World a virtual tinderbox of preventable child suffering from wasting: UNICEF

“Even before the war in Ukraine placed a strain on food security worldwide, conflict, climate shocks and COVID-19 were already wreaking havoc on families’ ability to feed their children,” said UNICEF Executive Director Catherine Russell.

The number of children with severe wasting was rising even before war in Ukraine threatened to plunge the world deeper into a spiralling global food crisis - and it’s getting worse, UNICEF warned in a new Child Alert.

Released today, Severe wasting: An overlooked child survival emergency shows that in spite of rising levels of severe wasting in children and rising costs for life-saving treatment, global financing to save the lives of children suffering from wasting is also under threat.

“Even before the war in Ukraine placed a strain on food security worldwide, conflict, climate shocks and COVID-19 were already wreaking havoc on families’ ability to feed their children,” said UNICEF Executive Director Catherine Russell. “The world is rapidly becoming a virtual tinderbox of preventable child deaths and child suffering from wasting.”

Currently, at least 10 million severely wasted children – or 2 in 3 – do not have access to the most effective treatment for wasting, ready-to-use therapeutic food (RUTF). UNICEF warns that a combination of global shocks to food security worldwide – led by the war in Ukraine, economies struggling with pandemic recovery, and persistent drought conditions in some countries due to climate change – is creating conditions for a significant increase in global levels of severe wasting.

Meanwhile, the price of ready-to-use therapeutic food is projected to increase by up to 16 per cent over the next six months due to a sharp rise in the cost of raw ingredients. This could leave up to 600,000 additional children without access to life-saving treatment at current spending levels. Shipping and delivery costs are also expected to remain high.

“For millions of children every year, these sachets of therapeutic paste are the difference between life and death. A sixteen per cent price increase may sound manageable in the context of global food markets, but at the end of that supply chain is a desperately malnourished child, for whom the stakes are not manageable at all,” said Russell.

Severe wasting – where children are too thin for their height resulting in weakened immune systems – is the most immediate, visible and life-threatening form of malnutrition. Worldwide, at least 13.6 million children under five suffer from severe wasting, resulting in 1 in 5 deaths among this age group.

South Asia remains the ‘epicentre’ of severe wasting, where roughly 1 in 22 children is severely wasted, three times as high as sub-Saharan Africa. And across the rest of the world, countries are facing historically high rates of severe wasting. In Afghanistan, for example, 1.1 million children are expected to suffer from severe wasting this year, nearly double the number in 2018. Drought in the Horn of Africa means the number of children with severe wasting could quickly rise from 1.7 million to 2 million, while a 26 per cent increase is predicted in the Sahel compared to 2018.

The Child Alert also notes that even countries in relative stability, such as Uganda, have seen a 40 per cent or more increase in child wasting since 2016, due to rising poverty and household food insecurity causing inadequate quality and frequency of diets for children and pregnant women. Climate-related shocks including severe cyclical drought and inadequate access to clean water and sanitation services are contributing to the rising numbers.  

The report goes on to warn that aid for wasting remains woefully low and is predicted to decline sharply in the coming years, with little hope of recovering to pre-pandemic levels before 2028. According to a new analysis for the brief, global aid spent on wasting amounts to just 2.8 per cent of the total health sector ODA (Official Development Assistance) and 0.2 per cent of total ODA spending.

To reach every child with life-saving treatment for severe wasting, UNICEF is calling for:

Governments to increase wasting aid by at least 59 per cent above 2019 ODA levels to help reach to help reach all children in need of treatment in 23 high burden countries. 

Countries to include treatment for child wasting under health and long-term development funding schemes so that all children can benefit from treatment programmes, not just those in humanitarian crisis settings. 

Ensure that budget allocations to address the global hunger crisis include specific allocations for therapeutic food interventions to address the immediate needs of children suffering from severe wasting. 

Donors and civil society organizations to prioritize funding for wasting to ensure a diverse, growing and a healthy ecosystem of donor support.

“There is simply no reason why a child should suffer from severe wasting – not when we have the ability to prevent it. But there is precious little time to reignite a global effort to prevent, detect and treat malnutrition before a bad situation gets much, much worse,” said Russell.