SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT 1 NATIONAL FOOD AND HEALTH...

SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT

1

NATIONAL FOOD AND HEALTH PLANFor BELGIUM

N a t i o n a l F o o d a n d H e a l t h P l a n

2


A science-based,

multi-disciplinary

approach of

obesity and chronic

non-communicable

diseases related to

unhealthy diets

and lack of

physical activity


3



Belgium context

Principles of the NFHP-BNutritional objectivesStrategic policy options

Conclusions

Operational Plan

Organizational structure

4



5


4 State reforms (1970, 1980, 1988-89, 1993)

- Federal State

- 3 Communities

- 3 Regions

6


Competencies

Federal State:Foreign affairs, Defense, Justice, Finances, Social security,

Public health (including foodstuffs and consumer products), Domestic affairs, …

Communities:Language, Culture, Education, Audio-visual media, Curative

and preventive medicine, Family, …

Regions:Town planning, Environment, Employment, Economy, International trade, Agriculture, Energy, …

7



8



0

10

20

30

40

50

60

70

< 18.5 18.5-25 25-30 > 30

MenWomen

BMI of Belgian Adult Population

2.14.6

50.4

60.3

37.6

23.5

9.9 11.6

%

9



RESTFats

Meat, fish, egg

Fruits

Potatoes

Water

Physical activity

21 g

161 g

118 g

307 g

1.2 L

27.7% sufficient

159 g

138 g

133 g

Vegetables

Grain products

30 gCheese

Milk(products) (incl. Soy drinks)

481 g incl. alcoholic beverages266 g excl. alcoholic beverages

Source: VCP, WIV, 2004

10



11



2004: Minister of PH: Start of Belgian reflections to launch PNNS2004: WHO global strategy on diet, physical activity and health2004: Creation of Expert Group within the Federal Public Service Health, Food Chain Safety and Environment: Discussion document 2005: Protocol agreement between the different Federal, Regional and Community Governments (13/06/2005)Jan-June 2005: Intensive multi-stakeholder consultationJune 2005: validation of consensus documents / working groupsJun- Nov 2005: redaction of NFHP based on results of VCPDec 2005: Finalisation Scientific Text of the NFHP-BOct 2005-Mar 2006: preparation of campaignApril 2006: Launch NFHP and campagn May 2006-end 2010: implementation of NFHP based on operational plan by governmental partners and stakeholders

12



Science based: Public Health Council + appropriate experts

Positive approach:Restrictive and legislative actions as last resort

Multi-stakeholder consultation:Community health promotion organisations,

consumer groups, medical and paramedical sector, private sector (food industry, catering, distribution, advertising, …), …

Responsibility of stakeholders involved:Consensus and commitment

13



Propose and develop activities to reduce risk factors for chronic diseases related to unhealthy diets and lack of physical activity

Increase awareness and understanding of the importance of diet and physical activity amongst society stakeholders, consumers, private sector, health professionals, media and general public

Encourage all stakeholders involved to participate in the constructive debate and initiate, develop and implement actions coherent with the objectives of the NFHP-B

Create a framework for concrete, visible and coordinated actions to reduce disease risk and improve health and quality of life

14



Incorporation of the conclusions of the 10 working groups in the plan

Strategic Policy Options:

1. Communication2. Creating an environment promoting healthy eating habits and physical activity3. Commitment of the private sector4a. Breastfeeding and infant nutrition4b. Selective deficiencies and optimal nutrition5. Undernutrition in hospitals, nursing homes and home care6. Food intake data7. Scientific research on nutrition and nutritional behaviour

15



Objectives:

Creation of a reference point for clear and correct information on diet and physical activity in order to allow the public, both consumers and professionals to have access to a validated source of correct, science-based and coherent information

16



Objectives:

Development of 6 nutritional objectives for the Belgian population based on scientific principles and available data

17



1) Adaption of energy balance2) Consume > 400 g of fruits and

vegetables per day3) Decrease energy consumption from

fats to 35% of total energy increase nutritional quality of fat4) Increase carbohydrate intake to min

50% of total energy intake composed of complex carbohydrate sources and limit intake of free added sugars

5) Reduce salt intake and replace salt with iodised salt

6) Address selective micronutrient deficiencies in specific subgroups

7) Increase water consumption (min 1.5 L per day)

18



Objectives:

Creation of a logo to enable the public to identify initiatives that are in line with the principles of the NFHP-B and to enable all actors involved to have their initiatives validated with regard to consistency with the NFHP-B

19



NFHP-Logo

Spot television

Website

5 Food Guides

20


www.mijnvoedingsplan.beww.monplannutrition.be

21



Food GuidesGeneral1-3 years of age3-12 years of age12-18 years of ageElderly

22


750 000 ex.

23


50 000 ex.

24


250 000 ex.

25


250 000 ex.

26


150 000 ex.

27



Distribution channels for food guides:

- Mutualities: 365.000- FEDIS (distribution): 265.000- Pharmacy: 249.000- GP’s: 127.000- Pediatricians: 20.000- Gynecologists: 17.000- Site/callcenter: 30.000

28




Objectives:

50% breastfeeding at the age of 3 months in 2010

90% breastfeeding for 6 months in 2015

25% Baby-Friendly Hospitals by 2010

Coherent breastfeeding policy (BreastFeeding Committee)

29




Action:Promotion and support of BFHI

Timing: May-Aug ‘06: Evaluation Pilot Sep’06-Jun ‘07: extension of BFHI / 2nd phase pilotJan-Mar ‘08: publication of recommendationsJun-Dec ‘08: Implementation-Coherent breast feeding policy

30




Objectives:Application of the WHO code on breast feeding substitute

Improved education of health care workers

Provision of objective science-based and independent information on breast feeding and infant nutrition(Creation of expert committee)

31




Action:Application of the WHO code on breastfeeding substitutes by Federal Agency of the control of the food chain (FAVV-AFSCA)

Negociation with sector in when unacceptable practices occur

32




Action:Food habits on infants, search and solve bottlenecks for the promotion of breastfeeding

Conduct a national policy by Federal Breastfeeding Committee

33




Action:Provision of objective science-based (also based on practices and consensus) and independent information on breastfeeding and infant nutrition

Reference point: - Federal BreastFeeding Committee- Creation of expert committee on infant nutrition

34




Action:Creation of expert committee on infant nutrition - elaborate scientific recommendations - communication of recommendations through federations towards health professionals- recommendations for curricula and permanent formation

35




- Actions 2007 :

Poster for maternities at the occasion of the Mondial week on Breastfeeding (each year on a new theme)

Affiches

36




- Actions 2007 :

Poster for maternities at the occasion of the Mondial week on Breastfeeding (each year on a new theme)

Affiches

37




- Actions 2007 :Within the framework the European Blueprint for Action :1) Participation to a data collection study on breastfeeding rates (at 48h and at 6 months as recommanded by the WHO).

2)Organisation of a permanent formation for GP’s, gyneacologists and first line cares on use of medecines in combination with breastfeeding and possible affectations and treatments during breastfeeding (November 2007)

38




- Actions 2008 :3) Brochure without text for allochtones and illiterates on how to breastfeed.

39




- Actions 2007 :In the framework of the NFHP :

Participation to an exhibition « Babyboom » et « Famiboom » for families to sensibilize on the importance of breastfeeding and of good food habits for the young children and their family (October 2007)

Newsletter (3 per year ) for the primary health cares and pediatricians on nutrition for babies and young infants (the first theme is focused on practical nutritionnal recommandations).

40




- Actions 2008 :

TV-Spot on breastfeeding

SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT 1 NATIONAL FOOD AND HEALTH...

Documents

Transcript of SPF SANTE PUBLIQUE, SECURITE DE LA CHAINE ALIMENTAIRE ET ENVIRONNEMENT 1 NATIONAL FOOD AND HEALTH...