NEAR EAST AND NORTH AFRICA Regional Overview of Food Security and Nutrition 2024: Statistics and trends

Undernourishment

Undernourishment is defined as the condition of an individual whose habitual food consumption is insufficient to provide, on average, the amount of dietary energy required to maintain a normal, active and healthy life. The indicator is reported as a prevalence and is denominated as “prevalence of undernourishment”, which is an estimate of the percentage of individuals in the total population who are in a condition of undernourishment.

Data source: FAO. 2024. FAOSTAT: Suite of Food Security Indicators. [Accessed on 24 July 2024]. https://www.fao.org/faostat/en/#data/FS. Licence: CC-BY-4.0.

Food insecurity as measured by the Food Insecurity Experience Scale

Food insecurity as measured by the Food Insecurity Inexperience Scale (FIES) indicator refers to limited access to food, at the level of individuals or households, due to lack of money or other resources. The severity of food insecurity is measured using data collected with the FIES survey module (FIES-SM), a set of eight questions asking respondents to self-report conditions and experiences typically associated with limited access to food. For purposes of annual SDG monitoring, the questions are asked with reference to the 12 months preceding the survey.

FAO provides estimates of food insecurity at two different levels of severity: moderate or severe food insecurity and severe food insecurity. People affected by moderate food insecurity face uncertainties about their ability to obtain food and have been forced to reduce, at times during the year, the quality and/or quantity of food they consume due to lack of money or other resources. Severe food insecurity refers to situations when individuals have likely run out of food, experienced hunger and, at the most extreme, gone for days without eating. The prevalence of moderate or severe food insecurity is the combined prevalence of food insecurity at both severity levels.

Data source: FAO. 2024. FAOSTAT: Suite of Food Security Indicators. [Accessed on 24 July 2024]. https://www.fao.org/faostat/en/#data/FS. Licence: CC-BY-4.0.

Stunting, wasting and overweight in children under 5 years of age

Stunting (children under five years of age): height/length (cm) for age (months) < -2 SD of the WHO Child Growth Standards median. Low height-for-age is an indicator that reflects the cumulative effects of undernutrition and infections since and even before birth. It may be the result of long-term nutritional deprivation, recurrent infections and lack of water and sanitation infrastructures. Stunted children are at greater risk for illness and death. Stunting often adversely affects the cognitive and physical growth of children, making for poor performance in school and reduced intellectual capacity.

Prevalence cut-off values for public health significance are as follows: very low < 2.5 percent; low 2.5–9.9 percent; medium 10–19.9 percent; high 20–29.9 percent; very high ≥ 30 percent.

Wasting: weight (kg) for height/length (cm) < -2 SD of the WHO Child Growth Standards median. Low weight-for-height is an indicator of acute weight loss or a failure to gain weight and can be the result of insufficient food intake and/or an incidence of infectious diseases, especially diarrhoea. Wasting indicates acute malnutrition and increases the risk of death in childhood from infectious diseases such as diarrhoea, pneumonia and measles.

Prevalence cut-off values for public health significance for wasting are as follows: very low < 2.5 percent; low 2.5–4.9 percent; medium 5–9.9 percent; high 10–14.9 percent; very high ≥ 15 percent.

Overweight: weight (kg) for height/ length (cm) > +2 SD of the WHO Child Growth Standards median. This indicator reflects excessive weight gain for height generally due to energy intakes exceeding children’s energy requirements. Childhood overweight and obesity is associated with a higher probability of overweight and obesity in adulthood, which can lead to various non-communicable diseases, such as diabetes and cardiovascular diseases.

Prevalence cut-off values for public health significance for child overweight are as follows: very low < 2.5 percent; low 2.5–4.9 percent; medium 5–9.9 percent; high 10–14.9 percent; very high ≥ 15 percent.

Data source: UNICEF, WHO & World Bank. 2023. Levels and trends in child malnutrition. UNICEF / WHO / World Bank Group Joint Child Malnutrition Estimates – Key findings of the 2023 edition. New York, USA, UNICEF; Geneva, Switzerland, WHO and Washington, DC, World Bank. https://data.unicef.org/resources/jme-report-2023, www.who.int/teams/nutrition-and-food-safety/monitoring-nutritional-status-and-food-safety-and-events/joint-child-malnutrition-estimates, https://datatopics.worldbank.org/child-malnutrition

Anaemia in women aged 15 to 49 years

Definition: percentage of women aged 15−49 years with a haemoglobin concentration less than 120 g/L for non-pregnant women and lactating women, and less than 110 g/L for pregnant women, adjusted for altitude and smoking.

Prevalence cut-off values for public health significance are as follows: no public health problem < 5 percent; mild 5–19.9 percent; moderate 20–39.9 percent; severe ≥ 40 percent.

Data source: WHO. 2021. Vitamin and Mineral Nutrition Information System (VMNIS). In: WHO. Geneva, Switzerland. [Cited 25 May 2021]. https://www.who.int/teams/nutrition-and-food-safety/databases/vitamin-and-mineral-nutrition-information-system. WHO. 2021. WHO global anaemia estimates, 2021 edition. In: WHO. [Cited 24 July 2024]. www.who.int/data/gho/data/themes/topics/anaemia_in_women_and_children

Adult obesity

The body mass index (BMI) is the ratio of weight-to-height commonly used to classify the nutritional status of adults. It is calculated as the body weight in kilograms divided by the square of the body height in metres (kg/m2). Obesity includes individuals with BMI equal to or higher than 30 kg/m2.

Data source: WHO. 2024. Global Health Observatory (GHO) data repository: Prevalence of obesity among adults, BMI ≥ 30, age-standardized. Estimates by country. [Accessed on 24 July 2024]. https://www.who.int/data/gho/data/indicators/indicator-details/GHO/prevalence-of-obesity-among-adults-bmi--30-(age-standardized-estimate)-(-). Licence: CC-BY-4.0.

Exclusive breastfeeding

Exclusive breastfeeding for infants under 6 months of age is defined as receiving only breastmilk and no additional food or drink, not even water. Exclusive breastfeeding is a cornerstone of child survival and is the best food for newborns, as breastmilk shapes the baby’s microbiome, strengthens the immune system and reduces the risk of developing chronic diseases. Breastfeeding also benefits mothers by preventing postpartum haemorrhage and promoting uterine involution, decreasing risk of iron-deficiency anaemia, reducing the risk of various types of cancer and providing psychological benefits.

Data source: UNICEF. 2024. Infant and young child feeding. In: UNICEF. [Cited 24 July 2024]. https://data.unicef.org/topic/nutrition/infant-and-young-child-feeding

Low birthweight

Low birthweight is defined as a weight at birth of less than 2.5 kg (less than 5.51 lbs), regardless of gestational age. A newborn’s weight at birth is an important marker of maternal and foetal health and nutrition.

Data source: UNICEF & WHO. 2023. Low birthweight. In: UNICEF. [Cited 24 July 2024]. https://data.unicef.org/topic/nutrition/low-birthweight; UNICEF & WHO. 2023. Joint low birthweight estimates. In: WHO. [Cited 24 July 2024]. www.who.int/teams/nutrition-and-food-safety/monitoring-nutritional-status-and-food-safety-and-events/joint-low-birthweight-estimates

Cost and unaffordability of a healthy diet

The cost of a healthy diet (CoHD) is the cost of purchasing the least expensive locally available foods to meet the energy requirements and food-based dietary guidelines for a representative person within energy balance at 2 330 kcal/day. The CoHD is calculated using retail food price data from the 2024 series of the International Comparison Program (ICP), coordinated by the World Bank, which refers to 2021 prices. The cost of a healthy diet is converted to international dollars using purchasing power parity (PPP) conversion factors for private consumption.

The prevalence of unaffordability (PUA) estimates the percentage of individuals in a population whose disposable income, net of the amount needed to acquire all basic non-food goods and services, is lower than the minimum cost of a healthy diet. National estimates are obtained by contrasting the country-specific income distributions against a threshold (r). The threshold r is obtained by summing the cost of a healthy diet in a country and the basic cost of non-food needs for the income group to which the country belongs. Specifically, the cost of non-food needs is calculated by multiplying World Bank international poverty lines by a share of total expenditure to be reserved for non-food basic goods and services that is specific to each income group. Along with the PUA, the number of people unable to afford a healthy diet (NUA) is computed by multiplying the PUA by the reference population size.

Data source: FAO. 2024. FAOSTAT: Cost and Affordability of a Healthy Diet (CoAHD). [Accessed on 24 July 2024]. https://www.fao.org/faostat/en/#data/CAHD. Licence: CC-BY-4.0.