Action Plan to Reduce the Double Burden of Malnutrition in the Western Pacific Region. Dr Katrin Engelhardt, MPH Technical Lead, Nutrition DNH/WPRO
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1 Action Plan to Reduce the Double Burden of Malnutrition in the Western Pacific Region Dr Katrin Engelhardt, MPH Technical Lead, Nutrition DNH/WPRO
2 37 countries and areas Mongolia China Republic of Korea Japan Lao PDR Cambodia Singapore Macao (China) Malaysia Viet Nam Hong Kong (China) Brunei Darussalam Philippines Australia Northern Mariana Islands Guam Palau Federated States of Micronesia Papua New Guinea Marshall Islands Nauru Kiribati Solomon Islands Tuvalu Tokelau Wallis & Futuna American Vanuatu Samoa Samoa Niue Cook Fiji Islands Tonga New Caledonia French Polynesia Pitcairn Islands New Zealand
3 Why focus on the double burden? All countries in the WPR face problems of both undernutrition and overweight / obesity & dietrelated NCDs Emphasis on a life course approach to improved nutrition Current food systems are being increasingly challenged to provide adequate, safe, diversified, nutrient rich foods Addressing the double burden forces us to think outside of the typical programme silos Artist: Denise Grisi
4 2014 RCM approves 2015 Implementation and monitoring 2013 Regional Member State (& partners) consultation : drafting 2012 Resolution Regional Committee Meeting (RCM)
5
6 Objective 1 Elevate nutrition in the national development agenda National adaptation of the six global nutrition targets Involve high level policy makers (parliamentarians) (functioning) national coordinating structures for nutrition Updated and costed plans Monitoring, evaluation and surveillance (indicators) Strengthen linkages between health systems and nutrition (integration of nutrition into UHC) Integrate nutrition / healthy diets (NCDs) in UNDAF
7 Objective 2 Protect, promote and support optimal breastfeeding and complementary feeding practices Fully adopt/ monitor the international Code (NetCode) BFHI Institutionalization Maternity protection Optimal complementary feeding Linkage with Healthy Newborn Infant Action Plan Regional strategy on managing conflict of interest in health professional societies
8 Objective 3 Strengthen and enforce legal frameworks that protect, promote and support healthy diets. Ensure the following are fully incorporated into effective national measures: WHO Set of Recommendations on the Marketing of FNABs Adaptation of the regional nutrient profile model Standards for foods and drinks sold in schools Health claims / labellingbased on Codex Guidelines Salt reduction FBDG
9 Objective 4 Improve accessibility, quality and implementation of nutrition services programmesand settings Updating policies, guidelines, clinical protocol and curricula of health and non-health sectors (e.g. schools) Training needs assessment Capacity building increasing skilled workforce delivering nutrition services Risk management / nutrition in emergencies
10 Objective 5 Use financing mechanisms to reinforce healthy diets and ensure delivery and use of nutrition services. Consider food pricing schemes / policies that favourhealthier decisions, where applicable Provide economic incentives for local production, processing and distribution or importation, and marketing of healthier food options; Impose tax increases on unhealthy foods (foods high in fat, sugar and salt) and consider allocating a percentage of this to promoting healthier food options
11 Partnerships Action plan developed in consultation with UN agencies (UNICEF, WFP, FAO and NGOs) Pool expertise and resources Ensure policy coherence in addressing nutrition issues
12 Global database on the Implementation of Nutrition Action (GINA) 2015: SEARO and WPRO: 175 policies, 740 actions Global: 1400 policies, 2500 actions GINA contains 69 UNDAFs in 61 countries
13 UNDAF coverage of specific global nutrition targets
14 Thank you for your attention
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