International Health Policy Program -Thailand Suladda Pongutta February 20, 2010 IHPP Comparison between Thai NHA Obesity Strategy and WHO Expert Technical Report; Diet, Nutrition and Prevention of Non- communicable diseases report

International Health Policy Program -Thailand Pathway of obesity and NCD development 2 Other factors e.g. tobacco, alcohol and psychological problem NCDs Intermediate risk of NCDs

International Health Policy Program -Thailand WHO technical report series 916 Diet, Nutrition and the Prevention of Chronic disease 3

International Health Policy Program -Thailand 4 Overview of WHO Expert Technical Report series 916; Diet, Nutrition and Prevention of NCDs 1. Global burden of NCDs - Rapidly increase worldwide - Double burden of diseases in the developing world 2. Food consumption patterns and trends - Shift towards a higher energy density diet e.g. fat, sugar and simple carbohydrates - Decrease in fruit and vegetable intakes 3. In context; Broad-based perspective of NCDs prevention - considering through the life course; from fetus to old age - microscopic to macroscopic environments; interactions between early and later factors through out the life course 4. Nutrient intake goals 6. Strategic directions and recommendations for policy and research

International Health Policy Program -Thailand Strategic directions and recommendations for policy and research Principles for the promotion of healthy diets and physical activity Prerequisites for effective strategies Strategic actions for promoting healthy diets and physical activity 5

International Health Policy Program -Thailand Principles for the promotion of healthy diets and physical activity - comprehensive and address all major dietary and physical activity risks from multi-sectoral perspective - optimal mix of actions that are in accord with national capabilities, laws and economic realities - have a central steering role in developing strategies to ensure that actions are implemented and monitoring their impact over the long term - Ministry of Health have a crucial convening role-bringing together other ministries - multi-sectoral working group; government needs to work together with the private sector, health professional bodies, consumer groups, academics, the research community and other nongovernmental bodies - a life-course perspective on NCDs prevention and control is critical (from fetus to old age) - strategy should explicitly address equality and diminish disparities e.g. poorest communities or population groups - draw substantially on existing international standards that provide a reference in international trade (e.g. marketing of unhealthy food across national boundaries) 6

International Health Policy Program -Thailand Prerequisites for effective strategies Leadership for effective action Effective communication Functioning alliances and partnerships Enabling environments 7

International Health Policy Program -Thailand Strategic actions for promoting healthy diets and physical activity All strategy must based on scientific evidence Surveillance of people’s diets, physical activity and related disease burden Enabling people to make informed choices and take effective action e.g. nutrition labeling Making the best use of standards and legislation Ensuring that healthy diet components are available to all Achieving success through intersectoral initiatives Making the best of health services and the professionals who provide them 8

International Health Policy Program -Thailand Thai NHA Strategies for Overweight & Obesity tackling 9

International Health Policy Program -Thailand Conceptual frame work; Thai NHA Obesity Strategy 10

International Health Policy Program -Thailand Thai NHA Obesity Strategy Strategy package 1 - promote breast feeding - increase nutrient-dense and traditional food availability; farm to table (restaurant, individual family, workplace, school) - marketing control of powdered milk and unhealthy food - public campaign to raise awareness - promote healthy eating in school 11

International Health Policy Program -Thailand Thai NHA Obesity Strategy (continued) Strategy package 2 - promote, support and protect physical activity - public transport - park, playground, stadium - public campaign to raise awareness - promote physical activity in school 12

International Health Policy Program -Thailand Thai NHA Obesity Strategy (continued) Strategy package 3 - strengthen consultation, surveillance and treatment system in health care system - promote self monitoring for overweight and obesity Strategy package 4 - promote knowledge management - promote integration of intervention and implementation - data base development - research to support policy-making 13

International Health Policy Program -Thailand Comparison between Thai NHA Obesity Strategy and WHO technical report series 916 Thai NHA obesity strategy WHO technical report OriginsNational Health AssemblyWHO/FAO meeting ObjectivesStrategies for overweight & obesity tackling Recommendations for NCDs prevention AreaDiet & physical activity Scope to tackle Risk factors (food & sedentary life) Environment Individual susceptibility Risk factors (food & sedentary life) Interaction between individual susceptibility and risk factors Environment 14

International Health Policy Program -Thailand 15 Principle of strategies Thai NHA obesity strategy WHO technical report - comprehensive of optimal mix of actions - have a central steering - Ministry of Health have a crucial convening role - multi-sectoral working group Comparison between Thai NHA Obesity Strategy and WHO technical report series 916

International Health Policy Program -Thailand Principle of strategies Thai NHA obesity strategy WHO technical report - a life-course perspective - equality and diminish disparities - - draw substantially on existing international standards that provide a reference in international trade - - Strengthen health care system to handle of prevention, surveillance and treatment - Strengthen policy- making process - 16 Comparison between Thai NHA Obesity Strategy and WHO technical report series 916

International Health Policy Program -Thailand Thank you for your attention 17