food quality, a critical issue
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Food Quality, a Critical Issue. Saskia de Pee, Tina van den Briel, Martin Bloem World Food Programme, Rome, Italy. Financial times 25/2/08: High food prices may force aid rationing. WFP warns it considers rationing aid in the face of dramatically rising food prices. - PowerPoint PPT PresentationTRANSCRIPT
Food Quality, a Critical Issue
Saskia de Pee, Tina van den Briel, Martin Bloem
World Food Programme, Rome, Italy
Financial times 25/2/08: High food prices may force aid rationing.
WFP warns it considers rationing aid in the face of dramatically rising food prices.
• Commodity costs have gone up by 40% since mid 2007, due to– Rising oil and energy prices, affecting the entire food chain – Economic boom in countries such as China and India drives up
demand– Bad harvests due to climate and weather changes– Competition between food and fuel (food at fuel prices)
• Riots taking place over food prices in several countries• The quality of the diet of the poor will suffer increasingly• Needs of WFP beneficiaries increase and number of
people needing food assistance increases
Thus,• Poverty is one of the key determinants of
malnutrition• Price of staple food is key determinant of
malnutrition rates at population level through indirect effect on non-grain food expenditure (i.e. quality food) of households
• But, lower price of staples is not enough to reach MDG-goals, interventions are needed to improve quality of food consumed by these populations
• Dramatic increase of price of staple foods seen over past 8 months will result in increase of malnutrition rates across the world
2007 2010 - 2012
20-25% WFP FOOD
FORTIFIED
20-25% WFP FOOD
FORTIFIED
70-100% MICRONUTRIENT
NEEDS MET
70-100% MICRONUTRIENT
NEEDS MET
FORTIFICATION
Specially formulated,
fortified foods
Micronutrient Powder
Fortified Blended Foods
General Food Basket
Cereals, Pulses, Legumes, FBF,
Vegetable Oil, Salt
WFP Nutrition Strategy
FEEDING BETTER FOOD…
DSM is playing a critical strategic role in enabling WFP to launch the strategy at the global level.
+ micronutrients
Challenges
• Whole grains (wheat, rice)
• Local purchasing (capacity and practice of processing industry)
• Tendering system
Distinguishing different forms of malnutrition among young children
Kind of malnutrition Cause and among whom
SAM Serious food/nutrition insecurity often combined with morbidity
Underweight, at risk of becoming SAM
- Underwt due to wasting related to shortage of food, continued lack of food main risk, as well as morbidity
- Underwt due to stunting, morbidity main risk factor
>=24 mo, stunted underweight children, MND widely prevalent
Inadequate quality of food, i.e. few animal source and fortified foods, after 24 mo, focus on alleviating MND
6-23 mo, high risk of growth faltering, moribidity, MND
Older infants and young children just introduced to poor quality complementary foods
Solutions needed for different forms malnutrition among young children
Kind of malnutrition Solution available / required
SAM RUTF, F100, F75 (cases with complications)
Underweight, at risk of becoming SAM
- Underwt (wasting) due to food shortage, requires energy and MN dense CF/CFS/RUSF (MN, milk and EFA’s esp. important for 6-23 mo, >=24 mo energy & MN)
- Underwt due to stunting, morbidity main risk factor, requires MN’s
Stunted underweight children, MND widely prevalent
24-mo and older, requires MN’s. In case of food insecurity, FBFs with good MN profile. Avoid much weight gain.
High risk of growth faltering, moribidity, MND
6-23 mo, need to make up for nutrients lacking in a diet with few ASF and fortified foods, i.e. CF or CFS (milk, EFA’s, MN)
Joint Statement WHO/UNICEF/WFP: Community-
based management of severe malnutrition
WFP, Internal and External
Communication
Fortified Blended Foods (CSB, WSB)
• One of the few foods provided in processed form and therefore fortified– Increases weight (for supplementary feeding young
children receive it mixed with oil and sugar)– Good protein profile, but no impact on linear growth– High fiber content – Consumption does not reduce anemia, due to low
bioavailability of minerals• Therefore, focus on improvements
– Dehulling to reduce fiber content– Improving MN specs– Better specification of appropriate target groups– Assess impact of mixing with milk powder for specific
groups
Joint Statement WHO/UNICEF/WFP: Preventing and controlling micronutrient deficiencies in
populations affected by an emergency
Micronutrient Powder• To increase MN intake of specific target groups:
– Underfives that consume too little staple foods– Pregnant and lactating women (PLW)– Entire families when food is consumed from shared plate– Institutional feeding– Where general food fortification is not available
• Issues:– Malaria-endemic areas– Provision of other fortified commodities (oil with VA, iodized salt)– Existing interventions for PLW– New commodity, needs explanation
Moderately wasted children and at-risk group of 6-23 mo old children
• Awaiting outcome of WHO MM meeting, but meanwhile
• Developing RUSF in India• Developing improved CSB with milk/whey
powder• Both to be compared with regard to impact
on linear growth and MN status to – Plumpy Doz, among moderately wasted
children– Nutributter among 6-23 mo old children
Note on costs of production (excl transport and distribution)
• RUTF: 3 USD/kg, i.e. 40 USD/child, needs donating
• CSB: 0.3 USD/kg, but limited impact
• CF or CFS with 20-25 g milk powder/100g: 2.5 USD/kg, but needs are lower, at 20-50 g/d costs are 0.06-0.15 USD/d
• MNP: 0.015 USD/dose, 180/yr=0.008 USD/d
Private sector involvement
WFP and Public-Private Partnerships
• Private Sector Partners, contribute– Expertise (QA, QC, MN specs, packaging)– CB of local processing industry– Support for programmatic research and pilots– Enhancing capacity of WFP
• DSM, GAIN, Unilever, Kemin, TNT
How Public and Private Sector in Development Facilitate WFP’s work
• Increased availability of fortified foods facilitates WFP purchasing and obtaining quality products
• Where good CF, CFS, MNP are already available and known to the population, their purchasing and distribution by WFP to specific groups will be greatly facilitated
Towards a nutritious
meal for all
Thank You