Fiji Plan of Action for Nutrition (FPAN) 2010-2014

[FPAN] 2010 - 2014 THE FIJI PLAN OF ACTION FOR NUTRITION [FPAN] 2010 - 2014 Prepared by the National FPAN Advisory Committee (FPAN AC) National Food and Nutrition Centre Ministry of Health July 2010 THE FIJI PLAN OF ACTION FOR NUTRITION ACRONYMS 1 Foreword from Prime Minister 2 Statement from Minister for Health 3 Remarks from Permanent Secretary for Health 4 CHAPTER 1 FOOD AND NUTRITION SITUATION IN FIJI 5 1.1 Introduction 5 1.2 The Current food and nutrition-related problems 5 1.3 Causes for national deterioration in nutritional-health 6 1.4 Associated costs 7 1.5 Initiatives of Government to improve food security 7 1.6 How Government can strengthen efforts 8 CHAPTER 2 FOOD AND NUTRITION POLICY AND NFNC 9 2.1 Fiji food and nutrition policy 9 2.2 The National Food and Nutrition Centre/Committee 9 CHAPTER 3 THE FIJI FOOD AND NUTRITION PLAN OF ACTION 11 3.1 The Policy basis of the revised Fiji Plan of Action for Nutrition 11 3.2 The role of the National FPAN Advisory Committee (FPAN AC) 11 3.3 Development of the Fiji Plan of Action for Nutrition 12 3.4 The nature and purpose of the Fiji Plan of Action for Nutrition 12 3.5 Overall Policy goals, objectives and targets of FPAN 12 3.6 Implementation of FPAN 14 3.7 Budgets for the NFNC and FPAN 14 3.8 Fiji Plan of Action for Nutrition (FPAN) Framework 2010 - 2014 15 3.8.1 Policy 1 Advocate nutritional issues and mainstreaming into the Government decision making system 15 3.8.2 Policy 2 Promote and sustain household food security 16 3.8.3 Policy 3 Improve national nutritional status 18 3.8.4 Policy 4 Protect consumers through improved quality and safety of food and water 19 3.8.5 Policy 5 Improve nutritional status of nutritionally vulnerable groups 20 3.8.6 Policy 6 Nutrition policy for schools 22 3.8.7 Policy 7 Promote healthy diets and lifestyles 23 3.8.8 Policy 8 Establish and promote nutrition surveillance 25 3.8.9 Policy 9 Strengthen collaboration with development partners 25 Bibliography 26 Annex 1: Cabinet decision on the 2009 Fiji Plan of Action for Nutrition 27 Annex 2: Nutrition Policy Cycle and FPAN 28 Annex 3: FPAN Advisory Committee [FPAN AC] 2009 29 Annex 4: Alphabetical listing of stakeholders and their activities 30 TA B LE O F C O N T E N TS Government Ministries / NSAs / Agencies 1 FPAN Fiji Plan of Action for Nutrition 2 FPAN AC Fiji Plan of Action for Nutrition Advisory Committee 3 FPAN SG Fiji Plan of Action for Nutrition Steering Group 4 ANC Ante Natal Clinic 5 CBA Child Bearing Age 6 CCoF Consumer Council of Fiji 7 COMBI Communication for Behavioural Impact 8 EBF Exclusive Breastfeeding 9 FHG Food and Health Guidelines 10 FIBOS Fiji Islands Bureau of Statistics 11 FIRCA Fiji Inland Revenue and Customs Authority 12 FNU Fiji National University 13 FTCA Fair Trading and Consumer Affairs 14 ICD Integrated Community Development 15 ITC Information Technology and Computing Services 16 IYCF Infant and Young Child Feeding 17 MCH Maternal and Child Health 18 MIA Ministry of Indigenous Affairs 19 MNP Ministry of National Planning 20 MoE Ministry of Education 21 MoH Ministry of Health 22 MoI Ministry of Information 23 MoJ Ministry of Justice 24 MoW Ministry of Women 25 MPD Ministry of Provincial Development 26 MPI Ministry of Primary Industries - Department of Agriculture and Fisheries 27 NCD Non Communicable Diseases 28 NCHP National Centre for Health Promotion 29 NDMO National Disaster Management Office 30 NFNC National Food and Nutrition Centre 31 NNS National Nutrition Survey 32 NSAs Non State Actors [including NGOs] 33 PIB Prices and Incomes Board 34 PWD Public Works Department 35 SCC Suva City Council 36 TOT Training of Trainers 37 WBW World Breastfeeding Week 38 WFD World Food Day T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 1 ACRONYMS Fo re wo rd, Pr i m e M i n i s te r I am honoured to present the Government of Fiji’s Plan of Action for Nutrition 2010-2014. The Fiji Plan of Action for Nutrition [FPAN] was endorsed by Government in December 2009 as a high-level framework to improve the nutrition and health of the people in Fiji. Over the past year, the National Food and Nutrition Centre of the Ministry of Health has networked with various min istries, organizations and groups to develop FPAN. The nutritional well being of a population reflects the progress of national development, thus this 5-year Plan has been formulated to prioritize the combined performance indicators and outputs needed from key Ministries within the social and economic sectors. The Fiji Plan of Action for Nutrition 2010-2014 will reinforce Government’s commitment to improve food security, nutri tion and health of its population and at the same time contribute to Pillars 10 and 8 of the Peoples Charter for Change, Peace and Progress. A healthy, well nourished and educated population provides the best foundation for promoting national economic growth. On the other hand, unhealthy people experience reduced mental and physical capacity, and a shorter span of working years, adversely affecting economic productivity of the nation. Our statistics tell us that we need to improve our health, and FPAN will contribute to this. The full potential of economic development cannot be achieved if the health and productivity levels of the population are compromised. An integrated approach to food and nutrition policies is essential because the responsibilities for achieving population optimal health and productivity lie within several ministries. I encourage all citizens of our beloved Fiji to join hands in assisting the leading ministries in building a healthier nation in order to nurture a healthy and productive population, by producing enough local food for local consumption, develop ing healthy eating habits, engaging in regular physical activities, and living a healthy life style. I look forward to the support from all ministries and agencies for the implementation of this Fiji Plan of Action for Nutri tion to achieve the desired results. Vinaka Vakalevu …………………………………….............................. Commodore J.V. Bainimarama Prime Minister T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 2 St ate m e nt, M i n i s te r fo r He a l t h I have the pleasure of presenting the Fiji Plan of Action for Nutrition [FPAN] 2010-2014. The policy objectives and strategies reflected in the FPAN 2010-2014 denote the priority areas that the Ministry of Health through the National Food and Nutrition Centre will coordinate during the 5-year period in order to deliver an efficient program of nutrition activities that is responsive to the needs of the people. Fiji is beset with serious but preventable nutrition-related diseases such as diabetes, coronary heart diseases, high blood pressure, anaemia and undernutrition in children. These preventable conditions burden the economy with exces sive medical costs both in relative and absolute dollar terms and a significant loss of human development potential and work productivity. This multi-sectoral Fiji Plan of Action for Nutrition is outcome focused and action oriented, so that all the relevant stake holders, including the community at large can work towards a common set of results. Its development has begun the process of intersectoral and interagency action, including the private sectors. This will assist all stakeholders identify where and how they can contribute to the overall goal of FPAN. I wish to take this opportunity to thank all our valued partners for their continued assistance in terms of technical and financial assistance to complement the allocated annual budget to enable the National Food and Nutrition Centre coor dinate with relevant ministries and agencies the implementation of strategies and activities stated in FPAN. I look forward to your continued support, dedication, commitment and perseverance to continuously provide an ef ficient and responsive nutritional health service to all. ……………………………………. Dr Neil Sharma Minister for Health T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 3 R e m a r k s, Pe r m a n e nt S e c re t a r y fo r He a l t h I am pleased to share a few thoughts on the Fiji Plan of Action for Nutrition [FPAN] 2010-2014. The FPAN has been developed to achieve the overall goal of nutritionally healthy communities in Fiji. The FPAN 2010-2014 captures the multi-sectoral effort needed between government ministries and private organiza tions, non-state groups and non-government agencies. The implementation of strategies will lead to the achievement of the outcomes in the Government Strategic Plan. The FPAN outlines programs and activities to tackle the growing problems of poor nutrition, physical inactivity and non communicable diseases [NCDs]. A considerable amount of time and increased effort are needed to fully implement the plan if a nutritionally healthy population is to be achieved in Fiji. The Plan of Action for Nutrition details a comprehensive but do-able programme with our major stakeholders. Actions will take place at different levels from national, divisional and subdivisional and at community levels. The Ministry of Health invites our partners to fully participate in the implementation of FPAN. It is suggested that you set it along side your own Strategic and Corporate Plans to find out common areas where you can act to implement the FPAN. We encourage robust communications between agencies so that there is no gap or duplication of our combined effort. I wish everyone good health, and I encourage all relevant ministries, organizations, agencies and all our stakeholders to support and commit to the implementation of the Fiji Plan of Action 2010-2014. ……………………………………. Dr Salanieta Saketa Permanent Secretary for Health T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 4 FOOD AND NUTRITION SITUATION 1.1 INTRODUCTION 1.1.1 The nutritional well being of a population is an indicator of national development, and as such reflects the combined performance of key Ministries within the social and economic sectors. 1.1.2 Generally, a healthy, well nourished and educated population provides the best foundation for promoting national economic growth. However, an unhealthy population experiences reduced mental and physical capacity, and a shorter span of working years, adversely affecting economic productivity of the nation. 1.1.3 Fiji is beset with serious but preventable nutrition-related diseases caused by diabetes, coronary heart dis eases, high blood pressure, anaemia and undernutrition in children. These preventable conditions burden the economy with excessive medical cost both in relative and absolute dollar terms and a significant loss of human development potential and work productivity. 1.1.4 The full potential of economic development cannot be achieved if the health and productivity levels of the population are compromised. An integrated approach to the establishment of effective food and nutrition policies is essential because the food and nutrition strategies needed to achieve population optimal health and productivity lie within the responsibilities of several ministries. 1.2 THE CURRENT FOOD, NUTRITION-RELATED HEALTH PROBLEMS 1.2.1 Findings from the 1993 and 2004 NNS showed the problems of infant malnutrition, underweight children, anaemia and overweight in many adults leading to heart diseases and diabetes appear to be worsening. For example, the proportion of the population with healthy weight was 40% in 1993 but was only 38% in 2004. In other words, more than 60% of the total population were found to be of unhealthy weight i.e. they either were overweight, obese or underweight. 1.2.2 Overweight and obesity in 1993 was 33% but the 2004 NNS found the rate was 56%; overweight in children tripled in 2004 compared to the 1993 NNS. Overweight is a major risk factor for coronary heart disease and type 2 diabetes, and its association with both diet and lifestyle. 1.2.3 Anaemia rates among the population increased to 32% in 2004 from 27% in 1993. Forty percent (40%) children under 5 years were anaemic in 1993 but the proportion had increased to 50% in the 2004 NNS. Mortality in the under 5 years peaked at around 1 year of age 1.2.4 The rate of mortality in adults increases exponentially around 33 yrs of age peaking at around 60 years of age. This is the most economically productive age group. Addressing modifiable risk factors such as nutrition is most likely to improve life expectancy. T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 5 C H A P T E R 1 F O O D A N D N U T R IT IO N S IT U A T IO N CHAPTER 1 1.3 CAUSES FOR NATIONAL DETERIORATION IN NUTRITIONAL-HEALTH 1.3.1 Research in Fiji and other Pacific Islands has clearly shown that a major cause of all prevalent non communicable diseases and nutrient deficiency diseases has been the change to poorer quality diet, and lifestyle as a result of development and modernization. 1.3.2 Available information indicates a downward trend in the production of traditional food crops for local consumption and a subsequent increase in the consumption of cereals such as flour and flour prod ucts and rice. 1.3.3 Food Balance Sheet data spanning the period 1992-2006 on major sources of calories from the avail able food supply clearly showed the above trend – cereals replacing root crops as a source of energy. 1.3.4 Fiji imports more that 50% of calories from vegetables and 27% of calories from fruits. 1.3.5 The total calories available per capita per day from the food supply has increased from 2819 in 1985 to 3298 in 2006 1.3.6 However, the 2004 NNS 24hr diet recall showed about 47% of the population consumed less than the minimum daily energy recommendation (1850 Kcal), indicating that some sections of our population do not have enough food to eat. 1.3.7 There has also been a gradual increase in the contribution of fat as a source of energy from animal and vegetable oil & fat in the diet from 47% in 1992 to 55% in 2005. 1.3.8 Results of the 1993 and 2004 National Nutrition Surveys indicate a shift in preference from nutritious traditional vegetables and fruits to more introduced and imported varieties. 1.3.9 Sheep/lamb import data showed Fiji imported $24,753,837 worth in 2002 while in 2008, we import ed $28,496,040 worth. The supply of fat per person per day from sheep/lamb has steadily increased over the years. In 2006 sheep/lamb contributed about 47% out of all meat fat in the available food supply. 1.3.10 The data on available food for consumption per day per head of population estimated from the Food Balance Sheets indicate the following trends in imported calories, protein and fat: Proportion of food (nutrients) imported Year %Kcal % Protein % Fat 1985 42 65 46 1995 57 62 65 2000 56 59 63 2005 58 59 59 The above shows that Fiji is largely import-dependent for food T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 6 C H A P T E R 1 F O O D A N D N U T R IT IO N S IT U A T IO N 1.4 ASSOCIATED COSTS ARRISING FROM THE CURRENT FOOD AND NUTRITION SITUATION 1.4.1 Malnutrition and micronutrient deficiency in infancy is strongly associated with poor development and poor performance at school. It interferes with motivation, ability to concentrate and ability to learn de spite any interventions in the intervening years. Thus, in addition to cost of treatment, there is also hu man cost due to irreversible loss of opportunity resulting from malnutrition for the individual through out the lifespan. 1.4.2 Anaemia severely affects physical and mental performance of individuals and so productivity in adults. 1.4.3 Malnutrition in pregnant women is associated with low birth weight in infants. This affects the infant’s immune system development which results in lower resistance to infections that contribute to mortal ity. 1.4.4 Poor nutrition caused by lack of sufficient food to provide adequate energy, protein, vitamins and min erals, results in low levels of health. This contributes to poor physical performance and frequent work absenteeism due to illness/infection. 1.4.5 The loss of working years due to debilitating morbidity as well as premature deaths at the peak of the economically productive years from NCDs add considerably to national health care costs. The ‘hidden’ burdens of the social and economic costs borne by families of those who are afflicted by these health conditions are often not considered. 1.4.6 Current trend in dependence on overseas markets for most of our national food supplies reduces our foreign exchange. 1.4.7 In addition, it undermines time-tested traditional forms of food production (agriculture, fisheries and preservation methods). Acquired taste and preference for the convenience of imported processed food will further undermine the viability of locally produced food. Changing food consumption pattern result ing from many more variety and forms of food will continue to impact the duel situation of under- and over-nutrition, both of which result in poor health. 1.5 INITIATIVES OF GOVERNMENT TO IMPROVE NATIONAL FOOD SECURITY, NUTRITION AND HEALTH 1.5.1 Government’s recognition of the importance of nutrition in development, and the need for intersectoral action to improve the food and nutrition situation of the country, led to the establishment of the NFNC by Cabinet subvention in 1982 charged with the role of coordinating the intersectoral efforts needed to correct the growing food, nutrition and health problems. Unfortunately, NFNC was not given “line” func tion within Government, and had not had the proper authority to effectively undertake the coordinating role although it continues to carry out a monitoring role. 1.5.2 Other initiatives by Government effected through sectoral policies, programmes and activities have seen improvements in overall standard of living. These include literacy, environmental sanitation, com munity health services, immunisation and family planning. Government through the Ministry of Health has implemented national salt iodisation, banning of sale of mutton flaps, income-generating pro grammes, Food Safety Act and most recently, national iron and micronutrient supplementation. 1.5.3 Fiji held its inaugural Food Summit in August 2009 to address national food security. The summit was attended by representatives of Government, the private sector, civil society, regional and international organisations. The purpose of the meeting was to determine how the public and private-civic sectors can work together to improve the health benefits of improved food security. T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 7 C H A P T E R 1 F O O D A N D N U T R IT IO N S IT U A T IO N 1.6 HOW CAN GOVERNMENT STRENGTHEN EFFORTS TO IMPROVE NATIONAL FOOD SECURITY, NUTRITION AND HEALTH? 1.6.1 Through endorsing the World Declaration and Plan of Action for Nutrition at the International Confer ence on Nutrition (ICN), Rome, 1992, the Fiji Government had made commitment to implement FPAN as a framework for intersectoral cooperation to address food and nutrition problems. 1.6.2 The Fiji Plan of Action for Nutrition presents a unique opportunity to revitalize the commitment by Government to improve the food and nutrition situation of its people, and in particular, effectively coordinate the approach to food and nutrition development in Fiji. 1.6.3 The revision of the 1998 FPAN is a culmination of the following activities: a) The analysis of current food and nutrition situation based on a wide range of information additional to the National Nutrition Surveys b) The review of the 1998 FPAN c) The review and endorsement of the National Food and Nutrition Policy 2008 1.6.4 The strengthening of the National Food and Nutrition Centre will reinforce Government’s commitment to improve the food, nutrition and health of its population and at the same time contribute to Pillars 10 and 8 of the Peoples Charter for Change, Peace and Progress. 1.6.5 Further the routine incorporation of nutrition considerations, objectives and components in develop ment planning will ensure the institutionalisation of food and nutrition related concerns with positive implications for greater visibility of programmes and sustainable improvements. T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 8 FOOD AND NUTRITION POLICY & THE NATIONAL FOOD AND NUTRITION CENTRE (NFNC) 2.1 FIJI FOOD AND NUTRITION POLICY 2.1.1 The first policy (1982) was revised to take into account the current food and nutrition situation based on the most recent data such as the 2004 National Nutrition Survey, the 2002 STEPS (NCD) Survey, Fiji Foods Balance Sheet and other relevant information available. 2.1.2 The revised National Food and Nutrition Policy, endorsed by Government in September 2008, con tained nine [9] Policy Statements: i. Advocate nutritional issues and mainstreaming into the Government decision-making system. ii. Promote and sustain household food security. iii. Improve national nutritional status. iv. Protect consumers through improved quality and safety of food and water. v. Improve nutritional status of the socio-economically disadvantaged and the groups that are nutritionally vulnerable (including children, mothers, the aged, differently-abled and those living with HIV/AIDS). vi. Nutrition policy for schools. vii. Promote healthy diets and lifestyles. viii. Establish and promote nutrition surveillance and monitoring system. ix. Strengthen collaboration with development partners. 2.1.3 The above nine (9) policy statements form the core of the proposed Fiji Plan of Action for Nutrition. 2.2 NATIONAL FOOD AND NUTRITION CENTRE/COMMITTEE 2.2.1 Based on Government’s commitment made in DP7 in 1976: “Food of adequate nutritional standard must be made available to every member of the community in order to maintain physical and mental health and to enable people to realize their potential”, the National Food and Nutrition Committee (NFNC) was established by a Cabinet subvention in 1982 guaranteeing annual funding grant to sus tain the organisation and enable it to carry out its special functions. 2.2.2 The NFNC was charged with the responsibility of monitoring the food and nutrition situation, coordi nating food and nutrition activities and advising government on matters relating to food and nutrition. Specifically it’s role was to: a) Formulate an integrated food and nutrition policy and indicate the type of programmes necessary to achieve improvement, and priorities for implementation; C H A P TE R 2 F O O D A N D N U TR IT IO N P O LI C Y & T H E N A TI O N A L FO O D A N D N U TR IT IO N C EN TR E (N FN C ) 9 CHAPTER 2 b) Assist in the coordination of the activities of the Ministries involved in food and nutrition especially in: i. Evaluating the present situation and recording changes in the nutrition status of the population and in particular the nutritional status of the groups at risk; ii. Compiling food balance sheets to be used by Ministries as an instrument for future planning; iii. Making recommendations on food to be used in emergencies and methods of distribution; c) Advise Government on matters relating to food supplies, trends in consumption and their effect on the nutritional status of the communities, and food imports; d) Evaluate policies and campaigns in the field of food and nutrition; e) Assist the Consumer Council to protect the public against high prices, poor quality foods being sold in the market, false and misleading advertisements etc.; f) Provide a forum for discussion in nutrition training and coordinating nutrition education activities carried out by different Ministries and other organizations. 2.2.3 The NFNC was placed under the Ministry of Health for administrative purposes. The first Food and Nutrition Policy Guidelines developed in 1982 guided the NFNC activities in its early days. 2.2.4 NFNC has continued to carry out its core function of formulating evidence based food and nutrition policy and monitoring the food and nutrition situation in the country. T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 10 CHAPTER 3 THE FIJI FOOD AND NUTRITION PLAN OF ACTION 3.1 THE POLICY BASIS OF THE REVISED FIJI PLAN OF ACTION 3.1.1 The proposed Fiji Plan of Action for Nutrition (FPAN) has been designed so that it is aligned to the recently endorsed National Food and Nutrition Policy, and is in compliant with priority areas of Government ministries. 3.1.2 National priorities for action in FPAN are based on a number of premises: i) The worldwide International Conference on Nutrition (ICN) priorities for action for which Fiji had identified eight out of nine themes as most appropriate ii) The Millennium Development Goals iii) Global Strategy on Diet, Physical Activity and Health iv) Peoples Charter for Change, Peace & Prosperity v) The Government Strategic Development Plan 2007-2011 vi) Ministry of Health Strategic Plan 2007-2011 vii) Education Sector Strategic Plan 2009-2011 viii) Ministry of Agriculture and Primary Industries ix) Fiji National Food and Nutrition Policy 2008 x) Food and Nutrition Policy for Schools 2009 3.2 THE ROLE OF THE NATIONAL FPAN ADVISORY COMMITTEE 3.2.1 The mandate to coordinate and monitor the food and nutrition related activities were vested in the National Food and Nutrition Centre/Committee. 3.2.2 Because of the multi-sectoral nature of nutrition, a multi-sectoral National FPAN Advisory Committee (FPAN AC) was established in early 2009 to assist the Nutrition Centre develop the Plan of Action with the Centre acting as the secretariat. Membership of the FPAN AC consisted of representatives of gov ernment ministries and non-government agencies/sectors established The FPAN AC was chaired by National Planning. 3.2.3 A selected Steering Group [FPAN SG] (Ministry of Agriculture, Ministry of Education, Ministry of Health, and the Ministry of National Planning) from the larger FPAN AC took the leading role in the develop mental work. 3.2.4 Technical support was also received from JICA expert, WHO, FAO and SPC. 3.2.5 The FPAN AC met a number of times in 2009 to determine priorities, policy actions and timelines for implementation of FPAN. The Committee refined the strategies and set clearly-defined strategic objectives and measurable indicators, timelines and set appropriate budget estimates for the 5-year implementation period. C H A P TE R 3 T H E FI JI F O O D A N D N U TR IT IO N P LA N O F A C TI O N T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 11 3.3 DEVELOPMENT OF THE FIJI PLAN OF ACTION FOR NUTRITION 3.3.1 Fiji was one of the 159 states that attended the International Conference on Nutrition (ICN) in Rome, 1992, and supported the declaration to eliminate hunger and reduce all forms of malnutrition. The ICN recognizes that the world has the food resources to address the problems of poor health and malnutrition. 3.3.2 In September 2008, Government endorsed the revised Fiji Food and Nutrition Policy to replace the 1982 Food and Nutrition Policy. It also agreed and directed that the 1998 Fiji Plan of Action for Nutrition be modified accordingly to align it with the 2008 National Food and Nutrition Policy (IGCP (08)340). 3.3.3 The Plan of Action provides the framework through which we in Fiji can develop and use economic resources to provide our people adequate access to sufficient food for good health (food security) through sound environmental development policies. 3.4 THE NATURE AND PURPOSE OF THE FIJI PLAN OF ACTION FOR NUTRITION 3.4.1 The proposed Fiji Plan of Action for Nutrition (FPAN) operationalizes the National Food and Nutrition Policy endorsed by Cabinet in 2008. 3.4.2 FPAN provides a multi-sectoral framework for action. The framework consists of attainable goals and measurable targets, based on the Corporate Plans of the two major partners, the Ministry of Health and Ministry of Agriculture. 3.4.3 The FPAN framework also incorporates principles and relevant strategies of the Millennium Develop ment Goals as well as Fiji’s Strategic Framework for Change, Peace and Progress. 3.4.4 The basic approaches of FPAN to achieve its goals (refer 3.5) can be grouped into: i. Incorporate Nutrition into development policies; ii. Promote food security through improved food availability and accessibility iii. Empower people with the knowledge and skills to deal with our food and nutrition situation iv. Promote appropriate diets and lifestyle conducive to good health v. Conduct research and evaluate nutrition-related intervention programmes vi. Periodical monitoring of the food situation and nutritional health in Fiji vii. Promote multi-sectoral and inter-sectoral cooperation in food and nutrition activities 3.4.4 The FPAN is the Food and Nutrition Centre’s 5 year Strategic Plan 2010-2014. 3.5 OVERALL POLICY GOALS, OBJECTIVES AND TARGETS OF FPAN 3.5.1 The broad policy goal of the Fiji Plan of Action is nutritionally healthy communities by improving the nutritional status and health of the population. C H A P TE R 3 T H E FI JI F O O D A N D N U TR IT IO N P LA N O F A C TI O N T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 12 3.5.2 The objectives of FPAN are: o Improvement in the overall nutritional status of the population; o Improvement in eating habits of the population, more specifically among the high-risk groups; o Improvement in availability and access to nutritious food; o Increased production and consumption of especially local fresh foods; o Increased in acreage of agricultural land devoted to food crops; o Establishment of agricultural research to improve post harvest quality of locally produces food, and disaster preparedness; o Establishment of a system for estimating subsistence production; o Promotion of implementation of food and nutrition policy for schools o Active participation of the private sector in support of the food and nutrition programmes and activities; o Active participation of NGOs in the delivery of food and nutrition programmes and activities; o Establishment of effective procedures for intersectoral cooperation in the delivery of food and nutrition related activities; o Establishment of food and nutrition monitoring surveillance system to periodically assess the food and nutrition situation in the country; o Routine incorporation of nutrition objectives into development policies and programmes; o Improved enforcement of the Food Safety Act o Legislation and implementation of Fiji’s Code of Marketing Breast Milk Substitutes; 3.5.3 The short/medium term targets of FPAN (by the year 2014) are listed below being part of the Fiji National Food and Nutrition Policy developmental: i) Ensure a level of food supply to maintain adequate nutrition and dietary well-being for all sectors of the population by 2014 (maintain calories per capita per day at 3040 kcals (2002 level) or reduce by 5% to 2888 kcals; ii) Simultaneously with i) reduce imported kilocalories per capita per day to 50% by 2014; iii) Increase percent of population achieving minimum energy requirements (1850 kcal/day) from 47% (2004 level) to 55% by 2014; iv) Increase percent total energy from traditional starchy foods per capita (2001 level 19%) to 25% in 2014; v) By 2014, reduce % fat contribution to total kcal per capita per day from 30% (2002 level)to 25%; vi) Increase percent total population consuming at least 3 serves of fruits and vegetables per day to 50% in 2014; vii) Increase percent total population with healthy weight from 38% (2004 level) to 45% in 2014; viii) Simultaneously reduce rates of overweight and obesity from 60% (2004 level) to 55% in 2014; ix) By 2014, decrease rates of low birth weight babies from 10.2 (2004 level) to 9%; x) By 2014, decrease percent prevalence of underweight in children under 5 yrs from 7% (2004 level) to 6.5%; xi) By 2014, decrease % of anaemia in the population from 32% (2004 level) to 20-25%; C H A P TE R 3 T H E FI JI F O O D A N D N U TR IT IO N P LA N O F A C TI O N T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 13 xii) By 2014 decrease % iron deficiency in CBA women from 23% (2004 level) to 15-20%; xiii) By 2014 decrease % zinc deficiency in CBA women from 39% (2004 level) to 37%. 3.6 IMPLEMENTATION OF FPAN 3.6.1 FPAN is the NFNC 5 year Strategic Plan. 3.6.2 The identification of activities in FPAN was realized via consultation with representatives of various ministries. Hence these may be part of their respective plans. 3.6.3 For FPAN to work through multi-sectoral cooperation, proper coordination is critical. It makes it essen tial that the FPAN AC members are senior officers located within Government structure with sufficient authority and resources to provide the assistance required to meet their own as well as the food and nutrition goals. 3.6.4 The National Food and Nutrition Centre (NFNC) was established and funded by Government and mandated to assist in the coordination of food and nutrition activities in the country through FPAN. The NFNC has the structure needed to fulfil this role with the support of the FPAN AC members. 3.6.5 To enable the NFNC to function more effectively within a multi-sectoral environment, it needs to be strengthened by providing it the appropriate status and resources. 3.7 BUDGETS for the NFNC and FPAN 3.7.1 The basic annual grant provided by Government to NFNC via the Ministry of Health for the last 27 years adequately covers the operational expenses of the organisation. This has been reduces pro gressively over the years. Additional funds from the Ministry of Health programmes and donor agen cies cover the NFNC programme activities. 3.7.2 It is expected that the proposed budget estimate will cover the cost of progressive implementation of FPAN activities in the next five years. Partner agencies supporting similar programmes may also be able to complement the proposed budget from their own approved planned allocation. This is based on the fact that these have been identified by ministry representatives as part of their on-going pro grammes. 3.7.3 Summary of budget estimate for the implementation and monitoring of FPAN in the next 5 years is summarised below: Policy No. of Strategies Budget Estimate ($) 1 2 2,500.00 2 4 96,250.00 3 2 275,000.00 4 4 30,000.00 5 7 80,000.00 6 3 30,000.00 7 4 90,000.00 8 3 435,000.00 9 2 30,000.00 GRAND TOTAL = $1,068,750.00 Budget details for each strategy can be found in the Framework set out next. C H A P TE R 3 T H E FI JI F O O D A N D N U TR IT IO N P LA N O F A C TI O N T he F ij i P la n of A ct io n fo r N ut rt io n ( F PA N ) 20 10 2 01 4 14 3.8 FIJI PLAN OF ACTION FOR NUTRITION (FPAN) FRAMEWORK 2010-2014 1.1 Integration of FPAN 1.1.1 Review Fiji Plan of Action Endorsed FPAN FPAN AC, NFNC 2009 Met by NFNC 10 into Government for Nutrition and submit 2009 Budget Strategic Plan to Cabinet for endorsement 1.1.2 Submit FPAN to National FPAN submitted and FPAN AC, NFNC 2009 Planning Office for incorporated into incorporation into Government SDP Government Strategic Development Plan 1.2 Intersectoral 1.2.1 Establish the National FPAN FPAN AC and TOR FPAN AC, NFNC 2009 collaboration for Advisory Committee [FPAN AC] established. Quarterly advocacy and meetings conducted mainstreaming 1.2.2 Oversee the review and FPAN reviewed and FPAN AC, NFNC 2009 nutrition submission of FPAN submitted Policy 1: Advocate nutritional issues and mainstreaming into the Government decision-making system 15 Strategic Objective Activities Performance Indicator Leading Agencies Timeline Proposed Budget Pillar The Fiji Plan of Action for Nutrition (FPAN) 2010 - 2014 Strategic Objective Activities Performance Indicator Leading Agencies Timeline Proposed Budget Pillar 2.1 Advocacy for consistent 2.1.1 Lobby MPI to include Backyard Gardening FPAN AC, NFNC 2010 NFNC budget 10 & 8 nutritious food supply Backyard Gardening in Food included in Food for households Security Programme Security Programme 2.1.2 Lobby MOE to include Agriculture Science MPI, FPAN AC 2011 Agriculture Science as a taught as compulsory compulsory subject subject 2.1.3 Coordinate workshops to 2 divisional workshops MPI, NFNC 2010 to 2014 $20,000.00 advocate food security per year conducted 2.1.4 Coordinate “Young Farmers 1 annual programme MPI, MoE, NFNC 2010 to 2014 $6,250.00 Show” in schools organized 2.1.5 Print Farmers Guide Farmers Guide booklet MPI 2010 MPI budget printed and disseminated 2.1.6 Support village communities Village communities MIA, MPI, NFNC 2010 to 2014 MIA budget to produce food for their supported own consumption 2.1.7 Celebrate World Food Day Report on WFD MoE, NFNC 2010 to 2014 $25,000.00 celebration submitted 2.2 Local initiatives for 2.2.1 Support and maintain food Local fish and poultry MPI 2010 to 2014 $5,000.00; increased production production for local available at supplemented by and consumption of consumption affordable price MPI and Fisheries fish, seafoods, poultry 2.2.2 Improve feed formulations for Improved feeds available MPI 2010 to 2014 budget and livestock poultry and livestock 2.2.3 Enforce quality control Clean and wholesome MPI, MoH 2010 to 2014 regulations livestock 2.2.4 Encourage backyard poultry Backyard poultry farming MPI, MoW 2010 farming in rural areas sustained 2.2.5 Encourage periodic restrictions Increased availability of MPI, MIA 2010 to 2014 MIA and Fisheries [taboo] of traditional fishing fish and seafoods budget grounds 3.8.2 Policy 2: Promote and sustain household food security 16The Fiji Plan of Action for Nutrition (FPAN) 2010 - 2014 Strategic Objective Activities Performance Indicator Leading Agencies Timeline Proposed Budget Pillar 2.3. Community-based food 2.3.1 Assist communities establish At least 50 organic gardens MPI, MoW, 2013 $20,000.00; 10 & 8 production to increase and maintain organic backyard established per division NFNC, NSAs supplemented by consumption of vegetables, gardens (easy-to-grow local MPI budget fruits and root crops vegetables) 2.3.2 Support NSAs efforts to 10 gardens established MPI, MoW, 2013 encourage family food per division NFNC, NSAs gardening in low income households 2.3.3 Encourage maximum use of Acreage of land used for MPI, MoW, NFNC 2013 land for subsistence farming fruits, vegetables and root crop production 2.3.4 Maintain seed and planting Consistent supply of seed MPI, NFNC 2010 to 2014 materials for backyard gardens and planting materials available 2.3.5 Develop composting guidelines Composting Guidelines MPI, SCC 2011 for community education developed. 2.3.6 Train farmers on composting, 2 training workshops MPI, MoH, FNU 2011 proper use of pesticides, per year insecticides and fertilizers 2.3.7 Provide incentives to encourage 5 annual awards MPI 2010 to 2014 $10,000.00 increased production of local produce [to include special awards for Best Farmer of the Year, Best Fisherman, Best Garden etc] 2.4. Promotion of local foods for 2.4.1 Educate community groups on 2 educational sessions MoW, MoH, 2010 to 2014 $10,000.00; family meals safe food preparation, storage per year MPI, NFNC supplemented by and preservation of local foods MoW budget 2.4.2 Develop recipes using local Recipe book published NFNC, MoW, MPI 2013 foods for nutritious family meals 17The Fiji Plan of Action for Nutrition (FPAN) 2010 - 2014 Strategic Objective Activities Performance Indicator Leading Agencies Timeline Proposed Budget Pillar 3.1 Promotion and 3.1.1 Modify Regional Physical Fiji version of PA MoH 2011 $5,000.00; plus 10 maintenance of healthy Activity Guidelines to Fiji context Guidelines available external donors weight 3.1.2 Implement Physical Activity PA Guidelines incorporated MoH, NCHP, NFNC 2011 Guidelines into “Green Prescription” 3.1.3 Implement Food and Health FHGs used in all schools NFNC, MoH, NCHP 2013 Guidelines [FHG] 3.2 Reduction of 3.2.1 Grow and consume iron and At least 5 organic gardens MPI, NFNC, MoW, 2012 $20,000.00 undernutrition including vitamin A-rich foods established per division MoH, NSAs micronutrient deficiencies 3.2.2 Submit list of selected nutritious 10 nutritious food under NFNC, MoH, MNP 2012 foods for price control price control 3.2.3 Monitor level of fortificant in the Fortificant standard is MoH, NFNC, 2010 to 2014 flour at point of sale periodically maintained Food outlets 3.2.4 Monitor regulation for import of All imported salt are MoH, FIRCA 2010 to 2014 MoH budget iodised salt iodised 3.2.5 Conduct impact study of flour Impact assessment NFNC, MoH 2010 $250,000.00 fortification conducted and report available 3.3 Reduction of overweight 3.3.1 Refer to Policy 7 activities MoH budget and obesity 3.4 Reduction of low and high 3.4.1 Refer to Policy 5 activities birth weights 3.8.3 Policy 3: Improve national nutritional status 18The Fiji Plan of Action for Nutrition (FPAN) 2010 - 2014 4.1 Provision of safe and 4.1.1 Expand piped safe water supply 85% accessed to piped PWD/Water Authority 2014 PWD budget 10 accessible water supply to all households safe water supply of Fiji, MoH 4.2 Promotion of safe food 4.2.1 Review and repackage existing Education training package NFNC, CCoF, MoH, 2011 $5,000.00 handling practices. education materials on safe food available MoW, SCC, NSAs handling and practices 4.2.2 Train community groups, 2 training sessions CCoF, NFNC, MoH, 2010 to 2014 $10,000.00 institutions and organizations per year MoW, NSAs on safe food handling and practices 4.3 Enforcement and 4.3.1 Enforce and monitor Food Safety Food Safety Act and MoH, FTCA, CCoF 2010 to 2014 MoH budget monitoring of Food Act and Regulation Regulation enforced and Safety Act monitored 4.3.2 Monitor nutrient content labelling Nutrient content labelling CCoF, MoH, FTCA 2010 to 2014 $10,000.00 conforms to standards 4.4 Enforcement of hygiene & 4.4.1 Empower village elders and 75% of households with MPD, MoH, MoW 2014 $5,000.00 village by-laws under the parents to upgrade existing hygienic toilet facilities Public Health Act. sanitary facilities 4.4.2 Empower village elders and Hygiene practices in place MIA, MoH 2014 parents to enforce hygiene by-laws and enforced 3.8.4 Policy 4: Protect consumers through improved quality and safety of food and water Strategic Objective Activities Performance Indicator Leading Agencies Timeline Proposed Budget Pillar 19The Fiji Plan of Action for Nutrition (FPAN) 2010 - 2014 Strategic Objective Activities Performance Indicator Leading Agencies Timeline Proposed Budget Pillar 5.1 Promotion of increased 5.1.1 Establish Breastfeeding Committee established. MoH 2009 MoH budget 10 Exclusive and Continued Committee in the hospital and TOR developed Breastfeeding health care facilities to promote exclusive breastfeeding for the first six months 5.1.2 Implement Baby Friendly Health 90% EBF for 6 months for MoH 2012 Centre initiatives all newborn babies annually 5.1.3 Maintain Baby Friendly Baby Friendly Hospital MoH 2010 to 2014 Hospital status Status maintained 5.1.4 Strengthen Breastfeeding Annual BSG training in the MoH, NSAs 2012 Support Groups [BSG] in the divisions. BSG established community in 90% of health care facilties in Fiji 5.1.5 Finalize the draft Code of Code finalized, submitted MoH, MoJ 2010 Marketing of Breastmilk and endorsed Substitutes and submit to Cabinet 5.1.6 Implement and monitor the Code Monitoring tool developed MoH, MoJ 2014 5.1.7 Celebrate World Breastfeeding Report on WBW celebration MoH 2010 to 2014 $20,000.00 Week submitted 5.2 Promotion of appropriate 5.2.1 Train Health workers on the 3 divisional trainings MoH, NFNC 2010 $20,000.00 complementary foods and use of the WHO Child Growth conducted feeding practices Standards 5.2.2 Develop Infant & Young Child IYCF COMBI plan developed MoH, NFNC, NCHP 2010 Feeding [IYCF] COMBI plan 5.2.3 Implement IYCF COMBI plan Plan implemented NFNC, MoH, 2010 NCHP, MoW 5.2.4 Incorporate IYCF Training into IYCF incorporated into the MoH, FNU 2011 pre-service curriculum at FSM, FSN, FCAE and FNU [FSM, FSN, FCAE and FIT] FIT Curricula. 3.8.5 Policy 5: Improve nutritional status of the socio-economically disadvantaged and the groups that are nutritionally vulnerable (including children, mothers, the aged, differently-abled and those living with HIV/AIDS) 20The Fiji Plan of Action for Nutrition (FPAN) 2010 - 2014 Strategic Objective Activities Performance Indicator Leading Agencies Timeline Proposed Budget Pillar 5.3 Nutrition monitoring and 5.3.1 Conduct routine growth Annual report submitted/ MoH 2010 to 2014 MoH budget 10 counselling to mothers monitoring clinics at the Health Standard protocols and caregivers. Centres and outposts [shift clinics] developed and for all children under 5 years implemented 5.3.2 Demonstrate and counsel mothers Annual report submitted MoH 2010 to 2014 and caregivers during non-thrivers clinics on appropriate diets 5.3.3 Counsel couples during ante-natal Annual report submitted MoH 2010 to 2014 clinics on appropriate diets 5.4 Reduction of anaemia in 5.4.1 Implement Food and Health FHGs used in all ANC/ NFNC, MoH, NCHP 2011 $10,000.00 women and children Guidelines [FHG] MCH clinics 5.4.2 Grow and consume iron rich foods At least 50 organic MPI, NFNC, MoW, 2012 gardens established MoH, NSAs per division 5.4.3 Provide iron supplementation and All health facilities provide MoH 2014 MOH budget de-worming for all females Fe supplementation and de-worm services for women 5.4.4 Implement iron supplementation 80% coverage for iron MoH 2014 program for all pre and primary supplementation school aged children 5.5 Training initiatives for 5.5.1 Train women groups on 2 trainings per year MoW, NFNC 2010 to 2014 $25,000.00 income generating food-related income food-related activities generating activities 5.6 Provision of nutrition 5.6.1 Provide training for HIV/AIDS 2 trainings per year MoH, NFNC 2010 to 2014 MoH budget information for HIV/AIDS support groups 5.7 Disaster Ration Scales 5.7.1 Develop and incorporate nutrition Guidelines and Ration MoH, NFNC, NDMO 2011 $5,000.00 guidelines into Disaster Plan Scale incorporated into Disaster Plan 21The Fiji Plan of Action for Nutrition (FPAN) 2010 - 2014 Strategic Objective Activities Performance Indicator Leading Agencies Timeline Proposed Budget Pillar 6.1 Implementation of the 6.1.1 Incorporate nutrition policy into Nutrition policy included MoE, MoH, NFNC 2012 MoE budget 10 Nutrition Policy for Schools the new curriculum into the National Curriculum 6.1.2 Incorporate nutrition policy into Nutrition policy included into MoE, MoH, NFNC 2013 Teacher Training Curriculum teacher training curriculum 6.1.3 Conduct Awareness, Training At least 2 Awareness, Training MoE, MoH, NFNC 2013 $10,000.00 and Advocacy on Policy and and Advocacy programs Canteen Guidelines for all stakeholders 6.1.4 Support the Boarding School Policy implemented MoE, MoH, NFNC 2009 MoE budget Policy 6.2 Promotion of gardening 6.2.1 Plant fruit trees and establish 250 schools with fruit trees MoE, MPI 2012 MoE budget and enterprise education organic vegetable gardens in and organic vegetable in all schools school compounds gardens 6.2.2 Implement enterprise education Sustained enterprise projects MoE, MPI, NFNC 2013 activities in rural schools in 100 schools 6.2.3 Use garden produce for school Inventory maintained MoE 2011 canteens menu and boarding school meals 6.3 Implementation of health 6.3.1 Implement Canteen Guidelines 7 schools designated Health MoE, MoH, NFNC 2010 $5,000.00 promoting schools program in all schools with canteens Promoting School Canteens 6.3.2 Implement Food and Health FHGs used in 16 pilot HPS NFNC, MoH, NCHP 2011 $15,000.00; Guidelines [FHG] schools supplemented by 6.3.3 Develop and implement “Whole school” food policy MoE, NFNC 2013 MoE/MoH budget “whole school” Food Policy developed and implemented in 50 schools 3.8.6 Policy 6: Nutrition Policy for Schools 22The Fiji Plan of Action for Nurtrition (FPAN) 2010 - 2014 Strategic Objective Activities Performance Indicator Leading Agencies Timeline Proposed Budget Pillar 7.1 Strengthen community 7.1.1 Train community health workers 2 trainings conducted MoH, MIA, 2010 to 2014 $50,000.00; 10 action and key community leaders on annually on Nutrition and NFNC, NSAs supplemented by healthy diet and lifestyle Physical Activity MoH budget 7.1.2 Assist community health workers Conduct 2 divisional TOT MoH, MIA, 2010 to 2014 and key community leaders to on Nutrition and Physical NFNC, NSAs educate their communities on Activity healthy diet and lifestyle 7.1.3 Promote consumption of fruits 2 Community trainings in MoH, MIA, 2010 to 2014 and vegetables in communities Food Gardening NFNC, NSAs 7.1.4 Establish food gardens in At least 10 hospitals MoH, NFNC, MPI 2013 all hospitals have gardens 7.1.5 Develop, implement and evaluate Diet & Physical Activity NCHP, NFNC, 2013 social marketing strategies to COMBI Plan developed, MoI, NSAs promote healthy diets and communicated, lifestyles based on FHGs implemented and evaluated. 7.1.6 Incorporate nutrition and physical Nutrition and Physical NCHP, MoH, NFNC 2012 MoH budget activity into healthy settings Activity incorporated into approach existing Healthy Settings. 7.1.7 Disseminate nutrition information 4 newsletters produced NFNC, MoH, MoE 2010 to 2014 NFNC budget through the NFNC newsletter and per year. Up-to-date website. www.nutrition.gov.fj Number of visitations to website. 3.8.7 Policy 7: Promote healthy diets and lifestyles 23The Fiji Plan of Action for Nutrition (FPAN) 2010 - 2014 Strategic Objective Activities Performance Indicator Leading Agencies Timeline Proposed Budget Pillar 7.2 Develop personal skills 7.2.1 Review, finalize and endorse FHG endorsed NFNC, FPAN AC, 2009 NFNC budget 10 Food and Health Guidelines FPAN SG 7.2.2 Develop COMBI Plan, Training COMBI Plan, Training NFNC, NCHP, 2010 $5,000.00 Manual and Education Support Manual and Education FPAN SG, MoI Materials for FHG Support Materials developed 7.2.3 Train health workers and teachers 1 national and 4 divisional NFNC, MoH, MoE, 2011 to 2013 $15,000.00 on the use of Fiji Food and Health trainings conducted MPI, FPAN AC Guidelines [FHG] 7.2.4 Incorporate FHGs in the current 9 teacher-training MoH, NFNC, 2012 MoH budget curriculum at targeted tertiary institutions teaching FHGs MoE, FNU institutions 7.2.5 In-service training for 2 divisional trainings MoH, NFNC, 2010 to 2014 professionals on nutrition conducted per year FNU, FPAN AC 7.3 Create supportive 7.3.1 Advocate for increase in taxation 10 unhealthy foods taxed PIB, MNP, 2013 $10,000.00; environment on unhealthy foods NFNC, MoH supplemented by 7.3.2 Submit list of selected nutritious 10 nutritious food under MoH, MPI, 2013 MoH budget foods under price control price control NFNC, MoJ 7.3.3 Establish a code of conduct for Policy in place MoH, NFNC, CCoF 2013 food related advertising eg unhealthy foods, children 7.3.4 Advocate for national salt Consultation undertaken to MoH, Food 2011 MoH budget reduction strategy via public produce draft national Industry private partnership strategy on salt reduction 7.4 Re-orient health service 7.4.1 Implement Non Communicable NCD Toolkit implemented in MoH 2010 MoH budget Diseases [NCD] Toolkit all divisions. Green Prescription used in all health care facilities 7.4.2 Design appropriate NCD NCD Intervention programs MoH, MoE 2011 $10,000.00 intervention programs for schools implemented and evaluated in 16 HPS pilot schools 3.8.7 Policy 7: Promote healthy diets and lifestyles 24The Fiji Plan of Action for Nutrition (FPAN) 2010 - 2014 Strategic Objective Activities Performance Indicator Leading Agencies Timeline Proposed Budget Pillar Strategic Objective Activities Performance Indicator Leading Agencies Timeline Proposed Budget Pillar 8.1 Establishment of a 8.1.1 Submit proposal for allocation of Resources allocated MoH, NFNC 2011 $30,000.00; 10 centralized database appropriate resources to NFNC plus donor agencies 8.1.2 Develop a Food and Nutrition Functional F&N Surveillance NFNC, MoH, FIBOS 2011 Surveillance System System in place 8.1.3 Train appropriate personnel 1 permanent position NFNC, MoH, FIBOS 2011 established 8.1.4 Strengthen systems network with Network established NFNC, MoH 2012 NFNC budget other implementing agencies 8.1.5 Disseminate information from 4 articles on surveillance NFNC, ITC 2014 F&N Surveillance System through published in the newsletter newsletter, website etc 8.2 Monitoring of FPAN 8.2.1 Develop monitoring plan for FPAN Monitoring Plan developed. FPAN AC and SG 2010 to 2013 $5,000.00 Process report submitted annually. 8.3 Evaluation of FPAN 8.3.1 Conduct National Nutrition Survey Survey completed. NFNC, MoH 2014 $400,000.00 Report published. 9.1 Collaboration of public and 9.1.1 Implement FPAN activities with 10 collaborative projects NFNC, MoH, NSAs 2013 $15,000.00 10 private sectors in the partners undertaken implementation of FPAN 9.2 Collaboration with NCHP 9.2.1 Incorporate food and nutrition 10 ICD healthy settings with NFNC, NCHP, 2013 $15,000.00 component into all ICD healthy food and nutrition MoH, MPD, MIA settings projects component 9.3 Strengthen collaboration 9.3.1 Sharing of information Evidence of technical and NFNC, MoH 2011 Donor agencies with regional and co-operation through projects financial support international organisations 3.8.8 Policy 8: Establish and promote nutrition surveillance and monitoring system 3.8.9 Policy 9: Strengthen collaboration with development partners 25The Fiji Plan of Action for Nutrition (FPAN) 2010 - 2014 BIBLIOGRAPHY 1. The national Food and Nutrition Development Programmes Suva Fiji 1981 2. The Fiji Plan of Action for Nutrition 1998 3. 2004 National Nutrition Survey Reports 4. 2002 STEPS Survey Report, Ministry of Health 5. Fiji Plan of Action for Nutrition Review Report 2006 6. Fiji Government Strategic Development Plan 2007-2011 7. MASLR Annual Corporate Plan 2006 8. Ministry of Health Strategic Plan 2007-2011 9. National Food and Nutrition Policy 2008 10. Food and Nutrition Policy for Schools 2009 11. Peoples Charter for Change, Peace & Prosperity 2008 12. Roadmap for Democracy and Sustainable Socio-Economic Development 2010-2014 [Draft] T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 26 Cabinet Decision on the 2009 Fiji Plan of Action for Nutrition At the Cabinet meeting of 3 December 2009, Cabinet with reference to IGCP(09)310 on the Fiji Plan of Action for Nutrition (FPAN) 2010 - 2014: endorsed the Fiji Plan of Action for Nutrition. i) approved the phased budget for the annual implementation of the FPAN over a five-year period commencing from 2010, at a total cost of $,1068, 750.00 ii) noted that the funding requirement for the implementation of FPAN 2010 – 2014 in 2010, will be sourced from within the Ministry of Health is a budgetary allocations iii) noted that the budgetary requirements for the subsequent years will be sourced through the normal budgetary submissions process and iv) endorsed the support and commitment of the partners and stakeholders in the FPAN 2010-2014. T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 27 Annex 1: Nutrition Policy Cycle and FPAN Processes Brief outline of FPAN development Process 1. The Plan of Action for Nutrition operationalizes Fiji National Food and Nutrition Policy (refer to above Figure) 2. The National Food and Nutrition Centre is the FPAN Secretariat, tasked to coordinate the implementa tion of FPAN Strategies. The Nutrition Centre put together the necessary background information to inform the development 3. A multi-sectoral FPAN Advisory Committee [FPAN AC], chaired by the National Planning Office representative, was established to oversee the review/development process. 4. A FPAN Steering Group [FPAN SG], was formed by the FPAN AC to fine tune the plan of action. 5. Wide consultations were undertaken further by the FPAN SG through various multi-sectoral committees such as the National Health Promotion Council, National NCD Committee, NCD Healthy Food Choice Sub-Committee, National Food Based Dietary Guidelines workshop, National Public Health Divisional workshops and meetings, and Consultations with Ministry of Finance & National Planning, as well as Regional Organisations 6. The final draft FPAN 2010-2014 was presented to the National Health Executive Committee [NHEC] for approval, and for onward submission to T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 28 Annex 2: FPAN Advisory Committee [FPAN AC] 2009 FPAN Steering Group [FPAN SG] 2009 No Name Ministry/Department 1 James Antonio Primary Industries - Agriculture 2 Sunia Waqainabete Primary Industries - Fisheries 3 Waisele Delai Health 4 Isimeli Tukana Health 5 Nisha Khan Health 6 Raijeli Mawa Women & Social Welfare 7 Litia Mawi Poverty Alleviation 8 Joela Cama National Planning 9 Taributi Bebeia National Planning 10 Matelita Rauca Education - TVET 11 Tikiko Lewesi Education - CDU 12 Joeli Luvu Indigenous Affairs 13 Viliame Kubunavanua Provincial Development 14 Lusi Naimawi Prices & Income Board 15 John Penjueli Ministry of Information 16 Vishal Kumar Red Cross 17 Shelvin Prasad Consumer Council of Fiji 18 Kiti Bulamainaivalu Fiji School of Medicine 19 Permal Deo USP – Institute of Applied Science 20 Fulori Sarai USP – Home Economics 21 Atelini Koroiwaca SPC – CETC 22 Andrew Prasad Suva City Council 23 Jimaima Schultz NFNC 24 Ateca Kama NFNC No Name Ministry / Institution 1 Joela Cama National Planning 2 James Antonio Primary Industries - Agriculture 3 Matelita Rauca Education - TVET 4 Kiti Bulamainaivalu Fiji School of Medicine 5 Fulori Sarai USP – Home Economics 6 Atelini Koroiwaca SPC – CETC 7 Isimeli Tukana Health 8 Nisha Khan Health 9 Jimaima Schultz NFNC 10 Ateca Kama NFNC T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 29 Annex 3: Annex 4: Stakeholder Activities T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 30 Stakeholder Activity No. Activities Leading Agencies Timeline CCoF 4.2.2 Train community groups, institutions and organizations on safe food handling and practices CCoF, NFNC, MoH, MoW, NSAs 2010 to 2014 CCoF 4.3.1 Enforce and monitor Food Safety Act and Regulation MoH, FTCA, CCoF 2010 to 2014 CCoF 4.3.2 Monitor nutrient content labelling CCoF, MoH, FTCA 2010 to 2014 CCoF 4.2.1 Review and repackage existing education materials on safe food handling and practices NFNC, CCoF, MoH, MoW, SCC, NSAs 2011 CCoF 7.3.3 Establish a code of conduct for food related advertising eg unhealthy foods, children MoH, NFNC, CCoF 2013 FIBOS 8.1.2 Develop a Food and Nutrition Surveillance System NFNC, MoH, FIBOS 2011 FIBOS 8.1.3 Train appropriate personnel NFNC, MoH, FIBOS 2011 FIRCA 3.2.4 Monitor regulation for import of iodised salt MoH, FIRCA 2010 to 2014 FNU 7.2.5 In-service training for professionals on nutrition MoH, NFNC, FNU, FPAN AC 2010 to 2014 FNU 2.3.6 Train farmers on composting, proper use of pesticides, insecticides and fertilizers MPI, MoH, FNU 2011 FNU 5.2.4 Incorporate IYCF Training into pre-service curriculum at FNU [FSM, FSN, FCAE and FIT] MoH, FNU 2011 FNU 7.2.4 Incorporate FHGs in the current curriculum at targeted tertiary institutions MoH, NFNC, MoE, FNU 2012 Food Industry 7.3.4 Advocate for national salt reduction strategy via public-private partnership MoH, Food Industry 2011 Food outlets 3.2.3 Monitor level of fortificant in the flour at point of sale periodically MoH, NFNC, Food outlets 2010 to 2014 FPAN AC 1.1.1 Review Fiji Plan of Action for Nutrition and submit to Cabinet for endorsement FPAN AC, NFNC 2009 FPAN AC 1.1.2 Submit FPAN to National Planning Office for incorporation into Government Strategic Development Plan FPAN AC, NFNC 2009 FPAN AC 1.2.1 Establish the National FPAN Advisory Committee [FPAN AC] FPAN AC, NFNC 2009 FPAN AC 1.2.2 Oversee the review and submission of FPAN FPAN AC, NFNC 2009 FPAN AC 7.2.1 Review, finalize and endorse Food and Health Guidelines NFNC, FPAN AC, FPAN SG 2009 FPAN AC 2.1.1 Lobby MPI to include Backyard Gardening in Food Security Programme FPAN AC, NFNC 2010 FPAN AC 8.2.1 Develop monitoring plan for FPAN FPAN AC and SG 2010 to 2013 FPAN AC 7.2.5 In-service training for professionals on nutrition MoH, NFNC, FNU, FPAN AC 2010 to 2014 FPAN AC 2.1.2 Lobby MOE to include Agriculture Science as a compulsory subject MPI, FPAN AC 2011 FPAN AC 7.2.3 Train health workers and teachers on the use of Fiji Food and Health Guidelines [FHG] NFNC, MoH, MoE, MPI, FPAN AC 2011 to 2013 FPAN SG 7.2.1 Review, finalize and endorse Food and Health Guidelines NFNC, FPAN AC, FPAN SG 2009 FPAN SG 7.2.2 Develop COMBI Plan, Training Manual and Education Support Materials for FHG NFNC, NCHP, FPAN SG, MoI 2010 FPAN SG 8.2.1 Develop monitoring plan for FPAN FPAN AC and SG 2010 to 2013 FTCA 4.3.1 Enforce and monitor Food Safety Act and Regulation MoH, FTCA, CCoF 2010 to 2014 FTCA 4.3.2 Monitor nutrient content labelling CCoF, MoH, FTCA 2010 to 2014 ITC 8.1.5 Disseminate information from F&N Surveillance System through newsletter, website etc NFNC, ITC 2014 MIA 2.1.6 Support village communities to produce food for their own consumption MIA, MPI, NFNC 2010 to 2014 MIA 2.2.5 Encourage periodic restrictions [taboo] of traditional fishing grounds MPI, MIA 2010 to 2014 MIA 7.1.1 Train community health workers and key community leaders on healthy diet and lifestyle MoH, MIA, NFNC, NSAs 2010 to 2014 MIA 7.1.2 Assist community health workers and key community leaders to educate their communities on healthy diet and lifestyle MoH, MIA, NFNC, NSAs 2010 to 2014 MIA 7.1.3 Promote consumption of fruits and vegetables in communities MoH, MIA, NFNC, NSAs 2010 to 2014 MIA 9.2.1 Incorporate food and nutrition component into all ICD healthy settings projects NFNC, NCHP, MoH, MPD, MIA 2013 MIA 4.4.2 Empower village elders and parents to enforce hygiene by-laws MIA, MoH 2014 MNP 3.2.2 Submit list of selected nutritious foods for price control NFNC, MoH, MNP 2012 MNP 7.3.1 Advocate for increase in taxation on unhealthy foods PIB, MNP, NFNC, MoH 2013 MoE 6.1.4 Support the Boarding School Policy MoE, MoH, NFNC 2009 MoE 6.3.1 Implement Canteen Guidelines in all schools with canteens MoE, MoH, NFNC 2010 MoE 2.1.4 Coordinate "Young Farmers Show" in schools MPI, MoE, NFNC 2010 to 2014 MoE 2.1.7 Celebrate World Food Day MoE, NFNC 2010 to 2014 MoE 7.1.7 Disseminate nutrition information through the NFNC newsletter and www.nutrition.gov.fj NFNC, MoH, MoE 2010 to 2014 MoE 6.2.3 Use garden produce for school canteens menu and boarding school meals MoE 2011 MoE 7.4.2 Design appropriate NCD intervention programs for schools MoH, MoE 2011 MoE 7.2.3 Train health workers and teachers on the use of Fiji Food and Health Guidelines [FHG] NFNC, MoH, MoE, MPI, FPAN AC 2011 to 2013 MoE 6.1.1 Incorporate nutrition policy into the new curriculum MoE, MoH, NFNC 2012 MoE 6.2.1 Plant fruit trees and establish organic vegetable gardens in school compounds MoE, MPI 2012 Annex 4: Stakeholder Activities T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 31 Stakeholder Activity No. Activities Leading Agencies Timeline MoE 7.2.4 Incorporate FHGs in the current curriculum at targeted tertiary institutions MoH, NFNC, MoE, FNU 2012 MoE 6.1.2 Incorporate nutrition policy into Teacher Training Curriculum MoE, MoH, NFNC 2013 MoE 6.1.3 Conduct Awareness, Training and Advocacy on Policy and Canteen Guidelines for all stakeholders MoE, MoH, NFNC 2013 MoE 6.2.2 Implement enterprise education activities in rural schools MoE, MPI, NFNC 2013 MoE 6.3.3 Develop and implement "whole school" Food Policy MoE, NFNC 2013 MoH 5.1.1 Establish Breastfeeding Committee in the hospital and health care facilities to promote exclusive breastfeeding for the first six months MoH 2009 MoH 6.1.4 Support the Boarding School Policy MoE, MoH, NFNC 2009 MoH 3.2.5 Conduct impact study of flour fortification NFNC, MoH 2010 MoH 5.1.5 Finalize the draft Code of Marketing of Breastmilk Substitutes and submit to Cabinet MoH, MoJ 2010 MoH 5.2.1 Train Health workers on the use of the WHO Child Growth Standards MoH, NFNC 2010 MoH 5.2.2 Develop Infant & Young Child Feeding [IYCF] COMBI plan MoH, NFNC, NCHP 2010 MoH 5.2.3 Implement IYCF COMBI plan NFNC, MoH, NCHP, MoW 2010 MoH 6.3.1 Implement Canteen Guidelines in all schools with canteens MoE, MoH, NFNC 2010 MoH 7.4.1 Implement Non Communicable Diseases [NCD] Toolkit MoH 2010 MoH 2.2.3 Enforce quality control regulations MPI, MoH 2010 to 2014 MoH 2.4.1 Educate community groups on safe food preparation, storage and preservation of local foods MoW, MoH, MPI, NFNC 2010 to 2014 MoH 3.2.3 Monitor level of fortificant in the flour at point of sale periodically MoH, NFNC, Food outlets 2010 to 2014 MoH 3.2.4 Monitor regulation for import of iodised salt MoH, FIRCA 2010 to 2014 MoH 4.2.2 Train community groups, institutions and organizations on safe food handling and practices CCoF, NFNC, MoH, MoW, NSAs 2010 to 2014 MoH 4.3.1 Enforce and monitor Food Safety Act and Regulation MoH, FTCA, CCoF 2010 to 2014 MoH 4.3.2 Monitor nutrient content labelling CCoF, MoH, FTCA 2010 to 2014 MoH 5.1.3 Maintain Baby Friendly Hospital status MoH 2010 to 2014 MoH 5.1.7 Celebrate World Breastfeeding Week MoH 2010 to 2014 MoH 5.3.1 Conduct routine growth monitoring clinics at the Health Centres and outposts [shift clinics] for all children under 5 years MoH 2010 to 2014 MoH 5.3.2 Demonstrate and counsel mothers and caregivers during non-thrivers clinics on appropriate diets MoH 2010 to 2014 MoH 5.3.3 Counsel couples during ante-natal clinics on appropriate diets MoH 2010 to 2014 MoH 5.6.1 Provide training for HIV/AIDS support groups MoH, NFNC 2010 to 2014 MoH 7.1.1 Train community health workers and key community leaders on healthy diet and lifestyle MoH, MIA, NFNC, NSAs 2010 to 2014 MoH 7.1.2 Assist community health workers and key community leaders to educate their communities on healthy diet and lifestyle MoH, MIA, NFNC, NSAs 2010 to 2014 MoH 7.1.3 Promote consumption of fruits and vegetables in communities MoH, MIA, NFNC, NSAs 2010 to 2014 MoH 7.1.7 Disseminate nutrition information through the NFNC newsletter and www.nutrition.gov.fj NFNC, MoH, MoE 2010 to 2014 MoH 7.2.5 In-service training for professionals on nutrition MoH, NFNC, FNU, FPAN AC 2010 to 2014 MoH 2.3.6 Train farmers on composting, proper use of pesticides, insecticides and fertilizers MPI, MoH, FNU 2011 MoH 3.1.1 Modify Regional Physical Activity Guidelines to Fiji context MoH 2011 MoH 3.1.2 Implement Physical Activity Guidelines MoH, NCHP, NFNC 2011 MoH 4.2.1 Review and repackage existing education materials on safe food handling and practices NFNC, CCoF, MoH, MoW, SCC, NSAs 2011 MoH 5.2.4 Incorporate IYCF Training into pre-service curriculum at FNU [FSM, FSN, FCAE and FIT] MoH, FNU 2011 MoH 5.4.1 Implement Food and Health Guidelines [FHG] NFNC, MoH, NCHP 2011 MoH 5.7.1 Develop and incorporate nutrition guidelines into Disaster Plan MoH, NFNC, NDMO 2011 MoH 6.3.2 Implement Food and Health Guidelines [FHG] NFNC, MoH, NCHP 2011 MoH 7.3.4 Advocate for national salt reduction strategy via public-private partnership MoH, Food Industry 2011 MoH 7.4.2 Design appropriate NCD intervention programs for schools MoH, MoE 2011 MoH 8.1.1 Submit proposal for allocation of appropriate resources to NFNC MoH, NFNC 2011 MoH 8.1.2 Develop a Food and Nutrition Surveillance System NFNC, MoH, FIBOS 2011 MoH 8.1.3 Train appropriate personnel NFNC, MoH, FIBOS 2011 MoH 9.3.1 Sharing of information co-operation through projects NFNC, MoH 2011 MoH 7.2.3 Train health workers and teachers on the use of Fiji Food and Health Guidelines [FHG] NFNC, MoH, MoE, MPI, FPAN AC 2011 to 2013 MoH 3.2.1 Grow and consume iron and vitamin A-rich foods MPI, NFNC, MoW, MoH, NSAs 2012 MoH 3.2.2 Submit list of selected nutritious foods for price control NFNC, MoH, MNP 2012 MoH 5.1.2 Implement Baby Friendly Health Centre initiatives MoH 2012 MoH 5.1.4 Strengthen Breastfeeding Support Groups [BSG] in the community MoH, NSAs 2012 T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 32 Annex 4: Stakeholder Activities Stakeholder Activity No. Activities Leading Agencies Timeline MoH 5.4.2 Grow and consume iron rich foods MPI, NFNC, MoW, MoH, NSAs 2012 MoH 6.1.1 Incorporate nutrition policy into the new curriculum MoE, MoH, NFNC 2012 MoH 7.1.6 Incorporate nutrition and physical activity into healthy settings approach NCHP, MoH, NFNC 2012 MoH 7.2.4 Incorporate FHGs in the current curriculum at targeted tertiary institutions MoH, NFNC, MoE, FNU 2012 MoH 8.1.4 Strengthen systems network with other implementing agencies NFNC, MoH 2012 MoH 3.1.3 Implement Food and Health Guidelines [FHG] NFNC, MoH, NCHP 2013 MoH 6.1.2 Incorporate nutrition policy into Teacher Training Curriculum MoE, MoH, NFNC 2013 MoH 6.1.3 Conduct Awareness, Training and Advocacy on Policy and Canteen Guidelines for all stakeholders MoE, MoH, NFNC 2013 MoH 7.1.4 Establish food gardens in all hospitals MoH, NFNC, MPI 2013 MoH 7.3.1 Advocate for increase in taxation on unhealthy foods PIB, MNP, NFNC, MoH 2013 MoH 7.3.2 Submit list of selected nutritious foods under price control MoH, MPI, NFNC, MoJ 2013 MoH 7.3.3 Establish a code of conduct for food related advertising eg unhealthy foods, children MoH, NFNC, CCoF 2013 MoH 9.2.1 Incorporate food and nutrition component into all ICD healthy settings projects NFNC, NCHP, MoH, MPD, MIA 2013 MoH 4.1.1 Expand piped safe water supply to all households PWD/Water Authority of Fiji, MoH 2014 MoH 4.4.1 Empower village elders and parents to upgrade existing sanitary facilities MPD, MoH, MoW 2014 MoH 4.4.2 Empower village elders and parents to enforce hygiene by-laws MIA, MoH 2014 MoH 5.1.6 Implement and monitor the Code MoH, MoJ 2014 MoH 5.4.3 Provide iron supplementation and de-worming for all females MoH 2014 MoH 5.4.4 Implement iron supplementation program for all pre and primary school aged children MoH 2014 MoH 8.3.1 Conduct National Nutrition Survey NFNC, MoH 2014 MoH 9.1.1 Implement FPAN activities with partners NFNC, MoH, NSAs 2014 MoI 7.2.2 Develop COMBI Plan, Training Manual and Education Support Materials for FHG NFNC, NCHP, FPAN SG, MoI 2010 MoI 7.1.5 Develop, implement and evaluate social marketing strategies to promote healthy diets and lifestyles based on FHGs NCHP, NFNC, MoI, NSAs 2013 MoJ 5.1.5 Finalize the draft Code of Marketing of Breastmilk Substitutes and submit to Cabinet MoH, MoJ 2010 MoJ 7.3.2 Submit list of selected nutritious foods under price control MoH, MPI, NFNC, MoJ 2013 MoJ 5.1.6 Implement and monitor the Code MoH, MoJ 2014 MoW 2.2.4 Encourage backyard poultry farming in rural areas MPI, MoW 2010 MoW 5.2.3 Implement IYCF COMBI plan NFNC, MoH, NCHP, MoW 2010 MoW 2.4.1 Educate community groups on safe food preparation, storage and preservation of local foods MoW, MoH, MPI, NFNC 2010 to 2014 MoW 4.2.2 Train community groups, institutions and organizations on safe food handling and practices CCoF, NFNC, MoH, MoW, NSAs 2010 to 2014 MoW 5.5.1 Train women groups on food-related income generating activities MoW, NFNC 2010 to 2014 MoW 4.2.1 Review and repackage existing education materials on safe food handling and practices NFNC, CCoF, MoH, MoW, SCC, NSAs 2011 MoW 3.2.1 Grow and consume iron and vitamin A-rich foods MPI, NFNC, MoW, MoH, NSAs 2012 MoW 5.4.2 Grow and consume iron rich foods MPI, NFNC, MoW, MoH, NSAs 2012 MoW 2.3.1 Assist communities establish and maintain organic backyard gardens (easy-to-grow local vegetables) MPI, MoW, NFNC, NSAs 2013 MoW 2.3.2 Support NSAs efforts to encourage family food gardening in low income households MPI, MoW, NFNC, NSAs 2013 MoW 2.3.3 Encourage maximum use of land for subsistence farming MPI, MoW, NFNC 2013 MoW 2.4.2 Develop recipes using local foods for nutritious family meals NFNC, MoW, MPI 2013 MoW 4.4.1 Empower village elders and parents to upgrade existing sanitary facilities MPD, MoH, MoW 2014 MPD 9.2.1 Incorporate food and nutrition component into all ICD healthy settings projects NFNC, NCHP, MoH, MPD, MIA 2013 MPD 4.4.1 Empower village elders and parents to upgrade existing sanitary facilities MPD, MoH, MoW 2014 MPI 2.1.5 Print Farmers Guide MPI 2010 MPI 2.2.4 Encourage backyard poultry farming in rural areas MPI, MoW 2010 MPI 2.1.3 Coordinate workshops to advocate food security MPI, NFNC 2010 to 2014 MPI 2.1.4 Coordinate "Young Farmers Show" in schools MPI, MoE, NFNC 2010 to 2014 MPI 2.1.6 Support village communities to produce food for their own consumption MIA, MPI, NFNC 2010 to 2014 MPI 2.2.1 Support and maintain food production for local consumption MPI 2010 to 2014 MPI 2.2.2 Improve feed formulations for poultry and livestock MPI 2010 to 2014 MPI 2.2.3 Enforce quality control regulations MPI, MoH 2010 to 2014 MPI 2.2.5 Encourage periodic restrictions [taboo] of traditional fishing grounds MPI, MIA 2010 to 2014 T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 33 Annex 4: Stakeholder Activities Stakeholder Activity No. Activities Leading Agencies Timeline MPI 2.3.4 Maintain seed and planting materials for backyard gardens MPI, NFNC 2010 to 2014 MPI 2.3.7 Provide incentives to encourage increased production of local produce [to include special awards for Best Farmer of the Year, Best Fisherman, Best Garden etc] MPI 2010 to 2014 MPI 2.4.1 Educate community groups on safe food preparation, storage and preservation of local foods MoW, MoH, MPI, NFNC 2010 to 2014 MPI 2.1.2 Lobby MOE to include Agriculture Science as a compulsory subject MPI, FPAN AC 2011 MPI 2.3.5 Develop composting guidelines for community education MPI, SCC 2011 MPI 2.3.6 Train farmers on composting, proper use of pesticides, insecticides and fertilizers MPI, MoH, FNU 2011 MPI 7.2.3 Train health workers and teachers on the use of Fiji Food and Health Guidelines [FHG] NFNC, MoH, MoE, MPI, FPAN AC 2011 to 2013 MPI 3.2.1 Grow and consume iron and vitamin A-rich foods MPI, NFNC, MoW, MoH, NSAs 2012 MPI 5.4.2 Grow and consume iron rich foods MPI, NFNC, MoW, MoH, NSAs 2012 MPI 6.2.1 Plant fruit trees and establish organic vegetable gardens in school compounds MoE, MPI 2012 MPI 2.3.1 Assist communities establish and maintain organic backyard gardens (easy-to-grow local vegetables) MPI, MoW, NFNC, NSAs 2013 MPI 2.3.2 Support NSAs efforts to encourage family food gardening in low income households MPI, MoW, NFNC, NSAs 2013 MPI 2.3.3 Encourage maximum use of land for subsistence farming MPI, MoW, NFNC 2013 MPI 2.4.2 Develop recipes using local foods for nutritious family meals NFNC, MoW, MPI 2013 MPI 6.2.2 Implement enterprise education activities in rural schools MoE, MPI, NFNC 2013 MPI 7.1.4 Establish food gardens in all hospitals MoH, NFNC, MPI 2013 MPI 7.3.2 Submit list of selected nutritious foods under price control MoH, MPI, NFNC, MoJ 2013 NCHP 5.2.2 Develop Infant & Young Child Feeding [IYCF] COMBI plan MoH, NFNC, NCHP 2010 NCHP 5.2.3 Implement IYCF COMBI plan NFNC, MoH, NCHP, MoW 2010 NCHP 7.2.2 Develop COMBI Plan, Training Manual and Education Support Materials for FHG NFNC, NCHP, FPAN SG, MoI 2010 NCHP 3.1.2 Implement Physical Activity Guidelines MoH, NCHP, NFNC 2011 NCHP 5.4.1 Implement Food and Health Guidelines [FHG] NFNC, MoH, NCHP 2011 NCHP 6.3.2 Implement Food and Health Guidelines [FHG] NFNC, MoH, NCHP 2011 NCHP 7.1.6 Incorporate nutrition and physical activity into healthy settings approach NCHP, MoH, NFNC 2012 NCHP 3.1.3 Implement Food and Health Guidelines [FHG] NFNC, MoH, NCHP 2013 NCHP 7.1.5 Develop, implement and evaluate social marketing strategies to promote healthy diets and lifestyles based on FHGs NCHP, NFNC, MoI, NSAs 2013 NCHP 9.2.1 Incorporate food and nutrition component into all ICD healthy settings projects NFNC, NCHP, MoH, MPD, MIA 2013 NDMO 5.7.1 Develop and incorporate nutrition guidelines into Disaster Plan MoH, NFNC, NDMO 2011 NFNC 1.1.1 Review Fiji Plan of Action for Nutrition and submit to Cabinet for endorsement FPAN AC, NFNC 2009 NFNC 1.1.2 Submit FPAN to National Planning Office for incorporation into Government Strategic Development Plan FPAN AC, NFNC 2009 NFNC 1.2.1 Establish the National FPAN Advisory Committee [FPAN AC] FPAN AC, NFNC 2009 NFNC 1.2.2 Oversee the review and submission of FPAN FPAN AC, NFNC 2009 NFNC 6.1.4 Support the Boarding School Policy MoE, MoH, NFNC 2009 NFNC 7.2.1 Review, finalize and endorse Food and Health Guidelines NFNC, FPAN AC, FPAN SG 2009 NFNC 2.1.1 Lobby MPI to include Backyard Gardening in Food Security Programme FPAN AC, NFNC 2010 NFNC 3.2.5 Conduct impact study of flour fortification NFNC, MoH 2010 NFNC 5.2.1 Train Health workers on the use of the WHO Child Growth Standards MoH, NFNC 2010 NFNC 5.2.2 Develop Infant & Young Child Feeding [IYCF] COMBI plan MoH, NFNC, NCHP 2010 NFNC 5.2.3 Implement IYCF COMBI plan NFNC, MoH, NCHP, MoW 2010 NFNC 6.3.1 Implement Canteen Guidelines in all schools with canteens MoE, MoH, NFNC 2010 NFNC 7.2.2 Develop COMBI Plan, Training Manual and Education Support Materials for FHG NFNC, NCHP, FPAN SG, MoI 2010 NFNC 2.1.3 Coordinate workshops to advocate food security MPI, NFNC 2010 to 2014 NFNC 2.1.4 Coordinate "Young Farmers Show" in schools MPI, MoE, NFNC 2010 to 2014 NFNC 2.1.6 Support village communities to produce food for their own consumption MIA, MPI, NFNC 2010 to 2014 NFNC 2.1.7 Celebrate World Food Day MoE, NFNC 2010 to 2014 NFNC 2.3.4 Maintain seed and planting materials for backyard gardens MPI, NFNC 2010 to 2014 NFNC 2.4.1 Educate community groups on safe food preparation, storage and preservation of local foods MoW, MoH, MPI, NFNC 2010 to 2014 NFNC 3.2.3 Monitor level of fortificant in the flour at point of sale periodically MoH, NFNC, Food outlets 2010 to 2014 NFNC 4.2.2 Train community groups, institutions and organizations on safe food handling and practices CCoF, NFNC, MoH, MoW, NSAs 2010 to 2014 NFNC 5.5.1 Train women groups on food-related income generating activities MoW, NFNC 2010 to 2014 T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 34 Annex 4: Stakeholder Activities Stakeholder Activity No. Activities Leading Agencies Timeline NFNC 5.6.1 Provide training for HIV/AIDS support groups MoH, NFNC 2010 to 2014 NFNC 7.1.1 Train community health workers and key community leaders on healthy diet and lifestyle MoH, MIA, NFNC, NSAs 2010 to 2014 NFNC 7.1.2 Assist community health workers and key community leaders to educate their communities on healthy diet and lifestyle MoH, MIA, NFNC, NSAs 2010 to 2014 NFNC 7.1.3 Promote consumption of fruits and vegetables in communities MoH, MIA, NFNC, NSAs 2010 to 2014 NFNC 7.1.7 Disseminate nutrition information through the NFNC newsletter and www.nutrition.gov.fj NFNC, MoH, MoE 2010 to 2014 NFNC 7.2.5 In-service training for professionals on nutrition MoH, NFNC, FNU, FPAN AC 2010 to 2014 NFNC 3.1.2 Implement Physical Activity Guidelines MoH, NCHP, NFNC 2011 NFNC 4.2.1 Review and repackage existing education materials on safe food handling and practices NFNC, CCoF, MoH, MoW, SCC, NSAs 2011 NFNC 5.4.1 Implement Food and Health Guidelines [FHG] NFNC, MoH, NCHP 2011 NFNC 5.7.1 Develop and incorporate nutrition guidelines into Disaster Plan MoH, NFNC, NDMO 2011 NFNC 6.3.2 Implement Food and Health Guidelines [FHG] NFNC, MoH, NCHP 2011 NFNC 8.1.1 Submit proposal for allocation of appropriate resources to NFNC MoH, NFNC 2011 NFNC 8.1.2 Develop a Food and Nutrition Surveillance System NFNC, MoH, FIBOS 2011 NFNC 8.1.3 Train appropriate personnel NFNC, MoH, FIBOS 2011 NFNC 9.3.1 Sharing of information co-operation through projects NFNC, MoH 2011 NFNC 7.2.3 Train health workers and teachers on the use of Fiji Food and Health Guidelines [FHG] NFNC, MoH, MoE, MPI, FPAN AC 2011 to 2013 NFNC 3.2.1 Grow and consume iron and vitamin A-rich foods MPI, NFNC, MoW, MoH, NSAs 2012 NFNC 3.2.2 Submit list of selected nutritious foods for price control NFNC, MoH, MNP 2012 NFNC 5.4.2 Grow and consume iron rich foods MPI, NFNC, MoW, MoH, NSAs 2012 NFNC 6.1.1 Incorporate nutrition policy into the new curriculum MoE, MoH, NFNC 2012 NFNC 7.1.6 Incorporate nutrition and physical activity into healthy settings approach NCHP, MoH, NFNC 2012 NFNC 7.2.4 Incorporate FHGs in the current curriculum at targeted tertiary institutions MoH, NFNC, MoE, FNU 2012 NFNC 8.1.4 Strengthen systems network with other implementing agencies NFNC, MoH 2012 NFNC 2.3.1 Assist communities establish and maintain organic backyard gardens (easy-to-grow local vegetables) MPI, MoW, NFNC, NSAs 2013 NFNC 2.3.2 Support NSAs efforts to encourage family food gardening in low income households MPI, MoW, NFNC, NSAs 2013 NFNC 2.3.3 Encourage maximum use of land for subsistence farming MPI, MoW, NFNC 2013 NFNC 2.4.2 Develop recipes using local foods for nutritious family meals NFNC, MoW, MPI 2013 NFNC 3.1.3 Implement Food and Health Guidelines [FHG] NFNC, MoH, NCHP 2013 NFNC 6.1.2 Incorporate nutrition policy into Teacher Training Curriculum MoE, MoH, NFNC 2013 NFNC 6.1.3 Conduct Awareness, Training and Advocacy on Policy and Canteen Guidelines for all stakeholders MoE, MoH, NFNC 2013 NFNC 6.2.2 Implement enterprise education activities in rural schools MoE, MPI, NFNC 2013 NFNC 6.3.3 Develop and implement "whole school" Food Policy MoE, NFNC 2013 NFNC 7.1.4 Establish food gardens in all hospitals MoH, NFNC, MPI 2013 NFNC 7.1.5 Develop, implement and evaluate social marketing strategies to promote healthy diets and lifestyles based on FHGs NCHP, NFNC, MoI, NSAs 2013 NFNC 7.3.1 Advocate for increase in taxation on unhealthy foods PIB, MNP, NFNC, MoH 2013 NFNC 7.3.2 Submit list of selected nutritious foods under price control MoH, MPI, NFNC, MoJ 2013 NFNC 7.3.3 Establish a code of conduct for food related advertising eg unhealthy foods, children MoH, NFNC, CCoF 2013 NFNC 9.2.1 Incorporate food and nutrition component into all ICD healthy settings projects NFNC, NCHP, MoH, MPD, MIA 2013 NFNC 8.1.5 Disseminate information from F&N Surveillance System through newsletter, website etc NFNC, ITC 2014 NFNC 8.3.1 Conduct National Nutrition Survey NFNC, MoH 2014 NFNC 9.1.1 Implement FPAN activities with partners NFNC, MoH, NSAs 2014 NSAs 4.2.2 Train community groups, institutions and organizations on safe food handling and practices CCoF, NFNC, MoH, MoW, NSAs 2010 to 2014 NSAs 7.1.1 Train community health workers and key community leaders on healthy diet and lifestyle MoH, MIA, NFNC, NSAs 2010 to 2014 NSAs 7.1.2 Assist community health workers and key community leaders to educate their communities on healthy diet and lifestyle MoH, MIA, NFNC, NSAs 2010 to 2014 NSAs 7.1.3 Promote consumption of fruits and vegetables in communities MoH, MIA, NFNC, NSAs 2010 to 2014 NSAs 4.2.1 Review and repackage existing education materials on safe food handling and practices NFNC, CCoF, MoH, MoW, SCC, NSAs 2011 NSAs 3.2.1 Grow and consume iron and vitamin A-rich foods MPI, NFNC, MoW, MoH, NSAs 2012 NSAs 5.1.4 Strengthen Breastfeeding Support Groups [BSG] in the community MoH, NSAs 2012 NSAs 5.4.2 Grow and consume iron rich foods MPI, NFNC, MoW, MoH, NSAs 2012 NSAs 2.3.1 Assist communities establish and maintain organic backyard gardens (easy-to-grow local vegetables) MPI, MoW, NFNC, NSAs 2013 T he F ij i P la n of A ct io n fo r N ut ri ti on (F PA N ) 20 10 2 01 4 35 Annex 4: Stakeholder Activities