2014 Nutrition Country Profile www.globalnutritionreport.org Mali ECONOMICS AND DEMOGRAPHY UNDER-5 MORTALITY RATE POVERTY RATES AND GDP US$1.25/day (%) US$2/day (%) 1,664 79 220 50 1,269 Gini index, 2010 POPULATION 138 1990 2000 2010 2013 Source: World Bank 2014. Note: PPP = purchasing power parity. 33 Source: World Bank 2014. Note: 0 = perfect equality, 100 = perfect inequality. 253 1,589 1,100 INCOME INEQUALITY Deaths per 1,000 live births GDP per capita PPP ($) 1990 2000 128 2010 2012 Population (000) 14,854 Under-5 population (000) 2,865 2012 2012 Urban (%) 34 2010 > 65 years (%) 3 2012 Source: UNPD 2013. Source: UN Inter-agency Group for Child Mortality Estimation 2013. CHILD ANTHROPOMETRY PREVALENCE OF UNDER-5 STUNTING (%) CHILD ANTHROPOMETRY Number of children under 5 affected (000) Stunting a 1,099 2006 Wasting a 437 2006 Overweight a 134 2006 Wealthiest 43 40 36 CHANGES IN STUNTING PREVALENCE OVER TIME, BY WEALTH QUINTILE Second wealthiest Middle 30 35 Second poorest Poorest 39 Percentage of children under 5 affected Wasting a 15 2006 Severe wasting a 6 2006 Overweight a 5 2006 Low birth weight b 18 2010 Sources: a UNICEF/WHO/WB 2014; b UNICEF 2014. 2006 25 1987 1996 2001 2006 40 45 Mean prevalence of stunting (%) Source: UNICEF/WHO/WB 2014. Source: DHS surveys 1990−2011 adapted from Bredenkamp et al. 2014. ADOLESCENT AND ADULT NUTRITION STATUS ADOLESCENT AND ADULT ANTHROPOMETRY (% POPULATION) MICRONUTRIENT STATUS OF POPULATION Adolescent overweight a NA NA Adolescent obesity a NA NA Women of reproductive age, thinness 11 2006 Women of reproductive age, short stature b 1 2006 b Women of reproductive age with anemia a Total population affected (000) Total population affected (%) Vitamin A deficiency in preschool-age children (%) b Sources: a WHO 2014; b DHS 2014. Note: NA = not available. Population classification of iodine nutrition (age group 6–12) c METABOLIC RISK FACTORS FOR DIET-RELATED NONCOMMUNICABLE DISEASES, 2008 (%) Raised blood pressure Raised blood glucose 2,016 2011 56 2011 59 NA Risk of iodine-induced hyperthyroidism (IIH) within 5–10 years following introduction of iodized salt in susceptible groups 1999 Sources: a Stevens et al. 2013; b WHO 2009; c WHO 2004. Note: NA = not available. Raised blood cholesterol PREVALENCE OF ADULT OVERWEIGHT AND OBESITY, 2008 (%) Overweight (BMI ≥ 25) 41 41 41 19 9 20 Male 10 Both sexes Both sexes Male 26 Female 18 9 Obesity (BMI ≥ 30) 7 15 2 21 5 Female Source: WHO 2014. Note: BMI = body mass index. Source: WHO 2014. WORLD HEALTH ASSEMBLY INDICATORS: PROGRESS AGAINST GLOBAL WHA TARGETS Under-5 stunting, 2006 Under-5 wasting, 2006 Under-5 overweight, 2006 WRA anemia, 2011 Currently off course Currently off course Currently off course Currently off course Source: WHO 2014. Notes: Currently it is only possible to determine whether a country is on or off course for four of the six WHA targets. The year refers to the most recent data available; on/off-course calculation is based on trend data. WRA = women of reproductive age. 1 Mali 2014 Nutrition Country Profile INTERVENTION COVERAGE AND CHILD-FEEDING PRACTICES CONTINUUM OF CARE (%) RATE OF EXCLUSIVE BREASTFEEDING OF INFANTS UNDER 6 MONTHS (%) Antenatal care (4+ visits), 2010 a 35 INTERVENTION COVERAGE (%) Severe acute malnutrition, geographic coverage a 5 Vitamin A supplementation, full coverage 93 2012 Children under 5 with diarrhea receiving ORS b 11 2010 b 38 Skilled attendant at birth, 2010 a 56 25 Initiation of breastfeeding within 1 hour after birth, 2010 a 57 2012 Immunization coverage, DTP3 b 74 2012 Iodized salt consumption b 74 2006 Sources: a UNICEF/Coverage Monitoring Network/ACF International 2012; b UNICEF 2014. Note: ORS = oral rehydration salts; DTP3 = 3 doses of combined diphtheria/tetanus/pertussis vaccine. 20 Continued breastfeeding at 1 year, 2010 a INFANT AND YOUNG-CHILD FEEDING PRACTICES (% 6–23 MONTHS) 90 Unmet need for family planning, 1995–1996 b 28 2001 2006 2010 NA NA Minimum dietary diversity NA NA Source: DHS. Note: NA = not available. Source: UNICEF 2014. Sources: a UNICEF 2014; b UNPD 2014. Minimum acceptable diet UNDERLYING DETERMINANTS FOOD SUPPLY GENDER-RELATED DETERMINANTS Available calories from nonstaples (%): data for 1991, 2000, 2009 Undernourishment (%): data for 1991, 2000, 2010, 2014 32 31 25 246 243 8 2000 Gender Inequality Index (country rank) b 2006 0.673 2013 148 2013 FEMALE SECONDARY EDUCATION ENROLLMENT (%) 37 35 POPULATION DENSITY OF HEALTH WORKERS PER 1,000 PEOPLE 228 1991 Gender Inequality Index (score*) b 46 Sources: a UNICEF 2014; b UNDP 2014. Note: *0 = low inequality, 1 = high inequality. 30 22 213 Availability of fruits and vegetables (grams): data for 1990, 2000, 2010, 2011 Early childbearing: births by age 18 (%) a 2010 2014 13 Physicians 0.083 2010 Nurses and midwives 0.430 2010 Community health workers 0.007 2010 Source: WHO 2014. Source: FAOSTAT 2014. 5 1990 2000 2010 2011 Source: UNESCO Institute for Statistics 2014. GOVERNMENT EXPENDITURES (%) IMPROVED DRINKING WATER COVERAGE (%) Piped on premises Other improved Improved facilities Shared facilities Unimproved Surface water 5 9 53 38 8 2000 46 45 43 17.2 19 16 14 13 15 18 22 2012 1990 2000 2012 Source: WHO/UNICEF JMP 2014. Social protection Agriculture 13 21 29 49 63 Health Education Unimproved facilities Open defecation 2 31 24 4 1990 IMPROVED SANITATION COVERAGE (%) 1990 Source: WHO/UNICEF JMP 2014. 14.5 2000 2010 2012 Source: IFPRI 2014. FINANCIAL RESOURCES AND POLICY, LEGISLATION, AND INSTITUTIONAL ARRANGEMENTS SCALING UP NUTRITION (SUN) COUNTRY INSTITUTIONAL TRANSFORMATIONS, 2014 (%) Bringing people into a shared space for action POLICY AND LEGISLATIVE PROVISIONS 59 National implementation of the International Code of Marketing of Breast-milk Substitutes a Extent of constitutional right to food b Ensuring a coherent policy and legal framework 46 Maternity protection (Convention 183) c Aligning actions around a common results framework 50 Wheat fortification legislation d Financial tracking and resource mobilization 40 Undernutrition mentioned in national development plans and economic growth strategies e Total weighted 49 Many provisions law 2014 Medium 2003 Yes 2011 Mandatory 2012 Rank: 69/83 2007– 2011 Sources: a UNICEF 2014; b FAO 2003; c ILO 2013; d FFI 2014; e IDS 2014. AVAILABILITY AND STAGE OF IMPLEMENTATION OF GUIDELINES/ PROTOCOLS/STANDARDS FOR THE MANAGEMENT OF NCDs Diabetes Available, partially implemented 2010 Hypertension Available, partially implemented 2010 Source: WHO 2014. Note: NCDs = noncommunicable diseases. Source: SUN 2014. For complete source information: www.Globalnutritionreport.org/about/technical-notes. © 2014 International Food Policy Research Institute 2
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