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Expert Meeting on: "Child Growth & Micronutrient Deficiencies"

BACKGROUND

The Expert meeting was conducted as a satellite meeting of the National Workshop which took theme: Child Growth & Micronutrient Deficiencies : New Initiatives for Developing Countries to Achieve MDGs, and covered the following topics:

  1. Retrospective view on child growth: lessons learned from programs to overcome under-nutrition in the developed countries
  2. Where do we go? (in relation to the situation in Indonesia)
  3. Implications for future programs

AGENDA

Session I:
"Long-term Physical & Intellectual consequences of under-nutrition in early childhood"

Speaker : Dr. Reynaldo Martorell
Moderator : Prof. Soekirman
Discussant : Dr. Atmarita & Prof. Rulina Suradi

Session II:

Speaker 1 : Dr. Ray Yip "Micronutrient deficiencies in developing countries and policy option"
Speaker 2 : Dr. Jose Boccio "Food Fortification with Iron, Zinc and Calcium; Pros and Cons from a Nutritional and Technological Point of View"
Moderator : Dr. Sunawang
Discussant : Dr. Elvina Karyadi & Prof. Suryani As'ad

ATTENDEES

DII Scientific Members

  1. Prof. Soekirman, SKM, MPS-ID, Ph.D
  2. Dr. Endang L. Achadi, MPH, Dr.PH.
  3. Prof. Dr. Dr. Abdul Razak Thaha, MSc.
  4. Prof. dr. Hamam Hadi, MS., ScD.
  5. Prof. Ir. Hardinsyah, MS, Ph.D
  6. Idrus Jus’at, MSc., Ph.D
  7. Atmarita, MPH., Dr.PH.

DII Secretariat

  1. Avita Usfar, Dr.sc.hum.
  2. Akhir Riyanti, SKM

Speakers

  1. Dr. Reynaldo Martorell, Emory University, USA
  2. Dr. Ray Yip, Bill & Melinda Gates Foundation, China
  3. Dr. Jean-Michel Antoine, Danone Research, France
  4. Dr. Jose Boccio, Buenos Aires University, Argentina

Moderators

  1. Prof. Soekirman
  2. Dr. Sunawang (Micronutrient Initiative Indonesia)

Discussants

  1. Dr. Kraisid Tontisirin, Mahidol University, Thailand
  2. Dr.Elvina Karyadi, Micronutrient Initiative, Jakarta
  3. Dr. Atmarita, Indonesian Danone Institute Foundation
  4. Prof. Suryani As’ad, Hasanuddin University, Makassar
  5. Prof. Rulina Suradi, Indonesia University, Jakarta

Journalist: Ninuk Pambudi (KOMPAS)

National Experts
(Coming from various fields, e.g : pediatric, nutrition, ecology, psychology, public health, physical anthropology, micronutrient, health & development, growth, motorist development; government policy makers, and representative of professional organizations):

  1. Prof. Dr. Rochadi Abdulhadi (National Institute of Sciences – LIPI, Jakarta)
  2. Prof. Darwin Karyadi
  3. Dr.Rachmi Untoro, MPH (Adviser of Ministry of Health)
  4. Dr. Sri Sukmaniah, SpGK (Department of Nutrition, Faculty of Medicine, Indonesia University)
  5. Prof. Nur Pudji (Hasanuddin University, Makassar)
  6. Dr. Paul Matulessy (Christian University, Jakarta)
  7. Ignatia Maria Hanggowati ( Ministry of Coordinating Economic & Finance, Jakarta)
  8. Dr. Safarina Malik (Lembaga Biomolekuler Eijkman, Jakarta)
  9. Dr. Kusharisupeni (Indonesia University, Jakarta)
  10. Yeni Ristiani (Food and Drug Administration – BPOM, Jakarta)
  11. Wahyuni Ratnawati (Food and Drug Administration – BPOM, Jakarta)
  12. Teti Sihombing (Food and Drug Administration – BPOM, Jakarta)
  13. Dr. Irawati Susalit (Food and Drug Administration – BPOM, Jakarta)
  14. Dr. Sri Nazar (Association of Nutrition Medical Doctors – Persatuan Dokter Gizi Medik, Jakarta)
  15. Dr. Purwiyatno Hariyadi (Director of –Southeast Asian Food & Agricultural Science & Technology / SEAFAST Center, Bogor)
  16. Lilik Kustiyati (Faculty of Human Ecology (FEMA) – Bogor Agriculture University –IPB, Bogor)
  17. Cecilia Meti (Faculty of Human Ecology (FEMA) – Bogor Agriculture University –IPB, Bogor)
  18. Prof Herman Sudiman (Center for Food & Nutrition Research (Puslitbang Gizi), Bogor)
  19. Dr. Arum Atmawikarta (National Development Planning Agency – BAPPENAS, Jakarta)
  20. Djunaedi M Dachlan (Public Health Faculty, Hasanuddin University, Makassar)
  21. Dr. Damayanti Syarif (Faculty of Medicine, Indonesia University)
  22. Barbara Lochman (Asian Development Bank)

RECOMMENDATION

The Conclusions and Recommendations derived from the meeting :

  • Stunting started in utero – Birth weight
  • Growth faltering starts early in life
  • Catch-up growth is invisible
  • The long-term effect of growth retardation exists
  • Positive Effect of multiple micronutrient supplementation and fortification (Ca, Fe, Zn) in early life:
  • Stature in adult, birth weight of the next generation, reading scores, years of schooling and income
  • Supplementation to young children (0-2 years) is not negatively affect future obesity
  • Food Fortification is visible: technology is available for various carriers
  • Focus on window of vulnerability group: pregnant women and child 0-2 years
  • Posyandu should be re-activated effectively by emphasizing growth monitoring and action; prevent
  • early growth retardation à POSYANDU : focus on 0-2 years, especially for the poor
  • Improved infant and young child feeding : Support and promote breastfeeding with exclusive
  • Breastfeeding in place; adequate, appropriate and timely complementary feeding
  • Increase food Fortification intervention
  • Increase Supplementation with multi-micronutrient, especially for the poor
  • Strengthening public and private partnership on food approach

OUTPUT

The documentation of the meeting will be inserted to the Proceeding of the National Workshop on Food and Nutrition IX (WNPG), multiply in CDs and distributed to relevant institutions.