4TH NATIONAL SEMINAR ON FOOD SECURITY AND NUTRITION

CARD

21-22 May 2012

Under the theme of Maternal and Child Nutrition

Food Fortification with MicronutrientsBy Mr. Mam Borath Deputy Director of Social

Planning Depatment Of MOP and Deputy Permannent NSCFF

OUTLINE

1. Introduction/Background for the Improvement of Nutrition Status in Cambodia

2. Problem/Challenges3. Solution4. Conclusion and way forward

3

I – ORGANIZATION CHART OF NCN

NATIONAL COUNCIL FOR NUTRITION (NCN)Chaired by Senior Minister of Planning, H.E. Chhay

Than

- MOP- MOWA- MOAFF- MOSLV- MORD- MOC- MOEYS- MOEF- MOH- MOInf- MOIME- CM

NGOs & IOs- WHO- UNICEF- USAID- WFP- FAO- World Vision- GTZ- A2Z- ILSI- CARE- RACHA- IRD- RHAC- HKI- Others

Inter-ministerial Technical Committee (IMTC)

Chaired by H.E. Ou Orhat

Secretariat

NSCIDD

1.Production

2.Monitoring

3-IEC

Provincial Nutrition Coordination Committee (PNCC)

Nutritional Programme Committees of NGOs &IOs

- UNICEF- WHO- HKI- ..............

- MOIME- MOH- MOC- MOP- MORD- MOWA- MOYES- MOInf

NSCFF

1-Production2-Monitoring3-IEC

- MOIME- MOH- MOC- MOP- MORD- MOWA- MOYES- MOInf

-RACHA/Gain-- ILSI GIZ- UNICEF- WHO- HKI- WFP-- PATH..................

NATIONAL COUNCIL FOR NUTRITION (NCN)Honorable Chairman Samdech Akka Maha Sena Padei Techo HUN SEN President: Prime

Minister

1. INTRODUCTION/BACKGROUND FOR THE IMPROVEMENT OF NUTRITION STATUS IN CAMBODIA

Reference: Millennium Development Goals of

RGC’s Rectangular strategies phase 2 National Strategic development Plan

Updated (Updated NSDP), 2009-2013 Mid-Term Report of Implementation

of the Updated NSDP, 2009-2013 Multi-sector policies National Strategic on Nutrition for the

MoH, 2009-2015 Strategic Framework of Food Safety and Nutrition, 2008-2012 NCN, IMTC, NSCIDD and NSCFF.

1- INTRODUCTION TO MICRONUTRIENT IMPROVEMENT STRATEGIES

Measures to support and strategies development for micro-nutrient interventions

Improvement Nutrition Status in Cambodia

Nutrition Structure Establishment/NCN/IMTC/NSIDD/NSFF/PNCC/…Legal & Regulations Support/Sub-decree/Prakas/Techical guidelines issued

Technical & Financial Support by development partners

Communication Strategies Support/marketing promotion/workshop/ trainings/exchange of experiences/information dissemination

Access to skill, knowledge and technology adaption to local /private &/government sectorsProducers/private sector participation

Supply equipment, machines, fortificant for the producers

Quality control, quality assurances and testing measures

Research& Development, Monitoring , Evaluation & surveillances

2- PROBLEMS/ CHALLENGES

A. Assessment stage: Need time for legal framework to be

adapted for supporting the interventions Lack of support and participation of stakeholders especially private sectors Data and information gathering or sharing from relevant sectors are limited Coordination and collaboration among stakeholders is slow Mostly dependence on the external support (consultation and experiences)

2- PROBLEMS/CHALLENGES - (CONTINUE)

B. Implementation stage: Some mixing materials and

equipment could not be found in local market, need to import

Quality specifications of local products are not consistent with the fortification standard.

Need time to adopt the regulations Behavior change of the local

producers Budget for implementation and

intervention depends on the support from development partners such as USAID/UNICEF, RACHA-GAIN and international NGOs.

2- PROBLEMS/CHALLENGES - (CONTINUE)

Import inappropriate foods such as non-iodized salt, non-iron fortified fish sauce and soy sauce with price competition (cheaper than local products)

Spent more budget and time on marketing promotion and communication strategies to change the behavior of producers sellers and consumers

Quality control and quality assurance of the products have not been widely performed

Rice is the major staple food in Cambodia Rice fortification technology is new Rice mill is decentralized

2- PROBLEMS/CHALLENGES - (CONTINUE)

C. Monitoring, evaluation and surveillance Stage

Budget and time on monitoring, evaluating and surveillance

No accredited (under ISO 17025) laboratory facility in the country for testing some specific samples (e.g. urine iodine, serum ferritin…)

Law enforcement (e.g. sub-degree) is still weak No food consumption data available

3- SOLUTION

- -Strengthen effectively enforcement of existing legal frameworks

- -Develop new policies, guidelines, Prakas, Sub-degree, Laws as required

- Strengthen and expand sustainably the cooperation and collaboration with development partners

- Require contribution of national budget for implementation

- Promotion for use of Fortified Foods

3- SOLUTION (CONTINUE)

- Need overall strategy and policy after multiple micronutrient and food consumption survey

- Test government system of rice distribution (school & food aid)

4- CONCLUSION AND WAY FORWARD

- -Production and distribution of iodized salt is smooth, but need to improve the quality

- -Household use of iodized salt is 83%, but still not reach the goal 90% (2015)

CDHS 2005 CAS 2008 CSES 2009 CDHS 20100

20

40

60

80

100

120

Urban

Rural

National

4- CONCLUSION AND WAY FORWARD (CONTINUE)

- National Sub-Committee for Food Fortification had issued the implementation framework with sustainability, encouraged & provided opportunity to producers of fish sauce and soy sauce to get involved based on their capability and contribution. We hope that target set in the fiscal year two of the project to produce 5,567 tons of fortified fish sauce and soy sauce would be achieved

4- CONCLUSION AND WAY FORWARD

- Regularly monitor the progress of programme against the targets

- Urge effectively enforcement of laws/regulations

- Strengthen and expand possibly food fortification of micronutrients in relevant vehicles

- Need to analyse data of individual food consumption item

- Develop comprehensive national guidelines and policy on food fortification

THANK YOU FOR YOUR ATTENTION

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