Nutrition Improvement of Population in Poor

Areas -YingYangBao Program in China

Wenhua Zhao

National Institute for Nutrition and Health, China CDC

1-2 December, 2016 Rome

Nutrition Status of Infant and Young Children in China

Rates, %

Stunting 18.7

Underweight 5.2

Wasting 3.0

Growth of children under 5 in poor rural areas, 2013Yu DM et al BES 2016

20.6

25.7

41.944.2 43.1

40.3

10.3

15.8

30.327.7

29.2 24.3

10

14.5

26.7 25.3

31.4

26.4

5.66.7

14.1 13.313.7

11.16.6

12.1

22.822.5 23.3

20.8

0

10

20

30

40

50

0- 6- 12- 24- 36- 48-60

1990

1995

2000

2005

2008

2010

2010 poor R

Stu

nti

ng

%

Age in Months

The peak of stunting ratio is

at 18 and 24 months, and no

further changes until 5 years

old. The critical period is

under 24 months

Chen CM,1990-2010 children nutrition

surveillance data

38.7

53.1

34.1

21.3

14.7 13

21.4

40.2

26.9

15.3 13.6 1220.8

28.2

20.5

9 7.2 5.7

0

10

20

30

40

50

60

0- 6- 12- 24- 36- 48-60

2000 2005 2010

Anemia prevalence by age groups in rural areas

Development of YYB in China

2000 2006 2012

Establish the base: Complimentary food

strategy was discussed by

ADB, China CDC, UNICEF.

The first YYB intervention

study in 5 poor counties was

conducted by Madam Chen

CM (2001-2006) .

Nutritionists call on the

government to scale up YYB.

Scaling up by government : MOH permitted the scaling up of YYB as a

trial project supported by GAIN. Promoting

projects were conducted in some regions.

National standard was established in 2008.

GB/T 22570-2008

YYB has been used in intervention in 2008

Wenchuan earthquake regions in 8 counties of

three provinces, supported by UNICEF and

CDC. The established work model was

successful.

National nutrition improvement project in poor rural regions: from 100 counties in 10 provinces to 341 counties in 21 provinces. The fund for YYB and nutrition education increased from 100 millions to 500 millions RMB. National food safety standardGB 22570-2014 promulgated.

First phase Second phase Third phase

R/D Application Scaling up, as national nutrition strategy

Nutrition Improvement Projects in Poverty RegionsA Joint Action by NHFPC and ACWF

Millions RMB No. provinces No. counties No. Children

2013 100 10 100 270,000

2014 300 21 300 830,000

2015 500 21 341 1,370,000

2016 500 21 341 1,430,000

Project frame workNHFPC ACWF

Project office Dept. of WCH,NHFPC

Implement office NCMCH, China CDC

Expert group

Province office PNHFPC and PWF

County office CNHFPC and CWF

MCH and WF

Village doctors

6-24 mo. infants

NINH, China CDC

Leadership

Technical support

Implement institutions

YYB project is accepted by infants and caretakers, about 4.23 million children benefited.

The implementing systems of MCH, LCDC and women federation at county-township-

village level are efficient for the YYB project.

Results of monitoring showed that the coverage and compliance reached planned target.

Reduction of stunting and anemia were remarkable.

Future

Improve the bidding system of products supply, in order to assure the quality of products

Monitor and evaluate other indicators (cognitive performance, vitamins and minerals

status), the cost-benefit analysis is important for policy-makers.

Marketing in urban and other rural areas

Summary

Thanks !