,,iii ,calendar ,no4 #cgi #aafth ,,congress #ast ,session ,s4 ,,res4 #bfj ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,june #bd1 #bjai,ms4 ,collins 7for herself1 ,mr4 ,coons1 ,mr4 ,boozman1 ,mr4 ,schumer1 ,mr4 ,young1 ,mrs4 ,murray1 ,mr4 ,crapo1 ,mr4 ,casey1 ,ms4 ,murkowski1 ,mr4 ,reed1 ,mr4 ,cramer1 ,ms4 ,warren1 ,mr4 ,moran1 ,ms4 ,cantwell1 ,mr4 ,rubio1 ,mr4 ,brown1 ,mr4 ,gardner1 ,mr4 ,markey1 ,mr4 ,sullivan1 ,mr4 ,durbin1 ,mr4 ,blumenthal1 ,mr4 ,cardin1 ,ms4 ,smith1 ,mr4 ,wyden1 ,mr4 ,king1 ,mr4 ,jones1 ,mr4 ,merkley1 ,ms4 ,klobuchar1 ,mr4 ,peters1 ,ms4 ,duckworth1 ,mr4 ,isakson1 ,mr4 ,wicker1 ,mrs4 ,feinstein1 ,mrs4 ,capito1 ,ms4 ,rosen1 ,ms4 ,ernst1 ,mr4 ,van ,hollen1 ,mr4 ,hawley1 ,mr4 ,murphy1 ,mr4 ,braun1 ,mr4 ,warner1 and ,mrs4 ,shaheen7 submitted the following resolution2 which was referred to the ,committee on ,foreign ,relations ,december #ah1 #bjai,reported by ,mr4 ,risch1 with an amendment and an amendment to the preamble and an amendment to the title,strike out all after the resolving clause and insert the part printed in italic,strike the preamble and insert the part printed in italic ,,resolution ,recognizing the importance of sustained ,united ,states leadership to accelerating global progress against maternal and child malnutrition and supporting the commitment of the ,united ,states ,agency for ,international ,development to global nutrition through the ,multi-,sectoral ,nutrition ,strategy4 ,whereas1 of all children under #e years of age worldwide-- 7#a7 #adi1jjj1jjj1 or #ba4i percent1 are stunted or chronically undernourished2 7#b7 an estimated #g4c percent1 or nearly #di1jjj1jjj1 experience life-threatening acute malnutrition 7also known as wasting72 and 7#c7 more than #dj1jjj1jjj are overweight2 ,whereas1 in countries highly affected by undernutrition1 stunting affects #a in every #c children2 ,whereas malnutrition directly or indirectly causes #de percent of all deaths of children under #e years of age1 a total of #b1fjj1jjj deaths annually2 ,whereas children who experience malnutrition-- 7#a7 may experience impaired brain development1 lower ,,iq1 and weakened immune systems2 and 7#b7 are at a greater risk of contracting serious diseases2 ,whereas undernourished adolescent girls have impaired cognitive ability and productivity1 and the future children of those girls are at increased risk for low birth weight and death2 ,whereas iron deficiency anemia1 associated with undernutrition1 contributes to #a in #e maternal deaths1 or #bj percent of maternal mortality2 ,whereas poor maternal nutrition contributes to poor fetal development and low birth weight1 and an estimated #fj to #hj percent of neonatal deaths occur in low-birth-weight babies2 ,whereas a large body of scientific evidence supports the benefits of improved breastfeeding practices on the short-term and long-term health and development of children and their mothers2 ,whereas a growing body of evidence indicates that reducing maternal and child malnutrition1 especially in the critical #a1jjj-;day period between the beginning of pregnancy and the second birthday of the child1 is imperative to-- 7#a7 ending preventable child and maternal deaths2 7#b7 improving cognitive and physical development2 and 7#c7 strengthening the immune systems of children to bolster resistance to disease2 ,whereas leading economists and ,nobel ,laureates have identified improving child nutrition as the most cost-effective way to improve global health outcomes and enhance development2 ,whereas the approach of the ,multi-,sectoral ,nutrition ,strategy of the ,united ,states ,agency for ,international ,development addresses the direct and underlying causes of malnutrition2 ,whereas the focus of the ,multi-,sectoral ,nutrition ,strategy on linking humanitarian assistance with development programming helps build resilience to shocks in vulnerable communities2 ,whereas malnutrition is a universal issue that no country can afford to overlook2 ,whereas countries with populations that experience high burdens of malnutrition1 including stunting1 wasting1 anemia1 and micronutrient deficiency1 will struggle to achieve sustainable and equitable economic growth2 ,whereas the ,united ,states plays a leading role supporting the goals of ,scaling ,up ,nutrition1 a global movement of #fj countries to prioritize nutrition through effective policy and dedicated national resources1 particularly during the #a1jjj-;day window of opportunity between the beginning of pregnancy and the second birthday of the child2 and ,whereas1 although the world has reduced undernutrition since #aiij1 global progress has been too slow-- 7#a7 to ensure that each child can attain a full and prosperous future regardless of where that child was born2 and 7#b7 for the global community to reach the global nutrition targets set for #bjbe3 ,now1 therefore1 be it ,whereas of all children under #e worldwide-- 7#a7 #adi1jjj1jjj1 or #ba4i percent1 are stunted or chronically undernourished2 7#b7 an estimated #g4c percent1 or nearly #di1jjj1jjj1 experience life-threatening acute malnutrition 7also known as wasting72 and 7#c7 more than #dj1jjj1jjj are overweight2 ,whereas1 in countries highly affected by undernutrition1 stunting affects #a in every #c children2 ,whereas malnutrition directly or indirectly causes #de percent of all deaths of children under #e years of age1 a total of #b1fjj1jjj deaths annually2 ,whereas undernourished adolescent girls often suffer impaired cognitive ability and productivity1 and the future children of those girls are at increased risk for low birth weight and death2 ,whereas iron deficiency anemia1 associated with undernutrition1 contributes to #a in #e maternal deaths1 or #bj percent of maternal mortality2 ,whereas poor maternal nutrition contributes to poor fetal development and low birth weight1 and an estimated #fj to #hj percent of neonatal deaths occur in low-birth-weight babies2 ,whereas a large body of evidence supports the benefits of improved breastfeeding practices on the short-term and long-term health and development of children and their mothers2 ,whereas a growing body of evidence indicates that reducing maternal and child malnutrition1 especially in the critical #a1jjj-;day period between the beginning of pregnancy and the second birthday of the child1 is imperative to-- 7#a7 ending preventable child and maternal deaths2 7#b7 improving ,,iq1 and physical1 brain and cognitive development2 and 7#c7 strengthening the immune systems of children2 ,whereas combatting malnutrition is an economic issue1 as well as a global health issue1 that is central to reducing poverty and putting communities on a path toward greater self-reliance and economic growth2 ,whereas research indicates that-- 7#a7 adults who were well nourished as children earn up to #df percent more than adults who were malnourished as children2 7#b7 countries with a very high burden of early malnutrition have lower economic growth rates resulting from lost income and productivity2 and 7#c7 the cost of child malnutrition is substantial1 with estimated losses in ,gross ,domestic ,product of #c to #af percent and potential impacts to the global economy as high as #c1ejj1jjj1jjj per year2 ,whereas leading economists and ,nobel ,laureates have identified improving child nutrition as the most cost-effective way to improve global health outcomes and enhance development2 ,whereas the ,multi-,sectoral ,nutrition ,strategy of the ,united ,states ,agency for ,international ,development 7,,usaid7 recognizes that it is in the national interest of the ,united ,states to help developing countries reduce malnutrition by addressing the direct and underlying causes of malnutrition2 ,whereas the linkage between humanitarian assistance and development programming under the ,,usaid ,multi-,sectoral ,nutrition ,strategy helps build resilience to shocks and stresses in vulnerable communities1 promotes greater self-reliance1 and is essential to reducing long-term reliance upon other forms of ,united ,states foreign assistance2 ,whereas1 in addition to providing bilateral support1 the ,united ,states plays a leading role in supporting the goals of ,scaling ,up ,nutrition1 a global movement of #fj countries to prioritize nutrition through effective policy and dedicated national resources1 particularly during the #a1jjj-;day window of opportunity between the beginning of pregnancy and the second birthday of the child2 and ,whereas1 despite the significant progress in reducing undernutrition since #aiij1 global progress has been too slow-- 7#a7 to ensure that undernutrition no longer inhibits a child's ability to attain a full and prosperous future2 and 7#b7 for the global community to reach the global nutrition targets set for #bjbe3 ,now1 therefore1 be it ,that the ,senate-- 7#a7 recognizes that-- 7,a7 food security and good nutrition in early childhood saves lives and lays the foundation for healthy physical and cognitive growth and development2 7,b7 the potential benefits of good nutrition in early childhood are life-long and influence the entire future of the child1 with entire communities and nations ultimately prospering2 7,c7 the right nutrition-- 7i7 helps children learn2 7ii7 helps protect children from illness2 7iii7 increases the productivity and earning potential of children later in life2 and 7iv7 supports the well-being and health of the future offspring of those children who receive that nutrition2 7,d7 women who are well-nourished and do not suffer from anemia are less likely to die in childbirth or give birth to children who are malnourished1 breaking the intergenerational cycle of malnutrition2 7,e7 good nutrition is an economic issue that is central to reducing poverty and putting countries on a path to economic development2 7,f7 adults who were well-nourished as children earn up to #df percent more than adults who were malnourished as children2 7,g7 countries with a very high burden of early childhood malnutrition have lower economic growth rates due to lost income and productivity2 and 7,h7 the cost of childhood malnutrition to countries is substantial1 with-- 7i7 estimated losses in ,gross ,domestic ,product of #c to #af percent2 and 7ii7 potential impacts to the global economy as high as #c1ejj1jjj1jjj1jjj per year2 7#b7 applauds the leadership of the ,united ,states in helping developing countries meet the nutritional needs of women and children2 7#c7 supports continued efforts by the ,united ,states to help developing countries meet the nutritional needs of women and children2 7#d7 commends the ,united ,states ,agency for ,international ,development 7referred to in this resolution as ,,usaid7 for recognizing that nutrition interventions are among the highest-impact evidence-based interventions that-- 7,a7 are lifesaving2 and 7,b7 support the goal of ending preventable child and maternal deaths2 7#e7 recognizes the ,multi-,sectoral ,nutrition ,strategy1 the ,u4,s4 ,government ,global ,nutrition ,coordination ,plan1 and the ,global ,food ,security ,strategy as platforms through which to reach1 by #bjbe1 the global nutrition targets agreed to at the ,world ,health ,assembly in #bjab2 7#f7 recognizes the vision and goals of the ,scaling ,up ,nutrition movement1 a global partnership supporting country-led efforts to improve maternal and child nutrition through the involvement of-- 7,a7 governments2 7,b7 civil society2 7,c7 the ,united ,nations2 7,d7 donors2 7,e7 businesses2 and 7,f7 researchers2 7#g7 recognizes that progress against global malnutrition must be accelerated using innovative1 scaled up approaches to improve the systems that affect the health and nutritional status of women and children2 and 7#h7 calls for transformative efforts across sectors at ,,usaid to accelerate progress to end maternal and child malnutrition1 including through-- 7,a7 country development cooperation strategies that align with national nutrition plans2 and 7,b7 improved and clear methods to track nutrition funding and outcomes across all global nutrition programs of the ,united ,states ,government1 especially those relating to-- 7i7 global health2 7ii7 food security2 7iii7 agriculture2 7iv7 basic education2 7v7 food assistance2 and 7vi7 water1 sanitation1 and hygiene 7also known as ,,wash74 ,that the ,senate-- 7#a7 recognizes that-- 7,a7 malnutrition is a universal issue that no country can afford to overlook2 7,b7 food security and good nutrition in early childhood saves lives and lays the foundation for healthy physical and cognitive growth and development2 and 7,c7 the potential life-long health and economic benefits of early childhood nutrition influence the future of individual children and families1 as well as entire communities and countries2 7#b7 acknowledges that effective programs to reduce malnutrition are not only lifesaving1 but also critical to the success of ,united ,states foreign assistance programs to improve global health1 end preventable child and maternal death1 achieve an ,,aids-free generation1 reach starving children during an emergency1 strengthen food security1 and accelerate inclusive economic growth2 7#c7 affirms that it is in the national interest of the ,united ,states to help developing countries build their own capacity to reduce malnutrition1 address the direct and indirect causes of malnutrition1 and meet the nutritional needs of women and children2 7#d7 recognizes the effectiveness of the ,multi-,sectoral ,nutrition ,strategy of ,,usaid1 the ,u4,s4 ,government ,global ,nutrition ,coordination ,plan1 and the ,u4,s4 ,government ,global ,food ,security ,strategy to address the direct and indirect causes of malnutrition and reach1 by #bjbe1 the global nutrition targets agreed to at the ,world ,health ,assembly in #bjab2 7#e7 supports the goals and principles of the ,scaling ,up ,nutrition movement to end global malnutrition through-- 7,a7 greater collaboration between governments1 civil society1 international organizations1 donors1 the private sector1 and researchers on multi-sectoral approaches2 7,b7 cost-effective and inclusive approaches2 and 7,c7 improved transparency and accountability for results2 7#f7 recognizes the significant progress made in the fight against global malnutrition1 7#g7 recommends accelerating improvements to the systems affecting the health and nutritional status of women and children through innovative1 scaled-up approaches2 7#h7 applauds the efforts of ,,usaid to integrate effective nutrition programming across relevant development sectors2 and 7#i7 calls for additional transformative efforts across relevant sectors at ,,usaid to accelerate progress toward ending maternal and child malnutrition1 including through-- 7,a7 country development cooperation strategies that align with national nutrition plans2 and 7,b7 improved and clear methods to track nutrition funding and outcomes across all global nutrition programs of the ,united ,states ,government1 especially those relating to-- 7i7 global health2 7ii7 food security2 7iii7 agricultural development2 7iv7 basic education2 7v7 food assistance2 and 7vi7 water1 sanitation1 and hygiene 7also known as ,,wash74 ,amend the title so as to read3 ,a resolution recognizing the importance of sustained ,united ,states leadership to accelerating global progress against maternal and child malnutrition and supporting the commitment of the ,united ,states ,agency for ,international ,development to reducing global malnutrition through the ,multi-,sectoral ,nutrition ,strategy44 ,december #ah1 #bjai,reported with an amendment and an amendment to the preamble and an amendment to the title