I read Alice Nganwa’s comments with keen interest, and agree with many of her observations. I read the sentence, ‘We could also follow the USA model where nutrition was mainstreamed in daily living where schools, workplaces and manyrestaurants offer healthy menus, provide gyms and ensure employees and schoolchildren exercise regularly’, and wondered whether that is the best example for the rest of the world to follow, being that the USA position in the Global Observatory for Obesity (Prevalence of obesity (BMI ≥ 30kg/m2) Source: NCD ris C estimates)is not great. The USA model that she Alice mentioned sounds impressive, but maybe there is something missing in the implementation which is why it does not seem to be achieving the desired objective.
Perhaps, we should be looking more to some other countries on that list, like Vietnam, as examples for a national nutrition policy, implementation and outcome.
Prof Joseph Ana
Lead Senior Fellow/ medicalconsultant.
Center for Clinical Governance Research &
Patient Safety (ACCGR&PS)
P: +234 (0) 8063600642
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HIFA profile: Joseph Ana is the Lead Senior Fellow/Medical Consultant at the Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria, established by HRI Global (former HRIWA). He is a member of the World Health Organisation’s Technical Advisory Group on Integrated Care in primary, emergency, operative, and critical care (TAG-IC2). As the Cross River State Commissioner for Health, he led the introduction of the Homegrown Quality Tool, the 12-Pillar Clinical Governance Programme, in Nigeria (2004-2008). For sustainability, he established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria. His main interest is in whole health sector and system strengthening in Lower, Low and Middle Income Countries (LLMICs). He has written six books on the 12-Pillar Clinical Governance programme, suitable for LLMICs, including the TOOLS for Implementation. He served as Chairman of the Nigerian Medical Association’s Standing Committee on Clinical Governance (2012-2022), and he won the Nigeria Medical Association’s Award of Excellence on three consecutive occasions for the innovation. He served as Chairman, Quality & Performance, of the Technical Working Group for the implementation of the Nigeria Health Act 2014. He is member, National Tertiary Health Institutions Standards Committee of the Federal Ministry of Health. He is the pioneer Secretary General/Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers. (http://www.hifa.org/support/members/joseph-0 http://www.hifa.org/people/steering-group). Email: info AT hri-global.org and jneana AT yahoo.co.uk