ANNUAL REPORT
SEAMEO RECFON July 2013 – June 2014
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
TABLE OF CONTENT
iii iv v vii ix 1 1 3 7 12 12 13 13
Advisory Board Soemilah Sastroamidjojo Johanna SP Rumawas Widjaja Lukito Editorial Board Drupadi HS Dillon Miranti Martin Umi Fahmida Contributor Daniel Sahanggamu Dewi Maryani Kusumastuti Dwi Nastiti Iswarawanti Evi Ermayani Helda Khusun Imam Joko Purnomo Judhiastuty Februhartanty Kusyanti F. Hapsari M. Perbowo Purnawati Hustina R Qorina Ratna Wulanti Rindrawati Rosita Sri Kurniasih
Message from the Director Acknowledgement Vision and Mission Governing board members Executive Summary Regional Leadership Research and Development Innovative Programs Capacity Building Regional Visibility Partnership for Sustainable Human Resource Development Consultancy in Food and Nutrition Increase Means for Stakeholder to Access SEAMEO RECFON
14 14 15 16 17
i
Solid Resources Base Financial Visibility Human Resources Development Facilities APPENDICES
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SEAMEO RECFON Annual Report Fiscal Year 2013-2014
iii
MESSAGE FROM THE DIRECTOR
This Annual report highlights the SEAMEO RECFON accomplishments during the FY 2013-2014. We always try to keep tracks with the key result areas - our mandate as regional center for food and nutrition in South East Asia region. In its fourth year journey this year, SEAMEO RECFON pledge to continuously try its best to reach better accomplishment in the years to come.
We cherish all the friendships and continuous support from our consultants, partners, alumni, national and international organizations, and all those, who have helped SEAMEO RECFON in numerous ways, enabling us to discharge our responsibilities to all stakeholders.
Drupadi HS Dillon Director
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SEAMEO RECFON Annual Report Fiscal Year 2013-2014
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
ACKNOWLEDGEMENTS
SEAMEO RECFON appreciates and is grateful to the Ministry of Education and Culture, Government of Indonesia, for their continuous guidance and support to help us execute our mandate. We esteem the SEAMEO Council for their continuous patronage in many ways to make us perform our tasks. SEAMEO RECFON is indebted to the SEAMEO Secretariat and all the SEAMEO centers for guiding and facilitating us to conduct our activities and manage collaborations with a wide range of organizations and institutions. We highly appreciate the constant support, wisdom and professional guidance of SEAMEO RECFON Governing Board members. In particular, we extend our gratitude to our consultants, partners and collaborators at national and international levels, and all those, who have helped SEAMEO RECFON, as reflected in this annual report.
VISION
Be the center of excellence in human resource development in the area of food and nutrition in South East Asia
MISSION
To conduct research, education, capacity building, and information dissemination in food and nutrition through partnership for sustainable human resource development
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SEAMEO RECFON Annual Report Fiscal Year 2013-2014
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
FIVE-YEAR DEVELOMPMENT GOAL
GOVERNING BOARD MEMBERS OF SEAMEO RECFON
The First Five-year Developmental Plan was developed based on the following premises: 1. Food and nutrition continue to be the relevant focus for SEAMEO RECFON and particularly focusing on Maternal and Child Nutrition will effectively reduce the persistently high under nutrition problems and the emerging nutrition-related degenerative diseases 2. The bureaucracy reforms within the Government of Indonesia assure program and financial accountabilities, yet it requires more investment in quality human resources and infrastructure. 3. The scope of work of SEAMEO RECFON will focus on (a) developing professionals in food and nutrition, (b) conducting research and development and information services in food and nutrition, and (c) establishing network for the purpose of resource sharing, information exchanges, research and development, as well as training and education. 4. The presence of alumni/ graduates spread in diverse positions of work and responsibility in the region forms existing and future partnership and collaboration; while the decentralization has leverage policy formulation at local government level. 5. The competition for grants to fund programs and activities will be tighter. 6. There is a continuous need on staff learning and personnel growth using updated and appropriate science and technology and to adapt to the changing global situation.
The Board consists of representatives from Member Countries, nominated by respective Ministers of Education and appointed by the President of the SEAMEO Council. The Board is responsible for operational policies, strategic planning, annual evaluation and review of the Centre programs and budgets within the framework of an approved five-year development plan.
BRUNEI DARUSSALAM
8. There is commitment to good governance and increased internal capacity by strengthening the management and leadership capacity within SEAMEO RECFON
Sivong Sengaloundeth
Dean, Pengiran Anak Puteri Rashidah Sa’adatul Bolkiah Institute of Health Sciences Universiti, BRUNEI DARUSSALAM
Deputy Director General Department of Food and Drug Ministry of Health
INDONESIA
INDONESIA
• Integrity • Strive for excellence • Commitment • • Team work • Respect cultural diversity • Partnership •
LAO PDR
MYANMAR Dr. May Khin Than Assistant Director, National Nutrition Council, Ministry of Health MYANMAR
MALAYSIA
C O R E VA L U E S
LAO PDR
Dr. Hajah Maslina binti Haji Mohsin
Prof. Dr. Ir. Muhammad Anis, M Met Rector, University of Indone sia
7. There is the pressing need to operate on sound financial standing
SINGAPORE
Dr. Shahnaz Murad
Prof. Barry Halliwell
Director, Institute of Medical Research
Tan Chin Tuan Centennial Professor, Deputy President (Research & Technology), National University of Singapore
MALAYSIA
SINGAPORE S T R AT E G I C FOCUS
Maternal and Child Nutrition Organizational strengthening
MISSION AREAS
• Research • Education • Capacity Building • Information Dissemination • Policy Action
OUTCOME
Improved regional human resources capabilities focusing on maternal & child nutrition
THE PHILIPINES
Maximizing alumni network, partnership & collaborations. Encouraging mainstreaming policy towards health and nutrition at local government. Adapting to the changing global situation. Using updated and appropriate science & technology. Continuous staff learning and personnel growth. Operating on good governance and sound financial standing.
VIETNAM
Dr. Ella Cecilia G Naliponguit
Prof. Dr. Le Thi Hop
Director
Director of the National Institute for Nutrition, Ministry of Health
School Health and Nutrition Centre THE PHILIPPINES
THAILAND Dr. Sangsom Sinawat
S T R AT E G I E S
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Senior Public Health Officer (Nutrition) Bureau of Technical Advisors, Department of Health, Ministry of Public Health THAILAND
VIETNAM
EX-OFFICIO MEMBERS: Dr. Witaya Jeradechakul Director SEAMEO Secretariat Bangkok THAILAND
CAMBODIA Dr. Or Vandine Director of International Cooperation, Ministry of Health CAMBODIA
Drupadi HS Dillon, MD, PhD Director SEAMEO RECFON INDONESIA
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
ix
EXECUTIVE SUMMARY
SEAMEO RECFON, as Regional Centre for Food and Nutrition, strives to bring value added to the South East Asia society, focusing on maternal and child nutrition. A continuous plan needs to be implemented and relevant in accordance with SEAMEO RECFON’s mission. This annual report of SEAMEO RECFON shares the achievements of the Centre during the period of July 2013 – June 2014.The Centre develops and manages its mission areas based on six core values: integrity, strive for excellence, commitment, team work, respect cultural diversity and partnership. In the implementation of its duties in the area of Regional Leadership, the Centre conducted a total of 16 accomplished and ongoing research. The Centre carried various innovative programs at community level, as well as regional collaborations; capacity building through degree programs, regional trainings including leadership training, and staff empowerment in the field of nutrition in Timor Leste To maintain the Centre’s role in the area of Regional Visibility, the Centre continues to strengthen the linkages through consultancy and training in its expertise areas. During the fiscal year under review, SEAMEO RECFON’s staffs have been involved in various national and international events and actively participated in workshops, regulation meetings and seminars. The Centre also engaged in building people awareness through social media aiming to introduce the Center and bring the institution closer to the public, especially for stakeholders, partners and community. In the area of Solid Resource base, despite challenges for funding, the Centre facilitates staffs to take courses or trainings to increase their performance in providing services in relation to their tasks. To be able to serve good service to the clients, the Centre continuously improves laboratory, library and IT facilities. Toward the five-year development plans and future vision, the Centre needs to set its annual strategic plans, focusing and prioritizing activities in line with its mission. To escalate the coverage of the Centre’s programs in education, research, capacity building and information dissemination, the Centre needs to pursue more collaborative projects. The Centre’s transformation to be a reliable regional centre needs to continue efforts in developing human resources through instilling the strategic values as a guidance for employees in their daily work.
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
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REGIONAL LEADERSHIP Research
and development
As research is one of the mission areas of SEAMEO RECFON, the organization continues to conduct and develop research in the fields of food and nutrition. During the fiscal year 2013-2014 there are 34 ongoing and accomplished research conducted by the academic staff and students of SEAMEO RECFON. All of the current research was funded by various sources such as NGO’s, Industries, and Government Institutions. The studies covers a wide range of topics from dietary diversity of under five children, development of food based dietary guidelines, micronutrients related with over and under nutrition to basic sciences including nutrigenomics and nutrigenetics
Research Topics
2
by
SEAMEO RECFON Staff
1
5
6 2
NUTRITION POLICY & PROGRAM NUTRIGENOMICS/NUTRIGENETICS DIETARIES STUDIES IN YOUNG CHILDREN AND WOMEN NUTRITION AND DISEASE NAS VALIDATION STUDY
During the period of this report, results from studies conducted by SEAMEO RECFON has been disseminated as publications in 3 international peer reviewed journals and oral/poster presentations in 4 international and national scientific forum. During the fiscal year under review, the Center’s publications has been published in the BMC Public Health, Public Health Nutrition, and Food and Nutrition Bulletin.
• Determinations of serum ferritin, CRP and AGP concentrations using polyclonal antibody method. Anemia, especially among underfive children and reproductive age women, is still a major problem in the SEA region, and the cause of anemia is mostly iron deficiency. Serum ferritin concentration is an indicator to assess iron deficiency, however, its concentration increases during subclinical infection, and may mask the true iron status. Since subclinical infection is prevalent in the SEA region, assessment of Acute Phase Protein (APP) such as C-Reactive Protein (CRP) and Aplha-1 Acid Glycoprotein (AGP) concentrations are necessary to detect the occurrence of infection. The existing laboratory method to assess serum ferritin and APP need a considerable amount of blood, which is quite difficult to obtain, especially from underfive children in a community survey setting. This study aims to explore the determinations of serum ferritin and CRP concentrations with polyclonal antibody method, using small amount of blood. This laboratory study is in progress.
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SEAMEO RECFON Annual Report Fiscal Year 2013-2014
• Serum
vitamin
D
and magnesium
concentrations among Indonesian women with
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
Innovative Program
preeclampsia and normal pregnancy: a study in
Jakarta, Indonesia
Preeclampsia, is a condition with high blood pressure and proteinuria during pregnancy. This condition is prevalent among pregnant women in the SEA region, and considered as the cause of morbidity and mortality affecting mothers and their offspring. The etiology of preeclampsia is still unknown, however, a number of micronutrient such as vitamin D and magnesium deficiencies are believed to exist among pregnant women with preeclampsia. The study aimed to investigate the serum vitamin D and magnesium concentrations among pregnant women with and without preeclampsia. The study shows that serum vitamin D and magnesium concentrations did not differ among pregnant women with and without pregnancy.
• Dietary
calcium and caloric intake on
calprotectin concentration and the risks of overweight and obesity among preschool children in
Jakarta
Pediatric overweight and obesity is becoming an emerging problem in both developed and developing countries. Fecal calprotectin, a biological marker of gut inflammation, has been associated with obesity severity. However, evidence to suggest this biomarker to be practically used in clinical settings are still very limited. Aside from that, many studies has confirmed that high calcium intake is related with lower body weight and fat among adolescence and adults. However, such evidence is especially lacking in children in developing countries, including Indonesia. A case control study consisting of preschool children 3-6 years old in East Jakarta was conducted. Results showed that there was no association between dietary calcium and caloric intake on calprotectin concentration and on the risks of overweight among preschool children in Jakarta.
• SWAN (Sustainability Water Project)
and
Nutrition
A study aimed to improve access to safe water, sanitation and nutritional status of the community was conducted in collaboration with ILSI SEAR (Southeast Asia Region) and ILSI Japan CHP (Center for Health Promotion). This long term project was initiated since 2011. The pre-preliminary assessment had been done in Karawang District and identified a need for an appropriate water treatment facility for the community to be able to use safe water. The main water source for their daily life necessities identified was the Citarum Barat Canal. Knowledge and practice related to sanitation, safe water supply, health and nutrition were also found to be limited.
A further feasibility study involving a water community technologist consultant was conducted in Bogor and Bekasi Districts. At this stage, the consultant assessed the legal framework and regulatory restrictions on community water, national and local government policy and guidelines of the government to promote safe water supply and hygiene practices in communities. By the end of the study, a relevant and replicable water treatment will be proposed and introduced in one of the selected project site.
SWAN is aimed to improve access to safe water, sanitation and nutritional status of the community
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SEAMEO RECFON Annual Report Fiscal Year 2013-2014
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
• SMILING
• SEA-Change (Sustainable Evidenced-based Actions for Change)
SMILING (Sustainable Micronutrient Interventions to Control deficiencies and Improve Nutritional Status and General Health in Asia), a project funded by the European Commission under the 7th Framework Programme for Research and Development, was conducted between February 2012 and May 2014. SMILING is coordinated by IRD (Institut de Recherche pour le Développement) in partnership with six South East Asian ministries, national agencies and universities and four European research center specialized in nutrition policies in Southern Countires namely University of Copenhagen, Denmark; Wageningen University and Vu University Amsterdam, the Netherlands; London School of Hygiene and Tropical Medicine, UK. The project targets population was specifically those affected by malnutrition: women of childbearing age to include non-pregnant, pregnant and lactating mother and young children under the age of two years. SMILING has several objectives, namely:
1) Identify appropriate, feasible, sustainable interventions adapted to each country: Cambodia, Indonesia, Laos, Thailand, and Vietnam; 2) Raise awareness and mobilize policy makers and stakeholders (private sector, international organizations and non-governmental organizations) to incorporate such strategies in nutrition and public health policy plans for the benefit of society, especially the most vulnerable populations; 3) Apply two innovative methodologies which are useful for researchers and academes. In this regards, SEAMEO RECFON shared the OptiFoods and Multiple Criteria Mapping methodologies as an introduction to researchers and academe. Through translating knowledge into action approach and by means of 7 working papers, this project results a plan of action for decision makers and stakeholders for inclusion priority interventions into the national policy of each SEA country .
SMILING concept and SMILING concept andcomponents components SEA as the Centre of the action, taking
into account the current transitional and future landscape of the countries
North-South-South Collaboration
The SMILING project has been cenceived aorind a collaborative approach, which means developing and learning together, rather than bringing in external expertise to teach those less advanced.
The SEA-Change activity in Indonesia, conducted since November 2013, was aimed to meet the following objectives: 1) catalyze country level innovation to improve nutrition for children, adolescent girls and target groups important for the first 1,000days of life, with more emphasis on adolescent girls; 2) develop avenues for increased investments in evidence-based nutrition improvement delivery systems; and 3) assure program effectiveness and impact through public-private partnerships supported by operational research and evaluation.
SEAMEO RECFON has been appointed to become the focal point to achieve the objectives of the SEA-Change activity in Indonesia through community empowerment and public-private partnership. A group of collaborators has been established consisting of Aisyiyah, DSM, GAIN Indonesia, GIZ, Indofood, IPB, Mercy Corps and Savica, which may still expand to other potential partners, including representative from Ministry of Health, Indonesia.
SEAMEO RECFON has been appointed to become the focal-point to achieve the objectives of the SEA-Change activity in Indonesia through community empowerment and public-private partnership.
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SEAMEO RECFON Annual Report Fiscal Year 2013-2014
• Workshop on “ASEAN 2015: Strengthening Regional Food Safety System The free movement of food in the region as envisioned in the implementation of the ASEAN Community by 2015 challenges the countries to overcome the health risks associated with foodborne hazards. The region still faces a number of constraints, notably the need for a regional food safety regulatory framework in the face of divergent capacity among member states in promoting and controlling compliance with food safety standards and regulations.
SEAMEO RECFON in collaboration with other SEAMEO centers namely SEARCA (South East Asia Regional Centre for Agriculture) and SEAMEO BIOTROP (Biological Tropical) conducted a 5-day Seminar Workshop in BIOTROP Building, Bogor. The aim of the workshop was to 1) Understand the underlying principles in the liberalization of and specific arrangements/ agreements in food trade; 2) Identify capacity and institution building programs essential to managing and controlling compliance to voluntary and mandatory food safety standards and regulations; 3) Identify regional, national and sectoral bodies and agencies engaged in food safety programs; and 4) Formulate mechanisms for effective networking with and among these organizations.
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
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Capacity Building • Master Degree Program Nutrition
in
Community
Since the opening of the program in 1992, the Master program in Community Nutrition is a twoyear program in English. The first year consists of courses, while the second year is dedicated for research work. The program is conducted under the Nutrition Study Program, Faculty of Medicine, University of Indonesia.
Each year, the Master program consists of two batches. In the period of July 2013 – June 2014, there are 24 students with 14 students in the 1st year and 10 students in the 2nd year. Among these 2nd year students, eight of them completed their thesis defense in June 2014. Their thesis topics vary from basic to applied research in community nutrition, employing both qualitative and quantitative designs.
The second batch students enrolled in 2013, consists of 14 students, one from Myanmar and the rest are from Indonesia. Myanmarese student received DAAD-Faculty of Medicine UI Scholarship, while some other students received scholarships from their home institutions. They have completed their first year courses and are currently preparing their research.
The target participants were twenty six (26) senior and mid-level officials’ level in food safety from Brunei, Cambodia, Indonesia, Malaysia, Myanmar, Philippines, and Thailand representing agricultural, fisheries, food and health sectors. Presented papers covered topics of 1) Principles Underlying Food Trade Liberalization 2) Risk-based Food Safety Systems and 3) Status and Updates of ASEAN Food Safety Initiatives. A capacity building on risk analysis for the countries under SEAMEO organization was proposed as the follow up of this activity.
The Master degree program offers 16 courses, applying block system, to enable non-degree participants to take any course of their interest. The program is supported by experienced RECFON’s staff as well as international lectures coming from South East Asia, Australia, the Netherlands, New Zealand and United States.
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SEAMEO RECFON Annual Report Fiscal Year 2013-2014
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
International and National Lecturer/Consultants of Master Program Course in July 2013 – June 2014
• D octorate D egree P rogram
in
N utrition
Aging Studies University of Indonesia, HENRI and Nestle Foundation.
SEAMEO RECFON has currently 12 doctorate students,
coming
from
Indonesia
and
Research topics of Doctorate and Master degree
The
students combined consists of 18 different topics
Philippines. Six students are currently at their data • Dr. Anuraj Shankar, Harvard University (USA)
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• Prof. Khor Geok Lin I nternational Medical University, Malaysia (Malaysia)
• Asst. Prof. Richard S Javier, MBA, University of the Philippines Manila (Philippines)
collection stage, while the six others are at their
• Prof. Lye Munn San Universiti Putra Malaysia (Malaysia)
• Asst. Prof. Ernani R Buceller, MPH, RND University of the Philippines Manila (Philipines)
students had successfully completed the program.
with the majority in the scope of nutrition policy and program. This research area includes topics
literature review stage. This academic year, two new
on breastfeeding, infant young child feeding (IYCF) practices, nutrition supplement in chronic energy
The doctorate candidates receive scholarships and
deficient pregnant women, and cadre/ health
research supports from various sources, namely
worker practices related with IYCF.
DAAD RECFON, DAAD TROPMED, Centre for
NUTRITION POLICY & PROGRAM
NUTRITION AND DISEASE
NUTRIGENOMICS/NUTRIGENETICS
HENRI
• Non-degree Training Program Fellowship Program
and
DIETARY STUDIES IN WOMEN
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There were 9 master degree courses with 74 participants, who attended the short courses in the Fiscal Year 2013-2014. Five out of the 16 courses were conducted as SEAMEO RECFON fellowship program which awarded scholarship for selected participants from SEA region. During this fiscal year, SEAMEO RECFON offered Nutritional Status Assessment, Introduction to Nutritional Anthropology and Research Methodology courses as regional courses with fellowship award. This year SEAMEO RECFON also conducted an additional Research Methodology course that is detached from the master program to fulfill the interest of stakeholders.
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1 1
• Breastfeeding • Infant Young Child Feeding (IYCF) Practices • Nutrition supplement in chronic energy deficient pregnant women • Cadre/ Health worker & IYCF Practices
Courses Attended
by
Short Course Participants
(July 2013 - June 2014)
Research Metodology
• Safarina Malik, PhD (Eijkman Institute)
• Avita Usfar, Ir., MSc., Dr.sc.hum (TNP2K) • Elvyanti Martini, PhD (WFP Indonesia)
• Iwan Ariawan, MSPH (Faculty of Public Health, Universitas Indonesia)
• Ning Pribadi Ir., MSc (Koalisi Fortifikasi Indonesia)
• DR. Ratna Djuwita (Faculty of Public Health, Universitas Indonesia)
• Anis Kurniawati MD PhD (Faculty of Medicine, Universitas Indonesia)
• Dr. Atmarita (Ministry of Health)
• Ir. Hanifah N. Lioe PhD (Bogor Agricultural Institute)
• DR. Herquntarto, MPH., MARS (Faculty of Medicine, Universitas Indonesia)
Nutrition in Food Industry
• Drs. Eddy B. Regar (PT. Sunbelt)
• Dian N Basuki, MSc (WFP Indonesia)
• Damayanti R. Syarif, MD, PhD (Faculty of Medicine, Universitas Indonesia)
Indonesia
Food Safety
Myanmar
Intr. Nut. Anthropology
Cambodia
Research Methodology
• Halim Nababan (NAFDC)
• Elvina Karyadi,PhD (Micronutrient Initiative Indonesia)
MSc Student
Food & Nutrient Intervention
• DY Suharya (CCPHI)
• Robert Tilden, MPH., Dr PH • Tika Wulandari - Individual Consultant
• Prof. Rosalind Gibson, Otago University (New Zealand)
Philipine
HNPPM II
Malaysia
HNPPM I
• Lisa Schubert,PhD University of Queensland (Australia)
Lao PDR
Intro. Nut. Anthropolgy
• Prof. Abdullah Al Mamun, University of Queensland (Australia)
Thailand
NAS
0
• Ari Perdana (TNP2K) NAS
5
10
15
: Nutrition Status Assessment
HNPPM : Health and Nutrition Project/ Program Planning & Management
20
25
30
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SEAMEO RECFON Annual Report Fiscal Year 2013-2014
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
• 10th SEA-NLP
• Food
and
Nutrition Survey
in
Timor Leste
As a means of capacity building for nutritionist, SEAMEO RECFON annually holds a leadership program. The program aims to empower nutritionists working in government, research, and academic institutions in South East Asia by providing competencies in effective leadership skills such as team building, decision making process and communication skills. SEA-NLP also serves to provide a forum of networking among nutritionists in the region where information and ideas are exchanged and collaboration projects can be established.
The 10th SEA-NLP was attended by 23 participants coming from Brunei, Cambodia, Indonesia, India, Myanmar, Philippines, and Thailand, from November 11th – 15th 2013. The activities included team building, outbound, workshops and discussions designed to enhance various stakeholders’ participation by inviting several institutions to share their visions in nutrition leadership, and cultural events. To commemorate the 10th anniversary of SEA-NLP, a special night celebration attended by SEA-NLP alumni from several SEAMEO member countries was held. A SEA-NLP “Alumni Award” and “Country Project Award” were presented for alumni, who have excellent achievements in the field of research, education, policy building and community development in nutrition and post SEANLP initiatives, which have succesfully implemented action for impact on nutrition.
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3) micronutrient status of non-pregnant mothers of children 6-59 months with regards to anemia, iron, vitamin A and iodine deficiencies, 4) aflatoxin exposure among children 6-59 months and their non-pregnant mothers, 5) iodine level in salt at the households level, 6) infant and young child feeding (IYCF) practices of children aged 0-23 months, 7) feeding and caring practices affected by the social, cultural and traditional values and normsusing qualitative methods with in-depth study, and 8) the vulnerability in terms of factors related to food and nutrition. SEAMEO RECFON had an opportunity to conduct a national survey commissioned by UNICEF Timor Leste with AusAID funding. This activity was a collaboration with Ministry of Health Timor Leste and its district offices, National Laboratory Timor Leste, the heads of Sucos and Aldeais, PSF, community members of Timor Leste,Iodine Deficiency Disorders laboratory, the Faculty of Medicine University of Diponegoro, Semarang, Indonesia; Vitamin A Iron Laboratory Germany, BioAnalyt, Germany, and the University of Georgia Aflatoxin Reference Laboratory, USA.
The general objective of the survey was to assess the nutritional status of the children and women and to determine risk factors of under-nutrition including the traditional and cultural factors affecting children’s feeding behaviors. Specifically, the survey conducted assessment of : 1) anthropometry among children 0-59 months and their non-pregnant mothers, 2) micronutrient status of children 6-59 months with regards to: anemia, iron, vitamin A and zinc deficiencies,
The target population was children aged 0-59 months and their non-pregnant mothers in 13 districts of Timor Leste, namely Ainaro, Aileu, Baucau, Bobonaro, Covalima, Dili, Ermera, Liquica, Lautem, Manufahi, Manatuto, Oecussi, and Viqueque. Data collection took place duringMaySeptember 2013. Currently, the survey project is at stage of final reporting.
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SEAMEO RECFON Annual Report Fiscal Year 2013-2014
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
• Consultancy
• Partnership for Sustainable Human Resource Development National • Faculty of Medicine, Unviesity of Indonesia • Faculty of Public Health, University of Indonesia • Sriwijaya University • Health Polytechnic Tasikmalaya-Cirebon • Health Polytechnic II, Jakarta
International • The Institute of Human Nutrition and Food (IHNF) of the College of Human Ecology, the University of the Philippines Los Bańos • School of Public Health, Harvard University, Boston, USA • University of Public Health, Yangon Myanmar
and
Nutrition
List of Collaborative Institutions
UNIVERSITIES NGO National
• KIIC (Karawang International Industry City) • PERSAGI (Association of Indonesian Nutrition Experts) • PERGIZI PANGAN Indonesia • CCPHI (CompanyCommunity Partnerships for Health in Indonesia) • Aisyiah • Indofood
GOVERNMENT
International • UNICEF • WFP • ENLP (European Nutrition Leadership Program • IRD France • Glaxo Smith Kline • GAIN (Global Alliance for Improved Nutrition) • World Vision • DSM • Savica • Danone Institute, Jakarta • GIZ • Helen Keller Int’l
• Nutrition Benchmarking
Food
SEAMEO RECFON continues to share its expertise to various national and international consultative/ working groups, universities, and government organizations. Since 2011, SEAMEO RECFON has been actively involved in supporting programs of various academic institutions related with health and nutrition. During the fiscal year under review, the organization has contributed to courses conducted in Cambodia, Myanmar and The Philippines, and Cirebon, West Java, Indonesia.
REGIONAL VISIBILITY
As stated in the Centre’s mission to conduct partnership for sustainable human resource development, SEAMEO RECFON continues to actively participate in various activities as resource persons, consultants, and participants to increase networking, build partnership and engage with universities, NGO’s and government institutions in the fields of health, food, and nutrition.
in
to support young scientist in
As a mean to support young scientist in the South East Asia region, the SEAMEO RECFON held a worshop on Nutrition Benchmarking in November 2013. It wasa a forum to gather experts, alumni and related stakeholders to exchange knowledge and updates information on Food and Nutrition. The topic of the event was specified on the encouragement to utilize the national health and nutrition data by young scientist to support the development of nutritional policy .
The event was also attended by various participants such as scientist, students, stakeholders, and professional organizations from Indonesia,
SEA
National • Ministry of Education • Ministry of Health • BAPPENAS (National Planning Development Board) • LIPI (Indonesian Institute of Sciences) • Ministry of Internal Affairs • SEAMOLEC • The National Population and Family Planning Agency, Indonesia • SEAMEO QITEP Language • Jakarta Provincial Health Office • Serang Health Office • Depok Health Office • Bekasi Health Office
International • MoH Myanmar • MOAFF Cambodia • MOH Cambodia,
region
Malaysia, Myanmar, Netherlands, Philippines and Thailand. A panel discussion between scientists resulted in a fruitful discussion on strategies and core elements to support career development of young scientist in the South East Asian countries.
Aside from the event, the SEAMEO RECFON continues to actively participate in scientific events as resource persons, consultants, reviewers and as participants. During the fiscal year under review, SEAMEO RECFON’s staff has been involved in 44 national and international events and participated in 26 workshops, seminars and government meetings on regulations and policy related to nutrition. .
SEAMEO RECFON assisted the implementation of Re- Echo Training of the 9th SEANLP San Mateo Rizal, Philippines was conducted to deliver courses on the basics of leadership and managerial skills for Assistant Chief Nutritionist-Dietitians of hospitals in The Philippines. The training was held on 8-12 July 2013 in collaboration with National Center for Health Facility Development Department of Health Philippines, Institute of Human Nutrition and Food University of The Philippines – Los Banos and DoH League of Registered Nutritionist Dietitians’ Incorporated Philippines,
SEAMEO RECFON’s contribution MSc in Human Nutrition Program at the School of Public Health – National Institute of Public Health (SPH-NIPH) Cambodia was sustained throughthe delivery of Rollout Courses on Principles of Nutrition and Applied Nutritional Assessment.
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Roll out courses on Food Safety was conducted at the University of Public Health, Yangon, Myanmar, Health Polytechnic of Tasikmalaya, and Nutrition Study Program Cirebon. SEAMEO RECFON contributed as lecturers on Food safety and HACCP Principles.
• Increase means for stakeholders RECFON’s programs
to access
The increasing demand of publicity through virtual media was responded by the SEAMEO RECFON by the development of Facebook Fan Page of SEAMEO RECFON (http://www.facebook.com/ seameorecfon) and Twitter with the account @ srecfon. The aim of the social media utilization is to enhance access of the Center’s activities for stakeholders, partners and community.
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SEAMEO RECFON Annual Report Fiscal Year 2013-2014
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
15
Human Resource Development
SOLID R ES O U R C ES B A S E Financial
• Staff Development The center has supported activities that provide opportunities for staff members to continuously upgrade their knowledge and skilils. In the current fiscal year under review, 10 staffs attended trainings which covered a wide scope of skills and expertise. Such trainings included topics on SOP on human resource development, master of ceremony, writing of English business letter, good clinical practice and financial operation
viability
Capital Funds
Operating Funds
Source: Government of Indonesia, investment in property and equipment
Unallocated Funds Source: Any income not defined in other component such as Laboratory and library services, short course fees
Source: Government of Indonesia
Special Funds
FUNDS COMPONENTS
SEAMEO RECFON ensures the operation of its activities by controlling five components of funds in the Centre, which consist of capital funds, operating funds, special funds, other funds and unallocated funds. The sources of SEAMEO RECFON funds were from Government of Indonesia, research funding agencies, training fees, scholarship funds from SEAMEO-TROPMED Network, consultancy, laboratory and library services. Aside from the government budget, grants and funding are also obtained from a number of activities, research and consultancy projects in the Centre. In the fiscal year under review, quite a number of research activities were continuation of the previous years. Research collaboration with Helen Keller Indonesia, Nestle Foundation, UNICEF, Harvard University for HENRI Project, Spheres Project, Industry Council Development, CIAT and IFPRI-Harvest Plus Challenge Program, and DAAD has been from the previous years. New
Source: Research grants, donor agency, consultancy works
research collaboration initiated in the current fiscal year are: The Global Alliance for Improved Nutrition (GAIN), Echo-SEANLP, and Nestle Foundation.
SEAMEO RECFON Grants FY 2013/2014
and
Funding
Capital Unallocated Funds Funds
3.63
8.92 Operating Funds
Other Funds
44.75
41.31 Special Funds
1.38
• Social Activities In commemoration of SEAMEO RECFON’s Third Anniversary, the Center conducted a reward ceremony to appreciate staff members consisting of 11 supporting staffs and 6 academic staffs, who have given more than 10 years of dedication for SEAMEO RECFON. The Director delivered the SEAMEO RECFON rewards during the event, which was attended by all the center’s staffs and students.
Facilities
Other Funds
Source: Government of Indonesia, Scholarship from SEAMEO Secretariat
management. Planning to send laboratory staff to reference laboratory in Otago University New Zealand has been initiated in order to expand the scope of analysis to include folate assessment. All of which are important to improve the capacity of the Center’s human resources development.
• Laboratory Facilities The Centers’ laboratory continuously improves its service and quality assurance in accordance with international standards. During the fiscal year 2013/2014 a series of ISO 17025:2008 activities was conducted. Among others was management review, internal audit, training comprehension of SNI/ISO/IEC 17025:2008 and socialization on documentation system of laboratory management and also surveillance. The laboratory has conducted biochemical analysis for 1138 samples, consisting of zinc, retinol, and riboflavin analysis for various clients from hospitals, universities, laboratory and research institutions. Other activities of the library included food data entry of 66 samples and laboratory instrument loan for 15 clients. To enhance the scope of laboratory analysis, the Centers’ laboratory staff participated in a vitamin D analysis training held by Immunoendocrinology Makmal Laboratory, Faculty of Medicine, University of Indonesia.
Accredited by:
16
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
17
• Library Facilities Through the support from the government of Indonesia, the Center’s library keeps on updating the books and journal collections. Up to now, the Center has successfully gathered a wide collection of books consisting of 4870 titles. This year the center has subscribed to 11 international journals, namely Journal of Nutrition, American Journal of Clinical Nutrition, Asia Pacific Journal of Clinical Nutrition, British Journal of Nutrition, Public Health Nutrition, European Journal of Clinical Nutrition, Journal
of
Nutrition
Education
&
Behavior,
Nutrition Reviews, Journal of the American Dietetic Association, Maternal and Child Health Journal, and The Lancet. SEAMEO RECFON Library has also established cooperation in literature search with the University of Indonesia. The library has collaborated in access online journal database (PROQUEST), and connected to the internet library of the Medical Faculty, University of Indonesia (JUWITA). Currently, the Centers’ library is upgrading the library’s software searching engine with more advanced and user’s friendly applications. This software will soon be integrated with the Centers’ main website to be able to be accessed outside of the center as well. • Computer
and Information
Technology
Various programmes had been implemented to maintain greater use of computer and information technology of the centre. During the fiscal year under review, the Center has completed database
development
of
training
program
activities. Currently, the database is being used to input data from the training unit, with the main information on the training itself, topics, lecturers, and the participants (both degree and non-degree training). The Center is also developing database for activities and program under the Personnel and General Affairs Unit and Laboratory Unit.
APPENDIX
18
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
Appendix 1 Organization Structure & Technician
Administration
Administration & Finance Administration & Finance Information Technology & Library HR - Legal & Facility Accounting & Finance Administration
unit
Head Training & Community Development Unit Head Research & Concultancy Head Degree Unit Head PR & Partnerships Head HR & Legal Unit Head Accounting Unit Head Finance Unit Head Administration Unit
Deputy Director for Resource Management
Advisors
Head Knowledge Management & IT
Director
Governing Board
SEAMES
Deputy Director Program
for
Head Laboratory
Appendix 2 SEAMEO RECFON Staff
No
Position
Name
1
Director
Drupadi HS Dillon, MD.,MSc, Ph.D
2
Advisor
Prof. Soemillah Sastroamidjojo MD
3
Advisor
Prof. Johanna SP Rumawas MD
4
Advisor
Widjaja Lukito, MD., Ph.D
5
Deputy Director for Program
Dr. Umi Fahmida, S.TP, MSc
6
Acting DeputyDirector for Resource Management
Mochammad Perbowo, BSc
7
Head of Degree Program
Evi Ermayani, S.Hut, MSc
8
Head of Research & Consultancy
Paulus Daniel Sahanggamu, S.KG. MSc
9
Head of Training and Community Development
Dr. Ir. Dwi Nastiti Iswarawanti, MSc
10
Head of Laboratory
Sri Kurniasih, AMd
11
Acting head of Administration
Popi Widia Anggraeni, SE
12
Head of Finance
Kusyanti Febriani Hapsari, SE
13
Head of Accounting
Dewi Maryani Kusumastuti, SE
14
Head of Human Resources and Legal
Mochammad Perbowo, SKM
15
Head of Public Relation & Patnershiip
-
16
Acting Head of Knowledge Management & IT
Imam Joko Purnomo, S.Kom
17
Academic Staf
Helda Khusun, S.TP, MSc, PhD
18
Academic Staf
Rina Agustina, MD.,MSc, PhD
19
Academic Staf
Luh Ade Ari Wiradnyani, S.Si., MSc
20
Academic Staf
Otte Santika , SP, MSc
21
Academic Staf
Siti Muslimatun, S.TP,MSc, Ph.D
22
Academic Staf
Dr. Judhiastuty Februhartanty, S.TP., MSc
23
Academic Staf
Airin Roshita, S.TP, MSc, Ph.D
24
Academic Staf
Lina Rospita, SPi, MSc
19
20
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
Appendix 3 List of Publication
No 1
2
3
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
in
Title of Article
Author
Journal
Association of food-hygiene practices and diarrhea prevalence among Indonesian young children from low socioeconomic urban areas.
Agustina R , Sari TP, Satroamidjojo S, Bovee-Oudenhoven IM, Feskens EJ, Kok FJ.
BMC Public Health
The influence of vitamin A status on iron-deficiency anaemia in anaemic adolescent schoolgirls in Myanmar
Htet MK, Fahmida U, Dillon D, Akib A, Utomo B, Thurnham DI
Public Health Nutr
Hepcidin profile of anemic adolescent schoolgirls in Indonesia at the end of 12 weeks of iron supplementation
Appendix 4
International Journals
Htet MK, Dillon D, Rosida A, Timan I, Fahmida U, Thurnham DI
Food & Nutrition Bulletin
Research Result Presentations Presented RECFON Date of Publication
by
EVENT
October 2013
October 2013
2014
SEAMEO
SEAMEO RECFON’s Participation
The 4th National Forum on Regulation Network Kupang, East Nusa Tenggara, Indonesia (September 4-6 2013)
1 oral presenter
Corporate on Child Poverty and Social Protection Jakarta, Indonesia (September 10-11 2013)
1 oral presenter
IUNS 20th International Congress of Nutrition Granada, Spain (September 15-20 2013) International Conference on Food Security and Nutrition (ICFSN) Dubai, United Arab Emirates (December 2-4 2013)
4 oral presenter 15 poster presenter
1 oral presenter
21
22
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
Appendix 5 Research Topics
of
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
MSc
and
No
Doctorate Students
Research Topics MSc Student
1
The Agreement between Minimum Acceptable Diet with Adequacy of Nutrient Intake among Children 6-23 Months of Age in Bekasi, Municipality, West Java, Indonesia
2
LCPUFA Intake, Its Plasma Concentration and the Moderation Effect of FADS Gene Polymorphism among 12-16 Months Old Children in East Lombok, Indonesia
3
Infant and Young Child Feeding Knowledge and Practices of Caregivers in Bekasi Municipality – In areas
Appendix 6 Research Topics
Experiences of Mother Attending Mother Support Group or Individual Lactation Consultation and Its Relation on Breastfeeding Practice: A Comparative Exploration
5
Research Title
1
Assessment of dietary pattern among underfive years old children from various socio economic level
2
Food based dietary guidelines of 12-23 months children from different socio-economic levels and the contribution of fortified product
3
Dietary Diversity, Nutrient Adequacy and Linear Growth of Preschool Children
4
Can NUtrigenomics / nutrigenetics help explain the mixed results on effect of LCPUFA (DHA) and Iron on child COgnition? (NUPICO)
5
Baseline Survey Report : The Rapid Action on Nutrition and Agriculture Initiative (RANTAI) Project in Timor Tengah Selatan District, East Nusa Tenggara Province
Self-Efficacy and Exclusive Breastfeeding Practice among Middle-High Socioeconomic Working Mothers: 6
A Qualitative Study in Jakarta 6
Academic Staff
No
where training to Posyandu’s cadres has been done 4
of
General Health (SMILING) in Asia
Food consumption of pregnant women with and without risk of chronic energy deficiency (CED) in Central Lombok, West Nusa Tenggara
7
Calcium Intake and the Risks of Overweight and Obesity among Preschool Children in Jakarta
8
Factors Affecting Breastfeeding Intention and Continuation Among Urban Mothers in West Jakarta: A
Sustainable Micronutrient Interventions to Control Deficiencies and Improve Nutritional Status and
7
Baseline Health Survey-Timor Leste
8
Food-based InteRvention& psychosocial STimulation to improve child growth & development (FIRST) follow-up study
Follow Up Qualitative Study Using Critical Points Contact of Breastfeeding Doctorate Student 9
Development and Acceptability Trial of Local based Biscuit for Moderately Stunted Children 9-11 of Age in
9
FADS polimorphism, LC-PUFA supplementation and cognitive function of under-two-year-old children
10
Serum vitamin D and magnesium concentrations among Indonesian women with preeclampsia and normal pregnancy: a study in Jakarta, Indonesia
Dompu, West Nusa Tenggara 10
The Empowerment model towards type 2 diabetic adults to enhance vegetable intake in achieving glycemic control
11
14
Family-Based Adolescents Obesity Management: Use of Social Cognitive Theory in Nutrition Education
15
Analyses of Working mother’s characteristics in relation to child feeding performance and nutritional outcome: secondary data analyses of multiple nationwide studies in Indonesia rom 2002-2012 Adherence towards maternal and child nutrition programs and its relationship to stunting among children under two years old in Indonesia: A continuum of Care approach perspective
17
Effect of standardized nutrition supplement in chronic energy deficiency pregnancy women on birth weight in central Lombok, West Nusa Tenggara
18
The Evaluation of BCC Intervention Pilot Test in Sidoarjo, East Java
13
Dietary Calcium and Calory Intake on Calprotectin Concentration andthe Risks of Overweight and Obesity among Preschool Children in Jakarta
14
Local workers competencies on infant and young child feeding counseling and its relation to feeding practices and stunting among 0-23 months children in the Philippines
Nutritional status of under-two-year-old children and pregnant mothers in Kolaka Timur district, Southeast Sulawesi
Effect of consuming annona muricata leaves extract on nutritional status, SCFA, and Systemic Inflammation of CRC patient and in Vitro response of CRC cell
16
12
The Effect of higher nutrient dense complementary foods on catch-up growth and nutritional status of moderate stunting children in Dompu district
13
Feasibility Study on Project SWAN Indonesia
The Effect of optimized complementary Feeding with or without iron supplementation on iron status and Gut Microbiota of 1-2 years old Myanmar children
12
11
15
Factors related with mother’s compliance on the first 1,000 days of life program: a qualitative study
16
Determinants of serum ferritin, CRP and AGP concentrations using polyclonal antibody method
23
24
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
SEAMEO RECFON Annual Report Fiscal Year 2013-2014
Appendix 7 Grants and Funding of Each Funds Component during Fiscal Year 2013/2014
SEAMEO RECFON GRANTS AND FUNDING FY 2013/2014
UNIT IN USD
CAPITAL FUNDS
114,313
OPERATING FUNDS
529,213
SPECIAL FUNDS OTHER FUNDS UNALLOCATED FUNDS TOTAL
17,695 573,239 46,554 1,281,014
25
Jl. Salemba Raya 6 Jakarta 10430 INDONESIA Phone: (+62 21) 319 30205, Fax: (+62 21) 391 3933 email:
[email protected] website: http://www.seameo-recfon.org
