Public Health Nutrition Advocacy - PHAIWA · Public Health Nutrition Advocacy Dr Christina Pollard,...
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Transcript of Public Health Nutrition Advocacy - PHAIWA · Public Health Nutrition Advocacy Dr Christina Pollard,...
Public Health Nutrition Advocacy
Wednesday 7th March 2012
Acknowledgement of Traditional Country
• We respectfully acknowledge the past and present traditional owners of Western Australia and pay our respects to the leaders of the traditional custodians of this land, particularly the Nyoongar people.
Public Health Nutrition Advocacy
Dr Christina Pollard, APDAndrea Begley, MPH, APDNational Co‐convenorsFood & Nutrition Special Interest Group (FANISG)School of Public Health, Curtin University
PHAA’s Vision
Food & Nutrition Special Interest Group (FANSIG)
Objectives • Focal point for discussion of and action on public health
food and nutrition issues;• Formal vehicle for networking, advocacy and collaboration
in public health nutrition;• Promote development of a framework for education and
professional development of public health workers interested in public health nutrition, and;
• Ensure that public health nutrition is represented in the affairs of the PHAA
http://www.phaa.net.au/foodNutrition.php
Advocacy
…the process of overcoming major structural barriers to public health goals. It is issue and policy oriented. It is not primarily orientated at changing the knowledge, attitudes or behaviours of individuals, but rather the legislative, fiscal, physical and socialenvironments in which individual knowledge, attitude and behaviour change takes place”
(Chapman, S & Lupton D, 1994, The Fight for Public Health, BMJ Publishing, London)
Public Health NutritionWhat are we advocating for?
1. NUTRITION IS COMPLEX
Reconceptualising Nutrition
New Nutrition Science Project
Beauman C, Cannon G, Elmadfa et al The principles, definition and dimensions of the new nutrition sciencePublic Health Nutrition. 2005;8(6A):695‐8.Cannon G, Leitzmann C. The new nutrition science project. Public Health Nutrition. 2005;8(6A):673‐94.
Leverage points of entry across the food system
A conceptual framework of Australia’s food and nutrition system (Lester 1994)
http://www.aihw.gov.au/publications/index.cfm/title/3800
2. IT’S ABOUT DIET QUALITY
• The types and amounts of food are important
• It’s about a regular dietary pattern to provide good nutrition
• Excess energy intake is a problem
• Size does matter –(serving size) more of some foods and less of others
DRAFT
Nutritious foods to meet energy needs
Wide variety of nutritious foods
Avoid EDNP foods
3. NUTRITION NEEDS CHANGE THROUGHOUT THE LIFECYCLE
• Specific Food & Nutrient Requirements
• Need simple, clear communications in a supportive environment
National Health & Medical Research Council, 2006, Nutrient Reference Values http://www.nrv.gov.au/World Health Organisation. Diet, nutrition and the prevention of chronic disease. 2003; http://www.whqlibdoc.who.int/trs/who_trs_916.pdf
4. FOOD ACCESSIBILITY IS INEQUITABLE
• Big issue
• Inadequate income
• Geographical location
• Income stressorsLandrigan, T & Pollard, C, 2010 Food Access and Cost Survey (FACS) Department of Health , Western Australia www.public.health.wa.gov.au › Publications › Reports
5. ENVIRONMENTAL ISSUES ARE IMPORTANT
• Environmental sustainability
• Food supply
• Food regulation
• Food security
6. STRATEGIC ACTIONS PLANS WORK
But have expired Agenda for Action in Public Health Nutrition
• Promotion of diet quality• Food and Nutrition
Policy• Dietary Guidelines
implementation strategy• Food Security• Nutrition in food
regulation (eg. infant formula)
Strategic Intergovernmental Nutrition Alliance (SIGNAL)2001 Eat Well Australia & National Aboriginal & Torres Straight Islander Nutrition Strategy & Action Plan 2000‐2010, www.nphp.gov.au/publications/signal/eatwell1.pdf
INFR
ASTR
UCT
URE
SUPP
ORT
Public policy development Legislation & regulation
Resource allocation Engineering & technical interventions Incentives (financial & non‐financial)
Service delivery & development Education (incl. skills development)
Communication (incl. social marketing) Collaborations/partnership building
Community & organisational development
ADVOCACY
Strategic Management
Workforce Development
Research, Surveillance& Evaluation
CommunicationManagement
7. LIFESTYLE CAMPAIGNS ARE NOT ENOUGH
• Complex nutrition messages, drivers and barriers
• Need simple communications in supportive environments
• Disproportionate EDNP marketing and promotion
Pollard, C.M., et al., 2008, Increasing fruit and vegetable consumption: success of theWestern Australian Go for 2&5 campaign, Public Health Nutrition, 2008. 11(3): p. 314‐320.
8. VESTED INTEREST VERSUS PARTNERS• Need to build
collaborative, cooperative and coordinated partnerships
• Big issue in Australia and elsewhere
• Vested interest involved in developing public health nutrition policy
9. WORKFORCE CAPACITY & ISSUES
Public health nutrition is a multi‐faceted area and needs a multifaceted workforce‐ trained to meet the basic competencies
and specialised areas depending on professional level
and functions
Yngve, A, 2012, World Nutrition 2012, Public Health Nutrition, 15(4), 567c
Adequately skilled and sized workforce
Clinical DieteticsClinical Dietetics
Community Dietetics
Community Dietetics
Community Nutrition
Community Nutrition
Public Health Nutrition
Public Health Nutrition
Hughes, R and Somerset, S. 1997. Definitions and conceptual frameworks for public health and community nutrition: a discussion paper. Australian Journal of Nutrition & Dietetics. 54:1:40-54)
Public Health Nutritionists
• Numbers are diminishing
• No succession planning
• Agricultural scientists, Environmental Health Officers, Food Technologists
Continuum of Nutrition Service Delivery
10. NEED TO KNOW WHAT PEOPLE ARE EATING AND WHY
Framework for a National Food and Nutrition Monitoring & Surveillance System
Nexus Management Consulting. A national food and nutrition monitoring and surveillance system: a framework and a business case: final report Melbourne2006http://www.nphp.gov.au/publications/documents/att3_fnms_final_report0406.pdf
PHAA’s Food and Nutrition Vision
“a safe, nutritious, affordable, secure and environmentally
sustainable food system accessible to all Australians for health,
wellbeing and prosperity now and into the future”
PHAA Submission to National Food Plan, 2011 http://www.phaa.net.au/documents/110908 PHAA Response National Food Plan FINAL.pdf
Stafford J et al. Advocacy in Action: a toolkit for Public Health Professionals. Perth: Public Health Advocacy Institute of Western Australia; 2009.
FANSIG Advocacy 2011‐2012Government Inquiries
Food Production in Australia
Processed foods in Australia
The operation of community stores in remote Aboriginal and Torres Strait Islander communitieshttp://www.aph.gov.au/Parliamentary_Business/Committees/Committees_Exposed/atsia/communitystores
Submissions• National Food Plan (Department of
Agriculture Fisheries & Forestry)• Review of Food Labelling Law &
Policy (Department of Health & Ageing)
• Food Regulation Submissions (Food Standards Australia and New Zealand )
• Review of Dietary Guidelines for Australia & Infant Feeding Guidelines for Health Workers (National Health and Medical Research Council )
http://www.phaa.net.au/submissions.php