Appropriate guidelines for measuring haemoglobin and defining anaemia are crucial for both clinical and public health medicine but require consideration of a range of complexities across different populations. The objective of this guideline is to provide updated, clear, evidence-informed normative statements on the use of haemoglobin concentrations to assess anaemia and on the best approaches in its measurement in individuals and populations. The purpose of the guideline is to improve the diagnosis of anaemia, grounded in gender, equity and human rights approaches, with the aim of leaving no one behind, thereby informing the development of nutrition and health policies. The normative statements in this guideline are intended for a wide audience, including policy-makers, their expert advisers, and technical and programme staff at ministries and organizations involved in the design, implementation, and scaling-up of actions for addressing anaemia. Other end-users of the guideline include nongovernmental and other organizations and professional societies involved in the planning and management of anaemia actions, as well as health professionals including clinicians, managers of nutrition and health programmes, national blood services, and public health policy-makers in all settings.

The Overview presents the food security and nutrition situation in the Arab States for 2022 when the effects of the war in Ukraine and record-high food and fertilizer prices hit the region that was just recovering from the economic and social shock caused by the COVID-19 pandemic. Consequently, hunger in the Arab States has reached its highest level since 2000. The Arab region continued to suffer from the triple burden of malnutrition: besides undernutrition, child overweight/adult obesity and micronutrient deficiencies, such as anaemia. The prevalences of overweight among children and of anaemia among women are higher than the world average. The downward trend of child stunting has slowed down, and recent high food prices might even reverse it. Furthermore, the cost of a healthy diet in the region has been increasing in recent years, and healthy diets are out of reach for almost every other person in the Arab States. The region’s deteriorating food security and nutrition situation calls for the urgent need to transform agrifood systems, making them more resilient to shocks and emerging crises, more efficient, inclusive and sustainable to reach the Sustainable Development Goal 2 targets.

Micronutrient malnutrition affects approximately 2 billion people worldwide. The adverse effects of micronutrient deficiencies are profound and include premature death, poor health, blindness, growth stunting, mental retardation, learning disabilities, and low work capacity. Preventing Micronutrient Deficiencies provides a conceptual framework based on past experience that will allow funders to tailor programs to existing regional/country capabilities and to incorporate within these programs the capacity to address multiple strategies (i.e., supplementation/fortification/food-based approaches/public health measures) and multiple micronutrient deficiencies. The book does not offer recommendations on how to alleviate specific micronutrient deficienciesâ€"such recommendations are already available through the publications of diverse organizations, including the U.S. Agency for International Development, the Micronutrient Initiative, World Bank, United Nations Childrens' Fund, and the World Health Organization. Instead, this volume examines key elements in the design and implementation of micronutrient interventions, including such issues as: The importance of iron, vitamin A, and iodine to health. Populations at risk for micronutrient deficiency. Options for successful interventions and their cost. The feasibility of involving societal sectors in the planning and implementation of interventions. Characteristics of successful interventions. The book also contains three in-depth background papers that address the prevention of deficiencies of iron, vitamin A, and iodine.

The Regional Overview of Food Security and Nutrition in Europe and Central Asia for 2023 – Statistics and Trends provides a comprehensive analysis of Sustainable Development Goal 2, focusing specifically on Target 2.1 (ending hunger and ensuring universal access to food) and Target 2.2 (eradicating all forms of malnutrition). Additionally, the report evaluates progress concerning three global nutrition targets: adult obesity, exclusive breastfeeding, and low birthweight, as endorsed by the 2012 World Health Assembly. It also offers an updated analysis of the cost and affordability of a healthy diet within the Europe and Central Asia region. Recent estimates affirm that hunger prevalence remains relatively low in the ECA region. Food insecurity at moderate or severe levels is notably lower compared to global estimates. However, food insecurity levels remain significantly higher than those recorded before the COVID-19 pandemic. Although the ECA region has made significant strides in reducing undernutrition overall, some countries still exhibit relatively high rates of stunting (over 10 percent) and wasting (over 3 percent). Overall, the region is not on track in addressing childhood overweight, adult obesity, anemia among women aged 15 to 49, and exclusive breastfeeding. Healthy diets play a crucial role in safeguarding against the impacts of malnutrition, fostering improved health outcomes. Notably, in the past year, the Western Balkans experienced the highest cost for a healthy diet within the region, surpassing both the ECA and global averages. Overall, there has been an increase in the number of individuals able to afford a healthy diet over the past year, while the percentage unable to afford it remains significantly lower than the global estimate.