"www.fao.org/about/meetings/sustainable-food-systems-nutrition-symposium The International Symposium on Sustainable Food Systems for Healthy Diets and Improved Nutrition was jointly held by FAO and WHO in December 2016 to explore policies and programme options for shaping the food systems in ways that deliver foods for a healthy diet, focusing on concrete country experiences and challenges. This Symposium waas the first large-scale contribution under the UN Decade of Action for Nutrition 2016-2025. This presentation was part of Parallel session 2.3: Increasing access to healthy diets through social protection and income generation strategies"

2. Nutrition Improvement of Population in Poor
Areas -YingYangBao Program in China
Wenhua Zhao
National Institute for Nutrition and Health, China CDC
1-2 December, 2016 Rome

3. Nutrition Status of Infant and Young Children in China
Rates, %
Stunting 18.7
Underweight 5.2
Wasting 3.0
Growth of children under 5 in poor rural areas, 2013
Yu DM et al BES 2016
20.6
25.7
41.9
44.2 43.1
40.3
10.3
15.8
30.3
27.7
29.2 24.3
10
14.5
26.7 25.3
31.4
26.4
5.6
6.7
14.1 13.3
13.7
11.1
6.6
12.1
22.8
22.5 23.3
20.8
0
10
20
30
40
50
0- 6- 12- 24- 36- 48-60
1990
1995
2000
2005
2008
2010
2010 poor R
Stunting%
Age in Months
The peak of stunting ratio is
at 18 and 24 months, and no
further changes until 5 years
old. The critical period is
under 24 months
Chen CM,1990-2010 children nutrition
surveillance data
38.7
53.1
34.1
21.3
14.7 13
21.4
40.2
26.9
15.3 13.6 12
20.8
28.2
20.5
9 7.2 5.7
0
10
20
30
40
50
60
0- 6- 12- 24- 36- 48-60
2000 2005 2010
Anemia prevalence by age groups in rural areas

4. Development of YYB in China
2000 2006 2012
Establish the base:
 Complimentary food
strategy was discussed by
ADB, China CDC, UNICEF.
The first YYB intervention
study in 5 poor counties was
conducted by Madam Chen
CM (2001-2006) .
 Nutritionists call on the
government to scale up YYB.
Scaling up by government :
 MOH permitted the scaling up of YYB as a
trial project supported by GAIN. Promoting
projects were conducted in some regions.
 National standard was established in 2008.
GB/T 22570-2008
 YYB has been used in intervention in 2008
Wenchuan earthquake regions in 8 counties of
three provinces, supported by UNICEF and
CDC. The established work model was
successful.
National nutrition improvement
project in poor rural regions:
 from 100 counties in 10 provinces
to 341 counties in 21 provinces.
 The fund for YYB and nutrition
education increased from 100
millions to 500 millions RMB.
 National food safety standard
GB 22570-2014 promulgated.
First phase Second phase Third phase
R/D Application Scaling up, as national
nutrition strategy

5. Nutrition Improvement Projects in Poverty Regions
A Joint Action by NHFPC and ACWF
Millions RMB No. provinces No. counties No. Children
2013 100 10 100 270,000
2014 300 21 300 830,000
2015 500 21 341 1,370,000
2016 500 21 341 1,430,000

6. Project frame work NHFPC ACWF
Project office Dept. of WCH,NHFPC
Implement office NCMCH, China CDC
Expert group
Province office PNHFPC and PWF
County office CNHFPC and CWF
MCH and WF
Village doctors
6-24 mo. infants
NINH, China CDC
Leadership
Technical support
Implement institutions

7.  YYB project is accepted by infants and caretakers, about 4.23 million children benefited.
 The implementing systems of MCH, LCDC and women federation at county-township-
village level are efficient for the YYB project.
 Results of monitoring showed that the coverage and compliance reached planned target.
Reduction of stunting and anemia were remarkable.
Future
 Improve the bidding system of products supply, in order to assure the quality of products
 Monitor and evaluate other indicators (cognitive performance, vitamins and minerals
status), the cost-benefit analysis is important for policy-makers.
 Marketing in urban and other rural areas
Summary
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