2014 Nutrition Country Profile www.globalnutritionreport.org Brazil ECONOMICS AND DEMOGRAPHY UNDER-5 MORTALITY RATE POVERTY RATES AND GDP US$1.25/day (%) US$2/day (%) 14,043 30 9,997 17 INCOME INEQUALITY Deaths per 1,000 live births GDP per capita PPP ($) Gini index, 1990 14,555 62 11,015 POPULATION 33 1990 61 Source: World Bank 2014. Note: 0 = perfect equality, 100 = perfect inequality. 2000 2010 2013 Source: World Bank 2014. Note: PPP = purchasing power parity. 1990 2000 16 14 2010 2012 Population (000) 198,656 Under-5 population (000) 14,563 2012 2012 Urban (%) 84 2010 > 65 years (%) 7 2012 Source: UNPD 2013. Source: UN Inter-agency Group for Child Mortality Estimation 2013. CHILD ANTHROPOMETRY PREVALENCE OF UNDER-5 STUNTING (%) CHILD ANTHROPOMETRY Number of children under 5 affected (000) Stunting a 1,055 2007 Wasting a 238 2007 1,085 2007 Overweight a CHANGES IN STUNTING PREVALENCE OVER TIME, BY WEALTH QUINTILE Wealthiest Second wealthiest Middle Second poorest Poorest 19 14 Percentage of children under 5 affected Wasting a 2 2007 Severe wasting a 0 2007 Overweight a 7 2007 Low birth weight b 8 2010 Sources: a UNICEF/WHO/WB 2014; b UNICEF 2014. 1996 7 5 1989 1996 10 Source: UNICEF/WHO/WB 2014. 15 20 25 Mean prevalence of stunting (%) 2007 Source: DHS surveys 1990−2011 adapted from Bredenkamp et al. 2014. ADOLESCENT AND ADULT NUTRITION STATUS ADOLESCENT AND ADULT ANTHROPOMETRY (% POPULATION) MICRONUTRIENT STATUS OF POPULATION Adolescent overweight a NA NA Adolescent obesity a NA NA Women of reproductive age, thinness 6 2008 Women of reproductive age, short stature b 4 2008 b Women of reproductive age with anemia a Total population affected (000) 20 2011 13 NA Risk of adverse health consequences (iodine-induced hyperthyroidism, auto-immune thyroid diseases) 2000 Total population affected (%) Population classification of iodine nutrition (age group 6–12) c METABOLIC RISK FACTORS FOR DIET-RELATED NONCOMMUNICABLE DISEASES, 2008 (%) Raised blood glucose 2011 Vitamin A deficiency in preschool-age children (%) b Sources: a WHO 2014; b DHS 2014. Note: NA = not available. Raised blood pressure 10,638 Sources: a Stevens et al. 2013; b WHO 2009; c WHO 2004. Note: NA = not available. Raised blood cholesterol PREVALENCE OF ADULT OVERWEIGHT AND OBESITY, 2008 (%) 44 42 Overweight (BMI ≥ 25) 48 44 44 37 53 Female 22 52 Male 10 10 17 10 54 Both sexes Both sexes Male Obesity (BMI ≥ 30) 20 Female Source: WHO 2014. Note: BMI = body mass index. Source: WHO 2014. WORLD HEALTH ASSEMBLY INDICATORS: PROGRESS AGAINST GLOBAL WHA TARGETS Under-5 stunting Under-5 wasting, 2007 Under-5 overweight, 2007 WRA anemia, 2011 NA Currently on course Currently off course Currently off course Source: WHO 2014. Notes: Currently it is only possible to determine whether a country is on or off course for four of the six WHA targets. The year refers to the most recent data available; on/off-course calculation is based on trend data. WRA = women of reproductive age. NA = not available. 1 Brazil 2014 Nutrition Country Profile INTERVENTION COVERAGE AND CHILD-FEEDING PRACTICES CONTINUUM OF CARE (%) RATE OF EXCLUSIVE BREASTFEEDING OF INFANTS UNDER 6 MONTHS (%) INTERVENTION COVERAGE (%) Antenatal care (4+ visits), 2009 a Severe acute malnutrition, geographic coverage a NA Vitamin A supplementation, full coverage NA NA Children under 5 with diarrhea receiving ORS b 44 1996 Immunization coverage, DTP3 b 94 2012 Iodized salt consumption b NA b 91 Skilled attendant at birth, 2006 a 41 40 97 Initiation of breastfeeding within 1 hour after birth, 2008 a 68 NA NA Sources: UNICEF/Coverage Monitoring Network/ACF International 2012; UNICEF 2014. Notes: ORS = oral rehydration salts; DTP3 = 3 doses of combined diphtheria/tetanus/ pertussis vaccine. NA = not available. a Continued breastfeeding at 1 year, 2006 a 50 b INFANT AND YOUNG-CHILD FEEDING PRACTICES (% 6–23 MONTHS) Unmet need for family planning, 2006 b 6 2006 2008 NA NA Minimum dietary diversity NA NA Source: DHS. Note: NA = not available. Source: UNICEF 2014. Sources: a UNICEF 2014; b UNPD 2014. Minimum acceptable diet UNDERLYING DETERMINANTS FOOD SUPPLY GENDER-RELATED DETERMINANTS Available calories from nonstaples (%): data for 1991, 2000, 2009 Undernourishment (%): data for 1991, 2000, 2010, 2014 65 61 Availability of fruits and vegetables (grams): data for 1990, 2000, 2010, 2011 66 498 530 15 13 1991 Gender Inequality Index (country rank) b 1996 0.441 2013 85 2013 FEMALE SECONDARY EDUCATION ENROLLMENT (%) POPULATION DENSITY OF HEALTH WORKERS PER 1,000 PEOPLE 7 2000 Gender Inequality Index (score*) b 16 Sources: a UNICEF 2014; b UNDP 2014. Note: *0 = low inequality, 1 = high inequality. 403 341 Early childbearing: births by age 18 (%) a 2010 Physicians 1.891 2013 Nurses and midwives 7.601 2013 NA NA Community health workers 2014 Data not available Source: WHO 2014. Note: NA = not available. Source: FAOSTAT 2014. Source: UNESCO Institute for Statistics 2014. GOVERNMENT EXPENDITURES (%) IMPROVED DRINKING WATER COVERAGE (%) Piped on premises Other improved 4 8 10 Unimproved Surface water 1 2 2 5 5 7 78 86 92 1990 2000 2012 Source: WHO/UNICEF JMP 2014. IMPROVED SANITATION COVERAGE (%) Improved facilities Shared facilities Health Education Unimproved facilities Open defecation Social protection Agriculture 2.7 2.2 45.8 48.0 8.4 8.7 8.1 7.0 2000 2010 3 14 1 17 16 1 9 15 1 67 75 81 1990 2000 2012 0.9 6.0 4.0 1.5 1990 Source: WHO/UNICEF JMP 2014. 2012 Source: IFPRI 2014. FINANCIAL RESOURCES AND POLICY, LEGISLATION, AND INSTITUTIONAL ARRANGEMENTS SCALING UP NUTRITION (SUN) COUNTRY INSTITUTIONAL TRANSFORMATIONS, 2014 (%) POLICY AND LEGISLATIVE PROVISIONS National implementation of the International Code of Marketing of Breast-milk Substitutes a Law 2014 Extent of constitutional right to food High 2003 Maternity protection (Convention 183) c Yes 2011 Mandatory 2002 Rank: 16/83 2012– 2015 b Data not available Wheat fortification legislation d Undernutrition mentioned in national development plans and economic growth strategies e Sources: a UNICEF 2014; b FAO 2003; c ILO 2013; d FFI 2014; e IDS 2014. AVAILABILITY AND STAGE OF IMPLEMENTATION OF GUIDELINES/ PROTOCOLS/STANDARDS FOR THE MANAGEMENT OF NCDs Diabetes Available, fully implemented 2010 Hypertension Available, fully implemented 2010 Source: WHO 2014. Note: NCDs = noncommunicable diseases. Source: SUN 2014. 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