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 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
Budget
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
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 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 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 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 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 2010-1 TARGET
1
Chronic Energy 38 32 33 26 20%
Deficiency (CED) BDHS CMNS/ BDHS FSNSP by 2015
prevalence among 2004 BBS 2007
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
Editor's Notes
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.