Special event on "Meeting the challenge of a new era for achieving healthy diets and nutrition: Outcomes of the 2 nd Global Nutrition Policy Review" German Room, FAO, Rome, 13:30 – 15:00, 2 nd December 2016 Preliminary results of the 2 nd Global Nutrition Policy Review: A global perspective Chizuru Nishida Coordinator, Nutrition Policy and Scientific Advice Department of Nutrition for Health and development World Health Organization Preliminary results of the 2 nd Global Nutrition Policy Review: A global perspective 1 | Side event at FAO/WHO International Symposium, Rome, 1-2 December 2016
WHO's work on monitoring policies and actions to promote healthy diets and nutrition 1993-2001: Monitoring implementation of 1992 ICN commitments Regular review and monitoring of country progress through regional review meetings between 1992 - 2001 Monitoring of development, operationalization & implementation of multisectoral national plans of action on nutrition addressing the double burden of malnutrition based on 9 strategic actions WHO Global Database on National Nutrition Policies and Programmes 2009-2010: 1st Global Nutrition Policy Review 2016: 2nd Global Nutrition Policy Review 123 countries responded 125 countries responded to date (60%) – on-going Information on nutrition governance (incl. capacities, Information on nutrition governance (incl. capacities, coordination mechanisms, surveillance) coordination mechanisms, surveillance) Assessment of policies and actions in 6 areas: 1) IYCN (incl Assessment of policies and actions in 6 areas: 1) MIYCN, SAM/MAM, nutrition & infectious diseases), 2) International 2) Prevention & treatment of acute malnutrition, 3) Nutrition Code of Marketing of BMS, 3) School-based programmes, and infectious diseases, 4) School health & nutrition 4) Vitamins and minerals, 5) Obesity and diet-related NCD, programmes, 5) Vitamin and mineral nutrition, 6) Promotion 6) Food security and agriculture policies of healthy diet and prevention of overweight, obesity and diet-related NCDs Data incorporated into WHO Global database on the Implementation of Nutrition Action (GINA) Coverage/inclusion of Global Nutrition and diet-related NCD http://www.who.int/nutrition/gina/en/ Targets in national policies Data will be incorporated into GINA Results served as background for developing CIP-MIYCN – Final Results will contribute to: report published in 2013 Preliminary results of the 2 nd Global Nutrition Policy Review: A global perspective • Monitoring of ICN2 FFA implementation 2 | Side event at FAO/WHO International Symposium, Rome, 1-2 December 2016 • Assessing baseline for the Decade of Action on Nutrition
2 nd Global Nutrition Policy Review Preliminary results 101 countries reported a total of 434 policy documents 77 of the 101 countries reported a total of 115 comprehensive nutrition policies and strategies 44 countries developed comprehensive nutrition policies/plans during the last 5 years 18 countries during the last 2 years (i.e. since ICN2) ICN2 FFA No. of documents How comprehensive are the national nutrition plans? Whether food security and agriculture policies include diet and nutrition targets? Whether national development plans include nutrition? Compre- Focused NCD/healthy Health sector Food security Development Legislation Other hensive nutrition policy diet policy policy and agriculture plan and voluntary (13 countries) nutrition policy E.g. anaemia E.g. national NCD E.g. HSSP, national policy E.g. food E.g. PRSP, national codes E.g. reduction strategy, prevention and health plan, child development plan E.g. national security policy, food marketing codes, IYCF policy management plan, health policy (27 countries) nutrition policy, policy labelling laws (54 countries) diabetes strategy (52 countries) Preliminary results of the 2 nd Global Nutrition Policy Review: A global perspective national plan of (10 countries) (16 countries) 3 | (35 countries) action on nutrition Side event at FAO/WHO International Symposium, Rome, 1-2 December 2016 (77 countries)
Nutrition actions/intervention programmes throughout lifecourse Pregnant women and women of reproductive age Infants and young children • Dietary guidelines • Dietary guidelines • Vitamin and mineral supplementation • Breastfeeding counselling • Deworming • Protocols for infant feeding in difficult circumstances (LBW, HIV, emergencies) • Complementary feeding counselling • Vitamin and mineral supplementation Preschool-age children School-age children • Dietary guidelines • Dietary guidelines • Growth Monitoring and Promotion • School health and nutrition programmes targeting all • Vitamin-mineral supplementation forms of malnutrition, and addressing school meals, • Management of moderate and severe acute malnutrition environments, curricula, services • Deworming • Vitamin and mineral supplementation • Deworming Preliminary results of the 2 nd Global Nutrition Policy Review: A global perspective 4 | Side event at FAO/WHO International Symposium, Rome, 1-2 December 2016
Nutrition actions throughout lifecourse: Pregnant women and women of reproductive age % of countries Pregnant women Women of reproductive age 100% 100% % of 90% countries 90% 80% 72% 80% 70% 70% 60% 60% 50% 50% 40% 40% 29% 30% 24% 30% 22% 18% 20% 20% 10% 10% 0% 0% Iron folic acid Dietary guidelines Iron folic acid Multiple Calcium supplementation in for pregnant supplementation in miconutrient supplementation in women of reproductive women (86) pregnant women supplementation in prepgnant women age (87) (87) pregnant women (87) (87) Preliminary results of the 2 nd Global Nutrition Policy Review: A global perspective 5 | Side event at FAO/WHO International Symposium, Rome, 1-2 December 2016
Nutrition actions throughout lifecourse: Infants and young children % of countries Infants and young children 99% 100% 89% 90% 80% 67% 70% 60% 51% 49% 50% 35% 40% 31% 26% 30% 20% 10% 0% Dietary Breastfeeding BFHI (85) Infant feeding in Infant feeding in Infant feeding in Complementary MNPs in guidelines for counselling (85) LBW (85) HIV (85) emergencies feeding children 6-23 IYC (86) (85) counselling (85) months (87) Preliminary results of the 2 nd Global Nutrition Policy Review: A global perspective 6 | Side event at FAO/WHO International Symposium, Rome, 1-2 December 2016
Nutrition actions throughout lifecourse: Children under 5 years of age Children < 5 years % of countries 100% 92% 90% 80% 70% 60% 50% 40% 40% 30% 21% 17% 16% 20% 10% 0% Dietary guidelines for Growth Monitoring and Zinc supplementation Vitamin A Iron supplementation pre-school age Promotion (85) in children 6-59 supplementation in in children < 5 years children (86) months (87) children 6-59 months (87) (87) Preliminary results of the 2 nd Global Nutrition Policy Review: A global perspective 7 | Side event at FAO/WHO International Symposium, Rome, 1-2 December 2016
Nutrition actions throughout lifecourse: School-age children % of countries School-age children 100% 90% 80% 73% 66% 70% 61% 60% 52% 46% 50% 37% 40% 33% 33% 25% 30% 18% 20% 10% 0% Dietary Nutrition School food School School fruit Ban on Standards Physical Deworming School guidelines education in standards meals or and vending for education in schools gardens for school- schools (67) (67) school vegetable machines in marketing of (67) (67) (67) aged feeding (67) scheme (67) schools (67) FNAB in children (86) schools (67) Preliminary results of the 2 nd Global Nutrition Policy Review: A global perspective 8 | Side event at FAO/WHO International Symposium, Rome, 1-2 December 2016
Key policy actions and measures to promote healthy diets & nutrition (86 countries) % of countries Preliminary results of the 2 nd Global Nutrition Policy Review: A global perspective 9 | Side event at FAO/WHO International Symposium, Rome, 1-2 December 2016
Regional differences in implementing key policy actions to promote healthy diets and nutrition % of countries (10 countries) (22 countries) (15 countries) % of countries (17 countries) (10 countries) (12 countries) Preliminary results of the 2 nd Global Nutrition Policy Review: A global perspective 10 | Side event at FAO/WHO International Symposium, Rome, 1-2 December 2016
Policy actions to promote healthy diets & nutrition Dietary guidelines % of countries 100% 90% 78% 80% Dietary guidelines for specific target groups 70% 60% 50% 40% 33% 31% 29% 30% 21% 20% 10% 0% Dietary guidelines Pregnant women Infants and young Pre-school age children School-aged children children Preliminary results of the 2 nd Global Nutrition Policy Review: A global perspective 11 | Side event at FAO/WHO International Symposium, Rome, 1-2 December 2016
Policy actions to promote healthy diets & nutrition Nutrition labelling % of countries 100% Different types of nutrition labelling 90% 80% 69% 70% 60% 51% 45% 50% 40% 30% 20% 20% 8% 10% 0% Nutrition labelling Nutrient declaration Front-of-pack Listing of Menu labelling labelling ingredients Preliminary results of the 2 nd Global Nutrition Policy Review: A global perspective 12 | Side event at FAO/WHO International Symposium, Rome, 1-2 December 2016
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