regional tcp on creating enabling environments for ......2015, lcaas lao statistics bureau, 2015...
TRANSCRIPT
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Regional TCP on Creating Enabling Environments for Nutrition Sensitive Food and Agriculture to Address Malnutrition
Savan Hanephom (NPC)
Siviengkhek Phommalath (NE)
30 March 2017 in Bangkok, Thailand
“Selected NUS and preliminary proposed sites option for field survey: Lao PDR”
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Nutrition situation2015:
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Agriculture for Food Balance Sheet
• Agriculture contributed 21.3% of GPD (2016)*
• Supply Utilization Account (SUA):
- National target: average 2,600Kcal/person/day
- Recently: average 2,925Kcal/person/day (Survey in 2015)
Source: www.cia.gov
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LECS V 2012/13Average dietary
energy
consumption
Average protein
consumption
Average
carbohydrates
consumption
Average fat
consumption
Province kcal/per/day g/person/day
Vientiane CP 2158 70.8 391.3 31.0
Phongsaly 3253 92.7 644.1 29.9
Luangnamtha 3361 97.6 623.3 50.2
Oudomxay 3007 81.9 600.3 27.8
Bokeo 2390 63.4 497.2 14.2
Luangprabang 2773 79.2 531.5 33.7
Huaphanh 2668 69.0 558.7 14.8
Xayabury 2945 81.1 580.3 30.9
Xiengkhuang 2682 66.8 558.8 17.9
Vientiane 2872 70.7 597.0 20.1
Borikhamxay 2638 70.5 529.4 24.3
Khammuane 2390 67.1 488.7 16.1
Savannakhet 2763 81.4 543.3 26.7
Saravne 2429 78.8 464.8 26.1
Sekong 2014 51.1 421.3 12.0
Champasack 2761 81.0 547.4 24.3
Attapeu 2604 75.6 516.8 23.8
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Child under 5 undernutrition in Lao PDR
39.8
53.6
11.8
36.4
48.2
17.5
31.6
47.6
7.3
26.6
44.2
5.9
25.5
35.6
9.6
0
10
20
30
40
50
60
Underweight (weight-for-age) Stunting (height-for-age) Wasting (weight-for-height)
1993 LSIS 2000 NHS 2006 MICS 2011/12 LSIS 2015 LCAAS
34%
17%
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35.6% CU5 stunted
(Est. 330,000 children)
Source: 2015, Global Nutrition Report2015, LCAASLao Statistics Bureau, 2015 population census; annual population growth estimate (1.5%); % of total population as children under 5 (14.06%)
927,000children under 5
44.2% CU5 stunted
(Est. 385,000 children)
871,000children under 5
2011/12 2015
Number of Stunted Children Under 5 in Lao PDR
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Child under 5 Stunting by Province2011/ 12 2015
• 13 provinces have very high levels of stunting (>40%)
• 9 provinces have very high levels of stunting (>40%)
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Borikhamxay
Vientiane Capital
Phongsaly
Luangprabang
Huaphanh
Khammuane
Attapeu
Saravane
Vientiane
Province
Xayabury
Oudomxay
Luangnamtha
Bokeo
Xiengkhuang
Champasack
Sekong
Xaysomboun
4,222
2,238
4,598
5,382
8,185
5,072
7,653
4,204
6,882
2,937
1,442
3,554
>15%10-15%5- 9%0-4%
14,972
15,6798,050
Savannakhet
17,359
14,816
• 9.6 per cent of children under 5 years have acute malnutrition or wasting (low weight for height/length)
• 3 provinces have high levels of wasting, exceeding WHO serious 10% threshold
Source:
Lao Statistics Bureau, 2015 population census; annual population growth
estimate (1.5%);% of total population as children under 5 (14.06%)
LCAAS, 2015: prevalence of CU5 GAM
WHO GAM prevalence public health significance thresholds (%)
37,696
Child under 5 Wasting by Province
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Climate condition since 1976 to 2015:
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0
5
10
15
20
25
30
35
40
19
76
19
78
19
80
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82
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84
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86
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90
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92
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94
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96
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98
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00
20
02
20
04
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06
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08
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12
20
14
Tem
pe
ratu
re (
°c)
Temperature in 3 part of Laos from 1976 to 2015
Max VTE
Max LPB
Max CPS
Min VTE
Min LPB
Min CPS
Mean VTE
Mean LPB
Mean CPS
Mean T(76 and 15)LPB: 1.2VTE: 0.8CPS:1.6
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500.0
1,000.0
1,500.0
2,000.0
2,500.0
3,000.0
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76
19
78
19
80
19
82
19
84
19
86
19
88
19
90
19
92
19
94
19
96
19
98
20
00
20
02
20
04
20
06
20
08
20
10
20
12
20
14
Rai
nfa
ll (m
m)
Rainfall in 3 part of Laos from 1976 to 2015
Luangprabang
Savannakhet
Champasack
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Government Policy support for nutrition on Food and
Agriculture
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Stunting
ASEAN INTEGRATED FOOD SECURITY FRAMEWORK
SDG
8TH
NSEDP
NATIONAL NUTRITION STRATEGY 2025
World Health Assembly Targets
ASEAN Cluster 1: Promoting Healthy Life style Nutrition among 7 priorities
ASEAN IAI phase 3 of CLMV - Nutrition
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NNS2025 NNAP 2016-2020
Agriculture Education Health
eliminate malnutrition
4 multi-sectoral and governance interventions
4 nutrition sensitive
interventions
4 nutrition sensitive
interventions
10 nutrition specific and
sensitive interventions
3
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NPAN Agriculture
Interventions
Provinces
Intended
coverage
Coverage
Actual
delivery
Key challenges to achieving
coverage
1. Increase production plant-
based foods
18 The assessment includes
activities implemented at
national level relating to
capacity development and
policy support.
The expected coverage remains
to be defined by intervention
and target area and group.
Completing the common result
framework will help estimating
the coverage more precisely.
2. Increase production animal
based protein 18
3. Support post-harvest
facilities, food processing,
preservation and storage
18
4. Promote agriculture-based
and NTFP-based IGA to
increase household incomes,
with emphasis on women
18
NPAN Intervention Progress : Agriculture
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Crop-related Neglected and Underutilized Species (NUS)Food Group English/Local Name Scientific Name Classify in NUS1. Cereals Sorghum Sorghum Bicolor Underutilized2. Roots andTubers
TaroColocasia sp.
Neglected andUnderutilized
Purple YamDioscorea alata L.
Neglected andUnderutilized
Fancy Yam Dioscorea esculentaBurk.
Neglected andUnderutilized
3. Nuts and PulsesMungbean
Vigna radiata (L.)Wilczek
Underutilized
Rice BeanVigna umbellata(Thunberg) Ohwi &Ohashi
Neglected andUnderutilized
CowpeaVigna unguiculata (L.)Walp. subsp.unguiculata
Underutilized
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Stable and NUS crop production in Laos
Province Area (ha) Production (t) Yield (t/ha)
2013 2014 2013 2014 2013 2014
Rice 891,190 957,924 3,414,560 4,002,425 3.8 4.2
Root and
Tuber 65,995 81,345 1,477,948 1,872,240 22.4 23.0
Mungbean 2,940 2,920 3,365 4,000 1.1 1.4
Source: Department of Agriculture, MAF,2014
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Link with project
• Global Agriculture Food Security Programme (2016to 2021) cover 12 Dis, 400 Village in 4province(Phongsaly, Huaphan, Oudomxay and Xiengkuangprovince)
• Enhancing Nutrition of Upland Farming Families (ENUFF) 2 provinces (Huaphan and Oudomxayprovince).
• Food and Nutrition Security (FAO) in Luangnamtha province
• Food and Nutrition Security and Link to market (IFAD) 3 provinces (Saravane, Sekong and Attapeuprovince) 2013-2019