A Window of Opportunity for a Brighter Future for Children

Optimizing federal programs and policies can improve nutritional outcomes in the 1,000-day window—an important developmental period for children

WASHINGTON, September 23, 2022 /PRNewswire/ — US infant and maternal mortality rates are among the highest of any prosperous country, with striking racial and ethnic disparities. There is plenty of scope to develop a unifying plan for the right policies and systems to improve the food security and well-being of vulnerable families. As part of a special series sponsored by 1,000 Days of FHI Solutions to be published in American Journal of Public Health (AJPH) a October 26, 2022. The full series will present the state of the art, research needs, and a policy agenda for optimal maternal and child nutrition in the United States.

As part of the series, an essay by Dr. Heather Hamner – a public health scientist at the Centers for Disease Control and Prevention – numerous gaps between the nutritional intake of pregnant women, infants and young children and the US Department of Agriculture and the Department of Health and Human Services” Dietary Guidelines for Americans, 20202025with racial and ethnic differences persisting across the spectrum.

How can we address these nutritional deficiencies? The essay states: “Fostering research and surveillance, program and communication, and dissemination efforts could help positively and equitably impact maternal and child health and well-being.” It also outlines a framework through which current federal policies and programs can be strengthened and how access to and participation in programs can be improved.

Another paper in the collection, written by Blyth Thomas, initiative director of 1,000 Days, an initiative of FHI Solutions, points out that a plan that unifies maternal and infant nutrition policies and systems has eluded implementation in the United States. “Achieving food security in the first 1000 days ultimately requires intersectoral collaboration, advocacy and action to fully support families where they live, learn, work, play and gather‘ says Thomas in her editorial.

A third article in the collection – written by Dr. Kofi donkey, community pediatrician at Children’s National Hospital, explains the limited focus on nutrition-related medical education as a significant barrier to pediatricians’ ability to provide sound nutritional and nutritional advice during the first 1,000 days. according to dr donkey “This change requires a collective effort that inspires pediatricians to work together in cross-sector collaborations to influence change alongside industry, researchers and even early childhood educators.

Therefore, this journal series brings together articles on these issues during pregnancy, childbirth, childbirth, and early childhood for the US population.

To learn more, please visit: https://thousanddays.org/updates/ajph-series/



  1. Heather C HamnerPhD, MS, MPH, Jennifer M NelsonMD, MPH, Andrea J SharmaPhD, MPH, Maria Elena D JefferdsDoctor, Carrie DooyemaMPH, MSN, RN, Rafael Flores-AyalaDrPH, MApStat, Andreas A BremerMD, PhD, Ashley J VargasPhD, MPH, RDN, Kellie O CasavalePhD, RD, Janet M. de JesusMS, RD, Eve E StoodyDoctor, Kelley S. ScanlonPhD, RD, and Cria G. Perrine, PhD
  2. Blyth ThomasB.S
  3. Kofi donkeyMD, MPH

Title of the original work

  1. Improving nutrition in the first 1000 days in The United States: A federal perspective
  2. From evidence to action: uniting nutrition in the 1000-day window
  3. The first 1000 days – a missed opportunity for paediatricians

Diary: American Journal of Public Health

DOI links:

  1. https://doi.org/10.2105/AJPH.2022.307028
  2. https://doi.org/10.2105/AJPH.2022.307063
  3. https://doi.org/10.2105/AJPH.2022.306999

Blyth Thomas
[email protected]

SOURCE 1,000 days

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