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Shakuntala Haraksingh Thilsted

Senior Nutrition Adviser

WorldFish Center

Email address: s.thilsted@cgiar.org

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What are the First 1,000 Days?

Scaling Up Nutrition (SUN) Framework and Roadmap:

1,000 Days Global Effort

Early risers:

Bangladesh, Burkina Faso, Gambia, Ghana, Guatemala,

Lao PDR, Malawi, Mali, Mauritania, Mozambique,

Namibia, Nepal, Niger, Peru, Senegal, Tanzania,

Uganda, Zambia, Zimbabwe

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SUN: 1,000 Days

• 15 CGIAR Research Programs, in particular: Agriculture for

Improved Nutrition and Health

• Feed the Future, Global Health Initiative (USAID)

• DFID, U. K.

• Grand Challenges Canada: Saving Brains

“The waste of human capital is enormous. Imagine a world

where children reach their full potential. That is the world

the Saving Brains initiative is aiming to create.”

• Bill and Melinda Gates Foundation

Grand Challenges Explorations Round 7: Explore Nutrition for

Healthy Growth of Infants and Young Children

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2011 - 2016

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• Food availability

• Food access

• Food utilization

Framework of CIP

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“Mache Bhate Bangali”

(Fish and Rice make a Bengali)

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Dried Small Fish, Prawn and Shrimp

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Curry Small Fish Dish

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SUN: 1,000 Days

Focus on the Role of Essential Fats for

Brain Development and Cognition

Fat in the Critical Thousand Days

Ensuring

Adequacy of Essential Dietary Fats

for Mothers and Children in

Low and Middle Income Countries

Meeting in Washington D. C., April 2011

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Fish is a Rich Source of Essential Fats

Lake Malawi:

• Dried usipe contains 1,700 mg docosahexaenoic acid

(DHA) per 100 g, comparable to salmon

• DHA in the breast milk of women ~0.7% of fatty acids,

about twice the global average

Lake Kitangiri, Tanzania (cradle of civilization):

• Fish and breast milk of women with high concentrations of

essential fats

Rural Bangladeshi women:

• Low fish intake, low fat intake and low levels of essential

fats in breast milk

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SUN: 1,000 Days

Recommendations from the Washington D. C. Meeting:

The agricultural sector has an important role to play to

increase the availability of foods containing omega-3

fatty acids:

• Increase access to fish with omega-3 fatty acids

• Improve omega-3 content of fish feeds and expand

access to farmers

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Small FishIrreplaceable Animal-source Food

Rich Source of Multiple Nutrients

Animal Protein

Essential Fats

Essential Micronutrients: Minerals

and Vitamins

Common Food eaten with the Staple

Adds Flavour and Taste to the Meal

Improves Diet Diversity

Enhances Mineral Bioavailability from

Foods in the Meal

Cooked with Vegetables, Oil and

Spices, further Improving Diet Diversity,

Adding Nutrients and Growth-

promoting Substances

Processed, Stored - Prolonging

Duration of Consumption

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Fish in Local Complementary Foods

Alleviating childhood malnutrition by improved utilization of

traditional foods

Effectiveness studies of complementary foods in children 6-

24 months

• Cambodia: rice flour, dried powdered fish (2 small species:

rich in iron and zinc and essential fats), spider

• Kenya: maize flour, dried powdered small fish (omena),

fermented amaranth, termite

• Bangladesh: Plant-source foods: rice flour, lentil powder,

molasses, soybean oil

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• Increased Use of Small Marine Fish for Human

Consumption

present use: fish meal and fish oil

• Improvement in Post-harvest Processes

sun-drying, Storage, Marketing, Cooking

• Reduction of Spoilage and Wastage

Increased Fish Production is Not Sufficient

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• Data on intra-household fish consumption, especially

in women and young children, at species level,

different seasons and locations

• Nutrient composition of fish species and fish products

• Bioavailability of nutrient components specific for fish:

dehydroretinol (vitamin A compound)

high molecular iron compounds

• Degree of enhancement of mineral bioavailability of a

small intake of fish in a meal

Gaps in Recognizing the Importance of Fish in

the First 1,000 Days of Life

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Thank you