Corinna Hawkes
POLICY SEMINAR
Virtual Event - The New Nutrition Reality: Time to Recognize and Tackle the Double Burden of Malnutrition!
DEC 1, 2020 - 09:30 AM TO 11:15 AM EST
Tackling the double burden through double-duty actions
1. Tackling the double burden through double-
duty actions
The New Nutrition Reality: Time to Recognize and Tackle the Double Burden of Malnutrition! IFPRI Seminar, December 1 2020
Professor Corinna Hawkes
Director, Centre for Food Policy, City, University of London
Distinguished Fellow, George Institute for Global Health
Vice-Chair, London’s Child Obesity Taskforce
2. What is double-
duty?
“Interventions, programmes, and policies that
simultaneously prevent or reduce the risk of
both nutritional deficiencies leading to
underweight, wasting, stunting and/or
micronutrient deficiencies, and problems of
obesity/DR-NCDs” (Hawke, Ruel et al, 2020)
4. 1. Shared drivers for undernutrition and
obesity/NCDs
• Diet. Healthy diets are
beneficial whatever the
nutritional risk. Thus actions
that promote healthy diets
will be, de facto, double duty
actions.
• Early nutrition. Links
between early growth and
development & onset of
NCDs means action that
promote healthy growth will
be, de facto, double duty
actions (breastfeeding).
5. 2. Efficiency 3. Opportunity
• Obesity is a risk factor for
complications and death from
COVID-19
• Undernutrition is predicted to
rise as a result of COVID-19
• More efficient to take actions to
reduce the risk of both; financing
& other resources could be more
efficiently used & spent
• Delivery platforms are available
through which actions &
financing designed to reduce
undernutrition could be designed
to also reduce risk of obesity.
• Health systems; social protection
systems; education systems; food
systems
7. Nor efficiency…. …nor opportunities
0
0.1
0.2
0.3
0.4
0.5
0.6
Undernutrition Obesity/DR-NCDs
Percentage of Overseas Development
Assistance, 2016
Source: Global Nutrition Report Source: NCDA/Spectrum. Unhealthy
commodity industries and COVID-19, 2020
8. Why double-duty
now?
• In reacting to COVID-19, we must
learn from the past, when
undernutrition programmes have
raised the risk of obesity
Colombia
PeruBrazil
MexicoEgypt
Chile
Chile
9. Mexico: Conditional Cash Transfer Program
(Progresa/Oportunidades)
Pioneer program (1997-2019) aimed to break the
intergenerational transmission of poverty by incentivizing
families to invest in their children
Positive impacts on poverty, health, education, women’s
empowerment, nutrition
Also associated with maternal overweight, obesity, risk of
NCDs (esp. urban)
Cash
Educ
-ation
Health
Nutri
-tion
10. Egypt food subsidy programme
1941-2014 (reformed in 2019)
aims to ensure social equity and
prevent malnutrition:
• Subsidy for bread, flour
• Targeted ration card for
vulnerable groups rice, sugar,
cooking oil, and black tea
• 71 million enrolled in ration card
Beneficiaries of targeted ration
Womens. BMI
Child stunting
Diet diversity
Meat, fish, vegetables
11. Taking into account 4 common drivers, double duty actions
are delivered through 4 platforms for 4 double impacts
Source: Hawkes C, Ruel M et al. Lancet 2020
12.
13.
14. Double Duty is
about Designing
actions Differently
to address the
Double burden
Deliberately,
not Doing away
with what we
already Do
THANK YOU!
Notes de l'éditeur
I am here to talk about new rpeort that IPES Food is publishing today on food polcies designed to tackle the challenges posed by the food system, including NCDs
Policies that can help address NCDs at an urban level; its not only about NCDs; in fact its not even mainly focused on NCDs, but I think that’s actually something we can learn from and I will come back to that later
Not the same as dealing with both of them – but seperately
I am here to talk about new rpeort that IPES Food is publishing today on food polcies designed to tackle the challenges posed by the food system, including NCDs
Policies that can help address NCDs at an urban level; its not only about NCDs; in fact its not even mainly focused on NCDs, but I think that’s actually something we can learn from and I will come back to that later
I am here to talk about new rpeort that IPES Food is publishing today on food polcies designed to tackle the challenges posed by the food system, including NCDs
Policies that can help address NCDs at an urban level; its not only about NCDs; in fact its not even mainly focused on NCDs, but I think that’s actually something we can learn from and I will come back to that later
I am here to talk about new rpeort that IPES Food is publishing today on food polcies designed to tackle the challenges posed by the food system, including NCDs
Policies that can help address NCDs at an urban level; its not only about NCDs; in fact its not even mainly focused on NCDs, but I think that’s actually something we can learn from and I will come back to that later
What we did in this paper was to look at how existing actins could influence these common drivers to produce double impacts