Peer-reviewed article

Review of national policies and programs targeting improvement of wasting among under-five years old children in Bangladesh.

Naila NN, Karmakar G, Hossain MI, Alam A, Islam MM et al. · 1 Dec 2025

Abstract

Background and objectives Childhood undernutrition, especially wasting, remains a significant public health challenge in Bangladesh. Wasting, or low weight-for-height, is associated with a heightened risk of mortality in children under five. Although several national policies exist, the burden of wasting persists above the global target of <5%. This review focuses on identifying gaps and opportunities within Bangladesh's policy landscape concerning the prevention and management of wasting. Methods and study design A desk review was conducted of eight key national documents, including nutrition policies, action plans, national programs, and guidelines. These were assessed for their stated goals, objectives, action plans, gaps, and recommendations regarding undernutrition, with particular attention to wasting. Special emphasis was given to Integrated Management of Childhood Illness (IMCI), Community-Based Management of Acute Malnutrition (CMAM), and the availability of Ready-to-Use Therapeutic Food (RUTF). Results While Bangladesh has adopted a multi-sectoral approach through its National Nutrition Policy (2015), Food Policy Plan of Action (2008-2015), and National Food and Nutrition Security Policy (2021-2030), implementation gaps remain. Challenges include weak governance, insufficient facility readiness, and inconsistent RUTF supply, particularly in remote areas. Community-level interventions are underutilized, and coordination with NGOs is limited despite their proven success. Conclusions To reduce the prevalence of wasting, it is critical to strengthen multi-sectoral collaboration, improve CMAM coverage and supply chains, and ensure the integration of community-based approaches. Focused investments in health systems and nutrition governance are essential to achieve the Sustainable Development Goals related to child nutrition.