Areas of interventions in National Food Policy Plan

Areas of interventions in National Food Policy Plan of Action (NFP Po. A) and Nutrition Programmes in Country Investment Plan (CIP) Mohammad Abdul Mannan, Ph. D 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 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.

Outline q Introduction Food security concept, Relationships within the food security framework, Narrowing the “nutrition gap” q Data for food security policies Policy context : Policy tools/outputs/instruments NFP (2006) NFP Po. A (2008 -2015), CIP (2010 -2015), NNS (2011 -2016) q Monitoring policy frameworks Harmonization of core FSN indicators (Po. A, CIP, FSNSP/NNS) q Data for Food security policies : Examples q Looking ahead : sustainability Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP Po. A) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

Agriculture and nutrition § § § 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 Po. A) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

Data for food security policy § The 4 Cs: Essential features § Core of National Policy Frameworks (NFP, NFP Po. A, CIP, 6 5 YP, 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 Po. A) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

The policy framework: National food policy 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 Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP Po. A) and Nutrition Programmes in Country 1998 flood Investment Plan (CIP) –Mohammad Abdul Mannan

The Policy Framework: NFP Plan of Action (2008 -2015) 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 MDG 1 § Identifying needs for investments Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP Po. A) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

Country investment plan (CIP) § 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 Budget The 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). Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP Po. A) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

NFP-Objective-3: Adequate Nutrition for All Strategies Actions 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 Identify vulnerable people; crop diversification; Undertake nutrition programs; Increase empowerment; Provide micro-credit and training for the vulnerable Balanced diet containing adequate micronutrients Nutrition education; Dietary diversification; Food supplementation and fortification 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; Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP Po. A) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

Areas of Intervention in NFP Po. A 3. Utilization/Nutrition Ao. I 3. 1 Long Term Planning for balanced food: Mo. FDM, Mo. A, Mo. FL, Mo. HFM Ao. I 3. 2 Balanced and Nutritious food for vulnerable people: Mo. FDM, Mo. P, Mo. A, Mo. FL, Mo. EF, Mo. WCA, Mo. SW, Mo. LGRDC, Mo. F Ao. I 3. 3 Nutrition education on dietary diversification: Mo. HFW, Mo. A Ao. I 3. 4 Food supplementation and fortification: Mo. HFW, Mo. FDM, Mo. SCIT, Mo. A, Mo. FL, Mo. EF, Mo. WCA, Mo. I, Mo. F, Mo. L, Mo. P Ao. I 3. 5 Safe drinking water and improved sanitation: Mo. HFW, Mo. LGDRC Ao. I 3. 6 Safe, quality food supply: Mo. HFW, Mo. I, Mo. LGDRC, Mo. SICT Ao. I 3. 7 Women and children health: Mo. HWF, Mo. WCA, Mo. P Ao. I 3. 8 Promotion and protection of breast-feeding and complementary feeding: Mo. HFW, Mo. WCA, Mo. SW, Mo. C, Mo. E

Nutrition Programmes in CIP Programme 10: Development of Community Based Nutrition Activities through Livelihood Approaches Programme 11: Orient Food and Nutrition Programmes through Updated Data on Food Consumption, Food Composition and Education on Dietary Diversification Programme 12: Food Safety and Quality Improvement Programme Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP Po. A) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

Result Framework for the NFP Po. A and CIP – Links with FSNSP Nutrition Availability Access To reduce undernourishment, stunting and underweight, food should be available, accessible and complemented by nutrition interventions Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP Po. A) and Nutrition Programmes in CIP –Mohammad Abdul Mannan

Selected core indicators: harmonization with NFP Po. A and CIP (output) Indicators NFP Po. A 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 Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP Po. A) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

Outcome indicator status Indicators Past status Current MT/LT Targets 1995 -96 2000 Average energy Intake (kcal/person/ day) (as % of daily energy Requirements) 2005 2010 National 2244 (93. 5%) 2240 2238 2318 (93. 3%) (93. 2%) (96. 6%) 2400 (? ) Rural 2263 2253 2344 - Urban 2208 2150 2194 2244 - Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP Po. A) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

Outcome indicator status Indicators Past status Current Level 1995 -96 2007 -08 2009 -10 MT/LT Targets 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 66. 0 Recommend ed 60% Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP Po. A) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

Outcome indicator status 2007 -08 2008 -09 2009 -10 201011 TARGET Chronic Energy Deficiency (CED) prevalence among women (BMI <18. 5) 38 BDHS 2004 32 CMNS/ BBS 33 BDHS 2007 26 FSNS P 20% by 2015 Proportion of households consuming iodized salt (%) 51 - - Proportion of children receiving minimum acceptable diet at 6 -23 months of age 34 38 84 38 56% by 2016 Source: BBS & NIPORT Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP Po. A) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

Outcome indicator status Prevalence of iron deficiency anemia during pregnancy, % Prevalence of diarrhea among under-5 children in Bangladesh, % 1964 -94 2004 55 -60 (HKI/IPHN – BBS/UNICEF) 65 <20 (WHO/UNI CEF threshold) 2000 2003 2007 16. 7 (UNICEF) 23. 9 (UNICEF) 9. 8 (BDHS) NA Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP Po. A) 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 � U 5 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 CED � Anemia 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 Po. A) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan