PRAIA RECOMMNEDATIONS

1
PRAIA RECOMMNEDATIONS

• Recommendation1
• Recommendation and report distributed to all
  stakeholders Health, Education and Agriculture
  and to partners WHO, UNICEF and FAO
• NCD Focal Point identified at Department of State
  for Health
• Television and Radio Programmes on NCDS
• Celebration of World Diabetic Day including
  march pass

2
Recommendation 2

• Department of State for Health, NaNA and MRC
  formed partnership
• Proposed national survey on the prevalence of
  NCDs- using the WHO 3 Steps- BMI, Blood Pressure,
  smoking, alcohol intake, glucose test, physical
  activity, fruit and vegetable intake

3
Recommendation 3

• Life cycle approach
• Improved maternal nutrition- low birth weight
• Early initiation of breastfeeding
• Exclusive breastfeeding for 6 months
• Growth monitoring during the 1st 24 months
• Adolescent nutrition

4
Recommendation 4

• Part of the Nutrition Policy
• Advocating to integrate into other sectoral
  policies- e.g. Agriculture and Education

5
Recommendation 5

• Early Childhood Development (ECD) holistic
  approach
• Health and Nutrition Education Programme in Lower
  Basic Schools proposal submitted to FAO
• Engaging Department of State for Education to
  bring back physical education as part of the
  school curriculum

6
Recommendation 6

• Food Consumption Survey
• Food Composition Table proposals submitted to FAO
• Collaborating with Local Food Processors
  Association
• Vitamin A Supplementation
• Dietary diversification- production, processing,
  preservation and consumption of locally available
  foods (Community gardens)
• Food Act 2005 Food Safety, quality and hygiene

7
Recommendation 7

• Dialoguing with the Department of State for
  Health, WHO and UNICEF for integration

8
Vitamin A Supplementation coverage

• Provisional figures from MICS, 2006
• Routine vitamin A supplementation (last six
  months prior to survey)
• 80 of 6- 9 months received high dose vitamin A
• Urban 77
• Rural 82
• Post partum women (within past two years)
• 78 received high dose vitamin A (200,000 iu)
  within 8 weeks after delivery

9
National Vitamin A and Deworming campaign
May/June 2007

• 32,390 (94) of children aged 6-11months with
  Vitamin A
• 204,480 (80) of children aged 12 -59 months were
  supplemented with Vitamin A and dewormed
• Nationally 236,870 (82) were supplemented with
  Vitamin A
• Facilities reported mothers bringing worms
  expelled by their children

10
Anaemia

• National data 1999
• Pregnant women 73 moderately anaemic and 5
  severely anaemic
• Lactating mothers 56 moderately anaemic and 2
  severely anaemic
• Children under five 76 moderately anaemic and
  15 severely anaemic
• Discussing with MRC to repeat the survey in 2008

11
IDD

• Total Goiter Rate 16.3
• Average median urinary iodine levels 4.4ug/dl
• Household consumption of iodized salt 13.3
• National Association of Salt Producers and
  Traders formed
• 6 communities 1 private company are now
  producing iodized salt
• Salt iodization mobile plant
• Food Fortification and Salt Iodization
  Regulations 2006