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Prof. Kraisid Tontisirin Institute of Nutrition, Mahidol University & Former Director of Nutrition and Consumer Protection, FAO.
Experiences with community based nutrition programs in Thailand
Presentation at the 4th National Seminar on Food Security and Nutrition Under the theme: “Child and Maternal Nutrition” Phnom Penh, Cambodia, 21-22 May 2012
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Service Driven Programmes
IndividualIndividualFamilyFamily
CommunityCommunity
Vertical, many become welfare oriented
Little intra/inter sectoralcoordination
Little people /communityparticipation
Dependency creation
Not sustainable
Inadequate coverage
Kraisid Tontisirin, Mahidol University
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Kraisid Tontisirin, Mahidol University
Elimination of undernutrition: a global deficit and priorities*
*ACC/SCN 1999
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• Promotion• Protection• Treatment
Kraisid Tontisirin, Mahidol University
Food Nutrition Health• Agriculture/• Food supply/• Service
Nutrition is a link between food and health, regarding the fulfillment of nutrient and non-nutrient
requirements from food in human life cycle.
Food and Nutrition Security for All Leading to Good Health and Well-being
Ultimate Goals
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Main Causes of Child Malnutrition
• Maternal poor nutrition and health lead to LBW of newborn, low milk quality and quality
• Declining of BF practices
• In adequate and in appropriate CF
• Poor sanitation in IYC feeding and cares
• Recurrent of illness i.e. diarrhea and respiratory tract infection
• Undesirable eating habitsKraisid Tontisirin, Mahidol University
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Community-Based Approaches
• Is an integrated program implemented at local level (district level and below)
• National commitment with sound nutrition improvement strategies and goals
• Community actions: basic services, mass mobilization, mutual efforts/actions to reach all people and to prevent malnutrition
Kraisid Tontisirin, Mahidol University
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Minimum Basic Services(Health, Education, Agr. Extension)
Minimum Basic Services(Health, Education, Agr. Extension)
Supportive System•Training•Funding
•Problem Solving•Supervision
Interface(service providers and
community leaders)•Plan/goals
•Implementation•Monitoring/evaluation
Community LeadersFamily
Individual
Basic Minimum Needs Goals/IndicatorsBasic Minimum Needs Goals/Indicators
Menus (Activities)•ANCANC•GMPGMP•Food productionFood production•Nutrition educationNutrition education•Food sanitation & Food sanitation & safetysafety•Other activitiesOther activities
Mobilizers(1:10 households)
Facilitators
Components of a successful community based program Components of a successful community based program
Kraisid Tontisirin, Mahidol University
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Menu Activity on ANC(to prevent maternal morbidity and mortality, and LBW)
• 4 ANC visits for all pregnant mothers
• High risk check up and treatment
• monitoring wt. gain
• Nutrition and health education
• Food supplementation if needed
• MTV, iron and folate supplementation
• Two tetanus toxoids
• Referral system and safe delivery service
Kraisid Tontisirin, Mahidol University
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Menu on Growth Monitoring and Promotion (GMP)
• Monthly or quarterly monitoring wt.& ht.
• Child growth education and cares
• Breastfeeding and CF
• Immunization
• Village based food production (+CF for IYC and supplementary food for mothers)
• Health and nutrition education
• Cooking and feeding demonstration
• Treatment of malnourished child
• Referral of severe illness and malnutritionKraisid Tontisirin, Mahidol University
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Community Food Production
• Home and school gardens growing vegetables, fruits, fishes and chicken for learning, consumption and income
• Supplementary food for pregnant mothers
• Complementary food for IYC
• food preservation and simple food processing techniques
• Cooperative and micro credit
Kraisid Tontisirin, Mahidol University
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Maternal and child health and nutritionThailand, 1980- 2006
Kraisid Tontisirin, Mahidol University
1980 1990 2006
ANC coverage % 35 75 95
Anemia in preg. %
50-75 18.8 10
LBW % 16 10 <10
PEM (Wt/Age of U 5)% 51 20 <10
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Conclusion 1
• Interface of basic social services with strong people participation at community level is crucial for prevention and control of malnutrition.
• Village Health Volunteers (1 VHV per 10 HH) have been proven to be effective. Current number of VHV are over 800,000.
• Nutrition indicators are most useful for goal setting and follow up actions i.e. birth weight, under weight of
under 5, stunting, and weight for height • Research and capacity development are essential to back
up the program
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13
...Thank you for your
attention...