The document summarizes a training on assessing nutritional status organized by the National Food Policy Capacity Strengthening Programme. It discusses areas of intervention in Bangladesh's National Food Policy Plan of Action and Nutrition Programmes in the Country Investment Plan. These include long-term planning for balanced nutrition, ensuring nutrition for vulnerable groups, nutrition education, food supplementation and fortification, water and sanitation, food safety, and women and children's health. The training outline and lectures cover related concepts like food security, policy frameworks, monitoring, and data collection.

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