A recent report presented to the World Health Organization (WHO) Executive Board delivered troubling news: global progress on maternal, infant, and child nutrition has largely stalled. In some areas, it’s even moving backward.
Despite years of international commitments and development programs, six major global nutrition targets are now officially “off track.” Rising anemia rates among women, persistent childhood stunting (being too short for their age due to chronic undernutrition), increasing childhood overweight, and stagnant improvements in birth outcomes reveal a growing crisis that experts are calling a silent epidemic, particularly across Africa and other vulnerable regions.
The implications are profound. Nutrition is not just about food — it shapes survival, lifelong health, cognitive development, economic productivity, and equity.
Let’s take a closer look at what’s happening and why it matters.
Anemia in women is a reversing trend
One of the clearest signs of regression is the rising prevalence of anemia in women of reproductive age. Global commitments under Sustainable Development Goal 2 (Zero Hunger) aim to cut anemia rates in half by 2030. Instead of declining, rates have increased from 27.6% in 2012 to 30.7% in 2023.
Anemia — often caused by iron deficiency but also linked to infections, poor diets, and poverty — reduces the body’s ability to carry oxygen in the blood. For women, this can mean increased risk of maternal mortality, higher likelihood of preterm birth, low birth weight infants, and reduced physical capacity and productivity. The rise reflects deeper systemic challenges, such as food insecurity, climate shocks, infectious diseases, gender inequality, and fragile health systems.
The double burden of malnutrition
The world is now grappling with what experts call the “double burden” of malnutrition — undernutrition and overweight existing side by side. Undernutrition remains widespread, as 150.2 million children under five are stunted.
An additional 136.3 million children could face stunting by 2030 if trends continue. Childhood wasting (dangerously low weight for height) affects 6.6% of children, well above WHO’s 5% target threshold. Low birth weight rates have barely improved, decreasing only slightly to 14.7% globally. Stunting affects brain development, school performance, and earning potential later in life. It locks families and nations into cycles of poverty.
Childhood overweight is rising
At the same time, childhood overweight has climbed to 5.5% globally. This rise is linked to food systems that increasingly provide cheap, ultra-processed foods while healthy options remain inaccessible or unaffordable. This nutritional paradox — hunger and obesity existing simultaneously — reflects structural weaknesses in global food systems.
A crisis of inequality
During WHO discussions, member states emphasized that this is not just a nutrition problem — it’s a crisis of inequality. The African region bears the highest global burden of stunting and anemia. Conflict, displacement, and climate change are worsening food insecurity.
In fragile states, entire health and supply systems are disrupted. Climate shocks destroy crops, armed conflicts displace families, and economic instability limits access to nutritious foods. The result is a compounding nutrition crisis, particularly in low-income and conflict-affected regions.
The formula marketing controversy
A heated debate also emerged over the marketing of breast milk substitutes. Several nations criticized aggressive commercial practices that promote formula feeding in vulnerable communities. Critics argue that misleading marketing undermines breastfeeding, targets low-income families, and prioritizes profits over public health.
Concerns were raised about online and cross-border marketing practices, including unregulated digital advertising and product safety recalls. Public health advocates insist that governments must strengthen monitoring and enforce international marketing codes to protect breastfeeding, which remains one of the most effective and cost-efficient interventions for infant survival.
Micronutrient supplementation
While advocacy groups pushed for stronger regulation of formula marketing, industry representatives emphasized the importance of micronutrient supplementation. Iron, folate, iodine, and calcium supplementation during pregnancy can significantly reduce anemia, maternal mortality, and preterm birth. Many experts agree that supplementation programs can be a cost-effective public health strategy, particularly in high-risk populations.
Shrinking aid in a growing crisis
Perhaps the most alarming backdrop to this discussion is declining international nutrition funding. Development assistance for nutrition is estimated to have dropped between 9% and 17% in 2025.
At the same time, no country is currently on track to meet all nutrition targets, dietary diversity is worsening in multiple regions, and vulnerable populations are expanding due to climate change and conflict. Reduced funding threatens to undo years of progress and increase preventable child deaths. Experts are calling for nutrition to be treated as an essential component of primary health care, not a secondary development issue.
The road ahead
The WHO report should be a wake-up call. Without stronger political commitment, better coordination, and sustained investment, global nutrition goals will remain out of reach.
Malnutrition may be described as a “silent epidemic,” but its consequences are anything but silent. They shape the health, survival, and potential of millions of women and children.
According to the experts, reversing the current trend will require protecting nutrition funding, strengthening primary healthcare, supporting fragile and conflict-affected regions, regulating harmful marketing practices, and building resilient and equitable food systems.
In a nutshell, nutrition is not optional — it’s foundational. And the time to act is now.
Your responses and feedback are welcome!
Source: “Maternal and Child Nutrition Backslides: WHO Report Reveals,” Health Policy Watch, 2/6/26
Source: “Maternal, infant and young child nutrition,” WHO, 12/9/25
Image by Mikhail Nilov/Pexels
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