NATIONAL FOOD AND HEALTH PLAN

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N a t i o n a l F o o d a n d H e a l t h
P l a n

• NATIONAL FOOD AND HEALTH PLAN
• For BELGIUM

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N a t i o n a l F o o d a n d H e a l t h
P l a n
A science-based, multi-disciplinary approach of
obesity and chronic non-communicable diseases
related to unhealthy diets and lack of physical
activity
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N a t i o n a l F o o d a n d H e a l t h
P l a n
Belgium context
Principles of the NFHP-B
Nutritional objectives
Strategic policy options
Operational Plan
Organizational structure
Conclusions
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N a t i o n a l F o o d a n d H e a l t h
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Belgium a Federal State
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4 State reforms (1970, 1980, 1988-89, 1993)
- Federal State
- 3 Communities
- 3 Regions
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Competencies

• Federal State
• Foreign affairs, Defense, Justice, Finances,
  Social security, Public health (including
  foodstuffs and consumer products), Domestic
  affairs,
• Communities
• Language, Culture, Education, Audio-visual
  media, Curative and preventive medicine, Family,
  
• Regions
• Town planning, Environment, Employment, Economy,
  International trade, Agriculture, Energy,

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N a t i o n a l F o o d a n d H e a l t h
P l a n
Belgian Context
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N a t i o n a l F o o d a n d H e a l t h
P l a n
Body weight
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N a t i o n a l F o o d a n d H e a l t h
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Food intake
Source VCP, WIV, 2004
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N a t i o n a l F o o d a n d H e a l t h
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Principles of the NFHP-B
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N a t i o n a l F o o d a n d H e a l t h
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Key events
2004 Minister of PH Start of Belgian
reflections to launch PNNS 2004 WHO global
strategy on diet, physical activity and
health 2004 Creation of Expert Group within the
Federal Public Service Health, Food Chain Safety
and Environment Discussion document 2005
Protocol agreement between the different Federal,
Regional and Community Governments
(13/06/2005) Jan-June 2005 Intensive
multi-stakeholder consultation June 2005
validation of consensus documents / working
groups Jun- Nov 2005 redaction of NFHP based on
results of VCP Dec 2005 Finalisation Scientific
Text of the NFHP-B Oct 2005-Mar 2006 preparation
of campaign April 2006 Launch NFHP and campagn
May 2006-end 2010 implementation of NFHP based
on operational plan by governmental partners and
stakeholders
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N a t i o n a l F o o d a n d H e a l t h
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Key Principles
Science based Public Health Council
appropriate experts Positive approach Restricti
ve and legislative actions as last
resort Multi-stakeholder consultation Community
health promotion organisations, consumer
groups, medical and paramedical sector, private
sector (food industry, catering, distribution,
advertising, ), Responsibility of
stakeholders involved Consensus and commitment
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N a t i o n a l F o o d a n d H e a l t h
P l a n
General objectives
Propose and develop activities to reduce risk
factors for chronic diseases related to unhealthy
diets and lack of physical activity Increase
awareness and understanding of the importance of
diet and physical activity amongst society
stakeholders, consumers, private sector, health
professionals, media and general
public Encourage all stakeholders involved to
participate in the constructive debate and
initiate, develop and implement actions coherent
with the objectives of the NFHP-B Create a
framework for concrete, visible and coordinated
actions to reduce disease risk and improve health
and quality of life
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N a t i o n a l F o o d a n d H e a l t h
P l a n
Strategic policy options
Incorporation of the conclusions of the 10
working groups in the plan Strategic Policy
Options 1. Communication 2. Creating an
environment promoting healthy eating habits and
physical activity 3. Commitment of the private
sector 4a. Breastfeeding and infant
nutrition 4b. Selective deficiencies and optimal
nutrition 5. Undernutrition in hospitals, nursing
homes and home care 6. Food intake
data 7. Scientific research on nutrition and
nutritional behaviour
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N a t i o n a l F o o d a n d H e a l t h
P l a n
Communication
Objectives Creation of a reference point for
clear and correct information on diet and
physical activity in order to allow the public,
both consumers and professionals to have access
to a validated source of correct, science-based
and coherent information
Reference Point
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N a t i o n a l F o o d a n d H e a l t h
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Communication
Objectives Development of 6 nutritional
objectives for the Belgian population based on
scientific principles and available data
Nutritional Objectives
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N a t i o n a l F o o d a n d H e a l t h
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Communication

• Adaption of energy balance
• Consume gt 400 g of fruits and vegetables per day
• 3) Decrease energy consumption from fats to 35
  of total energy
• increase nutritional quality of fat
• 4) Increase carbohydrate intake to min 50 of
  total energy intake composed of complex
  carbohydrate sources and limit intake of free
  added sugars
• 5) Reduce salt intake and replace salt with
  iodised salt
• 6) Address selective micronutrient deficiencies
  in specific subgroups
• 7) Increase water consumption (min 1.5 L per
  day)

Nutritional Objectives
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N a t i o n a l F o o d a n d H e a l t h
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Communication
Objectives Creation of a logo to enable the
public to identify initiatives that are in line
with the principles of the NFHP-B and to enable
all actors involved to have their initiatives
validated with regard to consistency with the
NFHP-B
Easy Identification
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N a t i o n a l F o o d a n d H e a l t h
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Communication
NFHP-Logo Spot television Website 5 Food
Guides
Tools
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www.mijnvoedingsplan.be ww.monplannutrition.be
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N a t i o n a l F o o d a n d H e a l t h
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Communication
Food Guides General 1-3 years of age 3-12
years of age 12-18 years of age Elderly
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750 000 ex.
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50 000 ex.
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250 000 ex.
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250 000 ex.
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150 000 ex.
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N a t i o n a l F o o d a n d H e a l t h
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Communication

• Distribution channels for food guides
• Mutualities 365.000
• FEDIS (distribution) 265.000
• Pharmacy 249.000
• GPs 127.000
• Pediatricians 20.000
• Gynecologists 17.000
• Site/callcenter 30.000

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Breastfeeding
Objectives 50 breastfeeding at the age of 3
months in 2010 90 breastfeeding for 6 months in
2015 25 Baby-Friendly Hospitals by
2010 Coherent breastfeeding policy
(BreastFeeding Committee)
Sensibilisation
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Breastfeeding
Action Promotion and support of BFHI Timing
May-Aug 06 Evaluation Pilot Sep06-Jun 07
extension of BFHI / 2nd phase pilot Jan-Mar 08
publication of recommendations Jun-Dec 08
Implementation -Coherent breast feeding policy
Sensibilisation
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Breastfeeding
Objectives Application of the WHO code on breast
feeding substitute Improved education of health
care workers Provision of objective
science-based and independent information on
breast feeding and infant nutrition (Creation of
expert committee)
Education
Expert information
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Breastfeeding
Action Application of the WHO code on
breastfeeding substitutes by Federal Agency of
the control of the food chain (FAVV-AFSCA) Negoci
ation with sector in when unacceptable practices
occur
Education
Expert information
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Breastfeeding
Action Food habits on infants, search and solve
bottlenecks for the promotion of
breastfeeding Conduct a national policy by
Federal Breastfeeding Committee
Education
Expert information
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Breastfeeding
Action Provision of objective science-based
(also based on practices and consensus) and
independent information on breastfeeding and
infant nutrition Reference point - Federal
BreastFeeding Committee - Creation of expert
committee on infant nutrition
Education
Expert information
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Breastfeeding

• Action
• Creation of expert committee on infant nutrition
• elaborate scientific recommendations
• communication of recommendations through
  federations towards health professionals
• recommendations for curricula and permanent
  formation

Education
Expert information
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Affiches
Breastfeeding

• Actions 2007
• Poster for maternities at the occasion of the
  Mondial week on Breastfeeding (each year on a new
  theme)

Education
Expert information
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Affiches
Breastfeeding

• Actions 2007
• Poster for maternities at the occasion of the
  Mondial week on Breastfeeding (each year on a new
  theme)

Education
Expert information
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Breastfeeding

• Actions 2007
• Within the framework the European Blueprint for
  Action
• 1) Participation to a data collection study on
  breastfeeding rates (at 48h and at 6 months as
  recommanded by the WHO).
• 2)Organisation of a permanent formation for GPs,
  gyneacologists and first line cares on use of
  medecines in combination with breastfeeding and
  possible affectations and treatments during
  breastfeeding (November 2007)

Education
Expert information
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Breastfeeding

• Actions 2008
• 3) Brochure without text for allochtones and
  illiterates on how to breastfeed.

Education
Expert information
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Breastfeeding

• Actions 2007
• In the framework of the NFHP
• Participation to an exhibition  Babyboom  et
   Famiboom  for families to sensibilize on the
  importance of breastfeeding and of good food
  habits for the young children and their family
  (October 2007)
• Newsletter (3 per year ) for the primary health
  cares and pediatricians on nutrition for babies
  and young infants (the first theme is focused on
  practical nutritionnal recommandations).

Education
Expert information
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Breastfeeding

• Actions 2008
• TV-Spot on breastfeeding

Education
Expert information
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N a t i o n a l F o o d a n d H e a l t h
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The challenge
Today exclusive breastfeeding rates at 6 months
less then 30 The objective for 2015 90
exclusive breastfeeding at 6 months The Nordic
model is for sure, an example for Belgium to meet
this public health objective.
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N a t i o n a l F o o d a n d H e a l t h
P l a n
Thanks for your attention ! laurence.doughan_at_healt
h.fgov.be pascale.degryse_at_health.fgov.be www.monpl
annutrition.be