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Zimbabwe, a country in southern Africa, is suffering widespread malnutrition [1] and diseases, such as HIV/AIDS, tuberculosis, and malaria. "One in four human beings is malnourished" in Africa, but Zimbabwe is near the deep end with almost 12,000 children alone suffering from severe malnutrition (Turner 8). Zimbabweans suffer from lack of food, sustenance, and the politicization of food, but these can be fixed by the fortification of basic foods, the resolution of the political problems in Zimbabwe, and continuing aid from non-governmental organizations (NGOs).
Zimbabwe, officially the Republic of Zimbabwe, is a landlocked country located in southern Africa, between the Zambezi and Limpopo Rivers, bordered by South Africa, Botswana, Zambia and Mozambique. The capital and largest city is Harare. A country of roughly 16 million people, Zimbabwe has 16 official languages, with English, Shona, and Ndebele the most commonly used.
Southern Africa is the southernmost region of the African continent, variably defined by geography or geopolitics, and including several countries. The term southern Africa or Southern Africa, generally includes Angola, Botswana, Eswatini (Swaziland), Lesotho, Malawi, Mozambique, Namibia, South Africa, Zambia, and Zimbabwe, though Angola may be included in Central Africa and Malawi, Mozambique, Zambia and Zimbabwe in East Africa. From a political perspective the region is said to be unipolar with South Africa as a first regional power.
Malnutrition is a condition that results from eating a diet in which one or more nutrients are either not enough or are too much such that the diet causes health problems. It may involve calories, protein, carbohydrates, vitamins or minerals. Not enough nutrients is called undernutrition or undernourishment while too much is called overnutrition. Malnutrition is often used to specifically refer to undernutrition where an individual is not getting enough calories, protein, or micronutrients. If undernutrition occurs during pregnancy, or before two years of age, it may result in permanent problems with physical and mental development. Extreme undernourishment, known as starvation, may have symptoms that include: a short height, thin body, very poor energy levels, and swollen legs and abdomen. People also often get infections and are frequently cold. The symptoms of micronutrient deficiencies depend on the micronutrient that is lacking.
Burkina Faso is a landlocked country in West Africa. It covers an area of around 274,200 square kilometres (105,900 sq mi) and is surrounded by six countries: Mali to the north; Niger to the east; Benin to the southeast; Togo and Ghana to the south; and Ivory Coast to the southwest. The July 2018 population estimate by the United Nations was 19,751,651. Burkina Faso is a francophone country, with French as the official language of government and business. Roughly 40% of the population speaks the Mossi language. Formerly called the Republic of Upper Volta (1958–1984), the country was renamed "Burkina Faso" on 4 August 1984 by then-President Thomas Sankara. Its citizens are known as Burkinabé. Its capital is Ouagadougou.
The foreign relations of Zimbabwe emphasize a close relationship with the People's Republic of China and South Africa, nations with close economic ties to Zimbabwe.
Human nutrition deals with the provision of essential nutrients in food that are necessary to support human life and health. Poor nutrition is a chronic problem often linked to poverty, food security or a poor understanding of nutrition and dietary practices. Malnutrition and its consequences are large contributors to deaths and disabilities worldwide. Good nutrition helps children grow physically, and helps to promote human biological development.
Sanitation refers to public health conditions related to clean drinking water and adequate treatment and disposal of human excreta and sewage. Preventing human contact with feces is part of sanitation, as is hand washing with soap. Sanitation systems aim to protect human health by providing a clean environment that will stop the transmission of disease, especially through the fecal–oral route. For example, diarrhea, a main cause of malnutrition and stunted growth in children, can be reduced through sanitation. There are many other diseases which are easily transmitted in communities that have low levels of sanitation, such as ascariasis, cholera, hepatitis, polio, schistosomiasis, trachoma, to name just a few.
Bingu wa Mutharika was a Malawian politician and economist who was President of Malawi from May 2004 until his death in April 2012. He was also President of the Democratic Progressive Party, which he founded in February 2005; it obtained a majority in Malawi's parliament in the 2009 general election. During his two terms in office, he was noted for being the Chairperson of the African Union in 2010–2011, as well as for several domestic controversies. In 2009, he purchased a private presidential jet for $13.26 million. This was followed almost immediately by a nationwide fuel shortage which was officially blamed on logistical problems, but was more likely due to the hard currency shortage caused by the freezing of aid by the international community He died of cardiac arrest in Lilongwe while in office on 5 April 2012, at age 78.
Plumpy'Nut is a peanut-based paste in a plastic wrapper for treatment of severe acute malnutrition manufactured by Nutriset, a French company. Removing the need for hospitalization, the 92-gram packets of this paste can be administered at home and allow larger numbers to be treated.
The 2005–06 Niger food crisis was a severe but localized food security crisis in the regions of northern Maradi, Tahoua, Tillabéri, and Zinder of Niger from 2005 to 2006. It was caused by an early end to the 2004 rains, desert locust damage to some pasture lands, high food prices, and chronic poverty. In the affected area, 2.4 million of 3.6 million people are considered highly vulnerable to food insecurity. An international assessment stated that, of these, over 800,000 face extreme food insecurity and another 800,000 in moderately insecure food situations are in need of aid.
Malawi is one of the world’s least developed countries and is ranked 170 out of 187 countries according to the 2010 Human Development Index. It has about 16 million people, 53% of whom live under the national poverty line, and 90% of whom live on less than $2 per day. The United Nations Children's Fund (UNICEF) estimated that there are 46,000 severely malnourished children.
Diseases of poverty are diseases that are more prevalent in low-income populations. They include infectious diseases, as well as diseases related to malnutrition and poor health behaviors. Poverty is one of the major social determinants of health. The World Health Report, 2002 states that diseases of poverty account for 45% of the disease burden in the countries with high poverty rate which are preventable or treatable with exciting interventions. Diseases of poverty are often co-morbid and ubiquitous with malnutrition.
The 2008 Zimbabwean cholera outbreak was an epidemic of cholera affecting much of Zimbabwe from August 2008 until June 2009. The outbreak began in Chitungwiza in Mashonaland East Province in August 2008, then spread throughout the country so that by December 2008, cases were being reported in all 10 provinces. In December 2008, The Zimbabwean government declared the outbreak a national emergency and requested international aid. The outbreak peaked in January 2009 with 8,500 cases reported per week. Cholera cases from this outbreak were also reported in neighboring countries South Africa, Malawi, Botswana, Mozambique, and Zambia. With the help of international agencies, the outbreak was controlled, and by July 2009, after no cases had been reported for several weeks, the Zimbabwe Ministry of Health and Child Welfare declared the outbreak over. In total, 98,596 cases of cholera and 4,369 deaths were reported, making this the largest outbreak of cholera ever recorded in Zimbabwe. The large scale and severity of the outbreak has been attributed to poor sanitation, limited access to healthcare, and insufficient healthcare infrastructure throughout Zimbabwe.
Despite India's 50% increase in GDP since 1991, more than one third of the world's malnourished children live in India. Among these, half of the children under three years old are underweight and a third of wealthiest children are over-nutriented.
Health in South Africa
Malnutrition continues to be a problem in the Republic of South Africa, although it is not as endemic as in other countries of Sub-Saharan Africa.
Zimbabwe is a country that has been fighting against many diseases and their healthcare systen has improved. They have been able to fight against strong epidemic diseases.
Water supply and sanitation in Zimbabwe is defined by many small scale successful programs but also by a general lack of improved water and sanitation systems for the majority of Zimbabwe. According to the World Health Organization in 2012, 80% of Zimbabweans had access to improved, i.e. clean, drinking-water sources, and only 40% of Zimbabweans had access to improved sanitation facilities. Access to improved water supply and sanitation is distinctly less in rural areas. There are many factors which continue to determine the nature, for the foreseeable future, of water supply and sanitation in Zimbabwe. Three major factors are the severely depressed state of the Zimbabwean economy, the willingness of foreign aid organizations to build and finance infrastructure projects, and the political stability of the Zimbabwean state.
Malnutrition in children is common globally and may result in both short and long term irreversible negative health outcomes. The World Health Organization (WHO) estimates that malnutrition accounts for 54 percent of child mortality worldwide, about 1 million children. Another estimate also by WHO states that childhood underweight is the cause for about 35% of all deaths of children under the age of five years worldwide.
Child health and nutrition in Africa is concerned with the health care of children through adolescents in the various countries of Africa. The right to health and a nutritious and sufficient diet are internationally recognized fundamental human rights protected by international treaties and conventions on the right to life, as well as in charters, strategies and declarations. Millennium Development Goals (MDGs) 1, 4, 5 and 6 highlight, respectively, how poverty, hunger, child mortality, maternal health, the eradication of HIV/AIDS, malaria, tuberculosis and other diseases are of particular significance in the context of child health.