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Sahar Zaghloul|
National Nutrition Committee
Fatma Abdelaziz
International Food Policy Research
Institute
Research to supp...
Outline
Why 100 Million Health initiative?
Key messages from IFPRI Egypt seminars
Solutions and policy recommendations fro...
Why the 100 Million Health initiative ?
Adults (50 M)
Obesity
Hypertension
Diabetes
School Children 6-12 years (11.5 M)...
Key messages for 100 million Healthy
Lives initiative from IFPRI Egypt Seminars
In order to provide scientific evidence to...
Malnutrition facts for Egypt
83% of mortality is caused by NCD (Diabetes, cardiovascular, cancer).
Double burden of malnut...
Drivers of malnutrition in Egypt (1)
The “nutrition transition” is characterized by changes from
traditional diets, (rich ...
Drivers of malnutrition in Egypt (2)
Food subsidy system may incentivize consumption of
unhealthy diets. People are consum...
Proposed solutions
Address malnutrition with a multi-sector approach incl.
education, health care, agriculture, social pro...
Dariush Mozaffarian et al. BMJ 2018;361:bmj.k2426
Evidence-based
dietary priorities for
cardiometabolic health
Multilayered influences beyond personal knowledge and preference alter food choices.
Dariush Mozaffarian et al. BMJ 2018;3...
What's Next? Guidelines for the panelists
Which of the diseases targeted by the 100 million healthy lives campaign that
th...
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Sahar Zaghloul (NNC) & Fatma Abdelaziz (IFPRI)• 2019 IFPRI Egypt NNC Seminar “Research to support the 100 Million Healthy Lives Initiative"

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As part of the seminar held by the International Food Policy Research Institute (IFPRI) in collaboration with the National Nutrition Committee (affiliated by the Academy for Scientific Research and Technology) , “Research to support the 100 Million Healthy Lives Initiative: Lessons learned and actions for improving nutrition in Egypt”.

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Sahar Zaghloul (NNC) & Fatma Abdelaziz (IFPRI)• 2019 IFPRI Egypt NNC Seminar “Research to support the 100 Million Healthy Lives Initiative"

  1. 1. Sahar Zaghloul| National Nutrition Committee Fatma Abdelaziz International Food Policy Research Institute Research to support the 100 Million Healthy Lives Initiative: Lessons learned and actions for improving nutrition in Egypt July 16, 2019
  2. 2. Outline Why 100 Million Health initiative? Key messages from IFPRI Egypt seminars Solutions and policy recommendations from IFPRI Egypt Seminars Setting the stage: Guidelines for the panelists
  3. 3. Why the 100 Million Health initiative ? Adults (50 M) Obesity Hypertension Diabetes School Children 6-12 years (11.5 M) Obesity Stunting Iron Deficiency anemia Women Health initiative (28 M) Breast cancer
  4. 4. Key messages for 100 million Healthy Lives initiative from IFPRI Egypt Seminars In order to provide scientific evidence to support the 100 Million Health initiative, the International Food Policy Research Institute (IFPRI) in collaboration with the National Nutrition Committee (affiliated by the Academy for Scientific Research and Technology) are organizing a series of three seminars as part of the IFPRI Egypt Seminar Series. (Seminar 1, Feb 26th) (Seminar 2, March 24th) Seminar 3: today
  5. 5. Malnutrition facts for Egypt 83% of mortality is caused by NCD (Diabetes, cardiovascular, cancer). Double burden of malnutrition 1 out of 2 women is obese (BMI>30). 1 out of 4 men is obese (BMI>30). 1 out of 5 children is stunted (15.5%-22%). 14% of children were stunted and obese (DHS).  4.7% of households have stunted and obese children (CAPMAS)  9% of households have stunted child with obese mother (DHS). 21% have stunted child with overweight mother (DHS).
  6. 6. Drivers of malnutrition in Egypt (1) The “nutrition transition” is characterized by changes from traditional diets, (rich in coarse grains, staple cereals, and pulses) to more modern diets including more animal sourced foods (meat, dairy) and processed (more added sugars, fats, convenience foods…) Changes in income and lifestyle (e.g. through urbanization) affect food choices, i.e. Greater exposure to food marketing and advertising For the poor, the most accessible, affordable, convenient diets are often the most unhealthy But economic growth and increasing incomes is not sufficient for improving nutrition Photos: Michelle Holdsworth, U. Sheffield; Ghana
  7. 7. Drivers of malnutrition in Egypt (2) Food subsidy system may incentivize consumption of unhealthy diets. People are consuming too much cheap, calorie-rich food (Ecker et al., 2017) (Over) Processed food items that have reduced nutritional value; i.e. (protein contents of cheese are reduced from 15% by traditional technologies to 4 to 5% of protein after adding palm or other oil) Inadequate breastfeeding and poor complementary feeding Unhealthy snacks Care: Nutrition knowledge in general and mothers care knowledge specifically is limited Health: unequal access to health services
  8. 8. Proposed solutions Address malnutrition with a multi-sector approach incl. education, health care, agriculture, social protection, trade and urban planning. Make food production, agricultural policies and trade policies more nutrition sensitive Continue to reform social protection system (e.g. from food to cash subsidies) Mainstream nutrition in education and health, i.e. curriculum, school feeding, awareness raising about healthy eating Consider introducing taxes on unhealthy food Incentivize the private sector to promote healthy food choices
  9. 9. Dariush Mozaffarian et al. BMJ 2018;361:bmj.k2426 Evidence-based dietary priorities for cardiometabolic health
  10. 10. Multilayered influences beyond personal knowledge and preference alter food choices. Dariush Mozaffarian et al. BMJ 2018;361:bmj.k2426 ©2018 by British Medical Journal Publishing Group
  11. 11. What's Next? Guidelines for the panelists Which of the diseases targeted by the 100 million healthy lives campaign that the ministry is currently trying to control, cure or prevent? Kindly list the current / ongoing programs or interventions that are done by the government to enhance the effectiveness of the available health services related to the 100 million healthy lives campaign. Is there a strategy or a future plan to contribute to the fight against / or prevention of the non-communicable diseases or those targeted by the above initiatives?

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