Graduate Studies at the Nexus of

Global Horticulture and Human Nutrition to Enhance Community Resilience and Food Security

Child and Maternal Nutrition

Improvement of child health in neonates in Africa

Funding for this project (# 2016-07259) was provided by the United States Department of Agriculture (USDA) National Institute of Food and Agriculture (NIFA) Higher Education Challenge (HEC) grant program. This project is in collaboration with the University of Arkansas, Texas Tech University, and The Borlaug Institute at Texas A&M University.

Overview

Majority of childhood deaths are in low- and middle-income countries; almost half of those deaths occur among neonates. The rate of child death is highest among countries in Sub-Saharan Africa.  

In this lesson you will learn about common leading causes and key risk factors of child death, which based on this learning, you will give a recommendation to address child death in the short, medium, and long term

Objectives
  • Identify key risk factors and leading causes of children under 5 years of age  
  • Make recommendations for the short, medium, and long run to address child death 
  • Identify the stakeholders that you would engage in reducing childhood mortality rates 
Level of Instruction

Graduate

Learner Prerequisite Knowledge

Infant and child nutrition, neonatal, infant, and under 5 mortality, policy and program interventions 

Instructor Preparation/Notes

Read all associated materials, have an existing knowledge of the subject matter.

Instructions

Learner time required: This lesson should take the well-informed student 2-3 hours to complete.  

Read the case provided below:

You have just been posted in as a director of child health with an international organization in one of the poorest countries in Africa. The country has 10 million people and a GDP per capita of only $300. Eighty five percent of the people live in rural areas, where they are mostly subsistence farmers. The total fertility rate is 5.0. The maternal mortality ratio is 500. The under-five child mortality rate is 100. HIV prevalence among adults is 6.7%. The public health system is exceptionally weak, although immunization coverage has greatly expanded. There is a growing church related NGO sector in health, but it is still limited in coverage. 

You have been asked to develop a new child health policy for that can be presented to the country’s director of health. 

As you prepare your policy, use the following questions as a guide: 

  • What are the leading causes of child death? 
  • At what ages do children die? 
  • Which children are most at risk? 
  • What are the key risk factors? 
  • In order to priority, what would you recommend in the short run to address child deaths? Where will you get the money, in the short, medium, and long run to do what you recommend? 
  • Who are the stake holders in the country and what would be their role in your plan?  

 

Learning Materials

Assessment:
Self-exam

 

Additional Materials and Resources

Creative Commons Attribution:
Attribution-NonCommercialShareAlike 3.0 Unported (CC BY-NC-SA 3.0) 

Mary Murimi

Ph.D., RD

College of Human Sciences

Texas Tech University