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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
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NATIONAL FOOD AND HEALTH PLANFor BELGIUM
N a t i o n a l F o o d a n d H e a l t h P l a n
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
A science-based,
multi-disciplinary
approach of
obesity and chronic
non-communicable
diseases related to
unhealthy diets
and lack of
physical activity
N a t i o n a l F o o d a n d H e a l t h P l a n
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
Belgium context
Principles of the NFHP-BNutritional objectivesStrategic policy options
Conclusions
Operational Plan
Organizational structure
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
4 State reforms (1970, 1980, 1988-89, 1993)
- Federal State
- 3 Communities
- 3 Regions
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
Competencies
Federal State:Foreign affairs, Defense, Justice, Finances, Social security,
Public health (including foodstuffs and consumer products), Domestic affairs, …
Communities:Language, Culture, Education, Audio-visual media, Curative
and preventive medicine, Family, …
Regions:Town planning, Environment, Employment, Economy, International trade, Agriculture, Energy, …
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
0
10
20
30
40
50
60
70
< 18.5 18.5-25 25-30 > 30
MenWomen
BMI of Belgian Adult Population
2.14.6
50.4
60.3
37.6
23.5
9.9 11.6
%
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
RESTFats
Meat, fish, egg
Fruits
Potatoes
Water
Physical activity
21 g
161 g
118 g
307 g
1.2 L
27.7% sufficient
159 g
138 g
133 g
Vegetables
Grain products
30 gCheese
Milk(products) (incl. Soy drinks)
481 g incl. alcoholic beverages266 g excl. alcoholic beverages
Source: VCP, WIV, 2004
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
2004: Minister of PH: Start of Belgian reflections to launch PNNS2004: WHO global strategy on diet, physical activity and health2004: Creation of Expert Group within the Federal Public Service Health, Food Chain Safety and Environment: Discussion document 2005: Protocol agreement between the different Federal, Regional and Community Governments (13/06/2005)Jan-June 2005: Intensive multi-stakeholder consultationJune 2005: validation of consensus documents / working groupsJun- Nov 2005: redaction of NFHP based on results of VCPDec 2005: Finalisation Scientific Text of the NFHP-BOct 2005-Mar 2006: preparation of campaignApril 2006: Launch NFHP and campagn May 2006-end 2010: implementation of NFHP based on operational plan by governmental partners and stakeholders
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
Science based: Public Health Council + appropriate experts
Positive approach:Restrictive and legislative actions as last resort
Multi-stakeholder consultation:Community health promotion organisations,
consumer groups, medical and paramedical sector, private sector (food industry, catering, distribution, advertising, …), …
Responsibility of stakeholders involved:Consensus and commitment
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
Propose and develop activities to reduce risk factors for chronic diseases related to unhealthy diets and lack of physical activity
Increase awareness and understanding of the importance of diet and physical activity amongst society stakeholders, consumers, private sector, health professionals, media and general public
Encourage all stakeholders involved to participate in the constructive debate and initiate, develop and implement actions coherent with the objectives of the NFHP-B
Create a framework for concrete, visible and coordinated actions to reduce disease risk and improve health and quality of life
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
Incorporation of the conclusions of the 10 working groups in the plan
Strategic Policy Options:
1. Communication2. Creating an environment promoting healthy eating habits and physical activity3. Commitment of the private sector4a. Breastfeeding and infant nutrition4b. Selective deficiencies and optimal nutrition5. Undernutrition in hospitals, nursing homes and home care6. Food intake data7. Scientific research on nutrition and nutritional behaviour
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
Objectives:
Creation of a reference point for clear and correct information on diet and physical activity in order to allow the public, both consumers and professionals to have access to a validated source of correct, science-based and coherent information
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
Objectives:
Development of 6 nutritional objectives for the Belgian population based on scientific principles and available data
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
1) Adaption of energy balance2) Consume > 400 g of fruits and
vegetables per day3) Decrease energy consumption from
fats to 35% of total energy increase nutritional quality of fat4) Increase carbohydrate intake to min
50% of total energy intake composed of complex carbohydrate sources and limit intake of free added sugars
5) Reduce salt intake and replace salt with iodised salt
6) Address selective micronutrient deficiencies in specific subgroups
7) Increase water consumption (min 1.5 L per day)
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
Objectives:
Creation of a logo to enable the public to identify initiatives that are in line with the principles of the NFHP-B and to enable all actors involved to have their initiatives validated with regard to consistency with the NFHP-B
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
NFHP-Logo
Spot television
Website
5 Food Guides
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
www.mijnvoedingsplan.beww.monplannutrition.be
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
Food GuidesGeneral1-3 years of age3-12 years of age12-18 years of ageElderly
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
750 000 ex.
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
50 000 ex.
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
250 000 ex.
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
250 000 ex.
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
150 000 ex.
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
Distribution channels for food guides:
- Mutualities: 365.000- FEDIS (distribution): 265.000- Pharmacy: 249.000- GP’s: 127.000- Pediatricians: 20.000- Gynecologists: 17.000- Site/callcenter: 30.000
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
N a t i o n a l F o o d a n d H e a l t h P l a n
Objectives:
50% breastfeeding at the age of 3 months in 2010
90% breastfeeding for 6 months in 2015
25% Baby-Friendly Hospitals by 2010
Coherent breastfeeding policy (BreastFeeding Committee)
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
N a t i o n a l F o o d a n d H e a l t h P l a n
Action:Promotion and support of BFHI
Timing: May-Aug ‘06: Evaluation Pilot Sep’06-Jun ‘07: extension of BFHI / 2nd phase pilotJan-Mar ‘08: publication of recommendationsJun-Dec ‘08: Implementation-Coherent breast feeding policy
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
N a t i o n a l F o o d a n d H e a l t h P l a n
Objectives:Application of the WHO code on breast feeding substitute
Improved education of health care workers
Provision of objective science-based and independent information on breast feeding and infant nutrition(Creation of expert committee)
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
N a t i o n a l F o o d a n d H e a l t h P l a n
Action:Application of the WHO code on breastfeeding substitutes by Federal Agency of the control of the food chain (FAVV-AFSCA)
Negociation with sector in when unacceptable practices occur
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
N a t i o n a l F o o d a n d H e a l t h P l a n
Action:Food habits on infants, search and solve bottlenecks for the promotion of breastfeeding
Conduct a national policy by Federal Breastfeeding Committee
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
N a t i o n a l F o o d a n d H e a l t h P l a n
Action:Provision of objective science-based (also based on practices and consensus) and independent information on breastfeeding and infant nutrition
Reference point: - Federal BreastFeeding Committee- Creation of expert committee on infant nutrition
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
N a t i o n a l F o o d a n d H e a l t h P l a n
Action:Creation of expert committee on infant nutrition - elaborate scientific recommendations - communication of recommendations through federations towards health professionals- recommendations for curricula and permanent formation
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
N a t i o n a l F o o d a n d H e a l t h P l a n
- Actions 2007 :
Poster for maternities at the occasion of the Mondial week on Breastfeeding (each year on a new theme)
Affiches
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
N a t i o n a l F o o d a n d H e a l t h P l a n
- Actions 2007 :
Poster for maternities at the occasion of the Mondial week on Breastfeeding (each year on a new theme)
Affiches
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
N a t i o n a l F o o d a n d H e a l t h P l a n
- Actions 2007 :Within the framework the European Blueprint for Action :1) Participation to a data collection study on breastfeeding rates (at 48h and at 6 months as recommanded by the WHO).
2)Organisation of a permanent formation for GP’s, gyneacologists and first line cares on use of medecines in combination with breastfeeding and possible affectations and treatments during breastfeeding (November 2007)
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
N a t i o n a l F o o d a n d H e a l t h P l a n
- Actions 2008 :3) Brochure without text for allochtones and illiterates on how to breastfeed.
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
N a t i o n a l F o o d a n d H e a l t h P l a n
- Actions 2007 :In the framework of the NFHP :
Participation to an exhibition « Babyboom » et « Famiboom » for families to sensibilize on the importance of breastfeeding and of good food habits for the young children and their family (October 2007)
Newsletter (3 per year ) for the primary health cares and pediatricians on nutrition for babies and young infants (the first theme is focused on practical nutritionnal recommandations).
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SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT
N a t i o n a l F o o d a n d H e a l t h P l a n
N a t i o n a l F o o d a n d H e a l t h P l a n
- Actions 2008 :
TV-Spot on breastfeeding