Regional TCP on Creating Enabling Environments for Nutrition Sensitive Food and Agriculture to Address Malnutrition

Savan Hanephom (NPC)

Siviengkhek Phommalath (NE)

30 March 2017 in Bangkok, Thailand

“Selected NUS and preliminary proposed sites option for field survey: Lao PDR”

Nutrition situation2015:

Agriculture for Food Balance Sheet

• Agriculture contributed 21.3% of GPD (2016)*

• Supply Utilization Account (SUA):

- National target: average 2,600Kcal/person/day

- Recently: average 2,925Kcal/person/day (Survey in 2015)

Source: www.cia.gov

LECS V 2012/13Average dietary

energy

consumption

Average protein

consumption

Average

carbohydrates

consumption

Average fat

consumption

Province kcal/per/day g/person/day

Vientiane CP 2158 70.8 391.3 31.0

Phongsaly 3253 92.7 644.1 29.9

Luangnamtha 3361 97.6 623.3 50.2

Oudomxay 3007 81.9 600.3 27.8

Bokeo 2390 63.4 497.2 14.2

Luangprabang 2773 79.2 531.5 33.7

Huaphanh 2668 69.0 558.7 14.8

Xayabury 2945 81.1 580.3 30.9

Xiengkhuang 2682 66.8 558.8 17.9

Vientiane 2872 70.7 597.0 20.1

Borikhamxay 2638 70.5 529.4 24.3

Khammuane 2390 67.1 488.7 16.1

Savannakhet 2763 81.4 543.3 26.7

Saravne 2429 78.8 464.8 26.1

Sekong 2014 51.1 421.3 12.0

Champasack 2761 81.0 547.4 24.3

Attapeu 2604 75.6 516.8 23.8

Child under 5 undernutrition in Lao PDR

39.8

53.6

11.8

36.4

48.2

17.5

31.6

47.6

7.3

26.6

44.2

5.9

25.5

35.6

9.6

0

10

20

30

40

50

60

Underweight (weight-for-age) Stunting (height-for-age) Wasting (weight-for-height)

1993 LSIS 2000 NHS 2006 MICS 2011/12 LSIS 2015 LCAAS

34%

17%

35.6% CU5 stunted

(Est. 330,000 children)

Source: 2015, Global Nutrition Report2015, LCAASLao Statistics Bureau, 2015 population census; annual population growth estimate (1.5%); % of total population as children under 5 (14.06%)

927,000children under 5

44.2% CU5 stunted

(Est. 385,000 children)

871,000children under 5

2011/12 2015

Number of Stunted Children Under 5 in Lao PDR

Child under 5 Stunting by Province2011/ 12 2015

• 13 provinces have very high levels of stunting (>40%)

• 9 provinces have very high levels of stunting (>40%)

Borikhamxay

Vientiane Capital

Phongsaly

Luangprabang

Huaphanh

Khammuane

Attapeu

Saravane

Vientiane

Province

Xayabury

Oudomxay

Luangnamtha

Bokeo

Xiengkhuang

Champasack

Sekong

Xaysomboun

4,222

2,238

4,598

5,382

8,185

5,072

7,653

4,204

6,882

2,937

1,442

3,554

>15%10-15%5- 9%0-4%

14,972

15,6798,050

Savannakhet

17,359

14,816

• 9.6 per cent of children under 5 years have acute malnutrition or wasting (low weight for height/length)

• 3 provinces have high levels of wasting, exceeding WHO serious 10% threshold

Source:

Lao Statistics Bureau, 2015 population census; annual population growth

estimate (1.5%);% of total population as children under 5 (14.06%)

LCAAS, 2015: prevalence of CU5 GAM

WHO GAM prevalence public health significance thresholds (%)

37,696

Child under 5 Wasting by Province

Climate condition since 1976 to 2015:

0

5

10

15

20

25

30

35

40

19

76

19

78

19

80

19

82

19

84

19

86

19

88

19

90

19

92

19

94

19

96

19

98

20

00

20

02

20

04

20

06

20

08

20

10

20

12

20

14

Tem

pe

ratu

re (

°c)

Temperature in 3 part of Laos from 1976 to 2015

Max VTE

Max LPB

Max CPS

Min VTE

Min LPB

Min CPS

Mean VTE

Mean LPB

Mean CPS

Mean T(76 and 15)LPB: 1.2VTE: 0.8CPS:1.6

-

500.0

1,000.0

1,500.0

2,000.0

2,500.0

3,000.0

19

76

19

78

19

80

19

82

19

84

19

86

19

88

19

90

19

92

19

94

19

96

19

98

20

00

20

02

20

04

20

06

20

08

20

10

20

12

20

14

Rai

nfa

ll (m

m)

Rainfall in 3 part of Laos from 1976 to 2015

Luangprabang

Savannakhet

Champasack

Government Policy support for nutrition on Food and

Agriculture

Stunting

ASEAN INTEGRATED FOOD SECURITY FRAMEWORK

SDG

8TH

NSEDP

NATIONAL NUTRITION STRATEGY 2025

World Health Assembly Targets

ASEAN Cluster 1: Promoting Healthy Life style Nutrition among 7 priorities

ASEAN IAI phase 3 of CLMV - Nutrition

NNS2025 NNAP 2016-2020

Agriculture Education Health

eliminate malnutrition

4 multi-sectoral and governance interventions

4 nutrition sensitive

interventions

4 nutrition sensitive

interventions

10 nutrition specific and

sensitive interventions

3

NPAN Agriculture

Interventions

Provinces

Intended

coverage

Coverage

Actual

delivery

Key challenges to achieving

coverage

1. Increase production plant-

based foods

18 The assessment includes

activities implemented at

national level relating to

capacity development and

policy support.

The expected coverage remains

to be defined by intervention

and target area and group.

Completing the common result

framework will help estimating

the coverage more precisely.

2. Increase production animal

based protein 18

3. Support post-harvest

facilities, food processing,

preservation and storage

18

4. Promote agriculture-based

and NTFP-based IGA to

increase household incomes,

with emphasis on women

18

NPAN Intervention Progress : Agriculture

Crop-related Neglected and Underutilized Species (NUS)Food Group English/Local Name Scientific Name Classify in NUS1. Cereals Sorghum Sorghum Bicolor Underutilized2. Roots andTubers

TaroColocasia sp.

Neglected andUnderutilized

Purple YamDioscorea alata L.

Neglected andUnderutilized

Fancy Yam Dioscorea esculentaBurk.

Neglected andUnderutilized

3. Nuts and PulsesMungbean

Vigna radiata (L.)Wilczek

Underutilized

Rice BeanVigna umbellata(Thunberg) Ohwi &Ohashi

Neglected andUnderutilized

CowpeaVigna unguiculata (L.)Walp. subsp.unguiculata

Underutilized

Stable and NUS crop production in Laos

Province Area (ha) Production (t) Yield (t/ha)

2013 2014 2013 2014 2013 2014

Rice 891,190 957,924 3,414,560 4,002,425 3.8 4.2

Root and

Tuber 65,995 81,345 1,477,948 1,872,240 22.4 23.0

Mungbean 2,940 2,920 3,365 4,000 1.1 1.4

Source: Department of Agriculture, MAF,2014

Link with project

• Global Agriculture Food Security Programme (2016to 2021) cover 12 Dis, 400 Village in 4province(Phongsaly, Huaphan, Oudomxay and Xiengkuangprovince)

• Enhancing Nutrition of Upland Farming Families (ENUFF) 2 provinces (Huaphan and Oudomxayprovince).

• Food and Nutrition Security (FAO) in Luangnamtha province

• Food and Nutrition Security and Link to market (IFAD) 3 provinces (Saravane, Sekong and Attapeuprovince) 2013-2019