International donors led by the United States initiated shipments of food through the World Food Program in 1997 to combat the famine. Despite a drastic reduction of aid under the George W. Bush administration, the situation gradually improved: the number of malnourished children declined from 60% in 1998 to 37% in 2006 and 28% in 2013. Domestic food production almost recovered to the recommended annual level of 5.37 million tons of cereal equivalent in 2013, but the World Food Program reported a continuing lack of dietary diversity and access to fats and proteins. By the mid-2010s national levels of severe wasting, an indication of famine-like conditions, were lower than in other low-income countries and about on par with developing nations in the Pacific and East Asia. Children’s health and nutrition is significantly better on a number of indicators than in many other Asian countries.