World Food Policy Volume 3, No. 2/Volume 4, No. 1, Fall16/Spring17 | Page 18

World Food Policy The changes described above are reflected in a succession of 5-yearly Na- tional Food and Nutrition Plans (Table 2). In Table 1, we present a brief overview of each of these plans and the prevailing nutrition situation in the country in each period. Table 2. Thailand’s 5-year National Food and Nutrition Plans (1977–2006) National Food and Nutrition Plan (NFNP) and period covered First NFNP (1977–1981) Plan summary (Tontisirin et al, 2013) Nutrition situation • Addressed protein energy mal- nutrition in children through high protein supplements and nutrition education Seven major nutritional problems identified: protein energy malnutrition, vita- min A deficiency, anemia, beri-beri (thiamine deficien- cy), goiter, angular stomatitis (riboflavin deficiency), and urinary bladder stone (phos- phorus deficiency) • Emphasis on agricultural ex- tension providing extra food needed within communities • First official adoption of a multi-sectoral approach to food and nutrition policy involving Ministry of Interior, Ministry of Public Health, Ministry of Education Second NFNP (1982–1986) • Primary healthcare approach adopted, community health- care centers established and community health volunteers trained. Nutrition programs were a large part of these healthcare center activities • Nutrition surveillance partic- ularly growth monitoring in children established through- out country • Poverty reduction emphasized as solution to nutrition prob- lems • Nutrition education rolled out especially for pregnant and breast feeding women and young children 18 Protein energy malnutrition rates in children began to fall in this period