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Digest No. 1179

24 June 2015

Discussion 116



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What are Latin American countries doing to tackle the double burden of malnutrition effectively?

until 2 July 2015

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Dear Members,
The discussion "What are Latin American countries doing to tackle the double burden of malnutrition effectively<http://www.fao.org/fsnforum/forum/discussions/double-burden>?" continues to attract comments from all over the world.
We hear about the situation in Bangladesh, Chile, Ecuador, India and Mexico and can learn how these countries set priorities and implement programmes to tackle the different forms of malnutrition.
We invite you to add your voice too, so that we can collect as many examples as possible of what is being done to address nutrition problems in your countries. We are also interested in hearing your views on how nutrition education can better play its important role in addressing this challenge.
View from all across the global are welcome!
Please read the short summaries of the comments below, while the full versions and the topic introduction with the guiding questions are available on the Forum website<http://www.fao.org/fsnforum/forum/discussions/double-burden>. Some comments have been shared in Spanish, we will add the translations as soon as possible.
We look forward to keep receiving your thoughts on this challenging topic.
Your FSN Forum Team




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[cid:image004.png@01D0AE7B.C38EF200]Ricardo Rapallo, FAO, Chile

Ricardo reminds us of the huge progress Latin American countries have made in hunger reduction. This positive evolution coincides with a period of stability and economic prosperity and progress has been the greatest where integration and collaboration took place under the leadership and coordination of the State. Ricardo therefore suggests that this approach is the most promising when dealing with the double burden and calls for tackling malnutrition from a human rights point of view. In fact, solving this problem is necessary for the realization of the Right to Adequate Food. Finally he recognizes the need to consider the living conditions of those most affected by the double burden of malnutrition, specially the poor, when contemplating any kind of policy proposal, since they condition the kind of actions that can be taken to improve the nutrition situation. [...]
Read Ricardos' contribution<http://www.fao.org/fsnforum/forum/contributions/re-%C2%BFc%C3%B3mo-enfrentan-los-pa%C3%ADses-de-am%C3%A9rica-latina-la-doble-carga-de-la-malnutric-2> (in Spanish)


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[cid:image004.png@01D0AE7B.C38EF200]Maria del Carmen Gangotena, Consultora, Ecuador

Maria tells us about what is being done in Ecuador, where the double burden of malnutrition is evident. The government is building on comprehensive strategies that focus on the life cycle, for example, implementing the Fulfilled Childhood Program, addressing the special needs of children. Local governments are also working on addressing communication and education through community campaigns. Since Ecuador is a multicultural and multi-ethnic country it is necessary to know how to reach each segment of the population with effective messages and educational strategies. María also focuses on the potential of effective nutrition education, that shy away from mere transfer of information. [...]
Read Maria del Carmen's contribution<http://www.fao.org/fsnforum/forum/contributions/re-%C2%BFc%C3%B3mo-enfrentan-los-pa%C3%ADses-de-am%C3%A9rica-latina-la-doble-carga-de-la-malnutrici%C3%B3>


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[cid:image004.png@01D0AE7B.C38EF200]Milagros Marcia Velasquez Ramirez, INTA-Universidad de Chile, Chile

Milagros shares information on the situation in Chile were 19.4% of men and 27 % of women are classified as obese overweight. Obesity has also increased substantially among children. She sees part of the problem in the easy availability of heavily advertised, cheap unhealthy food and in the increasing automatization of everyday life. She shares the limitations of healthy eating education, including the deep-rooted eating habits of the population and the fragmented nature of the many programs that are in place in the country.
In her second comment Milagros feels that more effort is needed at the national level as many programmes have been only moderately successful as they were aimed mainly at a local level and for limited periods of time. Behaviour change also takes a long time and measuring success in order to come up with generally accepted methodologies can be challenging. [...]
Read Milagros' first contribution<http://www.fao.org/fsnforum/forum/contributions/re-%C2%BFc%C3%B3mo-enfrentan-los-pa%C3%ADses-de-am%C3%A9rica-latina-la-doble-carga-de-la-malnutric-0> (in Spanish)
Read Milagros' second contribution<http://www.fao.org/fsnforum/forum/contributions/re-%C2%BFc%C3%B3mo-enfrentan-los-pa%C3%ADses-de-am%C3%A9rica-latina-la-doble-carga-de-la-malnutric-1> (in Spanish)


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[cid:image004.png@01D0AE7B.C38EF200]Kuruppacharil V.Peter, World Noni Research Foundation, India

Kuruppacharil highlights the importance of horticulture for proper nutrition. [...]
Read Kuruppacharil's contribution<http://www.fao.org/fsnforum/forum/contributions/re-what-are-latin-american-countries-doing-tackle-double-burden-malnutrition-e-3>


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[cid:image004.png@01D0AE7B.C38EF200]Rafael Perez-Escamilla, United States of America

Rafael introduces the concept of household food insecurity which is associated with chronic undernutrition, infectious diseases, and maternal anaemia, as well as with women’s overweight/obesity and related chronic diseases including hypertension and type 2 diabetes. [...]
Read Rafael's contribution<http://www.fao.org/fsnforum/forum/contributions/re-what-are-latin-american-countries-doing-tackle-double-burden-malnutrition-e-6>


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[cid:image004.png@01D0AE7B.C38EF200]Sofia Bustos, Actuemos, Chile

Sofia laments the continuing sectionalisation of programmes aimed at improving nutrition and the lack of coordination between sectors. At the same time Sofia shares positive experience with nutrition education programmes that involved families and education centres and that managed to give people the necessary knowledge and tools to take informed and sensible decision regarding their nutritional choices. [...]
Read Sofia's contribution<http://www.fao.org/fsnforum/forum/contributions/re-%C2%BFc%C3%B3mo-enfrentan-los-pa%C3%ADses-de-am%C3%A9rica-latina-la-doble-carga-de-la-malnutric-3> (in Spanish)


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[cid:image004.png@01D0AE7B.C38EF200]Anabelle Bonvecchio, INSP, Mexico

Anabelle tells us about Mexico where the conditional cash transfer programme Prospera supports six million households in the nutritional and health status of pregnant women, mother and children under five years of age. [...]
Read Anabelle's contribution<http://www.fao.org/fsnforum/forum/contributions/re-%C2%BFc%C3%B3mo-enfrentan-los-pa%C3%ADses-de-am%C3%A9rica-latina-la-doble-carga-de-la-malnutric-4> (in Spanish)


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[cid:image004.png@01D0AE7B.C38EF200]JC Wandemberg, Sustainable Systems International, United States of America

JC stresses the need for education but also of a sound judicial system in order to realize a true sustainable development. [...]
Read JC's contribution<http://www.fao.org/fsnforum/forum/contributions/re-what-are-latin-american-countries-doing-tackle-double-burden-malnutrition-e-4>


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[cid:image004.png@01D0AE7B.C38EF200]Giovanna Oriv, Educación comunitaria en alimentación y nutrición, Educomalli A.C, Mexico

Giovanna argues that one of the main challenges of malnutrition in Mexico is that most interventions are carried out within the current food system. This can be seen in the use of processed and fortified food in school feeding programmes. This leaves the responsibility for good nutrition with the individual and excludes consideration on how the current food systems influences people’s behaviour. [...]
Read Giovanna's contribution<http://www.fao.org/fsnforum/forum/contributions/re-what-are-latin-american-countries-doing-tackle-double-burden-malnutrition-e-7> (in Spanish)


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