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naturally fortified foods, may turn out to be another “technical fix” for the problem
of hidden hunger. 33
36. Such initiatives are particularly concerning because the private sector can
advocate food supplements so effectively. 34 For example, commercialization of such
products as ready-to-use-therapeutic foods, branded with the logos of transnational
companies, may also increase consumers’ brand loyalty to a company’s unhealthy
soft drinks and snack foods. 33 Furthermore, many businesses involved in fortified
products are the same multinationals violating the International Code of Marketing
of Breast-milk Substitutes.
37. Nevertheless, fortification initiatives do make an important contribution to
efforts to achieve food and nutrition security, provided they form part of a
comprehensive strategy that addresses the social, economic and cultural
determinants of food systems. Such solutions must always be critically evaluated
and narrowly implemented to ensure that they are used only to provide temporary
relief and do not replace long-term solutions, such as diversification of agriculture,
or interfere with local production systems. 35
III. Global nutrition governance
38. To respond to universal malnutrition challenges, a coordinated multisectoral
policy response is needed at every level. This requires dialogue between all relevant
sectors and actors, including nutritionists, development actors, civil society, donors,
the private sector and government officials. Furthermore, it is important to establish
accountability mechanisms to assess planning, budgeting and the results of
nutrition-related interventions. 36
39. It is also critical to address malnutrition in all its forms as one issue to avoid
policy fragmentation. In a recent study among 139 low- and middle-income
countries for example, only 39.6 per cent had nutrition policies that addressed all
forms of malnutrition, despite facing the effects of a “nutrition transition”. 37
40. At the height of the food price crises in 2008, it was suggested that global
governance of nutrition was dysfunctional. 38 Since then, significant initiatives have
been undertaken at the global level. Examples include the Scaling Up Nutrition
movement and two major campaigns of the Secretary-General: “Every woman, every
child” and the Zero Hunger Challenge.
__________________
34
35
36
37
38
16-13441
Flavio Luiz Schieck Valente, “The corporate capture of food and nutrition governance: a threat to
human rights and peoples’ sovereignty”, in Right to Food and Nutrition Watch 2015: Peoples’
Nutrition Is Not a Business (2015), pp. 17-18.
Andrew Jones and Gebisa Ejeta, “A new global agenda for nutrition and health: the importance
of agriculture and food systems”, Bulletin of the World Health Organization, vol. 94, No. 3
(March 2016).
Second International Conference on Nutrition, Chairs’ summary of round table 3 (Governance
and accountability for nutrition).
Bruno F. Sunguya and others, “Strong nutrition governance is a key to addressing nutrition
transition in low- and middle-income countries: review of countries’ nutrition policies”,
Nutrition Journal, vol. 13, June 2014.
The Lancet Global Health, “The international nutrition system: fragmented, dysfunctional and
desperately in need of reform”, press release, 16 January 2008.
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