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Während ich die Gelegenheit, einen weiteren Beitrag für die Gemeinschaft vor dem Verlassen WMB Laos noch in diesem Jahr zu schreiben haben noch, I feel compelled to tell you about child nutrition and the problem of stunting in Laos because stunting is a seemingly invisible problem that can go unnoticed unless special attention is drawn to highlight the issue. Ethnically, most Southeast Asian people are shorter and have a smaller frames than most other races throughout the world. This fact makes it easy to say that Lao babies and children tend to be small or smaller because of their race. Yet at first glance Lao children appear to be healthy (and super cute), a closer look and personal interaction will almost always reveal that the children are a few years older than what you had first assumed. I recently met an adorable girl in a northern village at a school where I delivered books by boat since there is no road access to her village. Upon speaking with her (in Lao) I was impressed by how well behaved, articulate and “mature” she was for what I assumed to be a 6-year old. (I have two 4-year old twins so I was instantly optimistic about their potential in just two short years to be as well behaved as this girl.) She turned out to be 10-years old. This has happened time and time again to me, to my colleagues, and to many newcomers to Laos. Lao children are among the most undernourished in Southeast Asia with 44% stunting of children under 5-years old. It is the single largest contributor to infant and child mortality in the country with 59% of all child deaths related to nutritional deficiencies. Chronic malnutrition predisposes children to higher morbidity and mortality, lower educational attainment, and reduced workforce productivity. For a country experiencing rapid economic growth and increasing income disparities, fierce external human resource competition puts the country at risk of leaving a majority of the Lao population behind others who will be more able to keep apace. Stunting is a problem that needs be addressed for the immediate wellbeing of Lao children and to be resolved for the future potential of the Lao people. The Lao government is working closely with experts and development partners on how to tackle this important issue. Es ist nicht einfach. Poor breast-feeding and weaning practices are widespread. Almost all mothers give food supplements (such as chewed glutinous rice), and pure water, to infants within a few weeks of birth. Harmful practices (such as discarding colostrum) and other food taboos for pregnant women reduce disease resistance for newborns and increase fetal undernutrition. Micronutrient deficiencies, inadequate intake of vitamin A, anemia and iodine deficiency, all further hinder child development. The current health system is not only faced with challenges of delivering micronutrients, immunizations and necessary vitamins to the most vulnerable population, but they are additionally burdened by the daunting task of changing people’s behaviors to improve dietary habits, increase nutritional intake, and overcoming cultural belief and religious belief obstacles to improved nutrition status among rural and multi-ethnic communities. The task is daunting. What is being done and what needs to be done? There are some great organization here making slow but successful strides on a small-scale basis. UNICEF, WFP, IFAD, Save the Children, the Scale Up Nutrition initiative and others who are collaborating closely with government health officials, but resources are scarce, especially in an often overlooked country like Laos. - We can channel financial support to these organizations for their work on nutrition in Laos. - We can lobby our governments to increase foreign assistance resources to address the poor state of healthcare in Laos (z.B., Laos is not one of the United States’ ‘priority countries’ receiving Global Health Initiative (GHI) Finanzierung. Ask U.S. representatives, Warum nicht?) - We can voice our concern to private and public interests who are taking advantage of opportunities in Laos to improve their social welfare practices by investing in better healthcare in communities where they pursue their business interests. - We can ask the question to anyone willing to listen about who should be accountable to improving the welfare of children beginning their lives under such great odds in Laos. Hopefully someday, someone will listen and take action. Dies ist ein Original Post World Moms Blog von unserer Mutter von Zwillingen Schriftsteller, Dee Harlow in Vientiane, Laos. You can always find her writing on her blog, Wanderlustress. Photo credit dem Autor zugeschrieben.
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Cé go bhfuil mé fós an deis a scríobh an bpost eile don phobal WMB roimh fhágáil Laos níos déanaí i mbliana, Is dóigh liom iallach a insint duit faoi chothú leanaí agus an fhadhb stunting i Laos toisc go bhfuil Stunting fadhb cosúil gcruthaíonn sé dofheicthe is féidir a théann nach dtugtar ach amháin má tá aird ar leith a tharraingt chun aird a tharraingt ar an tsaincheist. Eitneachais, Tá an chuid is mó daoine Oirdheisceart na hÁise níos giorra agus tá frámaí níos lú ná an chuid is mó rásaí eile ar fud an domhain. Déanann an bhfíric sé éasca a rá go bhfuil an claonadh naíonáin agus do leanaí Lao a bheith beag nó níos lú mar gheall ar a chine. Ach ag an gcéad amharc feiceáil páistí Lao a bheith sláintiúil (agus Super gleoite), Beidh breathnú níos dlúithe agus idirghníomhaíocht pearsanta beagnach i gcónaí nochtann go bhfuil na páistí cúpla bliain níos sine ná an méid a bhí tú an chéad ghlac. Bhuail mé le déanaí cailín adorable i sráidbhaile thuaidh i scoil inar thug mé leabhair ar bhád ó nach bhfuil aon rochtain ar bhóithre chuig a sráidbhaile. Ar labhairt léi (i Lao) Chuaigh mé ag cé chomh maith behaved, a chur in iúl agus "aibí" Bhí sí cad ghlac mé a bheith 6 bliana d'aois. (Tá mé dhá cúpla 4-bliana d'aois mar sin bhí mé láithreach dóchasach faoi a n-acmhainneacht i díreach dhá bhliain ghearr a bheith behaved chomh maith an cailín.) Iompaigh sí amach a bheith 10-bliain d'aois. Tá sé seo a tharla arís agus arís eile dom, le mo chomhghleacaithe, agus go leor daoine nua Laos. Tá páistí Lao i measc an chuid is mó míchothaithe i Oirdheisceart na hÁise le 44% stunting of children under 5-years old. It is the single largest contributor to infant and child mortality in the country with 59% of all child deaths related to nutritional deficiencies. Chronic malnutrition predisposes children to higher morbidity and mortality, lower educational attainment, and reduced workforce productivity. For a country experiencing rapid economic growth and increasing income disparities, fierce external human resource competition puts the country at risk of leaving a majority of the Lao population behind others who will be more able to keep apace. Stunting is a problem that needs be addressed for the immediate wellbeing of Lao children and to be resolved for the future potential of the Lao people. Tá an rialtas ag obair go dlúth le saineolaithe Lao agus comhpháirtithe forbartha ar conas dul i ngleic leis an gceist thábhachtach. Níl sé éasca. Tá droch-chleachtais cíche-beathaithe agus scoite forleathan. A thabhairt beagnach gach máithreacha forlíontaí bia (mar shampla ríse glutinous chewed), agus uisce íon, le naíonáin laistigh de chúpla seachtain breithe. Cleachtais Díobhálach (mar shampla chaitheamh gruth buí) agus taboos bia eile do mhná torracha a laghdú friotaíocht galar do leanaí nuabheirthe agus undernutrition féatais a mhéadú. Easnaimh micronutrient, iontógáil neamhleor de vitimín A, anemia agus easnamh iaidín, gach bac a thuilleadh forbairt an linbh. Níl an córas sláinte atá ann faoi láthair os comhair ach amháin le dúshláin na micronutrients a sheachadadh, imdhíontaí agus vitimíní atá riachtanach chun an daonra is leochailí, ach tá siad ualach chomh maith ag an tasc deacair a athrú ar iompar na ndaoine a fheabhsú nósanna cothaithe, mhéadú iontógáil cothaitheacha, agus a shárú creideamh cultúrtha agus constaicí chreideamh reiligiúnach a stádas cothaithe níos fearr idir na pobail tuaithe agus il-eitneach. Is é an tasc a daunting. Cad atá á dhéanamh agus cad is gá a dhéanamh? Tá roinnt eagraíocht iontach anseo déanamh dul chun cinn mall ach rathúil ar bhonn scála beag. UNICEF, CBD, IFAD, Sábháil na Leanaí, an tionscnamh Scála Suas Cothú agus daoine eile atá ag comhoibriú go dlúth le hoifigigh sláinte rialtais, ach tá acmhainní atá gann, go háirithe i dtír go minic overlooked mar Laos. - Is féidir linn tacaíocht airgeadais a threorú chuig na heagraíochtaí seo as a gcuid oibre maidir le cothú i Laos. - Is féidir linn a stocaireacht ár rialtais a mhéadú acmhainní cúnamh coigríche chun aghaidh a thabhairt ar an drochbhail sláinte i Laos (m.sh., Ní Laos cheann fháil Tionscnamh Sláinte Domhanda 'tíortha tosaíochta' na Stáit Aontaithe ' (SCRÍOBH) maoiniú. Iarr U.S. ionadaithe, Cén fáth nach?) - Is féidir linn a guth ár n-imní a leasanna príobháideacha agus poiblí atá ag glacadh buntáiste a bhaint as deiseanna i Laos a gcuid cleachtas leasa shóisialaigh a fheabhsú trí infheistiú i gcúram sláinte níos fearr i bpobail ina shaothrú siad a gcuid leasanna gnó. - Is féidir linn a iarraidh ar an cheist do dhuine ar bith sásta éisteacht faoi ba chóir a bheith cuntasach do feabhas a chur ar leas na bpáistí ag tosú ar a saol faoi odds iontach den sórt sin i Laos. Táimid dóchasach someday, beidh duine éisteacht agus gníomh a ghlacadh. Is é seo an bpost bunaidh chun Moms Domhanda Blag ag ár máthair cúpla scríbhneoir, Dee Harlow i Vientiane, Laos. Is féidir leat teacht i gcónaí ar a scríobh ar a bhlag, Wanderlustress. Grianghraf creidmheasa tugtha don údar.