Meeting of Minds on Nutrition impact of food systems Abdoulaye KA, Mame Ndiobo DIENE, Sénégal
Nutrition indicators GAM NATIONAL PREVALENCE 8,8% STUNTING NATIONAL PREVALENCE 15,5%
MICRONUTRIENTS DEFICIENCIES MICRONUTRIENTS IRON TARGETS PREVALENCES (%) SOURCES WOMEN 25,7 UCAD/COSFAM CHILDREN 57,7 2010 IODINE VITAMINE A ZINC WOMEN 59 CHILDREN 54,7 WOMEN 2,4 CHILDREN 24,4 WOMEN 59,5 CHILDREN 50,1 IPDSR /MI 2010 UCAD/COSFAM 2010 Micronutrient deficiencies: a public health main concern
OBESITY AND NCD TARGETS PREVALENCES SOURCES OVERWEIGHT WOMEN CHILDREN 21,3 NA EDS 2010 OBESITY HBP WOMEN 6 CHILDREN WOMEN CHILDREN NA 38% ( région Afrique) NA EDS 2010 OMS stat. 2012
FOOD DATA DATA 1990-1992 1995-1997 2000-2006 2006-2008 SOURCE Proportion of undernourished (%) Dietary energy needs (kcal/p/j) Dietary energy availability (gr/pers/jour) 22 26 26 19 2160 2170 2180 2200 2190 2140 2140 2280 FAOSTAT 2008
Policy framework to improve nutrition and food security Policy Documents GOALS EVALUATION National Agriculture Investment Program (PNIA) National Program for Food Security (PNASA) Nutrition Enhancement Program (PRN) Aligned with NEPAD framework, west African common agriculture policy, agro-sylvo pastoral law 8 priorities: e.g. Improve production and global productivity factors Increase agricultural production t the promotion of integrated activities throughout the different ecological areas Improve and sustain access to adequate food for vulnerable groups Reinforce e the early warning system mechanisms Improve nutritional status for children under 5 in poor urban and rural areas Building institutional capacities among sectors and stakeholders Contribution in MDG 1 Nutrition and food security indicators integrated in ME Production Resilience Response mechanisms in case of food crisis Multisectoral approach with integrated nutrition goals in ; Agriculture, Education Health, industry plans Nutrition Policy Letter Eradicate malnutrition among children < 5 Reduce micronutrient deficiencies among the general population Ensure availability, sustain access to food (quality and quantity) for all the population Nutrition improved among most vulnerable Ownership and accountability for involved sectors and stakeholders
Institutional Framework Cellule de lutte contre la Malnutrition Agriculture Industry Social affairs Health Trade Local Governments Food and nutrition security
THE IMPLEMENTATION PLATFORM What can we learn from this platform implementation? Prime MINSTER S OFFICE Committee for the Fight against Malnutrition (CLM) - Facilitate coordination of sectoral interventions Sector ministries Local collectivities - Strengthen accountability of stakeholders Private Sector Decentralized services COMMUNITY Community agencies - Facilitate the decentralization of the management of interventions, focusing on results (planning and monitoring implemented at community level Constraints : - Political will to decentralize is not always achieved - Effective Horizontal structures must be present nation wide to ensure the scaling up of nutrition interventions at the community level - Financial support is needed to sustain implementation
Keys messages Nutrition and food security must be in the development agenda as a priority Coordination of nutrition and food security interventions at a high level: eg Primature Nutrition and food security interventions delivered regarding local context and nutritional profile Nutrition and food security interventions based on evidences globally recognized Agriculture and Nutrition as a key element of regional integration
Opportunities to build value chain Local government targeting most vulnerable groups for access to land Agriculture sector for technical support regarding nutrition needs Industry sector for support to processing enriched farine for children complementary feeding CLM promoting adéquate behavior for good nutrition status
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