FOX News : Health

Showing posts with label Nutrition. Show all posts
Showing posts with label Nutrition. Show all posts

30 June, 2012

The University of British Columbia
Media Release | Jun. 20, 2012

UBC research receives $2.9 million to improve nutrition of rural Cambodian women and children

The University of British Columbia and Helen Keller International of Cambodia have received $2.9 million from the Canadian International Food Security Research Fund (CIFSRF) for research to increase and diversify food production and nutrition for small, rural households in Cambodia.

07 June, 2012

Better worker food needed: Survey

The Phnom Penh Post
Wednesday, 06 June 2012
Stuart Alan Becker

A new study has determined that cost and space are the biggest constraints to setting up canteens in Cambodia’s garment factories.

The findings were presented on Monday night at a cocktail party attended by Cambodia’s former ambassador to the US, Roland Eng, the Swedish Ambassador Anne Höglund, Garment Manufacturers Association in Cambodia Chairman Van Sou Ieng, Rami Sharaf of RMA Asia and many others.

Sandra D’Amico of HR Inc, who’s company BD link carried out the study, gave the presentation and spoke afterwards to explain the significance of the findings.

“Garment factory owners are very concerned about the nutrition and health of their workers. However they do not feel they should carry the burden of the cost,” D’Amico said. “However, factories lack information and understanding around professional food service providers like Hagar.”

The study was undertaken on behalf of Hagar and financed by Better Work Cambodia, the International Labor Organization (ILO) and D’Amico’s company, HR Inc.

The study covered 35,000 garment factory workers during a three month period this year.

“Nutrition impacts productivity, that’s a fact,” D’Amico said. “Better health, concentration, learning, stamina and strength: all of that is needed to perform.”

She said many factory workers now got their meals from food service stalls outside factory gates where the food was not fresh and hygienic.

“From the perspective of improving health generally for workers, something needs to be done to improve the quality of services.”

D’Amico said one innovative option that was explored by the study was a joint canteen facility, where government, employers, unions and factories would all come together to create facilities and subsidise meals for the workers.

“Such a facility needs to be explored better as to feasibility and willingness to participate,” she said.

D’Amico thinks there’s a misperception in general about how much factory workers genuinely earn.

She said there’s also a problem that many factory workers send more money than they should to their family members in the provinces, often at the expense of their own health.

“I think public information from radio, TV, newspapers that this target group reads needs to give people the information they need to look after themselves effectively. They need to know if they eat bad food what that is going to mean for them in the long run.”

D’Amico said she hoped to see more innovation with snacks so that workers could get vitamins and iron they might not otherwise get.

“The issue of nutrition is serious because it has long-term consequences and the impact is huge from a social security perspective. The whole topic is unbelievably important. I think everybody has a responsibility, government, unions, civil society, the public sector, they have an obligation to talk about these issues, and to promote healthy eating.”

D’Amico said the survey shows that it is necessary to maintain a cost base given that providing canteen services in factories is a massive up-front investment.

“If you increase cost base significantly, it increases cost to buyers, and we are in a very volatile, fragile environment where people don’t understand what the impact is going to be on Cambodia. Factories have genuine and real concerns about maintaining jobs and sustainability of the operations they have,” she said.

D’Amico said she hopes more studies would be done on nutrition and health in the garment sector.

“What we do know from the government health survey is that one in 15 women is too thin,” she said. “We can really benefit from more information on nutrition health on productivity issues.”

The survey found that factory managers believe that nutrition and productivity are linked and feel that employers should not carry the burden of nutrition alone.

Seventy-five per cent of factories provide basic medical care for workers and 33 per cent of factories were providing private medical insurance to workers.

“Most factories do not have canteens and factory managers feel they should be involved in challenges related to nutrition and healthcare, so there is a great need for training linked to productivity in the sector because managers need to understand the issues around nutrition and health.”

The survey found that most factory workers eat outside the factory gate.

Sixty per cent of factories believed that workers spent from 1,000 to 2,000 riels for every meal, with breakfast and lunch being the cheapest and dinner the most expensive.

“There should be cleaner facilities or public sector interventions, to increase cleanliness and hygiene,” she said.

D’Amico said 56 per cent of factories said they would be interested to provide one meal, but they needed to be shown a positive change in productivity.

“We asked factory managers if they were interested in joint canteen facilities, and servicing a bigger number of workers. In summary, we can say that factory managers are very concerned about health and nutrition issue. The feasibility of canteens is less given concerns of space, and there is a real need for factories to have information on cost and productivity if they were to be interested in providing meals,” D’Amico said.

“If government unions and employers would come together to support joint facilities, they could do cost sharing of infrastructure and a subsidy of the meals is worth further investigation,” she said.

“We also need to get more information to factory managers and we need public sector intervention in improving food services outside the factory gates.”

Third party canteens favoured by GMAC

The Phnom Penh Post
Wednesday, 06 June 2012
Stuart Alan Becker

The Chairman of the Garment Manufacturers Association of Cambodia, Van Sou Ieng, said that even if nutrition is an important factor in productivity, it should not the sole responsibility of the factory owner.

“The deduction that the nutrition will automatically improve productivity is not necessarily true. When people are healthy it is better. You can be very healthy and still be lazy,” he said.

Speaking after a Monday night cocktail party at Hagar Catering & Facilities Management to celebrate the launch of the Canteen Nutritional Study, Van Sou Ieng said unions would be less likely to raise such issues against factories if the catering facilities were operated by third parties.

“The best out of this study is that we have an independent provider of food. Hopefully, we will have more standardised, qualified food suppliers that provide proper nutrition and it is not the responsibility of the employers to pay for it.”

Van Sou Ieng said it was for better factories not to get involved in food production.

“If we get involved in food production and food quality, this is not our profession and it will be criticised and it can be abused. That’s why we are reluctant, but we are happy to have third-party independent suppliers.”

Van Sou Ieng said there were 2,600 trade unions in Cambodia for only 500 factories.

“Each trade union is an entrepreneur. We don’t want to fight the unions. We want to work with unions that respect the law. There is a confederation of unions in Cambodia who we work with very well and they comply and respect the law,” Van Sou Ieng said.

“There are only a few that are funded internationally that create problems. Others are abusing the system to make money. We are not here to work against the trade union. We are looking for a responsible trade union that obeys the law, complies with the law and represents the workers demands.”

Van Sou Ieng said he hoped more factories would use the services of third-party canteen suppliers.

“The benefit of today is that for factories wishing to engage and help their workers, we have an independent source of nutrition that they will not be subject to abuse by the trade unions to criticise the employers. I hope more employers will use these services.”

Also at the event was French catering specialist Thibault Paul Favre who has been hired by Hagar Catering & Facilities Management to develop the firm’s catering business, which already produces 7,000 meals per day, 3,000 of which are in the garment factory sector.

“No need to have one kitchen in the city and then to travel,” Favre said.

“It is useless to carry water and food. Our vision is to develop canteens on site. We are not only operating the canteen, but we now have 18 customers and among those, 12 have a kitchen on site.”

Focusing mainly on breakfast and lunch, the meals cost about 3,000 riels and contain 2,000 calories.

“We advise the kitchen; we know the quality of usage, and we can advise properly. We want to solve these problems and let them concentrate on their work.”

One of the customers is the factory that produces goods for the Marks & Spencer brand name, he added.

23 August, 2011

Review Workshop of the Implementation and Enforcement of Sub-decree No. 133

By Chea Sophal
23 August 2011

Phnom Penh, Ministry of Health (MoH) in collaboration World Health Organization organized one day workshop to review the implementation and enforcement of the sub-decree No. 133 on Marketing of Product for Infant and Young  Child Feeding  on 23 August 2011 at Phnom Penh Hotel.  The workshop aims at:
   -  reviewing the implementation and enforcement of the Sub-Decree and Joint Prakas of all four line ministries-MoH, Ministry of Industry Mines and Energy (MIME), Ministry of Information (MoI), and Ministry of Commerce (MoC);
  -  identifying achievements, strengths and weaknesses and ways to improve the implementation and enforcement of the Sub-Decree and the Joint Prakas; and
 -  agreeing on recommendations and way forward for the improvement of the implementation and enforcement by the four line ministries and development partners,

Dr. Prak Sophonneary, Deputy Director of National Maternal and Child Health Centre (NMCHN), MoH, presented about the Nutrition Situation of Children in Cambodia focusing on undernourished children 0-59 months, key  success factors for reducing child mortality from 2000 to 2010 due to immunization, vitamin A supplementation, breastfeeding, and improved socio-economic conditions.

Dr. Prak pointed out the successes in implementation of sub-decree via infant and young child feeding (IYCF) including the facility-based interventions on the establishments of Baby Friendly Hospital (BFH) Initiative (13 public hospitals out of 78 certified as BFH and Infant and Young Child Feeding integrated with HIV counseling) and Baby Friendly Community Initiative (more than 4,421 villages joined this initiative as of December 2010, out of more than 13,000 villages in Cambodia).

The challenges in the implementation and enforcement of the Sub-Decree include limited monitoring and enforcement of the violation of the Sub-Decree in all places; limited of the violation of the Sub-Decree in private and public health facilities;  no widely received information related to violation of Sub-Decree from implementers and other development partners; and violation of Sub-Decree lead to misleading information that prevent good practice of IYCF. 

Mr. Pich Chan, Deputy Director of Technical Affairs and Public Relation Department, Directorate-General of Camcontrol, MoC, expressed their roles and responsibilities,  legislative support for law enforcement of Camcontrol, the import permit from MoH, Procedures of import goods, market surveillance on food safety and implementation of sub-decree No. 133, obstacles of implementation and enforcement of sub-decree no. 133, and proposed action plan to implement sub-decree no. 133.  

The legal instruments for law enforcement of Camcontrol consist of Law on Management of Quality and Safety of Products and Services dated 21 June 2000, Law on Standard of Cambodia dated 24 June 2007, Sub-decree No. 21 Facilitating Trade Through Risk Management System dated 1 March 2006, Sub-decree No. 209 December 2007 promulgated the list of prohibited and restricted goods that are subject to border control, Sub-decree No. 47 on Food Hygiene for Human, Sub-decree No.133 on Marketing of Products for Infant and Young Child Feeding, Inter-Ministerial Prakas No. 61 on Implementation of Sub-decree No.133, and Inter-Ministerial Prakas No. 868 on Implementing and Coordination of Food Safety System from Farm to Table dated 22 October 2010.

Dr. Ou Kevanna, Manager of National Nutrition Programme, NMCHC, showed about the existing violations of the sub-decree no. 133 which include fake promotional messages, images, billboards, announcements, brand names for instance, "Frisolac-unique and complete balance of nutrients" , "Dumex- Bringing up brighter champions", "Raising an intelligent child is no longer a dream- Use Nan", "Lactogen.... good for brain, bones, and body", and "Meiji - Almost a Brest Milk...".   The positive marketing practices following the Sub-decree 133 include promotion of breastfeeding is the best from birth to 2 years in local language, producing labels in Khmer, withdraw pictures of baby or attractive logos, and promotion of cup feeding instead of bottle feedings. 
Nutrition Understanding Nutrition Private Solutions for Infrastructure in Cambodia (Public-Private Infrastructure Advisory Facility Series)
Cambodian Women: Childbirth and Maternity in Rural Southeast Asia (ASAA Women in Asia Series) (English and English Edition)

Where is the Poverty-Environment Nexus? Evidence from Cambodia, Lao PDR, and Vietnam [An article from: World Development]

16 August, 2010

Without breastfeeding, MDGs are beyond reach

Source: Vanguard,

By Marc van Ameringen,

For 50 years the world has looked for magic bullets to tackle world poverty, an issue which gnaws at the conscience. What we have learned is that there is no single recipe for health and well-being, and that the complexities of development vary everywhere.

But one thing we know for sure is that to be healthy you must eat, and eat properly. Increasingly, solving this apparently simple part of the development equation has been slipping away, eroded by rising food prices and a ballooning world population.

The global leaders meeting in Canada at the G8 and G20 meetings confirmed that low investment in nutrition has been a serious weakness in development policy for decades, and is blocking achievement of the Millennium Development Goals (MDGs). Malnutrition accounts for 11 percent of global disease, killing three and a half million children every year, while two billion people suffer from vitamin and mineral deficiencies.

In Sub-Saharan Africa the issues are acute: close to 40 percent of children are stunted, and in Africa, half of pregnant women are anaemic. A quarter of the population is undernourished.

It is not yet clear if this is a Pauline conversion that will cause the G8 to give real effect to its words, but recognising “nutrition security” is certainly reshaping how development is viewed. Why?

Nutrition may not be a fashionable science, but it holds the key to tackling many of the obstacles to human development. The medical journal, The Lancet, has nailed down what nutritionists have known for years – that the correct intake of nutrients and vitamins from conception to two years old determines a whole set of outcomes for both individuals and the society they live in. Poor early nutrition leaves the individual open to a host of diseases, turning common ailments such as colds and diarrhoea into killers.

The conclusion: unless you improve nutrition, the MDGs are beyond reach. The good news is that solutions are at hand and they do not just rely on government. Food is one part of the economy which the private sector drives, and it is showing willingness to help address the problem. Thus new efforts to blend science and marketing are succeeding, proving it is possible to beat chronic undernutrition through better infant and maternal feeding practices – concentrating on exclusive breastfeeding up to six months, better complementary foods from six months – and through fortifying staple foods. Education for all about healthy diets will bring massive dividends to strained health systems.

In the past five years the Global Alliance for Improved Nutrition has worked with Governments, NGOs, food companies and producers in more than 25 countries to fortify foods with key vitamins and minerals lacking in consumer diets. These products, as varied as cooking oil and flour in Africa, yoghurt in Bangladesh, biscuits in India and soy sauce in China, are already reaching close to 300 million consumers every day, with direct cuts in rates of illness.

In South Africa, neural tube defects fell by 30 percent after folic acid was added to maize meal and wheat flour through a national effort. In Morocco, the prevalence of folate deficiency in women decreased more than 9 percent and the prevalence of anaemia fell more than 3 percent over a two-year period following the fortification of wheat flour with iron and folic acid.

Millions of Egyptians are consuming fortified Baladi bread, the staple food of the country, thanks to the Egyptian Government supporting the costs of the folic acid and iron that are being added to the wheat flour used to make the bread. Malawi has succeeded in integrating nutrition across Government Ministries and, with strong support from the President, has seen a significant decline in malnutrition.

There are plans are to extend these programmes to one billion people across the world in the next five years. None of this is novel. Fifty years ago Nelson Mandela said that “poverty goes hand in hand with malnutrition and disease. The secondary results of such conditions affect the whole community and the standard of work performed”.
We can take inspiration from Nelson Mandela to make nutrition security central to realising every person’s human rights. Food and nutrition security are modest and highly achievable goals vital to almost half of humanity. According to a study prepared for G8 leaders the issue of nutrition could be solved for just $10 billion a year. In terms of aid budgets let alone global economies, this is a sum – to use the language of economic commentators – which is eye-wateringly modest.

We must ask ourselves why we would invest in vaccines, bed nets, schools and economic models designed to lift women, children and families out of poverty, if they are compromised right from the start. We must first change this root cause of malnutrition, so that every mother and every child has a real, fair, and full chance at living a life to their full potential.

Marc van Ameringen, is the Executive Director of GAIN – Global Alliance for Improved Nutrition.

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