slide1
Download
Skip this Video
Download Presentation
I. PLAN OF PRESENTATION SYMPOSIUM OBJECTIVE: TO FOSTER ACADEMY/POLICY-MAKER INTERACTION FOR EVIDENCE – BASED POLICY ENACTMENT.

Loading in 2 Seconds...

play fullscreen
1 / 18

.30 - PowerPoint PPT Presentation


  • 205 Views
  • Uploaded on

SECOND ANNUAL INTERNATIONAL SYMPOSIUM OF THE AFRICAN SCIENCE ACADEMY DEVELOPMENT INITIATIVE: PRIORITIZING FOOD SECURITY POLICIES FOR HEALTH AND DEVELOPMENT IN AFRICA. YAOUNDE, NOVEMBER 15 – 16, 2006 WED. 15/11/2006 11.30 – 13.00

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about '.30 ' - PamelaLan


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

SECOND ANNUAL INTERNATIONAL SYMPOSIUM OF THE AFRICAN SCIENCE ACADEMY DEVELOPMENT INITIATIVE: PRIORITIZING FOOD SECURITY POLICIES FOR HEALTH AND DEVELOPMENT IN AFRICA.

YAOUNDE, NOVEMBER 15 – 16, 2006

WED. 15/11/2006 11.30 – 13.00

SESSION III: STRUCTURED, DOCUMENTED PROCESSES FOR PROVIDING EVIDENCED-BASED POLICY-ADVICE: CASE STUDIES.

CASE STUDY FROM CAMEROON: INFORMING POLICIES TO IODIZED SALT

BY Prof Daniel. N. LANTUM

slide2
I. PLAN OF PRESENTATION
  • SYMPOSIUM OBJECTIVE: TO FOSTER ACADEMY/POLICY-MAKER INTERACTION FOR EVIDENCE – BASED POLICY ENACTMENT.
  • WHAT WAS THE PUBLIC HEALTH PROBLEM REQUIRING POLICY?
  • A CASE OF ENDEMIC GOITER
  • GOITER PREVALENCE SURVEYS: EVIDENCE
  • POLICY STRATEGIC OPTIONS
  • POLICY INSTRUMENTS
  • PARTNERSHIPS – COALITIONS = ALLIANCES = BY POLICY
  • IMPLEMENTATION – MONITORING = POLICY AMENDMENT
  • OUTCOMES: IODIZED SALT; USI, MONITORING. PROCESS
  • PROGRAMME – USI IMPACT EVALUATION
  • SUSTAINABILITY
  • REVIEW OF SCIENTIST/POLICY MAKER INTERACTION CYCLE
  • LESSONS LEARNT
slide3
II. WHAT WAS THE PUBLIC HEALTH PROBLEM? IODINE DEFICIENCY MALNUTRITION SEE TABLE COMMON INDICATOR: GOITRE

Goitre

iii a case of endemic cretinism from oshie photo
III. A CASE OF ENDEMIC CRETINISM FROM OSHIE PHOTO

A Cretin 50 yrs old North West Province with Dr Kamga Fotso August 1993

iv evidence collection goiter prevalence surveys
IV. EVIDENCE – COLLECTION – GOITER PREVALENCE SURVEYS
  • ISOLATED RESEARCHERS – 1950 –1990
  • BASE-LINE SURVEY: 1990-1991
  • COMMUNITY DIAGNOSIS
  • COMMUNICATION TO POLICY MAKERS
  • EVIDENCE – GOITER PREVALENCE
  • GERMAN REPORT OF 1904 – WUM – NW
  • R. MASSEYEFF (1955) – EAST CAMEROUN
  • PELE PELE 1969 – AKONOLINGA
  • F. STEPHANY ET AL 1970 – EAST CAMEROUN
  • LOWEINSTEIN 1972 - EAST CAMEROUN
  • PIERRE NGUESSI 1975 – EAST CAMEROUN
  • D. MFONFU ET AL 1987 – OCEAC – NATIONAL REVIEW
  • ANDI CHI TEMBON – 1988 – NORTH WEST PROVINCE
  • R. AQUARON ET AL 1971-1977 – IODINE IN SPRINGS
  • J. WONGHI NGUM – 1990 – N/W – BUI SCHOOLS
v community diagnosis table ii estimates of population at risk of idd in cameroon in 1991
V. COMMUNITY DIAGNOSISTABLE II: ESTIMATES OF POPULATION AT RISK OF IDD IN CAMEROON IN 1991

For 1991, with population annual growth of 2.92%, add 10%. Pop at risk « Multiplier » is 2.5

(Source = 1987 census, Cameroon National IDD Survey 1990 – 1991, By Lantum et al 1991

vi communication to policy makers mph
VI. COMMUNICATION TO POLICY – MAKERS (MPH)
  • COMMUNICATION TO POLICY – MAKERS (MPH)
  • CONFERENCE
  • WORKSHOP – YAOUNDE 8-24 APRIL 1991
  • PAMPHLET: “IDD IN CAMEROON 1990-91”
vii policy strategic options
VII. POLICY STRATEGIC OPTIONS
  • IODIZED CAPSULES
  • IODIZED BREAD
  • IODIZED WATER
  • IODIZED SALT
  • * DECISION IODIZED SALT STRATEGY
  • (WHO/UNICEF/ICCIDD MARCH 1986
  • WHA 43.2 MAY 1990
viii policy enactment process
VIII. POLICY ENACTMENT PROCESS
  • MPH/MINCOM – INDUSTRY – TO IODIZE
  • IODIZED SALT – READY IN THE MARKET
  • MIN ORDER NO 0133/A/MSP/SG/DSFM/SDSF/SN OF 09 MAY 1991
  • LAUNCHING – PRESS CONFERENCE 21ST JUNE 1991 = COMMUNICATION – USI
  • MONITORING PROCESS COVERAGE: 1992/93
  • BY FACULTY OF MEDICINE/IMPM
  • BY MIN P. HEALTH
ix creation of advisory consultative partnership coalition alliance
IX. CREATION OF ADVISORY/CONSULTATIVE PARTNERSHIP = COALITION = ALLIANCE
    • DECISION NO 255/D/MSP/SG/DSFM/SDSF/SN OF 14/2/1995
    • INTER- SECTORAL – LIST
    • MPH, MINCOM, MINDIC, MINAS, MINAGRIC
    • WHO, UNICEF, WFP, ICCIDD
    • 3 Sub – Committees CREATED
  • IDD
  • VIT A
  • FER - ANAEMIA
  • INDUSTRY
    • FAC/MED - RESEARCH
x implimentation of idd usi policy madification
X. IMPLIMENTATION OF IDD/USI, POLICY MADIFICATION
      • LABELING
      • FIELD FINDINGS: K1 USED
      • DECISION: K103: MANDATORY
  • NO 096/A/MSP/SG/DSFM/SDSF/SN/BCDA DU 16 MAI 1995 MODIFYING
  • No 0133/A/MSP/SG/DSFM/SDSF/SN of 9 May 1991
  • MONITORING – USI COVERAGE
  • - CONSERVATION - MAGAZINAGE
  • - QUALITY ASSURANCE
  • - PRODUCTION
  • - NORMS – ICCIDD/UNICEF/WHO
  • - IMPORTATION
  • - NORMS – CODEX ALIMENTARIUS
  • - COMMUNICATION FOR “DEMAND CREATION”
xi results of programme
XI. RESULTS OF PROGRAMME
  • IODIZED SALT PRODUCTION – INCREASE
  • PROGRESS: USI COVERAGE 0% - 90%
  • GOOD QUALITY IODIZED SALT IN MARKET
  • CHANGE: GOITRE PREVALENCE DECREASE
  • USE OF SENTINEL SITES
  • NATIONAL SURVEY 2002
  • CHANGE: URINARY IODINE EXCRETION LEVELS – PROGRESSIVE RISE
  • PRESENCE: CASES OF ENDEMIC CRETINISM – NO NEW ONES
  • POPULATION AWARENESS INCREASE
  • RADIO, PRESS, TV, LITERATURE, SCHOOL CURRICULA
  • INCREASE DEMAND FOR IODISED SALT
xivprogramme impact verification 2003
XIVPROGRAMME IMPACT VERIFICATION (2003)
  • PRODUCERS – COMMITMENTS – ALL 4
  • USI COVERAGE – SUSTAINED
  • IODIZED SALT PRODUCTION/IMPORTATION
  • PREVALENCE – TGR = 5-8%
  • URINARY IODINE EXCRETION MEDIAN 159ug/L
  • NO NEW CRETINS
xv sustainability
XV. SUSTAINABILITY

1. POLICY – LEGISLATION IN PLACE

2. ENFORCEMENT OF POLICY

3. QUALITY ASSURANCE INSPECTIONS

4. QUALITY CONTROL PRACTICES

5. IODINE LABORATORY IN IMPM / MINRESI

6. PRODUCERS ASSOCIATION IN PROCESS OF FORMATION

7. MPH – NUTRITION SERVICE – IDD DATA BANK

8. RETRAINED PERSONNEL - NEEDED

9. IDD IN SCHOOL CURRICULA

10. VIGILANT CIVIL SECTOR – NUTRITIONISTS, COMMUNITIES

11. YEARLY REPORTING = EPIDEMIOLOGIC SURVEILLANCE SYSTEM

xvi resume revolving social process of chronic endemic disease control
XVI. RESUME: REVOLVING SOCIAL PROCESS OF CHRONIC ENDEMIC DISEASE CONTROL

Scientists

1

Research Academies

Scientists

Managers

2

Communication

SC/PM

Resolution

Sustain

6

Evaluation

Feedback

3

Policy

4

Resource

Development

Management

5

Implementation

Monitoring

Managers

-Training

  • Equipment
  • Material
  • Infrastructure
strengths and weaknesses
STRENGTHS AND WEAKNESSES

STRENGTHS

  • CONCERNED ACADEMIES
  • SCIENTIST IN POLICY POSITION
  • ACADEMY LINKS WITH SCIENTISTS/ PARTNERSHIP
  • CHAMPIONS OF A CAUSE
  • LINKS WITH INDUSTRY
  • DATA-BASE SERVICE IN FACULTY OF MEDICINE
  • COMMUNICATION SYSTEM
  • PARTNERSHIPS
  • WEAKNESSES
  • NON COORDINATION OF SCIENTISTS BY SOME MINISTRIES
  • LIMITED COMMUNICATION
  • VERTICAL/PARALLEL RELATIONSHIPS
  • WEAK ACADEMIES
ad