The evolution of nutrition planning in
Thailand
And
Nutrition strategy formulation
THE EVOLUTION OF NUTRITION PLANNING IN
THAILAND
8. REAL COMMUNITY-BASED NUTRITION PROGRAMS
( FUTURE )
6. REORGANIZE GOV. STRUCTURES
7. DECENTRALIZE NUTRITION PROGRAMMING
2002
5. PROGRAMS ADDRESSING SOCIAL CHANGES ( DEVELOPING )
- over – nutrition
- heath food market
- food industries / agriculture
- etc.
1982
4. SOCIAL CONTROL MEASURES
- recommended dietary intake
- national nutrition guidelines
- legislations (iodated salt, nutrition
labeling etc.)
3 . NATIONWIDE INTERVENTION PROGRAMS
goiter control
- protein-energy malnutrition
2. RESEARCH & DEVELOPMENT
- school lunch
- applied nutrition
- nutrition surveillance
- fortification technique
- basic need fulfillment
- food processing
- vitamin A / iron fortification ( next )
- product development
- etc.
- etc.
1942
-
1. MANPOWER DEVELOPMENT
-
institution development
school curricula
degree levels
grass- root level :
village health volunteer
local council
START
STRATEGY BASIC COMPONENTS
• TARGET GROUP ( INDIVIDUALS )
• COMMUNITY
• SERVICE PROVIDER / FACILITATOR
• INTERVENTION MEASURE
• VENUE OF INTERACTION
ANALYSIS OF STRATEGIC COMPONENTS
Following components
may be analyzed by
managerial areas to the
right :
1. Intervention
measures.
2. Reorienting
organizations.
3. Rules and
regulations.
4. Enabling /
empowering.
Managerial areas used to
analyze each component :
1. Approach ( how )
2. Actor ( by whom )
3. Target ( for whom )
4. Arena ( where )
5. Procedure / tool (
what means )
6. Expected outcome
( what )
BUILDING STRATEGIC FRAMEWORK
From the analysis of various components of the strategy, it
is possible to organize a framework that indicates the
interrelationship among those components such as technical and
social measures vis-a`-vis target group and venue of
implementation
( see accompanying chart )
THE DEVELOPMENT OF NUTRITION STRATEGY
( source : Amorn Nondasuta )
Development tools
POLICY/ AGENDA/ PRINCIPLE
PUBLIC OPINION
TECHNICAL INFORMATION
PROGRAM EVALUATION
Strategy framework
TARGET GROUP
high impact
PROVIDER/ FACILITATOR
MEASURES
High risk
Problem magnitude
DEFINE AREA OF INTERVENTION
DEFINE COVERAGE
innovations
categorized acc. to measures
TECHNICAL
categorized acc. to target
DEFINE VENUE OF INTERACTION
SOCIAL
Individual
- learning experience
- skill training
- early case detection
- self care
- environment protection
- etc.
community
- surveillance
- leadership
- networking
- advocacy
- campaign
- safety net
- tax/ pricing policy
- etc.
REORIENT ROLES AND FUNCTIONS
TRAINING AND SUPPORT incl. INFORMATION
OPERATION/ EVALUATION/ FEEDBACK
Administrative tools
- budget/ finance
- referral system
- information system
- resource/ technology transfer
- legislation/regulation/ guidelines
- supervision/ control
- community involvement
- research& development
- inter/ intra- sectoral coordination
- reward/ punishment
SUBSYSTEMS CONDUCIVE TO PHC PROGRAM DEVELOPMENT
1.
2.
3.
4.
5.
6.
7.
8.
9.
Community- based programs directed at the needy.
Workable system for inter-sectoral collaboration.
Effective systems of health financing.
Health development network.
Referral system for patients, technology and manpower.
Cost- effective health market at all levels.
Health service packages according to local needs.
Relatively independent local and middle level health institutions.
Proper social control of health behavior.