a little to do with setting these kids on to a good path for when they get older.  Who would have thought that holding a 4 week old baby would have such an impact on the rest of its whole life?       

So why are the first 1,000 days so important?  The 1,000 days between a woman’s pregnancy and her child’s 2nd birthday offer a unique window of opportunity to shape healthier and more prosperous futures. The right nutrition during this 1,000 day window can have a profound impact on a child’s ability to grow, learn, and rise out of poverty. It can also shape a society’s long-term health, stability and prosperity.  Today, under nutrition is still a leading cause of death of young children throughout the world. For infants and children under the age of two, the consequences of under nutrition are particularly severe, often irreversible, and reach far into the future.

During pregnancy, under nutrition can have a devastating impact on the healthy growth and development of a child. Babies who are malnourished in the womb have a higher risk of dying in infancy and are more likely to face lifelong cognitive and physical deficits and chronic health problems.  For children under the age of two, under nutrition can be life-threatening. It can weaken a child’s immune system and make him or her more susceptible to dying from common illnesses such as pneumonia, diarrhoea and malaria.

In 1,000 days, you can change the future

By focusing on improving nutrition for mothers and children in the 1,000 day window, we can help ensure a child can live a healthy and productive life. Investing in better nutrition in the 1,000 day window can also help families, communities and countries break the cycle of poverty.  Evidence shows that the right nutrition during the 1,000 day window can:
Save more than one million lives each year;
Significantly reduce the human and economic burden of diseases such as tuberculosis, malaria and HIV/AIDS;
Reduce the risk for developing various non-communicable diseases such as diabetes, and other chronic conditions later in life;
Improve an individual’s educational achievement and earning potential
Increase a country’s GDP by at least 2-3 percent annually.

As a result, leading scientists, economists and health experts agree that improving nutrition during the critical 1,000 day window is one of the best investments we can make to achieve lasting progress in global health and development.  Solutions to improve nutrition in the 1,000 day window are readily available, affordable and cost-effective.
They include:
Ensuring that mothers and young children get the necessary vitamins and minerals they need;
Promoting good nutritional practices, including breastfeeding and appropriate, healthy foods for infants
Treating malnourished children with special, therapeutic foods.

Every year a new generation of children is condemned to a life in which they fail to thrive – never reaching their full physical, intellectual or economic potential.  These children are stunted – their bodies and brains irreversibly damaged by the ravages of malnutrition.  This damage occurs very early in a child’s life, often before he or she is even born. Today, there are an estimated 170 million stunted children throughout the world.  They are victims of chronic malnutrition - the grinding result of a diet that does not provide them with the nourishment they require to develop and thrive.
Unfortunately, malnutrition is as persistent as it is pervasive.  Research has shown that malnutrition early in life has serious lifelong consequences and can even be passed down from one generation to the next.  Stunted children have lower IQs, perform more poorly at school, are more susceptible to illness and earn less in their jobs as adults.  This in turn makes it harder for individuals to work their way out of poverty and give their children the nutrition they need in order to grow into healthy, prosperous adults.

This is why it is critical to stop malnutrition before it starts.

Over the past few years, renowned scientistsresearchers and economic experts have implored the world to focus more of its attention and resources on what happens during the critical 1,000 days between a woman’s pregnancy and her child’s 2nd  birthday. It is in these 1,000 days that the right nutrition serves as the foundational building block for the healthy development of children’s brains and bodies and consequently, the healthy development of societies free of chronic hunger and poverty.

Under nutrition has been characterized as one of the world’s most serious but least addressed problems. The human and economic costs of under nutrition are enormous, falling hardest on women, children and the poor.  Under nutrition claims the lives of 3.5M young children each year, yet it is almost entirely preventable.  Within the 1,000 day window from pregnancy to the age of two, the cognitive and physical damage caused by under nutrition is particularly severe and often irreversible. This has profound consequences not only for the child’s future but also for the long-term health and development of families, communities and societies. 

What is under nutrition?
Under nutrition is a serious condition in which the body does not get the nutrients it needs to sustain healthy growth and development.  It arises when there is inadequate consumption, poor absorption or an excessive loss of nutrients. Under nutrition is a form of malnutrition and sometimes the two terms are used interchangeably.

What causes under nutrition?
Food: Not enough food and not enough diverse, nutritious food.
Care: Poor maternal care and child care practices due to a lack of knowledge about healthy diets and infant care on the part of mothers and other caregivers in the family.
Health: Lack of health services, clean water and sanitation.
In countries where gender inequality is great, there can be high rates of under nutrition as female members of a household will ‘eat least and last.’  Fundamentally, poverty is at the root of under nutrition. Very poor people are generally unable to afford the foods, education or health care they need to nourish themselves or their children.

What’s at stake?
Children who do not get adequate nutrition during the 1,000 days between their mother’s pregnancy and their second birthday can suffer from stunted physical and cognitive development.  Impaired cognitive function means a child can have a diminished capacity to learn, leading to lower educational performance and ultimately, lower economic productivity. This in turn can hinder a nation’s economic development.  Evidence shows that in countries where childhood under nutrition is pervasive, the loss to GDP can be as high as 2 to 3 percent, not including the indirect costs of malnutrition such as health care and lost wages due to illness.  Under nutrition early in life increases the risk that illnesses become fatal and is also now known to contribute to non-communicable diseases later in life—diseases like diabetes, cardiovascular diseases and cancers.  Undernourished women are more likely to give birth to low birth-weight babies, contributing to a multigenerational cycle of under nutrition.

So in some small way, feeding these babies at The Nest, nurturing them and giving them love while their mothers are unable to care for them, I hope that I am helping in those first 1,000 days to set them up for a much more rewarding life and giving them more physical, intellectual and economic potential.  It sounds very deep, but this is Africa and this is what they have to tackle every day.  It is part of their existence, they are born into it and if we can help in some small way, it is not only for the individual, but the family, the community and finally a country. 

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