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The First One Thousand Days Elizabeth Whelan and Saw Eden Leveraging Essential Nutrition Actions to Reduce Malnutrition (LEARN) Project 16 June 2015 One Thousand Days Window of opportunity Good nutrition has life-long benefits Nutrition


  1. The First One Thousand Days Elizabeth Whelan and Saw Eden Leveraging Essential Nutrition Actions to Reduce Malnutrition (LEARN) Project 16 June 2015

  2. One Thousand Days Window of opportunity Good nutrition has life-long benefits

  3. Nutrition situation in Myanmar 1 1 in 3 stunted 1 2 3

  4. ?

  5. Benefits of good nutrition Adequate nutrition leads to: • Full physical and mental growth • Better school performance • More effectively fight off disease • Earn more money as an adult

  6. The journey Day 1,000 Day 1

  7. Exclusive breastfeeding A mother’s breast milk contains:  Food  Water  antibodies

  8. Infant and young child feeding

  9. Nutrition challenges in Myanmar • Food taboos • WASH • Poverty

  10. Food Taboos  Nga Lin Pan fish  Nga Khu fish  Nga Tan fish  Nga Mee Tan Thwel fish  Watercress  Bitter gourd  Roselle  Eggplant  Bitter leaves  Lime  Beans  Kyaung shar fruit  Cucumber  Wild pigs  Dog fruit  Radish leaves  Tortoise  Okra  Long bean  Frogs  Most vegetables  Lentils  Rats  Banana  Pumpkin  Squirrel  Guava  Moringa  Corn Sample findings from Focus Group Discussions: Foods Women Avoid after Giving Birth

  11. Water, Sanitation and Hygiene (WASH) • Nearly all infants properly cleaned after defecation • 1 in 5 (caretakers) properly dispose of feces • Only 4 in 10 adults wash hands with soap and water before eating

  12. Poverty 50 45 Chronic Malnutrition 46.6 % of Children 0-59 Months 40 39.6 35 35.7 30 25 27.7 20.7 20 15 10 5 0 Poorest Second Middle Fourth Richest

  13. Intergenerational cycle of malnutrition

  14. Thank you

  15. Chei zu tin bar te

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