Malnutrition in the context of Developing countries

A famine is a widespread scarcity of food caused by several possible factors, including, but not limited to: war, natural disasters, crop failure, widespread poverty, an economic catastrophe or government policies. This phenomenon is usually accompanied or followed by regional malnutrition, starvation, epidemic, and increased mortality. Every inhabited continent in the world has experienced a period of famine throughout history. During the 19th and 20th centuries, Southeast and South Asia, as well as Eastern and Central Europe, suffered the greatest number of fatalities due to famine. Deaths caused by famine declined sharply beginning in the 1970s, with numbers falling further since 2000. Since 2010, Africa has been the most affected continent in the world by famine. As of 2025, Haiti and Afghanistan are the two countries with the most catastrophic and widespread states of famine, followed by Sudan.

Undernutrition in children, occurs when children do not consume enough calories, protein, or micronutrients to maintain good health. It is common globally and may result in both short and long term irreversible adverse health outcomes. Undernutrition is sometimes used synonymously with malnutrition, however, malnutrition could mean both undernutrition or overnutrition (causing childhood obesity). The World Health Organization (WHO) estimates that malnutrition accounts for 54 percent of child mortality worldwide, which is 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 worldwide.

The main causes of malnutrition are often related to poverty: unsafe water, inadequate sanitation or insufficient hygiene, factors related to society, diseases, maternal factors, gender issues as well as other factors.

Stunted growth, also known as stunting or linear growth failure, is defined as impaired growth and development manifested by low height-for-age. Stunted growth is often caused by malnutrition, and can also be caused by endogenous factors such as chronic food insecurity or exogenous factors such as parasitic infection. Stunting is largely irreversible if occurring in the first 1000 days from conception to two years of age. The international definition of childhood stunting is a child whose height-for-age value is at least two standard deviations below the median of the World Health Organization's (WHO) Child Growth Standards. Stunted growth is associated with poverty, maternal undernutrition, poor health, frequent illness, or inappropriate feeding practices and care during the early years of life.

Among children under five years of age, the global stunting prevalence declined from 26.3% in 2012 to 22.3% in 2022. It is projected that 19.5% of all children under five will be stunted in 2030. More than 85% of the world's stunted children live in Asia and Africa. Once stunting occurs, its effects are often long-lasting. Stunted children generally do not recover lost height, and they may experience long-term impacts on body composition and overall health.

Ascariasis is a disease caused by the parasitic roundworm Ascaris lumbricoides. Infections have no symptoms in more than 85% of cases, especially if the number of worms is small. Symptoms increase with the number of worms present and may include shortness of breath and fever at the beginning of the disease. These may be followed by symptoms of abdominal swelling, abdominal pain, and diarrhea. Children are most commonly affected, and in this age group the infection may also cause poor weight gain, malnutrition, and learning problems.

Infection occurs by ingesting food or drink contaminated with Ascaris eggs from feces. The eggs hatch in the intestines, the larvae burrow through the gut wall, and migrate to the lungs via the blood. There they break into the alveoli and pass up the trachea, where they are coughed up and may be swallowed. The larvae then pass through the stomach a second time into the intestine, where they become adult worms. It is a type of soil-transmitted helminthiasis and part of a group of diseases called helminthiases.

Nutrition is the biochemical and physiological process by which an organism uses food and water to support its life. The intake of these substances provides organisms with nutrients (divided into macro- and micro-) which can be metabolized to create energy and chemical structures; too much or too little of an essential nutrient can cause malnutrition. Nutritional science, the study of nutrition as a hard science, typically emphasizes human nutrition.

The type of organism determines what nutrients it needs and how it obtains them. Organisms obtain nutrients by consuming organic matter, consuming inorganic matter, absorbing light, or some combination of these. Some can produce nutrients internally by consuming basic elements, while others must consume other organisms to obtain pre-existing nutrients. All forms of life require carbon, energy, and water as well as various other molecules. Animals require complex nutrients such as carbohydrates, lipids, and proteins, obtaining them by consuming other organisms. Humans have developed agriculture and cooking to replace foraging and advance human nutrition. Plants acquire nutrients through the soil and the atmosphere. Fungi absorb nutrients around them by breaking them down and absorbing them through the mycelium.

Starvation is a severe deficiency in caloric energy intake, below the level needed to maintain an organism's life. It is the most extreme form of malnutrition. In humans, prolonged starvation can cause permanent organ damage and eventually, death. The term inanition refers to the symptoms and effects of starvation. Starvation may have a natural cause or be man-made. Deliberately inflicting starvation upon a population is a crime according to international criminal law and may also be used as a means of torture or execution.

According to the World Health Organization (WHO), hunger is the single gravest threat to the world's public health. The WHO also states that malnutrition is by far the biggest contributor to child mortality, present in half of all cases. Undernutrition is a contributory factor in the death of 3.1 million children under five every year. The results also demonstrates that as global hunger levels have stabilized, however, despite some progress in specific areas such as stunting and exclusive breastfeeding, an alarming number of people still face food insecurity and malnutrition. In fact, the world has been set back 15 years, with levels of undernourishment similar to those in 2008-2009, with between 713 and 757 million people undernourished in 2023, and over 152 million more than in 2019 when the mid-range was 733 million.

Micronutrients are essential chemicals required by organisms in small quantities to perform various biogeochemical processes and regulate physiological functions of cells and organs. By enabling these processes, micronutrients support the health of organisms throughout life.

For humans, micronutrients typically take one of three forms: vitamins, trace elements, and dietary minerals. Human micronutrient requirements are in amounts generally less than 100 milligrams per day, whereas macronutrients are required in gram quantities daily. Deficiencies in micronutrient intake commonly result in malnutrition.

The Cambodian genocide was the systematic persecution and killing of Cambodian citizens by the Khmer Rouge under the general secretaryship of Pol Pot. It resulted in the deaths of 1.5 to 2 million people from 1975 to 1979, nearly 25% of Cambodia's population in 1975 (c. 7.8 million).

Pol Pot and the Khmer Rouge were supported for many years by the Chinese Communist Party (CCP), led by Chairman Mao Zedong; it is estimated that at least 90% of the foreign aid which the Khmer Rouge received came from China, including at least US$1 billion in interest-free economic and military aid in 1975 alone. After it seized power in April 1975, the Khmer Rouge wanted to turn the country into an agrarian socialist republic, founded on the policies of ultra-Maoism and influenced by the Cultural Revolution. Pol Pot and other Khmer Rouge officials met with Mao in Beijing in June 1975, receiving approval and advice, while high-ranking CCP officials such as Politburo Standing Committee member Zhang Chunqiao later visited Cambodia to offer help. To fulfill its goals, the Khmer Rouge emptied the cities and marched Cambodians to labor camps in the countryside, where mass executions, forced labor, physical abuse, torture, malnutrition, and disease were rampant. In 1976, the Khmer Rouge renamed the country Democratic Kampuchea.

The use of slave and forced labour in Nazi Germany (German: Zwangsarbeit) and throughout German-occupied Europe during World War II took place on an unprecedented scale. It was a vital part of the German economic exploitation of conquered territories. It also contributed to the mass extermination of populations in occupied Europe. The Germans abducted approximately 12 million people from almost twenty European countries; about two thirds came from Central Europe and Eastern Europe.

Many workers died as a result of their living conditions – extreme mistreatment, severe malnutrition and abuse were the main causes of death. Many more became civilian casualties from enemy (Allied) bombing and shelling of their workplaces throughout the war. At the peak of the program, the forced labourers constituted 20% of the German work force. Counting deaths and turnover, about 15 million men and women were forced labourers at one point during the war. Besides Jews, the harshest deportation and forced labor policies were applied to the populations of Belarus, Ukraine, and Russia. By the end of the war, half of Belarus's population had been either killed or deported.

Infant mortality is the death of an infant before the infant's first birthday. The occurrence of infant mortality in a population can be described by the infant mortality rate (IMR), which is the number of deaths of infants under one year of age per 1,000 live births. Similarly, the child mortality rate, also known as the under-five mortality rate, compares the death rate of children up to the age of five.

In 2013, the leading cause of infant mortality in the United States was birth defects. Other leading causes of infant mortality include birth asphyxia, pneumonia, neonatal infection, diarrhea, malaria, measles, malnutrition, term birth complications such as abnormal presentation of the fetus, umbilical cord prolapse, or prolonged labor. One of the most common preventable causes of infant mortality is smoking during pregnancy. Lack of prenatal care, alcohol consumption during pregnancy, and drug use also cause complications that may result in infant mortality. Many situational factors contribute to the infant mortality rate, such as the pregnant woman's level of education, environmental conditions, political infrastructure, and level of medical support. Improving sanitation, access to clean drinking water, immunization against infectious diseases, and other public health measures can help reduce rates of infant mortality.

Coeliac disease (Commonwealth English) or celiac disease (American English) is a chronic autoimmune disease, mainly affecting the small intestine, and is caused by the consumption of gluten. Coeliac disease causes a wide range of symptoms and complications that can affect multiple organs outside of the gastrointestinal tract.

The symptoms of coeliac disease can be divided into two subtypes, classic and non-classic. The classic form of the disease can affect any age group, but is usually diagnosed in early childhood and causes symptoms of malabsorption such as weight loss, diarrhoea, and stunted growth. Non-classic coeliac disease is more commonly seen in adults and is characterized by vague abdominal symptoms and complications in organs outside of the gastrointestinal tract, such as bone disease, anemia, and other consequences of nutritional deficiencies.

Overnutrition (also known as hyperalimentation) is a form of malnutrition in which the intake of nutrients is oversupplied. The amount of nutrients exceeds the amount required for normal growth, development, and metabolism.

Intrauterine growth restriction (IUGR), or fetal growth restriction, is the poor growth of a fetus while in the womb during pregnancy. IUGR is defined by clinical features of malnutrition and evidence of reduced growth regardless of an infant's birth weight percentile. The causes of IUGR are broad and may involve maternal, fetal, or placental complications.

At least 60% of the 4 million neonatal deaths that occur worldwide every year are associated with low birth weight, caused by intrauterine growth restriction (IUGR), preterm delivery, and genetic abnormalities, demonstrating that under-nutrition is already a leading health problem at birth.

WASH (or WatSan, WaSH; stemming from the first letters of "water, sanitation and hygiene") is a sector in development cooperation, or within local governments, that provides water, sanitation, and hygiene services to communities. The main purposes of providing access to WASH services are to achieve public health gains, implement the human right to water and sanitation, reduce the burden of collecting drinking water for women, and improve education and health outcomes at schools and healthcare facilities. Access to WASH services is an important component of water security. Universal, affordable, and sustainable access to WASH is a key issue within international development, and is the focus of the first two targets of Sustainable Development Goal 6 (SDG 6). Targets 6.1 and 6.2 aim for equitable and accessible water and sanitation for all. In 2017, it was estimated that 2.3 billion people live without basic sanitation facilities, and 844 million people live without access to safe and clean drinking water. The acronym WASH is used widely by non-governmental organizations and aid agencies in developing countries.

The WASH-attributable burden of disease and injuries has been studied in depth. Typical diseases and conditions associated with a lack of WASH include diarrhea, malnutrition, and stunting, in addition to neglected tropical diseases. There are additional health risks for women, for example, during pregnancy and birth, or in connection with menstrual hygiene management. Chronic diarrhea can have long-term negative effects on children in terms of both physical and cognitive development. Still, collecting precise scientific evidence regarding health outcomes that result from improved access to WASH is difficult due to a range of complicating factors. Scholars suggest a need for longer-term studies of technological efficiency, greater analysis of sanitation interventions, and studies of the combined effects of multiple interventions to better analyze WASH health outcomes.

Occurring between July 2011 and mid-2012, a severe drought affected the entire East African region. Said to be "the worst in 60 years", the drought caused a severe food crisis across Somalia, Djibouti, Ethiopia and Kenya that threatened the livelihood of 9.5 million people. Many refugees from southern Somalia fled to neighboring Kenya and Ethiopia, where crowded, unsanitary conditions together with severe malnutrition led to a large number of deaths. Other countries in East Africa, including Sudan, South Sudan and parts of Uganda, were also affected by a food crisis.

According to FAO-Somalia, the food crisis in Somalia primarily affected farmers in the south rather than the northern pastoralists. Human Rights Watch (HRW) consequently noted that most of the displaced persons belonged to the agro-pastoral Rahanweyn clan and the agricultural Bantu ethnic minority group. On 20 July, the United Nations officially declared famine in two regions in the southern part of the country (IPC Phase 5), the first time a famine had been declared in the region by the UN in nearly thirty years. Tens of thousands of people are believed to have died in southern Somalia before famine was declared. This was mainly a result of Western governments preventing aid from reaching affected areas in an attempt to weaken the Al-Shabaab militant group, against whom they were engaged.

In politics, humanitarian aid, and the social sciences, hunger is defined as a condition in which an individual does not have the physical or financial capability to consume sufficient food to meet basic nutritional needs for a sustained period. In the field of hunger relief, the term hunger is used in a sense that surpasses the typical desire for food that all humans experience, also referred to as an appetite. The most severe type of hunger is when malnutrition is widespread, and when people have started dying of starvation through lack of access to sufficient, nutritious food, this results in a declaration of famine.

Throughout history, portions of the world's population have often suffered sustained periods of hunger. In many cases, hunger resulted from food supply disruptions caused by war, plagues, or adverse weather. In the decades following World War II, technological progress and enhanced political cooperation suggested it might be possible to substantially reduce the number of people suffering from hunger. While progress was uneven, by 2015, the threat of extreme hunger had receded for a large portion of the world's population. According to the FAO's 2023 The State of Food Security and Nutrition in the World report, this positive trend had reversed from about 2017, when a gradual rise in number of people suffering from chronic hunger became discernible. In 2020 and 2021, due to the COVID-19 pandemic, there was an increase in the number of people suffering from undernourishment. A recovery occurred in 2022 along with the economic rebound, though the impact on global food markets caused by the invasion of Ukraine meant the reduction in world hunger was limited.

Wernicke–Korsakoff syndrome (WKS), colloquially referred to as wet brain syndrome, is the combined presence of Wernicke encephalopathy (WE) and Korsakoff syndrome. Due to the close relationship between these two disorders, people with either are usually diagnosed with WKS as a single syndrome. It mainly causes vision changes, ataxia and impaired memory.

The cause of the disorder is thiamine (vitamin B₁) deficiency. This can occur due to eating disorders, malnutrition, and alcohol abuse. These disorders may manifest together or separately. WKS is usually secondary to prolonged alcohol abuse.

Underdevelopment, in the context of international development, reflects a broad condition or phenomena defined and critiqued by theorists in fields such as economics, development studies, and postcolonial studies. Used primarily to distinguish states along benchmarks concerning human development—such as macro-economic growth, health, education, and standards of living—an "underdeveloped" state is framed as the antithesis of a "developed", modern, or industrialized state. Popularized, dominant images of underdeveloped states include those that have less stable economies, less democratic political regimes, greater poverty, malnutrition, and poorer public health and education systems.

Underdevelopment per Walter Rodney is primarily made of two components, a comparative aspect as well the relationship of exploitation: namely, the exploitation of one country by another.