Good Food : Good Money An update on The Access to Nutrition Index and global trends in health and nutrition Inge Kauer Executive Director Access to Nutrition Foundation 1 23-10-2014
The context After years of development aid, high levels of undernutrition in the developing world still exist, while at the same time obesity has become a global epidemic…. “11% of the burden of disease is related to undernutrition ” “3.1 million children die every year because of undernutrition ” “ There are around 475 million obese adults with over twice that The Lancet 2013 number overweight - that means around 1.5 billion adults are too fat. ” World Obesity 2
Contents 1. Introduction to ATNI 2. Why the private sector should focus on nutrition 3. Nutrition trends amongst F&B manufacturers 4. Insights into key nutrition issues and how ATNI addresses them • Nutrient profiling • Product reformulation • Marketing to children • Affordability and accessibility • Undernutrition • Marketing of Breast-milk Substitutes 5. Call to investors 3
1. Introduction to ATNI: tracking companies’ responses to two global nutrition challenges • The Access to Nutrition Foundation is a non-for-profit organisation based in The Netherlands that hosts the Access to Nutrition Indexes • The first Global Index, launched in 2013, scores rates 25 of the world’s largest F&B manufacturers on commitments, performance and Key attributes disclosure on addressing obesity and undernutrition • Unique in its focus on • Pilot exercises were also for parallel Indexes in India, Mexico and South Africa nutrition • ATNI was developed with support from the Bill & Melinda Gates • Independent of industry Foundation, the Wellcome Trust and GAIN • ATNI was developed using an inclusive, international, multi- • Objective stakeholder process , advised by international experts • ATNI is intended to: • Rigorous • Enable companies to benchmark their own performance against international standards and best practice and compare themselves • Multi-stakeholder to their peers • Provide an objective source of information for all stakeholders • Global and country-specific to use to evaluate companies’ responses to two of the world’s most focus pressing public health challenges • Indexes will be published every two years – the next Global Index due November 2015 & India Index early 2016 4
Global Index 2013: scores and rankings Main finding: Most companies have a lot more to do to improve their performance on all aspects of nutrition Report highlights areas of strength and weakness, highlights good practice. Also sets out areas where further research and activity is needed. All companies provided with: • A 3-page Scorecard, setting out how they could improve in each area • Full ATNI methodology • Document illustrating how to achieve 100% in all areas • Opportunity to engage with ATNI to understand results and receive guidance on how to improve For more information see: www.accesstonutrition.org
How ATNI is designed to improve people’s nutrition and health Activities Outputs Outcomes Impact Engagement with and uptake by: Provide companies a Encourage Increased market Food and beverage manufacturers: tool to benchmark improvements in availability & household their nutrition companies’ policies, accessibility of healthy practices practices and foods and improved performance to result food consumption in: environment • Greater consumer access to more nutritious foods and Stimulate dialogue and action beverages Improved diets • An environment facilitating the consumption of Investors healthier foods and Improved nutritional Serve as an impartial Integrate and engage on nutrition issues beverages through status source of information improvements in areas for interested Media such as marketing, stakeholders labeling, and package sizes Civil society Improved health status Improvement over These impacts will Policymakers time as measured by not be directly company ratings on attributable to ATNI subsequent versions but links to impact Academics of ATNI may be plausible 6
Responses to ATNI….. “We see a lot of value in ATNI, so does IFBA. It helps to give IFBA members credibility with other members ” Mars “ ATNI’s product profile research is very very useful, global and national level. We would like to see pricing, marketing and sales data combined with the nutritional information, particularly to be “If ATNI didn’t exist we’d want to invent able to understand what is going on at the base you” of the pyramid ” Company at IFBA consultation session Standard Life “ATNI is a very good index to participate in. It helped us to identify issues we hadn’t been focusing on, and to see how other companies address those issues ” Grupo Bimbo “ATNI is not likely to give sufficient attention to the possible harms and the “ There is a big trust gap (between ways in which those harms might be companies and some stakeholders). alleviated by the manufacturers or by other agencies “ Who is measuring their actions and progress makes a big difference ” Academic in on-line consultation WFA 7
2. Why should investors focus on nutrition? Nutrition poses challenges on What kind of society do many levels: your beneficiaries/clients want to contribute to Individual creating, benefit from, and What role can and should live and retire in? investors play in improving nutrition? Investment Societal Do you, as investors, have Commercial Are F&B companies’ enough information about how current business models companies are performing on ‘fit for purpose’? nutrition? 8
…… F&B companies have enormous global reach and influence The food and beverage industry: • T urnover of the world’s top 235 F&B companies was estimated to USD1.8 trillion in 2013. (Source: Coriolis research) • In developing countries, sales of packaged foods are increasing 3-10 times faster than in high- income countries. • Packaged food production and the number of retailers are expected to continue to grow because of urbanization. • The ratio of sales volume of packaged foods to the sales volume of fruits and vegetables is therefore expected to grow. In 2013: the 25 companies assessed by ATNI had combined revenues of USD 459 billion. They employed more than 1.6 million people. 9
…… nutrition presents a series of risks and opportunities • F&B manufacturers face a series of nutrition-related risks: • Regulatory risks • Corporate reputation and brand risks “11 % of GDP • Market share/revenue risks in Africa and Asia is • Litigation risks estimated to be lost to undernutrition ” • But also nutrition-driven commercial opportunities: • In mature markets: building new product offerings and improving health Horton and Steckel, profile of existing offerings. 2013 • In emerging markets: economic growth coupled with population growth offers strategic expansion, revenue growth and brand building opportunities • Other commercial drivers • Maintaining and improving health of current and future workforce. • Reducing the cost of health insurance. • Broader societal commitment, e.g. to support MDGs, local social and economic development etc. 10
3. Nutrition trends amongst F&B companies Over the last 5 years, under- and over-nutrition are increasingly appearing on the strategic agendas of F&B companies. They are becoming more involved in multi-stakeholder initiatives Amsterdam First Global Initiative against SUN movement Civil society and Nutrition Report Malnutrition set up by UN and 22 companies join due in November, (AIM) with NGOs, civil society, UN Global summarising Dutch supported by Nutrition 4 global efforts to government, senior business Growth Compact tackle various leaders undernutrition companies 2008 2009 2010 2011 2012 2013 2014 64 companies Healthy Weight IFBA committed signed IFBA Commitment to support WHO’s Partnership for a c ommitments Foundation WHO Global IFBA again 2004 Global Healthier strengthened and (HWCF) was set Action Plan: strengthens Strategy on Diet, America (PHA ) to committed to UN up by companies 2013 - 2020 commitments Physical Activity eliminate 1.5 and WHO Global to reduce obesity and Health trillion calories Action Plan in the US from US market 11
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