Andelen af fattige er næsten halveret på 20 år og Laos oplever økonomiske vækstrater på otte procent. Alligevel lider 44 procent af børnene under fem år af fejlernæring og ifølge UNICEF dør 5.000 af dem hvert år af underernæring.
LUANG PRABANG, 29 August 2013 (IRIN): Economic growth in Laos is propelling the country towards achieving middle income status by 2020, yet chronic malnutrition among children under five years old remains a pervasive challenge, experts say.
“High rates of malnutrition, particularly in rural areas, continue to affect children’s health and capacity to learn later on in life,” said Uma Palappian, a nutrition specialist with UNICEF Laos.
“It also hampers adult productivity and contributes to a loss of annual GDP (økonomisk vækst),” she added.
Steady economic growth over the past decade – 8 percent in 2012 – has contributed to a drop in poverty levels.
Forty-six percent of the population lived on less than 1,25 US dollar (seks-syv DKR) per day in 1992; this year, that number was 27,6 percent, according to the UN Development Programme (UNDP).
Malnutrition
Yet Laos struggles with the second-highest rate of malnutrition (underernæring) in East Asia and the Pacific, after Timor-Leste, a country that has experienced civil war and unrest over the past two decades.
Laos’s nationwide stunting average (under normal højde) is 44 percent among under-fives, and stunting rates are as high as 58 percent in the northern highland provinces, according to the World Food Programme (WFP).
“Laos is a challenging context to address hunger,” said Aachal Chand, WFP Laos’s head of nutrition, who says key obstacles include geographic isolation, the need for greater dietary diversity (varieret kost) and poor awareness about nutritional health.
Other experts additionally point to heavy reliance on subsistence farming in rural areas, as well as seasonal and weather-induced food insecurity.
Cut off from aid, alternatives
Dependent on agriculture
Laos graduated to lower middle income status in 2011, and it joined the World Trade Organization as a full member only six months ago, in February.
But 80 percent of the population lives in rural areas, where communities are dependent on agricultural and natural resources, leaving them vulnerable to food insecurity and under-nutrition.
This is particularly true in the lean (magre) season, which lasts from June to October, when heavy rains can ruin food storage facilities, according to CARE Laos, which has been working in the country on food security and agricultural issues for more than two decades.
“A combination of natural hazards and pests affect crops and pose risks to food security, especially in remote villages without easy access to alternative food sources,” explained Baas Brimer, WFP Laos’s head of vulnerability analysis and mapping.
In 2012, up to 32 percent of households reported suffering from food insecurity as a result of crop pests, while 20 percent were affected by rain-induced landslides and storms that obstructed roads, reported the Food and Agriculture Organization (FAO)-supported National Food and Vulnerability Survey (FVS).
One village in the central and mountainous Khammouane Province was cut off for 19 days during the rainy season in 2011, according to the FVS.
“It can be so difficult for people,” said Vong, 24, a Hmong resident of Ban Houythao Village in northern Luang Prabang Province. “The rice harvest can be ruined by birds or floods, and my family was often forced to eat only soup.”
Reliance on rice
Cultural isolation can also prove problematic.
“The non-Lao speaking ethnic groups tend to live in the more remote areas, making them disproportionately affected by food insecurity,” said Glenn Bond, the director of CARE Laos.
Nutritional knowledge is also in short supply, especially in isolated highland villages, and “particularly for pregnant mothers and children under the age of five, who are most at risk of immune deficiencies and hindered learning abilities resulting from inadequate food intake,” said UNICEF’s Palappian.
Nutrition experts say heavy reliance on rice as a staple food (grundnæringsmiddel) and the limited availability of animal protein are to blame for much of the under-nutrition problem.
“Glutinous sticky (tyk glutenholdig) rice provides sugar and energy but not enough dietary diversity,” said WFP’s Chand. “Even small changes in food preparation, such as adding salt after cooking to increase iodine intake, can help.”
While the majority of rural households have at least a pig or a flock of chickens, animals are typically kept to sell during emergencies or in case guests visit the community, according to Vong.
The hilly environment also makes raising large animals difficult, according to Brimer.
Meatless meals
Meat is consumed in some areas as little as three times per month, according to the FVS, contributing to rates of anaemia (blodmangel) that reached 36,2 percent in 2012.
Anaemia poses particular risks to infants and pregnant and breastfeeding women.
“The 1.000 days from pregnancy to infancy are crucial for a baby’s cognitive and motor (motoriske) development, as well for the baby’s immune system, which affects their ability to absorb nutrients,” said Palappian.
More than 5.000 babies in Laos die each year from preventable, nutrition-related health problems, according to UNICEF.
