Invitation to an open discussion on the political outcome document of the ICN2 Comment Form Personal information Name: Maria Lourdes A Vega Strawberry C. Francia Organization: National Nutrition Council Location: Philippines Email: didi.vega@nnc.gov.ph berry_francia@yahoo.com nppdnnc@yahoo.com 1. General comments on the Draft of the Rome Declaration on Nutrition. • The political document does not explicitly support what has been discussed in the Lancet Series on Maternal and Child Nutrition. It has very little discussion on breastfeeding, and most especially complementary feeding and concerns related to the first 1000 days of life. Thus, effort to address malnutrition during these life stages is limited in this document. This should be strengthened in the document. • There is also a need to integrate related concerns from the post-2015 development agenda and the Scaling Up Nutrition Movement. • The targets set forth in this document must also be in line with the global targets committed for 2025 which states the following: ~ 40% reduction in the number of children under-five who are stunted ~ 50% reduction of anemia in women of reproductive age ~ 30% reduction in low birth weight infants ~ Nno increase in childhood overweight ~ increase the rate of exclusive breastfeeding in the first six months up to at least 50% ~ reduce and maintain childhood wasting to less than 5% • We also suggest for the FAO and WHO to develop a mechanism for alert notifications to member countries who joined the ICN2 forum last November 2013 in Rome for recent updates that may be available in the website. We very much welcome the idea of subscription to the ICN2 forum to keep track of the discussion and the latest documents being released. 2. Specific comments on the paragraphs related to the multiple threats that malnutrition poses to sustainable development (paragraphs 4-10). • Paragraph #4 should specify or state that undernutrition “at an early age” is the greatest determining factor on the negative “irreversible effect” on productivity and achievement of human potential in adulthood. • In paragraph #10, it is important to take note that the rate of decline in underweight, stunting and wasting is slow. • Paragraph 10.e can correlate the impact of undernutrition at an early age on overweight and obesity during adulthood 3. Specific comments on the vision for global action to end all forms of malnutrition (paragraphs 11-12). • There is a need to specify in paragraph #11.a young children and pregnant and lactating women. • Paragraph 11.e. should also include strengthening of the milk code as breastfeeding has a great role in curbing undernutrition at an early age. 4. Specific comments in the appropriate fields relating to these commitments (paragraph 13): Commitment a): eradicate hunger and all forms of malnutrition, particularly to eliminate stunting, wasting and overweight in children under 5 and anemia in women; eliminating undernourishment and reversing rising trends in obesity; • Include the elimination of underweight in children under 5 in paragraph #13.a. 5. We would also appreciate your vision on policies, programmes and investment that might help translate such commitments into action. • We suggest the intensification of exclusive breastfeeding during the first six months of life and the promotion of infant and young child feeding which particularly discusses the proper complementary feeding from 6 months onwards together with continued breastfeeding. Please refer to the SUN Movement and WHA nutrition related resolutions for policies and programs. Thank you.