Prevention of Micronutrient Deficiencies: Tools for Policymakers and Public Health Workers (1998)
Chapter: APPENDIX: WORKSHOP AGENDA
Appendix: Workshop Agenda
INSTITUTE OF MEDICINE
National Academy of Sciences
Board on International Health
Food and Nutrition Board
Workshop on Micronutrient Deficiencies
5–7 December 1996
National Academy of Sciences
Cecil and Ida Green Building
2001 Wisconsin Avenue, N.W.
Washington, D.C. 20007
Agenda
Thursday, 5 December
Executive Session
|
8:30 a.m.–8:40 a.m. |
Welcome and Introductions Dr. Abraham Horwitz |
|
8:40 a.m.–9:00 a.m. |
Discussion of Potential Sources of Bias Dr. Christopher Howson, Project Director |
|
9:00 a.m.–9:15 a.m. |
Background, Plans, and Goals of the Conference Dr. Horwitz, Dr. Howson, and Committee Members |
|
9:15 a.m.–9:35 a.m. |
Break |
Plenary Session
|
9:35 a.m.–9:45 a.m. |
Welcome Dr. Horwitz and Dr. Frances Davidson, USAID |
Session I Orientation To The Topic: Presentation Of Prepared Papers
Moderator: Dr. Horwitz
|
9:45 a.m.–10:00 a.m. |
Strategies for Prevention of Iron Deficiency: Experiences to Date and Lessons Learned Dr. Fernando Viteri—presenter Dr. Nevin Scrimshaw—rapporteur |
|
10:00 a.m.–10:30 a.m. |
Discussion |
|
10:30 a.m.–10:45 a.m. |
Strategies for Prevention of Vitamin A Deficiency: Experiences to Date and Lessons Learned Dr. Barbara Underwood—presenter Dr. Keith West—rapporteur |
|
10:45 a.m.–11:15 a.m. |
Discussion |
|
11:15 a.m.–11.30 a.m. |
Break |
|
11:30 a.m.–11:45 a.m. |
Strategies for Prevention of Iodine Deficiency: Experiences to Date and Lessons Learned; Dr. John Stanbury—presenter; Dr. John Dunn—rapporteur |
|
11:45 a.m.–12:15 p.m. |
Discussion |
|
12:15 p.m.–12:30 p.m. |
Key Elements in the Design and Implementation of Micronutrient Interventions; Mr. Jim Greene— presenter; Dr. Eileen Kennedy—rapporteur |
|
12:30 p.m.–1:00 p.m. |
Discussion |
|
1:00 p.m.–2:00 p.m. |
Lunch (NAS Refectory) |
Session II Working Groups
|
2:00 p.m.–6:00 p.m. |
Break-Out Groups Working Group 1: Food-Based Approaches, Including Fortification; Supplementation Dr. Reynaldo Martorell—Chair Dr. Scrimshaw—Rapporteur |
|
|
Working Group 2: Key Elements in the Design and Implementation of Micronutrient Interventions, Including the Importance of Research, Training, and Institution Building, and the Need for Sustainability in the Longer Term Dr. Eileen Kennedy—Chair Mr. Greene—Rapporteur |
|
6:30 p.m. |
ADJOURN FOR DAY |
Friday, 6 December
Session II Working Groups (con't)
|
8:30 a.m.–11:00 a.m. |
Break-Out Groups |
Session III Plenary Discussion
|
11:00 a.m.–12:30 p.m. |
Preliminary Working Group Reports and Discussion Moderator: Dr. Osman Galal |
|
|
Rapporteur Reports (10 minutes each) Plenary Discussion (80 minutes) |
|
12.30 p.m.–1:30 p.m. |
LUNCH (NAS Refectory) |
Session IV Working Groups (continued)
|
1:30 p.m.–6:00 p.m. |
Break-Out Groups |
|
6:00 p.m. |
ADJOURN FOR DAY |
Saturday, 7 December
Session V Plenary Discussion
|
9:00 a.m.–12:00 p.m. |
Final Working Group Reports and Discussion Moderator: Dr. Horwitz |
|
|
Rapporteur Reports (15 minutes each) Plenary Discussion (2 hrs, 30 min.) |
|
12.00 p.m. |
CONFERENCE ADJOURNS—LUNCH PROVIDED |
Executive Session—IOM Committee
|
1:00 p.m.–5:00 p.m. |
Discussion of Workshop Findings; Finalization of Conclusions and Recommendations on Future Policy, Program, and Research; Determination of Report Content and Structure; Report Drafting Dr. Horwitz and committee |
|
5:00 p.m. |
COMMITTEE MEETING ADJOURNS |
Attachment A
Topics to Be Considered by the Working Groups
Working Group 1: Food-Based Approaches, Including Fortification; Supplementation
- What are the past approaches to the prevention of iron, Vitamin A, and iodine malnutrition that have successfully reduced deficiency/disease? Of the more recent efforts, which have been successfully "implemented?" For these programs, what have been the key elements of success? What constraints were encountered?
- For past approaches to the prevention of micronutrient malnutrition that have faltered, either in outcome or in implementation, what have been the key elements of constraint?
- What are the unresolved technical issues for iron? For vitamin A? For iodine?
- For a specific micronutrient deficiency, are some interventions more cost-effective than others? How does this vary for iron, vitamin A, and iodine, and why?
- Are there technological/scientific advances with promising applications for programs?
- Much of the literature suggests that food-based approaches to prevention of micronutrient deficiencies offer the best long-term solution. Where are examples where food-based approaches have been effective? Why haven't they been used more?
- What are the critical research needs that need to be filled to more effectively operationalize micronutrient interventions?
- What has been the experience with agricultural, fiscal, and other policies in regards to micronutrient problems, and what might be promising initiatives toward this end?
- What can be done to foster alliances among government, industry, and other parties to address micronutrient problems?
- What are the possibilities for synergy among approaches to micronutrient malnutrition?
- What can be done to promote political action to reduce micronutrient deficiencies (i.e., conduct effective advocacy to strengthen "political will")?
- What are the specific recommendations for future programmatic action?
Working Group 2: Key Elements in the Design and Implementation of Micronutrient Interventions, Including the Importance of Research, Training, and Institution Building, and the Need for Sustainability in the Longer Term
- What have been the key managerial, community, and household/individual-level elements that have contributed to past program success or failure? Are any of these elements unique to micronutrient interventions?
- What are the elements that are required to sustain a micronutrient intervention?
- What combination strategies—across micronutrients or across approaches (e.g., dietary counseling combined with food fortification)—have proved successful (or have faltered) and what have been the elements of success (or constraint)?
- Which combination approaches have been particularly cost-effective, and why?
- What factors have influenced the degree of political support for micronutrient interventions?
- What are the specific recommendations for future programmatic action?
