1 This Report was prepared for the Division of Family Health, The World Health Organization, Geneva, Switzerland.2 the WHO Consultant, Division of Family HealthIntroductionIf we all wanted to join forces in promoting the health and well-being of those who deserve it the most and receive it the least, we should concentrate on young women. It is simply because when women become healthier, better nourished and rise above poverty, and when their status in society improves, the world will be a better place, our children will have a better future and development and peace will have a better chance.Therefore, the central message of this report is a call for global focus on health and nutrition issues of young women and an outline of some selected strategies geared to this purpose.Primary focus in this report will be on young women of child bearing age (i.e., 15-44 years). They have a major role in production and reproduction. Young women in the third world spend almost three-fourths of their prime time of life in an almost continuous state of pregnancy and lactation. They also work long hours in family food production, child care and household management and often work longer hours than men. Women in continents like Africa are the primary producers of staple foods. They form a major part of the labour force in Asia. They spend relatively more of their income on child nutrition and family welfare needs. They are the primary driving force in delivery of primary health care and birth attendance to hundreds of thousands of villages around the world. They form the majority of teachers and nurses. They also have the responsibility of bearing and caring for the next generation. They teach the children in the world and heal the pains of the sick and elderly. It is unfortunate that the world does not pay enough attention to their health, as well as their economic and social well-being. They have an undue share of poverty, illiteracy, disease and poor diet. They also are given an uneven and unfair share of the fruits of advances made in social, economic and political development in the third world.The promising side of the picture is that women in the industrialized world have made substantial progress in their efforts for a better position in society, and the UN Decade for Women has made a difference in putting women and women's issues on the national development agenda in many countries, and the world is now better informed and aware of the women's problems and needs.It is now time that the health and nutritional issues of women are given serious and sustained attention. The World Health Organization is committed to the health and nutritional well-being of women, particularly in the developing countries and has a keen interest in joining force with all women's advocates and women's organizations in advancing their cause, particularly their health and nutritional needs.We hope this report will be helpful in reaching as many national and international groups and organizations interested and involved in women's health and development and further encourage and stimulate them in taking an active role in supporting women's food and nutrition issues.This report does not intend to address the technical and programmatic issues in detail. These are matters which need to remain country specific. It is designed to offer our reasons and rationale as well as an outline of strategy options for approaching formulation of the relevant policies and programmes.Poor Women and Their Health StatusCurrent estimates show that there are approximately one billion absolute poor in the world and half of them are women. Nutritionally speaking, the young women in child bearing age (15-44) are of particular concern, and there are 300 million of them who live under conditions of severe poverty. Half of these young women live in Asia, one third in Africa and the rest in Latin America and the Middle East. It is also important to note that two thirds of these women live in rural and one-third in urban settings. They usually suffer from a rather poor health status which is characterized by shorter life expectancy, high incidence of maternal mortality and low weight gain during pregnancy, low birth weight, poor physical stature, highly prevalent nutritional anaemia, delayed menarche and low productivity.Table i. Health Status of Women in Various RegionsRegionLife Expectancy at birth (years)Maternal Mortality RatesIncidence of Low Birth WeightHaemoglobin below normal women 15-49PregnantNon pregnantAll womenAsia67 (1)52 (2)42020655758Africa5164015634044Latin America6627011301517Developed Countries79307(1) East Asia and Pacific (2) South AsiaSources:Life Expectancy: World Tables, The World Book, Washington, DC. 1984.Maternal Mortality Rates: WHO, Geneva, 1987.Incidence of Low Birth Weight: WHO, Geneva, 1980.Haemoglobin below Normal: WHO, Geneva, 1979.Women in the third world live shorter lives, t
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