1. The evolution of nutrition planning in Thailand And Nutrition strategy formulation

2. THE EVOLUTION OF NUTRITION PLANNING IN THAILAND 8. REAL COMMUNITY-BASED NUTRITION PROGRAMS ( FUTURE ) 6. REORGANIZE GOV. STRUCTURES 7. DECENTRALIZE NUTRITION PROGRAMMING 2002 5. PROGRAMS ADDRESSING SOCIAL CHANGES ( DEVELOPING ) 4. SOCIAL CONTROL MEASURES - over – nutrition - recommended dietary intake - heath food market - national nutrition guidelines - food industries / agriculture - legislations (iodated salt, nutrition - etc. 1982 labeling etc.) 3. NATIONWIDE INTERVENTION PROGRAMS - goiter control 1. MANPOWER DEVELOPMENT - protein-energy malnutrition 2. RESEARCH & DEVELOPMENT - institution development - school lunch - applied nutrition - school curricula - nutrition surveillance - fortification technique - degree levels - basic need fulfillment - food processing - grass- root level : - vitamin A / iron fortification ( next ) - product development village health volunteer - etc. - etc. local council 1942 START ( source : Amorn Nondasuta )

3. STRATEGY BASIC COMPONENTS TARGET GROUP ( INDIVIDUALS ) COMMUNITY SERVICE PROVIDER / FACILITATOR INTERVENTION MEASURE VENUE OF INTERACTION

4. ANALYSIS OF STRATEGIC COMPONENTS Following components may be analyzed by managerial areas to the right : 1. Intervention measures. 2. Reorienting organizations. 3. Rules and regulations. 4. Enabling / empowering. Managerial areas used to analyze each component : 1. Approach ( how ) 2. Actor ( by whom ) 3. Target ( for whom ) 4. Arena ( where ) 5. Procedure / tool ( what means ) 6. Expected outcome ( what )

5. BUILDING STRATEGIC FRAMEWORK From the analysis of various components of the strategy, it is possible to organize a framework that indicates the interrelationship among those components such as technical and social measures vis-a`-vis target group and venue of implementation ( see accompanying chart )

6. THE DEVELOPMENT OF NUTRITION STRATEGY ( source : Amorn Nondasuta ) Development tools POLICY/ AGENDA/ PRINCIPLE PUBLIC OPINION TECHNICAL INFORMATION PROGRAM EVALUATION Strategy framework TARGET GROUP PROVIDER/ FACILITATOR MEASURES high impact High risk innovations TECHNICAL SOCIAL Problem magnitude categorized acc. to measures categorized acc. to target Individual community - learning experience - surveillance - skill training - leadership - early case detection - networking DEFINE AREA OF INTERVENTION DEFINE VENUE OF INTERACTION - self care - advocacy - environment protection - campaign - etc. - safety net - tax/ pricing policy - etc. DEFINE COVERAGE REORIENT ROLES AND FUNCTIONS TRAINING AND SUPPORT incl. INFORMATION OPERATION/ EVALUATION/ FEEDBACK Administrative tools - budget/ finance - resource/ technology transfer - community involvement - research& development - referral system - legislation/regulation/ guidelines - inter/ intra- sectoral coordination - information system - supervision/ control - reward/ punishment

7. SUBSYSTEMS CONDUCIVE TO PHC PROGRAM DEVELOPMENT 1.Community- based programs directed at the needy. 2.Workable system for inter-sectoral collaboration. 3.Effective systems of health financing. 4.Health development network. 5.Referral system for patients, technology and manpower. 6.Cost- effective health market at all levels. 7.Health service packages according to local needs. 8.Relatively independent local and middle level health institutions. 9.Proper social control of health behavior.