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Areas of interventions in National Food
 Policy Plan of Action (NFP PoA) and
 Nutrition Programmes in Country
 Investment Plan (CIP)


Mohammad Abdul Mannan, PhD
National Food Policy Capacity Strengthening Programme
(NFPCSP)
Training on Assessment of Nutritional Status
Date : 18-22 December 2011,
Venue: FPMU Meeting Room


 The Training is organized by the National National Food Policy Capacity Strengthening Programme (NFPCSP) . The
   NFPCSP is jointly implemented by the Food Planning and Monitoring Unit (FPMU), Ministry of Food and Disaster
Management and Food and Agriculture Organization of the United Nations (FAO) with the financial support of the EU and
                                                       USAID.
Outline
   Introduction
     Food security concept, Relationships within the food security
     framework, Narrowing the “nutrition gap”
   Data for food security policies
 Policy context : Policy tools/outputs/instruments
NFP (2006) NFP PoA (2008-2015), CIP (2010-2015), NNS (2011-2016)
   Monitoring policy frameworks
     Harmonization of core FSN indicators (PoA, CIP, FSNSP/NNS)
 Data for Food security policies :Examples
 Looking ahead : sustainability



       Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition
       Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan
Agriculture and nutrition
   Narrowing the gap between what foods are available and
    what foods are needed for a healthy diet
   Diets are often low in quantity, quality and variety (hunger
    and micro-nutrient deficiencies)
   Increased production of staple foods is not sufficient
   Need to ensure local availability and access of the right
    mix of foods in all seasons
   Consumers must be informed through mainstreaming
    BCC
   Collaboration must be established with : (a) social
    protection programmes to support the poorest and (b)
    with health, agriculture, food & multi sectors/programmes
        Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition
        Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan
Data for food security policy
 The 4 Cs: Essential features
    Core of National Policy Frameworks (NFP, NFP PoA,
     CIP,
       6 5YP, NNS –PIP)
    Consistency with national sources - FS& N indicators
     in policies, National Surveys (INFS –NNS, BDHS,
     HIES, MICS,HFSNA)
    Continuity for monitoring ( National monitoring
     systems/processes)
    Collaboration for data sharing, analysis and
     communication (electronic FS systems)

      Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition
      Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan
The policy framework: National food
                                   policy
                                                    A comprehensive framework for food security
                                                                  interventions
                                                                            encompassing
                                                    Availability: Adequate and stable supply of
                                                   safe and nutritious food
                                                    Access: Increased purchasing power and
                                                   access to food by the poor through safety
                                                   nets
                                                    Nutrition: for all individuals, especially
                                                   women and children


   Approved in August 2006 as result of a policy process
started in 1999 at the Development Forum in Paris after the
      Lecture 2: Areas of interventions in1998 Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country
                                          National flood
                                                                        Investment Plan (CIP) –Mohammad Abdul Mannan
The Policy Framework: NFP Plan of Action
                                (2008-2015)
                                                           Elaborated through a widely
                                                           consultative process, approved in 2008
                                                           and launched in 2009 consists of:
                                                           26 areas of intervention
                                                           and 314 actions providing a
                                                           comprehensive, long-term (2008-2015)
                                                           framework for:
 Coordinating government interventions on food security: policies and
  investments
 Aligning development support to national priorities in line with Paris
  Declaration on Aid Effectiveness
 Regularly monitoring progress toward food security in line with MDG1
 Identifying needs for investments
      Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in
                                                          Country Investment Plan (CIP) –Mohammad Abdul Mannan
Country investment plan (CIP)
                                                              Responding to L’Aquila Initiative and
                                                             in line with the 5 Rome Principles, the
                                                             CIP was first Approved on 14 June 2010.
                                                              Coherent set of 12 strategic priority
                                                             investment programmes
                                                              Aligned with the National Food Policy Plan
                                                             of Action, to ensure comprehensiveness
                                                              Embedded in the Sixth Five Year Plan to
                                                             ensure consistency
                                                              Focus on government investments
                                                             included in the Annual Development
                                                             Budget
 The CIP, based on extensive consultation, incorporates over 400 projects of which
154 ongoing (for US$ 2.8 billion) and 257 in pipeline (for US$ 5.06 billion of which
US$ 3.4 billion are priority).
          Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in
                                                              Country Investment Plan (CIP) –Mohammad Abdul Mannan
NFP-Objective-3: Adequate Nutrition for All

   Strategies                                              Actions
   Long-term national plan               Setting long-term targets for physical growth; Setting
   for ensuring balanced                 standard food intake; Steps to ensure balanced food to meet
   food                                  nutritional requirements; Steps to ensure balanced nutrition
                                         at minimal cost

   Supply of sufficient                  Identify vulnerable people; crop diversification;
   nutritious food for
                                         Undertake nutrition programs; Increase empowerment;
   vulnerable group
                                         Provide micro-credit and training for the vulnerable
   Balanced diet
   containing adequate                   Nutrition education; Dietary diversification; Food
   micronutrients                        supplementation and fortification

   Safe drinking water and               Infrastructure/institutional development-sanitation,
   improved sanitation;
                                         food quality & health services; EPI; control ARI;
   Safe, quality food
   supply; Adequate health               control WBD/FBD; reproductive health programmes;
   status                                NNS to involve community mobilization and CBN;
   Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country
   Investment Plan (CIP) –Mohammad Abdul Mannan
Areas of Intervention in NFP PoA

3. Utilization/Nutrition
AoI 3.1 Long Term Planning for balanced food: MoFDM, MoA, MoFL, MoHFM
AoI 3.2 Balanced and Nutritious food for vulnerable people: MoFDM, MoP, MoA,
MoFL, MoEF, MoWCA, MoSW, MoLGRDC, MoF
AoI 3.3 Nutrition education on dietary diversification: MoHFW, MoA
AoI 3.4 Food supplementation and fortification: MoHFW, MoFDM, MoSCIT, MoA,
MoFL, MoEF, MoWCA, MoI, MoF, MoL, MoP
AoI 3.5 Safe drinking water and improved sanitation: MoHFW, MoLGDRC
AoI 3.6 Safe, quality food supply: MoHFW, MoI, MoLGDRC, MoSICT
AoI 3.7 Women and children health: MoHWF, MoWCA, MoP
AoI 3.8 Promotion and protection of breast-feeding and complementary
feeding:
MoHFW, MoWCA, MoSW, MoC, MoE
Nutrition Programmes in CIP
Programme 10: Development of
Community Based Nutrition Activities
through Livelihood Approaches
Programme 11: Orient Food and
Nutrition Programmes through Updated
Data on Food Consumption, Food
Composition and Education on Dietary
Diversification
Programme 12: Food Safety and
Quality Improvement Programme
   LectureLecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and
            Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan
Result Framework for the NFP PoA and CIP – Links
                  with FSNSP
                    Availability                             Access                            Nutrition
 To reduce undernourishment, stunting and underweight, food should be available,
             accessible and complemented by nutrition interventions




  Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in CIP –Mohammad Abdul Mannan
Selected core indicators: harmonization
          with NFP PoA and CIP (output)
                       Indicators                               NFP PoA                           CIP
        # compulsory food items
                                                                       +                            +
        standardized by BSTI
        BCC operational                                               +                             +
        DDP established                                               +                             +
        FCT updated                                                   +                             +
        Existing FS/N surveillance
                                                                      --                            +
        systems/databases
        Dietary energy supplies
                                                                      +                             +
        (DES) from cereals %
        Food groups as % share of
                                                                      +                             +
        DES
        Dietary Energy consumption
                                                                      +                             +
        /intake (DEI) from cereals %
         Food groups as % share of
                                                                       +                            +
 Lecture DEI of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment
         2: Areas
                                                                                        Plan (CIP) –Mohammad Abdul Mannan
Outcome indicator status
Indicators                                       Past status                                     Current MT/LT
                                                                                                         Targets

                                            1995-96 2000                        2005             2010


Average                   National 2244    2240    2238    2318                                                        2400
energy                             (93.5%) (93.3%) (93.2%) (96.6%)                                                      (?)
Intake
(kcal/person/
day)                      Rural             2263              2263              2253             2344              -
(as % of daily
energy
Requirements)             Urban             2208              2150              2194             2244              -



  Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment
                                                                                               Plan (CIP) –Mohammad Abdul Mannan
Outcome indicator status

Indicators                               Past status                                 Current                 MT/LT
                                                                                                             Targets

                   Level           1995-96          2007-08        2009-10           2010-11


Dietary            National            78.5           80.2             79.6                 78.1
Energy
Supply (DES)
from Cereals
(%)

Dietary            National               -           70.0             70.0                 66.0             Recommend
energy                                                                                                       ed 60%
intake from
cereals (%)




      Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country
                                                                             Investment Plan (CIP) –Mohammad Abdul Mannan
Outcome indicator status
                              2007-08            2008-09            2009-10          2010-               TARGET
                                                                                     11
Chronic Energy                   38                32                 33             26                  20%
Deficiency (CED)                BDHS             CMNS/               BDHS            FSNS                by 2015
prevalence among                2004              BBS                2007            P
women (BMI <18.5)

Proportion of                      51                  -                 -           84
households
consuming iodized
salt (%)
Proportion of      -                                 34           38                      38             56%
children receiving                                                                                       by 2016
minimum
acceptable diet at
6-23 months of age

Source: BBS & NIPORT
      Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country
                                                                             Investment Plan (CIP) –Mohammad Abdul Mannan
Outcome indicator status
                             1964-94                                       2004



Prevalence   of    55-60                                                     65                           <20
iron deficiency (HKI/IPHN –                                                                               (WHO/UNI
                BBS/UNICEF)                                                                               CEF
anemia during                                                                                             threshold)
pregnancy,%
                                                        2000               2003              2007

Prevalence of                                         16.7               23.9               9.8                 NA
diarrhea among                                      (UNICEF)           (UNICEF)           (BDHS)
under-5
children in
Bangladesh,%
      Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country
                                                                             Investment Plan (CIP) –Mohammad Abdul Mannan
Issues and Policy Challenges
   Average calorie intake well below the FAO recommended
    level; rural urban divide
   U5 underweight almost stagnant >>> specific program
    intervention
   Calorie intake from cereal still very high >>> food and diet
    diversification cereals and other foods
   Still 1/4 of adult women suffer from CED
   Anemia prevalence among women increasing (!!)
   People suffering from FBD and WBD still significant
    (around 9% for diarrhea only)
   Data heterogeneity; non-availability
       Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country
                                                                              Investment Plan (CIP) –Mohammad Abdul Mannan

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Mannan 2b areas of interventions in nfp po a and nutrition programmes in cip

  • 1. Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) Mohammad Abdul Mannan, PhD National Food Policy Capacity Strengthening Programme (NFPCSP) Training on Assessment of Nutritional Status Date : 18-22 December 2011, Venue: FPMU Meeting Room The Training is organized by the National National Food Policy Capacity Strengthening Programme (NFPCSP) . The NFPCSP is jointly implemented by the Food Planning and Monitoring Unit (FPMU), Ministry of Food and Disaster Management and Food and Agriculture Organization of the United Nations (FAO) with the financial support of the EU and USAID.
  • 2. Outline  Introduction Food security concept, Relationships within the food security framework, Narrowing the “nutrition gap”  Data for food security policies Policy context : Policy tools/outputs/instruments NFP (2006) NFP PoA (2008-2015), CIP (2010-2015), NNS (2011-2016)  Monitoring policy frameworks Harmonization of core FSN indicators (PoA, CIP, FSNSP/NNS)  Data for Food security policies :Examples  Looking ahead : sustainability Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan
  • 3. Agriculture and nutrition  Narrowing the gap between what foods are available and what foods are needed for a healthy diet  Diets are often low in quantity, quality and variety (hunger and micro-nutrient deficiencies)  Increased production of staple foods is not sufficient  Need to ensure local availability and access of the right mix of foods in all seasons  Consumers must be informed through mainstreaming BCC  Collaboration must be established with : (a) social protection programmes to support the poorest and (b) with health, agriculture, food & multi sectors/programmes Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan
  • 4. Data for food security policy  The 4 Cs: Essential features  Core of National Policy Frameworks (NFP, NFP PoA, CIP, 6 5YP, NNS –PIP)  Consistency with national sources - FS& N indicators in policies, National Surveys (INFS –NNS, BDHS, HIES, MICS,HFSNA)  Continuity for monitoring ( National monitoring systems/processes)  Collaboration for data sharing, analysis and communication (electronic FS systems) Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan
  • 5. The policy framework: National food policy A comprehensive framework for food security interventions encompassing  Availability: Adequate and stable supply of safe and nutritious food  Access: Increased purchasing power and access to food by the poor through safety nets  Nutrition: for all individuals, especially women and children Approved in August 2006 as result of a policy process started in 1999 at the Development Forum in Paris after the Lecture 2: Areas of interventions in1998 Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country National flood Investment Plan (CIP) –Mohammad Abdul Mannan
  • 6. The Policy Framework: NFP Plan of Action (2008-2015) Elaborated through a widely consultative process, approved in 2008 and launched in 2009 consists of: 26 areas of intervention and 314 actions providing a comprehensive, long-term (2008-2015) framework for:  Coordinating government interventions on food security: policies and investments  Aligning development support to national priorities in line with Paris Declaration on Aid Effectiveness  Regularly monitoring progress toward food security in line with MDG1  Identifying needs for investments Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan
  • 7. Country investment plan (CIP)  Responding to L’Aquila Initiative and in line with the 5 Rome Principles, the CIP was first Approved on 14 June 2010.  Coherent set of 12 strategic priority investment programmes  Aligned with the National Food Policy Plan of Action, to ensure comprehensiveness  Embedded in the Sixth Five Year Plan to ensure consistency  Focus on government investments included in the Annual Development Budget The CIP, based on extensive consultation, incorporates over 400 projects of which 154 ongoing (for US$ 2.8 billion) and 257 in pipeline (for US$ 5.06 billion of which US$ 3.4 billion are priority). Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan
  • 8. NFP-Objective-3: Adequate Nutrition for All Strategies Actions Long-term national plan Setting long-term targets for physical growth; Setting for ensuring balanced standard food intake; Steps to ensure balanced food to meet food nutritional requirements; Steps to ensure balanced nutrition at minimal cost Supply of sufficient Identify vulnerable people; crop diversification; nutritious food for Undertake nutrition programs; Increase empowerment; vulnerable group Provide micro-credit and training for the vulnerable Balanced diet containing adequate Nutrition education; Dietary diversification; Food micronutrients supplementation and fortification Safe drinking water and Infrastructure/institutional development-sanitation, improved sanitation; food quality & health services; EPI; control ARI; Safe, quality food supply; Adequate health control WBD/FBD; reproductive health programmes; status NNS to involve community mobilization and CBN; Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan
  • 9. Areas of Intervention in NFP PoA 3. Utilization/Nutrition AoI 3.1 Long Term Planning for balanced food: MoFDM, MoA, MoFL, MoHFM AoI 3.2 Balanced and Nutritious food for vulnerable people: MoFDM, MoP, MoA, MoFL, MoEF, MoWCA, MoSW, MoLGRDC, MoF AoI 3.3 Nutrition education on dietary diversification: MoHFW, MoA AoI 3.4 Food supplementation and fortification: MoHFW, MoFDM, MoSCIT, MoA, MoFL, MoEF, MoWCA, MoI, MoF, MoL, MoP AoI 3.5 Safe drinking water and improved sanitation: MoHFW, MoLGDRC AoI 3.6 Safe, quality food supply: MoHFW, MoI, MoLGDRC, MoSICT AoI 3.7 Women and children health: MoHWF, MoWCA, MoP AoI 3.8 Promotion and protection of breast-feeding and complementary feeding: MoHFW, MoWCA, MoSW, MoC, MoE
  • 10. Nutrition Programmes in CIP Programme 10: Development of Community Based Nutrition Activities through Livelihood Approaches Programme 11: Orient Food and Nutrition Programmes through Updated Data on Food Consumption, Food Composition and Education on Dietary Diversification Programme 12: Food Safety and Quality Improvement Programme LectureLecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan
  • 11. Result Framework for the NFP PoA and CIP – Links with FSNSP Availability Access Nutrition To reduce undernourishment, stunting and underweight, food should be available, accessible and complemented by nutrition interventions Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in CIP –Mohammad Abdul Mannan
  • 12. Selected core indicators: harmonization with NFP PoA and CIP (output) Indicators NFP PoA CIP # compulsory food items + + standardized by BSTI BCC operational + + DDP established + + FCT updated + + Existing FS/N surveillance -- + systems/databases Dietary energy supplies + + (DES) from cereals % Food groups as % share of + + DES Dietary Energy consumption + + /intake (DEI) from cereals % Food groups as % share of + + Lecture DEI of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment 2: Areas Plan (CIP) –Mohammad Abdul Mannan
  • 13. Outcome indicator status Indicators Past status Current MT/LT Targets 1995-96 2000 2005 2010 Average National 2244 2240 2238 2318 2400 energy (93.5%) (93.3%) (93.2%) (96.6%) (?) Intake (kcal/person/ day) Rural 2263 2263 2253 2344 - (as % of daily energy Requirements) Urban 2208 2150 2194 2244 - Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan
  • 14. Outcome indicator status Indicators Past status Current MT/LT Targets Level 1995-96 2007-08 2009-10 2010-11 Dietary National 78.5 80.2 79.6 78.1 Energy Supply (DES) from Cereals (%) Dietary National - 70.0 70.0 66.0 Recommend energy ed 60% intake from cereals (%) Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan
  • 15. Outcome indicator status 2007-08 2008-09 2009-10 2010- TARGET 11 Chronic Energy 38 32 33 26 20% Deficiency (CED) BDHS CMNS/ BDHS FSNS by 2015 prevalence among 2004 BBS 2007 P women (BMI <18.5) Proportion of 51 - - 84 households consuming iodized salt (%) Proportion of - 34 38 38 56% children receiving by 2016 minimum acceptable diet at 6-23 months of age Source: BBS & NIPORT Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan
  • 16. Outcome indicator status 1964-94 2004 Prevalence of 55-60 65 <20 iron deficiency (HKI/IPHN – (WHO/UNI BBS/UNICEF) CEF anemia during threshold) pregnancy,% 2000 2003 2007 Prevalence of 16.7 23.9 9.8 NA diarrhea among (UNICEF) (UNICEF) (BDHS) under-5 children in Bangladesh,% Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan
  • 17. Issues and Policy Challenges  Average calorie intake well below the FAO recommended level; rural urban divide  U5 underweight almost stagnant >>> specific program intervention  Calorie intake from cereal still very high >>> food and diet diversification cereals and other foods  Still 1/4 of adult women suffer from CED  Anemia prevalence among women increasing (!!)  People suffering from FBD and WBD still significant (around 9% for diarrhea only)  Data heterogeneity; non-availability Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan