THAILAND COUNTRY PAPER Dr. Napaphan Viriyautsahakul Director of Bureau of Nutrition Department of Health, MoPH, Thailand Regional Meeting of Programme Managers on Nutrition and Food Safety, Jakarta, Indonesia, 27-30 November 2012 1 Thailand National Food Committee Act,2008 The 11th NESDP Thailand Strategic Framework of Food Security in Food Safety and Nutrition for Public Health (2012-2016) Thailand Healthy Lifestyle Strategic Plan (2011-2020) Strategic Framework of national nutrition plan in Thailand (2012-2013) - IDD control and prevention program - Obesity Prevention (Thai people flat belly) - Optimum Growth Development of Thai Children Nutrition Integration Program M&E System - Family Love Bonding Project - Obesity Control (Weight reduction as well as merit collection) - Healthy Menu - Hospitality Promotion of Food and Nutrients for Health Project Nutrition Vertical Program - IDD Surveillance Project 2 Exclusive Breast Feeding 6 months in Thailand % Target 30 % Year 2005 : Bureau of Health Promotion 2006 : Survey of Reproductive Health, NSO , BF 4 mo. 2009 : Family Love Bonding Program International Code of Marketing of Breastmilk Substitutes Cabinet Approved on 07/08/2012 Maternity leave : 90 days , Daddy leave : 15 days 3 % IDD Control and prevention Program in Thailand 2010 Triferdine 2011 Main : USI Add : Supplementation in pregnancy Median of urinary iodine Deficiency Adequate Excess Over Excess On Process < 150 µg/l 150 – 249 µg/l 250 – 499 µg/l ≥ 500 µg/l 4 Control and Prevention of major micronutrient deficiencies Reproductive women Pregnancy & Lactation PreSchool age school age Universal Salt Iodization (USI) Iodine Iron Neonate & Infants Triferdine tablet Folic A Vitamin A Fortified Food (Noodle) / Sweetened condensed milk / Indiginous Food Adults M&E • MCH File (Anemia) • Surveillance System (MUI, Iodized Salt) Coverage of adequate Iodized Salt on the household Thai FBDG Zinc 5 Food Fortification in Thailand “National food Fortification Committee” (appointed 1993 by MoPH) - Mandate : Support food fortification to improve micronutrient nutrition - Fortified product development :Fe, VA fortified in instant noodle seasoning mix, fish sauce, soy sauce etc. Dietary diversification - Development and modification of Food Composition Table - Promotion of micronutrient-rich food production - Development of dietary guideline and micronutrient-rich menu - Dietary guidelines for preparation of complementary foods from locally available raw materials for children of different age groups The development of national food based dietary guidelines - FBDG and Nutrition Flag - FBDG for pregnant - FBDG for infant - FBDG for preschool child 6 National Protocol and Practices for the management of Malnutrition at the community and health facilities % Source: Mics survey 2006 % Source: Health Survey Report among Thai people Physical examination) 4th (2008-2009) Source: Bureau of Policy and Strategy 7