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

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  • In addressing food security and malnutrition sustainably with a food systems approach, there is need to explicitly integrate nutrition indicators across the entire food chain. Poor production and consumption diversification and low income are seen to undermine delivery on nutrition outcomes and the challenge is to narrow both the food and nutrient gaps so and ensure a nutritious food supply along with enhanced demand for a healthy diet. Opportunities that exist for agriculture to contribute to better nutrition , and for nutrition/better to contribute to agricultural productivity need to be leveraged. From a programmatic perspective, collaboration needs to be established among core sectors - for strengthening social protection programmes for the vulnerable groups, health, agriculture and related programmes.
  • To reduce undernourishment, stunting and underweight, food should be available, accessible and complemented by nutrition interventions; at the higher level, each of the 3 components is associated with one expected outcome/impact statement, and a set of measurable indicators; for each of them (1) base line figures were extracted from the 2010 POA monitoring report; (2) a target to be achieved within the time frame of the CIP that was agreed upon (through consultations across sectors/stakeholders) and consistent wit the National MDGs and the NFP PoA and established means of verification; this framework is summarized in the chart above. The provided baseline information serves as a key reference against which to measure progress towards the agreed upon targets. In this regard, the harmonization between the NFP PoA, CIP and the FSNSP is very relevant and essential. Efforts have been made to incorporate FSNSP indicators (FS and N indicators) in the CIP framework at output and outcome level and undernutrition indicators have been incorporated at the impact level so as to demonstrate clear nutrition improvement and change as a result of composite interventions/programmes. Note that IYCF is an AoI that has been prioritized given its strategic implications for addressing chronic malnutrition (stunting) and long term effects on health. Similarly, DES and CED are other indicators that cover issues related to dietary diversification and maternal nutrition.
  • Transcript

    • 1. Areas of interventions in National FoodPolicy Plan of Action (NFP PoA) andNutrition Programmes in CountryInvestment Plan (CIP)Mohammad Abdul Mannan, PhDNational Food Policy Capacity Strengthening Programme(NFPCSP)Training on Assessment of Nutritional StatusDate : 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/instrumentsNFP (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 childrenApproved in August 2006 as result of a policy process started in 1999 at the Development Forum in Paris after the 1998 flood 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
    • 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 The CIP, based on extensive consultation, incorporates over 400 projects of which 154 Budgetongoing (for US$ 2.8 billion) and 257 in pipeline (for US$ 5.06 billion of which US$ 3.4 billionare 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 PoA3. Utilization/NutritionAoI 3.1 Long Term Planning for balanced food: MoFDM, MoA, MoFL, MoHFMAoI 3.2 Balanced and Nutritious food for vulnerable people: MoFDM, MoP, MoA, MoFL, MoEF, MoWCA, MoSW, MoLGRDC, MoFAoI 3.3 Nutrition education on dietary diversification: MoHFW, MoAAoI 3.4 Food supplementation and fortification: MoHFW, MoFDM, MoSCIT, MoA, MoFL, MoEF, MoWCA, MoI, MoF, MoL, MoPAoI 3.5 Safe drinking water and improved sanitation: MoHFW, MoLGDRCAoI 3.6 Safe, quality food supply: MoHFW, MoI, MoLGDRC, MoSICTAoI 3.7 Women and children health: MoHWF, MoWCA, MoPAoI 3.8 Promotion and protection of breast-feeding and complementary feeding:MoHFW, MoWCA, MoSW, MoC, MoE
    • 10. Nutrition Programmes in CIPProgramme 10: Development ofCommunity Based Nutrition Activitiesthrough Livelihood ApproachesProgramme 11: Orient Food andNutrition Programmes through UpdatedData on Food Consumption, FoodComposition and Education on DietaryDiversificationProgramme 12: Food Safety and QualityImprovement 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 FSNSPTo 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 DEI + + 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
    • 13. Outcome indicator statusIndicators Past status Current MT/LT   Targets 1995-96 2000 2005 2010Average 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 Urban 2208 2150 2194 2244 -Requirements)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 statusIndicators Past status Current MT/LT   Targets Level 1995-96 2007-08 2009-10 2010-11Dietary National 78.5 80.2 79.6 78.1EnergySupply (DES)from Cereals(%)Dietary National - 70.0 70.0 66.0 Recommendenergy ed 60%intake fromcereals (%) 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 2010-1 TARGET 1Chronic Energy 38  32 33  26 20% Deficiency (CED) BDHS  CMNS/ BDHS  FSNSP by 2015prevalence among 2004 BBS 2007women (BMI <18.5)Proportion of 51 - - 84householdsconsuming iodizedsalt (%)Proportion of - 34 38 38 56% children receiving by 2016minimumacceptable diet at6-23 months of ageSource: 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 2004Prevalence of 55-60 65 <20iron deficiency (HKI/IPHN – (WHO/UNI BBS/UNICEF) CEFanemia during threshold)pregnancy,% 2000 2003 2007Prevalence of 16.7 23.9 9.8 NAdiarrhea among (UNICEF) (UNICEF) (BDHS)under-5children inBangladesh,% 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

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