Norwegian comments: ICN2 zero draft outcome document
Overall Comments to the Zero Draft
Specific Comments to the paragraphs:
This para must make clear that malnutrition is a major cause of death and disability and has major impact on the economy.
To bullet point on women and anemia: Please insert; 1/3rd of all women of “reproductive age” suffer from anaemia
To bullet point on obesity; More precise language is called for.
To bullet point on Socio economic differences; These are large and exist within countries, but also between countries (vital to establish an international responsibility for action).
This para introduces the concept “food systems”. This paragraph is key to the document and should serve as the anchor and focus of the outcome document.
This para needs to recognize that the right to adequate food and nutrition is a human right.
This para needs more precise language on special need and target groups, such as the pregnant and lactating woman, infant and young children, and to the importance of exclusive breastfeeding and the benefits of continued breastfeeding .(i.e. first 1000 days to the age of 2 years as a window of opportunity, people suffering specific diseases, school age children, etc).
This para is vague in reference to “renew the commitments”. This para should refer to updated commitments and policies in WHO and FAO, such as targets on nutrition made by the WHA in 2012. The para should also refer to the responsibility/obligation of the FAO Committee for food security (CFS) in nutrition. This paragraph gives an opportunity to raise the need to include nutrition into the Post 2015-agenda.
Make a reference to the WHA 65 Global Action Plan o NCDs, adopted by all member states and by so has authority. We propose to split para 7 into two parts, where the first part deals with maternal, infant and young child nutrition and health, and the second part deals specifically with NCDs and refers to the global NCD targets. If we call for renewed commitments, we also need to be clear on reporting on those commitments.
Para 9 – 20 are critical and need to be more precise and ordered. These recommendations should be focused on the development of food systems (including taking into account the smallholder farmer/producer into the food systems, social protection and promotion of breastfeeding).
A definition of “food systems” could be set out prior to para 9. ”Food systems” is a key concept for the rest of the document, and highlighting and explaining the concept will help advance the global understanding of the key role food systems have for enhancing nutrition. In order to avoid the vague concept of “good nutrition”, a rephrasing of the first sentence is suggested; “Recognize that progressively achieving the right to adequate food for all requires more sustainable, equitable and resilient food systems“. Further, we believe aquaculture has a huge potential to ensure safe and healthy food to the benefit of nutrition and peoples health. Please include “aquaculture” in the last sentence of the para.
Nutrition and health should be important considerations in decisions on primary food production and processing. The responsibility of actors/participants in food production and processing should be highlighted. Food processing that negatively effects health and nutrition should be avoided. We suggest to rephrase the last part of the paragraph (after the semi-colon) to: “food systems should enable improved nutrition by providing year-round access to safe and nutritious foods, promoting healthy diets and avoiding food processing that negatively affects nutrition and health.” Further, the inclusion of support to enhanced research into nutrient rich crops, is called for.
Text on the reduction on food loss and food wastage and the protection of food safety must be developed. In addition, we suggest to replace the word “seeds” in para 11 with “genetic resources” as this is a more precise term that includes animals and fish. Further, replace “and storage loss” with “throughout the food chain”).
In this paragraph distinction should be made between traditional versus modern value chains. Reference should be made to “Health in all policies” which is a well-known approach in public health policies.
This para is unclear and mix different issues. The content of this paragraph could be included elsewhere in the document. We miss a clear emphasis on benefits of exclusive breastfeeding and continued breastfeeding, and on the importance of breastfeeding promotion, protection and support. The paragraph should also include language on the need for competent personnel in nutrition and breastfeeding in the healthcare system. Support to small holder farmers to increase the quantity, quality and value of production as well as store, market and enhance total productivity as part of food systems, should be reflected (either here or in para 9). Language on women’s role in food production and the economy should be included.
Food and nutrition in a cultural context should be addressed. Proper nutrition labelling is important in order to help consumers make informed decisions about healthy choices, healthy diets and healthy lifestyles. Public information must be made available to make informed decisions. Regulation of advertising, legislation on the right to food, regulations of food systems and taxations are legal means to regulate towards more healthy and nutritious food. We would like to see language on this included in the document. This is necessary in order to promote positive changes in eating behavior toward healthy foods.
We are pleased to see that reference has been made to the responsibility of governments to protect consumers, especially children, from misleading commercial messages promoting unhealthy foods. The term “energy-dense, nutrient-poor foods” is, however, better and more frequently used than “energy-dense, but nutrition-poor”. At the end of this sentence, instead of “…which can induce addictions….”, use “…which can induce unhealthy dietary habits”.
Interventions and partnerships for improving maternal and child health and nutrition deserves a full paragraph by itself. Language on incentives for production of positive processed foods – weaning foods, bio-fortification etc could be included.
Language on social protection and safety nets to protect the nutritionally poor (access and equity) should be included in this paragraph.
Para 16 or 17
Necessary to include language on the need to develop international support and cooperation on food safety assessment and management.
To establish better data and an accountability system to enhance and monitor action is critical. Just recognizing this is not enough – accountability mechanisms need to be defined, and regular reporting need to take place on achievements made. Goals, targets and specific indicators need to be established, that can be measured and a followed up in reviews and action cycles. This will set the stage for the Post-2015-agenda on nutrition.
This para should include a section on developing, introducing and expanding the use of special targeted foods for special needs groups such as supplements for pregnant/lactating women; weaning foods etc.
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