Nutrition in Transition

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Kerry Bennett
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ACHIEVEMENT OF THE MILLENNIUM DEVELOPMENT GOAL HUNGER TARGET FROM 1990-92 TO 2014-2016 Driving Healthy Food Choice through Public-Private Partnership Visith Chavasit Institute of Nutrition Mahidol

1 ACHIEVEMENT OF THE MILLENNIUM DEVELOPMENT GOAL HUNGER TARGET FROM TO Driving Healthy Food Choice through Public-Private Partnership Visith Chavasit Institute of Nutrition Mahidol University <5%àVery low PREVALENCE OF UNDERNORISHMENT IN THE 5%-14.9%àModerately low 15%-24.9% àmoderately high 25%-34.9%àHigh 35% and overàvery high Missing or insufficient data POPULATION (PERCENT) IN Prevalence of undernourishment: measures the probability that a randomly selected individual in the population is consuming an amount of dietary energy, which is insufficient to cover her/his requirements to lead an active and healthy life. LEGEND: Target 1C achieved Target 1C not achieved, with slow progress Target 1C not achieved, with lack of progress or deterioration Missing or insufficient values Not assessed NOTE: Millennium Development Goal 1, target 1C: halve, between and 2015, the proportion of people suffering from undernourishment, or reduce this proportion below 5 percent. This measures the proportion of the population below the minimum level of dietary energy consumption (undernourishment). The assessment is not conducted for developed regions. World Food Summit (WFS) goal: to eradicate hunger in all countries, with an immediate view to reducing the number of undernourished people to half their present level no later than ACHIEVEMENT OF THE WORLD FOOD SUMMIT TARGET FROM TO LEGEND: Target achieved Target not achieved, with slow progress Target not achieved, with lack of progress or deterioration Missing or insufficient values Not assessed Nutrition in Transition More awareness on Quality of Life National Economic and Social Development Plan Public health service Nutritious foods for vulnerable groups Economic development Agro-industry development Rapid growth of food industries Energy and nutrient adequacies of the Thai population in different parts of the country (in 2009) Energy and nutrients Municipal area Nonmunicipal area North Percentage of Thai s RDI Central North and northeast South Bangkok Total Energy Protein Calcium Phosphorus Iron Vitamin A Thiamine Riboflavin Niacin Vitamin C Source: Aekplakorn et al, 2011

Average annual growth rate Average annual population growth rate of Thailand by urban status, 1960-2010 Source: UNFPA (2011) 2.5 2 1.5 1 0.5 0-0.

2 Average annual growth rate Average annual population growth rate of Thailand by urban status, Source: UNFPA (2011) Bangkok agglom Other Urban Rural Year Nutrients that the Thai people received from food consumption ( ) Nutrients received (per person per day) Year Energy (kcal) Carbohydrate (g) Protein (g) Fat (g) % energy from Carbohydrate % energy from Protein % energy from Fat Animal protein (g) Calcium (mg) Iron (mg) Vitamin A (µg) Thiamin (mg) Riboflavin (mg) Niacin (mg) Vitamin C (mg) Sodium (mg) Potassium (mg) Cholesterol (mg) Dietary fiber (g) Modified from: Department of Health, 1995 and 2003; Aekplakorn et al., 2011 Reduce consumption of complex carbohydrates but increase consumption of sugar CHO: Pro: fat 55:16:28 2X of the limit for healthy consumption Population nutrient intake goals Trend of nutritional status of children aged 1-5 years* % Stunting Underweight Overweight& Obesity NHES 2; Holistic Development of Thai Children; NFNS 5; NHES 4 *Courtesy from Dr. Umaporn Suthutvaravut

3 Percentage of adult population that is overweight and obese, South-East Asia Region Source: WHO, Noncommunicable diseases in the South-East Asia Region: Situation and response, 2011.

Aging society Prevalence of NCDs in Thailand The trend of the ratio (%) of the population aged 65 and over to the working-age population (aged 15 64) through the year 2050 Source: http://www.

??? The Thai government is implementing preventive rather than curative measures.

5 Aging society Prevalence of NCDs in Thailand The trend of the ratio (%) of the population aged 65 and over to the working-age population (aged 15 64) through the year 2050 Source: Source: Bureau of policy and strategy (2011) Bankruptcy from NCD s???? The Thai government is implementing preventive rather than curative measures. Emphasis on Primary Health Care Expenses on Secondary & Tertiary Health Cares & Better Quality of Life 10 Commitments from ICN2 1) Eradicate hunger and prevent all forms of malnutrition 2) Increase investments 3) Enhance sustainable food systems 4) Raise the profile of nutrition 5) Strengthen human and institutional capacities -20- Anna Lartey, FAO

6 10 Commitments from ICN2 Thailand United Kingdom Ireland 6) Strengthen and facilitate, contributions and actions by all stakeholders simplify FBDGs (Food Based Dietary Guideline) simplify USA Canada South Africa 7) Ensure healthy diets throughout the life course 8) Create enabling environment for making informed choices 9) Implement the commitments through the Framework for Action 10) Integrate vision and commitments into the post-2015 agenda FAO/WHO recommendation simplify BOP nutrition labelling panel FOP nutrition labelling panel Graphical FBDGs -21- Anna Lartey, FAO FOP nutrition labels Nutrient-specific system Summary system Roles of Public Sectors Being a neutral body between industry, NGOs and consumer Criteria development Consumer education Logo promotion Monitoring use of the logo

7 Online!marketing Product!Profile Youtube Online!marketing PR!materials ;!ช อง; PR!healthier Brochures

8 PR materials PR materials Info graphic In English Info graphic in Thai Road!show!events!with!FDA!Mobile!unit Activities!with!Junior! FDA!and!village! health!volunteers

Research and Development: Reformulation & Process Development à Nutrition,

9 PR!materials Guidelines In! Thai!&!English USELESS Roles of Stakeholders on FOP Nutrition Labels Factory Research and Development: Reformulation & Process Development à Nutrition, Sensory Quality and Shelf Life Production: Process Modification Warehouse: Specific Storage Condition?? Source: HHS 2011

scope of law Communicate with consumers on the

value Limit effect of the new product choice on

and Convenient Store Prioritize for the products

products Educate consumers through their

10 Marketing Use the healthier logo as linking with nutrition as the tool for marketing within the scope of law Communicate with consumers on the logo as related to the product and its nutritive value Limit effect of the new product choice on image of the mainstream products Modern Trade and Convenient Store Prioritize for the products with the healthier logo Try to have more house brand products qualified for the healthier logo Arrange specific shelf for the healthier products Educate consumers through their efficient and reachable channels Consultation with private sector on the Healthier Choice Logo promotion strategy Joint!events!between!public!and!private!sectors

11 Public joins private Public joins private Marketin g!of! Products Marketing!of!Products Airplane!menu Other!channels!of! marketing! - Healthier!food!basket - Healthier!food!vending!machine - Healthier!CAFÉ - Healthier!Canteen

12 Thai FDA s healthier food basket Healthier!CAFÉ เคร อง ด ม ขนมขบ เค ยว - Co-Event!with!Producer! - Co-Event!with!Producer!!

13 CONSUMER HEALTH MARKETABLE FOOD PRODUCTS Public and Private Partnerships Scientific Evidence Consumer Behavior TRUST, RESPECT, SINCERITY

Draft of the Rome Declaration on Nutrition

Draft of the Rome Declaration on Nutrition 1. We, Ministers and Plenipotentiaries of the Members of the World Health Organization and the Food and Agriculture Organization of the United Nations, assembled