III 

116TH CONGRESS 

2D SESSION S. RES. 260 

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 Strategy. 

IN THE SENATE OF THE UNITED STATES 

JUNE 24, 2019 

Ms. COLLINS (for herself, Mr. COONS, Mr. BOOZMAN, Mr. SCHUMER, Mr. 

YOUNG, Mrs. MURRAY, Mr. CRAPO, Mr. CASEY, Ms. MURKOWSKI, Mr. 

REED, Mr. CRAMER, Ms. WARREN, Mr. MORAN, Ms. CANTWELL, Mr. 

RUBIO, Mr. BROWN, Mr. GARDNER, Mr. MARKEY, Mr. SULLIVAN, Mr. 

DURBIN, Mr. BLUMENTHAL, Mr. CARDIN, Ms. SMITH, Mr. WYDEN, Mr. 

KING, Mr. JONES, Mr. MERKLEY, Ms. KLOBUCHAR, Mr. PETERS, Ms. 

DUCKWORTH, Mr. ISAKSON, Mr. WICKER, Mrs. FEINSTEIN, Mrs. CAPITO, 

Ms. ROSEN, Ms. ERNST, Mr. VAN HOLLEN, Mr. HAWLEY, Mr. MURPHY, 

Mr. BRAUN, Mr. WARNER, and Mrs. SHAHEEN) submitted the following 

resolution; which was referred to the Committee on Foreign Relations 

DECEMBER 18, 2019 

Reported by Mr. RISCH, with an amendment and an amendment to the 

preamble and an amendment to the title 

JANUARY 14, 2020 

Considered, amended, and agreed to with an amended preamble and an 

amendment to the title 

RESOLUTION 

Recognizing the importance of sustained United States leadership to accelerating global progress against maternal 

and child malnutrition and supporting the commitment 

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SRES 260 ATS 

ment to reducing global malnutrition through the MultiSectoral Nutrition Strategy. 

Whereas of all children under 5 worldwide— 

(1) 149,000,000, or 21.9 percent, are stunted or 

chronically undernourished; 

(2) an estimated 7.3 percent, or nearly 49,000,000, 

experience life-threatening acute malnutrition (also 

known as ‘‘wasting’’); and 

(3) more than 40,000,000 are overweight; 

Whereas, in countries highly affected by undernutrition, 

stunting affects 1 in every 3 children; 

Whereas malnutrition directly or indirectly causes 45 percent 

of all deaths of children under 5 years of age, a total of 

2,600,000 deaths annually; 

Whereas undernourished adolescent girls often suffer impaired cognitive ability and productivity, and the future 

children of those girls are at increased risk for low birth 

weight and death; 

Whereas iron deficiency anemia, associated with undernutrition, contributes to 1 in 5 maternal deaths, or 20 percent 

of maternal mortality; 

Whereas poor maternal nutrition contributes to poor fetal development and low birth weight, and an estimated 60 to 

80 percent of neonatal deaths occur in low-birth-weight 

babies; 

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 

mothers; 


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Whereas a growing body of evidence indicates that reducing 

maternal and child malnutrition, especially in the critical 

1,000-day period between the beginning of pregnancy and 

the second birthday of the child, is imperative to— 

(1) ending preventable child and maternal deaths; 

(2) improving IQ, and physical, brain and cognitive 

development; and 

(3) strengthening the immune systems of children; 

Whereas combatting malnutrition is an economic issue, as 

well as a global health issue, that is central to reducing 

poverty and putting communities on a path toward greater self-reliance and economic growth; 

Whereas research indicates that— 

(1) adults who were well nourished as children earn 

up to 46 percent more than adults who were malnourished as children; 

(2) countries with a very high burden of early malnutrition have lower economic growth rates resulting 

from lost income and productivity; and 

(3) the cost of child malnutrition is substantial, with 

estimated losses in Gross Domestic Product of 3 to 16 

percent and potential impacts to the global economy as 

high as $3,500,000,000 per year; 

Whereas leading economists and Nobel Laureates have identified improving child nutrition as the most cost-effective 

way to improve global health outcomes and enhance development; 

Whereas the Multi-Sectoral Nutrition Strategy of the United 

States Agency for International Development (USAID) 

recognizes that it is in the national interest of the United 

States to help developing countries reduce malnutrition 


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by addressing the direct and underlying causes of malnutrition; 

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 communities, promotes greater 

self-reliance, and is essential to reducing long-term reliance upon other forms of United States foreign assistance; 

Whereas, in addition to providing bilateral support, the 

United States plays a leading role in supporting the goals 

of Scaling Up Nutrition, a global movement of 60 countries to prioritize nutrition through effective policy and 

dedicated national resources, particularly during the 

1,000-day window of opportunity between the beginning 

of pregnancy and the second birthday of the child; and 

Whereas, despite the significant progress in reducing undernutrition since 1990, global progress has been too slow— 

(1) to ensure that undernutrition no longer inhibits 

a child’s ability to attain a full and prosperous future; 

and 

(2) for the global community to reach the global nutrition targets set for 2025: Now, therefore, be it 

1 Resolved, That the Senate— 

2 (1) recognizes that— 

3 (A) malnutrition is a universal issue that 

4 no country can afford to overlook; 

5 (B) food security and good nutrition in 

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1 tion for healthy physical and cognitive growth 

2 and development; and 

3 (C) the potential life-long health and eco4 nomic benefits of early childhood nutrition in5 fluence the future of individual children and 

6 families, as well as entire communities and 

7 countries; 

8 (2) acknowledges that effective programs to re9 duce malnutrition are not only lifesaving, but also 

10 critical to the success of United States foreign as11 sistance programs to improve global health, end pre12 ventable child and maternal death, achieve an AIDS13 free generation, reach starving children during an 

14 emergency, strengthen food security, and accelerate 

15 inclusive economic growth; 

16 (3) affirms that it is in the national interest of 

17 the United States to help developing countries build 

18 their own capacity to reduce malnutrition, address 

19 the direct and indirect causes of malnutrition, and 

20 meet the nutritional needs of women and children; 

21 (4) recognizes the effectiveness of the Multi22 Sectoral Nutrition Strategy of USAID, the U.S. 

23 Government Global Nutrition Coordination Plan, 

24 and the U.S. Government Global Food Security 

25 Strategy to address the direct and indirect causes of 


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1 malnutrition and reach, by 2025, the global nutri2 tion targets agreed to at the World Health Assembly 

3 in 2012; 

4 (5) supports the goals and principles of the 

5 Scaling Up Nutrition movement to end global mal6 nutrition through— 

7 (A) greater collaboration between govern8 ments, civil society, international organizations, 

9 donors, the private sector, and researchers on 

10 multi-sectoral approaches; 

11 (B) cost-effective and inclusive approaches; 

12 and 

13 (C) improved transparency and account14 ability for results; 

15 (6) recognizes the significant progress made in 

16 the fight against global malnutrition, 

17 (7) recommends accelerating improvements to 

18 the systems affecting the health and nutritional sta19 tus of women and children through innovative, 

20 scaled-up approaches; 

21 (8) applauds the efforts of USAID to integrate 

22 effective nutrition programming across relevant de23 velopment sectors; and 

24 (9) calls for additional transformative efforts 

25 across relevant sectors at USAID to accelerate 


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1 progress toward ending maternal and child malnutri2 tion, including through— 

3 (A) country development cooperation strat4 egies that align with national nutrition plans; 

5 and 

6 (B) improved and clear methods to track 

7 nutrition funding and outcomes across all global 

8 nutrition programs of the United States Gov9 ernment, especially those relating to— 

10 (i) global health; 

11 (ii) food security; 

12 (iii) agricultural development; 

13 (iv) basic education; 

14 (v) food assistance; and 

15 (vi) water, sanitation, and hygiene 

16 (also known as ‘‘WASH’’). 

Æ 


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