My connection to Zilla Kohistana is that the children were to feed the trees. The children were to go to local shops. They were given to the shop and they took the paper from the shop. If my wife knows that I... So unfortunately, our population, which is the government records, Thank you. Thank you. The most important thing is that stunting is irreversible after two years.
If the child was born after the birth of the mother or after the birth of the second birth date, the child will be stunted. If I talk about Pakistan, in Pakistan, 1,77,000 children, which are about one-third of children, unfortunately, are born in Malnutrition. Nutrition is not only related to the disease. In our last National Nutrition Survey in 2018, the interesting finding is that nutrition even in those areas and in those areas, which are well-off.
So what does this mean? It means that this is not just a thing. It means that behavior, knowledge, awareness is a very big thing. bismillahirrahmanirrahim Officer is in the Sun Secretariat Ministry of Planning and Special Initiatives. Thank you very much. Thank you very much. Thank you very much. Thank you very much. Thank you very much. Thank you. In this series, you can also tell us about the government of Pakistan, early childhood development, which is how to address nutrition.
So our discussion is important, early childhood development, nutrition, early childhood development. Thank you. Thank you very much. Thank you. I can't believe that I can't believe it. which is an important role in nutrition, to ensure the children's needs. Which are critical stages? or point where we need to be very careful. And then the mother's health and Thank you very much, Khadija. to talk about this topic. Early childhood development and nutrition
The relationship is very high. You all know this. Mumin is a misconception and a false belief that we get in the public. And I often talk about it. The child's development is the focus of nutrition when the mother has a dream. And I also think that we don't have to worry about our mother's feelings, but we don't have to worry about our children because of our children. But what do we call science? Science says that we should keep this idea very early. This is an intergenerational cycle.
If the mother is not healthy, then the child will not be healthy. The important thing to understand is that when the mother is with hope, take the first five days, which we call zero to five days, where fertilization is done and the process of implementation. This is the time and there is no need for nutrition. There is no need for nutrition. And this nutrition is not available at this time. If we start making a new life in our mother's pet, we don't have any help for the child.
the child will take the nutrition that the mother has brought to her. So this means that when the child was not conceived, the first status of it will matter. If it was healthy for her mother and there was no lack of weight in it, it will be possible to get those who are required nutrients from it.
If her mother had a lot of nutrients, she would not have a lot of nutrients. What does this mean? This means that she has a deficiency in her child. This is another important thing that we have to understand. After 5 days, the pregnancy is cut for 10 weeks. in which children are being created. Whether it's the central nervous system, whether it's the heart, whether it's the hands, it's the eyes, it's the legs, it's the legs, it's the legs. All the parts are being created.
Again, this is the time when pregnancy is detected. At this time, when the child has become a burden, we will also get nutrients. We will also get nutrients. We will also get nutrients. We will also get nutrients. We will also get nutrients in the previous month. If it is not, it means that it will not become proper. I listen to you several times. You do a lot in your programs and presentations.
When the neurons are closed, there are millions of neurons in second. What does this mean? We need some raw material for these connections. Right? Exactly. What is the raw material? These nutrients are. These are iodine, iron, these nutrients are. These neurons are also made. And these other causes are made. Let me give a example. This is a common example for people. This way we are building blocks and cement blocks. Now we need a material for building blocks.
There is a special ratio of how much cement we have, how much red we have, how much water we have. Now if that composition is not a standard, If we didn't have it at the time, then the block will be very small. And this block will be very easy and easy. In the same way, the human soul... This is the process that when the time it was made of the results, physical or mental development or growth. If it has not got any required nutrients or nutrients,
So definitely, the blood will become poor. The disease will also be used easily. The productivity of its immune system will become poor. It is very necessary to take the life cycle approach. When children are small, or when a child is a child, then we start working on it so that they are healthy. And another thing is that when we talk about preconception or preconceptual nutrition, When the mother has no hope, let's talk about nutrition.
the father's nutrition is very important and the mother's nutrition is very important. If it's a male nourished, it will impact both children. If it's a male nourished, it will impact both children. impact. So if they are wellness, it will impact us. So it's very important that we should keep it first. to prepare for this. Early Childhood Development, as we read ourselves and tell ourselves that this is the age 8 phase of early childhood development. ... ... ... ... Thank you.
And when she was a child, when she was a child, when she was a child, when she was a child, when she was a child, when she was a child, when she was a child, she was a child. so especially the government of Pakistan because it's a very important concept. It's multi-generational or intergenerational cycle, which we all need to keep in mind. better could be. So, this is an area where the government of Pakistan is in leadership.
Do you know who you have already taken? And who you have already taken? because people don't understand that this is an intergenerational cycle which we need to work. No, not only. Early stage, early years, stage is important. It is very critical, but it is connected to the other life cycle. Again, it's a very important aspect that you have highlighted. But before I come to the point that the government has brought some initiatives, some new lives.
I would like to do a cycle approach. Now, we have said that if a child is healthy or well-nourished, she will perform good in school. If it works well in school, it will be good. If it works well in school, it will be good. If it works well in school, it will be good. If it works well in school, it will be good. If it works well in school, it will be good. If it can be done in the process of making a decision, it means that it has a option to choose when it will become a mother. Right?
When the mother becomes a mother, the complications of life-threatening are very low. And when the child is born, the child is healthy. And if this child is a child, a child is a child, when this child is a child, because she was a child, she was a child, when she was a child, when she was a child, she was a child. probability that he is healthy and well nourished and then when he comes to his children,
healthy and well nourish. So this is how life cycle goes on and it's connected to the stages you talked about. If you talk about the government of Pakistan, the new concept In the government, it is a system approach. As you said in different stages, Interventions. Interventions. Interventions. Interventions. Interventions. Interventions. Interventions. Interventions. Interventions. Interventions. Interventions.
When we talk about the food system, there is availability and access. There is no physical access. There is also financial access. It's diversity. We say that children, mother, and all the children get a diverse food. The government has been working on various sectors, which are called Household Food Security, which we call them, has been designed for various programs. that the people of the household themselves will have their own kitchen gardening. foreign foreign foreign foreign foreign
We are optimizing the curriculum. In the pre-primary and university level, we integrate the nutrition and early childhood development. to understand how we have to eat diet, how we have to keep our lifestyle, what is the impact on our health? Or what is the impact on our productivity? In this way, there is a whole system of social welfare. Water and sanitation is a whole system of water and sanitation. It has a very strong relationship with malnutrition.
the availability of water, health and hygiene, or our cooking practices, how we have to make it better. Recently you have heard that government has billion project is approved. The project will focus on the 36% of Pakistan. These are the areas where there is a lot of water, which has been affected by the recent floods. And there are children who have been stunting in their age. They have a lot of children. They have a lot of children. the government's approach is multi-sectorial.
There are also interventions related to water and sanitation related to water and sanitation. There is also a lot of focus on the research. Thank you very much. local cause or local solution I don't know how much of their nutritive value is. We are exploring it. Before, we will see the nutritional value. what is and how much it is. Then we will try to make local recipes so this is a very comprehensive program . . . .
and our federal government plans. We will see more programs in our development partners. in a very close coordination just to make sure that they also bring their resources under the umbrella. As you said, because nutrition is a multi-sectoral problem, Thank you. Thank you. Thank you. work on social welfare, then there will not be an issue. When we are in all areas, we will Thank you so much. we will not be able to do this. Thank you very much.
We don't change their behavior in communities. There are many interventions in government. I don't know if there are communities ... ... ... ... It is not necessary that everyone has any money. This is why the nutrition of our products, crops or goods Thank you very much. Thank you. Thank you. Thank you very much. the nature of children, the interest of children. Thank you very much. Thank you. foreign foreign It's a very important area.
Before I ask what I want to do, what are the plans for this time? You said that nutrition is correct. It's not only related to the disease. The last National Nutrition Survey in 2018 was the interesting finding that nutrition even in those areas and people who are well-off. So what does this mean? It means that this is not just a thing, but the behavior, knowledge, awareness,
a big deal. I would like to say two examples for the viewers and viewers. My own connection to Zilla Kuhistan, which is a very Pakistan and KP have a lot of interest in which the literacy rate is also very low. Back in 2003 and 2004, when I had my M.Phil research, I was in Kolei Palace. I went to a survey. I witnessed myself that the people who had to feed their children. They had to go to local shops.
concept was not there. There was a shop. They gave the shop and they gave the shop. Now, if my husband knows that I... I don't always do that. But I didn't know that it was a barter system. It was a barter system. It was a barter system. It was a barter system. It was a barter system. because they didn't understand their papers. I saw something else in my own. In the season, it will be possible that the people who are living in the pastures, they will take their animals there.
Now, when the milk is in a large amount of milk, and when the milk is in a process, the way milk is in a large amount of milk is in a large amount of milk. Now they don't know what is in your wheat? You have fats and maybe some fat-soluble vitamins. All your vitamins, vitamins and proteins are in the same way that you have put in the lasee. Now, there is no way to consume it, but there is no way to do this training. How can they value it?
In some areas, our Afghan community, they also create a product in our area. Yes, it is very low. It's not always related to poverty. It's not always related to poverty. It's not always related to poverty. It's not always related to poverty. It's not always related to poverty. we can give a good food for ourselves. We can give a good food for ourselves. We can give a good food for ourselves. Where you talk about initiatives, I'll talk quickly about it.
There are a lot of things in the pipeline. For example, PC-1, There are six components. One component is on awareness. We want to engage in different levels. We want to engage celebrities in our own following. we will watch TV, talk shows. Then social media will tell you that in the middle of the day, it will be strong. Today, Android has another person. In rural areas, it will be very easy.
We also want to integrate the information in different ways. Then I gave you a example of curriculum optimization. So now we are also through schools. school children, which are very big agents, we want to reach the community to this project. In this project, there is a lot of focus on the awareness, but beyond all the projects and programs, we are trying to do that in the context specific, which is a better way or tool.
In which the community, dietary choices, lifestyle, best practices, etc. There are a lot of myths about which we should eat and which we should not. There are a lot of myths in the facts. Amen. We already have the programs of UN agencies, other donors, civil society programs, government programs. But we want to strengthen it further. teacher training courses or front line workers.
In their course and curriculum, we are also trying to integrate the behavior change communication. So we have a comprehensive plan. plan is needed. In which you our community, our community, our culture, we will be able to get to the grassroots level. Yes, yes. We are working on the school level, on the curriculum level, on the ministry. But we have to find ways. to directly connect connect them with the interventions. This is also very important. Thank you very much. Thank you very much.
Thank you very much. So, coming back to the mother health, if the mother is malnourished, especially pregnancy, pre-pregnancy Yeah, I'm gonna take you later life Hey, I'm gonna take you So what are the issues that can be found in it, or can be transferred to children? Look,
directly proportional. If your mother is a malnourist, we will talk about the child's malnourist Again, I will mention that you talk about brand development, cognitive development, and you also say that this is a specific age. so uh... Thank you very much. to 90% develop, so it shows that nutrition consumption is very high, and it needs nutrition.
especially brain development, which you talked about, and other areas that are developed, definitely nutrition. If you don't have nutrition, what issues can happen? Yes, exactly. I was coming from the same direction. Now, if I only talk about mortality, we were talking about research. In the entire world, there are almost 56% of the children who are 5 years old. So they are related to man-nutrition.
She was a mother and a child. When the child was born, the child was reduced. The immunity was reduced. The child was wasted. or the child who was stunted, which means that when the mother is a man, the child is stunted. The child is stunted compared to their age. every other child has a pain. And there are very high effects and weaknesses. For example, There is a high probability that the rest of a healthy child is about 50%
is less than it is when it is bigger. In this way, the performance of school has a very strong effect. One of the most important things and the most dangerous things is that Stunting is irreversible after 2 years. When the child was in the womb or after the birth of her second birth, the child will be stunted. If I talk about Pakistan, I would say that every year there are 1,77,000 children who are 1,3rd children from malnutrition. Unfortunately.
I have told you about economic productivity. Education has a very high effect. So overall, your economic development is a GDP. It has a very high effect. In 2017, 2016, the Sun Secretariat of Planning, World Food, has a research. The findings are about Pakistan every year. 7.6 billion U.S. dollar loss because of the malnutrition. This is about 3% of our GDP. This loss is even bigger than that. which is our energy.
Electricity or other parts of our energy are the impact on our productivity, on our industry, on our other systems. Even this is a big difference. Malnutrition is visible on the child and when the child is growing, It's very high in his life. You mentioned stunted growth. It's not just stunted growth. cognitively be below average which you have said academic achievements or economic benefits directly, directly, directly, directly, directly,
If you give a positive input, then you respond to it. But if you are very early stage, which you can do interventions, which you can invest in early stages. Early stages are intergenerational. Even when your mother is pregnant, you can do interventions. Even when your mother is pregnant, you can do interventions. Even when your mother is pregnant, intergenerational cycle is necessary to understand which stage we need to maintain our nutrition
It doesn't look like a loss. It doesn't look like a loss. There are so many losses. just income income ki wajah se ya joh economic returns hai na sirf us me los hai balki woh individuals joh stunted hai joh stunted growth ke saath wadhi ho rhei woh below average rhei te hai Thank you. future population is below average. I don't know where we are going. Please, please. Please, please. Please, please. The impact of early investment is very clear. And before we talked about this,
that there are many things that are irreversible. You have said that in the past five years, the brain has been developed. If we didn't focus on the brain development, or whatever you would say, you would say, requirements, if it wasn't, then it doesn't have to be a brand development.
And this is not just physical development. We are talking about cognitive development. Then we talked about neurons and connections. Now they are connected, but they are weak. After a special time, again, it is a reverse. It is irreversible. As we say in stunting, to stay in the past, it is irreversible. After two years, there is a lot of chance to reverse it. This is a word bank model, a review.
you will invest in early. For example, if you invest 1 dollar in the first year, the return is almost 16 dollars. Now, if you invest in some time, the return is less than that. Now, if you think that the child... in middle or high school and now we have invested in its health and nutrition. So it will definitely be a benefit. But it will be very little benefit. Maybe if you invest in one dollar,
you will get $2. If you invest in the first year, you will get $16. Why is that? That's why you missed many things. You missed the time. As you said, a specific time is your child's development, which is a process or programming. The power of the child's potential is a special time. Yes. As much as early investment, it is a smart investment. And its return is very high. It's written on the wall. so why do you think in our country globally you go to different platforms? Thank you our country.
I don't even think that people will focus on it. Okay, you have to try to do the multi-sectorial and systems approach. Thank you. It's very true. Look, there are a lot of factors in it. For example, what we recently discussed, I don't know, but I don't know how many people... We have told that after the first five days of conception, or even five days from ten weeks,
the children who are receiving nutrients are the nutrients that the mother has taken to reserve. As you can see, where does the international care start? pregnancy diagnosis. Yes, and that also takes 3-4 months later. Now, this is the case of the diagnosis. If we apply it, it is very low. But if... We also go to the health facility, we have a proper treatment or supplementation, but we missed the first time.
I can't do much now because there are those reserves that my mother has taken me with. So now tell me how many people from us were aware of this. So what I'm saying is that it is very common. One is that there is not awareness. The other thing is that there is a constraint of resources. There is a lot of poverty in this country and the recent inflation.
Maybe these things don't have priority for people, which should be priority. But other people have so many issues. They don't come. Culture is also a very big barrier. because of eating and drinking, unfortunately, there is not a lot of importance. Unfortunately, our programs, also in designing,
There are a lot of problems that we have not been able to design our programs. The first thing is that we have not been able to design our programs. Unfortunately, we have not been able to design our programs. so there are a number of factors for literacy, which I have talked about intergenerational cycle. The literacy rate is very low. so that is a very big reason that they themselves in their health or children's health or children's health or children's health or children's health
impact on it or on it's children, it doesn't know about it. Then the decision making, now let's see, unfortunately, it is very low on our hands. Even if they don't have any issues related to the women, they have a choice for the women. So, there is no choice for the women. so unfortunately there are a lot of different groups which are due to this I think that there are some factors in this way. and there are many factors that have already been addressed. Thank you very much. Thank you.
So in your opinion, how do we use our policies or our action plans to develop? The most important thing is that our adolescent children are 58% male nourished.
You have talked about the intergenerational cycle of nutrition, which is the intergenerational cycle that we have to ensure that we have to ensure that we have to ensure that we have to ensure that we have to ensure that we have to ensure that we have to ensure that we have to ensure that Now, let us know that 58% of the future of parents... Thank you very much. So, this particular finding, what government has addressed to you?
especially those who are adults and who are in their health. Do you think there will be specific programs in which they will tell you? Thank you. so they are giving their children's deficiencies. So you can tell me what government has to address this particular area. Look, there are two things. You talked about research in Pakistan. If it's happening in Pakistan, then we are planning on creating a base or planning. Unfortunately, the research is very low in Pakistan.
If there is no research, we have global and regional evidence. We can contextualize it. There is no doubt or issue. But you can see that our total budget is almost 85% of your infrastructure. And here is the priority for government. 15% of the health and education. Unfortunately, the social sector is not a priority. in Pakistan. Okay. The rest of us are trying to talk about adolescent health. As many new programs, there is also an Adolescent Nutrition Strategy.
There are many programs in which we want to focus on, whether it is education, health, social protection, even this project which I have mentioned, PC-1. In this case, we are very focused on the adults, especially the girls, middle and high schools. We are trying to provide nutrition and health services.
For example, we are going to ensure that we are going to ensure that we are going to ensure that we are going to ensure that we are going to ensure that we are going to ensure that we are going to ensure that we are going to ensure that we are going to ensure that we are going We have already talked about the awareness campaign that we have launched in schools and colleges.
initiatives that are implemented through schools. But one important thing to understand is that especially in the case of children, How many children are in school? Especially in middle and high school. A very big chunk is out of school. How do they reach them? This is a very important question and a very big challenge. So for that, the government is seeing which platforms are, which is the LSW program. The LHW program is not almost in Pakistan.
So wherever there are no LHWs, we can reach out to them. So social media is a good source for which we communicate with messages and information. can.
The efforts are happening on different levels, but you rightly mentioned that it is a very aggressive and conscious effort to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we have to make sure that we
Thank you so much. Thank you so much. Thank you so much. and we will be able to disseminate the messages. So youths are very actively, especially college going, and adults in the age of adolescence. We need to engage them as volunteers, as knowledge fellows. We can engage them in different ways. We need awareness. This is... This is very true and this is very important. In SunMumit we have six different networks. There are 250 NGOs and NGOs. Sun Business and Small and Medium.
We have more than 90 universities under Sun Academy and Research. It is a youth network. Pakistan is going to be the third country. Kenya has established it. Timur Leste has established it. We wanted to be the first, but somehow it took some time in the process. African English-speaking countries recently had a meeting with them just for the cross-learning. Thank you very much. Thank you very much. organizations or individuals
and they are a real ambassadors. Exactly. There was a discussion in a meeting that when we are planning for youth, there was never a youth in it. So, this is why we... They are very high-profile members, such as the African Development Bank, Dr. Saniya Nishtar. They are very high-profile, well-respected members.
Even at that level, youth membership is ensured. So there is a youth representation and lead group. There is a youth representation and the executive committee, global sun executive committee. And now we are in Pakistan too. So this is also a very big impact. create create create create create create create create create create I feel that my dream is to complete this. I am sure that you will take universities, colleges, schools and schools. This is a beautiful message for me.
In addition to this, we have worked with balance diet guidelines. Personally, I have seen all of them. Thank you. You have said that the Pakistan Dieting Guidelines for Better Nutrition is a wonderful document which tells us that for different age groups food and how much it is. It's based on the local food composition table But now we are going to see how we disseminate these messages. So now we are not able to disseminate it.
this wonderful document which we will utilize on different platforms and take different tools to the community. Thank you so much, brother. Thank you. Thank you. Thank you. Thank you very much. Thank you very much. Thank you so much.