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The evolution of nutrition planning in Thailand

The evolution of nutrition planning in Thailand. And Nutrition strategy formulation. THE EVOLUTION OF NUTRITION PLANNING IN THAILAND.

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The evolution of nutrition planning in Thailand

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  1. The evolution of nutrition planning inThailand And Nutrition strategy formulation

  2. 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 ) 4. SOCIAL CONTROL MEASURES - over – nutrition- recommended dietary intake - heath food market - national nutrition guidelines - food industries / agriculture - legislations (iodated salt, nutrition - etc.1982labeling etc.) 3 . NATIONWIDE INTERVENTION PROGRAMS - goiter control 1. MANPOWER DEVELOPMENT - protein-energy malnutrition 2. RESEARCH & DEVELOPMENT - institution development - school lunch - applied nutrition - school curricula - nutrition surveillance - fortification technique - degree levels - basic need fulfillment - food processing - grass- root level : - vitamin A / iron fortification ( next ) - product development village health volunteer - etc. - etc. local council 1942 START ( source : Amorn Nondasuta )

  3. STRATEGY BASIC COMPONENTS • TARGET GROUP ( INDIVIDUALS ) • COMMUNITY • SERVICE PROVIDER / FACILITATOR • INTERVENTION MEASURE • VENUE OF INTERACTION

  4. 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 ) ANALYSIS OF STRATEGIC COMPONENTS

  5. 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 )

  6. THE DEVELOPMENT OF NUTRITION STRATEGY ( source : Amorn Nondasuta ) Development tools POLICY/ AGENDA/ PRINCIPLE PUBLIC OPINION TECHNICAL INFORMATION PROGRAM EVALUATION Strategy framework TARGET GROUP PROVIDER/ FACILITATOR MEASURES high impact High risk innovations TECHNICAL SOCIAL Problem magnitude categorized acc. to measures categorized acc. to target Individual community - learning experience - surveillance - skill training - leadership - early case detection - networking DEFINE AREA OF INTERVENTION DEFINE VENUE OF INTERACTION - self care - advocacy - environment protection - campaign - etc. - safety net - tax/ pricing policy - etc. DEFINE COVERAGE REORIENT ROLES AND FUNCTIONS TRAINING AND SUPPORT incl. INFORMATION OPERATION/ EVALUATION/ FEEDBACK Administrative tools - budget/ finance - resource/ technology transfer - community involvement - research& development - referral system - legislation/regulation/ guidelines - inter/ intra- sectoral coordination - information system - supervision/ control - reward/ punishment

  7. SUBSYSTEMS CONDUCIVE TO PHC PROGRAM DEVELOPMENT • 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.

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