1. Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) Mohammad Abdul Mannan, PhD National Food Policy Capacity Strengthening Programme (NFPCSP) Training on Assessment of Nutritional Status Date : 18-22 December 2011, Venue: FPMU Meeting Room The Training is organized by the National National Food Policy Capacity Strengthening Programme (NFPCSP). The NFPCSP is jointly implemented by the Food Planning and Monitoring Unit (FPMU), Ministry of Food and Disaster Management and Food and Agriculture Organization of the United Nations (FAO) with the financial support of the EU and USAID.

2.  Introduction Food security concept, Relationships within the food security framework, Narrowing the “nutrition gap”  Data for food security policies Policy context : Policy tools/outputs/instruments NFP (2006) NFP PoA (2008-2015), CIP (2010-2015), NNS (2011-2016)  Monitoring policy frameworks Harmonization of core FSN indicators (PoA, CIP, FSNSP/NNS)  Data for Food security policies :Examples  Looking ahead : sustainability Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan Outline

3.  Narrowing the gap between what foods are available and what foods are needed for a healthy diet  Diets are often low in quantity, quality and variety (hunger and micro-nutrient deficiencies)  Increased production of staple foods is not sufficient  Need to ensure local availability and access of the right mix of foods in all seasons  Consumers must be informed through mainstreaming BCC  Collaboration must be established with : (a) social protection programmes to support the poorest and (b) with health, agriculture, food & multi sectors/programmes Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan Agriculture and nutrition

4. Data for food security policy  The 4 Cs: Essential features  Core of National Policy Frameworks (NFP, NFP PoA, CIP, 6 5YP, NNS –PIP)  Consistency with national sources - FS& N indicators in policies, National Surveys (INFS –NNS, BDHS, HIES, MICS,HFSNA)  Continuity for monitoring ( National monitoring systems/processes)  Collaboration for data sharing, analysis and communication (electronic FS systems) Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

5. A comprehensive framework for food security interventions encompassing  Availability: Adequate and stable supply of safe and nutritious food  Access: Increased purchasing power and access to food by the poor through safety nets  Nutrition: for all individuals, especially women and children Approved in August 2006 as result of a policy process started in 1999 at the Development Forum in Paris after the 1998 flood The policy framework: National food policy Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

6. Elaborated through a widely consultative process, approved in 2008 and launched in 2009 consists of: 26 areas of intervention and 314 actions providing a comprehensive, long-term (2008-2015) framework for:  Coordinating government interventions on food security: policies and investments  Aligning development support to national priorities in line with Paris Declaration on Aid Effectiveness  Regularly monitoring progress toward food security in line with MDG1  Identifying needs for investments The Policy Framework: NFP Plan of Action (2008-2015) Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

7.  Responding to L’Aquila Initiative and in line with the 5 Rome Principles, the CIP was first Approved on 14 June 2010.  Coherent set of 12 strategic priority investment programmes  Aligned with the National Food Policy Plan of Action, to ensure comprehensiveness  Embedded in the Sixth Five Year Plan to ensure consistency  Focus on government investments included in the Annual Development Budget The CIP, based on extensive consultation, incorporates over 400 projects of which 154 ongoing (for US$ 2.8 billion) and 257 in pipeline (for US$ 5.06 billion of which US$ 3.4 billion are priority). Country investment plan (CIP) Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

8. NFP-Objective-3: Adequate Nutrition for All NFP-Objective-3: Adequate Nutrition for All Long-term national plan for ensuring balanced food Setting long-term targets for physical growth; Setting standard food intake; Steps to ensure balanced food to meet nutritional requirements; Steps to ensure balanced nutrition at minimal cost Supply of sufficient nutritious food for vulnerable group Balanced diet containing adequate micronutrients Nutrition education; Dietary diversification; Food supplementation and fortification Identify vulnerable people; crop diversification; Undertake nutrition programs; Increase empowerment; Provide micro-credit and training for the vulnerable Safe drinking water and improved sanitation; Safe, quality food supply; Adequate health status Infrastructure/institutional development-sanitation, food quality & health services; EPI; control ARI; control WBD/FBD; reproductive health programmes; NNS to involve community mobilization and CBN; StrategiesActions Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

9. Areas of Intervention in NFP PoA 3. Utilization/Nutrition AoI 3.1 Long Term Planning for balanced food: MoFDM, MoA, MoFL, MoHFM AoI 3.2 Balanced and Nutritious food for vulnerable people: MoFDM, MoP, MoA, MoFL, MoEF, MoWCA, MoSW, MoLGRDC, MoF AoI 3.3 Nutrition education on dietary diversification: MoHFW, MoA AoI 3.4 Food supplementation and fortification: MoHFW, MoFDM, MoSCIT, MoA, MoFL, MoEF, MoWCA, MoI, MoF, MoL, MoP AoI 3.5 Safe drinking water and improved sanitation: MoHFW, MoLGDRC AoI 3.6 Safe, quality food supply: MoHFW, MoI, MoLGDRC, MoSICT AoI 3.7 Women and children health: MoHWF, MoWCA, MoP AoI 3.8 Promotion and protection of breast-feeding and complementary feeding: MoHFW, MoWCA, MoSW, MoC, MoE

10. Nutrition Programmes in CIP Programme 10: Development of Community Based Nutrition Activities through Livelihood Approaches Programme 11: Orient Food and Nutrition Programmes through Updated Data on Food Consumption, Food Composition and Education on Dietary Diversification Programme 12: Food Safety and Quality Improvement Programme LectureLecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

11. Access Nutrition Availability To reduce undernourishment, stunting and underweight, food should be available, accessible and complemented by nutrition interventions Result Framework for the NFP PoA and CIP – Links with FSNSP Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in CIP –Mohammad Abdul Mannan

12. IndicatorsNFP PoACIP # compulsory food items standardized by BSTI ++ BCC operational++ DDP established++ FCT updated++ Existing FS/N surveillance systems/databases --+ Dietary energy supplies (DES) from cereals % ++ Food groups as % share of DES++ Dietary Energy consumption /intake (DEI) from cereals % ++ Food groups as % share of DEI++ Selected core indicators: harmonization with NFP PoA and CIP (output) Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

13. Outcome indicator status IndicatorsPast status CurrentMT/LT Targets 1995-96200020052010 Average energy Intake (kcal/person/ day) (as % of daily energy Requirements) National2244 (93.5%) 2240 (93.3%) 2238 (93.2%) 2318 (96.6%) 2400 (?) Rural2263 22532344- Urban2208215021942244- Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) – Mohammad Abdul Mannan

14. Outcome indicator status IndicatorsPast status CurrentMT/LT Targets Level1995-962007-082009-102010-11 Dietary Energy Supply (DES) from Cereals (%) National78.580.279.678.1 Dietary energy intake from cereals (%) National-70.0 66.0Recommend ed 60% Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

15. Outcome indicator status 2007-082008-09 2009-10 2010- 11 TARGET Chronic Energy Deficiency (CED) prevalence among women (BMI <18.5) 38 BDHS 2004 32 CMNS/ BBS 33 BDHS 2007 26 FSNSP 20% by 2015 Proportion of households consuming iodized salt (%) 51-- 84 Proportion of children receiving minimum acceptable diet at 6-23 months of age -3438 56% by 2016 Source: BBS & NIPORT Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

16. Outcome indicator status 1964-942004 Prevalence of iron deficiency anemia during pregnancy,% 55-60 (HKI/IPHN – BBS/UNICEF) 65<20 (WHO/UNI CEF threshold) 200020032007 Prevalence of diarrhea among under-5 children in Bangladesh,% 16.7 (UNICEF) 23.9 (UNICEF) 9.8 (BDHS) NA Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan

17. Issues and Policy Challenges Average calorie intake well below the FAO recommended level; rural urban divide U5 underweight almost stagnant >>> specific program intervention Calorie intake from cereal still very high >>> food and diet diversification cereals and other foods Still 1/4 of adult women suffer from CED Anemia prevalence among women increasing (!!) People suffering from FBD and WBD still significant (around 9% for diarrhea only) Data heterogeneity; non-availability Lecture 2: Areas of interventions in National Food Policy Plan of Action (NFP PoA) and Nutrition Programmes in Country Investment Plan (CIP) –Mohammad Abdul Mannan