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THEME: FOOD NUTRITION AND SAFETY PRESENTER: Prof. Judith Kimiywe Chairperson, Department of Food, Nutrition and Dietetics, Kenyatta University , Nairobi Kenya
The Magnitude and Severity of the chronic malnutrition situation in Kenya • Over 10 million people in Kenya suffer from chronic food insecurity and poor nutrition. • 2-4 million people require emergency food assistance at any given time. • Nearly 30% of Kenya’s children are undernourished with 35% stunted. • Micronutrient deficiencies (iron, vitamin A, Zinc and iodine ) are widespread, with emerging rise in rickets. • Impact: Sustained high rate of stunting adversely affects human capital and economic progress • 0.8% GDP lost due to vitamin and mineral deficiencies (UNICEF & MI, 2004)
Double Burden of Malnutrition: Overweight and Obesity Kenya facing increased cases of new and emerging conditions and diseases known as non- communicable diseases (NCDs) Hypertension, Diabetes, Cancer, Cardiovascular diseases due to a rise in Overweight and Obesity (40% in women and 22% in children) Causes: Shift to increased consumption of highly refined foods with added Sugars, Salts & Fats and Shift to reduced physical activity and sedentary lifestyle Impact: Early and premature deaths,Increased health care costs at national and household level, No savings for investment and poverty circle continues
1000 days- The 11 High Impact Nutrition Interventions for Kenya • Exclusive breastfeeding, • Complementary feeding • Hand washing • Iron folate supplementation • Vitamin A supplementation • Deworming • Multiple micronutrient supplementation • Salt iodization • Zinc supplements for management of diarrhoea • Food fortification of local staples • Prevention and treatment of malnutrition ( moderate and severe acute forms) Proven cost-effective interventions to reverse malnutrition trends
Policy Environment for Nutrition Improvement: The National Food and Nutrition Security Policy This policy provides a close link between food and nutrition hence key role of agriculture sector Objectives of the NFNSP: • To achieve good nutrition for optimum health of all Kenyans. • To increase the quantity and quality of food available, accessible and affordable to all Kenyans at all times. • To protect vulnerable populations using innovative and cost-effective safety nets linked to long-term development.
Key priority areas for the NFNSP • Food availability and access • Food safety, standards and quality control • Nutrition improvement and nutrition security • School nutrition and nutrition awareness • School nutrition and nutrition awareness • Food and nutrition security information • Early warning and emergency management • Institutional and Implementation framework Calls for high level government commitment
KENYA NATIONAL NUTRITION ACTION PLAN 2012- 2017-Key Priority Areas • To improve the nutritional status of women of reproductive age (15-49 years) • To improve the nutritional status of children under 5 years of age • To reduce the prevalence of micronutrient deficiencies in the population • To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies • To improve access to quality curative nutrition services • To improve prevention, management and control of diet related Non Communicable Diseases (NCDs) • To improve nutrition in schools, public and private institutions • To improve nutrition knowledge attitudes and practices among the population • To strengthen the nutrition surveillance, monitoring and evaluation systems • To enhance evidence-based decision-making through research • To Strengthen coordination and partnerships among the key nutrition actors
Potential to achieving Nutrition Goals Guiding Documents • Kenya Vision 2030 • Kenya National Health Sector Strategic plan • National Food and Nutrition Security policy • National Nutrition Action Plan • At global level The MDGs and Scaling Up Nutrition framework for action Guiding Principles The Constitution of Kenya 2010 • 43 (1 ) (C) Every person has the right to be free from hunger and to have adequate food of acceptable quality • 53(1) (C) Every child has the right to basic nutrition ,shelter and health care
Acknowledgements • Presentation is based on data contained in the DRAFT Paper on Reducing Chronic Malnutrition in Kenya: A Situation Analysis and Recommendation for a multisectoral response by;EmilyLevitt Ruppert, ZiauddinHyder, Terry Wefwafwa, Huihui Wang, John Newman • The Government of Kenya reports • The ministry of Public Health and Sanitation • The Ministry of Agriculture • Data from the development partners (UNICEF, WHO, World Bank, USAID, GAIN, MI, WFP, World Vision)
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