2014 Nutrition Country Profile www.globalnutritionreport.org Chad ECONOMICS AND DEMOGRAPHY UNDER-5 MORTALITY RATE POVERTY RATES AND GDP US$1.25/day (%) US$2/day (%) Gini index 209 189 1,111 159 2000 2010 2013 Source: World Bank 2014. Note: PPP = purchasing power parity. 1990 2000 POPULATION 150 998 1990 NA Source: World Bank 2014. Notes: 0 = perfect equality, 100 = perfect inequality. NA = not available. 2,014 1,953 INCOME INEQUALITY Deaths per 1,000 live births GDP per capita PPP ($) 2010 2012 Population (000) 12,448 Under-5 population (000) 2,406 2012 2012 Urban (%) 22 2010 > 65 years (%) 2 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 929 2010 Wasting a 377 2010 Overweight a 67 2010 45 CHANGES IN STUNTING PREVALENCE OVER TIME, BY WEALTH QUINTILE Wealthiest 16 2010 Severe wasting a 6 2010 Overweight a 3 2010 Low birth weight b 20 2010 Sources: a UNICEF/WHO/WB 2014; b UNICEF 2014 Middle Second poorest Poorest 45 39 39 Percentage of children under 5 affected Wasting a Second wealthiest 2004 2000 35 1997 2000 2004 40 2010 45 50 55 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 23 2004 Women of reproductive age, short stature b 0 2004 b Women of reproductive age with anemia a Total population affected (000) Total population affected (%) Vitamin A deficiency in preschool-age children (%) b Population classification of iodine nutrition (age group 6–12) c Sources: a WHO 2014; b DHS 2014. Note: NA = not available. Raised blood glucose 2011 47 2011 50 NA Moderate iodine deficiency 1993– 94 Sources: a Stevens et al. 2013; b WHO 2009; c WHO 2004. Note: NA = not available. METABOLIC RISK FACTORS FOR DIET-RELATED NONCOMMUNICABLE DISEASES, 2008 (%) Raised blood pressure 1,216 Raised blood cholesterol PREVALENCE OF ADULT OVERWEIGHT AND OBESITY, 2008 (%) Overweight (BMI ≥ 25) 45 43 41 18 9 9 16 19 Male Both sexes Both sexes Male 17 Female 9 Obesity (BMI ≥ 30) 4 15 2 16 3 Female Source: WHO 2014. Note: BMI = body mass index. Source: WHO 2014. WORLD HEALTH ASSEMBLY INDICATORS: PROGRESS AGAINST GLOBAL WHA TARGETS Under-5 stunting, 2010 Under-5 wasting, 2010 Under-5 overweight, 2010 WRA anemia, 2011 Currently off course Currently off course Currently on 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 Chad 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 23 INTERVENTION COVERAGE (%) Severe acute malnutrition, geographic coverage a 88 10 2012 Vitamin A supplementation, full coverage 0 2012 Children under 5 with diarrhea receiving ORS b 13 2010 b Skilled attendant at birth, 2010 a 23 Immunization coverage, DTP3 b 45 2012 Iodized salt consumption b 54 2010 Initiation of breastfeeding within 1 hour after birth, 2010 a 29 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. Continued breastfeeding at 1 year, 2010 a 3 88 INFANT AND YOUNG-CHILD FEEDING PRACTICES (% 6–23 MONTHS) 2 Unmet need for family planning, 2004b 21 2000 2004 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 60 74 Availability of fruits and vegetables (grams): data for 1990, 2000, 2010, 2011 1991 42 Gender Inequality Index (score*) b Gender Inequality Index (country rank) b 47 2010 0.707 2013 151 2013 FEMALE SECONDARY EDUCATION ENROLLMENT (%) 14 14 2010 2012 Sources: a UNICEF 2014; b UNDP 2014. Note: *0 = low inequality, 1 = high inequality. 58 35 Early childbearing: births by age 18 (%) a 41 35 2000 45 35 35 2010 45 POPULATION DENSITY OF HEALTH WORKERS PER 1,000 PEOPLE 2014 5 Physicians 0.037 2006 Nurses and midwives 0.188 2006 Community health workers 0.030 2004 Source: WHO 2014 Source: FAOSTAT 2014. 2 1990 2000 Source: UNESCO Institute for Statistics 2014. GOVERNMENT EXPENDITURES (%) IMPROVED DRINKING WATER COVERAGE (%) Piped on premises Other improved Improved facilities Shared facilities Unimproved Surface water 14 9 47 47 38 41 2 1990 4 2000 IMPROVED SANITATION COVERAGE (%) Unimproved facilities Open defecation 3 47 72 65 14 10 2000 19 5 12 2012 79 44 10 3 8 1990 6 2012 Source: WHO/UNICEF JMP 2014. 4 Data not available Source: WHO/UNICEF JMP 2014. Source: IFPRI 2014. FINANCIAL RESOURCES AND POLICY, LEGISLATION, AND INSTITUTIONAL ARRANGEMENTS SCALING UP NUTRITION (SUN) COUNTRY INSTITUTIONAL TRANSFORMATIONS, 2014 (%) POLICY AND LEGISLATIVE PROVISIONS Bringing people into a shared space for action 85 National implementation of the International Code of Marketing of Breast-milk Substitutes a Ensuring a coherent policy and legal framework 72 Extent of constitutional right to food b Aligning actions around a common results framework 42 Maternity protection (Convention 183) c Financial tracking and resource mobilization 39 Total weighted Source: SUN 2014. 60 Wheat fortification legislation d Undernutrition mentioned in national development plans and economic growth strategies e Measure drafted awaiting final approval 2014 Medium 2003 Yes 2011 No fortification NA NA NA Sources: a UNICEF 2014; b FAO 2003; c ILO 2013; d FFI 2014; e IDS 2014. Note: NA = not available. For complete source information: www.Globalnutritionreport.org/about/technical-notes. 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. © 2014 International Food Policy Research Institute 2
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