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ii SEAMEO RECFON Annual Report Fiscal Year 2013-2014

ANNUAL REPORT

SEAMEO RECFON July 2013 – JuNE 2014

iSEAMEO RECFON Annual Report Fiscal Year 2013-2014

i

Advisory Board

Soemilah SastroamidjojoJohanna SP Rumawas

Widjaja Lukito

Editorial Board

Drupadi HS DillonMiranti MartinUmi Fahmida

Contributor

Daniel SahanggamuDewi Maryani Kusumastuti

Dwi Nastiti IswarawantiEvi Ermayani

Helda KhusunImam Joko Purnomo

Judhiastuty FebruhartantyKusyanty F. Hapsari

M. PerbowoNur Mutiara

Purnawati Hustina RQorina

Ratna WulantiRindrawati

RositaSri Kurniasih

Message from the Director

Acknowledgement

Vision and Mission

Five-year Development Goals

Governing board members

Executive Summary

Regional Leadership

Research and Publications

Innovative Programs

Capacity Building

Regional Visibility

Partnership for Sustainable Human

Resource Development

Consultancy in Food and Nutrition

Increase Means for Stakeholder to

Access SEAMEO RECFON

Solid Resources Base

Financial Visibility

Human Resources Development

Facilities

APPENDICES

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CONTENT

iiiSEAMEO RECFON Annual Report Fiscal Year 2013-2014

iv

MESSAGE FROM THE DIRECTOR

This Annual report highlights the SEAMEO RECFON accomplishments

during the FY 2013-2014. We always try to keep tracks with the key result

areas - our mandate as regional center for food and nutrition in South

East Asia region. In its fourth year journey this year, SEAMEO RECFON

pledge to continuously try its best to reach better accomplishment in

the years to come.

We cherish all the friendships and continuous support from our

consultants, partners, alumni, national and international organizations,

and all those, who have helped SEAMEO RECFON in numerous ways,

enabling us to discharge our responsibilities to all stakeholders.

Drupadi HS Dillon

Director

vSEAMEO RECFON Annual Report Fiscal Year 2013-2014iv SEAMEO RECFON Annual Report

Fiscal Year 2013-2014

ACKNOWLEDGEMENT

SEAMEO RECFON appreciates and is grateful to the Ministry of Education and Culture, Government

of Indonesia, for their continuous guidance and support to help us execute our mandate.

We esteem the SEAMEO Council for their continuous patronage in many ways to make us perform

our tasks.

SEAMEO RECFON is indebted to the SEAMEO Secretariat and all the SEAMEO centers for guiding and

facilitating us to conduct our activities and manage collaborations with a wide range of organizations

and institutions.

We highly appreciate the constant support, wisdom and professional guidance of SEAMEO RECFON

Governing Board members.

In particular, we extend our gratitude to our consultants, partners and collaborators at national and

international levels, and all those, who have helped SEAMEO RECFON, as reflected in this annual

report.

Be the centre of excellence in human resource development in the area of food and nutrition

in South East Asia.

VISION

To conduct research, education, capacity building, and information dissemination

in food and nutrition through partnership for sustainable human resource development.

MISSION

viiSEAMEO RECFON Annual Report Fiscal Year 2013-2014vi SEAMEO RECFON Annual Report


The First Five-year Developmental Plan was developed based on the following premises:

1. Food and nutrition continue to be the relevant focus for SEAMEO RECFON and particularly focusing on Maternal and Child Nutrition will effectively reduce the persistently high under nutrition problems and the emerging nutrition-related degenerative diseases

2. The bureaucracy reforms within the Government of Indonesia assure program and financial accountabilities, yet it requires more investment in quality human resources and infrastructure.

3. The scope of work of SEAMEO RECFON will focus on (a) developing professionals in food and nutrition, (b) conducting research and development and information services in food and nutrition, and (c) establishing network for the purpose of resource sharing, information exchanges, research and development, as well as training and education.

4. The presence of alumni/ graduates spread in diverse positions of work and responsibility in the region forms existing and future partnership and collaboration; while the decentralization has leverage policy formulation at local government level.

5. The competition for grants to fund programs and activities will be tighter.

6. There is a continuous need on staff learning and personnel growth using updated and appropriate science and technology and to adapt to the changing global situation.

7. There is the pressing need to operate on sound financial standing

8. There is commitment to good governance and increased internal capacity by strengthening the management and leadership capacity within SEAMEO RECFON

Sivong SengaloundethDeputy Director General Department of Food and Drug Ministry of HealthLAO PDR

Dr. May Khin ThanAssistant Director, National Nutrition Council, Ministry of HealthMYANMAR

Prof. Barry HalliwellTan Chin Tuan Centennial Professor, Deputy President (Research & Technology), National University of SingaporeSINGAPORE

Prof. Dr. Le Thi HoiDirector of the National Institute for Nutrition, Ministry of HealthVIETNAM

EX-OFFICIO MEMBERS:

Dr. Witaya JeradechakulDirector SEAMEO Secretariat BangkokTHAILAND

Drupadi HS Dillon, MD, PhD Director SEAMEO RECFONINDONESIA

Dr. Hajah Maslina binti Haji MohsinDean, Pengiran Anak Puteri Rashidah Sa’adatul Bolkiah Institute of Health Sciences Universiti, BRUNEI DARUSSALAM

Prof. Dr. Ir. Muhammad Anis, M Met Rector, University of Indone siaINDONESIA

Dr. Shahnaz MuradDirector, Institute of Medical ResearchMALAYSIA

Dr. Ella Cecilia G NaliponguitDirectorSchool Health and Nutrition Centre THE PHILIPPINES Dr. Sangsom SinawatSenior Public Health Officer (Nutrition) Bureau of Technical Advisors, Department of Health, Ministry of Public Health THAILAND

Dr. Or VandineDirector, International Cooperation, Ministry of HealthCAMBODIA

MALAYSIA

THE PHILIPINES

THAILAND

CAMBODIA

INDONESIA

GOVERNING BOARD MEMBERS OF SEAMEO RECFON

The Board consists of representatives from Member Countries, nominated by respective Ministers of Education and appointed by the President of the SEAMEO Council. The Board is responsible for operational policies, strategic planning, annual evaluation and review of the Centre programs and budgets within the framework of an approved five-year development plan.

BRUNEI DARUSSALAM LAO PDR

MYANMAR

SINGAPORE

VIETNAM

CORE VALUES

FIVE-YEAR DEVELOMPMENT GOAL

• Integrity • Strive for excellence • Commitment •• Team work • Respect cultural diversity • Partnership •

STRATEGIES

Maximizing alumni network, partnership & collaborations.Encouraging mainstreaming policy towards health and nutrition at local government.

Adapting to the changing global situation.Using updated and appropriate science & technology.

Continuous staff learning and personnel growth.Operating on sound financial standing & good governance.

STRATEGIC FOCUS

MISSION AREAS OUTCOME

Maternal and Child Nutrition

Organizational strengthening

Improved regional human resources capabilities

focusing on maternal & child nutrition

• Research • Education

• Capacity Building • Information Dissemination• Policy Action

ixSEAMEO RECFON Annual Report Fiscal Year 2013-2014

EXECUTIVE SUMMARY

SEAMEO RECFON, as Regional Centre for Food and Nutrition, strives to bring value added to the South East Asia society,focusing on maternal and child nutrition. A continuous plan needs to be implemented and relevant in accordance with SEAMEO RECFON’s mission. This annual report of SEAMEO RECFON shares the achievements of the Centre during the period of July 2013 – June 2014.The Centre develops and manages its mission areas based on six core values: integrity, strive for excellence, commitment, team work, respect cultural diversity and partnership.

In the implementation of its duties in the area of Regional Leadership, the Centre conducted a total of 16 accomplished and ongoing research. The Centre carried various innovative programs at community level, as well as regional collaborations; capacity building through degree programs, regional trainings including leadership training, and staff empowerment in the field of nutrition in Timor Leste

To maintain the Centre’s role in the area of Regional Visibility, the Centre continues to strengthen the link-ages through consultancy and training in its expertise areas. During the fiscal year under review, SEAMEO RECFON’s staffs have been involved in various national and international events and actively participated in workshops, regulation meetings and seminars.

The Centre also engaged in building people awareness through social media aiming to introduce the Center and bring the institution closer to the public, especially for stakeholders, partners and community.

In the area of Solid Resource base, despite challenges for funding, the Centre facilitates staffs to take courses or trainings to increase their performance in providing services in relation to their tasks. To be able to serve good service to the clients, the Centre continuously improves laboratory, library and IT facilities.

Toward the five-year development plans and future vision, the Centre needs to set its annual strategic plans, focusing and prioritizing activities in line with its mission. To escalate the coverage of the Centre’s programs in education, research, capacity building and information dissemination, the Centre needs to pursue more collaborative projects. The Centre’s transformation to be a reliable regional centre needs to continue efforts in developing human resources through instilling the strategic values as a guidance for employees in their daily work.

1SEAMEO RECFON Annual Report Fiscal Year 2013-2014

REGIONAL LEADERSHIP

As research is one of the mission areas of SEAMEO RECFON, the organization continues to conduct and develop research in the fields of food and nutrition. During the fiscal year 2013-2014 there are 34 ongoing and accomplished research conducted by the academic staff and students of SEAMEO RECFON. All of the current research was funded by various sources such as NGO’s, Industries, and Government Institutions. The studies covers a wide range of topics from dietary diversity of under five children, development of food based dietary guidelines, micronutrients related with over and under nutrition to basic sciences including nutrigenomics and nutrigenetics.

RESEARCh ANd dEvElOpMENt

ReseaRch Topics by seaMeo RecFoN sTaFF

6

12

52

During the period of this report, results from studies conducted by SEAMEO RECFON has been disseminated as publications in 3 international peer reviewed journals and oral/poster presentations in 4 international and national scientific forum. During the fiscal year under review, the Center’s publications has been published in the BMC Public Health, Public Health Nutrition, and Food and Nutrition Bulletin.

• DeTeRMiNaTioNs oF seRuM FeRRiTiN, cRp aND aGp coNceNTRaTioNs usiNG polycloNal aNTiboDy MeThoD.

Anemia, especially among underfive children and reproductive age women, is still a major problem in the SEA region, and the cause of anemia is mostly iron deficiency. Serum ferritin concentration is an indicator to assess iron deficiency, however, its concentration increases during subclinical infection, and may mask the true iron status. Since subclinical infection is prevalent in the SEA region, assessment of Acute Phase Protein (APP) such as C-Reactive Protein (CRP) and Aplha-1 Acid Glycoprotein (AGP) concentrations are necessary to detect the occurrence of infection. The existing laboratory method to assess serum ferritin and APP need a considerable amount of blood, which is quite difficult to obtain, especially from underfive children in a community survey setting. This study aims to explore the determinations of serum ferritin and CRP concentrations with polyclonal antibody method, using small amount of blood. This laboratory study is in progress.

NUTRITION POLICY & PROGRAM

NUTRICEOMICS/NUTRIGENETICS

DIETARIES STUDIES IN YOUNG CHILDREN AND WOMEN

NUTRITION AND DISEASE

NAS VALIDATION STUDY

3SEAMEO RECFON Annual Report Fiscal Year 2013-20142 SEAMEO RECFON Annual Report


• seRuM viTaMiN D aND MaGNesiuM coNceNTRaTioNs aMoNG iNDoNesiaN woMeN wiTh pReeclaMpsia aND NoRMal pReGNaNcy: a sTuDy iN JakaRTa, iNDoNesia.

Preeclampsia, is a condition with high blood pressure and proteinuria during pregnancy. This condition is prevalent among pregnant women in the SEA region, and considered as the cause of morbidity and mortality affecting mothers and their offspring. The etiology of preeclampsia is still unknown, however, a number of micronutrient such as vitamin D and magnesium deficiencies are believed to exist among pregnant women with preeclampsia. The study aimed to investigate the serum vitamin D and magnesium concentrations among pregnant women with and without preeclampsia. The study shows that serum vitamin D and magnesium concentrations did not differ among pregnant women with and without pregnancy.

• DieTaRy calciuM aND caloRic iNTake oN calpRoTecTiN coNceNTRaTioN aND The Risks oF oveRweiGhT aND obesiTy aMoNG pReschool chilDReN iN JakaRTa

Pediatric overweight and obesity is becoming an emerging problem in both developed and developing countries. Fecal calprotectin, a biological marker of gut inflammation, has been associated with obesity severity. However, evidence to suggest this biomarker to be practically used in clinical settings are still very limited. Aside from that, many studies has confirmed that high calcium intake is related with lower body weight and fat among adolescence and adults. However, such evidence is especially lacking in children in developing countries, including Indonesia. A case control study consisting of preschool children 3-6 years old in East Jakarta was conducted. Results showed that there was no association between dietary calcium and caloric intake on calprotectin concentration and on the risks of overweight among preschool children in Jakarta.

SWAN is aimed to improve

access to safe water, sanitation

and nutritional status of the

community

INNOvAtIvE pROgRAM

• swaN (susTaiNabiliTy waTeR aND NuTRiTioN pRoJecT)

A study aimed to improve access to safe water, sanitation and nutritional status of the community was conducted in collaboration with ILSI SEAR (Southeast Asia Region) and ILSI Japan CHP (Center for Health Promotion). This long term project was initiated since 2011. The pre-preliminary assessment had been done in Karawang District and identified a need for an appropriate water treatment facility for the community to be able to use safe water. The main water source for their daily life necessities identified was the Citarum Barat Canal. Knowledge and practice related to sanitation, safe water supply, health and nutrition were also found to be limited.

A further feasibility study involving a water community technologist consultant was conducted in Bogor and Bekasi Districts. At this stage, the consultant assessed the legal framework and regulatory restrictions on community water, national and local government policy and guidelines of the government to promote safe water supply and hygiene practices in communities. By the end of the study, a relevant and replicable water treatment will be proposed and introduced in one of the selected project site.



• sMiliNG

1) Identify appropriate, feasible, sustainable interventions adapted to each country: Cambodia, Indonesia, Laos, Thailand, and Vietnam;

2) Raise awareness and mobilize policy makers and stakeholders (private sector, international organizations and non-governmental organizations) to incorporate such strategies in nutrition and public health policy plans for the benefit of society, especially the most vulnerable populations;

3) Apply two innovative methodologies which are useful for researchers and academes.

In this regards, SEAMEO RECFON shared the OptiFoods and Multiple Criteria Mapping methodologies as an introduction to researchers and academe. Through translating knowledge into action approach and by means of 7 working papers, this project results a plan of action for decision makers and stakeholders for inclusion priority interventions into the national policy of each SEA country.

.

SMILING (Sustainable Micronutrient Interventions to Control deficiencies and Improve Nutritional Status and General

Health in Asia), a project funded by the European Commission under the 7th Framework Programme for Research and Development, was conducted between February 2012 and May 2014. SMILING is coordinated by IRD (Institut de Recherche pour le Développement) in partnership with six South East Asian ministries, national agencies and universities and four European research center specialized in nutrition policies in Southern Countires namely University of Copenhagen, Denmark; Wageningen University and Vu University Amsterdam, the Netherlands; London School of Hygiene and Tropical Medicine, UK.

The project targets population was specifically those affected by malnutrition: women of childbearing age to include non-pregnant, pregnant and lactating mother and young children under the age of two years. SMILING has several objectives, namely:

SEA as the Centre of the action, taking into account the current transitional and future landscape of the countries

North-South-South Collaboration

The SMILING project has been cenceived aorind a collaborative

approach, which means developing and learning together, rather than

bringing in external expertise to teach those less advanced.

SMILING concept and componentsSMIlINg CONCEpt ANd COMpONENtS

• sea-chaNGe (susTaiNable eviDeNceD-baseD acTioNs FoR chaNGe)

The SEA-Change activity in Indonesia, conducted since November 2013, was aimed to meet the following objectives:

1) catalyze country level innovation to improve nutrition for children, adolescent girls and target groups important for the first 1,000days of life, with more emphasis on adolescent girls;

2) develop avenues for increased investments in evidence-based nutrition improvement delivery systems; and

3) assure program effectiveness and impact through public-private partnerships supported by operational research and evaluation.

SEAMEO RECFON has been appointed to become the focal point to achieve the objectives of the SEA-Change activity in Indonesia through community empowerment and public-private partnership. A group of collaborators has been established consisting of Aisyiyah, DSM, GAIN Indonesia, GIZ, Indofood, IPB, Mercy Corps and Savica, which may still expand to other potential partners, including representative from Ministry of Health, Indonesia.

SEAMEO RECFON has been appointed

to become the focal-point to achieve

the objectives of the SEA-Change

activity in Indonesia through community

empowerment and public-private

partnership.



• woRkshop oN “aseaN 2015: sTReNGTheNiNG ReGioNal FooD saFeTy sysTeM

The free movement of food in the region as envisioned in the implementation of the ASEAN Community by 2015 challenges the countries to overcome the health risks associated with food-borne hazards. The region still faces a number of constraints, notably the need for a regional food safety regulatory framework in the face of divergent capacity among member states in promoting and controlling compliance with food safety standards and regulations.

SEAMEO RECFON in collaboration with other SEAMEO centers namely SEARCA (South East Asia Regional Centre for Agriculture) and SEAMEO BIOTROP (Biological Tropical) conducted a 5-day Seminar Workshop in BIOTROP Building, Bogor. The aim of the workshop was to 1) Understand the underlying principles in the liberalization of and specific arrangements/ agreements in food trade; 2) Identify capacity and institution building programs essential to managing and controlling compliance to voluntary and mandatory food safety standards and regulations; 3) Identify regional, national and sectoral bodies and agencies engaged in food safety programs; and 4) Formulate mechanisms for effective networking with and among these organizations.

The target participants were twenty six (26) senior and mid-level officials’ level in food safety from Brunei, Cambodia, Indonesia, Malaysia, Myanmar, Philippines, and Thailand representing agricultural, fisheries, food and health sectors. Presented papers covered topics of 1) Principles Underlying Food Trade Liberalization 2) Risk-based Food Safety Systems and 3) Status and Updates of ASEAN Food Safety Initiatives. A capacity building on risk analysis for the countries under SEAMEO organization was proposed as the follow up of this activity.

CApACIty BuIldINg

• MasTeR DeGRee pRoGRaM iN coMMuNiTy NuTRiTioN

Since the opening of the program in 1992, the Master program in Community Nutrition is a two-year program in English. The first year consists of courses, while the second year is dedicated for research work. The program is conducted under the Nutrition Study Program, Faculty of Medicine, University of Indonesia.

Each year, the Master program consists of two batches. In the period of July 2013 – June 2014, there are 24 students with 14 students in the 1st year and 10 students in the 2nd year. Among these 2nd year students, eight of them completed their thesis defense in June 2014. Their thesis topics vary from basic to applied research in community nutrition, employing both qualitative and quantitative designs.

The second batch students enrolled in 2013, consists of 14 students, one from Myanmar and the rest are from Indonesia. Myanmarese student received DAAD-Faculty of Medicine UI Scholarship, while some other students received scholarships from their home institutions. They have completed their first year courses and are currently preparing their research.

The Master degree program offers 16 courses, applying block system, to enable non-degree participants to take any course of their interest. The program is supported by experienced RECFON’s staff as well as international lectures coming from South East Asia, Australia, the Netherlands, New Zealand and United States.



• Dr. Anuraj Shankar, Harvard University (USA)

• Prof. Khor Geok Lin I nternational Medical University, Malaysia (Malaysia)

• Prof. Lye Munn San Universiti Putra Malaysia (Malaysia)

• Safarina Malik, PhD (Eijkman Institute)

• Iwan Ariawan, MSPH (Faculty of Public Health, Universitas Indonesia)

• DR. Ratna Djuwita (Faculty of Public Health, Universitas Indonesia)

• Dr. Atmarita (Ministry of Health)• DR. Herquntarto, MPH.,

MARS (Faculty of Medicine, Universitas Indonesia)

• Robert Tilden, MPH., Dr PH• Dian N Basuki, MSc (WFP Indonesia) • Tika Wulandari• Ari Perdana (TNP2K)

• Asst. Prof. Richard S Javier, MBA, University of the Philippines Manila (Philippines)

• Asst. Prof. Ernani R Buceller, MPH, RND University of the Philippines Manila (Philipines)

• Prof. Rosalind Gibson, Otago University (New Zealand)

• Lisa Schubert,PhD University of Queensland (Australia)

• Prof. Abdullah Al Mamun, University of Queensland (Australia)

• Avita Usfar, Ir., MSc., Dr.sc.hum (TNP2K)• Elvyanti Martini, PhD (WFP Indonesia)• Ning Pribadi Ir., MSc (Koalisi Fortifikasi

Indonesia)• DY Suharya (CCPHI)• Anis Kurniawati MD PhD

(Faculty of Medicine, Universitas Indonesia)• Halim Nababan (NAFDC)• Ir. Hanifah N. Lioe PhD

(Bogor Agricultural Institute) • Elvina Karyadi,PhD

(Micronutrient Initiative Indonesia)• Drs. Eddy B. regar (PT. Sunbelt)• Damayanti R. Syarif

(Faculty of Medicine, Universitas Indonesia)• etc

INTERNATIONAL AND NATIONAL LECTURER/CONSULTANTS Of MASTER PROGRAM COURSE IN JULY 2013 – JUNE 2014

• DocToRaTe DeGRee pRoGRaM iN NuTRiTioN

SEAMEO RECFON has currently 12 doctorate students, coming from Indonesia and The Philippines. Six students are currently at their data collection stage, while the six others are at their literature review stage. This academic year, two new students had successfully completed the program.

The doctorate candidates receive scholarships and research supports from various sources, namely DAAD RECFON, DAAD TROPMED, Centre for

Aging Studies University of Indonesia, HENRI and Nestle Foundation.

Research topics of Doctorate and Master degree students combined consists of 18 different topics with the majority in the scope of nutrition policy and program. This research area includes topics on breastfeeding, infant young child feeding (IYCF) practices, nutrition supplement in chronic energy deficient pregnant women, and cadre/ health worker practices related with IYCF.

• NoN-DeGRee TRaiNiNG pRoGRaM aND Fellowship pRoGRaM

There were 9 master degree courses with 74 participants, who attended the short courses in the Fiscal Year 2013-2014. Five out of the 16 courses were conducted as SEAMEO RECFON fellowship program which awarded scholarship for selected participants from SEA region. During this fiscal year, SEAMEO RECFON offered Nutritional Status Assessment, Introduction to Nutritional Anthropology and Research Methodology courses as regional courses with fellowship award. This year SEAMEO RECFON also conducted an additional Research Methodology course that is detached from the master program to fulfill the interest of stakeholders.

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11

NUTRITION POLICY & PROGRAM

NUTRIGENOMICS/NUTRIGENETICS

DIETARY STUDIES IN WOMEN

NUTRITION AND DISEASE

HENRI

• Breastfeeding• Infant Young Child Feeding

(IYCF) Practices• Nutrition supplement in

chronic energy deficient pregnant women

• Cadre/ Health worker & IYCF Practices

Research Metodology

Nutrition in Food Industry

Food & Nutrient Intervention

Food Safety

Intr. Nut. Anthropology

Research Methodology

HNPPM II

HNPPM I

Intro. Nut. Anthropolgy

NAS

0 5 10 15 20 25 30

MSc Student

Indonesia

Myanmar

Cambodia

Philipine

Malaysia

Lao PDR

Thailand

COuRSES AttENdEd By ShORt COuRSE pARtICIpANtS

(July 2013 - JuNE 2014)

NAS : Nutrition Status Assessment

HNPPM : Health and Nutrition Project/ Program Planning & Management



• 10Th sea-Nlp

As a means of capacity building for nutritionist, SEAMEO RECFON annually holds a leadership program. The program aims to empower nutritionists working in government, research, and academic institutions in South East Asia by providing competencies in effective leadership

skills such as team building, decision making process and communication skills. SEA-NLP also serves to provide a forum of networking among nutritionists in the region where information and ideas are exchanged and collaboration projects can be established.

The 10th SEA-NLP was attended by 23 participants coming from Brunei, Cambodia, Indonesia, India, Myanmar, Philippines, and Thailand, from November 11th – 15th 2013. The activities included team building, outbound, workshops and discussions designed to enhance various stakeholders’ participation by inviting several institutions to share their visions in nutrition leadership, and cultural events. To commemorate the 10th anniversary of SEA-NLP, a special night celebration attended by SEA-NLP alumni from several SEAMEO member countries was held. A SEA-NLP “Alumni Award” and “Country Project Award” were presented for alumni, who have excellent achievements in the field of research, education, policy building and community development in nutrition and post SEANLP initiatives, which have succesfully implemented action for impact on nutrition.

SEAMEO RECFON had an opportunity to conduct a national survey commissioned by UNICEF Timor Leste with AusAID funding. This activity was a collaboration with Ministry of Health Timor Leste and its district offices, National Laboratory Timor Leste, the heads of Sucos and Aldeais, PSF, community members of Timor Leste,Iodine Deficiency Disorders laboratory, the Faculty of Medicine University of Diponegoro, Semarang, Indonesia; Vitamin A Iron Laboratory Germany, BioAnalyt, Germany, and the University of Georgia Aflatoxin Reference Laboratory, USA.

The general objective of the survey was to assess the nutritional status of the children and women and to determine risk factors of under-nutrition including the traditional and cultural factors affecting children’s feeding behaviors. Specifically, the survey conducted assessment of :

1) anthropometry among children 0-59 months and their non-pregnant mothers,

2) micronutrient status of children 6-59 months with regards to: anemia, iron, vitamin A and zinc deficiencies,

3) micronutrient status of non-pregnant mothers of children 6-59 months with regards to anemia, iron, vitamin A and iodine deficiencies,

4) aflatoxin exposure among children 6-59 months and their non-pregnant mothers,

5) iodine level in salt at the households level,

6) infant and young child feeding (IYCF) practices of children aged 0-23 months,

7) feeding and caring practices affected by the social, cultural and traditional values and normsusing qualitative methods with in-depth study, and

8) the vulnerability in terms of factors related to food and nutrition.

The target population was children aged 0-59 months and their non-pregnant mothers in 13 districts of Timor Leste, namelyAinaro, Aileu, Baucau, Bobonaro, Covalima, Dili, Ermera, Liquica, Lautem, Manufahi, Manatuto, Oecussi, and Viqueque. Data collection took place duringMay-September 2013. Currently, the survey project is at stage of final reporting.

• FooD aND NuTRiTioN suRvey iN TiMoR lesTe



UNIVERSITIES

NGO GOVERNMENT

National• Faculty of Medicine, Unviesity of Indonesia

• Faculty of Public Health, University of

Indonesia• Sriwijaya University• Health Polytechnic Tasikmalaya-Cirebon

• Health Polytechnic II, Jakarta

National• KIIC (Karawang

International Industry City)

• PERSAGI (Association of Indonesian Nutrition

Experts)• PERGIZI PANGAN

Indonesia• CCPHI (Company-

Community Partnerships for Health

in Indonesia)• Aisyiah

• Indofood

• Ministry of Education • Ministry of Health

• BAPPENAS (National Planning Development Board)

• LIPI (Indonesian Institute of Sciences)

• Ministry of Internal Affairs• SEAMOLEC

• The National Population and Family Planning Agency, Indonesia

• SEAMEO QITEP Language

• Jakarta Provincial Health Office• Serang Health Office• Depok Health Office• Bekasi Health Office

International• The Institute

of Human Nutrition and Food (IHNF) of the College of Human Ecology, the University of the Philippines Los Bańos

• School of Public Health, Harvard University, Boston, USA

• University of Public Health, Yangon Myanmar

International• UNICEF• WFP • ENLP (European Nutrition

Leadership Program• IRD France• Glaxo Smith Kline• GAIN (Global Alliance for

Improved Nutrition)• World Vision• DSM• Savica• Danone Institute, Jakarta• GIZ• Helen Keller Int’l

International• MoH Myanmar• MOAFF Cambodia• MOH Cambodia,

National

REGIONAL VISIBILITY

As a mean to support young scientist in the South East Asia region, the SEAMEO RECFON held a worshop on Nutrition Benchmarking in November 2013. It wasa a forum to gather experts, alumni and related stakeholders to exchange knowledge and updates information on Food and Nutrition. The topic of the event was specified on the encouragement to utilize the national health and nutrition data by young scientist to support the development of nutritional policy .

The event was also attended by various participants such as scientist, students, stakeholders, and professional organizations from Indonesia,

Malaysia, Myanmar, Netherlands, Philippines and Thailand. A panel discussion between scientists resulted in a fruitful discussion on strategies and core elements to support career development of young scientist in the South East Asian countries.

Aside from the event, the SEAMEO RECFON continues to actively participate in scientific events as resource persons, consultants, reviewers and as participants. During the fiscal year under review, SEAMEO RECFON’s staff has been involved in 44 national and international events and participated in 26 workshops, seminars and government meetings on regulations and policy related to nutrition.

.

List of

Collaborative

Institutions

• paRTNeRship FoR susTaiNable huMaN ResouRce DevelopMeNT

As stated in the Centre’s mission to conduct partnership for sustainable human resource development, SEAMEO RECFON continues to actively participate in various activities as resource persons, consultants, and participants to increase networking, build partnership and engage with universities, NGO’s and government institutions in the fields of health, food, and nutrition.

• coNsulTaNcy iN FooD aND NuTRiTioN

SEAMEO RECFON continues to share its expertise to various national and international consultative/ working groups, universities, and government organizations. Since 2011, SEAMEO RECFON has been actively involved in supporting programs of various academic institutions related with health and nutrition. During the fiscal year under review, the organization has contributed to courses conducted in Cambodia, Myanmar and The Philippines, and Cirebon, West Java, Indonesia.

SEAMEO RECFON assisted the implementation of Re- Echo Training of the 9th SEANLP San Mateo Rizal, Philippines was conducted to deliver courses on the basics of leadership and managerial skills for Assistant Chief Nutritionist-Dietitians of hospitals in The Philippines. The training was held on 8-12 July 2013 in collaboration with National Center for Health Facility Development Department of Health Philippines, Institute of Human Nutrition and Food University of The Philippines – Los Banos and DoH League of Registered Nutritionist Dietitians’ Incorporated Philippines,

SEAMEO RECFON’s contribution MSc in Human Nutrition Program at the School of Public Health – National Institute of Public Health (SPH-NIPH) Cambodia was sustained throughthe delivery of Rollout Courses on Principles of Nutrition and Applied Nutritional Assessment.

Roll out courses on Food Safety was conducted at the University of Public Health, Yangon, Myanmar, Health Polytechnic of Tasikmalaya, and Nutrition Study Program Cirebon. SEAMEO RECFON contributed as lecturers on Food safety and HACCP Principles.

• iNcRease MeaNs FoR sTakeholDeRs To access RecFoN’s pRoGRaMs

The increasing demand of publicity through virtual media was responded by the SEAMEO RECFON by the development of Facebook Fan Page of SEAMEO RECFON (http://www.facebook.com/seameorecfon) and Twitter with the account @srecfon. The aim of the social media utilization is to enhance access of the Center’s activities for stakeholders, partners and community.

• NuTRiTioN beNchMaRkiNG To suppoRT youNG scieNTisT iN sea ReGioN



FINANCIAl vIABIlIty

SEAMEO RECFON ensures the operation of its activities by controlling five components of funds in the Centre, which consist of capital funds, operating funds, special funds, other funds and unallocated funds. The sources of SEAMEO RECFON funds were from Government of Indonesia, research funding agencies, training fees, scholarship funds from SEAMEO-TROPMED Network, consultancy, laboratory and library services.

Aside from the government budget, grants and funding are also obtained from a number of activities, research and consultancy projects in the Centre. In the fiscal year under review, quite a number of research activities were continuation of the previous years. Research collaboration with Helen Keller Indonesia, Nestle Foundation, UNICEF, Harvard University for HENRI Project, Spheres Project, Industry Council Development, CIAT and IFPRI-Harvest Plus Challenge Program,

seaMeo RecFoN GRaNTs aND FuNDiNG Fy 2013/2014

8.923.63

41.3144.75Operating Funds

Capital FundsUnallocated

Funds

Special Funds

Other Funds

1.38

huMAN RESOuRCE dEvElOpMENt

• sTaFF DevelopMeNT

The center has supported activities that provide opportunities for staff members to continuously upgrade their knowledge and skilils. In the current fiscal year under review, 10 staffs attended trainings which covered a wide scope of skills and expertise. Such trainings included topics on SOP on human resource development, master of ceremony, writing of English business letter, good clinical practice and financial operation

FACIlItIES

The Centers’ laboratory continuously improves its service and quality assurance in accordance with international standards. During the fiscal year 2013/2014 a series of ISO 17025:2008 activities was conducted. Among others was management review, internal audit, training comprehension of SNI/ISO/IEC 17025:2008 and socialization on documentation system of laboratory management and also surveillance.

The laboratory has conducted biochemical analysis for 1138 samples, consisting of zinc, retinol, and riboflavin analysis for various clients from hospitals, universities, laboratory and research institutions. Other activities of the library included food data entry of 66 samples and laboratory instrument loan for 15 clients. To enhance the scope of laboratory analysis, the Centers’ laboratory staff participated in a vitamin D analysis training held by Immuno-endocrinology Makmal Laboratory, Faculty of Medicine, University of Indonesia.

Accredited by:

management. Planning to send laboratory staff to reference laboratory in Otago University New Zealand has been initiated in order to expand the scope of analysis to include folate assessment. All of which are important to improve the capacity of the Center’s human resources development.

• social acTiviTies

In commemoration of SEAMEO RECFON’s Third Anniversary, the Center conducted a reward ceremony to appreciate staff members consisting of 11 supporting staffs and 6 academic staffs, who have given more than 10 years of dedication for SEAMEO RECFON. The Director delivered the SEAMEO RECFON rewards during the event, which was attended by all the center’s staffs and students.

• laboRaToRy FaciliTies

SOLID RESOURCES BASE

and DAAD has been from the previous years. New research collaboration initiated in the current fiscal year are: The Global Alliance for Improved Nutrition (GAIN), Echo-SEANLP, and Nestle Foundation.

OthER FuNdS

uNAllOCAtEd FuNdS

CApItAl FuNdS

Source: Any income not defined in

other component such as Laboratory and

library services, short course fees

Source: Research grants,

donor agency, consultancy works

OpERAtINg FuNdS

Source: Government of Indonesia

SpECIAl FuNdS

Source: Government of Indonesia,

Scholarship from SEAMEO Secretariat

Source: Government of Indonesia,

investment in property and equipment

FUNDS COMPONENTS



• libRaRy FaciliTies

Through the support from the government of Indonesia, the Center’s library keeps on updating the books and journal collections. Up to now, the Center has successfully gathered a wide collection of books consisting of 4870 titles. This year the center has subscribed to 11 international journals, namely Journal of Nutrition, American Journal of Clinical Nutrition, Asia Pacific Journal of Clinical Nutrition, British Journal of Nutrition, Public Health Nutrition, European Journal of Clinical Nutrition, Journal of Nutrition Education & Behavior, Nutrition Reviews, Journal of the American Dietetic Association, Maternal and Child Health Journal, and The Lancet.

SEAMEO RECFON Library has also established cooperation in literature search with the University of Indonesia. The library has collaborated in access online journal database (PROQUEST), and connected to the internet library of the Medical Faculty, University of Indonesia (JUWITA).

Currently, the Centers’ library is upgrading the library’s software searching engine with more advanced and user’s friendly applications. This software will soon be integrated with the Centers’ main website to be able to be accessed outside of the center as well.

• coMpuTeR aND iNFoRMaTioN TechNoloGy

Various programmes had been implemented to maintain greater use of computer and information technology of the centre. During the fiscal year under review, the Center has completed database development of training program activities. Currently, the database is being used to input data from the training unit, with the main information on the training itself, topics, lecturers, and the participants (both degree and non-degree training). The Center is also developing database for activities and program under the Personnel and General Affairs Unit and Laboratory Unit.

APPENDIX



AppENdIx 1 ORgANIzAtION StRuCtuRE

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TaFF

AppENdIx 2 SEAMEO RECFON StAFF

No Position Name

1 Director Drupadi HS Dillon, MD.,MSc, Ph.D

2 Advisor Prof. SoemillahSastroamidjojo MD

3 Advisor Prof. Johanna SP Rumawas MD

4 Advisor Widjaja Lukito, MD., Ph.D

5 Deputy Director for Program Dr. Umi Fahmida, S.TP, MSc

6 Acting DeputyDirector for Resource Management

Mochammad Perbowo, BSc

7 Academic Staf Helda Khusun, S.TP, MSc, PhD

8 Academic Staf Rina Agustina, MD.,MSc, PhD

9 Academic Staf Luh Ade Ari Wiradnyani, S.Si., MSc

10 Academic Staf Otte Santika , SP, MSc

11 Academic Staf Siti Muslimatun, S.TP,MSc, Ph.D

12 Academic Staf Dr. Judhiastuty Februhartanty, S.TP., MSc

13 Academic Staf AirinRoshita, S.TP, MSc, Ph.D

14 Academic Staf LinaRospita, SPi, MSc

15 Head of Degree ProgramUnit Evi Ermayani, S.Hut, MSc

16 Head of Research & Consultancy Unit Paulus Daniel Sahanggamu, S.KG. MSc

17 Head of Training and Community Development

Dr. Ir. Dwi Nastiti Iswarawanti, MSc

18 Head of Laboratory Sri Kurniasih, AMd

19 Acting head of Administration Popi Widia Anggraeni, SE

20 Sekretaris Direktur dan Deputi Direktur Popi Widia Anggraeni, SE

21 Head of Finance Kusyanti Febriani Hapsari, SE

22 Head of Accounting Unit Dewi Maryani Kusumastuti, SE

23 Head of Human Resources and Legal Unit

Mochammad Perbowo, SKM

24 Head of Public Relation &Patnershiip -

25 Acting Head of Knowledge Management & IT

Imam Joko Purnomo, S.Kom



AppENdIx 3 lISt OF puBlICAtION IN INtERNAtIONAl JOuRNAlS

3.1. seaMeo RecFoN’s publicaTioN iN NaTioNal aND iNTeRNaTioNal JouRNal

No Author and Title Author JournalDate of

Publication

1 Association of food-hygiene practices and diarrhea prevalence among Indonesian young children from low socioeconomic urban areas.

Agustina R , Sari TP, Satroamidjojo S, Bovee-Oudenhoven IM, Feskens EJ, Kok FJ.

BMC Public Health October 2013

2 The influence of vitamin A status on iron-deficiency anaemia in anaemic adolescent schoolgirls in Myanmar

Htet MK, Fahmida U, Dillon D, Akib A, Utomo B, Thurnham DI

Public Health Nutr October 2013

3 Hepcidin profile of anemic adolescent schoolgirls in Indonesia at the end of 12 weeks of iron supplementation

Htet MK, Dillon D, Rosida A, Timan I, Fahmida U, Thurnham DI

Food & Nutrition Bulletin

2014

AppENdIx 4

RESEARCh RESult pRESENtAtIONS pRESENtEd By SEAMEO RECFON

EVENT SEAMEO RECFON’s Participation

The 4th National Forum on Regulation Network Kupang, East Nusa Tenggara, Indonesia(September 4-6 2013)

1 oral presenter

Corporate on Child Poverty and Social Protection Jakarta, Indonesia (September 10-11 2013)

1 oral presenter

IUNS 20th International Congress of Nutrition Granada, Spain (September 15-20 2013)

4 oral presenter15 poster presenter

International Conference on Food Security and Nutrition (ICFSN) Dubai, United Arab Emirates (December 2-4 2013)

1 oral presenter



AppENdIx 5 RESEARCh tOpICS OF MSC ANd dOCtORAtE StudENtS

No Research Topics

MSc Student

1 The Agreement between Minimum Acceptable Diet with Adequacy of Nutrient Intake among Children 6-23 Months of Age in Bekasi, Municipality, West Java, Indonesia

2 The Agreement between Minimum Acceptable Diet with Adequacy of Nutrient Intake among Children 6-23 Months of Age in Bekasi, Municipality, West Java, Indonesia

3 Infant and Young Child Feeding Knowledge and Practices of Caregivers in Bekasi Municipality – In areas where training to Posyandu’s cadres has been done

4 Experiences of Mother Attending Mother Support Group or Individual Lactation Consultation and Its Relation on Breastfeeding Practice: A Comparative Exploration

5 Self-Efficacy and Exclusive Breastfeeding Practice among Middle-High Socioeconomic Working Mothers: A Qualitative Study in Jakarta

6 Food consumption of pregnant women with and without risk of chronic energy deficiency (CED) in Central Lombok, West Nusa Tenggara

7 Calcium Intake and the Risks of Overweight and Obesity among Preschool Children in Jakarta

8 Factors Affecting Breastfeeding Intention and Continuation Among Urban Mothers in West Jakarta: A Follow Up Qualitative Study Using Critical Points Contact of Breastfeeding

Doctorate Student

9 Development and Acceptability Trial of Local based Biscuit for Moderately Stunted Children 9-11 of Age in Dompu, West Nusa Tenggara

10 The Empowerment model towards type 2 diabetic adults to enhance vegetable intake in achieving glycemic control

11 The Effect of optimized complementary Feeding with or without iron supplementation on iron status and Gut Microbiota of 1-2 years old Myanmar children

12 The Effect of higher nutrient dense complementary foods on catch-up growth and nutritional status of moderate stunting children in Dompu district

13 Effect of consuming annonamuricata leaves extract on nutritional status, SCFA, and Systemic Inflammation of CRC patient and in Vitro response of CRC cell

14 Family-Based Adolescents Obesity Management: Use of Social Cognitive Theory in Nutrition Education

15 Analyses of Working mother’s characteristics in relation to child feeding performance and nutritional outcome: secondary data analyses of multiple nationwide studies in Indonesia rom 2002-2012

16 Adherence towards maternal and child nutrition programs and its relationship to stunting among children under two years old in Indonesia: A continuum of Care approach perspective

17 Effect of standardized nutrition supplement in chronic energy deficiency pregnancy women on birth weight in central Lombok, West Nusa Tenggara

18 Local workers competencies on infant and young child feeding counseling and its relation to feeding practices and stunting among 0-23 months children in the Philippines

AppENdIx 6 RESEARCh tOpICS OF ACAdEMIC StAFF

No Research Title

1 Assessment of dietary pattern among underfive years old children from various socio economic level

2 Food based dietary guidelines of 12-23 months children from different socio-economic levels and the contribution of fortified product

3 Dietary Diversity, Nutrient Adequacy and Linear Growth of Preschool Children

4 Can NUtrigenomics / nutrigenetics help explain the mixed results on effect of LCPUFA (DHA) and Iron on child COgnition? (NUPICO)

5 Baseline Survey Report : The Rapid Action on Nutrition and Agriculture Initiative (RANTAI) Project in Timor Tengah Selatan District, East Nusa Tenggara Province

6 Sustainable Micronutrient Interventions to Control Deficiencies and Improve Nutritional Status and General Health (SMILING) in Asia

7 Baseline Health Survey-Timor Leste

8 Food-based InteRvention& psychosocial STimulation to improve child growth & development (FIRST) follow-up study

9 FADS polimorphism, LC-PUFA supplementation and cognitive function of under-two-year-old children

10 Serum vitamin D and magnesium concentrations among Indonesian women with preeclampsia and normal pregnancy: a study in Jakarta, Indonesia

11 Feasibility Study on Project SWAN Indonesia

12 The Evaluation of BCC Intervention Pilot Test in Sidoarjo, East Java

13 Dietary Calcium and Calory Intake on Calprotectin Concentration andthe Risks of Overweight and Obesity among Preschool Children in Jakarta

14 Nutritional status of under-two-year-old children and pregnant mothers in Kolaka Timur district, Southeast Sulawesi

15 Factors related with mother’s compliance on the first 1,000 days of life program: a qualitative study

16 Determinants of serum ferritin, CRP and AGP concentrations using polyclonal antibody method



AppENdIx 7 gRANtS ANd FuNdINg OF EACh FuNdS COMpONENt duRINg FISCAl yEAR 2013/2014

SEAMEO RECFON GRANTS AND FUNDING FY 2013/2014 UNIT IN USD

CAPITAL FUNDS 114,313

OPERATING FUNDS 529,213

SPECIAL FUNDS 17,695

OTHER FUNDS 573,239

UNALLOCATED FUNDS 46,554

TOTAL 1,281,014

26 SEAMEO RECFON Annual Report Fiscal Year 2013-2014

Jl. Salemba Raya 6 Jakarta 10430 INDONESIAPhone: (+62 21) 319 30205, Fax: (+62 21) 391 3933email: [email protected]: http://www.seameo-recfon.org

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