Nutrition Policy, Healthcare Reforms, and Population Based Change
Nutrition Policy, Healthcare Reforms, and Population Based Change
Nutrition Policy, Healthcare Reforms, and Population Based Change
2. Public Policy
3. Regulatory Activities
6. Elements of Change
Healthcare reforms
• It is a general rubric used for discussing major health policy creation or changes—for the
most part, governmental policy that affects healthcare delivery in a given place
Healthcare reform
1. Its overall goals are to: 1. Pakistan has so far introduced little
fundamental change in its HCS.
1. Enhance efficiency of the healthcare
system (HCS), both technical and 2. Recently introduced Devolution Plan
allocative; provides an opportunity to introduce far-
reaching changes to make HCS truly
2. Improve the quality of services; and/or responsive to the needs of people.
3. Generate new resources for HCS. 3. The extremely precarious and deteriorating
economic reality in Pakistan alone demands
such restructuring and reorganization of its
HCS.
1. Broaden the population that receives healthcare coverage through either public
sector or private sector
6. Decrease the cost of healthcare the package should include MNT, for its being cost
effective and helpful in managing most of the chronic diseases like, T2DM,
cancer, hyperlipidaemia etc.
Coalition for nutrition services in healthcare reform
1. Quality health & nutrition services (NS) are available, accessible, & affordable to
the people
2. NS shold meet the preventive, therapeutic & rehabilitative healthcare needs of the
people
1.5.Nutrition interventions & education programs that promote health & prevent
diseases should be fundamental to reform
1.6.NS should be coordinated with supplemental food programs & other food
assistance programs and delivered to a variety of settings that are both traditional &
innovative
1. Societal behaviour
4.5.Strategically plan comprehensive, but simply presented, local food system data
4.6.Apply food system discussions and case studies to aid local health management
when planning programs
4. Policy=Ruels 5. Incentives/disincentives
1. Big “P”
1. Legislation
2. Litigation
Food & nutrition policy
1. Nutrition policy (or nutrition planning)is
"Nutrition policy." A Dictionary of Food and Nutrition. Retrieved November 05, 2016 from Encyclopedia.com:
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Nutrition Policy Framework
Policy
development
Identify relevant Evaluate health
Describe policy
nutrition & obesity outcomes &
development
related policy strategy consequences of policies
Examine policy
areas Model policies & policy
implementation
Identify relevant policies briefs
Design policy
Communicate &
Policy identification content, intent &
disseminate policy
enforcement
research
research Policy evaluation &
products
Introduction
1. Food and nutrition are basic requirements for the promotion and protection of health, enabling the full
potential of human growth and development, with quality of life and citizenship.
2. The recent social transformations have changed our standards of health and food consumption, apart from
reducing hunger and food shortages, they have improved access to foods and hence exposed us to new set
of malnutrition, the overnutrition.
3. Inspire of these improvements a large segment of our population is living in extreme poverty.
1. Diet,
2. Nutrition and
3. The strengthening of individual autonomy: Keep in notice that there is a fine line between pleasure
and harm
4. Social determination and the interdisciplinary and intersectoral nature of food and nutrition
5. Food and nutritional safety with sovereignty: Right of access to safe & abundant food
Guidelines
1. The guidelines should indicate various 1. Social Participation and Control
initiatives to achieve its purpose that are
capable of modifying the determinants of 2. Qualification of the Workforce
health and promote the population's health.
These are consolidated into: 3. Food Control and Regulation
1. The current food and nutrition situation in the country stresses the need for
better organization of health services to meet the demands created by health
problems related to poor diet, both in relation to diagnosis and treatment
and related to for disease prevention and health promotion.
2. Thus, it must be in accordance with the needs of each phase of life and with
special dietary needs; referenced by food culture and by gender, race and
ethnicity; accessible from a physical and financial standpoint; harmonious
in quantity and quality; based on adequate and sustainable production
practices; with minimum quantities of physical, chemical and biological
contaminants.
Gl 3-Food and Nutrition Surveillance
1. Food & nutrition security, rightly demands for ordering the training of
workers involved in the food & nutrition agenda.
STABILITY of the Even if your food intake is adequate today, you are still considered to be food insecure if
you have inadequate access to food on a periodic basis, risking a deterioration of your
other three dimensions nutritional status. Adverse weather' conditions, political instability, or economic factors
over time (unemployment, rising food prices) may have an impact on your food security status.
Nutrition policy overview
Inputs Processes Outputs
h
Science policy Socioeconomic policy
ar c
e se Research
R Health/Medical care policy
Educational policy
Agricultural policy Improved health status
of the individuals
n
ntio
Food supply Food assistance
ve
programs Quality of
Production
Pre
•
life
• Processing
• Distribution/Market
Food consumption
ing Healthier environment
Programs & sustainable food
services
systems
Environmental policy
Pakistani scenario
Formulation of National Food& Nutrition Security
Policy
2. After a series of meetings, a draft policy has been prepared with the
following salient features:
Policy Vision
1. All Pakistanis, at all times, have physical, social and economic access to
sufficient, safe and nutritious food to meet their dietary needs and food
preferences for an active and healthy life.
Target
1. Halving food insecurity and malnutrition in the country by 2030 from 2012
baseline, and achieving food security for all by 2050.
Strategic Interventions
1. Establishment of National Food & Nutrition Security Council to
2. Nutrition programmes for less than 5 year children and pregnant and lactating
mothers.
8. Food supply and distribution programmes for the poor and highly food
insecure people.
Policies, Environments
Agendas
Policy formulation
Conduct analyses to
Advocacy
Police are a dynamic process and are bound Promote the solution to
to change under different situations & decision-makers
requirements Implementation
Ensure that enacted changes
becomes
rule/processes/budgets
Evaluation
Evaluate the impact in terms of each
process and overall goal
Food and Nutrition Policy Entrepreneurs
Consumer Interest groups &
Other NGOs
Government – at all levels
NGOs
CIG
G
o
Health/Nutritional
v t
HN
PA
Professional Associations
Food &
Nutrition
Farmers/Commodity groups
FCG
Policy
B R
S
Scientific Bodies &
FI
Researchers
Food Industry
What Can Nutrition Advocates Do?
Get set: Name & frame the solution: a) Research & identification of change objectives, b)
Grow:
Go: MoveBuild
theprotect & defend:
proposal: a) Implementation,
a) Induction enforcement
of change proposal, & monitoring
b) Launch of campaignof for
proposed
change, c)
Get
Framing
ready:
theBuild
issuethe
& base:
changea) objectives,
Issue identification,
c) Identification
b) Community
& cultivation
visioning
of allies,
& organization,
d) Identification
c)
change, b) Influence
Movement of proposed
& modification change
of change on other
proposal andequity issuesredirection
d) Success, & objectives, c) Further
or failure of change
Initial
& development
power analysis
of strategies
and d) for
Planning
isolation
the of
advocacy
opponents
strategy
and e) Negotiations with decision makers
development of equity leadership and d) Cultivation & protection of equity improvements
proposal
to develop change proposal
Those who dare can do