Methodological framework for the development of Ethiopian ... ·...

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2:00 1:59 1:58 1:57 1:56 1:55 1:54 1:53 1:52 1:51 1:50 1:49 1:48 1:47 1:46 1:45 1:44 1:43 1:42 1:41 1:40 1:39 1:38 1:37 1:36 1:35 1:34 1:33 1:32 1:31 1:30 1:29 1:28 1:27 1:26 1:25 1:24 1:23 1:22 1:21 1:20 1:19 1:18 1:17 1:16 1:15 1:14 1:13 1:12 1:11 1:10 1:09 1:08 1:07 1:06 1:05 1:04 1:03 1:02 1:01 1:00 0:59 0:58 0:57 0:56 0:55 0:54 0:53 0:52 0:51 0:50 0:49 0:48 0:47 0:46 0:45 0:44 0:43 0:42 0:41 0:40 0:39 0:38 0:37 0:36 0:35 0:34 0:33 0:32 0:31 0:30 0:29 0:28 0:27 0:26 0:25 0:24 0:23 0:22 0:21 0:20 0:19 0:18 0:17 0:16 0:15 0:14 0:13 0:12 0:11 0:10 0:09 0:08 0:07 0:06 0:05 0:04 0:03 0:02 0:01 End 2:00 Dietary guidelines Development of technical recommendations dietary patterns and food in relation to health Dietary reference values Recommended daily intake of nutrients Translate into reference diet with the aid of computer modelling Clear recommendations for different target groups that corresponds to the dietary pattern Food-Based Dietary Guidelines, Food Guide and Recommendations for Consumer Required data Cost of foods - prices of the foods Consumer behaviour - food preference, cultural and behavioural information Food composition table - composition of nutrient content in food Consumption data Portion size - Information on consumption unit portion sizes of foods Review topics Top diseases and relation with diet Dietary gap analysis Availability, accessibility and seasonality of foods Consumer preference Effective behavioral change communication Consultations Advisors - external expert on nutrition, health, sustainability and behavior, health professionals and consumers Criteria for consolidations - Foods inside and outside the food guide Conditions - for healthy and sustainable diets Methodological framework for the development of Ethiopian FBDGs

Transcript of Methodological framework for the development of Ethiopian ... ·...

Page 1: Methodological framework for the development of Ethiopian ... · 2:001:591:581:571:561:551:541:531:521:511:501:491:481:471:461:451:441:431:421:411:401:391:381:371:361:351:341:331:321:311:301:291:281:271:261:251:241:231:221:211:201

2:001:591:581:571:561:551:541:531:521:511:501:491:481:471:461:451:441:431:421:411:401:391:381:371:361:351:341:331:321:311:301:291:281:271:261:251:241:231:221:211:201:191:181:171:161:151:141:131:121:111:101:091:081:071:061:051:041:031:021:011:000:590:580:570:560:550:540:530:520:510:500:490:480:470:460:450:440:430:420:410:400:390:380:370:360:350:340:330:320:310:300:290:280:270:260:250:240:230:220:210:200:190:180:170:160:150:140:130:120:110:100:090:080:070:060:050:040:030:020:01End2:00Dietary guidelinesDevelopment of technical recommendations dietary patterns and food in relation to health

Dietary reference values Recommended daily intake of nutrients

Translate into reference diet with the aid of computer modelling Clear recommendations for different target groups that corresponds to the dietary pattern

Food-Based Dietary Guidelines, Food Guide and Recommendations

for Consumer

Required data

• Cost of foods - prices of the foods• Consumer behaviour - food

preference, cultural and behaviouralinformation

• Food composition table -composition of nutrient content infood

• Consumption data• Portion size - Information on

consumption unit portion sizes offoods

Review topics

• Top diseases and relation with diet• Dietary gap analysis • Availability, accessibility and

seasonality of foods • Consumer preference• Effective behavioral change

communication

Consultations• Advisors - external expert on nutrition, health,

sustainability and behavior, health professionals and consumers

• Criteria for consolidations - Foods inside and outside the food guide

• Conditions - for healthy and sustainable diets

Methodological framework for the development of Ethiopian FBDGs

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Solar Revolution for Water & Food Systems Sustainability 2:001:591:581:571:561:551:541:531:521:511:501:491:481:471:461:451:441:431:421:411:401:391:381:371:361:351:341:331:321:311:301:291:281:271:261:251:241:231:221:211:201:191:181:171:161:151:141:131:121:111:101:091:081:071:061:051:041:031:021:011:000:590:580:570:560:550:540:530:520:510:500:490:480:470:460:450:440:430:420:410:400:390:380:370:360:350:340:330:320:310:300:290:280:270:260:250:240:230:220:210:200:190:180:170:160:150:140:130:120:110:100:090:080:070:060:050:040:030:020:01End2:00

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Nutrition Situation: Double Burden

24.3% stunting (2016)

15.5% overweight/obesity

Anemia: 27.8% children; 25.5% women; Zinc: 64.9%; vitamin A

Salt, refined sugars, alcohol, food safety…

Nutrition-sensitive agriculture and food systems intervention in Vietnam

1. Increasing the diversification and sustainable production; nutrition-sensitive livestock and fisheries; Biodiversity for food and nutrition; Biofortification (rice rich vit A, E); urban and peri-urban.

2. Improving the nutrition-sensitive post-harvest handling, storage and processing (cold chain); Food fortification (Decree 09: iodine –salt; vitamin A-oil; wheat flour-zinc.);

3. Food marketing and advertising practices; Food price policies for promoting healthy diets (Food based Dietary Guidelines for all ages; limitation using salt, sugars); Food labeling (Food Law)

4. Nutrition education and behaviour change communication (proper nutrition guidelines for whole country); income generation for nutrition (marketing online); school food and nutrition; nutrition-sensitive humanitarian food assistance (task force nutrition emergencies).

5. Women’s empowerment and gender equality (HKI, Save children in mountainous areas) ; Food loss and waste: prevention, reduction and management ; Food quality, safety and hygiene (IFRI: livestocks, fisheries…); nutrition-sensitive value chains (A4NH projects)

Together action (MSPs) for the food system for healthy diet

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A Farming Systems Approach to Address UndernutritionR V Bhavani

Components: Crops, Animal Husbandry, Nutrition Garden, Processing, Markets, Nutrition Awareness

Contextual Relevance: Population dependent on agriculture and allied activities; majority – small and marginal farmers with <2 hectares land; prevalence of malnutrition – high levels of undernutrition and micronutrient deficiency

Evidence: Farming System for Nutrition Study under LANSA in India (2013-18) – Thrust on promotion of nutrient dense crops; nutrition garden of fruits and vegetables, poultry and fishery as supporting interventions; nutrition awareness

Baseline (2014): Cereal dominated diets and less frequency of food intake; Endline (2017): Increased quantity and frequency of food intake and dietary diversity (Increased production diversity and availability – leading to sourcing from home production; better understanding of benefits of consuming nutritious foods and better consumption)

Village level processing units to promote local level enterprise, processing and consumption The Market Connect – Higher income + better awareness leading to judicious purchase from the market Location specific models across different agro-ecological regions tailored to available resources and food preferences Subsistence versus Commercial farming systems Trade-off between work on-farm and care work; stages of life cycle; need for social protection measures Need to address larger issues of soil health, inputs (availability of biofortified seeds of food crops), market price support for

nutrient dense crops to encourage production Buy-in at community level; Policy level support

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