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.

IntroductionFood 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 frameworksHarmonization 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

Outline

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

Agriculture and nutrition

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

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

The policy framework: National food policy

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

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

The Policy Framework: NFP Plan of Action (2008-2015)

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

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 BudgetThe 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).

Country investment plan (CIP)

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

NFP-Objective-3: Adequate Nutrition for All

Long-term national plan for ensuring balanced food

Setting long-term targets for physical growth; Setting standard food intake; Steps to ensure balanced food to meet nutritional requirements; Steps to ensure balanced nutrition at minimal cost

Supply of sufficient nutritious food for vulnerable group Balanced diet containing adequate micronutrients

Nutrition education; Dietary diversification; Food supplementation and fortification

Identify vulnerable people; crop diversification; Undertake nutrition programs; Increase empowerment; Provide micro-credit and training for the vulnerable

Safe drinking water and improved sanitation; Safe, quality food supply; Adequate health status

Infrastructure/institutional development-sanitation, food quality & health services; EPI; control ARI; control WBD/FBD; reproductive health programmes; NNS to involve community mobilization and CBN;

Strategies Actions

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

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

Nutrition Programmes in CIP

Programme 10: Development of Community Based Nutrition Activities through Livelihood ApproachesProgramme 11: Orient Food and Nutrition Programmes through Updated Data on Food Consumption, Food Composition and Education on Dietary DiversificationProgramme 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

Access NutritionAvailability

To reduce undernourishment, stunting and underweight, food should be available, accessible and complemented by nutrition interventions

Result Framework for the NFP PoA and CIP – Links with FSNSP

Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in CIP –Mohammad Abdul Mannan

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 + +

Selected core indicators: harmonization with NFP PoA and CIP (output)

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

Outcome indicator statusIndicators Past status

 Current MT/LT

Targets

1995-96 2000 2005 2010

Average energy Intake (kcal/person/ day)(as % of daily energy Requirements)

National 2244(93.5%)

2240(93.3%)

2238(93.2%)

2318 (96.6%)

2400 (?)

Rural 2263 2263 2253 2344 -

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

Outcome indicator status

Indicators Past status 

Current MT/LTTargets

Level 1995-96 2007-08 2009-10 2010-11

Dietary Energy Supply (DES) from Cereals (%)

National 78.5 80.2 79.6 78.1

Dietary energy intake from cereals (%)

National - 70.0 70.0 66.0 Recommended 60%

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

Outcome indicator status2007-08 2008-09 2009-10 2010-

11TARGET

Chronic Energy Deficiency (CED) prevalence among women (BMI <18.5)

38 BDHS 2004

32 CMNS/

BBS

33 BDHS 2007

26 FSNSP

20% by 2015

Proportion of households consuming iodized salt (%)

51 - - 84

Proportion of children receiving minimum acceptable diet at 6-23 months of age

- 34 38 38 56% by 2016

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

Outcome indicator status1964-94 2004

Prevalence of iron deficiency anemia during pregnancy,%

55-60(HKI/IPHN –

BBS/UNICEF)

65 <20 (WHO/UNICEF threshold)

2000 2003 2007

Prevalence of diarrhea among under-5 children in Bangladesh,%

16.7(UNICEF)

23.9(UNICEF)

9.8 (BDHS)

NA

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

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 CEDAnemia 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