1. Breastfeeding and nutrition in the global policy context: The United Nations Decade for Action on Nutrition
Laurence Grummer-Strawn
Department of Nutrition for Health and Development, WHO
World Breastfeeding Conference
Johannesburg, South Africa
December 12, 2016

2. The WHA global nutrition targets (2012)

4. Second International Conference on Nutrition (2014)
FAO & WHO
2,200 participants
Heads of State
Ministers of Agriculture/Health/ Foreign Affairs
Members of Parliament
170 countries
In November 2014 over 2,200 participants from more than 170 governments, including Heads of State and Government and Royals, Ministers from Foreign Affairs, Agriculture and Health, Members of Parliament, representatives of the UN System and IGOs, civil society, the private sector, researchers and development experts met in Rome at the 2nd International Conference on Nutrition.
The participants made 10 commitments and signed off a Framework for Action containing 60 recommendations for policy actions on sustainable food systems promoting healthy diets, international trade and investment, nutrition education and information, social protection, health systems delivery of direct nutrition interventions and health services to improve nutrition; water, sanitation and hygiene and food safety.

5. Outcomes of ICN2 Rome Declaration on Nutrition – 10 commitments
Eradicate hunger and prevent all
forms of malnutrition
Increase investments
Implement the commitments through the Framework for Action
Integrate vision and commitments into the post-2015 agenda
Framework for Action – 60 actions
In November 2014 over 2,200 participants from more than 170 governments, including Heads of State and Government and Royals, Ministers from Foreign Affairs, Agriculture and Health, Members of Parliament, representatives of the UN System and IGOs, civil society, the private sector, researchers and development experts met in Rome at the 2nd International Conference on Nutrition.
The participants made 10 commitments and signed off a Framework for Action containing 60 recommendations for policy actions on sustainable food systems promoting healthy diets, international trade and investment, nutrition education and information, social protection, health systems delivery of direct nutrition interventions and health services to improve nutrition; water, sanitation and hygiene and food safety.

6. ICN2 Framework for Action
R 16: Facilities for breastfeeding R 21: Social marketing campaigns R 29: International Code of Marketing of Breast-milk Substitutes R 30: Protection of working mothers R 31: Health services including the Baby-Friendly Hospital Initiative R 32: Men participate in child care, while empowering women R 33: Emergency situations R 37: Exclusive and continued breastfeeding as part of stunting reduction

7. Sustainable Development Goals (2015)
17 Goals and 169 targets

8. Nutrition and Health
All the nutrients an infant needs in the first six months of life. 
Reduced risk of overweight or obesity
Could save 820,000 children’s lives
Lower rates of infectious disease and death
20,000 breast cancer deaths could be prevented
Reduced risk of diabetes and ovarian cancer

9. Poverty and Education Reduced costs of infant formula
Reduced health care expenditures
Increased lifetime earnings
Could add US$302 billion annually in GDP
Improved intelligence (3 IQ points)
Contributes to optimal early child development
Improved reading and writing scores at age 6.5 years

10. Environmental sustainability
Resource intense processing of formula
Packaging, storage, transportation
Heating and preparation in home

11. Decade of Action on Nutrition (2016)

12. Goals of the Decade of Action
Increase activities conducted at the national, regional and global levels to implement the recommended actions in:
Global WHA MIYCN targets
ICN2 Framework for Action
NCD risk factor reductions
SDG targets

13. Leadership of the Decade of Action
Lead by: In collaboration with: Using collaborating mechanisms:

14. Commitments to the Decade of Action
WHA resolution in support of Decade urges Member States to make commitments
Non-state actors also expected to make commitments
WHO to maintain an open-access commitment database
SMART commitments
Specific
Measurable
Achievable
Relevant
Time-bound

15. Making SMART commitments
Example:
FFA R29: Adapt and implement the International Code of Marketing of Breast-milk Substitutes and subsequent relevant World Health Assembly resolutions
Example 1 – By 2018, legislation will be established that implements the provisions of the International Code of Marketing of Breastmilk Substitutes
Example 2 – By 2017, a functional unit will have been established in the Ministry of Health to effectively and actively monitor, implement and enforce sanctions in case of violations, with a first report produced by the end of 2018.

16. Decade content : 6 pillars
sustainable food systems for healthy diets; aligned health systems providing universal coverage of essential nutrition actions; social protection and nutrition education; trade and investment for improved nutrition; enabling food and breastfeeding environments; review, strengthen and promote nutrition governance and accountability

17. Work Programme Vision for each pillar: Leading partner organization
Collaborating actors
UN Organizations
NGOs
Alliances
Private sector
Governments
Convening and collaborating platforms
Specific accountability mechanisms
Fora and commitment conferences

18. “It is unprecedented that nutrition is so high in the political agenda of Member States and the Decade of Action on Nutrition is a unique opportunity to drastically change our food environment, to eradicate hunger and prevent malnutrition worldwide.”
Dr. Margaret Chan,
WHO Director-General
19 July 2016