advocacy in micronutrient programs dr. azza gohar training unit national nutrition institute egypt
TRANSCRIPT
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Advocacy Advocacy in Micronutrient in Micronutrient
ProgramsPrograms
Dr. Azza GoharDr. Azza Gohar
Training UnitTraining Unit
National Nutrition National Nutrition InstituteInstitute
EgyptEgypt
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Micronutrient DeficienciesMicronutrient Deficiencies
Among the Most Prevalent Among the Most Prevalent Health Problems Health Problems
Worldwide Worldwide
YetYetPrograms may have the leastPrograms may have the least Success achievedSuccess achieved Enthusiasm directed at Enthusiasm directed at
solutions solutions
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Micronutrient deficiencies Micronutrient deficiencies Don’t always have easily Don’t always have easily
noticeable symptoms & warning noticeable symptoms & warning signssigns
May remain unrecognized May remain unrecognized despite their devastating despite their devastating impactimpact
May not be viewed as a priorityMay not be viewed as a priority
Why ?Why ?
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Common Common Communication GoalsCommunication Goals
Most Health/Nutrition ProgramsMost Health/Nutrition ProgramsBuild Concern for ProblemBuild Concern for ProblemMotivate ActionMotivate ActionSustain the SolutionSustain the Solution
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Who?Who?
Not Only End BeneficiariesNot Only End BeneficiariesBut AlsoBut Also
Government Decision/policy-makersGovernment Decision/policy-makers NGO PartnersNGO Partners Medical CommunityMedical Community Religious LeadersReligious Leaders IndustryIndustry Mass MediaMass Media Other Professional groupsOther Professional groups
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We Need Them To Be….We Need Them To Be….
Aware there is a problemAware there is a problem Know how to solve itKnow how to solve it Convinced there is a benefit in Convinced there is a benefit in
doing sodoing so Convinced that it is feasibleConvinced that it is feasible
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Communication StrategyCommunication Strategy
In order In order To SucceedTo Succeed & have & have
Sustained impactSustained impact
Needs more Needs more
Positive reinforcementPositive reinforcement
byby
AdvocacyAdvocacy
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General Steps for AdvocacyGeneral Steps for Advocacy in Health Programs in Health Programs
Confirm that the Confirm that the problem existsproblem exists (prevalence)(prevalence)
Define the Define the Impact of the problemImpact of the problem (individual/national)(individual/national)
Show that the Chosen approach is a Show that the Chosen approach is a proven proven and tested solutionand tested solution for this problem for this problem (experiences)(experiences)
Describe the Describe the potential benefitspotential benefits and and cost-cost-effectivenesseffectiveness (Communicate the cost/benefit (Communicate the cost/benefit (problem/solution)(problem/solution)
Alleviate the Alleviate the fears and concernsfears and concerns of targets of targets (identified by research eg. FGD…..)(identified by research eg. FGD…..)
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Remember……..When Remember……..When AdvocatingAdvocating
Focus on ways to present Focus on ways to present the problemthe problem
Most Simply and Most Simply and DramaticallyDramatically
TailoredTailored
According to Target GroupAccording to Target Group
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Lack of Effective AdvocacyLack of Effective AdvocacyStrategies Strategies
Leads to Leads to
Lack ofLack of Priority & AwarenessPriority & Awareness
Lack of SupportLack of Support
Increased Fears and Increased Fears and SuspicionsSuspicions
Reflecting itself as program Reflecting itself as program problemsproblems
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Thank YouThank You
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Advocacy GuidelinesAdvocacy Guidelines
Dr. Azza GoharDr. Azza Gohar
Training UnitTraining Unit
National Nutrition National Nutrition InstituteInstitute
EgyptEgypt
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Advocacy Presentation to Advocacy Presentation to Medical CommunityMedical Community
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What to Tell What to Tell Medical CommunityMedical Community
According to the level/typeAccording to the level/type Magnitude of the problemMagnitude of the problem Impact on healthImpact on health Safety of fortified foods/Other Safety of fortified foods/Other
countries successescountries successes Impact of food fortification on healthImpact of food fortification on health No Impact on Clinical Conditions No Impact on Clinical Conditions
(Thalassemia)(Thalassemia) Role in Patient Information Role in Patient Information
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Research, ……..Research,….. Research, ……..Research,….. Research………Research………
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Define the Problem & its Define the Problem & its Magnitude Magnitude
Define & describe the problem & Define & describe the problem & its causesits causes
Confirm the problem exists in Confirm the problem exists in quantity (prevalence by age –quantity (prevalence by age –sex-geographical..)sex-geographical..)
Mention actual facts on Mention actual facts on biological , Dietary & biological , Dietary & consumption indicatorsconsumption indicators
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Define & Clarify Impact of the Define & Clarify Impact of the Problem on healthProblem on health
Clinical Impacts: Mortality rates, Clinical Impacts: Mortality rates, Morbidity rates, maternal deaths, Morbidity rates, maternal deaths, still births , LBW, immunity, still births , LBW, immunity, childhood development, childhood development, disabilities/impairments disabilities/impairments
Social Impacts: IQ/intelligence, Social Impacts: IQ/intelligence, mental capacity, school mental capacity, school performance, work performanceperformance, work performance
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Impact of Food Fortification Impact of Food Fortification on Health Problemon Health Problem
Give examples for Give examples for comparisonscomparisons
Other rich food sources (food Other rich food sources (food tables) in numberstables) in numbers
Other Countries that solved Other Countries that solved the problem by food the problem by food fortification (names & fortification (names & numbers)numbers)
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Give Evidence of Safety of Give Evidence of Safety of Fortified FoodsFortified Foods
Safety of Level (type of Safety of Level (type of fortificant)fortificant)
Evidence thatEvidence that Individuals not at risk can consume Individuals not at risk can consume
the fortified food safelythe fortified food safely Fortification process has a very Fortification process has a very
good QC & QA systemgood QC & QA system Successful Examples of Successful Examples of
Industrialized & Similar Countries Industrialized & Similar Countries
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DescribeDescribe Possible Side Possible Side EffectsEffects
Describe clearly any side effects Describe clearly any side effects from consumption of Fortified from consumption of Fortified food if any and how to handlefood if any and how to handle
Describe proper management Describe proper management and what to say to their patients and what to say to their patients in that casein that case
Describe clearly any changes Describe clearly any changes expected in color, taste, expected in color, taste, appearance, odor, texture of appearance, odor, texture of fortified food fortified food
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Remember….Remember….
Involve them as part of the Involve them as part of the solutionsolution
Motivate them to shareMotivate them to share
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Thank YouThank You
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What to Tell What to Tell Decision -MakersDecision -Makers
Magnitude of the problem (According Magnitude of the problem (According to Sector)to Sector)
National Cost of neglecting itNational Cost of neglecting it Cost- effectiveness & efficacy of Cost- effectiveness & efficacy of
fortificationfortification Safety of fortificationSafety of fortification Experiences in other countriesExperiences in other countries
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General population General population (Consumers)(Consumers)
Define the problem simplyDefine the problem simply Impact of problem on health, well Impact of problem on health, well
being, productivity, intelligence…..being, productivity, intelligence….. Safety of fortificantSafety of fortificant Expected changes in taste or colorExpected changes in taste or color Expected side effects Expected side effects Expected cost Expected cost
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Food producers (Millers)Food producers (Millers)/ Food distributors (Bakers)/ Food distributors (Bakers)
Cost of new technologyCost of new technology Technical Feasibility & Know how Technical Feasibility & Know how Marketing Benefits & ProfitsMarketing Benefits & Profits Other countries successful Other countries successful
experiencesexperiences Types , level & Safety of fortificantTypes , level & Safety of fortificant Expected extra work load Expected extra work load Shelf life and storageShelf life and storage