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Suladda PonguttaFebruary 20, 2010

IHPP

Comparison between Thai NHA Obesity Strategy and WHO

Expert Technical Report; Diet, Nutrition and Prevention of

Non-communicable diseases report

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Pathway of obesity and NCD development

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Other factors e.g. tobacco, alcohol and

psychological problem

NCDs

Intermediate risk of NCDs

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WHO technical report series 916

Diet, Nutrition and the Prevention of Chronic

disease

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Overview of WHO Expert Technical Report series 916; Diet, Nutrition and

Prevention of NCDs1. Global burden of NCDs

- Rapidly increase worldwide- Double burden of diseases in the developing world

2. Food consumption patterns and trends- Shift towards a higher energy density diet e.g. fat, sugar and simple carbohydrates- Decrease in fruit and vegetable intakes

3. In context; Broad-based perspective of NCDs prevention - considering through the life course; from fetus to old age - microscopic to macroscopic environments; interactions between early and later factors through out the life course

4. Nutrient intake goals6. Strategic directions and recommendations for policy and

research

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Strategic directions and recommendations for policy and

research• Principles for the promotion of healthy

diets and physical activity • Prerequisites for effective strategies • Strategic actions for promoting healthy

diets and physical activity

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Principles for the promotion of healthy diets and physical activity

- comprehensive and address all major dietary and physical activity risks from multi-sectoral perspective- optimal mix of actions that are in accord with national capabilities, laws and economic realities- have a central steering role in developing strategies to ensure that actions are implemented and monitoring their impact over the long term- Ministry of Health have a crucial convening role-bringing together other ministries- multi-sectoral working group; government needs to work together with the private sector, health professional bodies, consumer groups, academics, the research community and other nongovernmental bodies- a life-course perspective on NCDs prevention and control is critical (from fetus to old age)- strategy should explicitly address equality and diminish disparities e.g. poorest communities or population groups - draw substantially on existing international standards that provide a reference in international trade (e.g. marketing of unhealthy food across national boundaries)

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Prerequisites for effective strategies

• Leadership for effective action• Effective communication• Functioning alliances and partnerships• Enabling environments

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Strategic actions for promoting healthy diets and physical activity

All strategy must based on scientific evidence• Surveillance of people’s diets, physical activity

and related disease burden• Enabling people to make informed choices and

take effective action e.g. nutrition labeling • Making the best use of standards and

legislation • Ensuring that healthy diet components are

available to all• Achieving success through intersectoral

initiatives• Making the best of health services and the

professionals who provide them8

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Thai NHA

Strategies for Overweight & Obesity tackling

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Conceptual frame work; Thai NHA Obesity Strategy

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Thai NHA Obesity Strategy

• Strategy package 1- promote breast feeding - increase nutrient-dense and traditional food availability; farm to table (restaurant, individual family, workplace, school)- marketing control of powdered milk and unhealthy food- public campaign to raise awareness- promote healthy eating in school

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Thai NHA Obesity Strategy(continued)

• Strategy package 2- promote, support and protect physical activity- public transport- park, playground, stadium- public campaign to raise awareness - promote physical activity in school

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Thai NHA Obesity Strategy(continued)

• Strategy package 3- strengthen consultation, surveillance and treatment system in health care system- promote self monitoring for overweight and obesity

• Strategy package 4- promote knowledge management - promote integration of intervention and implementation- data base development- research to support policy-making

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Comparison between Thai NHA Obesity Strategy and WHO technical

report series 916Thai NHA obesity strategy

WHO technical report

Origins National Health Assembly

WHO/FAO meeting

Objectives Strategies for overweight & obesity tackling

Recommendations for NCDs prevention

Area Diet & physical activity Diet & physical activity

Scope to tackle

•Risk factors (food & sedentary life)•Environment

•Individual susceptibility•Risk factors (food & sedentary life)•Interaction between individual susceptibility and risk factors•Environment

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Principle of strategies

Thai NHA obesity strategy

WHO technical report

- comprehensive of optimal mix of actions

- have a central steering

- Ministry of Health have a crucial convening role

- multi-sectoral working group

Comparison between Thai NHA Obesity Strategy and WHO technical

report series 916

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Principle of strategies

Thai NHA obesity strategy

WHO technical report

- a life-course perspective

- equality and diminish disparities

-

- draw substantially on existing international standards that provide a reference in international trade

-

- Strengthen health care system to handle of prevention, surveillance and treatment

- Strengthen policy- making process

-

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Comparison between Thai NHA Obesity Strategy and WHO technical report series

916

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Thank you for your attention

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