Economic Growth, Equity and Nutritional Improvement in Indonesia













Table of Contents


by

Soekirman, Ignatius Tarwotjo
Idrus Jus'at, Gunawan Sumodiningrat
and Fasli Jalal

Desember, 1992

UNITED NATIONS


NATIONS UNIES

ADMINISTRATIVE COMMITTEE ON COORDINATION - SUBCOMMITTEE ON NUTRITION
(ACC/SCN)

UN ACC/SCN country case study supported by UNICEF United Nations Children's Fund. A case study for the XV congress of the International Union of Nutritional Sciences, September 26 to October 1, 1993, Adelaide.

The ACC/SCN is the focal point for harmonizing the policies and activities in nutrition of the United Nations system. The Administrative Committee on Coordination (ACC), which is comprised of the heads of the UN Agencies, recommended the establishment of the Subcommittee on Nutrition in 1977, following the World Food Conference (with particular reference to Resolution V on food and nutrition). This was approved by the Economic and Social Council of the UN (ECOSOC). The role of the SCN is to serve as a coordinating mechanism, for exchange of information and technical guidance, and to act dynamically to help the UN respond to nutritional problems.

The UN members of the SCN are FAO, IAEA, World Bank, IFAD, ILO, UN, UNDP, UNEP, UNESCO, UNFPA, UNHCR, UNICEF, UNRISD, UNU, WFC, WFP and WHO. From the outset, representatives of bilateral donor agencies have participated actively in SCN activities. The SCN is assisted by the Advisory Group on Nutrition (AGN), with six to eight experienced individuals drawn from relevant disciplines and with wide geographical representation. The Secretariat is hosted by WHO in Geneva.

The SCN undertakes a range of activities to meet its mandate. Annual meetings have representation from the concerned UN agencies, from 10 to 20 donor agencies, the AGN, as well as invitees on specific topics; these meetings begin with symposia on topics of current importance for policy. The SCN brings certain such matters to the attention of the ACC. The SCN sponsors working groups on inter-sectoral and sector-specific topics. Ten-year programmes to address two major deficiencies, vitamin A and iodine, have been launched.

The SCN compiles and disseminates information on nutrition, reflecting the shared views of the agencies concerned. Regular reports on the world nutrition situation are issued, and flows of external resources to address nutrition problems are assessed. State-of-the-Art papers are produced to summarize current knowledge on selected topics. As decided by the Subcommittee, initiatives are taken to promote coordinated activities - inter-agency programmes, meetings, publications - aimed at reducing malnutrition, primarily in developing countries.


Table of Contents


FOREWORD

I. INTRODUCTION

II. HISTORICAL BACKGROUND

III. ECONOMIC TRENDS

IV. NUTRITION TRENDS

Food and Nutrition Policy
Food Consumption and Food Security
Nutrition Status
Low Birth Weight
Infant Mortality Rate and Life Expectancy
Infant Feeding Practices
Maternal Mortality
Maternal Nutrient and Energy Intake
Maternal Anthropometry
Micronutrient Deficiency Disorders

Vitamin A deficiency
Iodine deficiency
Iron deficiency

Affluence-Related Nutrition Problems

V. COMMUNITY HEALTH AND FAMILY PLANNING

VI. COMMUNITY PARTICIPATION

VII. MANPOWER AND INSTITUTIONAL SUPPORT IN NUTRITION

VIII. LESSONS LEARNED

General Economic Conditions
Specific Nutrition Interventions

IX. FUTURE NUTRITION AGENDA

REFERENCES

TABLES

FIGURES