1 / 18

I. PLAN OF PRESENTATION SYMPOSIUM OBJECTIVE: TO FOSTER ACADEMY/POLICY-MAKER INTERACTION FOR EVIDENCE – BASED POLICY ENA

SECOND ANNUAL INTERNATIONAL SYMPOSIUM OF THE AFRICAN SCIENCE ACADEMY DEVELOPMENT INITIATIVE: PRIORITIZING FOOD SECURITY POLICIES FOR HEALTH AND DEVELOPMENT IN AFRICA. YAOUNDE, NOVEMBER 15 – 16, 2006 WED. 15/11/2006 11.30 – 13.00

PamelaLan
Télécharger la présentation

I. PLAN OF PRESENTATION SYMPOSIUM OBJECTIVE: TO FOSTER ACADEMY/POLICY-MAKER INTERACTION FOR EVIDENCE – BASED POLICY ENA

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. SECOND ANNUAL INTERNATIONAL SYMPOSIUM OF THE AFRICAN SCIENCE ACADEMY DEVELOPMENT INITIATIVE: PRIORITIZING FOOD SECURITY POLICIES FOR HEALTH AND DEVELOPMENT IN AFRICA. YAOUNDE, NOVEMBER 15 – 16, 2006 WED. 15/11/2006 11.30 – 13.00 SESSION III: STRUCTURED, DOCUMENTED PROCESSES FOR PROVIDING EVIDENCED-BASED POLICY-ADVICE: CASE STUDIES. CASE STUDY FROM CAMEROON: INFORMING POLICIES TO IODIZED SALT BY Prof Daniel. N. LANTUM

  2. I. PLAN OF PRESENTATION • SYMPOSIUM OBJECTIVE: TO FOSTER ACADEMY/POLICY-MAKER INTERACTION FOR EVIDENCE – BASED POLICY ENACTMENT. • WHAT WAS THE PUBLIC HEALTH PROBLEM REQUIRING POLICY? • A CASE OF ENDEMIC GOITER • GOITER PREVALENCE SURVEYS: EVIDENCE • POLICY STRATEGIC OPTIONS • POLICY INSTRUMENTS • PARTNERSHIPS – COALITIONS = ALLIANCES = BY POLICY • IMPLEMENTATION – MONITORING = POLICY AMENDMENT • OUTCOMES: IODIZED SALT; USI, MONITORING. PROCESS • PROGRAMME – USI IMPACT EVALUATION • SUSTAINABILITY • REVIEW OF SCIENTIST/POLICY MAKER INTERACTION CYCLE • LESSONS LEARNT

  3. II. WHAT WAS THE PUBLIC HEALTH PROBLEM? IODINE DEFICIENCY MALNUTRITION SEE TABLE COMMON INDICATOR: GOITRE Goitre

  4. III. A CASE OF ENDEMIC CRETINISM FROM OSHIE PHOTO A Cretin 50 yrs old North West Province with Dr Kamga Fotso August 1993

  5. IV. EVIDENCE – COLLECTION – GOITER PREVALENCE SURVEYS • ISOLATED RESEARCHERS – 1950 –1990 • BASE-LINE SURVEY: 1990-1991 • COMMUNITY DIAGNOSIS • COMMUNICATION TO POLICY MAKERS • EVIDENCE – GOITER PREVALENCE • GERMAN REPORT OF 1904 – WUM – NW • R. MASSEYEFF (1955) – EAST CAMEROUN • PELE PELE 1969 – AKONOLINGA • F. STEPHANY ET AL 1970 – EAST CAMEROUN • LOWEINSTEIN 1972 - EAST CAMEROUN • PIERRE NGUESSI 1975 – EAST CAMEROUN • D. MFONFU ET AL 1987 – OCEAC – NATIONAL REVIEW • ANDI CHI TEMBON – 1988 – NORTH WEST PROVINCE • R. AQUARON ET AL 1971-1977 – IODINE IN SPRINGS • J. WONGHI NGUM – 1990 – N/W – BUI SCHOOLS

  6. V. COMMUNITY DIAGNOSISTABLE II: ESTIMATES OF POPULATION AT RISK OF IDD IN CAMEROON IN 1991 For 1991, with population annual growth of 2.92%, add 10%. Pop at risk « Multiplier » is 2.5 (Source = 1987 census, Cameroon National IDD Survey 1990 – 1991, By Lantum et al 1991

  7. VI. COMMUNICATION TO POLICY – MAKERS (MPH) • COMMUNICATION TO POLICY – MAKERS (MPH) • CONFERENCE • WORKSHOP – YAOUNDE 8-24 APRIL 1991 • PAMPHLET: “IDD IN CAMEROON 1990-91”

  8. VII. POLICY STRATEGIC OPTIONS • IODIZED CAPSULES • IODIZED BREAD • IODIZED WATER • IODIZED SALT • * DECISION IODIZED SALT STRATEGY • (WHO/UNICEF/ICCIDD MARCH 1986 • WHA 43.2 MAY 1990

  9. VIII. POLICY ENACTMENT PROCESS • MPH/MINCOM – INDUSTRY – TO IODIZE • IODIZED SALT – READY IN THE MARKET • MIN ORDER NO 0133/A/MSP/SG/DSFM/SDSF/SN OF 09 MAY 1991 • LAUNCHING – PRESS CONFERENCE 21ST JUNE 1991 = COMMUNICATION – USI • MONITORING PROCESS COVERAGE: 1992/93 • BY FACULTY OF MEDICINE/IMPM • BY MIN P. HEALTH

  10. IX. CREATION OF ADVISORY/CONSULTATIVE PARTNERSHIP = COALITION = ALLIANCE • DECISION NO 255/D/MSP/SG/DSFM/SDSF/SN OF 14/2/1995 • INTER- SECTORAL – LIST • MPH, MINCOM, MINDIC, MINAS, MINAGRIC • WHO, UNICEF, WFP, ICCIDD • 3 Sub – Committees CREATED • IDD • VIT A • FER - ANAEMIA • INDUSTRY • FAC/MED - RESEARCH

  11. X. IMPLIMENTATION OF IDD/USI, POLICY MADIFICATION • LABELING • FIELD FINDINGS: K1 USED • DECISION: K103: MANDATORY • NO 096/A/MSP/SG/DSFM/SDSF/SN/BCDA DU 16 MAI 1995 MODIFYING • No 0133/A/MSP/SG/DSFM/SDSF/SN of 9 May 1991 • MONITORING – USI COVERAGE • - CONSERVATION - MAGAZINAGE • - QUALITY ASSURANCE • - PRODUCTION • - NORMS – ICCIDD/UNICEF/WHO • - IMPORTATION • - NORMS – CODEX ALIMENTARIUS • - COMMUNICATION FOR “DEMAND CREATION”

  12. XI. RESULTS OF PROGRAMME • IODIZED SALT PRODUCTION – INCREASE • PROGRESS: USI COVERAGE 0% - 90% • GOOD QUALITY IODIZED SALT IN MARKET • CHANGE: GOITRE PREVALENCE DECREASE • USE OF SENTINEL SITES • NATIONAL SURVEY 2002 • CHANGE: URINARY IODINE EXCRETION LEVELS – PROGRESSIVE RISE • PRESENCE: CASES OF ENDEMIC CRETINISM – NO NEW ONES • POPULATION AWARENESS INCREASE • RADIO, PRESS, TV, LITERATURE, SCHOOL CURRICULA • INCREASE DEMAND FOR IODISED SALT

  13. XII. PROGRAMME MONITIRING: PRODUCTION AT FACTORY

  14. XIII. TESTING FOR IODINE IN SALT IN SCHOOLS

  15. XIVPROGRAMME IMPACT VERIFICATION (2003) • PRODUCERS – COMMITMENTS – ALL 4 • USI COVERAGE – SUSTAINED • IODIZED SALT PRODUCTION/IMPORTATION • PREVALENCE – TGR = 5-8% • URINARY IODINE EXCRETION MEDIAN 159ug/L • NO NEW CRETINS

  16. XV. SUSTAINABILITY 1. POLICY – LEGISLATION IN PLACE 2. ENFORCEMENT OF POLICY 3. QUALITY ASSURANCE INSPECTIONS 4. QUALITY CONTROL PRACTICES 5. IODINE LABORATORY IN IMPM / MINRESI 6. PRODUCERS ASSOCIATION IN PROCESS OF FORMATION 7. MPH – NUTRITION SERVICE – IDD DATA BANK 8. RETRAINED PERSONNEL - NEEDED 9. IDD IN SCHOOL CURRICULA 10. VIGILANT CIVIL SECTOR – NUTRITIONISTS, COMMUNITIES 11. YEARLY REPORTING = EPIDEMIOLOGIC SURVEILLANCE SYSTEM

  17. XVI. RESUME: REVOLVING SOCIAL PROCESS OF CHRONIC ENDEMIC DISEASE CONTROL Scientists 1 Research Academies Scientists Managers 2 Communication SC/PM Resolution Sustain 6 Evaluation Feedback 3 Policy 4 Resource Development Management 5 Implementation Monitoring Managers -Training • Equipment • Material • Infrastructure

  18. STRENGTHS AND WEAKNESSES STRENGTHS • CONCERNED ACADEMIES • SCIENTIST IN POLICY POSITION • ACADEMY LINKS WITH SCIENTISTS/ PARTNERSHIP • CHAMPIONS OF A CAUSE • LINKS WITH INDUSTRY • DATA-BASE SERVICE IN FACULTY OF MEDICINE • COMMUNICATION SYSTEM • PARTNERSHIPS • WEAKNESSES • NON COORDINATION OF SCIENTISTS BY SOME MINISTRIES • LIMITED COMMUNICATION • VERTICAL/PARALLEL RELATIONSHIPS • WEAK ACADEMIES

More Related