Stunted growth in the context of "Poverty"

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⭐ Core Definition: Stunted growth

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.

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Stunted growth in the context of Sanitation

Sanitation refers to public health conditions related to clean drinking water and treatment and disposal of human excreta and sewage. Preventing human contact with feces is part of sanitation, as is hand washing with soap. Sanitation systems aim to protect human health by providing a clean environment that will stop the transmission of disease, especially through the fecal–oral route. For example, diarrhea, a main cause of malnutrition and stunted growth in children, can be reduced through adequate sanitation. There are many other diseases which are easily transmitted in communities that have low levels of sanitation, such as ascariasis (a type of intestinal worm infection or helminthiasis), cholera, hepatitis, polio, schistosomiasis, and trachoma, to name just a few.

A range of sanitation technologies and approaches exists. Some examples are community-led total sanitation, container-based sanitation, ecological sanitation, emergency sanitation, environmental sanitation, onsite sanitation and sustainable sanitation. A sanitation system includes the capture, storage, transport, treatment and disposal or reuse of human excreta and wastewater. Reuse activities within the sanitation system may focus on the nutrients, water, energy or organic matter contained in excreta and wastewater. This is referred to as the "sanitation value chain" or "sanitation economy". The people responsible for cleaning, maintaining, operating, or emptying a sanitation technology at any step of the sanitation chain are called "sanitation workers".

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Stunted growth in the context of Malnutrition

Malnutrition occurs when an organism gets too few or too many nutrients, resulting in health problems. Specifically, it is a deficiency, excess, or imbalance of energy, protein and other nutrients which adversely affects the body's tissues and form.

Malnutrition is a category of diseases that includes undernutrition and overnutrition. Undernutrition is a lack of nutrients, which can result in stunted growth, wasting, and being underweight. A surplus of nutrients causes overnutrition, which can result in obesity or toxic levels of micronutrients. In some developing countries, overnutrition in the form of obesity is beginning to appear within the same communities as undernutrition.

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Stunted growth in the context of Coeliac disease

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.

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Stunted growth in the context of WASH

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.

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Stunted growth in the context of Wasting

In medicine, wasting, also known as wasting syndrome, refers to the process by which a debilitating disease causes muscle and fat tissue to "waste" away. Wasting is sometimes referred to as "acute malnutrition" because it is believed that episodes of wasting have a short duration, in contrast to stunting, which is regarded as chronic malnutrition. An estimated 45 million children under 5 years of age (or 6.7%) were wasted in 2021. Wasting prevalence declined from 7.5% in 2012 to 6.8% in 2022, with 6.2% of children under five years old projected to be wasted in 2030, more than double the 3% Sustainable Development Goals target. Prevalence is highest in Southern Asia, followed by Oceania (excluding Australia and New Zealand) and South-eastern Asia.

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