The evolution of nutrition planning in Thailand

And

Nutrition strategy formulation

THE EVOLUTION OF NUTRITION PLANNING IN THAILAND

8. REAL COMMUNITY-BASED NUTRITION PROGRAMS ( FUTURE )

6. REORGANIZE GOV. STRUCTURES 7. DECENTRALIZE NUTRITION PROGRAMMING 2002 5. PROGRAMS ADDRESSING SOCIAL CHANGES ( DEVELOPING ) 4. SOCIAL CONTROL MEASURES

- over – nutrition - recommended dietary intake - heath food market - national nutrition guidelines - food industries / agriculture - legislations (iodated salt, nutrition

- etc. 1982 labeling etc.) 3 . NATIONWIDE INTERVENTION PROGRAMS

- goiter control 1. MANPOWER DEVELOPMENT - protein-energy malnutrition 2. RESEARCH & DEVELOPMENT

- institution development - school lunch - applied nutrition - school curricula - nutrition surveillance - fortification technique - degree levels - basic need fulfillment - food processing - grass- root level : - vitamin A / iron fortification ( next ) - product development village health volunteer - etc. - etc. local council 1942 START

( source : Amorn Nondasuta )

STRATEGY BASIC COMPONENTS

• TARGET GROUP ( INDIVIDUALS )

• COMMUNITY

• SERVICE PROVIDER / FACILITATOR

• INTERVENTION MEASURE

• VENUE OF INTERACTION

ANALYSIS OF STRATEGIC COMPONENTS

Following components may be analyzed by managerial areas to the right :

1. Intervention measures.

2. Reorienting organizations.

3. Rules and regulations.

4. Enabling / empowering.

Managerial areas used to analyze each component :

1. Approach ( how ) 2. Actor ( by whom ) 3. Target ( for whom ) 4. Arena ( where ) 5. Procedure / tool

( what means ) 6. Expected outcome ( what )

BUILDING STRATEGIC FRAMEWORK

From the analysis of various components of the strategy, it is possible to organize a framework that indicates the interrelationship among those components such as technical and social measures vis-a`-vis target group and venue of implementation

( see accompanying chart )

THE DEVELOPMENT OF NUTRITION STRATEGY ( source : Amorn Nondasuta ) Development tools

POLICY/ AGENDA/ PRINCIPLE PUBLIC OPINION TECHNICAL INFORMATION PROGRAM EVALUATION

Strategy framework TARGET GROUP PROVIDER/ FACILITATOR MEASURES

high impact High risk innovations TECHNICAL SOCIAL

Problem magnitude categorized acc. to measures categorized acc. to target Individual community - learning experience - surveillance - skill training - leadership - early case detection - networking DEFINE AREA OF INTERVENTION DEFINE VENUE OF INTERACTION - self care - advocacy - environment protection - campaign - etc. - safety net - tax/ pricing policy - etc.

DEFINE COVERAGE REORIENT ROLES AND FUNCTIONS TRAINING AND SUPPORT incl. INFORMATION OPERATION/ EVALUATION/ FEEDBACK

Administrative tools - budget/ finance - resource/ technology transfer - community involvement - research& development - referral system - legislation/regulation/ guidelines - inter/ intra- sectoral coordination - information system - supervision/ control - reward/ punishment

SUBSYSTEMS CONDUCIVE TO PHC PROGRAM DEVELOPMENT

1. Community- based programs directed at the needy.

2. Workable system for inter-sectoral collaboration.3. Effective systems of health financing.4. Health development network.5. Referral system for patients, technology and

manpower.6. Cost- effective health market at all levels.7. Health service packages according to local needs.8. Relatively independent local and middle level

health institutions.9. Proper social control of health behavior.