(NPANM ANM III), ), 20 2016 16-2025 2025 Za Zalma ma Ab - - PowerPoint PPT Presentation
31 st NSM Conference, 31 May - June 2016, Istana Hotel Kuala Lumpur Th The e Th Third ird Nat ational ional Pla lan n of Act ction ion for Nutrition trition of Mal alaysia aysia NPANM III 2016-2025 (NPANM ANM III), ), 20 2016
NPANM III
2016-2025
31st NSM Conference, 31 May - June 2016, Istana Hotel Kuala Lumpur
International Conference on Nutrition (ICN), Rome 1992 NPANM (1996-2000) National Nutrition Policy of Malaysia
(Endorsed by the Cabinet in 2003)
NPANM II (2006-2015)
Mid-term Review of NPANM II
International Conference on Nutrition (ICN2), Rome 2014
NPANM III, 2016-2025
NPANM III (2016 - 2025)
Plan of Action for Prioritizing Intervention to fight Obesity in Malaysia MOH Strategic Plan 2016-2020 &
policy & plan of action Nutrition programmes in the country Global Nutrition Target 2025 (WHO) Action Plan to Reduce Double Burden of Malnutrition in the Western Pacific Region (2015-2020) Global Action Plan for the Prevention & Control of NCD 2013-2020 Western Pacific Region Action Plan for the Prevention & Control of NCD 2014- 2020 ASEAN Integrated Food Security (AIFS) Framework & Strategic Plan of Action on Food Security in the ASEAN (SPA-FS) (2015-2020) International Conference
11th Malaysia Plan NPANM II (2006-2015) THE NATIONAL SCP BLUEPRINT 2016-2030 Bandar Seri Begawan Declaration on NCDs in ASEAN 2013
5
Global Nutrition Target 2025 ICN2, Rome Declaration on Nutrition & FFA NPANM III 2016-2025
40% reduction in the number of children under-5 who are stunted 50% reduction of anaemia in women of reproductive age No increase in childhood overweight 30% reduction in low birth weight Increase the rate of exclusive breastfeeding in the first 6 months up to at least 50% Reduce and maintain childhood wasting to less than 5%
Global NCD Targets 2025 – nutrition-related
Incorporating nutrition objectives, considerations and components into national development policies and action plans
Foundation strategies Facilitating Strategies
Promoting maternal, infant and young child nutrition Promoting healthy eating and active living Preventing and controlling nutritional deficiencies Preventing and controlling obesity and other diet related NCD Sustaining food systems for healthy diets Supporting efforts to promote food safety and quality To enhance nutritional status To reduce diet-related non-communicable diseases
TOWARDS ACHIEVING OPTIMAL NUTRITIONAL WELL-BEING OF MALAYSIANS
Goal
Enabling Strategies
Strengthening food and nutrition research and development Ensuring sufficient numbers of qualified nutritionist and dieticians Strengthening institutional and community capacity for nutrition
Providing standard nutrition guidelines for targeted groups
Continuous assessment and monitoring of the nutrition situation
To strengthen food and nutrition security
Objectives
Anemia (9.3% to <5%) Total Weight Gain (30% increased from baseline) GDM (No increase from baseline - 8.7%)
Pregnant women Neonatal Low Birth Weight (11.3% to 8%)
Continue….
Infant Exclusive breastfeeding at 6 months (Target will be determined based on NHMS 2016) Exclusive breastfeeding at 6 months of age (29.4% to 70%) (AMP reten)
Complementary food:
Target will be determined based on NHMS 2016 findings
Percentage of adults meeting recommended servings : 1) Cereal, cereal products & tubers (41.3 % to 60%) 2) Fruits (14.9% to 25%) 3) Vegetables (7.9% to 15%) 4) Meat, poultry & egg (66.8% to 75%) 5) Fish & fish products (31.3% to 50%) 6) Legumes & nuts (17.1% to 50%) 7) Milk & dairy products (24.4% to 60%)
Malaysian Food Pyramid Other MDG Key Messages
1) Percentage of adults consume sodium less than 2000 mg/ day (52.5 % to 70%) 2) Percentage of adults meeting recommended water intake (44% to 65%) 3) NIP (Read at least 4 nutrients) (5.7% to 12%)
Percentage of anemia among women in reproductive age (22.8% to <11%)
Non-pregnant Women Children below 5 years
Underweight (12.4% to <10%) Stunting (392,973 - 17.7% to 250,000 - 11%) Wasting (8.0% to <5%)
School Children
Thinness 5-9 years (9.0% to 6%) 10-14 years (6.9% to 5%) 15-17 years (7.0% to 5%)
Reduced household food insecurity status based on 6 parameters. 1) Food quantity (25% to 15%) 2) Food variety (26% to 15%) 3) Meal size reduction (22% to 13%) 4) Skip meals (15% to 9%) 5) Affordable food (24% to 14%) 6) Could not afford to feed children with variety food (21% to 12%) Food & Nutrition Security
Overweight
No increase from baseline data (3.4%)
Obesity
No increase from baseline data (3.7%)
Childhood Obesity (Under 5 years) Overweight
5-9 years - No increase from baseline data (12.1%) 10-14 years – No increase from baseline data (16.0%) 15-17 years – No increase from baseline data (14.4%)
Obesity
5-9 years - No increase from baseline data (14.8%) 10-14 years – No increase from baseline data (14.4%) 15-17 years – No increase from baseline data (9.6%)
School Children Obesity
Overweight
No increase from baseline data (29.5%)
Obesity
No increase from baseline data (17.9%)
Abdominal Obesity
No increase from baseline data (40.0%)
Adult Obesity (18-59 years old) Elderly Obesity (>59 years old)
Overweight
No increase from baseline data (33.6%)
Obesity
No increase from baseline data (15.7%)
Hypercholesterolemia
No increase from baseline data - 47.7%
Diabetes Mellitus
17.5% to < 15%
Hypertension
30.3% to 24%
Diet related NCD
MATERNAL
Therapeutic Diet for pregnant mothers comprising: Gestational Diabetes Mellitus Under and over nutrition Anaemia Hypertension BREASTFEEDING
promotional activities
exclusive breastfeeding. Printed promotional material Dialogue/forum Convention/ Seminar Advertisement through mass and social media
CHILD CARE CENTRE
eating.
care givers on infant feeding based on Infant and Young Child Feeding modules.
PRESCHOOL
eating, develop teaching materials (e.g. interactive, educational games and conduct conference/ convention .
“Kebun Dapur Project” initiated by KEMAS.
PRIMARY/ SCHOOL CHILDREN
Enhance nutrition promotion Development of educational package on healthy eating in line with MDG key messages for school children. Review healthy eating component in school curriculum
INSTITUTE HIGHER LEARNING
at cafeteria, develop educational materials on healthy eating targeted to university students and promote healthy eating component into culinary courses.
club/ programme.
related club/ programme and conduct TOTs training.
COMMUNITY
including articles, slots in mass media where feasible based on Malaysian Dietary Guidelines (including My Healthy Plate), Empower consumers through digital technology MyNutriDiari, Strengthening of Nutrition Information Centers and Healthy Community Kitchen. Creating a calorie conscious society (i.e.: R&R and hotels) Increasing fruit & vegetable intake Reducing salt & sugar
PHYSICAL ACTIVITY
WOMEN IN REPRODUCTIVE AGE
CHILDREN BELOW 5 YEARS
COMMUNITY
INTEGRATION NUTRITION COMPONENT IN AGRICULTURE POLICY
Sufficient Level (SSL) determination through agricultural food production.
Production Calculator.
FOOD STORAGE & PRESERVATION
preservation infrastructures.
ES 5 : SUSTAINING FOOD SYSTEMS TO PROMOTE HEALTHY DIETS
NUTRITION REQUIREMENT DURING CRISIS/ EMERGENCY
distribution according to nutrition requirement during crisis/ emergency.
ADVOCACY & PROMOTION
(i.e.: pulasan, kuini, binjai, cherry Terengganu, asam gelugor, terung asam, bambangan, sagu, sukun).
vegetables.
ES 6 : SUPPORTING EFFORTS TO PROMOTE FOOD SAFETY
EDUCATION FOR NUTRITION LABELLING
FS 1 : PROVIDING STANDARD NUTRITION GUIDELINES FOR VARIOUS TARGET GROUP
comprehensive nutritional guidelines for : Children with special needs for healthcare providers. Pregnant & Lactating Women. Elderly. Vegetarians.
and training modules in the context of sustainable food system at least once every ten years: RNI. MDG. DEVELOP NEW GUIDELINES REVIEW EXISTING GUIDELINES
FS 2 : CONTINUOUS ASSESSMENT & MONITORING OF NUTRITION SITUATION
Establish a database of nutritional status (anthropometry) of the elderly in old folks home.
CONTINUOUS ASSESSMENT
Update of Malaysian Food Composition Database. Establish the National Institute of Nutrition. Establish Nutrition Research Priorities (NRP) for Malaysia for each Malaysia Plan (MP).
NATIONAL INSTITUTE OF NUTRITION (NIN)
MALAYSIAN FOOD COMPOSITION DATABASE (FCD) NUTRITION RESEARCH PRIORITIES (NRP)
FS 3 : STRENGTHENING FOOD & NUTRITION RESEARCH
Strengthen capacity building in postgraduate nutrition research.
POSTGRADUATE NUTRITION RESEARCH
Establish smart partnership on research with key stakeholders or research institutions.
SMART PARTNERSHIP
Incorporate nutrition components into national surveys/ research by other agencies, i.e: Malaysian Family Life Survey (LPPKN), Household Expenditure Survey (DOS).
INCORPORATION NUTRITION COMPONENTS
Periodic review of nutrition & dietetic curriculum in universities. Continuing Professional Development (CPD) as a requirement to renew practising certificate. Provide more opportunities for post graduate, sub-speciality training and cross-disciplinary training for nutritionist and dietitians.
CONTINUING PROFESSIONAL DEVELOPMENT (CPD)
CURRICULUM TRAINING
Registration as nutritionist and dietitian practitioner.
NUTRITIONIST AND DIETITIAN PRACTITIONER
Code of ethics and professional conduct for nutritionists and dietitians.
CODE OF ETHICS
To develop Subject Matter Expert (SME) Guidelines for Nutritionists and Dietitians.
SUBJECT MATTER EXPERT (SME) FS 4 : ENSURING SUFFICIENT NUMBERS OF QUALIFIED NUTRITIONIST & DIETICIANS
TOTs to health staff Echo training to staff of registered nurseries.
Childhood Education Courses (Diploma/ Degree).
INFANT & YOUNG CHILD
FS 5 : STRENGTHENING INSTITUTIONAL & COMMUNITY CAPACITY FOR NUTRITION
MOE Training Portal.
for supplementary feeding for all age groups during disasters and emergencies.
SOP – DISASTERS AND EMERGENCIES TRAINING TO TEACHERS
TRAINING TO HEALTH CARE PROVIDER
training of other professions; Medical & Para-medic Nurses Teachers (ERT & physical education)
Medical Nutrition Therapy (MNT) for all healthcare professionals.
http://nutrition.moh.gov.my Twitter :@Bahagian PemakananKKM Facebook: Bahagian Pemakanan, Kementerian Kesihatan Malaysia Youtube: Bahagian Pemakanan
Bahagian Pemakanan, KKM
KEMENTERIAN KESIHATAN MALAYSIA MINISTRY OF HEALTH