Country government

The Gambia

Nutrition for Growth (N4G) commitment to 2020

Reported progress

Assessment

Impact commitments
London 2013

1. Reduce stunting prevalence from 23% to 18% by 2015.

2. Increase exclusive breastfeeding from 56% to 65% by 2015.

Reported progress

The Gambia Micronutrient Survey (GMNS) was conducted in 2018 and the results show that stunting has been reduced from 24.5% (DHS, 2013) to 15.7% (GMNS, 2018). It also important to note that wasting and underweight have also improved:

- Wasting 11.5% (DHS, 2013) to 5.8% (GMNS, 2018)

- Underweight 16.2% (DHS, 2013) to 10.6% (GMNS, 2018).

The GMNS also provided information on the status of Micronutrient Deficiency in the country as well as the nutritional status of women as indicated below:

1. Children

Anaemia – 50.4%; Iron Deficiency Anaemia – 38.2%; Vitamin A Deficiency – 18.3%

2. Non-Pregnant Women

Anaemia – 50.9%; Iron Deficiency Anaemia – 28.0%; Vitamin A Deficiency – 1.8%; Underweight (BMI <18) – 15.4%; Overweight (BMI >25) – 18.3%; Obesity (BMI >30) – 11.1%

3. Pregnant women

Anaemia – 56.8%

The current EBF Rate is 55.2% (MICS 2018 – Unpublished). Please note that the figure used as the baseline was from a different survey. A subsequent survey showed a drop of the EBR rate to 47% (DHS, 2013) but it is now picking up as indicated above.

Assessment
On course
Basis of assessment

Although exclusive breastfeeding rates appear even lower than baseline, the annual rate of reduction in stunting exceeds original commitments.