Transcript National Seminar and Nutrition CARD 21

4TH NATIONAL SEMINAR ON FOOD
SECURITY AND NUTRITION
CARD
Under the theme of Maternal and Child Nutrition
Food Fortification with Micronutrients
By Mr. Mam Borath Deputy Director of Social
Planning Depatment Of MOP and Deputy
Permannent NSCFF
21-22 May 2012
OUTLINE
1.
2.
3.
4.
Introduction/Background for the
Improvement of Nutrition Status in
Cambodia
Problem/Challenges
Solution
Conclusion and way forward
I–
NATIONAL COUNCIL FOR NUTRITION (NCN)
NGOs & IOs
- WHO
-
Honorable Chairman Samdech Akka Maha Sena Padei Techo HUN SEN President: Prime Minister
UNICEF
USAID
WFP
FAO
World
Vision
- GTZ
- A2Z
- ILSI
- CARE
- RACHA
- IRD
- RHAC
- HKI
- Others
-
ORGANIZATION CHART OF NCN
UNICEF
WHO
HKI
..............
-
-
-
MOP
MOWA
MOAFF
MOSLV
MORD
MOC
MOEYS
MOEF
MOH
MOInf
MOIME
CM
MOIME
MOH
MOC
MOP
MORD
MOWA
MOYES
MOInf
NATIONAL COUNCIL FOR NUTRITION (NCN)
Chaired by Senior Minister of Planning, H.E. Chhay Than
Inter-ministerial Technical
Committee (IMTC)
Chaired by H.E. Ou Orhat
Secretari
at
NSCIDD
NSCFF
1.Production
2.Monitoring
3-IEC
1-Production
2-Monitoring
3-IEC
-
MOIME
MOH
MOC
MOP
MORD
MOWA
MOYES
MOInf
-RACHA/Gain
-- ILSI
GIZ
- UNICEF
- WHO
- HKI
- WFP
-- PATH
..................
3
Provincial Nutrition Coordination
Committee (PNCC)
Nutritional Programme Committees
of NGOs &IOs
1. INTRODUCTION/BACKGROUND FOR THE
IMPROVEMENT OF NUTRITION STATUS IN CAMBODIA
Reference:
 Millennium Development Goals of
RGC’s
 Rectangular strategies phase 2
 National Strategic development Plan
Updated (Updated NSDP), 2009-2013
 Mid-Term Report of Implementation
of the Updated NSDP, 2009-2013
 Multi-sector policies
 National Strategic on Nutrition for the
MoH, 2009-2015
 Strategic Framework of Food Safety
and Nutrition, 2008-2012
 NCN, IMTC, NSCIDD and NSCFF.
1- INTRODUCTION TO MICRONUTRIENT IMPROVEMENT STRATEGIES
Measures to support and strategies development for micro-nutrient interventions
Nutrition Structure
Establishment/NCN/IM
TC/NSIDD/NSFF/PNCC
/…
Legal & Regulations
Support/Subdecree/Prakas/Techical
guidelines issued
Technical & Financial
Support by development
partners
Communication
Strategies
Support/marketing
promotion/workshop/
trainings/exchange of
experiences/information
dissemination
Improvement
Nutrition
Status in
Cambodia
Research&
Development,
Monitoring ,
Evaluation &
Access to skill,
knowledge and
technology adaption to
local /private &
/government sectors
Producers/private
sector participation
Supply equipment,
machines, fortificant
for the producers
Quality control, quality
assurances and testing
measures
2- PROBLEMS/ CHALLENGES
A. Assessment stage:
 Need time for legal framework to be
adapted for supporting the
interventions
 Lack of support and participation
of
stakeholders especially private sectors
 Data and information gathering or
sharing from relevant sectors are
limited
 Coordination and collaboration among
stakeholders is slow
 Mostly dependence on the
external
support (consultation and experiences)
2- PROBLEMS/CHALLENGES - (CONTINUE)
B. Implementation stage:





Some mixing materials and
equipment could not be found in
local market, need to import
Quality specifications of local
products are not consistent with
the fortification standard.
Need time to adopt the regulations
Behavior change of the local
producers
Budget for implementation and
intervention depends on the
support from development partners
such as USAID/UNICEF, RACHAGAIN and international NGOs.
2- PROBLEMS/CHALLENGES - (CONTINUE)
Import inappropriate foods such as non-iodized salt, noniron fortified fish sauce and soy sauce with price
competition (cheaper than local products)
 Spent more budget and time on marketing promotion and
communication strategies to change the behavior of
producers sellers and consumers
 Quality control and quality assurance of the products
have not been widely performed
 Rice is the major staple food in Cambodia
 Rice fortification technology is new
 Rice mill is decentralized

2- PROBLEMS/CHALLENGES - (CONTINUE)
C. Monitoring, evaluation and surveillance Stage
Budget and time on monitoring, evaluating and
surveillance
 No accredited (under ISO 17025) laboratory facility in
the country for testing some specific samples (e.g.
urine iodine, serum ferritin…)
 Law enforcement (e.g. sub-degree) is still weak
 No food consumption data available
3- SOLUTION
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-
-
-
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-Strengthen effectively enforcement
of existing legal frameworks
 -Develop new policies, guidelines,
Prakas, Sub-degree, Laws as required
 Strengthen and expand sustainably
the cooperation and collaboration with
development partners
 Require contribution of national
budget for implementation
 Promotion for use of Fortified Foods
3- SOLUTION (CONTINUE)
-
-
 Need overall strategy and
policy after multiple
micronutrient and food
consumption survey
 Test government system of rice
distribution (school & food aid)
4- CONCLUSION AND WAY FORWARD
-
-
 -Production and
distribution of iodized
salt is smooth, but need
to improve the quality
 -Household use of
iodized salt is 83%, but
still not reach the goal
90% (2015)
120
100
80
60
Urban
40
Rural
National
20
0
CDHS 2005
CAS 2008
CSES 2009
CDHS 2010
4- CONCLUSION AND WAY FORWARD (CONTINUE)
-
 National Sub-Committee for Food
Fortification had issued the
implementation framework with
sustainability, encouraged &
provided opportunity to producers of
fish sauce and soy sauce to get
involved based on their capability
and contribution. We hope that
target set in the fiscal year two of the
project to produce 5,567 tons of
fortified fish sauce and soy sauce
would be achieved
4- CONCLUSION AND WAY FORWARD
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-
-
-
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 Regularly monitor the progress of
programme against the targets
 Urge effectively enforcement of
laws/regulations
 Strengthen and expand possibly food
fortification of micronutrients in relevant
vehicles
 Need to analyse data of individual food
consumption item
 Develop comprehensive national guidelines
and policy on food fortification
THANK YOU FOR YOUR ATTENTION
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