1 00:00:05,405 --> 00:00:07,705 THANK YOU FOR ATTENDING THE 2 00:00:07,705 --> 00:00:09,340 FOURTH WORKING GROUP MEETING OF 3 00:00:09,340 --> 00:00:10,774 BIOMARKERS AND NUTRITION FOR 4 00:00:10,774 --> 00:00:13,878 DEVELOPMENT KNOWLEDGE INDICATING 5 00:00:13,878 --> 00:00:15,613 DIETARY SUFFICIENCY OR BOND KIDS 6 00:00:15,613 --> 00:00:17,047 PROJECT. I WOULD LIKE TO ONCE 7 00:00:17,047 --> 00:00:18,449 AGAIN EXTEND THANKS TO THE 8 00:00:18,449 --> 00:00:21,886 FEDERAL AND NON-FEDERAL MEMBERS 9 00:00:21,886 --> 00:00:23,254 OF STEERING COMMITTEE OF THE 10 00:00:23,254 --> 00:00:24,722 BONDS KIDS PROJECT WHO HELP 11 00:00:24,722 --> 00:00:27,057 SHAPE THE MEETING SERIES AS WELL 12 00:00:27,057 --> 00:00:29,493 AS ALL THE WORKING GROUP CHAIRS, 13 00:00:29,493 --> 00:00:31,061 WORKING GROUP MEMBERS, WHO MADE 14 00:00:31,061 --> 00:00:35,132 THIS PROJECT POSSIBLE. YOU PUT 15 00:00:35,132 --> 00:00:36,600 IN COUNTLESS HOURS OF TIME ON 16 00:00:36,600 --> 00:00:38,102 THIS PROJECT AND WHILE 17 00:00:38,102 --> 00:00:41,972 CONTINUING YOUR DAY JOBS 18 00:00:41,972 --> 00:00:44,208 IMMITTED THE CHALLENGES OF OUR 19 00:00:44,208 --> 00:00:46,243 GLOBAL SITUATIONS. I WOULD LIKE 20 00:00:46,243 --> 00:00:49,280 TO RECOGNIZE DR. DANIEL RAITEN 21 00:00:49,280 --> 00:00:51,081 AS THE ORGANIZER OF THE BOND 22 00:00:51,081 --> 00:00:52,216 KIDS PROJECT AND I WILL 23 00:00:52,216 --> 00:00:53,450 INTRODUCE HIM AND YOU WILL HEAR 24 00:00:53,450 --> 00:00:56,654 MORE ABOUT THE OVERALL PROJECT 25 00:00:56,654 --> 00:00:58,122 FROM HIS PERSPECTIVE. I WOULD 26 00:00:58,122 --> 00:00:59,123 LIKE TO PUT A THANK YOU TO MY 27 00:00:59,123 --> 00:01:01,125 TEAM AT THE ACADEMY OF NUTRITION 28 00:01:01,125 --> 00:01:02,793 AND DIETETICS AND FOR THIS 29 00:01:02,793 --> 00:01:05,329 PARTICULAR WORK GROUP DR. MARY 30 00:01:05,329 --> 00:01:06,764 RASNA FOR TREMENDOUS SUPPORT AND 31 00:01:06,764 --> 00:01:08,566 INPUT ON THIS PROJECT. SIMILARLY 32 00:01:08,566 --> 00:01:10,167 I WOULD LIKE TO THANK JENNY 33 00:01:10,167 --> 00:01:11,902 WILSON FOR HELPING US STAY 34 00:01:11,902 --> 00:01:14,438 ORGANIZED AND ALL HER EFFORTS. 35 00:01:14,438 --> 00:01:16,774 FINALLY I WANT TO THANK THE 36 00:01:16,774 --> 00:01:18,776 NICHD CONTRACT TECHNICAL AV 37 00:01:18,776 --> 00:01:19,810 TEAMS FOR WORKING WITH US BEHIND 38 00:01:19,810 --> 00:01:21,045 THE SCENES TO MAKE THESE 39 00:01:21,045 --> 00:01:22,947 DISCUSSIONS AVAILABLE TO THE 40 00:01:22,947 --> 00:01:24,181 PUBLIC AND THERE WILL BE 41 00:01:24,181 --> 00:01:25,516 RECORDINGS THAT WILL BE MADE 42 00:01:25,516 --> 00:01:27,151 AVAILABLE AFTER TODAY'S 43 00:01:27,151 --> 00:01:28,719 WORKSHOP. THESE SERIES OF 44 00:01:28,719 --> 00:01:30,221 WORKING MEETINGS ARE CULMINATION 45 00:01:30,221 --> 00:01:32,456 OF HOURS OF PREPARATION AND 46 00:01:32,456 --> 00:01:33,891 DISCUSSIONS AND AS DAN WILL 47 00:01:33,891 --> 00:01:35,226 EXPLAIN ARE MEANT TO TAKE A DEEP 48 00:01:35,226 --> 00:01:36,994 DIVE INTO EXAMINING THE ISSUES 49 00:01:36,994 --> 00:01:38,963 OF NUTRITIONAL NEEDS AND 50 00:01:38,963 --> 00:01:41,395 ASSESSMENT SCHOOL AGE CHILDREN CHILDREN. 51 00:01:41,395 --> 00:01:43,430 THE PREVIOUS THREE BOND 52 00:01:43,430 --> 00:01:45,432 KIDS WORKING GROUP MEETINGS HAVE 53 00:01:45,432 --> 00:01:47,668 BEEN FANTASTIC. AND HUGE SUCCESS 54 00:01:47,668 --> 00:01:49,303 AND WE ARE REALLY EXCITED FOR 55 00:01:49,303 --> 00:01:54,975 TODAY'S AS WELL. IT IS MY 56 00:01:54,975 --> 00:01:56,310 PLEASURE TO DR. DEUCE DR. DAN 57 00:01:56,310 --> 00:01:58,111 RAITEN ORGANIZER OF THE BOND 58 00:01:58,111 --> 00:01:59,780 KIDS PROJECTED. I WILL PUT UP 59 00:01:59,780 --> 00:02:03,450 YOUR SLIDES NOW. 60 00:02:03,450 --> 00:02:05,719 >> THANK YOU. I'M GOING OFF 61 00:02:05,719 --> 00:02:07,721 SCRIPT A LITTLE AND MAKE A QUICK 62 00:02:07,721 --> 00:02:09,189 JUST ACKNOWLEDGMENT OF THE 63 00:02:09,189 --> 00:02:11,091 CHALLENGES BEING FACED BY THE 64 00:02:11,091 --> 00:02:12,659 FAMILIES AND CHILDREN IN THE 65 00:02:12,659 --> 00:02:14,194 UKRAINE AND HOPE THAT EFFORTS 66 00:02:14,194 --> 00:02:15,996 LIKE THIS AND COMMUNITIES THAT 67 00:02:15,996 --> 00:02:18,198 ARE INVOLVED IN BOND KIDS AND 68 00:02:18,198 --> 00:02:20,334 OTHER ACTIVITIES WILL HELP FIND 69 00:02:20,334 --> 00:02:23,470 SOLUTIONS NOW AND IN THE FUTURE. 70 00:02:23,470 --> 00:02:24,867 TO HELP THOSE THAT COMMUNITY. 71 00:02:24,867 --> 00:02:26,168 WELCOME BACK TO THOSE THAT 72 00:02:26,168 --> 00:02:27,503 JOINED US WITH THE PREVIOUS 73 00:02:27,503 --> 00:02:29,805 WORKSHOPS AND FOR THOSE THAT ARE 74 00:02:29,805 --> 00:02:31,440 NEW TO BOND KIDS PROCESS WE ARE 75 00:02:31,440 --> 00:02:33,909 GOING TO GIVE A LITTLE 76 00:02:33,909 --> 00:02:36,345 INTRODUCTION AND OVERVIEW. SO 77 00:02:36,345 --> 00:02:37,513 THANKS TO PATIENCE OF THOSE WHO 78 00:02:37,513 --> 00:02:39,381 HAVE SEEN THIS BEFORE AND LET'S 79 00:02:39,381 --> 00:02:42,451 MOVE FORWARD, WE'RE GOING TO 80 00:02:42,451 --> 00:02:45,020 FOCUS ON HERE IS EXPLAINING WHY 81 00:02:45,020 --> 00:02:46,922 WE CAME UP WITH THE NAME AND 82 00:02:46,922 --> 00:02:50,159 WHAT OUR GOALS AND AS OPERATIONS 83 00:02:50,159 --> 00:02:51,961 ARE OF THIS PROJECT. THIS 84 00:02:51,961 --> 00:02:53,295 PROJECT WAS INITIATED THROUGH AS 85 00:02:53,295 --> 00:02:54,863 A RESULT OF INQUIRIES AND 86 00:02:54,863 --> 00:02:56,565 CONVERSATIONS WE HAD WITH OUR 87 00:02:56,565 --> 00:02:59,235 PARTNERS HERE, ABOUT THE NEED TO 88 00:02:59,235 --> 00:03:01,470 COME UP WITH A WAY TO ASSESS THE 89 00:03:01,470 --> 00:03:03,672 IMPACT OF SOME OF THE TREMENDOUS 90 00:03:03,672 --> 00:03:05,341 ACTIVITIES GOING ON AROUND THE 91 00:03:05,341 --> 00:03:10,679 WORLD BEING LED BY THE WORLD 92 00:03:10,679 --> 00:03:14,483 FOOD PROGRAM AND OTHERS. TO 93 00:03:14,483 --> 00:03:17,152 ADDRESS THIS NUTRITIONAL NEEDS 94 00:03:17,152 --> 00:03:19,955 TO SCHOOL AGE CHILDREN FROM 5 TO 95 00:03:19,955 --> 00:03:22,925 19. THIS PARTICULAR PROJECT IS 96 00:03:22,925 --> 00:03:25,094 FOCUSED ON HOW DO WE ASSESS THE 97 00:03:25,094 --> 00:03:27,896 IMPACT OF THOSE PROGRAMS RATHER 98 00:03:27,896 --> 00:03:31,033 THAN MONITORING EVALUATION. THIS 99 00:03:31,033 --> 00:03:33,802 CARTOON REPRESENTS A PARADIGM WE 100 00:03:33,802 --> 00:03:37,539 USE LEADERSHIP OF JIM BREMMER 101 00:03:37,539 --> 00:03:38,474 UNABLE TO BE HERE WITH US TODAY 102 00:03:38,474 --> 00:03:40,709 BUT HERE IN SPIRIT AND IT'S 103 00:03:40,709 --> 00:03:42,311 UNDER HIS LEADERSHIP WE ARE ABLE 104 00:03:42,311 --> 00:03:45,080 TO DO THESE PROJECTS, OUR INTENT 105 00:03:45,080 --> 00:03:48,050 AS AN EXTRAMURAL RESEARCH 106 00:03:48,050 --> 00:03:50,319 PROGRAM NIH IS TO SUPPORT 107 00:03:50,319 --> 00:03:51,987 RESEARCH AND OUR CONSTITUENCIES 108 00:03:51,987 --> 00:03:53,989 AND THE RESEARCH COMMUNITY. WE 109 00:03:53,989 --> 00:03:57,059 ALSO RECOGNIZE THE NEED THAT TO 110 00:03:57,059 --> 00:03:58,093 TAKE THAT INFORMATION AND 111 00:03:58,093 --> 00:03:59,361 EVIDENCE GENERATED FROM THAT 112 00:03:59,361 --> 00:04:02,031 RESEARCH AND TRANSLATE THAT INTO 113 00:04:02,031 --> 00:04:04,233 MEANINGFUL AND EFFECTIVE 114 00:04:04,233 --> 00:04:06,802 PROGRAMS TO SERVE FAMILIES AND 115 00:04:06,802 --> 00:04:11,240 CHILDREN. NEXT SLIDE PLEASE. SO 116 00:04:11,240 --> 00:04:13,542 THIS IS JUST A BRIEF ASPIRATIONS 117 00:04:13,542 --> 00:04:16,312 OF THE BOND KIDS IS TO PROVIDE 118 00:04:16,312 --> 00:04:18,113 SUPPORT FOR ALL THOSE AGENCIES 119 00:04:18,113 --> 00:04:19,915 AND ORGANIZATIONS THAT ARE 120 00:04:19,915 --> 00:04:21,784 ACTIVELY ENGAGED IN PROVIDING 121 00:04:21,784 --> 00:04:23,052 NUTRITIONAL SUPPORT TO SCHOOL 122 00:04:23,052 --> 00:04:24,320 AGE CHILDREN THROUGH SCHOOL MEAL 123 00:04:24,320 --> 00:04:27,823 PROGRAMS AND OTHER EFFORTS. WE 124 00:04:27,823 --> 00:04:30,359 HOPE TO ENGAGE ACADEMIC AND 125 00:04:30,359 --> 00:04:33,595 CIVIL SOCIETY, TO FOSTER A 126 00:04:33,595 --> 00:04:36,332 COLLABORATIVE EFFORT TO GENERATE 127 00:04:36,332 --> 00:04:37,599 BETTER IDEA ABOUT WHAT EVIDENCE 128 00:04:37,599 --> 00:04:41,270 WE HAVE AND WHAT EVIDENCE WE 129 00:04:41,270 --> 00:04:43,339 NEED. JUST THE LAST THING THERE 130 00:04:43,339 --> 00:04:45,741 TO BE CLEAR ABOUT WHAT THIS IS 131 00:04:45,741 --> 00:04:47,142 NOT, WE ARE NOT TRYING TO 132 00:04:47,142 --> 00:04:48,277 DEVELOP RECOMMENDATIONS, NOT 133 00:04:48,277 --> 00:04:49,745 TRYING TO DEVELOP GUIDELINES, WE 134 00:04:49,745 --> 00:04:52,381 ARE NOT DEVELOPING PROGRAMS WE 135 00:04:52,381 --> 00:04:55,084 ARE SUPPORTING THOSE THAT DO DO. WE 136 00:04:55,084 --> 00:04:56,885 -- OUR INTENT IS TO DEVELOP THE 137 00:04:56,885 --> 00:05:01,390 EVIDENCE BASE. SO JUST BRIEFLY, 138 00:05:01,390 --> 00:05:03,292 FOR THOSE WHO MAY BE FAMILIAR 139 00:05:03,292 --> 00:05:05,928 WITH THE BOND PROJECT, FOR THOSE 140 00:05:05,928 --> 00:05:07,596 THAT ARE NOT FAMILIAR WITH THE 141 00:05:07,596 --> 00:05:09,598 BOND PROJECT, THE BOND PROJECT 142 00:05:09,598 --> 00:05:12,735 STARTED BIOMARKSERS OF NUTRITION 143 00:05:12,735 --> 00:05:15,738 FOR DEVELOPMENT AND THE D IS 144 00:05:15,738 --> 00:05:17,306 DENNEDOR INTENDED TO BE TALKING 145 00:05:17,306 --> 00:05:18,273 ABOUT HUMAN DEVELOPMENT, ALSO 146 00:05:18,273 --> 00:05:21,076 TALKING ABOUT IMPACT OF 147 00:05:21,076 --> 00:05:22,344 NUTRITION ON COUNTRY 148 00:05:22,344 --> 00:05:23,345 DEVELOPMENTED, COMMUNITY 149 00:05:23,345 --> 00:05:25,280 DEVELOPMENT, SCHOOL DEVELOPMENT, 150 00:05:25,280 --> 00:05:27,883 ALL OF THE ENVIRONMENT IMPACTED 151 00:05:27,883 --> 00:05:31,120 BY NUTRITION. THE BOND PROJECT 152 00:05:31,120 --> 00:05:33,355 WAS STARTED IN 2010 AS 153 00:05:33,355 --> 00:05:34,590 COLLABORATION WITH BILL AND 154 00:05:34,590 --> 00:05:37,025 MELINDA GATES FOUNDATION AND 155 00:05:37,025 --> 00:05:37,960 SEVERAL ENTITIES AT NIH 156 00:05:37,960 --> 00:05:39,528 INCLUDING THE OFFICE OF DIETARY 157 00:05:39,528 --> 00:05:41,296 SUPPLEMENTS AND OFFICE VISUAL 158 00:05:41,296 --> 00:05:43,966 NUTRITION RESEARCH COORDINATION 159 00:05:43,966 --> 00:05:50,606 NUTRITION RESEARCH. SO THE BOND 160 00:05:50,606 --> 00:05:53,008 PROJECT IS ESSENTIALLY INTENDED 161 00:05:53,008 --> 00:05:55,177 TO DEVELOP A PROCESS BY WHICH WE 162 00:05:55,177 --> 00:05:58,714 CAN HARMONIZE DISCOVERY 163 00:05:58,714 --> 00:06:01,617 SELECTION AND DEPLOYMENT OF 164 00:06:01,617 --> 00:06:03,118 ASSESS METHODOLOGIES TO ASSESS 165 00:06:03,118 --> 00:06:04,553 ASPECTS OF NUTRITION, COVERING 166 00:06:04,553 --> 00:06:07,156 ALL THE ACTIVITIES OF THE GLOBAL 167 00:06:07,156 --> 00:06:09,158 FOOD AND NUTRITION ENTERPRISE. 168 00:06:09,158 --> 00:06:10,626 WE RECOGNIZE THAT ENTERPRISE HAS 169 00:06:10,626 --> 00:06:12,895 MULTIPLE COMMUNITIES. AND THE 170 00:06:12,895 --> 00:06:15,431 BOND PROJECT IS INTENDED THIS 171 00:06:15,431 --> 00:06:16,999 PROJECT INTENDED TO SUPPORT THE 172 00:06:16,999 --> 00:06:20,636 EFFORTS OF RESEARCHERS, CLINICAL 173 00:06:20,636 --> 00:06:22,538 RESEARCHERS, LAB, BENCH 174 00:06:22,538 --> 00:06:23,539 SCIENTIST, THOSE WORKING IN 175 00:06:23,539 --> 00:06:26,175 CLINICAL SETTINGS. LIKE ALISON 176 00:06:26,175 --> 00:06:28,177 AND HER COMMUNITY, MEDICAL 177 00:06:28,177 --> 00:06:30,245 COMMUNITY, THOSE PROVIDING CARE, 178 00:06:30,245 --> 00:06:31,547 THOSE THAT ARE DEVELOPING 179 00:06:31,547 --> 00:06:34,216 PROGRAMS CREATING DEPLOYING 180 00:06:34,216 --> 00:06:35,651 IMPLEMENTING PROGRAMS AND 181 00:06:35,651 --> 00:06:38,086 MONITORING AND EVALUATING 182 00:06:38,086 --> 00:06:39,087 PROGRAMS AND FUNDLY THOSE END 183 00:06:39,087 --> 00:06:41,523 USERS THAT ARE -- FINALLY THE 184 00:06:41,523 --> 00:06:43,459 END USERS USING DATA GENERATED 185 00:06:43,459 --> 00:06:44,493 THROUGHOUT THE SYSTEM TO MAKE 186 00:06:44,493 --> 00:06:51,433 POLICY. SO THE SECOND PART OF 187 00:06:51,433 --> 00:06:54,336 THE TITLE IS KNOWLEDGE 188 00:06:54,336 --> 00:06:56,705 INDICATING DIETARY SUFFICIENCY 189 00:06:56,705 --> 00:06:58,507 AND THE TRADITIONAL VIEW OF THAT 190 00:06:58,507 --> 00:07:00,976 IS MEASURING AND SEEING WHAT 191 00:07:00,976 --> 00:07:02,411 FOOD YOU PROVIDE AND WHETHER OR 192 00:07:02,411 --> 00:07:04,213 NOT THE SUBJECTS ARE EATING IT. 193 00:07:04,213 --> 00:07:06,315 WE ARE TAKING A MUCH MORE 194 00:07:06,315 --> 00:07:07,683 EXPANSIVE VIEW OF KNOWLEDGE 195 00:07:07,683 --> 00:07:10,118 INDICATING DIETARY SUFFICIENCY 196 00:07:10,118 --> 00:07:11,453 TO RECOGNIZE THAT NUTRITIONAL 197 00:07:11,453 --> 00:07:12,955 SUFFICIENCY, AND NUTRITIONAL 198 00:07:12,955 --> 00:07:15,557 STATUS REALLY IS ECOLOGICAL 199 00:07:15,557 --> 00:07:17,426 CONCEPT AND BY ECOLOGY WE 200 00:07:17,426 --> 00:07:18,794 REFERRING TO INTERACTION WITH 201 00:07:18,794 --> 00:07:20,929 COMPLEX BIOLOGICAL SYSTEM IN 202 00:07:20,929 --> 00:07:23,398 THIS CASE SCHOOL AGE CHILD AND 203 00:07:23,398 --> 00:07:25,000 THEIR ENVIRONMENTS. SO WE HAVE 204 00:07:25,000 --> 00:07:27,369 DESIGNED A PROJECT TO TRY TO 205 00:07:27,369 --> 00:07:29,004 DEAL WITH THAT WHOLE ECOLOGY. 206 00:07:29,004 --> 00:07:32,875 NEXT SLIDE. THIS IS OUR 207 00:07:32,875 --> 00:07:34,343 REPRESENTATION OF OUR VIEW OF 208 00:07:34,343 --> 00:07:36,211 THE HOLISTIC VIEW OF THE 209 00:07:36,211 --> 00:07:37,012 ENVIRONMENT RECOGNIZING THAT IT 210 00:07:37,012 --> 00:07:38,981 IS MORE THAN JUST PHYSICAL 211 00:07:38,981 --> 00:07:40,682 ENVIRONMENT, IT IS HOME, SCHOOL 212 00:07:40,682 --> 00:07:41,817 ENVIRONMENT, IT IS THE HEALTH 213 00:07:41,817 --> 00:07:43,418 CONTEXT, IT IS ALL THESE THINGS. 214 00:07:43,418 --> 00:07:49,291 THAT NEED TO BE CONSIDERED. A 215 00:07:49,291 --> 00:07:50,192 CRITICAL PIECE OF THAT 216 00:07:50,192 --> 00:07:52,628 ENVIRONMENT IS THE FOOD SYSTEM, 217 00:07:52,628 --> 00:07:55,664 THE FOOD SYSTEM TENDS TO BE 218 00:07:55,664 --> 00:07:56,999 INTENDED TO BY SEVERAL 219 00:07:56,999 --> 00:07:58,934 COMMUNITIES BUT NUTRITION 220 00:07:58,934 --> 00:08:00,135 COMMUNITY NEEDS TO BE AND IS 221 00:08:00,135 --> 00:08:03,038 VERY MUCH PART OF THIS. SO THE 222 00:08:03,038 --> 00:08:06,308 FOOD SYSTEM COVERS ALL THINGS 223 00:08:06,308 --> 00:08:07,709 FROM PRODUCTION TO CONSUMPTION 224 00:08:07,709 --> 00:08:13,415 TO MARKETING AND TO IMPACT, 225 00:08:13,415 --> 00:08:14,983 THESE ARE COMPONENTS OF THE FOOD 226 00:08:14,983 --> 00:08:15,784 SYSTEM THAT NEED TO BE 227 00:08:15,784 --> 00:08:19,955 CONSIDERED AS WE HAVE SEEN IN 228 00:08:19,955 --> 00:08:21,390 THE IN THE CASE OF COVID THE 229 00:08:21,390 --> 00:08:22,991 IMPACT OF ENVIRONMENT, THINGS 230 00:08:22,991 --> 00:08:24,359 LIKE PANDEMIC DISEASE HAVE 231 00:08:24,359 --> 00:08:25,794 TREMENDOUS IMPLICATIONS FOR THE 232 00:08:25,794 --> 00:08:27,462 FOOD SYSTEM. AND WHEN THE FOOD 233 00:08:27,462 --> 00:08:30,899 SYSTEM IS NOT RIGHT, IT HAS 234 00:08:30,899 --> 00:08:32,267 NEGATIVE FEEDBACK LOOP ON THE 235 00:08:32,267 --> 00:08:34,503 PEOPLE THAT WE TRYING TO IN THIS 236 00:08:34,503 --> 00:08:35,504 CASE SCHOOL AGE CHILDREN. NEXT 237 00:08:35,504 --> 00:08:39,341 SLIDE. SO WHEN YOU PUT IT 238 00:08:39,341 --> 00:08:40,609 TOGETHER THIS IS THE ECOLOGY WE 239 00:08:40,609 --> 00:08:42,611 ARE TALKING ABOUT SO ALL THESE 240 00:08:42,611 --> 00:08:43,178 COMPONENTS NEEDS TO BE 241 00:08:43,178 --> 00:08:46,114 CONSIDERED WHEN YOU ARE 242 00:08:46,114 --> 00:08:46,949 ADDRESSING THE NUTRITIONAL 243 00:08:46,949 --> 00:08:50,719 STATUS OF THE SCHOOL AGE CHILD. 244 00:08:50,719 --> 00:08:52,721 OR ANY MEMBER OF THE POPULATION. 245 00:08:52,721 --> 00:08:53,755 TALKING NUTRITIONAL STATUS, IT 246 00:08:53,755 --> 00:08:56,224 IS A BIOLOGICAL CONSTRUCT, IT IS 247 00:08:56,224 --> 00:08:58,160 ABOUT ECOLOGY, NEED TO CONSIDER 248 00:08:58,160 --> 00:08:59,728 ALL THESE THINGS TO BE ABLE TO 249 00:08:59,728 --> 00:09:01,663 BE MORE PRECISE WHAT WE ARE 250 00:09:01,663 --> 00:09:03,599 TALKING ABOUT AND MORE PRECISE 251 00:09:03,599 --> 00:09:06,335 NOT JUST SENRY PART BUT 252 00:09:06,335 --> 00:09:09,371 PROGRAMS. USED. NEXT SLIDE. SO 253 00:09:09,371 --> 00:09:14,209 PUTTING THIS ALL TOGETHER THE 254 00:09:14,209 --> 00:09:17,212 BOND KIDS PROJECT IS OBJECTIVE 255 00:09:17,212 --> 00:09:19,214 IS TO TAKE ECOLOGICAL APPROACH 256 00:09:19,214 --> 00:09:20,816 TO ADDRESS NUTRITIONAL NEEDS OF 257 00:09:20,816 --> 00:09:23,051 SCHOOL AGE CHILDREN AND 258 00:09:23,051 --> 00:09:23,986 IMPLICATIONS OF THOSE NEEDS AND 259 00:09:23,986 --> 00:09:25,187 PROGRAMS TO ADDRESS THE NEEDS ON 260 00:09:25,187 --> 00:09:26,455 GROWTH AND DEVELOPMENT. THE 261 00:09:26,455 --> 00:09:29,124 PROJECT IS DESIGNED -- INTENDED 262 00:09:29,124 --> 00:09:31,193 TO BE AT LEAST TWO PHASES. THIS 263 00:09:31,193 --> 00:09:32,928 IS FIRST PHASE. THAT WE ARE 264 00:09:32,928 --> 00:09:35,530 TALKING ABOUT, PHASE 1, THIS IS 265 00:09:35,530 --> 00:09:36,765 AGAIN, GENERATING EVIDENCE 266 00:09:36,765 --> 00:09:37,799 SEEING WHAT WE KNOW, WHAT WE 267 00:09:37,799 --> 00:09:41,403 DON'T KNOW. WHAT WE GENERATE IN 268 00:09:41,403 --> 00:09:43,372 THIS PROJECT HOPEFULLY WILL BE 269 00:09:43,372 --> 00:09:47,876 USED PHASE 2 BY GROUPS LIKE THE 270 00:09:47,876 --> 00:09:50,278 ONE LED BY DON THAT YOU WILL 271 00:09:50,278 --> 00:09:51,580 HEAR LATER ON RESEARCH 272 00:09:51,580 --> 00:09:54,583 CONSORTIUM AS WELL AS THE 273 00:09:54,583 --> 00:09:55,817 COMMUNITIES INVOLVED WITH THE 274 00:09:55,817 --> 00:10:00,155 BOND KIDS PROJECT. THIS IS A 275 00:10:00,155 --> 00:10:01,857 REPRESENTATION OF STRUCTURE OF 276 00:10:01,857 --> 00:10:03,892 THE BOND KIDS PROJECT. I WANT TO 277 00:10:03,892 --> 00:10:05,494 MAKE ALISON TO THANK ALL THE 278 00:10:05,494 --> 00:10:06,962 MEMBERS OF THE SECRETARY YAHT 279 00:10:06,962 --> 00:10:09,464 AND REINFORCE THAT. I WANT TO 280 00:10:09,464 --> 00:10:12,267 MAKE REALLY ACKNOWLEDGE THE 281 00:10:12,267 --> 00:10:15,904 REALITY THAT THIS PROJECT 282 00:10:15,904 --> 00:10:18,607 DOESN'T HAPPEN WITHOUT THE TEAM. 283 00:10:18,607 --> 00:10:19,341 THEY I HAVE BEEN YOU KNOW HAVE 284 00:10:19,341 --> 00:10:20,108 BEEN OUR PARTNERS THROUGHOUT 285 00:10:20,108 --> 00:10:20,976 THIS AND CRITICAL AND ESSENTIAL 286 00:10:20,976 --> 00:10:23,111 TO THE SUCCESS OF THESE 287 00:10:23,111 --> 00:10:26,148 PROGRAMS. THE OTHER PIECE IS THE 288 00:10:26,148 --> 00:10:27,282 SCIENTIFIC STEERING COMMITTEE 289 00:10:27,282 --> 00:10:28,450 WHO YOU HEARD FROM THE FIRST 290 00:10:28,450 --> 00:10:30,419 WORK SHOP WORKING GROUP ONE YOU 291 00:10:30,419 --> 00:10:32,688 HAD PRECEDED BY A PANEL 292 00:10:32,688 --> 00:10:34,289 CONVERSATION WITH REPRESENTATION 293 00:10:34,289 --> 00:10:35,524 FROM MANY OF THE AGENCIES 294 00:10:35,524 --> 00:10:36,491 REPRESENTED IN OUR SCIENTIFIC 295 00:10:36,491 --> 00:10:39,795 STEERING COMMITTEE. WE FELT VERY 296 00:10:39,795 --> 00:10:41,630 STRONGLY THAT AS NOTED THE BOND 297 00:10:41,630 --> 00:10:43,799 PROJECT IS INTENDED TO HARMONIZE 298 00:10:43,799 --> 00:10:45,267 IF YOU DON'T HAVE ALL THE 299 00:10:45,267 --> 00:10:47,369 PLAYERS ON BOARD AND SIGNED ON 300 00:10:47,369 --> 00:10:48,537 AND INVEST MISDEMEANOR THE 301 00:10:48,537 --> 00:10:50,972 PROJECT AND OUTCOME, YOUR 302 00:10:50,972 --> 00:10:53,608 CHANCES OF BEING ABLE TO 303 00:10:53,608 --> 00:10:54,409 HARMONIZE ARE SLIM AND NONE. SO 304 00:10:54,409 --> 00:10:55,711 WE ARE GRATEFUL FOR THE 305 00:10:55,711 --> 00:10:58,613 SCIENTIFIC STEERING COMMITTEE 306 00:10:58,613 --> 00:10:59,781 AND TODAY WE WILL HEAR FROM LAST 307 00:10:59,781 --> 00:11:01,450 OF FOUR WORKING GROUPS WHO ARE 308 00:11:01,450 --> 00:11:06,755 DOING THE HARD WORK. THIS IS 309 00:11:06,755 --> 00:11:10,459 JUST A CARTOON REPRESENTING THE 310 00:11:10,459 --> 00:11:12,294 CONTINUUM OF CONTENT THAT WE ARE 311 00:11:12,294 --> 00:11:13,729 COVERING THE BOND KIDS PROJECT. 312 00:11:13,729 --> 00:11:16,898 ON THE LEFT SIDE IS THE WORKING 313 00:11:16,898 --> 00:11:18,333 GROUP THAT NUTRITIONAL STATUS 314 00:11:18,333 --> 00:11:21,002 AND INTERACTION WITH VARIOUS 315 00:11:21,002 --> 00:11:23,338 FUNCTIONAL DOMAINS ALL 316 00:11:23,338 --> 00:11:24,773 SUPERIMPOSE OVER TOP OF THAT IS 317 00:11:24,773 --> 00:11:25,807 IMPACT OF ENVIRONMENT WHICH 318 00:11:25,807 --> 00:11:27,743 AFFECTS ALL THOSE THINGS AND HOW 319 00:11:27,743 --> 00:11:29,978 WE UNDERSTAND THE INTERSECTION 320 00:11:29,978 --> 00:11:31,947 BETWEEN THE ENVIRONMENT AND THE 321 00:11:31,947 --> 00:11:34,516 BIOLOGY IS THE CHALLENGE OF THE 322 00:11:34,516 --> 00:11:36,017 BOND KIDS PROJECT. WORKING GROUP 323 00:11:36,017 --> 00:11:38,453 3 IS YOU HEARD FROM LAST WEEK IS 324 00:11:38,453 --> 00:11:40,122 FOCUSED ON ASSESSMENT HOW TO PUT 325 00:11:40,122 --> 00:11:41,590 THESE TOGETHER IN SOME SORT OF 326 00:11:41,590 --> 00:11:44,292 MEANINGFUL WAY AND TODAY WE WILL 327 00:11:44,292 --> 00:11:46,428 HEAR FROM THE TRANSLATION 328 00:11:46,428 --> 00:11:49,231 IMPLEMENTATION GROUP LED BY DR. 329 00:11:49,231 --> 00:11:52,501 KRISTINA CAMPOS AND DON BUNDY 330 00:11:52,501 --> 00:11:53,101 AND WITH THAT THANK YOU AND I 331 00:11:53,101 --> 00:12:04,780 WILL TURN THE MEETING OVER TO 332 00:12:04,780 --> 00:12:12,087 DR. ECONOMOSS. I'M CHRIS 333 00:12:12,087 --> 00:12:12,988 EXCELLENT SERIES OVER THE PAST 334 00:12:12,988 --> 00:12:16,057 MONTH. AND AS YOU HEARD, I'M 335 00:12:16,057 --> 00:12:17,626 CO-CHAIRING THIS WORKING GROUP 336 00:12:17,626 --> 00:12:20,862 AND HAVE BEEN HONORED TO DO THAT 337 00:12:20,862 --> 00:12:22,998 WITH DON BONDY SO BEFORE I 338 00:12:22,998 --> 00:12:23,598 DELIVER REMARKS AND SLIDES I 339 00:12:23,598 --> 00:12:25,500 WANT TO TURN IT OVER TO DON TO 340 00:12:25,500 --> 00:12:34,609 SAY A FEW WORDS. 341 00:12:34,609 --> 00:12:35,644 >> THANK YOU VERY MUCH, IT'S A 342 00:12:35,644 --> 00:12:37,012 PLEASURE TO WORK WITH YOU AND 343 00:12:37,012 --> 00:12:39,347 DON AND THE TEAM AT NIH. I THINK 344 00:12:39,347 --> 00:12:40,982 THIS IS A TERRIFIC OPPORTUNITY 345 00:12:40,982 --> 00:12:44,152 THAT NOW LIES BEFORE US. THIS 346 00:12:44,152 --> 00:12:49,691 IS A IS A BEING OF A PROCESS, 347 00:12:49,691 --> 00:12:51,393 NOT THE END THOUGH THE END OF 348 00:12:51,393 --> 00:12:52,894 FOUR WORKSHOPS THIS MARCH SO 349 00:12:52,894 --> 00:12:54,362 VERY EXCITED WHERE WE GO NEXT 350 00:12:54,362 --> 00:12:57,933 AFTER THIS. THANK YOU, CHRIS. 351 00:12:57,933 --> 00:13:00,602 >> GREAT, THANK YOU. BEFORE WE 352 00:13:00,602 --> 00:13:01,937 FORMALLY KICK OFF THE AGENDA, I 353 00:13:01,937 --> 00:13:05,807 WANT TO THANK THE NIH AND DAN 354 00:13:05,807 --> 00:13:07,509 RAITEN AND MEMBERS OF THIS 355 00:13:07,509 --> 00:13:09,211 WORKING GROUP MANY WHOM YOU ARE 356 00:13:09,211 --> 00:13:10,545 HEAR FROM TODAY, IT'S BEEN A 357 00:13:10,545 --> 00:13:12,781 PLEASURE WORKING WITH YOU AND 358 00:13:12,781 --> 00:13:14,583 BEING THE LAST GROUP WE TRIED TO 359 00:13:14,583 --> 00:13:16,051 TAKE INTO CONSIDERATION 360 00:13:16,051 --> 00:13:18,253 EVERYTHING WE HEARD IN THE LAST 361 00:13:18,253 --> 00:13:20,789 FEW WEEKS AND PUT THIS TOGETHER 362 00:13:20,789 --> 00:13:23,225 TO HOPEFULLY COMMUNICATE PRETTY 363 00:13:23,225 --> 00:13:25,160 EXCITING VISION FOR TRANSLATION 364 00:13:25,160 --> 00:13:27,562 AND IMPLEMENTATION. SO DURING 365 00:13:27,562 --> 00:13:30,432 THIS FOURTH WORKSHOP WHICH IS 366 00:13:30,432 --> 00:13:31,800 FOCUSED ON TRANSLATION AND 367 00:13:31,800 --> 00:13:32,601 IMPLEMENTATION WE HAVE THE GOAL 368 00:13:32,601 --> 00:13:35,470 OF BRINGING THE WORK OF BOND 369 00:13:35,470 --> 00:13:36,404 KIDS TOGETHER AND TO COMMUNICATE 370 00:13:36,404 --> 00:13:38,106 THE FULL COMPLEXITY OF WHAT IT 371 00:13:38,106 --> 00:13:40,675 TAKES TO DELIVER AND ASSESS 372 00:13:40,675 --> 00:13:43,445 CHILDHOOD NUTRITION PROGRAMS 373 00:13:43,445 --> 00:13:45,647 WORLDWIDE. TO BEGIN I WANT TO 374 00:13:45,647 --> 00:13:48,516 SHARE THE MODEL DEVELOPED BY 375 00:13:48,516 --> 00:13:50,752 WORKING GROUP IF WE CAN PULL UP 376 00:13:50,752 --> 00:13:53,521 THE SLIDE, CENTERS ON CHILD 377 00:13:53,521 --> 00:13:55,090 HEALTH AND DEMONSTRATES THE 378 00:13:55,090 --> 00:13:56,324 CONTEXT WITHIN WHICH CHILD 379 00:13:56,324 --> 00:13:59,895 NUTRITION IS ACHIEVED. THERE ARE 380 00:13:59,895 --> 00:14:01,196 CHALLENGES TO ASSESSING THE 381 00:14:01,196 --> 00:14:03,098 SOURCES OF NUTRITION AND THEIR 382 00:14:03,098 --> 00:14:05,333 IMPACT. WE HOPE THIS MODEL GIVES 383 00:14:05,333 --> 00:14:09,070 AN APPRECIATION OF THE VARIABLES 384 00:14:09,070 --> 00:14:10,639 UP AND DOWN THE DECISION TRAIN 385 00:14:10,639 --> 00:14:12,307 TO HAVE INTEGRATED APPROACH TO 386 00:14:12,307 --> 00:14:15,076 NUTRITIONAL ASSESSMENT. WE HEARD 387 00:14:15,076 --> 00:14:16,511 PREVIOUSLY WHAT TO ASSESS AND 388 00:14:16,511 --> 00:14:18,613 HOW TO ASSESS IT AND TODAY WE 389 00:14:18,613 --> 00:14:20,515 WILL DISCUSS THE NEED TO DEVELOP 390 00:14:20,515 --> 00:14:22,117 THE SUPPORT AND THE 391 00:14:22,117 --> 00:14:24,119 INFRASTRUCTURE TO DO IT. WHEN 392 00:14:24,119 --> 00:14:26,821 YOU LOOK AT THIS MODEL I WANTED 393 00:14:26,821 --> 00:14:29,057 YOU TO CONSIDER THREE THINGS, 394 00:14:29,057 --> 00:14:33,795 THE FIRST IS THERE ARE MULTIPLE 395 00:14:33,795 --> 00:14:35,163 LAYERS SURROUNDING A CHILD, 396 00:14:35,163 --> 00:14:36,197 SECOND THERE ARE IMPLEMENTATION 397 00:14:36,197 --> 00:14:38,300 FACTORS THAT NEED TO BE 398 00:14:38,300 --> 00:14:39,968 CONSIDERED TO MAKE THIS WHOLE 399 00:14:39,968 --> 00:14:44,572 COMPLEX SYSTEM WORK WORK. THIRD, 400 00:14:44,572 --> 00:14:45,573 THERE ARE THREE KEY 401 00:14:45,573 --> 00:14:46,474 DEVELOPMENTAL STAGES THAT NEED 402 00:14:46,474 --> 00:14:49,577 TO BE CONSIDERED IN PLANNING, 403 00:14:49,577 --> 00:14:51,446 IMPLEMENTATION, AND ASSESSMENT. 404 00:14:51,446 --> 00:14:53,248 SO JUST TO QUICKLY WALK YOU 405 00:14:53,248 --> 00:14:55,650 THROUGH THIS MODEL WHICH WE 406 00:14:55,650 --> 00:14:56,785 CONSIDER A DRAFT AND HOPE A LOT 407 00:14:56,785 --> 00:15:00,121 OF INPUT WE GET TODAY AND FUTURE 408 00:15:00,121 --> 00:15:01,456 DISCUSSION WITH THE OTHER 409 00:15:01,456 --> 00:15:02,724 WORKING GROUPS WILL FURTHER 410 00:15:02,724 --> 00:15:03,959 DEVELOP THIS MODEL. SO AS YOU 411 00:15:03,959 --> 00:15:09,030 CAN SEE IN THE CENTER WE HAVE 412 00:15:09,030 --> 00:15:10,165 CHILD FOCUS HEALTH AND 413 00:15:10,165 --> 00:15:11,533 NUTRITIONAL STATUS. THE LAYER 414 00:15:11,533 --> 00:15:12,801 SURROUNDING THEM FOR PURPOSES OF 415 00:15:12,801 --> 00:15:15,136 BOND KIDS, IS THE ACTUAL FOOD 416 00:15:15,136 --> 00:15:17,038 FOR THE MECHANISM OF DELIVERY. 417 00:15:17,038 --> 00:15:19,040 THEY ARE GETTING MEALS, GETTING 418 00:15:19,040 --> 00:15:22,243 PACKAGE FOODS, SNACKS, 419 00:15:22,243 --> 00:15:23,778 SUPPLEMENTATION, FORTIFICATION, 420 00:15:23,778 --> 00:15:27,782 LOCAL INDIGENOUS AND ALSO 421 00:15:27,782 --> 00:15:29,684 NUTRITION SENSITIVE PACKAGED 422 00:15:29,684 --> 00:15:32,687 FOOD. SURROUNDING THAT IS THE 423 00:15:32,687 --> 00:15:33,388 ENVIRONMENT WHICH YOU HEARD 424 00:15:33,388 --> 00:15:35,256 ABOUT A COUPLE OF WEEKS AGO. 425 00:15:35,256 --> 00:15:36,424 CHILDREN RECEIVE THESE FOODS IN 426 00:15:36,424 --> 00:15:37,692 DIFFERENT SETTINGS IN THE 427 00:15:37,692 --> 00:15:38,727 SCHOOL, WHICH WE ARE VERY 428 00:15:38,727 --> 00:15:40,595 FOCUSED ON WE HEAR A LOT ABOUT 429 00:15:40,595 --> 00:15:42,063 TODAY, FROM HOSPITALS AND 430 00:15:42,063 --> 00:15:44,165 CLINICS AND THE COMMUNITY AT 431 00:15:44,165 --> 00:15:46,735 LARGE, SUMMER PROGRAMS, AFTER 432 00:15:46,735 --> 00:15:48,837 SCHOOL PROGRAMS, SOMETIMES IN 433 00:15:48,837 --> 00:15:50,605 THE WORKPLACE, DEPENDING UPON 434 00:15:50,605 --> 00:15:53,408 WHERE A CHILD IS, AFTER THE AGE 435 00:15:53,408 --> 00:15:55,276 OF 15 OR 16, WITHIN THEIR 436 00:15:55,276 --> 00:15:57,178 HOUSEHOLD WITH THEIR FAMILY, AND 437 00:15:57,178 --> 00:15:58,580 THEN THERE ARE CHILDREN ACROSS 438 00:15:58,580 --> 00:15:59,881 THE GLOBAL IN EXCEPTIONAL 439 00:15:59,881 --> 00:16:02,484 ENVIRONMENTS FOR EXAMPLE, FOSTER 440 00:16:02,484 --> 00:16:05,086 CARE, ORPHAN AGES REFUGEE CAMPS 441 00:16:05,086 --> 00:16:06,254 SO MANY DIFFERENT ENVIRONMENTS 442 00:16:06,254 --> 00:16:11,693 WITHIN WHICH WE DELIVER FOOD. 443 00:16:11,693 --> 00:16:12,927 THE LAST REPRESENT IT IS LARGER 444 00:16:12,927 --> 00:16:14,496 SYSTEMS THAT IMPACT ALL OF THIS, 445 00:16:14,496 --> 00:16:15,897 THE ENERGY AND EFFECTIVENESS OF 446 00:16:15,897 --> 00:16:17,465 THE FOOD ITSELF AND DELIVERY OF 447 00:16:17,465 --> 00:16:19,501 FOOD INCLUDING POLICY, FOOD 448 00:16:19,501 --> 00:16:21,636 SYSTEMS AND AGRICULTURE AS DAN 449 00:16:21,636 --> 00:16:23,304 MENTIONED, DIFFERENT 450 00:16:23,304 --> 00:16:24,873 GOVERNMENTS, THE HEALTH OF 451 00:16:24,873 --> 00:16:27,175 DIFFERENT COUNTRY, EDUCATION 452 00:16:27,175 --> 00:16:30,245 SYSTEM, MARKETING, SOCIAL 453 00:16:30,245 --> 00:16:31,813 PROTECTION, FOOD DESERTS, FOOD 454 00:16:31,813 --> 00:16:33,715 SAFETY, SO ON. WHAT OUR GROUP 455 00:16:33,715 --> 00:16:34,649 FOCUSED ON IS WHAT YOU CAN SEE 456 00:16:34,649 --> 00:16:36,584 ON THE RIGHT WHICH WE CALL 457 00:16:36,584 --> 00:16:38,920 IMPLEMENTATION INDICATORS. THE 458 00:16:38,920 --> 00:16:40,288 KINDS OF THINGS YOU WILL HEAR 459 00:16:40,288 --> 00:16:42,490 ABOUT TODAY REALLY REPRESENT THE 460 00:16:42,490 --> 00:16:43,725 IMPORTANT INDICATORS WITHIN EACH 461 00:16:43,725 --> 00:16:45,727 OF THESE SYSTEMS. SO STARTING 462 00:16:45,727 --> 00:16:47,796 AGAIN AT THE CENTER WE HAVE 463 00:16:47,796 --> 00:16:49,330 EFFECTIVENESS. ARE THESE 464 00:16:49,330 --> 00:16:50,965 PROGRAMS EFFECTIVE? CAN WE 465 00:16:50,965 --> 00:16:52,934 ACTUALLY MEASURE AND ASSESS 466 00:16:52,934 --> 00:16:54,335 WHETHER OR NOT NUTRITION IS 467 00:16:54,335 --> 00:16:55,904 BEING DELIVERED AND WE ARE 468 00:16:55,904 --> 00:16:57,005 PROMOTING THE HEALTH OF 469 00:16:57,005 --> 00:16:59,641 CHILDREN. THE NEXT LAYER OUT YOU 470 00:16:59,641 --> 00:17:01,743 SEE THE ACTUAL INDICATORS AROUND 471 00:17:01,743 --> 00:17:03,511 THE FOOD ITSELF. COST, THE 472 00:17:03,511 --> 00:17:05,947 QUALITY OF THE FOOD, THE 473 00:17:05,947 --> 00:17:07,882 STABILITY OF A SHELF LIFE OF THE 474 00:17:07,882 --> 00:17:09,751 FOOD AND SUSTAINABILITY OF THE 475 00:17:09,751 --> 00:17:12,120 FOOD ITSELF SPEAKING DIRECTLY TO 476 00:17:12,120 --> 00:17:15,457 FOOD SYSTEM HERE. THE NEXT LEVEL 477 00:17:15,457 --> 00:17:17,025 OUT SHOWS THINGS WITHIN THESE 478 00:17:17,025 --> 00:17:19,094 ENVIRONMENTS THAT WE NEED TO 479 00:17:19,094 --> 00:17:22,263 TAKE INTO CONSIDERATION LIKE 480 00:17:22,263 --> 00:17:27,535 EQUITY, REACH, WITH FIDELITY OF 481 00:17:27,535 --> 00:17:30,371 THE PROGRAM, FOR PEOPLE TO 482 00:17:30,371 --> 00:17:33,174 ACTUALLY IMPLEMENT THE AND 483 00:17:33,174 --> 00:17:34,442 POLICY INFRASTRUCTURE AND HOW 484 00:17:34,442 --> 00:17:36,678 THINGS ARE ACTUALLY DISTRIBUTED, 485 00:17:36,678 --> 00:17:38,580 AND WHETHER THAT'S EQUITABLE. 486 00:17:38,580 --> 00:17:40,548 LAST BUT NOT LEAST THE OUTER 487 00:17:40,548 --> 00:17:41,716 LAYER SOME OF THE INDICATORS 488 00:17:41,716 --> 00:17:45,353 INCLUDE POLITICAL WILL, ECONOMIC 489 00:17:45,353 --> 00:17:47,155 LANDSCAPE AND CONDITIONS OR 490 00:17:47,155 --> 00:17:48,857 CONTACTS FOR SCALE AND 491 00:17:48,857 --> 00:17:49,357 SUSTAINABILITY AT THESE 492 00:17:49,357 --> 00:17:51,893 PROGRAMS. AND THE ONE AT THE 493 00:17:51,893 --> 00:17:54,329 BOTTOM WE HAVE DEVELOPED SIMPLY 494 00:17:54,329 --> 00:17:56,998 THESE THREE DEVELOPMENTAL STAGES 495 00:17:56,998 --> 00:17:59,400 10 TO 13 AND 14 TO 19. AS YOU 496 00:17:59,400 --> 00:18:05,673 KNOW EACH YEAR ACTUALLY MATTERS. 497 00:18:05,673 --> 00:18:09,177 WE HAVE ALSO DEVELOPED SOME 498 00:18:09,177 --> 00:18:10,745 OVERARCHING PRINCIPLES WE 499 00:18:10,745 --> 00:18:12,313 CONSIDER A DRAFT AND WE WANT 500 00:18:12,313 --> 00:18:13,248 INPUT TODAY THAT WE BELIEVE ARE 501 00:18:13,248 --> 00:18:15,150 INTEGRAL TO THE IMPLEMENTATION 502 00:18:15,150 --> 00:18:17,285 AND TRANSLATION FRAMEWORK. THESE 503 00:18:17,285 --> 00:18:19,420 INCLUDE THE FACT THAT 504 00:18:19,420 --> 00:18:21,756 INTERVENTION DESIGN MUST BE 505 00:18:21,756 --> 00:18:24,459 PURPOSEFULLY TARGETED FOR 506 00:18:24,459 --> 00:18:26,060 DIFFERENT DEVELOPMENTAL STAGE, 507 00:18:26,060 --> 00:18:27,228 ALL REQUIRES TRANSDISCIPLINARY 508 00:18:27,228 --> 00:18:29,430 SCIENCE AND I THINK BETWEEN ALL 509 00:18:29,430 --> 00:18:31,132 FOUR WORKING GROUPS YOU HAVE 510 00:18:31,132 --> 00:18:32,400 HEARD MANY DIFFERENT PEOPLE 511 00:18:32,400 --> 00:18:34,702 SPEAK FROM DISCIPLINES THAT ARE 512 00:18:34,702 --> 00:18:37,372 EXTREMELY IMPORTANT TO MAKE ALL 513 00:18:37,372 --> 00:18:39,507 THIS WORK. AND TRANSDISCIPLINARY 514 00:18:39,507 --> 00:18:40,441 SCIENCE FOSTERS COLLABORATION 515 00:18:40,441 --> 00:18:42,010 AND CONSIDERS BIOLOGY, ECOLOGY 516 00:18:42,010 --> 00:18:43,478 AND IMPLEMENTATION SCIENCE. 517 00:18:43,478 --> 00:18:46,614 AMONG OTHERS. WE ALSO BELIEVE 518 00:18:46,614 --> 00:18:48,983 EQUITABLE ENGAGEMENT OF DIVERSE 519 00:18:48,983 --> 00:18:51,319 STAKEHOLDERS FOSTERS INCLUSION, 520 00:18:51,319 --> 00:18:53,021 DEVELOPS RELATIONSHIPS, BUILDS 521 00:18:53,021 --> 00:18:56,124 BUY IN AND CO-CREATES CONTEXT 522 00:18:56,124 --> 00:18:57,258 SPECIFIC CUSTOMIZATION OF 523 00:18:57,258 --> 00:19:01,129 INTERVENTIONS. NEXT A RANGE OF 524 00:19:01,129 --> 00:19:03,731 CONTEXTUAL DRIVERS INCLUDING 525 00:19:03,731 --> 00:19:06,367 SOCIAL POLITICAL RACIAL 526 00:19:06,367 --> 00:19:07,802 HISTORICAL AND ECONOMIC IMPACT 527 00:19:07,802 --> 00:19:08,603 NUTRITION PROGRAMMING AND ALL 528 00:19:08,603 --> 00:19:11,372 NEEDS TO BE CONSIDERED. NEXT 529 00:19:11,372 --> 00:19:12,807 POLICIES INTERVENTIONS AND 530 00:19:12,807 --> 00:19:14,609 PROCEDURES DEVELOPED IN ONE 531 00:19:14,609 --> 00:19:16,377 SETTING, MAY NOT BE APPLICABLE 532 00:19:16,377 --> 00:19:18,580 TO ANOTHER. AND THIS REALLY 533 00:19:18,580 --> 00:19:20,148 SPEAKS TO BOTH INTERNAL AND 534 00:19:20,148 --> 00:19:22,517 EXTERNAL VALIDITY AND WHEN WE 535 00:19:22,517 --> 00:19:24,219 DEVELOP THE EVIDENCE HOW WE NEED 536 00:19:24,219 --> 00:19:26,321 TO CONSIDER TRANSLATION OF IT. 537 00:19:26,321 --> 00:19:28,990 LAST BUT NOT LEAST BUILDING FOR 538 00:19:28,990 --> 00:19:30,124 SUSTAINABILITY INCLUDES ECONOMIC 539 00:19:30,124 --> 00:19:32,560 AND FINANCIAL ANALYSES 540 00:19:32,560 --> 00:19:34,395 APPROPRIATE FIT WITHIN EXISTING 541 00:19:34,395 --> 00:19:37,398 SYSTEMS AND FLEXIBLE ADAPTATION. 542 00:19:37,398 --> 00:19:39,667 SO ALL THESE ARE REALLY 543 00:19:39,667 --> 00:19:42,971 IMPORTANT MAKE THIS FRAMEWORK 544 00:19:42,971 --> 00:19:46,074 COME ALIVE SO THE WAY THAT WILL 545 00:19:46,074 --> 00:19:47,642 RUN NEXT COUPLE OF HOURS IS 546 00:19:47,642 --> 00:19:48,943 FIRST HEAR FROM WORKING GROUP 547 00:19:48,943 --> 00:19:50,311 MEMBERS WHO WILL BRING THE 548 00:19:50,311 --> 00:19:51,446 FRAMEWORK TO LIFE AND THEN WE 549 00:19:51,446 --> 00:19:53,314 WILL HAVE A LITTLE BIT OF TIME 550 00:19:53,314 --> 00:19:57,151 FOR CLARIFICATION WITH THE 551 00:19:57,151 --> 00:19:57,986 SPEAKERS THEN WE HAVE FOUR 552 00:19:57,986 --> 00:19:58,886 INVITED SPEAKER WHOSE WILL 553 00:19:58,886 --> 00:20:01,222 DISCUSS WHAT WE DO IN PRACTICE 554 00:20:01,222 --> 00:20:02,824 AND HOW WE SHOULD THINK ABOUT 555 00:20:02,824 --> 00:20:04,926 BRINGING PHASE 2 OF THE BOND 556 00:20:04,926 --> 00:20:08,329 KIDS WORK TO LIFE. WITHOUT 557 00:20:08,329 --> 00:20:10,265 FURTHER ADIEU I WOULD LIKE TO 558 00:20:10,265 --> 00:20:12,600 INTRODUCE OUR FIRST SPEAKER WHO 559 00:20:12,600 --> 00:20:15,803 IS WORKING GROUP MEMBER, DEANNA 560 00:20:15,803 --> 00:20:17,405 FROM UT HEALTH SCHOOL OF PUBLIC 561 00:20:17,405 --> 00:20:18,873 HEALTH, WHO WILL TALK ABOUT 562 00:20:18,873 --> 00:20:21,876 IMPLEMENTATION AND TRANSLATION 563 00:20:21,876 --> 00:20:23,611 FRAME WORKS AND APPLICATION. 564 00:20:23,611 --> 00:20:24,712 WELCOME, DEANNA. 565 00:20:24,712 --> 00:20:28,049 >> THANKS, CHRIS. GOOD MORNING 566 00:20:28,049 --> 00:20:29,717 AND THANKS TO Y'ALL FOR JOINING 567 00:20:29,717 --> 00:20:31,419 US. I'M REALLY HONORED TO BE 568 00:20:31,419 --> 00:20:34,222 PART OF THIS GROUP. MY JOB THIS 569 00:20:34,222 --> 00:20:37,659 MORNING IS TO GIVE AN EXAMPLE TO 570 00:20:37,659 --> 00:20:40,361 GIVE OVERVIEW OF IMPLEMENTATION 571 00:20:40,361 --> 00:20:44,399 AND TRANSLATION AND INCLUDING 572 00:20:44,399 --> 00:20:44,999 DEFINITIONS, CURRENT FRAMEWORK 573 00:20:44,999 --> 00:20:49,671 AND CONCEPTING CONCEPTS INCLUDING POTENTIA L 574 00:20:49,671 --> 00:20:50,805 MODELS AND POTENTIAL NEW 575 00:20:50,805 --> 00:20:54,642 DIRECTIONS THAT INFORM OUR WORK. 576 00:20:54,642 --> 00:20:55,209 FOR THIS PRESENTATION I WILL 577 00:20:55,209 --> 00:20:57,245 REFER TO WHAT IS TRANSLATED AS 578 00:20:57,245 --> 00:20:58,513 AN INNOVATION OR INTERVENTION 579 00:20:58,513 --> 00:20:59,747 BECAUSE THAT IS HOW IT IS 580 00:20:59,747 --> 00:21:01,015 REFERRED TO A LOT OF TIMES IN 581 00:21:01,015 --> 00:21:05,086 THE LITERATURE. SO NEXT SLIDE. 582 00:21:05,086 --> 00:21:06,854 WHAT IS IMPLEMENTATION AND 583 00:21:06,854 --> 00:21:09,957 TRANSLATION? WE KNOW THAT IT 584 00:21:09,957 --> 00:21:11,526 CREATES AN AVERAGE OF ABOUT 17 585 00:21:11,526 --> 00:21:12,660 YEARS TO TAKE AN INTERVENTION 586 00:21:12,660 --> 00:21:13,795 FROM BENCH TO BEDSIDE TO 587 00:21:13,795 --> 00:21:19,167 COMMUNITY. THE TRANSLATIONAL 588 00:21:19,167 --> 00:21:20,768 RESEARCH FRAMEWORK DEVELOP BY 589 00:21:20,768 --> 00:21:22,904 BEGIN SIMILAR PROJECT TO OURS, 590 00:21:22,904 --> 00:21:26,274 ILLUSTRATES THIS PROCESS AS T 1 591 00:21:26,274 --> 00:21:27,975 TO T 5 TRANSLATION WHICH 592 00:21:27,975 --> 00:21:31,045 PROCEEDS ARE FROM DISCOVERY TO 593 00:21:31,045 --> 00:21:32,480 HUMAN HEALTH, IMPLICATIONS TO 594 00:21:32,480 --> 00:21:33,581 CLINICAL AND PUBLIC HEALTH 595 00:21:33,581 --> 00:21:36,351 IMPLICATIONS, TO IMPLEMENTATION 596 00:21:36,351 --> 00:21:39,153 TO IMPACT. SO ANOTHER WAY OF 597 00:21:39,153 --> 00:21:41,155 LACKING AT THAT CONTINUUM. 598 00:21:41,155 --> 00:21:43,024 MOVEMENT OF EVIDENCE BASED 599 00:21:43,024 --> 00:21:45,793 PRACTICES ISN'T SPONTANEOUS. BUT 600 00:21:45,793 --> 00:21:49,030 IT REQUIRES EFFORT. THE ULTIMATE 601 00:21:49,030 --> 00:21:51,165 GOAL IS PUBLIC HEALTH IMPACT OR 602 00:21:51,165 --> 00:21:55,536 POPULATION HEALTH IMPACT. THIS 603 00:21:55,536 --> 00:21:57,805 IS A SOCIAL PROCESS INTERTWINE 604 00:21:57,805 --> 00:21:59,807 WITH CONTEXTUAL FACTORS. 605 00:21:59,807 --> 00:22:00,675 TRANSLATIONAL SCIENCE 606 00:22:00,675 --> 00:22:04,078 ACCELERATES THIS PROCESS. WHILE 607 00:22:04,078 --> 00:22:05,279 IMPLEMENTATION SCIENCE STUDIES 608 00:22:05,279 --> 00:22:10,351 METHODS TO INCREASE THE ADOPTION 609 00:22:10,351 --> 00:22:11,419 IMPLEMENTATION AND MAINTENANCE 610 00:22:11,419 --> 00:22:15,256 OF EVIDENCE BASED POLICIES, 611 00:22:15,256 --> 00:22:16,391 PROGRAMS, PRACTICES AND 612 00:22:16,391 --> 00:22:21,195 GUIDELINES.S. NEXT SLIDE PLEASE. 613 00:22:21,195 --> 00:22:22,563 THIS SLIDE LISTS COMMON MODELS 614 00:22:22,563 --> 00:22:24,899 OR FRAME WORKS USED IN 615 00:22:24,899 --> 00:22:26,100 IMPLEMENTATION SCIENCE, THEY ARE 616 00:22:26,100 --> 00:22:27,468 THE BASIS FOR SOME NUTRITION 617 00:22:27,468 --> 00:22:29,137 FOCUS FRAME WORKS. AS WELL AS 618 00:22:29,137 --> 00:22:32,907 OUR WORK HERE. DIFFUSION 619 00:22:32,907 --> 00:22:34,375 INNOVATION IS AN OLDER THEORY 620 00:22:34,375 --> 00:22:35,610 WITH SEVERAL CONCEPTS RELATED TO 621 00:22:35,610 --> 00:22:38,146 OUR WORK. FIRST THERE'S 622 00:22:38,146 --> 00:22:40,548 DIFFERENT KINDS OF ADOPTERS, AND 623 00:22:40,548 --> 00:22:41,883 THEY RANGE FROM INNOVATORS AND 624 00:22:41,883 --> 00:22:44,752 EARLY ADOPTERS TO -- SO 625 00:22:44,752 --> 00:22:48,222 SOMETHING TO CONSIDER. DIFFUSION 626 00:22:48,222 --> 00:22:49,657 OF INNOVATION HIGHLIGHTS 627 00:22:49,657 --> 00:22:51,292 ADOPTION PROCEDURE THAT BEGINS 628 00:22:51,292 --> 00:22:52,427 WITH KNOWLEDGE AND PERSUASION 629 00:22:52,427 --> 00:22:54,228 AND GOES THROUGH IMPLEMENTATION 630 00:22:54,228 --> 00:22:57,465 AND CONFIRMATION. DIFFUSION 631 00:22:57,465 --> 00:22:59,400 INNOVATION ALSO TAKES INTO 632 00:22:59,400 --> 00:23:00,968 ACCOUNT THE CHARACTERISTICS OF 633 00:23:00,968 --> 00:23:03,538 THE INNOVATION OR INTERVENTION 634 00:23:03,538 --> 00:23:05,406 SUCH AS RELATIVE ADVANTAGE 635 00:23:05,406 --> 00:23:08,042 COMPARED TO WHAT WAS DONE 636 00:23:08,042 --> 00:23:09,744 PREVIOUSLY, COMPLEXITY OF THE 637 00:23:09,744 --> 00:23:10,878 INNOVATION AND COMPATIBILITY 638 00:23:10,878 --> 00:23:13,448 WITH THE CONTEXT INTO WHICH IT 639 00:23:13,448 --> 00:23:17,652 IS PLACED. REAIM IS AN ACRONYM 640 00:23:17,652 --> 00:23:20,988 FOR REACH EFFECTIVENESS ADOPTION 641 00:23:20,988 --> 00:23:21,823 IMPLEMENTATION, AND MAINTENANCE 642 00:23:21,823 --> 00:23:24,358 IS ONE OF THE MOST USED 643 00:23:24,358 --> 00:23:25,860 FRAMEWORKS IN IMPLEMENTATION 644 00:23:25,860 --> 00:23:28,930 SCIENCE. REACH IS THE NUMBER OR 645 00:23:28,930 --> 00:23:29,831 PROPORTION OF PEOPLE THE 646 00:23:29,831 --> 00:23:32,300 INNOVATION REACHES. WHILE 647 00:23:32,300 --> 00:23:33,935 ADOPTION IS THE NUMBER OR 648 00:23:33,935 --> 00:23:35,937 PROPORTION OF SETTINGS OR 649 00:23:35,937 --> 00:23:41,175 IMPLEMENTATION AGENTS WILLING TO 650 00:23:41,175 --> 00:23:44,779 DELIVER INNOVATION OR 651 00:23:44,779 --> 00:23:46,581 INTERVENTION. EFFECTIVENESS 652 00:23:46,581 --> 00:23:48,716 LOOKS AT IMPACT ON OUTCOMES 653 00:23:48,716 --> 00:23:50,785 WHILE IMPLEMENTATION LOOKS AT 654 00:23:50,785 --> 00:23:54,322 CONSIDERS THE FIDELITY TO AN 655 00:23:54,322 --> 00:23:55,323 INTERVENTION PROTOCOL OR 656 00:23:55,323 --> 00:23:57,458 CONSISTENCY OF DELIVERY. 657 00:23:57,458 --> 00:23:58,693 FINALLY, MAINTENANCE IS 658 00:23:58,693 --> 00:24:04,665 SUSTAINABILITY. CEPR PROVIDES A 659 00:24:04,665 --> 00:24:07,602 SYSTEMS OR YENNED FRAMEWORK FOR 660 00:24:07,602 --> 00:24:08,703 IMPLEMENTATION OF RESEARCH 661 00:24:08,703 --> 00:24:10,104 FINDINGS INTO PRACTICE THROUGH 662 00:24:10,104 --> 00:24:12,673 FIVE DOMAINSS. THE FIGURE HERE 663 00:24:12,673 --> 00:24:14,542 ILLUSTRATES THIS THROUGH 664 00:24:14,542 --> 00:24:17,178 NUTRITION LENS. SO DOMAIN 1 665 00:24:17,178 --> 00:24:20,414 LOOKS AT CHARACTERISTICS OF THE 666 00:24:20,414 --> 00:24:22,617 INNOVATION, DOMAIN 2 LOOKS AT 667 00:24:22,617 --> 00:24:26,254 THE ENTERSETTING YOU SAW IN OUR 668 00:24:26,254 --> 00:24:28,022 MODEL, DOMAIN 3 LOOKS AT THE 669 00:24:28,022 --> 00:24:29,690 OUTER SETTING OR EXTERNAL 670 00:24:29,690 --> 00:24:31,526 ENVIRONMENT. THERE IS PLASTICITY 671 00:24:31,526 --> 00:24:34,762 BETWEEN THESE TWO. DOMAIN 4 672 00:24:34,762 --> 00:24:37,198 LOOKS AT INDIVIDUALS IMPLEMENT 673 00:24:37,198 --> 00:24:39,133 EFFECTED BY THE INTERVENTION. 674 00:24:39,133 --> 00:24:41,536 AND THEN DOMAIN 5 ACTUALLY 675 00:24:41,536 --> 00:24:44,939 COVERS THE IMPLEMENTATION 676 00:24:44,939 --> 00:24:49,977 PROCESSES. THE SOCIETY FOR 677 00:24:49,977 --> 00:24:52,480 IMPLEMENTATION SCIENCE AND 678 00:24:52,480 --> 00:24:53,247 NUTRITION, AND INTERNATIONAL 679 00:24:53,247 --> 00:24:55,049 ORGANIZATION HAS DEVELOPED AN 680 00:24:55,049 --> 00:24:56,817 INTEGRATED FRAMEWORK FOR 681 00:24:56,817 --> 00:24:58,286 IMPLEMENTATION SCIENCE. WHICH 682 00:24:58,286 --> 00:24:59,520 INCLUDES SEVERAL CONCEPTS THAT 683 00:24:59,520 --> 00:25:01,489 ARE RELEVANT TO OUR WORK HERE IN 684 00:25:01,489 --> 00:25:09,230 BOND KIDS. THE FIRST PART IS 685 00:25:09,230 --> 00:25:09,830 CONTEXTUAL KNOWLEDGE AND 686 00:25:09,830 --> 00:25:10,965 EXPERIENCE. THIS REFERS TO THE 687 00:25:10,965 --> 00:25:12,133 KNOWLEDGE AND EXPERIENCE OF 688 00:25:12,133 --> 00:25:13,901 PLANNERS IMPLEMENTERS AND OTHERS 689 00:25:13,901 --> 00:25:16,137 THAT KNOW ABOUT THE CONTEXT. 690 00:25:16,137 --> 00:25:18,172 THIS IS A FACTOR THAT'S OFTEN 691 00:25:18,172 --> 00:25:19,507 TAKEN FOR GRANTED SO WE HAVE 692 00:25:19,507 --> 00:25:23,110 INCLUDED THAT IN OUR MODEL. 693 00:25:23,110 --> 00:25:25,279 CONTEXTUAL IMPLEMENTATION 694 00:25:25,279 --> 00:25:27,014 RESEARCH INVOLVES FORMATIVE 695 00:25:27,014 --> 00:25:28,716 RESEARCH THAT EXPANDS ON THE 696 00:25:28,716 --> 00:25:30,751 GLOBAL KNOWLEDGE AND EXPERIENCE. 697 00:25:30,751 --> 00:25:32,420 AND SO THIS INCLUDES THINGS LIKE 698 00:25:32,420 --> 00:25:35,222 RAPID ASSESSMENTS, PROCESS 699 00:25:35,222 --> 00:25:37,124 EVALUATION, AND MONITORING AND 700 00:25:37,124 --> 00:25:39,560 SURVEILLANCE AND HOW WE RESPOND 701 00:25:39,560 --> 00:25:42,997 TO THAT. FROM THE ROLL OUT OF AN 702 00:25:42,997 --> 00:25:44,198 INTERVENTION. GLOBAL KNOWLEDGE 703 00:25:44,198 --> 00:25:50,571 AND EXPERIENCE REFERS TO 704 00:25:50,571 --> 00:25:51,906 RESEARCH KNOWLEDGE BUT ALSO 705 00:25:51,906 --> 00:25:52,807 PRACTICERS ON THE GROUND. 706 00:25:52,807 --> 00:25:56,444 THROUGH THESE THREE COMPONENTS 707 00:25:56,444 --> 00:25:57,478 IN IMPLEMENTATION SCIENCE WE 708 00:25:57,478 --> 00:25:59,080 TAKE THE FRAMEWORKS, GUIDELINES 709 00:25:59,080 --> 00:26:02,516 AND TOOLS AND MAKE THEM MORE 710 00:26:02,516 --> 00:26:03,417 ACCESSIBLE THROUGH CAPACITY 711 00:26:03,417 --> 00:26:06,787 BUILDING, TECHNICAL ASSISTANCE, 712 00:26:06,787 --> 00:26:07,355 AND KNOWLEDGE BROKERING AND 713 00:26:07,355 --> 00:26:16,931 COACHING. SARLA ET AL CONDUCTED 714 00:26:16,931 --> 00:26:18,165 MARETIVE REVIEW OF 715 00:26:18,165 --> 00:26:19,300 IMPLEMENTATION SCIENCE FRAME 716 00:26:19,300 --> 00:26:22,670 WORKS. FRAME WORKS MODELS AND 717 00:26:22,670 --> 00:26:25,139 VARIES AND THEN CONDUCTED AD 718 00:26:25,139 --> 00:26:27,108 QUALITATIVE THEMATIC ANALYSES 719 00:26:27,108 --> 00:26:29,777 USED TO DEVELOP THIS MODEL FOR 720 00:26:29,777 --> 00:26:31,212 EVALUATING NUTRITION 721 00:26:31,212 --> 00:26:32,780 INTERVENTION IN A REAL WORLD 722 00:26:32,780 --> 00:26:37,385 SETTING. SO DOMAIN 1 INCLUDES 723 00:26:37,385 --> 00:26:38,786 EFFECTIVE INTERVENTIONS OR 724 00:26:38,786 --> 00:26:40,788 INNOVATIONS TO BE TRANSLATED 725 00:26:40,788 --> 00:26:42,056 INTO PRACTICE. AND THAT'S WHAT 726 00:26:42,056 --> 00:26:43,824 WE ARE GETTING THROUGH OTHER 727 00:26:43,824 --> 00:26:49,296 WORK GROUPS IN BOND KIDS. 728 00:26:49,296 --> 00:26:50,564 DOMAIN 2 IS SCALING UP WHICH 729 00:26:50,564 --> 00:26:52,733 FOCUSES ON THE IMPLEMENTATION 730 00:26:52,733 --> 00:26:55,036 PROCESS, WITH FIDELITY. ONE 731 00:26:55,036 --> 00:26:57,638 UNIQUE ASPECT OF THIS MODEL IS 732 00:26:57,638 --> 00:26:59,774 THAT IT INCLUDES A COURSE 733 00:26:59,774 --> 00:27:01,475 CORRECTION DURING IMPLEMENTATION 734 00:27:01,475 --> 00:27:04,679 AS YOU CAN SEE BELOW THAT IS 735 00:27:04,679 --> 00:27:07,248 FROM THE DATA THAT YOU GET FROM 736 00:27:07,248 --> 00:27:09,483 RAPID ASSESSMENT AND HOW YOU CAN 737 00:27:09,483 --> 00:27:10,818 CHANGE COURSE. THE OTHER THING 738 00:27:10,818 --> 00:27:13,020 ABOUT THIS MODEL IS THAT IT IS 739 00:27:13,020 --> 00:27:14,722 ITERATIVE SO YOU CAN SEE 740 00:27:14,722 --> 00:27:17,591 BIRECOLLECTIONAL ERRORS ON IT. 741 00:27:17,591 --> 00:27:20,494 THE LAST DOMAIN FOCUSES ON 742 00:27:20,494 --> 00:27:21,429 SUSTAINABILITY WHICH WILL BE 743 00:27:21,429 --> 00:27:27,535 DESCRIBED A LITTLE LATER. SO 744 00:27:27,535 --> 00:27:30,004 HOW CAN WE MOVE IMPLEMENTATION 745 00:27:30,004 --> 00:27:33,441 SCIENCE FORWARD IN BOND KIDS? 746 00:27:33,441 --> 00:27:34,341 ONE THING LOOKING AT THE 747 00:27:34,341 --> 00:27:35,242 PREVIOUS MODELS THAT I 748 00:27:35,242 --> 00:27:36,377 PRESENTED, THERE IS A FEW THINGS 749 00:27:36,377 --> 00:27:37,545 THAT ARE MISSING THAT ARE 750 00:27:37,545 --> 00:27:38,546 ESPECIALLY RELEVANT TO OUR WORK 751 00:27:38,546 --> 00:27:41,916 HERE. ONE IS THE CHILD FOCUS. 752 00:27:41,916 --> 00:27:44,385 AND THAT INCLUDES AN EMPHASIS ON 753 00:27:44,385 --> 00:27:47,922 DEVELOPMENTAL STAGES, IMPACT IN 754 00:27:47,922 --> 00:27:49,290 TERMS OF HEALTH AND NUTRITIONAL 755 00:27:49,290 --> 00:27:50,758 STATUS AND OTHER CONTEXTUAL 756 00:27:50,758 --> 00:27:53,861 FACTORS IN A VERY SPECIFIC TO 757 00:27:53,861 --> 00:27:54,795 CHILDREN SO THEY MIGHT BE IN THE 758 00:27:54,795 --> 00:27:56,263 MODEL BUT THEY ARE NOT 759 00:27:56,263 --> 00:28:03,404 NECESSARILY EXPLICIT. THE 760 00:28:03,404 --> 00:28:05,606 SECOND CONCEPT OFTEN MISSING IS 761 00:28:05,606 --> 00:28:07,508 NOT EXPLICIT IN THESE MODELS IS 762 00:28:07,508 --> 00:28:10,811 HEALTH EQUITY. IT IS NOT OFTEN 763 00:28:10,811 --> 00:28:12,446 PRESENTED AS A SPECIFIC PART OF 764 00:28:12,446 --> 00:28:13,581 THE FRAME WORKS IN THE MODEL 765 00:28:13,581 --> 00:28:17,651 FROM OUR RECENT PAPER IN ANNUAL 766 00:28:17,651 --> 00:28:19,386 REVIEW OF PUBLIC HEALTH, HEALTH 767 00:28:19,386 --> 00:28:20,988 EQUITY WAS AN OVERARCHING 768 00:28:20,988 --> 00:28:26,560 CONCEPT. AFTER ARRIVING AT A 769 00:28:26,560 --> 00:28:28,062 FRAMEWORK THE NEXT STEP IS PLAN 770 00:28:28,062 --> 00:28:30,631 AND SELECT IMPLEMENTATION 771 00:28:30,631 --> 00:28:31,732 STRATEGIES. THAT CAN BE DONE 772 00:28:31,732 --> 00:28:33,534 WITH A THEORY BASED SYSTEMATIC 773 00:28:33,534 --> 00:28:34,568 PROCESS SUCH AS IMPLEMENTATION 774 00:28:34,568 --> 00:28:38,372 MAPPING. THIS CAN FURTHER ENSURE 775 00:28:38,372 --> 00:28:42,510 EVIDENCE BASE TRANSITION FROM 776 00:28:42,510 --> 00:28:46,380 BENCH TO BED TO COMMUNITY. FOR 777 00:28:46,380 --> 00:28:53,788 BOND KIDS. THANK YOU VERY MUCH. 778 00:28:53,788 --> 00:28:56,257 >> THANK YOU, DEANNA, THAT WAS 779 00:28:56,257 --> 00:28:57,958 EXCELLENT. I WAS REMINDED TO 780 00:28:57,958 --> 00:29:01,428 SHARE WITH THE AUDIENCE THAT 781 00:29:01,428 --> 00:29:03,264 EVERYONE WITHIN WORKING GROUP 4 782 00:29:03,264 --> 00:29:04,799 IS DOING RESEARCH IN COMMUNITIES 783 00:29:04,799 --> 00:29:06,600 AND SCHOOLS AND REALLY IN THE 784 00:29:06,600 --> 00:29:08,335 WORLD -- REAL WORLD SO TO SPEAK 785 00:29:08,335 --> 00:29:10,871 AND TRANSLATING THIS. SO OUR 786 00:29:10,871 --> 00:29:12,540 DISCUSSION WERE QUITE ROBUST IN 787 00:29:12,540 --> 00:29:14,775 TERMS OF HAVING THE EXPERIENCE 788 00:29:14,775 --> 00:29:16,110 PUTTING THESE FRAME WORKS TO 789 00:29:16,110 --> 00:29:19,446 WORK AND ALSO SEEING THE MANY 790 00:29:19,446 --> 00:29:20,514 CHALLENGES AND COMPLEXITY WHICH 791 00:29:20,514 --> 00:29:25,419 LEADS ME TO INTRODUCE THE NEXT 792 00:29:25,419 --> 00:29:27,521 SPEAKER TOM ROBINSON FROM 793 00:29:27,521 --> 00:29:28,322 STANFORD UNIVERSITY WHO WILL 794 00:29:28,322 --> 00:29:29,323 TALK PRAGMATIC SYSTEMS 795 00:29:29,323 --> 00:29:33,394 APPROACHES. WELCOME, TOM. 796 00:29:33,394 --> 00:29:42,169 >> THANK YOU, CHRIS. MY ROLE IS 797 00:29:42,169 --> 00:29:47,842 TO STIMULATE INTEREST IN 798 00:29:47,842 --> 00:29:49,243 APPLYING MORE SYSTEMS THINKING 799 00:29:49,243 --> 00:29:51,846 TO OUR INTERVENTION DESIGN. AND 800 00:29:51,846 --> 00:29:56,050 EVALUATION AND ASSESSMENT. AS 801 00:29:56,050 --> 00:29:58,953 YOU HAVE HEARD ALREADY FROM DR. 802 00:29:58,953 --> 00:30:01,388 RAITEN AND THE COMMENTS HE MADE 803 00:30:01,388 --> 00:30:06,694 AND DR. ECONOMOS AND DR. HOLZIER 804 00:30:06,694 --> 00:30:09,263 THIS SYSTEMS PERSPECTIVE IS A 805 00:30:09,263 --> 00:30:10,397 LARGE PART OF OUR DISCUSSIONS 806 00:30:10,397 --> 00:30:13,601 AND HOW WE THINK WE WANT TO LOOK 807 00:30:13,601 --> 00:30:17,304 AT THESE AT THE PROBLEMS OF 808 00:30:17,304 --> 00:30:20,774 NUTRITION. THE -- IF YOU WEREN'T 809 00:30:20,774 --> 00:30:23,711 ALREADY A BELIEVER THAT THE 810 00:30:23,711 --> 00:30:26,747 WORLD IS RUN OR OCCURS THROUGH 811 00:30:26,747 --> 00:30:30,251 COMPLEX SYSTEMS, AND THE 812 00:30:30,251 --> 00:30:32,019 PANDEMIC HAS SURELY HELPED MAKE 813 00:30:32,019 --> 00:30:33,821 YOU AWARE OF THAT, AND INCREASE 814 00:30:33,821 --> 00:30:38,425 THE IMPORTANCE OF IT, SEEING HOW 815 00:30:38,425 --> 00:30:40,794 SARS COV-2 PANDEMIC HAS SHOWED 816 00:30:40,794 --> 00:30:42,162 HOW INTERCONNECTED EVERYTHING IN 817 00:30:42,162 --> 00:30:49,637 OUR WORLD IS IS. THAT A INFECTION, 818 00:30:49,637 --> 00:30:50,638 THAT PROBABLY STARTED IN A 819 00:30:50,638 --> 00:30:53,274 MARKET IN WUHAN CHINA, SPREAD 820 00:30:53,274 --> 00:30:55,342 ACROSS THE WORLD HAS LED TO MORE 821 00:30:55,342 --> 00:30:56,677 THAN 6 MILLION DEATHS THAT HAVE 822 00:30:56,677 --> 00:30:59,313 BEEN REPORTED. REACHED EVERY 823 00:30:59,313 --> 00:31:04,318 CORNER OF THE WORLD INCLUDING 824 00:31:04,318 --> 00:31:05,953 INDIGENOUS ON POPULATIONS, 825 00:31:05,953 --> 00:31:09,924 AFFECTED OUR SUPPLY CHAINS AND 826 00:31:09,924 --> 00:31:11,558 OUR ECONOMY AND CREATED 827 00:31:11,558 --> 00:31:12,593 WIDESPREAD FOOD INSECURITY IN 828 00:31:12,593 --> 00:31:15,729 PLACES. THIS IS A JUST THE CAUSE 829 00:31:15,729 --> 00:31:18,732 OF A VIRUS, THE ACTION OF A 830 00:31:18,732 --> 00:31:20,100 VIRUS THAT LED TO ALL THESE 831 00:31:20,100 --> 00:31:22,202 DISPARATE OUTCOMES AND CHANGED 832 00:31:22,202 --> 00:31:25,105 ALL OF OUR LIVES SO MUCH, IT WAS 833 00:31:25,105 --> 00:31:26,206 A RESULT OF BILLIONS AND 834 00:31:26,206 --> 00:31:28,976 BILLIONS OF DECISIONS AND 835 00:31:28,976 --> 00:31:30,277 ACTIONS THAT OCCURRED THAT ALL 836 00:31:30,277 --> 00:31:32,980 INTERACTED WITH EACH OTHER,S TO 837 00:31:32,980 --> 00:31:34,982 LEAD TO THIS SPECIFIC OUTCOME, 838 00:31:34,982 --> 00:31:36,850 SPECIFIC OUTCOMES IN OUR LIVES 839 00:31:36,850 --> 00:31:38,519 AND AS WE HAVE SEEN THIS 840 00:31:38,519 --> 00:31:42,523 TREMENDOUS DIFFERENCES ACROSS 841 00:31:42,523 --> 00:31:44,625 COUNTRIES, REGIONS WITHIN 842 00:31:44,625 --> 00:31:48,128 COUNTRIES EVEN NEIGHBORHOODS 843 00:31:48,128 --> 00:31:50,364 WITHIN REGION, WITHIN 844 00:31:50,364 --> 00:31:52,933 COMMUNITIES, IN THE OUTCOMES 845 00:31:52,933 --> 00:31:54,735 BASED UPON ALL THOSE 846 00:31:54,735 --> 00:31:57,805 INTERACTIONS HAVE PLAYED OUT. 847 00:31:57,805 --> 00:31:58,939 DESPITE THIS UNDERSTANDING AND 848 00:31:58,939 --> 00:32:01,041 INTUITIVE UNDERSTANDING OF 849 00:32:01,041 --> 00:32:02,910 SYSTEMS, AND THE BELIEF THAT WE 850 00:32:02,910 --> 00:32:03,811 ALL UNDERSTAND HOW IMPORTANT 851 00:32:03,811 --> 00:32:07,681 THEY ARE, FROM A COMMON SENSE 852 00:32:07,681 --> 00:32:10,284 POINT OF VIEW, THEY HAVE NOT 853 00:32:10,284 --> 00:32:11,485 NECESSARILY THIS TYPE OF 854 00:32:11,485 --> 00:32:16,256 THINKING HAS NOT NECESSARILY 855 00:32:16,256 --> 00:32:18,726 CHANGED MANY OF THE PUBLIC 856 00:32:18,726 --> 00:32:19,927 HEALTH AND NUTRITION 857 00:32:19,927 --> 00:32:20,728 INTERVENTIONS THAT HAVE BEEN 858 00:32:20,728 --> 00:32:25,366 CREATED. NEXT SLIDE PLEASE. 859 00:32:25,366 --> 00:32:26,834 STILL MOST INTERVENTIONS THAT 860 00:32:26,834 --> 00:32:28,936 ARE CREATED ARE PROGRAMS ARE 861 00:32:28,936 --> 00:32:31,038 VERY MANY IN REDUCTIONISTIC IN 862 00:32:31,038 --> 00:32:33,140 HOW THEY ARE DONE, DESPITE 863 00:32:33,140 --> 00:32:34,375 UNDERSTANDING AND ACKNOWLEDGING 864 00:32:34,375 --> 00:32:36,543 THIS BROADER SYSTEMS OR 865 00:32:36,543 --> 00:32:38,545 ECOLOGIES AS DR. RAITEN 866 00:32:38,545 --> 00:32:41,248 MENTIONED. AND SO THEY ARE 867 00:32:41,248 --> 00:32:43,417 GENERALLY THIS TIERED APPROACH 868 00:32:43,417 --> 00:32:45,519 TO INTERVENTION IS APPLIED TO A 869 00:32:45,519 --> 00:32:46,553 POPULATION OR PERSON AND IT 870 00:32:46,553 --> 00:32:53,594 LEADS TO OUTCOMES. THERE IS 871 00:32:53,594 --> 00:32:58,532 MUCH MORE AWARENESS OF 872 00:32:58,532 --> 00:32:59,600 MULTI-LEVEL INFLUENCES ON 873 00:32:59,600 --> 00:33:00,934 OUTCOMES, AND NUTRITION AND THIS 874 00:33:00,934 --> 00:33:03,203 IS JUST ONE EXAMPLE OF THOUSANDS 875 00:33:03,203 --> 00:33:04,538 THAT EXIST, ONE THAT A COLLEAGUE 876 00:33:04,538 --> 00:33:08,275 AND I PUT TOGETHER, OF THE 877 00:33:08,275 --> 00:33:10,844 CONCENTRIC CIRCLES THAT YOU SAW 878 00:33:10,844 --> 00:33:15,482 SIMILAR TO THE MODEL DR. 879 00:33:15,482 --> 00:33:16,950 ECONOMOS PUT UP IN A BETWEEN 880 00:33:16,950 --> 00:33:18,819 PERSON PERSPECTIVE WE HAVE 881 00:33:18,819 --> 00:33:19,987 EVERYTHING FROM GLOBAL SOCIETY 882 00:33:19,987 --> 00:33:22,423 DOWN TO THE INDIVIDUAL, WITH THE 883 00:33:22,423 --> 00:33:25,292 INDIVIDUAL BEHAVIORS, IN THE 884 00:33:25,292 --> 00:33:27,161 CENTER AND THEN FROM A WITHIN 885 00:33:27,161 --> 00:33:30,564 PERSON PERSPECTIVE EVERYTHING 886 00:33:30,564 --> 00:33:32,166 FROM THE INTACT PERSON DOWN TO 887 00:33:32,166 --> 00:33:36,804 THE MOLECULAR LEVEL. HOWEVER, 888 00:33:36,804 --> 00:33:38,205 THESE MULTI-LEVEL INTERVENTIONS 889 00:33:38,205 --> 00:33:40,307 STILL ARE VERY OFTEN 890 00:33:40,307 --> 00:33:41,341 REDUCTIONISTIC IN THEIR APPROACH 891 00:33:41,341 --> 00:33:43,744 TO LOOKING AT EACH LEVEL AND 892 00:33:43,744 --> 00:33:46,013 TRYING TO HIT EACH LEVEL BUT NOT 893 00:33:46,013 --> 00:33:47,381 ADDRESSING THE INTERACTIONS 894 00:33:47,381 --> 00:33:48,382 BETWEEN THESE LEVELS OR THE 895 00:33:48,382 --> 00:33:50,984 COMPONENTS OF THESE LEVELS. AND 896 00:33:50,984 --> 00:33:53,420 THAT'S WHERE WE ARE TRYING TO 897 00:33:53,420 --> 00:33:54,188 PUSH THIS FORWARD. NEXT SLIDE 898 00:33:54,188 --> 00:33:59,493 PLEASE. THIS MAY BE FAMILIAR TO 899 00:33:59,493 --> 00:34:02,262 MANY OF YOU, THIS IS THE OBESITY 900 00:34:02,262 --> 00:34:05,599 SYSTEMS MAP, PUT TOGETHER BY THE 901 00:34:05,599 --> 00:34:07,167 FOR SIGHT GROUP IN THE UNITED 902 00:34:07,167 --> 00:34:11,004 KINGDOM AND THIS WAS IN APPROACH 903 00:34:11,004 --> 00:34:14,408 TO THE SYSTEMS THAT INFLUENCE 904 00:34:14,408 --> 00:34:16,944 OBESITY, HERE. THIS IS MORE HOW 905 00:34:16,944 --> 00:34:18,812 YOU WOULD DISPLAY COMPLEX SYSTEM 906 00:34:18,812 --> 00:34:20,180 YOU CAN SEE THERE ARE MANY 907 00:34:20,180 --> 00:34:21,014 INTERACTIONS HERE, THIS OF 908 00:34:21,014 --> 00:34:24,418 COURSE IS THE TOP LEVEL MODEL, 909 00:34:24,418 --> 00:34:26,687 IT IS MUCH MORE COMPLEX THAN 910 00:34:26,687 --> 00:34:27,654 THIS BECAUSE YOU CAN DRILL DOWN 911 00:34:27,654 --> 00:34:31,358 ANY OF THESE AND SEE TREMENDOUS 912 00:34:31,358 --> 00:34:34,695 NUMBER OF HYPOTHESIZE OR SOME 913 00:34:34,695 --> 00:34:38,198 CASES DEMONSTRATED INTERACTIONS 914 00:34:38,198 --> 00:34:40,200 THAT OCCUR TO LEAD TO GAINS IN 915 00:34:40,200 --> 00:34:41,768 WEIGHT FOR EXAMPLE. AND SO THIS 916 00:34:41,768 --> 00:34:43,804 IS MORE OF THE WAY THAT WE START 917 00:34:43,804 --> 00:34:46,273 THINKING. SO HOW DO YOU APPLY 918 00:34:46,273 --> 00:34:47,508 SOMETHING LIKE THIS TO 919 00:34:47,508 --> 00:34:48,976 INTERVENTION DESIGN AND 920 00:34:48,976 --> 00:34:55,682 EVALUATION? ONE INSTEAD OF 921 00:34:55,682 --> 00:34:58,152 TRYING TO PREDICT HOW THINGS 922 00:34:58,152 --> 00:35:01,989 WILL OCCUR AND UNDERSTANDING TO 923 00:35:01,989 --> 00:35:03,590 TRY TO DRAW PATHWAYS, THINKING 924 00:35:03,590 --> 00:35:04,725 ABOUT WHAT ARE THE 925 00:35:04,725 --> 00:35:06,860 CHARACTERISTICS, WHAT ARE THE 926 00:35:06,860 --> 00:35:10,430 FEATURES OF A COMPLEX SYSTEM, 927 00:35:10,430 --> 00:35:11,865 THAT CAN BE USED IN DESIGNING 928 00:35:11,865 --> 00:35:13,200 YOUR INTERVENTION OR YOUR 929 00:35:13,200 --> 00:35:16,403 ASSESSMENT. ONE IS THAT A 930 00:35:16,403 --> 00:35:19,573 COMPLEX SYSTEM TENDS TO BE 931 00:35:19,573 --> 00:35:21,041 HOLISTIC, WHOLE, EVERYTHING IS 932 00:35:21,041 --> 00:35:22,376 CONNECTED, YOU HAVE TO LOOK 933 00:35:22,376 --> 00:35:23,677 BROADER THAN ANY SINGLE LEVEL. 934 00:35:23,677 --> 00:35:25,879 YOU HAVE TO LOOK AT A ALL OF 935 00:35:25,879 --> 00:35:28,148 THEM TOGETHER, OR YOU MISS OUT 936 00:35:28,148 --> 00:35:30,918 ON ALL THOSE, IT TENDS TO BE 937 00:35:30,918 --> 00:35:32,152 COMPLEX SYSTEMS TEND TO BE 938 00:35:32,152 --> 00:35:35,155 DYNAMIC AND THEY CHANGE OVER AND 939 00:35:35,155 --> 00:35:37,724 SO THESE CONNECTIONS AND THESE 940 00:35:37,724 --> 00:35:40,727 MAY CHANGE OVER TIME AND -- OVER 941 00:35:40,727 --> 00:35:44,631 TIME. THE INTERACTIONS THAT I 942 00:35:44,631 --> 00:35:46,800 TALK ABOUT ARE A KEY FEATURE IN 943 00:35:46,800 --> 00:35:49,169 THAT EVERYTHING IS RELATED TO 944 00:35:49,169 --> 00:35:51,271 EVERYTHING ELSE, SOME OF THESE 945 00:35:51,271 --> 00:35:52,940 REX TREATMENTLY HIGH ORDER 946 00:35:52,940 --> 00:35:55,008 INTERACTIONS SO IT IS NOT JUST 947 00:35:55,008 --> 00:35:57,244 ONE THING ONE FACTOR MORE THAN 948 00:35:57,244 --> 00:35:59,246 ANOTHER BUT MAY BE A TENTH ORDER 949 00:35:59,246 --> 00:36:01,381 INTERACTION OR 20TH ORDER 950 00:36:01,381 --> 00:36:03,584 INTERACTION. IT ALSO LEADS TO 951 00:36:03,584 --> 00:36:05,452 OPPORTUNITIES FOR FEEDBACK 952 00:36:05,452 --> 00:36:07,020 LOOPS, TIPPING POINTS, FEATURES 953 00:36:07,020 --> 00:36:09,456 LIKE THAT, WHERE SOMETHING 954 00:36:09,456 --> 00:36:12,893 ACTUALLY MODIFIES THE -- YOUR 955 00:36:12,893 --> 00:36:14,127 EXPOSURE TO DIFFERENT COMPONENTS 956 00:36:14,127 --> 00:36:15,529 OFFER AN INTERVENTION OR 957 00:36:15,529 --> 00:36:18,298 DIFFERENT COMPONENTS IN THAT 958 00:36:18,298 --> 00:36:21,768 SURROUNDING ECOLOGY, AND 959 00:36:21,768 --> 00:36:23,337 ACTUALLY LEADS TO THESE 960 00:36:23,337 --> 00:36:24,438 NON-LINEAR CHANGES THAT OCCUR, 961 00:36:24,438 --> 00:36:25,939 IF YOU THINK ABOUT YOUR 962 00:36:25,939 --> 00:36:28,976 EXPERIENCE IN DOING NUTRITIONAL 963 00:36:28,976 --> 00:36:30,210 INTERVENTIONS, THIS IS HOW 964 00:36:30,210 --> 00:36:32,579 CHANGE OCCURS, THE FACT THAT WE 965 00:36:32,579 --> 00:36:36,016 GENERALLY THINK OF THINGS AS THE 966 00:36:36,016 --> 00:36:37,417 SMOOTH LINEAR CHANGES THAT OCCUR 967 00:36:37,417 --> 00:36:39,019 OVER TIME THAT YOU GRADUALLY 968 00:36:39,019 --> 00:36:40,821 WORK YOUR WAY UP OVER A SLOPE 969 00:36:40,821 --> 00:36:43,457 FROM A TO B IN FACT THAT IS NOT 970 00:36:43,457 --> 00:36:46,560 HOW CHANGE USUALLY OCCURS IN ANY 971 00:36:46,560 --> 00:36:49,763 SETTING, CHANGES THAT OCCURS IN 972 00:36:49,763 --> 00:36:54,334 THESE NON-LINEAR BURSTS OF 973 00:36:54,334 --> 00:36:56,903 CHANGE THAT OCCUR AT ONE POINT 974 00:36:56,903 --> 00:36:59,006 OR ANOTHER IN DIFFERENT FROM -- 975 00:36:59,006 --> 00:37:00,440 FOR DIFFERENT PEOPLE. THEN ALSO 976 00:37:00,440 --> 00:37:02,342 THE IDEA THAT YOU HAVE TO -- WE 977 00:37:02,342 --> 00:37:04,444 HAVE TO ACCEPT THE IDEA MULTIPLE 978 00:37:04,444 --> 00:37:06,880 CAUSAL PATHWAYS EVEN THOUGH WE 979 00:37:06,880 --> 00:37:10,183 MAY DRAW SIMPLE CIRCLES AND 980 00:37:10,183 --> 00:37:13,153 SQUARES AND ARROWS THAT IN 981 00:37:13,153 --> 00:37:13,720 GENERAL THERE ARE DIFFERENT 982 00:37:13,720 --> 00:37:14,721 PATHWAYS TO GET O THE SAME 983 00:37:14,721 --> 00:37:16,790 POINT. SO YOU HAVE TO TAKE THAT 984 00:37:16,790 --> 00:37:20,994 AS A GIVEN AS OPPOSED TO FEEL 985 00:37:20,994 --> 00:37:24,998 THAT IS A SOURCE OF NOISE. NEXT 986 00:37:24,998 --> 00:37:27,200 SLIDE PLEASE. SO HOW WOULD YOU 987 00:37:27,200 --> 00:37:29,536 START DOING THAT, FOR EXAMPLE, 988 00:37:29,536 --> 00:37:31,104 YOU START WITH YOUR THEORY OF 989 00:37:31,104 --> 00:37:33,307 CHANGE, POPULATION OR THE 990 00:37:33,307 --> 00:37:34,908 INDIVIDUAL LEVEL, THAT LEADS TO 991 00:37:34,908 --> 00:37:36,043 YOUR KEY INTERVENTION ACTIVITIES 992 00:37:36,043 --> 00:37:38,478 OR COMPONENTS THAT YOU MAY MAP 993 00:37:38,478 --> 00:37:39,946 ON TO, THESE ARE THE 994 00:37:39,946 --> 00:37:42,316 INTERVENTION COMPONENTS THAT YOU 995 00:37:42,316 --> 00:37:45,052 THINK ARE MOST IMPORTANT IN 996 00:37:45,052 --> 00:37:48,622 CHANGING BEHAVIOR, IMPROVING 997 00:37:48,622 --> 00:37:50,524 NUTRITION. AND THEN STARTING 998 00:37:50,524 --> 00:37:52,793 WITH THOSE YOU HAVE TO BUILD A 999 00:37:52,793 --> 00:37:55,329 MODEL OF INTERVENTION. AND PLANS 1000 00:37:55,329 --> 00:37:57,597 FOR INTERVENTIONAL VARIATIONS IN 1001 00:37:57,597 --> 00:38:00,967 HOW PEOPLE OR HOW POPULATIONS 1002 00:38:00,967 --> 00:38:02,836 WILL RECEIVE THESE 1003 00:38:02,836 --> 00:38:04,204 INTERVENTIONS, IN TIMING AND THE 1004 00:38:04,204 --> 00:38:05,672 ORDER OF INTERVENTIONS, IN 1005 00:38:05,672 --> 00:38:08,875 EXPOSURE TO THE INTERVENTIONS 1006 00:38:08,875 --> 00:38:10,210 AND TENSION THEY PLAY TO THEM IN 1007 00:38:10,210 --> 00:38:12,245 THEIR RETENTION OR ADHERENCE TO 1008 00:38:12,245 --> 00:38:14,348 INTERVENTION COMPONENTS TO MARE 1009 00:38:14,348 --> 00:38:15,749 THEIR MOTIVATION, ALL THINGS 1010 00:38:15,749 --> 00:38:17,217 THAT ALTER EVEN IF YOU ARE DOING 1011 00:38:17,217 --> 00:38:19,986 SOMETHING AT THE POPULATION 1012 00:38:19,986 --> 00:38:21,588 LEVEL, THESE ARE DIFFERENT FOR 1013 00:38:21,588 --> 00:38:23,757 EVERY INDIVIDUAL. YOU ALSO PLAN 1014 00:38:23,757 --> 00:38:24,791 FOR CONTEXTUAL INDIVIDUAL 1015 00:38:24,791 --> 00:38:27,661 CHANGES OVER TIME. SOMETHING 1016 00:38:27,661 --> 00:38:30,430 HAPPENS TO A FAMILY, TO A 1017 00:38:30,430 --> 00:38:31,565 COMMUNITY, THAT TOTALLY CHANGES 1018 00:38:31,565 --> 00:38:34,167 THE SYSTEM AROUND IT, AND THESE 1019 00:38:34,167 --> 00:38:34,968 INTERACTIONS AN SOMETHING THAT 1020 00:38:34,968 --> 00:38:38,839 WAS EFFECTIVE ONE DAY MAY BE 1021 00:38:38,839 --> 00:38:39,539 INEFFECTIVE BECAUSE OF CHANGE 1022 00:38:39,539 --> 00:38:43,510 THAT OCCURRED IN THE CONTEXT. IN 1023 00:38:43,510 --> 00:38:45,879 DOING THIS HOW TO ADAPT TO ALL 1024 00:38:45,879 --> 00:38:47,914 OF THESE VARIATIONS THAT OCCUR, 1025 00:38:47,914 --> 00:38:50,517 FOR EXAMPLE IN OUR INTERVENTION 1026 00:38:50,517 --> 00:38:53,687 WE THINK ABOUT REPETITION OR 1027 00:38:53,687 --> 00:38:56,022 REDUNDANCY AND REINFORCEMENT 1028 00:38:56,022 --> 00:38:57,991 OPPORTUNITIES FOR MASTERY IN 1029 00:38:57,991 --> 00:38:59,993 DIFFERENT ASPECTS OF OUR 1030 00:38:59,993 --> 00:39:01,695 INTERVENTION SO THAT IF SOMEONE 1031 00:39:01,695 --> 00:39:03,497 MISSES IT AT WINOR ONE POINT OR 1032 00:39:03,497 --> 00:39:04,831 WRONG TIMING AT ONE POINT IT 1033 00:39:04,831 --> 00:39:07,934 BECOMES THE RIGHT TIMING IN 1034 00:39:07,934 --> 00:39:10,971 ANOTHER POINT AND THAT 1035 00:39:10,971 --> 00:39:11,571 ENTERRECOLLECTION IS THERE FOR 1036 00:39:11,571 --> 00:39:12,506 THEM TO TAKE ADVANTAGE OF THE 1037 00:39:12,506 --> 00:39:17,611 LIGHT TIME TOR FOR THAT. CREATING 1038 00:39:17,611 --> 00:39:18,545 OPPORTUNITIES FOR INTERACTION OR 1039 00:39:18,545 --> 00:39:20,781 WHAT I THINK OF AS CATALYSTS AND 1040 00:39:20,781 --> 00:39:22,883 THEN HOW DO YOU MAKE THOSE 1041 00:39:22,883 --> 00:39:24,684 INTERVENTIONS, OCCUR MORE OFTEN 1042 00:39:24,684 --> 00:39:28,121 IN A HIGHER FREQUENCY AND THEN 1043 00:39:28,121 --> 00:39:29,456 FINALLY ASSUMEK AS I SAID BEFORE 1044 00:39:29,456 --> 00:39:31,191 THE MULTIPLE CAUSAL PATHWAYS IS 1045 00:39:31,191 --> 00:39:34,561 BUILD THAT INTO DESIGN OF 1046 00:39:34,561 --> 00:39:35,595 INTERVENTIONS, AND CAN BE IN THE 1047 00:39:35,595 --> 00:39:37,697 DESIGN OF EVALUATIONS. SO NEXT 1048 00:39:37,697 --> 00:39:42,369 SLIDE. SO THIS IS A SIMPLE 1049 00:39:42,369 --> 00:39:43,837 SIMPLIFIED EXAMPLE HOW I GO BACK 1050 00:39:43,837 --> 00:39:46,406 TO SORT OF PHYSICAL CHEMISTRY, 1051 00:39:46,406 --> 00:39:49,509 AND IF ALL THESE ARE PEOPLE, IN 1052 00:39:49,509 --> 00:39:51,645 A SPACE, IN IN A COMMUNITY, AND 1053 00:39:51,645 --> 00:39:54,648 YOU ARE TRYING TO GET THEM TO 1054 00:39:54,648 --> 00:39:57,517 INTERACT WITH INTERVENTION, OR 1055 00:39:57,517 --> 00:40:00,153 NEXT SLIDE, SO THAT THE -- IN 1056 00:40:00,153 --> 00:40:03,890 THIS CASE SO THE PURPOSE BILL OR 1057 00:40:03,890 --> 00:40:06,626 THE DARK BLUE DOTS MAY BE YOUR 1058 00:40:06,626 --> 00:40:09,329 BASIC INTERVENTION OR YOUR 1059 00:40:09,329 --> 00:40:12,966 PRIMARY INTERVENTION COMPONENT, 1060 00:40:12,966 --> 00:40:14,434 FOR EXAMPLE IN THIS CASE A 1061 00:40:14,434 --> 00:40:19,105 FAMILY BASED INTERVENTION. THEN 1062 00:40:19,105 --> 00:40:20,674 YOU ADD IN MAYBE A SCHOOL 1063 00:40:20,674 --> 00:40:23,410 COMPONENT THAT WOULD BE THE 1064 00:40:23,410 --> 00:40:25,645 BLACK BOXES. THERE ARE MORE 1065 00:40:25,645 --> 00:40:26,213 OPPORTUNITIES FOR THESE 1066 00:40:26,213 --> 00:40:27,781 INDIVIDUALS TO BUMP INTO YOUR 1067 00:40:27,781 --> 00:40:30,016 INTERVENTION, INTERACT WITH IT 1068 00:40:30,016 --> 00:40:33,019 IN THIS WAY AND THIS GETS AT A 1069 00:40:33,019 --> 00:40:35,689 LEVEL ASPECT OF THINGS IS THAT 1070 00:40:35,689 --> 00:40:37,290 YOU IF YOU DON'T GET IT AT HOME 1071 00:40:37,290 --> 00:40:38,792 AND THE HOME INTERVENTION IS 1072 00:40:38,792 --> 00:40:42,629 COMING FROM THE SCHOOL SETTING. 1073 00:40:42,629 --> 00:40:45,298 THEN YOU ADD THESE -- ANOTHER 1074 00:40:45,298 --> 00:40:48,168 CATALYST FOR EXAMPLE, THIS WILL 1075 00:40:48,168 --> 00:40:51,171 BE THE STARS ADDED, THAT WHEN 1076 00:40:51,171 --> 00:40:55,475 THOSE INTERACT WITH THE PERSON, 1077 00:40:55,475 --> 00:40:58,845 AND ONE OF YOUR INTERVENTIONS, 1078 00:40:58,845 --> 00:41:02,048 THAT LEADS TO I WOULD LIKE 1079 00:41:02,048 --> 00:41:03,817 PERHAPS POLICY CHANGE SCHOOL 1080 00:41:03,817 --> 00:41:05,852 ENVIRONMENT TO MAKE SCHOOL LUNCH 1081 00:41:05,852 --> 00:41:08,989 FREE FOR EVERYBODY. NEXT SLIDE. 1082 00:41:08,989 --> 00:41:12,425 THEN YOU MAY ADD ANOTHER 1083 00:41:12,425 --> 00:41:13,059 MS. PERDUE: BASION, YOU CHARGE 1084 00:41:13,059 --> 00:41:15,095 THE SYSTEM WITH SOMETHING LIKE 1085 00:41:15,095 --> 00:41:18,331 MAYBE ANOTHER POLICY, MAYBE 1086 00:41:18,331 --> 00:41:20,567 CONNECTING TO OR INTERACTIONS 1087 00:41:20,567 --> 00:41:22,068 WERE DATA ARE SHARED BETWEEN 1088 00:41:22,068 --> 00:41:22,669 DIFFERENT COMPONENTS OF 1089 00:41:22,669 --> 00:41:26,706 INTERVENTION. YOU LIGHT A FIRE 1090 00:41:26,706 --> 00:41:29,442 TO MAKE THOSE INTERACTIONS OCCUR 1091 00:41:29,442 --> 00:41:33,880 MORE FREQUENCY AS WELL. SO IF WE 1092 00:41:33,880 --> 00:41:36,750 GO TO THAT HOW WOULD YOU -- 1093 00:41:36,750 --> 00:41:39,786 >> CAN YOU START TO WRAP UP 1094 00:41:39,786 --> 00:41:40,020 PLEASE. 1095 00:41:40,020 --> 00:41:42,756 >> YEP. SORRY. FOR EVALUATION OF 1096 00:41:42,756 --> 00:41:45,759 COURSE THE OUTCOME EVALUATION 1097 00:41:45,759 --> 00:41:47,627 BUT ALSO IN SYSTEMS LOOKING AT 1098 00:41:47,627 --> 00:41:51,331 WHO WHAT WHERE WHEN HOW AND WHY. 1099 00:41:51,331 --> 00:41:55,702 Z WHAT DOESN'T WORK TRY AND 1100 00:41:55,702 --> 00:42:00,807 LEARNING FOR THE NEXT LEVEL OF 1101 00:42:00,807 --> 00:42:02,609 NEXT INTERVENTIONS YOU DEVELOP. 1102 00:42:02,609 --> 00:42:04,678 SO THIS IS MY SUMMARY. IS THAT I 1103 00:42:04,678 --> 00:42:06,246 THINK IT IS IMPORTANT THAT WE 1104 00:42:06,246 --> 00:42:07,814 EMBRACE COMPLEXITY AND APPLY 1105 00:42:07,814 --> 00:42:11,952 SYSTEMS THINKING TO OUR WORK. WE 1106 00:42:11,952 --> 00:42:15,288 ASSUME MULTIPLE CAUSAL PATHWAYS, 1107 00:42:15,288 --> 00:42:16,590 WE ASSUME IDIOSYNCRASY, EVERY 1108 00:42:16,590 --> 00:42:18,491 INDIVIDUAL EXPERIENCES UNIQUE 1109 00:42:18,491 --> 00:42:19,326 INTERVENTION, EVEN IF DELIVERED 1110 00:42:19,326 --> 00:42:21,127 AT THE POPULATION LEVEL IT IS 1111 00:42:21,127 --> 00:42:22,829 UNIQUE FOR EVERYONE. WE DON'T 1112 00:42:22,829 --> 00:42:24,030 KNOW YET IF THIS APPROACH 1113 00:42:24,030 --> 00:42:26,700 ACTUALLY ADDS VALUE. IN TERMS OF 1114 00:42:26,700 --> 00:42:29,436 EFFECTIVENESS BUT THERE'S -- 1115 00:42:29,436 --> 00:42:30,704 THAT IT WILL, MODELING 1116 00:42:30,704 --> 00:42:31,705 SIMULATIONS ARE USEFUL BUT I 1117 00:42:31,705 --> 00:42:34,374 BELIEVE MORE SO IN EVALUATION 1118 00:42:34,374 --> 00:42:37,611 PREDICTING THE FUTURE, 1119 00:42:37,611 --> 00:42:39,179 REPLICATION, WE HAVE TO THINK 1120 00:42:39,179 --> 00:42:40,547 MORE ABOUT REPLICATING 1121 00:42:40,547 --> 00:42:42,048 INTERVENTION MODELS RATHER THAN 1122 00:42:42,048 --> 00:42:43,483 SPECIFIC INTERVENTIONS AS YOU 1123 00:42:43,483 --> 00:42:46,052 HAVE HEARD, CONTEXT MATTERS SO 1124 00:42:46,052 --> 00:42:47,420 MUCH AND WE ARE GETTING TO HOW 1125 00:42:47,420 --> 00:42:48,989 YOU GET TO PRECISION PUBLIC 1126 00:42:48,989 --> 00:42:54,060 HEALTH TO MAXIMIZE INCREASING 1127 00:42:54,060 --> 00:42:56,630 INCLUSIVENESS BY PROVIDING 1128 00:42:56,630 --> 00:42:57,664 OPPORTUNITIES FOR THE RIGHT 1129 00:42:57,664 --> 00:42:58,832 INTERVENTION TO REACH THE RIGHT 1130 00:42:58,832 --> 00:43:00,533 PEOPLE RIGHT TIME AND PLACE IN 1131 00:43:00,533 --> 00:43:08,108 THE RIGHT WAY AND COMBINATION. 1132 00:43:08,108 --> 00:43:09,509 >> THANK YOU SO MUCH, TOM, THAT 1133 00:43:09,509 --> 00:43:13,613 WAS EXCELLENT AND I THINK REALLY 1134 00:43:13,613 --> 00:43:14,948 DEMONSTRATED AND VISUALLY 1135 00:43:14,948 --> 00:43:17,150 DISPLAYED FOR EVERYONE HOW 1136 00:43:17,150 --> 00:43:19,085 COMPLEX THIS WILL REALLY BE AS 1137 00:43:19,085 --> 00:43:21,655 WE START TO THINK ABOUT GIVING 1138 00:43:21,655 --> 00:43:23,123 ALL CHILDREN THE SAME EVIDENCE 1139 00:43:23,123 --> 00:43:24,724 BASED NUTRITION STRATEGIES. AND 1140 00:43:24,724 --> 00:43:28,361 ASSESSING APPROPRIATELY. SO OUR 1141 00:43:28,361 --> 00:43:30,563 NEXT SPEAKERS, THERE ARE TWO, 1142 00:43:30,563 --> 00:43:32,032 WILL SPEAK ABOUT INSTITUTIONAL 1143 00:43:32,032 --> 00:43:34,167 MONITORING AND EVALUATION OF 1144 00:43:34,167 --> 00:43:35,001 NUTRITION PROGRAMS AND I WOULD 1145 00:43:35,001 --> 00:43:43,810 LIKE TO WELCOME DIANE DEBERNARDO 1146 00:43:43,810 --> 00:43:49,349 AND H HE WILY MOREFIELD FROM USDA. 1147 00:43:49,349 --> 00:43:51,818 >> HE WILL H LOW, EVERYBODY. I 1148 00:43:51,818 --> 00:43:54,154 WILL OVER THIS BRIEFLY AND THEN 1149 00:43:54,154 --> 00:43:57,023 SHARE IN MORE DETAIL. THE 1150 00:43:57,023 --> 00:43:57,691 MCGOVERN DOLE INTERNATIONAL FOOD 1151 00:43:57,691 --> 00:43:58,925 FOR EDUCATION AND CHILD 1152 00:43:58,925 --> 00:44:00,860 NUTRITION PROGRAM IS THE LARGEST 1153 00:44:00,860 --> 00:44:02,028 SCHOOL FEEDING PROGRAM 1154 00:44:02,028 --> 00:44:04,464 ADMINISTERED BY USDA 1155 00:44:04,464 --> 00:44:05,265 INTERNATIONAL FOOD ASSISTANCE 1156 00:44:05,265 --> 00:44:07,734 DIVISION, AUTHORIZED IN 2002 BY 1157 00:44:07,734 --> 00:44:11,371 THE -- LAUNCHED IN 2003, AND 1158 00:44:11,371 --> 00:44:13,039 RECENTLY IN 2018 WE WERE GIVEN 1159 00:44:13,039 --> 00:44:15,709 THE ABILITY TO USE UP TO 10% OF 1160 00:44:15,709 --> 00:44:19,012 THE PROJECT FUNDS FOR LOCAL 1161 00:44:19,012 --> 00:44:20,780 REGIONAL FOOD AID PROCUREMENT. 1162 00:44:20,780 --> 00:44:22,482 THREE MAIN OBJECTIVES, SO IT IS 1163 00:44:22,482 --> 00:44:25,652 ALSO AN EDUCATION PROGRAM AND 1164 00:44:25,652 --> 00:44:27,353 THE STATED NUTRITION OBJECTIVE 1165 00:44:27,353 --> 00:44:29,155 IS CURRENTLY INCREASE USE OF 1166 00:44:29,155 --> 00:44:31,257 HEALTH NUTRITION AND DIETARY 1167 00:44:31,257 --> 00:44:33,493 PRACTICES. BUT WE ALSO STRIVE TO 1168 00:44:33,493 --> 00:44:35,628 MAKE IT LOCALLY AND NATIONALLY 1169 00:44:35,628 --> 00:44:37,764 OWNED IN ORDER FOR THE PROGRAM 1170 00:44:37,764 --> 00:44:40,667 TO GRADUATE AND HAVE 1171 00:44:40,667 --> 00:44:41,234 SUSTAINABILITY, THE ANNUAL 1172 00:44:41,234 --> 00:44:44,304 BUDGETS HAS COME TO BE 1173 00:44:44,304 --> 00:44:46,906 APPROXIMATELY 222 MILLION AND WE 1174 00:44:46,906 --> 00:44:49,809 ISSUE UP TO BIDDING PROCESS, 1175 00:44:49,809 --> 00:44:53,113 THIS IS A COMMODITIES DRIVEN 1176 00:44:53,113 --> 00:44:54,114 PROGRAM, WE EXPORT COMMODITIES 1177 00:44:54,114 --> 00:44:57,383 TO EACH OF THE COUNTRIES 1178 00:44:57,383 --> 00:44:59,352 COMMODITIES BECOME BULK OF THE 1179 00:44:59,352 --> 00:45:01,121 -- AND COMPLIMENTED BY LOCAL 1180 00:45:01,121 --> 00:45:06,559 FOOD. NEXT SLIDE PLEASE. FISCAL 1181 00:45:06,559 --> 00:45:10,897 YEAR 2021, 31 MILLION -- 31 1182 00:45:10,897 --> 00:45:13,032 COUNTRIES BENEFITING 2.1 SCHOOL 1183 00:45:13,032 --> 00:45:19,906 AGE CHILDREN. THE WAY WE 1184 00:45:19,906 --> 00:45:23,343 DETERMINE CURRENTLY VIRTUALLY NO 1185 00:45:23,343 --> 00:45:27,747 DATA FOR OLDER CHILDREN AS WE 1186 00:45:27,747 --> 00:45:30,150 KNOW. WE USE UNIVERSAL INDICES, 1187 00:45:30,150 --> 00:45:33,253 WE TOUCH BASE WITH OUR POST, OUR 1188 00:45:33,253 --> 00:45:35,522 AGRICULTURE ATTACHES AND STAFF. 1189 00:45:35,522 --> 00:45:38,758 WE REACH OUT TO PARTNERS, GATHER 1190 00:45:38,758 --> 00:45:40,326 INFORMATION THAT WAY WE HOLD 1191 00:45:40,326 --> 00:45:42,562 CALLS AND LOOK AT STANDARDS 1192 00:45:42,562 --> 00:45:44,998 SURVEYS AND OTHER DATA LIKE THE 1193 00:45:44,998 --> 00:45:47,333 DEMOGRAPHIC HEALTH SURVEYS AND 1194 00:45:47,333 --> 00:45:49,335 WE ALSO COORDINATE WITH 1195 00:45:49,335 --> 00:45:51,838 LEADERSHIP WITHIN USDA FOR OTHER 1196 00:45:51,838 --> 00:45:53,373 CONSIDERATIONS BECAUSE WE ARE 1197 00:45:53,373 --> 00:45:56,376 AGENCY THAT HANDLES OTHER ISSUES 1198 00:45:56,376 --> 00:45:57,944 BESIDES HUMANITARIAN AID AND 1199 00:45:57,944 --> 00:45:59,112 INTERNATIONAL DEVELOPMENT. NEXT 1200 00:45:59,112 --> 00:46:02,715 SLIDE PLEASE. THE MAJOR 1201 00:46:02,715 --> 00:46:07,253 COMPONENTS FOR THE NUTRITION 1202 00:46:07,253 --> 00:46:07,821 MCGOVERN DOLE, THE RATION I 1203 00:46:07,821 --> 00:46:09,556 WOULD SAY IS A HALLMARK OF IT 1204 00:46:09,556 --> 00:46:13,459 AND WE REQUIRE THAT THE RATION 1205 00:46:13,459 --> 00:46:20,633 REACH 30%, 25%, 30% WITH FOOD 1206 00:46:20,633 --> 00:46:22,535 COMPONENTS THAT IS FROM THE 1207 00:46:22,535 --> 00:46:24,404 COMMODITIES WE EXPORT OR FROM 1208 00:46:24,404 --> 00:46:28,241 LOCALLY SOURCED FOODS. NUTRITION 1209 00:46:28,241 --> 00:46:30,343 EDUCATION CAN BE THROUGH THE 1210 00:46:30,343 --> 00:46:32,212 CURRICULUM AND CLASSROOM OR 1211 00:46:32,212 --> 00:46:33,513 SOCIAL BEHAVIOR CHANGE 1212 00:46:33,513 --> 00:46:34,113 ACTIVITIES ANSWER REACHES THE 1213 00:46:34,113 --> 00:46:35,882 STUDENTS IN THE SCHOOLS BUT ALSO 1214 00:46:35,882 --> 00:46:37,417 VERY OFTEN THE COMMUNITY 1215 00:46:37,417 --> 00:46:40,653 SURROUNDING THE SCHOOLS, WE ALSO 1216 00:46:40,653 --> 00:46:41,688 TRAIN DIFFERENT STAFF IN 1217 00:46:41,688 --> 00:46:42,989 NUTRITION AND THAT CAN BE THE 1218 00:46:42,989 --> 00:46:46,860 SCHOOL STAFF, IT CAN BE 1219 00:46:46,860 --> 00:46:48,428 COMMUNITY HEALTH WORKERS, ALL 1220 00:46:48,428 --> 00:46:50,330 KINDS OF STAFF, IT DEPENDS ON 1221 00:46:50,330 --> 00:46:52,165 THE PROGRAMS. WE USUALLY HAVE 1222 00:46:52,165 --> 00:46:54,400 SOME SORT OF SCHOOL GARDEN 1223 00:46:54,400 --> 00:46:56,002 COMPONENT AND THAT CAN BE PURELY 1224 00:46:56,002 --> 00:46:57,770 FOR EDUCATION OR COULD BE LIKE A 1225 00:46:57,770 --> 00:47:00,039 FARM THAT ACTUALLY HELPS SOURCE 1226 00:47:00,039 --> 00:47:02,242 FOODS FOR THE SCHOOLS. THEN AS I 1227 00:47:02,242 --> 00:47:03,943 MENTION THE LOCAL AND REGIONAL 1228 00:47:03,943 --> 00:47:07,580 FOOD AID PROCUREMENT. WE/IT CAN 1229 00:47:07,580 --> 00:47:09,616 BE STABLES BUT WE ENCOURAGE IT 1230 00:47:09,616 --> 00:47:13,586 TO BE VEGETABLES, ANIMAL SOURCE 1231 00:47:13,586 --> 00:47:15,488 FOODS, FORTIFIED CROPS SO FORTH 1232 00:47:15,488 --> 00:47:16,756 SO THE AIM IS NOT ONLY TO 1233 00:47:16,756 --> 00:47:17,824 EVENTUALLY TRANSITION THE 1234 00:47:17,824 --> 00:47:19,926 PROGRAM TO LOCAL OWNERSHIP BUT 1235 00:47:19,926 --> 00:47:23,062 ALSO TO MAKE THE RATION MORE 1236 00:47:23,062 --> 00:47:23,830 NUTRIENT DENSE. NEXT SLIDE 1237 00:47:23,830 --> 00:47:27,133 PLEASE. WITH THIS I'LL HAND IT 1238 00:47:27,133 --> 00:47:29,369 OVER TO MY COLLEAGUE, ELLIE. 1239 00:47:29,369 --> 00:47:31,070 >> THANK YOU SO MUCH, DIANE AND 1240 00:47:31,070 --> 00:47:31,704 TO EVERYONE FOR THE OPPORTUNITY 1241 00:47:31,704 --> 00:47:35,141 TO BE HERE TODAY AND THE TEAM 1242 00:47:35,141 --> 00:47:36,876 LEAD SUPPORTING HUMAN EVALUATION 1243 00:47:36,876 --> 00:47:39,112 FOR USDA INTERNATIONAL FOOD 1244 00:47:39,112 --> 00:47:42,415 PROGRAMS, MY ROLE IS TO BRIEFLY 1245 00:47:42,415 --> 00:47:44,083 GO OVER HOW WE ADDRESS NUTRITION 1246 00:47:44,083 --> 00:47:48,221 IN THE COMPONENTS OF THE FOR THE 1247 00:47:48,221 --> 00:47:48,621 FEDERAL PROGRAM. 1248 00:47:48,621 --> 00:47:50,023 . THE WAYS WE DO THAT ARE 1249 00:47:50,023 --> 00:47:52,458 THROUGH THE ARTICULATION OF 1250 00:47:52,458 --> 00:47:53,826 DESIRED RESULTS IN PROGRAMS 1251 00:47:53,826 --> 00:47:56,696 RESULTS FRAMEWORK WHICH IS HERE 1252 00:47:56,696 --> 00:47:59,165 AND STANDARD INDICATORS, 1253 00:47:59,165 --> 00:48:00,166 INDIVIDUAL PROJECTS TRACK 1254 00:48:00,166 --> 00:48:01,834 RELATED TO NUTRITION AND 1255 00:48:01,834 --> 00:48:03,269 IDENTIFICATION OF RESEARCH 1256 00:48:03,269 --> 00:48:05,972 PRIORITY IS THE NUTRITION. SO 1257 00:48:05,972 --> 00:48:07,340 FIRST ON THIS RESULTS FRAMEWORK 1258 00:48:07,340 --> 00:48:08,908 YOU ARE SEEING HERE STRATEGIC 1259 00:48:08,908 --> 00:48:11,778 OBJECTIVE TWO, SO 1. THE FIRST 1260 00:48:11,778 --> 00:48:13,246 STRATEGIC OBJECTIVE IS LITERACY 1261 00:48:13,246 --> 00:48:15,281 BUT THERE IS NO HIERARCHY FOR 1262 00:48:15,281 --> 00:48:17,784 THE PROGRAM, THEY ARE BOTH 1263 00:48:17,784 --> 00:48:18,384 EQUALLY IMPORTANT STRATEGIC 1264 00:48:18,384 --> 00:48:20,820 OBJECTIVES. HIGHLIGHT A COUPLE 1265 00:48:20,820 --> 00:48:25,959 OF THINGS HERE, IMPLEMENTERS AND 1266 00:48:25,959 --> 00:48:28,161 SPECIAL RECOGNIZE PROGRESSION 1267 00:48:28,161 --> 00:48:33,232 HERE NUTRITION AND OTHER HEALTH 1268 00:48:33,232 --> 00:48:35,001 AND HEALTH RELATED TOPICS AND 1269 00:48:35,001 --> 00:48:37,003 IMPROVED KNOWLEDGE WILL LEAD TO 1270 00:48:37,003 --> 00:48:38,371 WITH ALL THE ACTIVITY THAT 1271 00:48:38,371 --> 00:48:40,239 SUPPORTS THAT TRAINING, 1272 00:48:40,239 --> 00:48:41,474 PRACTICAL SKILLS, ITSELF, TO 1273 00:48:41,474 --> 00:48:42,809 INCREASE USE OF HEALTH NUTRITION 1274 00:48:42,809 --> 00:48:44,877 AND DIETARY PRACTICES. SO IT IS 1275 00:48:44,877 --> 00:48:46,679 REALLY THE RESULTS FRAMEWORK 1276 00:48:46,679 --> 00:48:48,581 REFLECTS ESSENTIALLY A SHORT 1277 00:48:48,581 --> 00:48:51,351 MEDIUM TERM DESIRED RESULTS FROM 1278 00:48:51,351 --> 00:48:54,220 M AN A PERSPECTIVE. WE RECOGNIZE 1279 00:48:54,220 --> 00:48:57,090 THAT THIS RESULTS FRAMEWORK 1280 00:48:57,090 --> 00:48:59,726 DOESN'T SAY THAT LONGER TERM 1281 00:48:59,726 --> 00:49:01,527 RESULTS IMPROVE NUTRITIONAL 1282 00:49:01,527 --> 00:49:04,664 STATUS OF SCHOOL AGE CHILDREN, 1283 00:49:04,664 --> 00:49:07,300 THAT IS REFLECTIVE OF THE 1284 00:49:07,300 --> 00:49:08,935 GOVERNMENTAL PROGRAM, A VERY 1285 00:49:08,935 --> 00:49:10,169 PRACTICAL LEVEL A SCHOOL FEEDED 1286 00:49:10,169 --> 00:49:12,338 PROGRAM, IT SHOULD HAVE A 1287 00:49:12,338 --> 00:49:13,473 POSITIVE, CHANGE CERTAINLY HAVE 1288 00:49:13,473 --> 00:49:15,575 A POSITIVE IMPACT ON CHILDREN 1289 00:49:15,575 --> 00:49:16,976 NUTRITIONAL STATUS BUT WE REACH 1290 00:49:16,976 --> 00:49:18,211 CHILDREN WHEN THEY ARE IN SCHOOL 1291 00:49:18,211 --> 00:49:20,279 TYPICALLY WITH ONE MEAL DURING 1292 00:49:20,279 --> 00:49:21,848 THE SCHOOL DAY, JUST ON THE 1293 00:49:21,848 --> 00:49:23,316 SCHOOL DAYS DURING THE SCHOOL 1294 00:49:23,316 --> 00:49:30,823 YEAR. AND SO DIANE WAS SOLELY 1295 00:49:30,823 --> 00:49:32,291 NUTRITIONAL NOT NECESSARILY A 1296 00:49:32,291 --> 00:49:33,893 TYPICAL NUTRITION PROGRAM, IT IS 1297 00:49:33,893 --> 00:49:36,195 REALLY HOLISTICALLY ADDRESSING 1298 00:49:36,195 --> 00:49:37,764 EDUCATIONAL OUTCOMES THROUGH 1299 00:49:37,764 --> 00:49:39,365 SCHOOL FEEDING AND MANY RELATED 1300 00:49:39,365 --> 00:49:40,433 ACTIVITIES. SO AGAIN I THINK 1301 00:49:40,433 --> 00:49:43,803 YOU CAN SEE THAT IN OUR RESULTS 1302 00:49:43,803 --> 00:49:46,272 FRAMEWORK THERE. SO ANOTHER WAY 1303 00:49:46,272 --> 00:49:49,742 TO ADDRESS NUTRITION IS STANDARD 1304 00:49:49,742 --> 00:49:50,243 INDICATORS, MCGOVERN DOLE 1305 00:49:50,243 --> 00:49:52,345 PROJECTS ALL REPORT ON STANDARD 1306 00:49:52,345 --> 00:49:53,579 INDICATORS RELEVANT TO PLANNED 1307 00:49:53,579 --> 00:49:54,947 ACTIVITIES AND THEN THERE IS A 1308 00:49:54,947 --> 00:49:56,282 VARIETY OF ACTIVITIES THAT MAY 1309 00:49:56,282 --> 00:49:58,317 BE CARRYING OUT AS I MENTIONED 1310 00:49:58,317 --> 00:49:59,685 RELATED TO NUTRITION. THIS IS A 1311 00:49:59,685 --> 00:50:02,021 TABLE OF FY 20 DATA TO GIVE YOU 1312 00:50:02,021 --> 00:50:06,626 A FLAVOR. THESE ARE MOSTLY 1313 00:50:06,626 --> 00:50:08,327 OUTPUTS, I WILL ACKNOWLEDGE BUT 1314 00:50:08,327 --> 00:50:09,595 YOU CAN SEE THERE ARE A VARIETY 1315 00:50:09,595 --> 00:50:11,197 OF OUTPUTS THAT REFLECTS 1316 00:50:11,197 --> 00:50:12,498 DIVERSITY OF WAYS IN WHICH 1317 00:50:12,498 --> 00:50:13,499 PROJECTS COULD BE ADDRESSING 1318 00:50:13,499 --> 00:50:17,103 NUTRITION. REALLY THESE ARE I 1319 00:50:17,103 --> 00:50:18,471 THINK STEPPING STONES, OUTPUTS 1320 00:50:18,471 --> 00:50:23,176 AND MEDIUM TERM OUTCOMES, 1321 00:50:23,176 --> 00:50:23,976 STEPPING STONES TOWARDS AGAIN 1322 00:50:23,976 --> 00:50:25,378 THAT HIGHER LEVEL DESIRED RESULT 1323 00:50:25,378 --> 00:50:26,979 OF ACTUAL IMPROVED NUTRITIONAL 1324 00:50:26,979 --> 00:50:29,082 STATUS, HARD TO MEASURE IN 1325 00:50:29,082 --> 00:50:31,384 SCHOOL AGE CHILDREN: WE DO 1326 00:50:31,384 --> 00:50:32,852 REACH SOMETIMES PRE-SCHOOL AGE 1327 00:50:32,852 --> 00:50:34,420 PREGNANT WOMEN, THERE IS A 1328 00:50:34,420 --> 00:50:36,089 POLICY INDICATOR, REALLY 1329 00:50:36,089 --> 00:50:37,056 PROJECTS CAN WORK ON A VARIETY 1330 00:50:37,056 --> 00:50:40,927 OF LEVELS. SHORT ON TIME SO 1331 00:50:40,927 --> 00:50:42,628 NEXT SLIDE. A QUICK OVERVIEW. I 1332 00:50:42,628 --> 00:50:44,063 DO WANT TO HIGH LIGHT HERE, I 1333 00:50:44,063 --> 00:50:47,133 THINK THIS IS IMPORTANT, THESE 1334 00:50:47,133 --> 00:50:49,202 ARE TWO TYPES OF INDICATORS THAT 1335 00:50:49,202 --> 00:50:53,439 DO TRY TO GET AT THAT HIGHER 1336 00:50:53,439 --> 00:50:54,941 LEVEL, EXPERIMENT THE FIRST 1337 00:50:54,941 --> 00:50:56,509 SLIDE THIS IS IMPORTANT TO SHARE 1338 00:50:56,509 --> 00:50:59,445 HERE, IT WAS RETIRED IN 2015 BUT 1339 00:50:59,445 --> 00:51:02,548 WE DID USE A MAD INDICATOR, SURE 1340 00:51:02,548 --> 00:51:04,350 EVERYONE ON THE CALL IS FAMILIAR 1341 00:51:04,350 --> 00:51:05,818 WITH THAT, MINIMUM ACCEPTABLE 1342 00:51:05,818 --> 00:51:08,287 DIET INDICATORS THAT COMBINED 1343 00:51:08,287 --> 00:51:09,322 DIETARY DIVERSITY WITH FREQUENCY 1344 00:51:09,322 --> 00:51:12,758 OF MEALS. LONG STORY SHORT, 1345 00:51:12,758 --> 00:51:14,127 THERE IS NOTHING WRONG WITH 1346 00:51:14,127 --> 00:51:15,394 INDICATOR, THAT IS A GREAT 1347 00:51:15,394 --> 00:51:17,263 INDICATOR, WHY WE USE THE -- WE 1348 00:51:17,263 --> 00:51:19,298 WERE USING IT AS A PROXY FOR 1349 00:51:19,298 --> 00:51:20,766 SCHOOL AGE CHILDREN AND AGAIN IT 1350 00:51:20,766 --> 00:51:21,634 IS AN IMPORTANT PRACTICAL 1351 00:51:21,634 --> 00:51:23,169 EXAMPLE BECAUSE WE USE IT FOR A 1352 00:51:23,169 --> 00:51:25,505 FEW YEARS, AND BOTH INTERNAL 1353 00:51:25,505 --> 00:51:27,039 CONVERSATIONS AND REFLECTIONS 1354 00:51:27,039 --> 00:51:29,075 FROM IMPLEMENTERS, SHOW US IT 1355 00:51:29,075 --> 00:51:30,409 WASN'T FUNCTIONING AS A GOOD 1356 00:51:30,409 --> 00:51:32,078 PROXY FOR US IN OUR PROGRAM. SO 1357 00:51:32,078 --> 00:51:34,313 WE DID RETIRE IT. THERE WERE 1358 00:51:34,313 --> 00:51:35,014 QUESTIONS ON WHETHER IT WAS 1359 00:51:35,014 --> 00:51:36,883 VALID FOR THE SCHOOL AGE 1360 00:51:36,883 --> 00:51:37,917 CHILDREN THAT WE WERE -- THAT WE 1361 00:51:37,917 --> 00:51:39,452 WERE MEASURING, CONSIDERING IT 1362 00:51:39,452 --> 00:51:40,286 WAS DESIGNED FOR YOUNGER 1363 00:51:40,286 --> 00:51:42,955 CHILDREN. AND PROBABLY DIFFERENT 1364 00:51:42,955 --> 00:51:44,724 INTERVENTIONS. IT IS ALSO 1365 00:51:44,724 --> 00:51:47,193 DIFFICULT, RELATIVELY DIFFICULT 1366 00:51:47,193 --> 00:51:48,194 TO COLLECT AND YOU HAVE TO 1367 00:51:48,194 --> 00:51:49,595 CONSIDER ON THE GROUND WHETHER 1368 00:51:49,595 --> 00:51:52,732 THE TIME, POTENTIAL COST 1369 00:51:52,732 --> 00:51:55,001 INVESTED IN COLLECTING SOMETHING 1370 00:51:55,001 --> 00:51:56,769 IS OUTWEIGHING OR NOT THE USE OF 1371 00:51:56,769 --> 00:51:58,471 THAT DATA. SO WE DID RETIRE AND 1372 00:51:58,471 --> 00:52:01,674 WE ARE SEARCHING FOR BETTER 1373 00:52:01,674 --> 00:52:04,110 INDICATORS METRIC MEASURES, IN 1374 00:52:04,110 --> 00:52:07,079 THE SENSE THAT WE ARE -- NEWER 1375 00:52:07,079 --> 00:52:08,848 PROJECTS THE USE OF THOSE 1376 00:52:08,848 --> 00:52:10,216 MEASURES. COUPLE OF YEARS WILL 1377 00:52:10,216 --> 00:52:11,984 BE WELL-POSITIONED TO HAVE 1378 00:52:11,984 --> 00:52:13,452 GOTTEN SOME DATA BACK FROM 1379 00:52:13,452 --> 00:52:16,589 SEVERAL PROJECTS FUNDED IN FY 1380 00:52:16,589 --> 00:52:18,357 21, FY 22 WHO USED THESE 1381 00:52:18,357 --> 00:52:20,059 MEASURES ON THE GROUND AND WILL 1382 00:52:20,059 --> 00:52:22,461 LEARN AT USDAND THEY WILL HAVE 1383 00:52:22,461 --> 00:52:23,262 LEARNED HOW FEASIBLE ARE THOSE 1384 00:52:23,262 --> 00:52:25,865 MEASURES IN THE CONTEXT AND 1385 00:52:25,865 --> 00:52:26,666 MCGOVERN DOLE SPECIFICALLY AND 1386 00:52:26,666 --> 00:52:28,267 WHAT IS THE DATA SHOWING ARE WE 1387 00:52:28,267 --> 00:52:29,435 SEEING DIFFERENCESNA CORRELATE 1388 00:52:29,435 --> 00:52:32,138 WITH OR CAN BE ATTRIBUTED TO THE 1389 00:52:32,138 --> 00:52:34,373 PROJECT INTERVENTIONS. NEXT 1390 00:52:34,373 --> 00:52:37,109 SLIDE PLEASE. FINALLY THIS IS 1391 00:52:37,109 --> 00:52:39,946 ANOTHER WAY WE ARE ADDRESSING 1392 00:52:39,946 --> 00:52:45,017 NUTRITION OR SYSTEMS, IN 2016 1393 00:52:45,017 --> 00:52:47,787 THE MCGOVERN DOLE PROGRAM 1394 00:52:47,787 --> 00:52:49,722 DEVELOPED AN AGENDA, SOME MAY 1395 00:52:49,722 --> 00:52:51,290 HAVE PARTICIPATED DIRECTLY IN 1396 00:52:51,290 --> 00:52:53,092 WORKSHOPS MULTI-STAKEHOLDER 1397 00:52:53,092 --> 00:52:54,060 WORKSHOPS TO DEVELOP THIS. WHAT 1398 00:52:54,060 --> 00:52:55,061 YOU ARE SEEING ARE QUESTIONS 1399 00:52:55,061 --> 00:52:59,065 THAT AT THE TIME WERE NOT 1400 00:52:59,065 --> 00:53:00,866 ANSWERED WITH RIGOROUS EVIDENCE 1401 00:53:00,866 --> 00:53:03,569 BASE THAT WAS AVAILABLE SO THESE 1402 00:53:03,569 --> 00:53:05,137 WERE WHAT MANY DIVERSE 1403 00:53:05,137 --> 00:53:06,906 STAKEHOLDERS RESEARCHERS 1404 00:53:06,906 --> 00:53:08,808 ACADEMICS IMPLEMENTERS USDA 1405 00:53:08,808 --> 00:53:10,042 AGREED WERE NOT FULLY ANSWERED 1406 00:53:10,042 --> 00:53:11,744 BUT SHOULD BE ANSWERED, BECAUSE 1407 00:53:11,744 --> 00:53:13,112 THEY WOULD BENEFIT SCHOOL 1408 00:53:13,112 --> 00:53:15,047 FEEDING PROGRAMS MCGOVERN DOLE 1409 00:53:15,047 --> 00:53:16,716 SPECIFICALLY BUT MORE BROADLY 1410 00:53:16,716 --> 00:53:21,254 OTHERS WORKING IN THE SECTOR. 1411 00:53:21,254 --> 00:53:22,321 ALONG THE WAY WE HAVE BEGUN TO 1412 00:53:22,321 --> 00:53:24,423 ADDRESS THESE AT USDA WITH 1413 00:53:24,423 --> 00:53:25,725 CENTRALLY MANAGED CONTRACTS WITH 1414 00:53:25,725 --> 00:53:29,195 PROJECT LEVEL WORK, I SUSPECT 1415 00:53:29,195 --> 00:53:31,998 THAT EVEN THOUGH IN OTHER 1416 00:53:31,998 --> 00:53:33,499 SECTORS ALSO I'M SURE OTHERS ARE 1417 00:53:33,499 --> 00:53:34,967 WORKED ON THESE QUESTIONS, SURE 1418 00:53:34,967 --> 00:53:36,135 RESEARCH HAS BEEN PRODUCED THAT 1419 00:53:36,135 --> 00:53:37,837 HELPS ANSWER THESE, I SUSPECT 1420 00:53:37,837 --> 00:53:40,473 SOME OF THEM ARE STILL 1421 00:53:40,473 --> 00:53:41,274 UNANSWERED AND STILL WOULD 1422 00:53:41,274 --> 00:53:42,842 BENEFIT FROM A MORE RIGOROUS 1423 00:53:42,842 --> 00:53:43,743 EVIDENCE BASE AND CERTAINLY 1424 00:53:43,743 --> 00:53:45,411 BENEFIT FROM MCGOVERN DOLE 1425 00:53:45,411 --> 00:53:49,315 PROGRAM TO HAVE THESE ANSWERED. 1426 00:53:49,315 --> 00:53:51,784 RESOURCE AVAILABLE, HERE I WANT 1427 00:53:51,784 --> 00:53:54,186 TO EMPHASIZE THE TAKE AWAY FROM 1428 00:53:54,186 --> 00:53:56,522 THAT VERY BRIEF TOUR THROUGH 1429 00:53:56,522 --> 00:53:58,424 MNE, WE HAVE ELEMENTS IN PLACE 1430 00:53:58,424 --> 00:54:00,226 THAT ALLOW MCGOVERN DOLE 1431 00:54:00,226 --> 00:54:01,894 PROJECTS TO DESIGN IMPLEMENT 1432 00:54:01,894 --> 00:54:03,129 ACTIVITIES THAT ADDRESS 1433 00:54:03,129 --> 00:54:05,698 NUTRITION, WE ARE TRACKING 1434 00:54:05,698 --> 00:54:06,666 STEPPINGSTONES TOWARDS IMPROVE 1435 00:54:06,666 --> 00:54:08,467 NUTRITIONAL STATUS IN SCHOOL AGE 1436 00:54:08,467 --> 00:54:11,904 CHILDREN BUT CERTAINLY BENEFIT 1437 00:54:11,904 --> 00:54:12,938 FROM SCHOOL AGE CHILDREN 1438 00:54:12,938 --> 00:54:15,074 INDICATOR OF NUTRITIONAL STATUS. 1439 00:54:15,074 --> 00:54:16,342 I SEE MR. BUNDY, THANKS VERY 1440 00:54:16,342 --> 00:54:22,748 MUCH. ALL DONE. 1441 00:54:22,748 --> 00:54:24,283 >> THANK YOU SO MUCH, APPRECIATE 1442 00:54:24,283 --> 00:54:26,052 THAT COMPREHENSIVE OVERVIEW AND 1443 00:54:26,052 --> 00:54:29,021 AGAIN SHOWING THE COMPLEXITY OF 1444 00:54:29,021 --> 00:54:30,690 WHAT THIS REALLY TAKES. I WANT 1445 00:54:30,690 --> 00:54:32,892 TO WELCOME OUR NEXT SPEAKER, 1446 00:54:32,892 --> 00:54:34,694 OMAR DARY WHO WILL SPEAK THE 1447 00:54:34,694 --> 00:54:35,861 GLOBAL PERSPECTIVE AND TALK 1448 00:54:35,861 --> 00:54:37,530 ABOUT BEYOND SCHOOL FOOD, 1449 00:54:37,530 --> 00:54:39,098 UNDERSTANDING OUTCOMES AND 1450 00:54:39,098 --> 00:54:42,101 PROGRAMS AND OMAR IS FROM USAID. 1451 00:54:42,101 --> 00:54:45,738 WELCOME. 1452 00:54:45,738 --> 00:54:48,107 >> THANK YOU, CHRISTINE. HELLO 1453 00:54:48,107 --> 00:54:50,309 EVERYONE. WHEN I HAVE -- A 1454 00:54:50,309 --> 00:54:52,078 CHALLENGE IN A SHORT PERIOD OF 1455 00:54:52,078 --> 00:54:54,213 TIME TO MAKE SIMPLE A VERY 1456 00:54:54,213 --> 00:54:55,748 COMPLICATED WORK. TOM ROBINSON 1457 00:54:55,748 --> 00:54:58,417 WAS ALREADY EXPLAINING ALL THESE 1458 00:54:58,417 --> 00:55:00,653 SYSTEMS, NOW THE CHALLENGES HOW 1459 00:55:00,653 --> 00:55:03,956 CAN WE TRANSFER THE SAME TYPE OF 1460 00:55:03,956 --> 00:55:06,926 UNDERSTANDING TO THE PROGRAM. I 1461 00:55:06,926 --> 00:55:09,562 WILL TRY TO DO IN A FEW SLIDES. 1462 00:55:09,562 --> 00:55:11,931 NEXT SLIDE PLEASE. WHEN THIS IS 1463 00:55:11,931 --> 00:55:15,601 RECOGNIZE AS A WAY TO SAY THE 1464 00:55:15,601 --> 00:55:17,470 SAME THING LIKE HAS BEEN TELLING 1465 00:55:17,470 --> 00:55:22,408 US SEVERAL DAYS. I TOOK IT FROM 1466 00:55:22,408 --> 00:55:23,743 THE MODEL ABOUT THE CLEAR 1467 00:55:23,743 --> 00:55:28,180 INITIATIVE. FOR EARLY CHILD 1468 00:55:28,180 --> 00:55:29,148 DEVELOPMENT BUT SAYING THE SAME 1469 00:55:29,148 --> 00:55:31,650 THING. IN NUTRITION IS ONLY ONE 1470 00:55:31,650 --> 00:55:32,918 CONTRIBUTING FOR HAVING THE 1471 00:55:32,918 --> 00:55:36,455 HUMAN DEVELOPMENT. THE HEALTH 1472 00:55:36,455 --> 00:55:41,594 SAFETY LEARNING RELATIONSHIPS. 1473 00:55:41,594 --> 00:55:44,130 THAT IS ACROSS THE -- FROM THE 1474 00:55:44,130 --> 00:55:48,067 PREGNANT TO THE -- AND EVERYONE 1475 00:55:48,067 --> 00:55:49,068 IS RELATED WE HAVE ALL THE 1476 00:55:49,068 --> 00:55:54,073 FACTORS THAT ARE RELATED 1477 00:55:54,073 --> 00:55:56,242 EXTERNAL ENVIRONMENT. INTERNAL 1478 00:55:56,242 --> 00:55:57,343 ENVIRONMENT IS INSIDE EACH ONE 1479 00:55:57,343 --> 00:56:01,380 OF US. WHAT WE WANTED IS THAT 1480 00:56:01,380 --> 00:56:02,681 THE HUMAN INDIVIDUAL AS WELL AS 1481 00:56:02,681 --> 00:56:04,917 SOCIETY TO SURVIVE, TO THRIVE, 1482 00:56:04,917 --> 00:56:09,355 TO TRANSFORM. THAT MEANS THAT WE 1483 00:56:09,355 --> 00:56:12,425 CAN TRANSFORM OURSELVES BUT ALSO 1484 00:56:12,425 --> 00:56:13,826 OUR FAMILIES. THAT IS WHAT WE 1485 00:56:13,826 --> 00:56:17,163 WANTED TO DO. WITH ALL THE WORK 1486 00:56:17,163 --> 00:56:21,801 WE DO IN THE FOOD SCHOOL 1487 00:56:21,801 --> 00:56:24,703 SYSTEMS. WE STILL NEED TO LOOK 1488 00:56:24,703 --> 00:56:27,907 FOR THIS INDICATOR, THAT WE JUST 1489 00:56:27,907 --> 00:56:29,809 HAVE FROM OUR COLLEAGUES FROM 1490 00:56:29,809 --> 00:56:32,878 USDA. THEY ARE LOOKING FOR 1491 00:56:32,878 --> 00:56:35,281 INDICATORS OF -- INDICATORS OF 1492 00:56:35,281 --> 00:56:38,651 THE COGNITIVE DEVELOPMENT THOSE 1493 00:56:38,651 --> 00:56:39,685 ARE HIGH LEVEL INDICATOR BECAUSE 1494 00:56:39,685 --> 00:56:44,890 THAT IS OUR GOAL. REACHING 1495 00:56:44,890 --> 00:56:46,058 DEVELOP O. THE HUMAN BEING, THE 1496 00:56:46,058 --> 00:56:49,395 PHYSICAL COGNITIVE AND EMOTIONAL 1497 00:56:49,395 --> 00:56:51,363 OUTCOMES WHICH IS ON TOP OF THIS 1498 00:56:51,363 --> 00:56:54,233 FEATURE. THOSE ARE A LOT OF 1499 00:56:54,233 --> 00:56:55,935 DIFFERENT TYPE OF INPUTS, THE A, 1500 00:56:55,935 --> 00:57:03,509 THE B AS WELL AS THE NUTRITION 1501 00:57:03,509 --> 00:57:05,711 WE HAVE A SERIES OF INDICATORS 1502 00:57:05,711 --> 00:57:07,746 WITH NUTRITIONAL STATUS STARTING 1503 00:57:07,746 --> 00:57:12,418 FROM THE TOP, THE NUTRIENT 1504 00:57:12,418 --> 00:57:13,619 BIOEFFICACY, THOSE ARE 1505 00:57:13,619 --> 00:57:15,287 BIOLOGICAL SYSTEMS WORKING AS 1506 00:57:15,287 --> 00:57:16,322 HOMEOSTASIS WITH THE INTERNAL 1507 00:57:16,322 --> 00:57:18,557 AND EXTERNAL ECOLOGIES. WE HAVE 1508 00:57:18,557 --> 00:57:22,194 BIOMARKERS FOR DOING THOSE. SO 1509 00:57:22,194 --> 00:57:25,130 SOMETHING LIKE THAT WE CAN TAKE 1510 00:57:25,130 --> 00:57:31,804 -- LOOKING AT (INDISCERNIBLE) WE 1511 00:57:31,804 --> 00:57:34,473 COME DOWN WE HAVE BIOMARKERS OF 1512 00:57:34,473 --> 00:57:37,776 SYSTEMS, THAT IS THE NUTRIENT 1513 00:57:37,776 --> 00:57:38,777 BIOEFFICACY, THE INTERACTIONS 1514 00:57:38,777 --> 00:57:42,381 WITH THE DISEASE, WITH PAIR 1515 00:57:42,381 --> 00:57:47,319 SITES AND GENETICS AND WE HAVE 1516 00:57:47,319 --> 00:57:49,622 INDICATORS OF -- WHICH ARE THOSE 1517 00:57:49,622 --> 00:57:54,927 BIOMARKERS OF INTAKE. THESE ARE 1518 00:57:54,927 --> 00:57:57,630 BIOMARKERS OF (INAUDIBLE) BUT 1519 00:57:57,630 --> 00:57:59,665 ANYWAY WE HAVE EVERYTHING THERE 1520 00:57:59,665 --> 00:58:01,467 BUT WITH THESE INTERACTIONS THE 1521 00:58:01,467 --> 00:58:04,670 DIET CONTINUES BEING IMPORTANT. 1522 00:58:04,670 --> 00:58:06,005 IF WHICH DON'T HAVE THE DIET AND 1523 00:58:06,005 --> 00:58:08,007 KNEW TRENTS PROVIDED BY IT WE 1524 00:58:08,007 --> 00:58:11,176 DON'T HAVE INTERACTIONS THAT I I 1525 00:58:11,176 --> 00:58:13,178 SHOW IN THIS GRAPH. THE DIET 1526 00:58:13,178 --> 00:58:16,282 PROVIDE THE INTAKE AND THE 1527 00:58:16,282 --> 00:58:17,516 NATURE OF THE DIET IS THE 1528 00:58:17,516 --> 00:58:18,751 BIOAVAILABILITY OF THE NUTRIENTS 1529 00:58:18,751 --> 00:58:20,019 WHICH IS NOT THE SAME AS 1530 00:58:20,019 --> 00:58:25,090 ABSORPTION. ABSORPTION QUESTION 1531 00:58:25,090 --> 00:58:26,992 PENDS ON HUMAN METABOLISM 1532 00:58:26,992 --> 00:58:31,730 STATUS, SOMETHING LIKE THE IRON 1533 00:58:31,730 --> 00:58:33,299 ABSORPTION. IF WE ARE INFECTED 1534 00:58:33,299 --> 00:58:35,434 WE CANNOT ABSORB THE 1535 00:58:35,434 --> 00:58:36,569 BIOAVAILABILITY OF THE DIET IS 1536 00:58:36,569 --> 00:58:39,572 GOOD. WE NEED TO (INAUDIBLE) IN 1537 00:58:39,572 --> 00:58:44,577 ORDER TO UNDERSTAND WE TRYING TO 1538 00:58:44,577 --> 00:58:47,379 HAVE EVALUATION OF THE FOOD -- 1539 00:58:47,379 --> 00:58:58,357 TYPE OF INTERVENTIONS, ONE SIZE 1540 00:58:58,357 --> 00:59:00,593 DID NOT -- THAT IS WHY IT IS SO 1541 00:59:00,593 --> 00:59:04,597 IMPORTANT TO KNOW EACH 1542 00:59:04,597 --> 00:59:09,134 ENVIRONMENT GENETIC PARAMETERS 1543 00:59:09,134 --> 00:59:11,604 ON MORTALITY. YOU CAN HAVE IN 1544 00:59:11,604 --> 00:59:14,807 THE RIGHT PART OF THE -- SEVERAL 1545 00:59:14,807 --> 00:59:17,776 COUNTRIES EACH ONE OF THESE 1546 00:59:17,776 --> 00:59:24,016 COLORS IS CHILD IN THOSE 1547 00:59:24,016 --> 00:59:26,352 COUNTRIES. 46% IS -- BECAUSE 1548 00:59:26,352 --> 00:59:29,121 THAT IS A VERY DRAMATIC SIMPLE 1549 00:59:29,121 --> 00:59:30,723 PARAMETER, EVERYONE THINKS THAT 1550 00:59:30,723 --> 00:59:33,325 BECAUSE THE POPULATION IS GOING 1551 00:59:33,325 --> 00:59:36,595 TO BE NUTRITION DEFICIENCIES IN 1552 00:59:36,595 --> 00:59:40,466 EVERYTHING, BUT THE -- FOR OTHER 1553 00:59:40,466 --> 00:59:43,602 MEASUREMENT, (INAUDIBLE) IS 45%, 1554 00:59:43,602 --> 00:59:49,074 AND THE WORK IS NOT TOO HIGH. 1555 00:59:49,074 --> 00:59:53,145 AND OTHER INDIANA KAY TORRS OF 1556 00:59:53,145 --> 01:00:00,085 MORTALITY, MATERNAL MORTALITY. 1557 01:00:00,085 --> 01:00:04,189 MY COLLEAGUES AT USDA, THEY DRAW 1558 01:00:04,189 --> 01:00:09,428 THE MINIMAL ADEQUATE DIVERSITY 1559 01:00:09,428 --> 01:00:10,396 INDICATOR FOR KIDS, BUT I PUT 1560 01:00:10,396 --> 01:00:12,631 MANY MY GRAPH ANYWAY AND SHOWED 1561 01:00:12,631 --> 01:00:16,201 THAT DESPITE -- IN THE GUATEMALA 1562 01:00:16,201 --> 01:00:18,237 LIGHT BLUE COLOR IS NOT AS BAD. 1563 01:00:18,237 --> 01:00:21,907 WHICH MEANS THAT PROBABLY THE -- 1564 01:00:21,907 --> 01:00:24,543 INDICATOR TO PREDICT (INAUDIBLE) 1565 01:00:24,543 --> 01:00:25,678 MATERNAL MORTALITY IN THAT 1566 01:00:25,678 --> 01:00:28,681 COUNTRY. BUT THAT IS NOT 1567 01:00:28,681 --> 01:00:37,790 SECRETION. WE HAVE SEVERAL YEARS 1568 01:00:37,790 --> 01:00:40,225 ONGOING SYSTEM OF MACRO NUTRIENT 1569 01:00:40,225 --> 01:00:41,894 DEFICIENCIES AND THESE THE 1570 01:00:41,894 --> 01:00:44,563 SUMMARY PRESENT THERE HAD. IT'S 1571 01:00:44,563 --> 01:00:45,698 ALMOST NOT (INAUDIBLE) 1572 01:00:45,698 --> 01:00:47,800 POPULATION. IRON AND ZINC 1573 01:00:47,800 --> 01:00:49,835 DEFICIENCIES USING BIOMARKERS 1574 01:00:49,835 --> 01:00:53,605 ARE THERE BUT NOT SEVERE. THAT 1575 01:00:53,605 --> 01:00:56,608 IS NOT VITAMIN A D OR FOLATE 1576 01:00:56,608 --> 01:00:58,677 DEFICIENCIES. VITAMIN B 12 1577 01:00:58,677 --> 01:00:59,812 SOMETHING THERE WHICH MINE THIS 1578 01:00:59,812 --> 01:01:03,015 IS NOT SUFFICIENT TO LOOK VERY 1579 01:01:03,015 --> 01:01:04,683 SIMPLE INDICATORS THAT WE ARE 1580 01:01:04,683 --> 01:01:07,152 USING BECAUSE OF SIMPLE -- NOT 1581 01:01:07,152 --> 01:01:08,854 SIMPLE TO MEASURE. WE NEED TO 1582 01:01:08,854 --> 01:01:09,855 LOOK SOMETHING MORE BECAUSE 1583 01:01:09,855 --> 01:01:10,889 SOMETHING IS HIDDEN THAT WE 1584 01:01:10,889 --> 01:01:14,893 CANNOT LOOK AT, IF YOU PRESS -- 1585 01:01:14,893 --> 01:01:17,062 MOBLE. WE ALSO HAVE SOME 1586 01:01:17,062 --> 01:01:19,932 ANALYSIS OF THE NUTRIENT INTAKE, 1587 01:01:19,932 --> 01:01:25,270 BUT IS SHOWING THE SAME THING 1588 01:01:25,270 --> 01:01:27,673 THE BLUE COLUMNS ARE THE 1589 01:01:27,673 --> 01:01:29,641 (INAUDIBLE) POPULATION AND THE 1590 01:01:29,641 --> 01:01:33,278 YELLOW ONE ARE -- VERY POOR HAS 1591 01:01:33,278 --> 01:01:36,148 MORE INADEQUACY. T YOU CAN SEE 1592 01:01:36,148 --> 01:01:39,518 IN THE INDIVIDUAL THEY DON'T 1593 01:01:39,518 --> 01:01:40,886 HAVE DEFICIENCIES FOR 1594 01:01:40,886 --> 01:01:45,457 EVERYTHING, THESE INCLUDE MOST 1595 01:01:45,457 --> 01:01:48,827 INDICATOR B 12, FOLATEB 12 1596 01:01:48,827 --> 01:01:50,729 AFFECTS EVERYONE, IRON ZINC AND 1597 01:01:50,729 --> 01:01:52,297 CALCIUM, ONLY A FEW. DESPITE 1598 01:01:52,297 --> 01:01:54,533 THAT ONE OF THE VERY NICE 1599 01:01:54,533 --> 01:01:55,868 INTERVENTIONS TO PUT BECAUSE 1600 01:01:55,868 --> 01:01:58,804 THIS IS EASY TO -- MORE -- 1601 01:01:58,804 --> 01:02:03,108 WITHOUT REALLY LOOKING THAT WHAT 1602 01:02:03,108 --> 01:02:05,010 WE REALLY -- DEFICIENCIES IN THE 1603 01:02:05,010 --> 01:02:08,781 POPULATION. YOU CAN READ THE 1604 01:02:08,781 --> 01:02:10,015 BOTTOM OF THE GRAPH HERE YOU CAN 1605 01:02:10,015 --> 01:02:15,320 SEE VITAMIN A F FOLATE AND THAT 1606 01:02:15,320 --> 01:02:18,824 MEANS THAT IS BECAUSE NATIONAL 1607 01:02:18,824 --> 01:02:20,692 PROGRAM OF FOOD FORTIFICATION 1608 01:02:20,692 --> 01:02:23,395 THAT WORK -- CAN YOU PRESS -- 1609 01:02:23,395 --> 01:02:27,533 SHOW YOU SOMETHING HERE. 1610 01:02:27,533 --> 01:02:30,435 FORTIFIED SUGAR AND FORTIFIED 1611 01:02:30,435 --> 01:02:32,137 FLOUR, THE COMPLIANCE OF THE 1612 01:02:32,137 --> 01:02:34,206 FORTIFICATION IN YEAR 2017 WAS 1613 01:02:34,206 --> 01:02:39,211 LIKE 10%, THAT WAS VARIABLE ON 1614 01:02:39,211 --> 01:02:40,445 THE NOT BECOME COMPLIANCE OF 1615 01:02:40,445 --> 01:02:44,216 STANDARD BUT 100%. THE FLOUR 1616 01:02:44,216 --> 01:02:46,919 CONTAINS IRON FOLATE ACID, B 1, 1617 01:02:46,919 --> 01:02:51,757 B 2 AND NIACIN. VITAMIN A IN 1618 01:02:51,757 --> 01:02:53,525 SOME PARTS IN THE INDUSTRIALIZED 1619 01:02:53,525 --> 01:02:56,762 WORLD WE DON'T WANT SUGAR AS WAY 1620 01:02:56,762 --> 01:03:00,265 TO HAVE DOING THINGS BUT ONE OF 1621 01:03:00,265 --> 01:03:02,801 THE ONLY FEW FOODS WE CAN 1622 01:03:02,801 --> 01:03:04,803 TRANSFER SOMETHING BECAUSE OF 1623 01:03:04,803 --> 01:03:13,679 THAT VITAMIN DEFICIENCY, 1981, 1624 01:03:13,679 --> 01:03:16,915 85. WHICH WHITE BREAD IS THERE, 1625 01:03:16,915 --> 01:03:19,084 FOOD FLOUR, SOMETHING LIKE 1626 01:03:19,084 --> 01:03:23,555 COMPLIMENTARY FOOD, THE SALT IS 1627 01:03:23,555 --> 01:03:25,057 WITH IODIDE. THIS IS ALSO A 1628 01:03:25,057 --> 01:03:29,828 SOURCE OF KNEW TRENTS. 1629 01:03:29,828 --> 01:03:30,796 NUTRIENT. THESE FOODS ARE HAVING 1630 01:03:30,796 --> 01:03:33,432 IN THE POPULATION. IT EXPLAINS 1631 01:03:33,432 --> 01:03:37,870 WHY DESPITE THE POPULATION, 1632 01:03:37,870 --> 01:03:41,540 HAVING THE PERFECT DIET DOES NOT 1633 01:03:41,540 --> 01:03:45,110 HAVE MANY FOOD DEFICIENCIES. 1634 01:03:45,110 --> 01:03:47,479 THIS IS MY FINAL SLIDE, THE 1635 01:03:47,479 --> 01:03:49,381 SCALABILITY BECAUSE WE ARE NOW 1636 01:03:49,381 --> 01:03:51,583 MOVING TO -- NEEDS TO BE A 1637 01:03:51,583 --> 01:03:56,188 PROGRAM THAT IS SAFE, IF WE 1638 01:03:56,188 --> 01:03:57,422 ALREADY HAVE SUFFICIENT SUPPLY 1639 01:03:57,422 --> 01:03:59,291 OF NUTRIENTS WE DON'T NEED TO 1640 01:03:59,291 --> 01:04:00,525 SUPPLY THOSE IN ADDITIONAL 1641 01:04:00,525 --> 01:04:06,131 INTERVENTIONS. THAT IS NOT ONLY 1642 01:04:06,131 --> 01:04:08,500 SAFETY, CONTAMINATION OF THE 1643 01:04:08,500 --> 01:04:09,935 FOODS BUT SAFETY TO KEEP BALANCE 1644 01:04:09,935 --> 01:04:12,571 OF THE DIET. NEEDS TO BE 1645 01:04:12,571 --> 01:04:15,107 EFFECTIVE. EFFICACY OF BROADER 1646 01:04:15,107 --> 01:04:17,976 DOMAIN TO BE EFFECTIVE. WE NEED 1647 01:04:17,976 --> 01:04:22,014 TO BE OF THE REAL CONDITIONS, 1648 01:04:22,014 --> 01:04:23,782 THAT LINK TO BECAUSE AND 1649 01:04:23,782 --> 01:04:24,683 POPULATION OF THE QUALITY TO 1650 01:04:24,683 --> 01:04:26,551 MAINTAIN. WHAT WE WANT IS REALLY 1651 01:04:26,551 --> 01:04:29,621 TO MOVE THE BIOINDICATORS AND IF 1652 01:04:29,621 --> 01:04:31,290 DOING THAT LOOKING INTO THE -- 1653 01:04:31,290 --> 01:04:33,292 WHICH IS ONLY A SMALL PORTION OF 1654 01:04:33,292 --> 01:04:34,559 WHATEVER IS GOING TO INFLUENCE 1655 01:04:34,559 --> 01:04:37,095 THE POPULATION. WE HAVE THE 1656 01:04:37,095 --> 01:04:39,031 DIET, WE NEED TO KNOW BASICS OF 1657 01:04:39,031 --> 01:04:40,399 THE DIET IN THE COMMUNITY, IN 1658 01:04:40,399 --> 01:04:42,868 ORDER TO FIND WHICH IS THE TYPE 1659 01:04:42,868 --> 01:04:44,803 OF FOODS OR INTERVENTION WE NEED 1660 01:04:44,803 --> 01:04:46,905 TO DO IN THIS, TO COMPLIMENT 1661 01:04:46,905 --> 01:04:49,107 WHATEVER IS IN THE COMMUNITY. 1662 01:04:49,107 --> 01:04:50,642 THERE ARE SEVERAL INTERVENTIONS 1663 01:04:50,642 --> 01:04:52,077 TRYING TO DO IN ADDITION TO THE 1664 01:04:52,077 --> 01:04:55,514 NORMAL FOODS. WE CAN DO FOOD 1665 01:04:55,514 --> 01:04:56,515 SUPPLEMENTS LIKE THE SCHOOL 1666 01:04:56,515 --> 01:04:58,450 COOKING THAT IS FORTIFIED. WE 1667 01:04:58,450 --> 01:05:00,052 CAN HAVE SPECIFIC FORTIFIED FOOD 1668 01:05:00,052 --> 01:05:02,487 FOR THE SCHOOL SYSTEM, EVEN USE 1669 01:05:02,487 --> 01:05:04,456 SUPPLEMENT WHICH IS VERY 1670 01:05:04,456 --> 01:05:06,925 ATTRACTIVE. ALL OF THEM WHAT 1671 01:05:06,925 --> 01:05:09,728 THEY ARE DOING IS PUTTING MORE 1672 01:05:09,728 --> 01:05:13,265 IN THE INTAKE OF THE DIET BUT 1673 01:05:13,265 --> 01:05:14,599 EVERYTHING IS IN THE SAME 1674 01:05:14,599 --> 01:05:16,969 DIRECTION. WE DON'T KNOW WHAT IS 1675 01:05:16,969 --> 01:05:18,203 HAPPENING WITH COMBINATION OF 1676 01:05:18,203 --> 01:05:20,639 ALL OF THEM. THAT IS WHY WE NEED 1677 01:05:20,639 --> 01:05:23,008 REALLY TO LOOK EVERYTHING 1678 01:05:23,008 --> 01:05:24,543 REGARDING WHAT ARE THE SYSTEMS 1679 01:05:24,543 --> 01:05:27,946 WORKING AND WHAT INTERVENTIONS, 1680 01:05:27,946 --> 01:05:30,949 IN ORDER TO UNDERSTAND WHAT ARE 1681 01:05:30,949 --> 01:05:32,217 WORKING WHAT IS FEASIBLE AND HOW 1682 01:05:32,217 --> 01:05:35,187 TO KEEP THEM AND FINALLY THE 1683 01:05:35,187 --> 01:05:39,658 IMPACT WE WANTED TO DO, WE NEED 1684 01:05:39,658 --> 01:05:40,792 TO FIND THE NEED. IF YOU DON'T 1685 01:05:40,792 --> 01:05:41,727 HAVE THE NEED THERE IS NO 1686 01:05:41,727 --> 01:05:43,228 INTERVENTION. WE NEED TO LOOK AT 1687 01:05:43,228 --> 01:05:45,564 THE ADDITIONAL BIOEFFICACY OF 1688 01:05:45,564 --> 01:05:48,233 WHAT OUR INTERVENTIONS, AND 1689 01:05:48,233 --> 01:05:52,070 ESPECIALLY THE COVERAGE, WE WANT 1690 01:05:52,070 --> 01:05:53,338 FOR THE IMPORTANT PARAMETERS 1691 01:05:53,338 --> 01:05:55,774 THAT WE NEED TO HAVE. THANK YOU 1692 01:05:55,774 --> 01:05:56,775 EVERYONE FOR YOUR ATTENTION. 1693 01:05:56,775 --> 01:06:05,017 >> THANK YOU, O OMAMAR. EXCELLENT 1694 01:06:05,017 --> 01:06:06,151 ILLUSTRATION HOW MULTIPLE 1695 01:06:06,151 --> 01:06:08,787 PROGRAMS WORK SIMULTANEOUSLY AND 1696 01:06:08,787 --> 01:06:10,989 IN TERMS OF ASSESSMENT AND ALSO 1697 01:06:10,989 --> 01:06:13,091 TO REALLY FIGURE OUT WHICH ONES 1698 01:06:13,091 --> 01:06:15,127 TO FOCUS ON WHICH CONTEXT. SO 1699 01:06:15,127 --> 01:06:18,296 THANK YOU SO MUCH. THAT WAS HELP 1700 01:06:18,296 --> 01:06:23,635 HELPFUL. TRILLIONS OUR NEXT 1701 01:06:23,635 --> 01:06:25,804 SPEAKERS WILL TALK BUILDING 1702 01:06:25,804 --> 01:06:27,305 SUSTAINABILITY AND RESILIENCY 1703 01:06:27,305 --> 01:06:28,707 AND I WOULD LIKE TO WELCOME 1704 01:06:28,707 --> 01:06:33,545 RACHEL NOVOTNY UNIVERSITY OF 1705 01:06:33,545 --> 01:06:41,119 HAWAII AND JULIANA COHEN, 1706 01:06:41,119 --> 01:06:41,686 MERRIMACK COLLEGE. 1707 01:06:41,686 --> 01:06:43,789 >> THANK YOU, JULIANA ANDRY 1708 01:06:43,789 --> 01:06:47,426 SPEAKING TO SUSTAINABILITY AND 1709 01:06:47,426 --> 01:06:48,326 NUTRITION PROGRAMS DIRECTED 1710 01:06:48,326 --> 01:06:50,562 TOWARDS CHILDREN. WE ARE USING A 1711 01:06:50,562 --> 01:06:53,331 SOCIAL HE CAN LOGIC MULTILEVEL 1712 01:06:53,331 --> 01:06:54,132 MULTI-COMPONENT FRAMEWORK NOR 1713 01:06:54,132 --> 01:06:58,637 THE PRESENTATION. THAT IS HOW 1714 01:06:58,637 --> 01:06:59,371 INDIVIDUALS PARTNERS 1715 01:06:59,371 --> 01:07:00,605 ORGANIZATIONS AND POLICIES WORK 1716 01:07:00,605 --> 01:07:02,140 TOGETHER, SHOWN HERE DEPICTING 1717 01:07:02,140 --> 01:07:04,142 KEY POINTS FROM EXISTING 1718 01:07:04,142 --> 01:07:06,545 SYSTEMATIC REVIEW, EXAMINING THE 1719 01:07:06,545 --> 01:07:09,347 SUSTAINABILITY OF PUBLIC HEALTH 1720 01:07:09,347 --> 01:07:10,248 INTERVENTIONS. I WILL BE 1721 01:07:10,248 --> 01:07:13,952 REFERENCING LESSONS LEARNED IN 1722 01:07:13,952 --> 01:07:16,021 THE HEALTHY LIVING RANDOMIZE 1723 01:07:16,021 --> 01:07:17,389 TRIAL OR CHILL IN JURISDICTIONS 1724 01:07:17,389 --> 01:07:18,490 OF THE PACIFIC WHICH ARE LISTED 1725 01:07:18,490 --> 01:07:26,798 AT THE BOTTOM OF THE SLIDE. 1726 01:07:26,798 --> 01:07:27,899 DECREASE LEVEL OF CHILD 1727 01:07:27,899 --> 01:07:30,435 OVERWEIGHT OBESITY AND IN THOSE 1728 01:07:30,435 --> 01:07:31,803 COMMUNITIES AND WE ARE FINDING 1729 01:07:31,803 --> 01:07:33,505 THE EFFECT OF THE INTERVENTION 1730 01:07:33,505 --> 01:07:38,877 INCREASE ACROSS TIME. AT THE 1731 01:07:38,877 --> 01:07:40,545 INNER LEVEL OF THE MODEL IS THE 1732 01:07:40,545 --> 01:07:42,314 CHILD, THE TARGET OF THE 1733 01:07:42,314 --> 01:07:43,882 NUTRITION PROGRAMS. . CHILDREN 1734 01:07:43,882 --> 01:07:45,784 ARE THE FUTURE FOR 1735 01:07:45,784 --> 01:07:47,586 SUSTAINABILITY AND RESILIENCY IN 1736 01:07:47,586 --> 01:07:48,920 CHILDREN NUTRITION HEALTH AND 1737 01:07:48,920 --> 01:07:51,156 WELL BEING, BOTH SYMBOLICALLY 1738 01:07:51,156 --> 01:07:53,058 AND PRACTICALLY CHILDREN ARE 1739 01:07:53,058 --> 01:07:54,659 EASY RALLYING POINT WITH 1740 01:07:54,659 --> 01:07:57,762 COMMUNITIES TO FOCUS ON A VISION 1741 01:07:57,762 --> 01:08:01,500 OF CHILDREN WELL BEING. 1742 01:08:01,500 --> 01:08:02,667 INVOLVING PEOPLE WHO CARE ABOUT 1743 01:08:02,667 --> 01:08:03,869 AND FOR CHILDREN AND THE 1744 01:08:03,869 --> 01:08:05,003 CHILDREN THEMSELVES ESPECIALLY 1745 01:08:05,003 --> 01:08:06,805 THOSE THAT ARE NATURAL ROLE 1746 01:08:06,805 --> 01:08:09,774 MODELS, PROVIDES MOTIVATION AND 1747 01:08:09,774 --> 01:08:11,009 VIEW TOWARD SUSTAINABILITY AND 1748 01:08:11,009 --> 01:08:16,481 RESILIENCY. IN PLANNING 1749 01:08:16,481 --> 01:08:17,449 PRIORITIZE PARTNERSHIPS THAT 1750 01:08:17,449 --> 01:08:18,950 WILL BE THERE, TO SUSTAIN THE 1751 01:08:18,950 --> 01:08:19,885 PROGRAM WHEN THE INTERVENTION IS 1752 01:08:19,885 --> 01:08:24,523 OVER. PARTNERS FROM DIFFERENT 1753 01:08:24,523 --> 01:08:25,657 LEVELS OF SOCIAL ECOLOGICAL 1754 01:08:25,657 --> 01:08:27,626 FRAMEWORK AND DIFFERENT SETTING 1755 01:08:27,626 --> 01:08:28,960 OR SECTORS IDENTIFIED IN THE 1756 01:08:28,960 --> 01:08:30,195 LITERATURE AND COMMUNITY AS 1757 01:08:30,195 --> 01:08:31,363 INFLUENCING NUTRITION AND HEALTH 1758 01:08:31,363 --> 01:08:35,667 OF CHILDREN. IDENTIFY 1759 01:08:35,667 --> 01:08:37,068 PASSIONATE LOCAL LEADERS WORKING 1760 01:08:37,068 --> 01:08:39,004 IN THIS ARENA, FOCUS ON 1761 01:08:39,004 --> 01:08:42,307 SUPPORTING THEM TO DO MORE, SEEK 1762 01:08:42,307 --> 01:08:44,176 INDIGENOUS LEADERS AND SEEK TO 1763 01:08:44,176 --> 01:08:45,810 UNDERSTAND LOCAL INDIGENOUS WAYS 1764 01:08:45,810 --> 01:08:49,648 AS FRAME WORKS FOR WORKING AND 1765 01:08:49,648 --> 01:08:50,649 TALKING ABOUT CHILD WELL BEING. 1766 01:08:50,649 --> 01:08:52,717 WE DEVELOPED A COLLABORATION 1767 01:08:52,717 --> 01:08:54,152 READINESS TOOL SHOWN HERE TO 1768 01:08:54,152 --> 01:08:57,289 GUIDE THINKING ABOUT WILLINGNESS 1769 01:08:57,289 --> 01:09:04,763 TO COLLABORATE CAPACITY TO 1770 01:09:04,763 --> 01:09:06,665 CHANGE AND WORKING TOGETHER. 1771 01:09:06,665 --> 01:09:07,832 IDENTIFY A BACKBONE ORGANIZATION 1772 01:09:07,832 --> 01:09:09,067 THAT WILL COORDINATE PEOPLE AND 1773 01:09:09,067 --> 01:09:10,302 MANAGE PEOPLE IN SHORT AND LONG 1774 01:09:10,302 --> 01:09:12,337 TERM. WE AT THE UNIVERSIT OF 1775 01:09:12,337 --> 01:09:13,338 HAWAII LAND GRANT COLLEGE WITH 1776 01:09:13,338 --> 01:09:14,706 RESEARCH TRAINING AND OUTREACH 1777 01:09:14,706 --> 01:09:17,609 MISSION PLAY THE ROLE FOR CHILL 1778 01:09:17,609 --> 01:09:18,810 AND WE WORK WITH LAND GRANT 1779 01:09:18,810 --> 01:09:19,811 COLLEGE PARTNERS ACROSS THE 1780 01:09:19,811 --> 01:09:22,147 REGION. NOTE IN THE FIGURE THAT 1781 01:09:22,147 --> 01:09:24,049 THE CHILDREN -- IN THE TRIAL 1782 01:09:24,049 --> 01:09:26,284 SCHOOLS WERE PRIMARY PARTNERS 1783 01:09:26,284 --> 01:09:27,185 THOUGH OTHER GROUPS CONTRIBUTED 1784 01:09:27,185 --> 01:09:28,453 TO PROGRAM ACTIVITIES WHICH LED 1785 01:09:28,453 --> 01:09:30,555 TO DECREASE COMMUNITY LEVEL OF 1786 01:09:30,555 --> 01:09:38,797 CHILD OVERWEIGHT AN OBESITY. 1787 01:09:38,797 --> 01:09:39,965 BUILDING DEGREE SEEKING TRAINING 1788 01:09:39,965 --> 01:09:41,399 SETS UP A PROGRAM FOR 1789 01:09:41,399 --> 01:09:42,500 SUSTAINABILITY AND RESILIENCY 1790 01:09:42,500 --> 01:09:45,437 WITH FUTURE LEADERS WHO BOTH 1791 01:09:45,437 --> 01:09:49,274 CARRY ON AND INNOVATE. IDENTIFY 1792 01:09:49,274 --> 01:09:51,042 RESOURCES AN PROGRAMS TO 1793 01:09:51,042 --> 01:09:52,944 INNOVATE AND STRUCTURE SUCH AS 1794 01:09:52,944 --> 01:09:55,513 DATA CENTER THAT PROVIDES 1795 01:09:55,513 --> 01:09:56,982 ONGOING CONNECTION INFORMATION 1796 01:09:56,982 --> 01:10:02,153 AS WELL AS SMALL REVENUE STREAM. STREAM. 1797 01:10:02,153 --> 01:10:04,122 USE POLICY TO CREATE SUSTAINABLE 1798 01:10:04,122 --> 01:10:06,258 CHANGE AT ALL LEVEL, THIS IS A 1799 01:10:06,258 --> 01:10:08,059 COST EFFECTIVE APPROACH, SEEK 1800 01:10:08,059 --> 01:10:10,395 CHANGES IN EXISTING PROGRAMS AND 1801 01:10:10,395 --> 01:10:12,264 BUILD DATA SYSTEMS TO PROVIDE 1802 01:10:12,264 --> 01:10:15,900 ONGOING DATA TO SUPPORT POLICY 1803 01:10:15,900 --> 01:10:17,068 CHANGES BUILDING RELATIONSHIPS 1804 01:10:17,068 --> 01:10:18,803 FOR CHANGE ALLOWS RESPONSIVENESS 1805 01:10:18,803 --> 01:10:22,540 AND RESILIENCY MANY THE FACE OF 1806 01:10:22,540 --> 01:10:27,112 NATURAL DISASTERS SUCH AS 1807 01:10:27,112 --> 01:10:27,946 TYPHOONS IN THE PACIFIC AND 1808 01:10:27,946 --> 01:10:30,882 COVID OF COURSE. WE END WE MANY 1809 01:10:30,882 --> 01:10:32,017 CHARS TO CONSIDER AT EACH LEVEL 1810 01:10:32,017 --> 01:10:33,585 RELATED TO SUSTAINABILITY AND 1811 01:10:33,585 --> 01:10:36,154 RESILIENCY OF A PROGRAM. THE 1812 01:10:36,154 --> 01:10:37,756 JURISDICTION LEVEL COSTS OF 1813 01:10:37,756 --> 01:10:39,457 BASIC NEEDS ESPECIALLY FOOD FUEL 1814 01:10:39,457 --> 01:10:48,166 AND HOUSING, COMMUNITY LEVEL 1815 01:10:48,166 --> 01:10:50,602 PARENT CAREGIVER HOUSEHOLD, 1816 01:10:50,602 --> 01:10:51,469 INDIVIDUAL CHILDREN SOCIAL 1817 01:10:51,469 --> 01:10:52,504 NETWORKS AND THE INDIVIDUAL 1818 01:10:52,504 --> 01:10:53,972 LEVEL IN ADDITION TO MEASURES 1819 01:10:53,972 --> 01:10:55,173 PUT FORTH BY OTHER WORKING 1820 01:10:55,173 --> 01:10:58,176 GROUPS I WOULD LIKE TO HIGHLIGHT 1821 01:10:58,176 --> 01:11:02,814 THE VALUE OF SOME DIET ACTIVITY 1822 01:11:02,814 --> 01:11:03,815 RECORDS WORKING WITH POPULATIONS 1823 01:11:03,815 --> 01:11:05,950 UNDER STUDY TO LEARN ABOUT WHAT 1824 01:11:05,950 --> 01:11:07,986 IS ACTUALLY BEING CONSUMED ABOUT 1825 01:11:07,986 --> 01:11:12,824 DAILY ACTIVITIES. NONE OF THE 1826 01:11:12,824 --> 01:11:14,326 CHILDREN JURISDICTIONS ARE 1827 01:11:14,326 --> 01:11:16,294 NATIONAL MONITORING SYSTEMS OR N 1828 01:11:16,294 --> 01:11:17,929 HAYNES. SO THIS FOUNDATIONAL 1829 01:11:17,929 --> 01:11:21,633 WORK ON FOOD INTAKE AND ACTIVITY 1830 01:11:21,633 --> 01:11:23,535 IS VITAL TORR ACTIVITY PROGRAM 1831 01:11:23,535 --> 01:11:25,770 AND POLICY PLANNING. ALSO LIKE 1832 01:11:25,770 --> 01:11:27,939 TO HIGHLIGHT VISUAL ASSESSMENT 1833 01:11:27,939 --> 01:11:29,074 ACCORDING TO BURKE AS COST 1834 01:11:29,074 --> 01:11:31,109 EFFECTIVE WAY TO MEASURE 1835 01:11:31,109 --> 01:11:32,310 POPULATION LEVEL METABOLIC 1836 01:11:32,310 --> 01:11:33,645 CHANGES ASSOCIATED WITH OBESITY 1837 01:11:33,645 --> 01:11:36,081 FOR SURVEILLANCE, AND AS A 1838 01:11:36,081 --> 01:11:39,851 SCREENER FOR REFERRALS AND WE 1839 01:11:39,851 --> 01:11:42,153 FOUND SENTENCETIVE TO COMMUNITY 1840 01:11:42,153 --> 01:11:43,254 CHANGE IN TRIAL. SO THANK YOU, 1841 01:11:43,254 --> 01:11:50,195 VERY MUCH. 1842 01:11:50,195 --> 01:11:53,031 >> THANK YOU SO MUCH, INCREDIBLY 1843 01:11:53,031 --> 01:11:54,366 IMPORTANT TO BUILD FOR 1844 01:11:54,366 --> 01:11:55,433 SUSTAINABILITY. LAST WE HAVE TWO 1845 01:11:55,433 --> 01:11:57,001 SPEAKERS THAT ARE GOING TO TALK 1846 01:11:57,001 --> 01:12:00,438 ABOUT EQUITY. WE HAVE ANGELA 1847 01:12:00,438 --> 01:12:02,474 ODOMS YOUNG FROM CORNELL 1848 01:12:02,474 --> 01:12:06,745 UNIVERSITY AND BIBI GIYOSE FROM 1849 01:12:06,745 --> 01:12:09,114 NEPAD. FIRST ANGELA WILL TALK 1850 01:12:09,114 --> 01:12:10,882 ABOUT THE DOMESTIC CONTEXT AND 1851 01:12:10,882 --> 01:12:12,550 THEN BIBI WILL TALK ABOUT 1852 01:12:12,550 --> 01:12:14,018 INTERNATIONAL CONTEXT. AND I 1853 01:12:14,018 --> 01:12:16,254 WANT TO EMPHASIZE THAT OUR 1854 01:12:16,254 --> 01:12:18,390 WORKING GROUP TALKED EQUITY 1855 01:12:18,390 --> 01:12:20,158 EVERY STEP OF THE WAY AND WE 1856 01:12:20,158 --> 01:12:21,526 BELIEVE THAT IT NEEDS TO BE 1857 01:12:21,526 --> 01:12:23,395 INFUSED INTO ALL THIS WORK. AND 1858 01:12:23,395 --> 01:12:25,563 WE ARE HAPPY THAT THEY ARE BOTH 1859 01:12:25,563 --> 01:12:27,665 ENDING THE SERIES OF SPEAKERS 1860 01:12:27,665 --> 01:12:30,101 FROM THE INTERNAL WORKING GROUP. 1861 01:12:30,101 --> 01:12:31,469 WITH A ROBUST DISCUSSION AROUND 1862 01:12:31,469 --> 01:12:33,271 EQUITY. SO THANK YOU AND 1863 01:12:33,271 --> 01:12:35,440 WELCOME, ANGELA AND BIBI. 1864 01:12:35,440 --> 01:12:37,008 >> THANKS SO MUCH, CHRIS. IT 1865 01:12:37,008 --> 01:12:40,545 REALLY IS A PLEASURE TO BE ABLE 1866 01:12:40,545 --> 01:12:41,980 AND INVITED TO SPEAK ON THE 1867 01:12:41,980 --> 01:12:45,150 PANEL AS WELL AS THE PART OF THE 1868 01:12:45,150 --> 01:12:52,824 WORKING GROUP I HAVE BEEN 1869 01:12:52,824 --> 01:12:54,292 CHARGED TO TALK ABOUT EQUITY 1870 01:12:54,292 --> 01:12:57,829 MANY THE CONTEXT OF SCALE 1871 01:12:57,829 --> 01:13:00,799 PROGRAMS. NEXT SLIDE PLEASE. 1872 01:13:00,799 --> 01:13:04,135 SO SCHOOL MEAL PROGRAMS FOODS 1873 01:13:04,135 --> 01:13:05,403 SERVED IN SCHOOL ARE RELEVANT 1874 01:13:05,403 --> 01:13:06,971 WHEN WE THINK ABOUT PROMOTING 1875 01:13:06,971 --> 01:13:09,174 EQUITY AND EXTENSIVE BODY OF 1876 01:13:09,174 --> 01:13:10,742 LITERATURE, INDICATES THAT 1877 01:13:10,742 --> 01:13:12,844 YOUNGER INDIVIDUALS LOW INCOME 1878 01:13:12,844 --> 01:13:14,012 POPULATIONS, BLACK INDIGENOUS 1879 01:13:14,012 --> 01:13:16,714 PEOPLE OF COLOR, IN THE U.S. ARE 1880 01:13:16,714 --> 01:13:19,451 SIGNIFICANTLY AT RISK FOR HAVING 1881 01:13:19,451 --> 01:13:20,985 POOR DIETARY INTAKE AS WELL AS 1882 01:13:20,985 --> 01:13:23,354 INCREASE CONSUMPTION OF PROCESS 1883 01:13:23,354 --> 01:13:25,824 FOODS. SO FEDERAL PROGRAMS LIKE 1884 01:13:25,824 --> 01:13:27,792 THE NATURAL SCHOOL LUNCH 1885 01:13:27,792 --> 01:13:28,660 PROGRAMS, SCHOOL BREAKS FROM 1886 01:13:28,660 --> 01:13:29,861 FAST PROGRAMS SUMMER MEALS ARE 1887 01:13:29,861 --> 01:13:31,296 DESIGNED TO REDUCE FOOD 1888 01:13:31,296 --> 01:13:34,432 INSECURITY AND PROMOTE HEALTHY 1889 01:13:34,432 --> 01:13:36,634 EATING. STUDIES SHOW 1890 01:13:36,634 --> 01:13:38,203 PARTICIPANTS OF THESE PROGRAMS 1891 01:13:38,203 --> 01:13:42,607 HAVE HEALTHIER LUNCHES THAN 1892 01:13:42,607 --> 01:13:43,508 NON-PARTICIPANTS, WHO ALSO 1893 01:13:43,508 --> 01:13:47,612 RECENT STUDY HIGHLIGHTED FOODS 1894 01:13:47,612 --> 01:13:50,415 AND SCHOOL LUNCH PROGRAM HAS 1895 01:13:50,415 --> 01:13:53,885 IMPROVED OVER TIME AND THEY 1896 01:13:53,885 --> 01:13:55,353 PROVIDE THE BEST DIET QUALITY OF 1897 01:13:55,353 --> 01:13:58,690 MAJOR U.S. FOOD SOURCES COMPARED 1898 01:13:58,690 --> 01:14:00,258 TO OTHER SETTINGS. I WANT TO 1899 01:14:00,258 --> 01:14:04,195 FOCUS ON THIS IDEA OF OTHER 1900 01:14:04,195 --> 01:14:11,703 SETTINGS. BECAUSE IF WE LOOK AT 1901 01:14:11,703 --> 01:14:13,671 PARTICIPANTS, THIS IS FROM -- 1902 01:14:13,671 --> 01:14:15,573 THOUGH THE LUNCHES, WE SEE 1903 01:14:15,573 --> 01:14:16,908 LIMITED DISPARITIES ACROSS 1904 01:14:16,908 --> 01:14:19,410 SCHOOLS WHEN IT COMES TO OVERALL 1905 01:14:19,410 --> 01:14:20,778 NUTRITIONAL QUALITY OF LUNCHES 1906 01:14:20,778 --> 01:14:22,647 SERVED. NOT BY SOCIOECONOMIC 1907 01:14:22,647 --> 01:14:27,452 STATUS OR RACE ETHNICITY, BUT 1908 01:14:27,452 --> 01:14:31,389 YOU SEE IMPACT OF THOSE MEALS 1909 01:14:31,389 --> 01:14:32,624 DIFFER ON OVERALL DIETARY 1910 01:14:32,624 --> 01:14:34,025 QUALITY SO LOOK AT LOW INCOME AS 1911 01:14:34,025 --> 01:14:36,261 COMPARED TO HIGHER INCOME OR 1912 01:14:36,261 --> 01:14:37,595 BLACK INDIGENOUS PEOPLE OF 1913 01:14:37,595 --> 01:14:39,230 COLOR, STUDENTS THAT ARE 1914 01:14:39,230 --> 01:14:42,133 PARTICIPATING, YOU DON'T SEE 1915 01:14:42,133 --> 01:14:43,701 THAT BENEFIT STRETCH OVER THE 24 1916 01:14:43,701 --> 01:14:46,571 HOUR PERIOD. AS YOU DO FOR 1917 01:14:46,571 --> 01:14:50,141 HIGHER INCOME GROUPS AND WHITE 1918 01:14:50,141 --> 01:14:52,911 STUDENTS. SO THE QUESTION IS, IS 1919 01:14:52,911 --> 01:14:54,979 WHEN WE THINK ABOUT IMPACT AND 1920 01:14:54,979 --> 01:14:58,783 EQUITABLE IMPACT, OF LUNCHES, DO 1921 01:14:58,783 --> 01:15:01,786 WE NEED MORE TO ACCOUNT FOR SOME 1922 01:15:01,786 --> 01:15:04,322 OF THOSE INEQUITABLE IMPACTS 1923 01:15:04,322 --> 01:15:09,928 THAT EXIST OUTSIDE OR HOW DO WE 1924 01:15:09,928 --> 01:15:11,796 IMPROVE BROADER CONTEXT OUTSIDE 1925 01:15:11,796 --> 01:15:12,997 SCHOOL FOODS. SO WHEN WE THINK 1926 01:15:12,997 --> 01:15:15,033 ABOUT SOME OF THOSE QUESTIONS 1927 01:15:15,033 --> 01:15:18,136 AND ALSO THE MODELS THAT DAN AND 1928 01:15:18,136 --> 01:15:20,705 CHRIS PRESENTED, AND OTHER 1929 01:15:20,705 --> 01:15:25,610 SPEAKERS, THERE IS THREE KEY 1930 01:15:25,610 --> 01:15:27,679 QUESTIONS QUESTIONS ABOUT 1931 01:15:27,679 --> 01:15:29,514 EQUITY. HOW DO WE UNDERSTAND THE 1932 01:15:29,514 --> 01:15:34,052 IMPACT OUTCOMES OF THESE 1933 01:15:34,052 --> 01:15:36,054 PROGRAMS FOR POPULATIONS. JUST 1934 01:15:36,054 --> 01:15:41,893 BECAUSE WE HAVE EQUITABLE ACCESS 1935 01:15:41,893 --> 01:15:43,361 DOESN'T MEAN IMPACT. DO WE NEED 1936 01:15:43,361 --> 01:15:44,729 INTERVENTIONS TO REALLY CLOSE 1937 01:15:44,729 --> 01:15:48,099 THOSE GAPS. HOW DO WE MEASURE 1938 01:15:48,099 --> 01:15:49,801 IF WE ARE CLOSING THOSE GAPS, SO 1939 01:15:49,801 --> 01:15:53,671 A LOT IS FOCUSED ON LOW INCOME 1940 01:15:53,671 --> 01:15:55,173 POPULATIONS BUT WHEN WE THINK 1941 01:15:55,173 --> 01:15:56,741 ABOUT BLACK INDIGENOUS PEEP OF 1942 01:15:56,741 --> 01:15:58,409 COLOR AND OTHER RACIALIZED 1943 01:15:58,409 --> 01:16:03,815 MINORITY GROUPS, RACIALIZED OR 1944 01:16:03,815 --> 01:16:04,916 MINORITIZE GROUPS AS SOME REFER 1945 01:16:04,916 --> 01:16:09,921 TO IN THE U.S., ARE WE SEEING 1946 01:16:09,921 --> 01:16:12,123 THOSE GAPS CLOSE AND CAN WE 1947 01:16:12,123 --> 01:16:13,825 MEASURE ACROSS THESE MULTIPLE 1948 01:16:13,825 --> 01:16:16,594 CONTEXT WHEN WE THINK ABOUT 1949 01:16:16,594 --> 01:16:17,862 IMPLEMENTATION ASSESSING 1950 01:16:17,862 --> 01:16:19,697 OUTCOMES AND I HAVE JUST A FEW 1951 01:16:19,697 --> 01:16:29,107 CONSIDERATIONS FOR THAT. SO SO 1952 01:16:29,107 --> 01:16:30,408 PART IS WE HAVE TO TAKE A 1953 01:16:30,408 --> 01:16:31,976 HISTORICAL PERSPECTIVE. EQUITY 1954 01:16:31,976 --> 01:16:33,311 HAS ALWAYS BEEN A KEY FOCUS WHEN 1955 01:16:33,311 --> 01:16:37,782 WE LOOK AT USDA PROGRAMS OVERALL 1956 01:16:37,782 --> 01:16:39,183 AND CHILD NUTRITION PROGRAMS 1957 01:16:39,183 --> 01:16:41,052 SPECIFICALLY TO REALLY BUFFER 1958 01:16:41,052 --> 01:16:44,288 THAT DISPROPORTIONATE IMPACT OF 1959 01:16:44,288 --> 01:16:48,626 POVERTY, ON DIETARY INTAKE AS 1960 01:16:48,626 --> 01:16:52,764 WELL AS PROMOTE NUTRITIOUS 1961 01:16:52,764 --> 01:16:56,501 AGRICULTURAL COMMODITIES. HAS 1962 01:16:56,501 --> 01:16:59,771 SOME INEQUITABLE IMPACT WHEN WE 1963 01:16:59,771 --> 01:17:02,640 THINK ABOUT WHO IS IN THAT PART 1964 01:17:02,640 --> 01:17:03,975 THAT CAN BENEFIT FROM WHAT IS 1965 01:17:03,975 --> 01:17:10,381 CONSUMED. NEXT SLIDE PLEASE. P 1966 01:17:10,381 --> 01:17:11,916 WE THINK ABOUT THE SOCIAL 1967 01:17:11,916 --> 01:17:13,851 STRUCTURAL DETERMINANTS OF 1968 01:17:13,851 --> 01:17:15,420 HEALTH, REALLY EVEN IN THE 1969 01:17:15,420 --> 01:17:17,188 CONTEXT OF WHEN THESE PROGRAMS 1970 01:17:17,188 --> 01:17:20,124 WERE CONCEIVED, WE HAVE PARALLEL 1971 01:17:20,124 --> 01:17:22,427 REALITIES. SO IF WE FOR EXAMPLE 1972 01:17:22,427 --> 01:17:24,295 LOOK AT THE HISTORICAL TIME 1973 01:17:24,295 --> 01:17:29,333 LINES OF THE DEPRESSION IN BLACK 1974 01:17:29,333 --> 01:17:30,601 AMERICANS, IF YOU LOOK WHEN THE 1975 01:17:30,601 --> 01:17:31,536 SCHOOL LUNCH PROGRAM WAS CON 1976 01:17:31,536 --> 01:17:32,904 RECEIVERRED IT WAS IN CONTEXT OF 1977 01:17:32,904 --> 01:17:36,340 WHAT WE KNOW AS SEPARATE BUT 1978 01:17:36,340 --> 01:17:37,975 EQUAL EDUCATION. A LOT OF IMPACT 1979 01:17:37,975 --> 01:17:41,412 OF SLAVERY AND JIM CROW RACIAL 1980 01:17:41,412 --> 01:17:43,381 INEQUITY WE HAVE SEEN AT ITS 1981 01:17:43,381 --> 01:17:47,118 HEIGHT IN 2020 AND 2021, STILL 1982 01:17:47,118 --> 01:17:51,122 HAVE IMPACT TODAY WHEN WE LOOK 1983 01:17:51,122 --> 01:17:54,625 AT WHERE ARE YOUTH REPRESENTED 1984 01:17:54,625 --> 01:17:55,993 WHAT CONTEXT. ARE THEY IN 1985 01:17:55,993 --> 01:18:00,732 SCHOOLS, IN OTHER SETTINGS. HOW 1986 01:18:00,732 --> 01:18:02,233 DO WE MEASURE THOSE ENVIRONMENTS 1987 01:18:02,233 --> 01:18:03,501 SO THIS IDEA OF LIVING UNDER 1988 01:18:03,501 --> 01:18:04,836 EFFECT OF O STRUCTURAL RACISM 1989 01:18:04,836 --> 01:18:06,304 COMES REALLY IMPORTANT WHEN WE 1990 01:18:06,304 --> 01:18:07,004 THINK ABOUT PROGRAM 1991 01:18:07,004 --> 01:18:11,542 IMPLEMENTATION. AND ASSESSMENT. 1992 01:18:11,542 --> 01:18:13,311 WE MAY HAVE UNIVERSAL GOALS AND 1993 01:18:13,311 --> 01:18:16,214 OUTCOMES BUT DO WE NEED MORE 1994 01:18:16,214 --> 01:18:18,015 TARGET UNIVERSALISM WHEN WE 1995 01:18:18,015 --> 01:18:24,155 THINK INTERVENTIONS. WHEN WE 1996 01:18:24,155 --> 01:18:25,723 LOOK AT INDIGENOUS COMMUNITIES, 1997 01:18:25,723 --> 01:18:29,794 THIS LAYERING OF HISTORICAL 1998 01:18:29,794 --> 01:18:32,130 TRAUMA, DURING THE TIME OF THESE 1999 01:18:32,130 --> 01:18:34,265 -- SOME OF THESE PROGRAMS WERE 2000 01:18:34,265 --> 01:18:36,200 CONCEPTUALIZED, WE HAD EXTENSIVE 2001 01:18:36,200 --> 01:18:39,437 LAND DISPOSSESSION, WITHIN 2002 01:18:39,437 --> 01:18:40,872 INDIGENOUS COMMUNITIES EROSION 2003 01:18:40,872 --> 01:18:46,477 OF TRADITIONAL FOOD SYSTEMS, AS 2004 01:18:46,477 --> 01:18:48,179 WELL AS CONTEXT OF EDUCATIONAL 2005 01:18:48,179 --> 01:18:49,514 SYSTEM, INDIGENOUS CHILDREN 2006 01:18:49,514 --> 01:18:50,982 PLACED IN BOARDING SCHOOLS, 2007 01:18:50,982 --> 01:18:53,651 REMOVED FROM THEIR HOMES. HOW 2008 01:18:53,651 --> 01:18:57,455 THESE FACTORS PLAY A ROLE IN OUR 2009 01:18:57,455 --> 01:19:00,158 ABILITY TO LOOK AT IMPACT. DO WE 2010 01:19:00,158 --> 01:19:02,059 HAVE EQUITABLE IMPACTS BECAUSE 2011 01:19:02,059 --> 01:19:05,463 WE MIGHT BE MORE TALK EQUITY NOT 2012 01:19:05,463 --> 01:19:08,900 EQUALITY TO CLOSE GAPS NOT JUST 2013 01:19:08,900 --> 01:19:10,368 IMPROVE THE DIETS OF CHILDREN 2014 01:19:10,368 --> 01:19:11,369 THAT ARE PARTICULARLY 2015 01:19:11,369 --> 01:19:16,574 PARTICIPATING IN THESE PROGRAMS 2016 01:19:16,574 --> 01:19:17,575 COMPARED THOSE THAT DO NOT 2017 01:19:17,575 --> 01:19:22,413 PARTICIPATE. SO A LOT OF THESE 2018 01:19:22,413 --> 01:19:27,351 HISTORIC FACTORS HAVE MANIFEST 2019 01:19:27,351 --> 01:19:30,021 IN SUBSEQUENT INEQUITIES AND 2020 01:19:30,021 --> 01:19:32,824 WEALTH SO WE SEE FOR EXAM 2021 01:19:32,824 --> 01:19:36,661 EXAMPLE, IN 2019, THE MEDIAN 2022 01:19:36,661 --> 01:19:38,262 WEALTH DISPARITY BETWEEN BLACK 2023 01:19:38,262 --> 01:19:40,832 HOUSEHOLDS AND WHITE IN THE 2024 01:19:40,832 --> 01:19:45,136 UNITED STATES, 25,000 MEDIAN 2025 01:19:45,136 --> 01:19:46,704 INCOME, BLACK HOUSEHOLDS 2026 01:19:46,704 --> 01:19:49,740 COMPARED TO 190,000 FOR WHITE 2027 01:19:49,740 --> 01:19:52,143 HOUSEHOLDS THIS GAP INCREASES 2028 01:19:52,143 --> 01:19:54,812 WITH AGE. WE SEE A SIMILAR 2029 01:19:54,812 --> 01:19:58,149 DISPARITY IN WEALTH OF -- AND 2030 01:19:58,149 --> 01:19:59,417 EARNINGS IN INDIGENOUS 2031 01:19:59,417 --> 01:20:01,018 COMMUNITIES IN LATINX 2032 01:20:01,018 --> 01:20:02,820 COMMUNITIES. PART OF THIS IS WE 2033 01:20:02,820 --> 01:20:05,323 THINK ABOUT OVERALL IMPACT WHAT 2034 01:20:05,323 --> 01:20:06,624 IS HAPPENING WITHIN THOSE 2035 01:20:06,624 --> 01:20:09,193 CONTEXT. NOT JUST WITHIN THE 2036 01:20:09,193 --> 01:20:10,528 INTERVENTION AND HOW CAN 2037 01:20:10,528 --> 01:20:14,632 INTERVENTIONS BE TAILORED TO 2038 01:20:14,632 --> 01:20:19,837 CLOSE GAPS TALKING EQUITY. WE 2039 01:20:19,837 --> 01:20:22,206 SEE THIS IN FOOD INSECURITY, 2040 01:20:22,206 --> 01:20:24,675 ACTUALLY WHERE FOOD INSECURITY 2041 01:20:24,675 --> 01:20:26,510 IN 2020 REMAIN STABLE IN THE 2042 01:20:26,510 --> 01:20:33,017 U.S. OVERALL. WE SEE INCREASE IN 2043 01:20:33,017 --> 01:20:34,285 POPULATIONS, THIS U.S. FOOD 2044 01:20:34,285 --> 01:20:35,753 INSECURITY BY RACE AND ETHNICITY 2045 01:20:35,753 --> 01:20:37,221 AND OF COURSE THESE DIFFERENCES 2046 01:20:37,221 --> 01:20:40,424 HAVE PERSISTED OVER MANY YEARS. 2047 01:20:40,424 --> 01:20:45,963 WHERE YOU SEE SOME YEARS, THE 2048 01:20:45,963 --> 01:20:48,065 GAPS CLOSE AND THEY WIDEN AND WE 2049 01:20:48,065 --> 01:20:51,202 SEE THAT BASED ON ECONOMIC 2050 01:20:51,202 --> 01:20:53,771 SOCIAL IMPACT OF COVID HEALTH 2051 01:20:53,771 --> 01:20:58,709 IMPACT OF COVID, IN ADDITION TO 2052 01:20:58,709 --> 01:21:00,745 THIS WIDENING WITH FOOD 2053 01:21:00,745 --> 01:21:02,013 INSECURITY WIDENING IN LIFE 2054 01:21:02,013 --> 01:21:12,290 EXPECTANCY THAT EXISTS BY RACE. RACE. 2055 01:21:12,290 --> 01:21:13,991 WHEN WE TALK HISTORIC AND SOCIAL 2056 01:21:13,991 --> 01:21:15,526 IMPACTS WE SEE A DIFFERENTIAL 2057 01:21:15,526 --> 01:21:18,296 OUTSIDE OF SCHOOL MEALS, IN 2058 01:21:18,296 --> 01:21:19,196 COMMUNITIES, AS BEEN SEVERAL 2059 01:21:19,196 --> 01:21:22,300 STUDIES THAT LOOKED AT 2060 01:21:22,300 --> 01:21:23,567 ENVIRONMENTS AROUND SCHOOLS SO 2061 01:21:23,567 --> 01:21:25,036 IN OUR BOND MODEL AS WE TALK 2062 01:21:25,036 --> 01:21:29,540 ABOUT CONTEXT, AND 2063 01:21:29,540 --> 01:21:31,442 NEIGHBORHOODS, SO BLACK NEXT TO 2064 01:21:31,442 --> 01:21:33,010 INDIGENOUS YOUTH ARE MORE LIKELY 2065 01:21:33,010 --> 01:21:35,980 TO LIVE -- TO ATTEND SCHOOLS AND 2066 01:21:35,980 --> 01:21:40,785 LIVE IN IMMUNITIES THAT HAVE 2067 01:21:40,785 --> 01:21:45,389 FOUR OR MORE OBESE FOOD 2068 01:21:45,389 --> 01:21:46,824 PROJECTS, AND DENSITY OF THESE 2069 01:21:46,824 --> 01:21:47,858 ESTABLISHMENTS AND LESS CONTROL 2070 01:21:47,858 --> 01:21:50,194 SO LESS LOCAL CONTROL. SO A LOT 2071 01:21:50,194 --> 01:21:52,863 OF EXTERNAL INFLUENCE VERSUS THE 2072 01:21:52,863 --> 01:21:56,167 IDEA OF INTERNAL CONTROL. WITHIN 2073 01:21:56,167 --> 01:22:03,908 COMMUNITIES IN SCHOOLS. THE 2074 01:22:03,908 --> 01:22:05,910 USDA HAD A STRONG FOCUS 2075 01:22:05,910 --> 01:22:09,613 PARTICULARLY RECENTLY, ON 2076 01:22:09,613 --> 01:22:12,817 PRIORITIZING EQUITY IN EVERY 2077 01:22:12,817 --> 01:22:15,486 STEP, TO ACHIEVE NUTRITION 2078 01:22:15,486 --> 01:22:18,923 INSECURITY. SO WHAT IS THE 2079 01:22:18,923 --> 01:22:21,125 POTENTIAL FOR THIS KEY QUESTION 2080 01:22:21,125 --> 01:22:22,793 WHEN WE LOOK AT IMPLEMENTATION, 2081 01:22:22,793 --> 01:22:29,500 WHAT INTERVENTIONS ARE NEEDED, 2082 01:22:29,500 --> 01:22:30,835 HOW WE ASSESS IMPACT OF 2083 01:22:30,835 --> 01:22:34,271 INTERVENTIONS ACROSS CONTEXT. SO 2084 01:22:34,271 --> 01:22:36,774 STRENGTHENING AND SUPPORTING 2085 01:22:36,774 --> 01:22:38,175 NATIVE AMERICAN TRIBAL SCHOOL 2086 01:22:38,175 --> 01:22:39,143 FOOD PROGRAMS IS AN EXAMPLE OF 2087 01:22:39,143 --> 01:22:45,449 THAT. USDA IS CENTERING ON, AND 2088 01:22:45,449 --> 01:22:47,952 LOOKING HOW TO CENTER MORE 2089 01:22:47,952 --> 01:22:51,522 INDIGENOUS FOODS AND FOOD 2090 01:22:51,522 --> 01:22:52,890 SOVEREIGNTY, WITHIN CONTEXT OF 2091 01:22:52,890 --> 01:22:53,824 INTERVENTION AND IN ADDITION TO 2092 01:22:53,824 --> 01:22:57,495 THE BROADER THOUGHT OF JUST NOT 2093 01:22:57,495 --> 01:23:05,102 HAVING ONE SIZE FITS ALL. WE 2094 01:23:05,102 --> 01:23:08,506 NEED TO APPLY CULTURAL 2095 01:23:08,506 --> 01:23:12,209 RESILIENCE FRAMEWORK OR LENS 2096 01:23:12,209 --> 01:23:14,045 THAT LOOKS AT CONCEPT OF 2097 01:23:14,045 --> 01:23:18,582 STRUCTURAL VIOLENCE, LOOK AT HOW 2098 01:23:18,582 --> 01:23:19,483 INTERVENTIONS ADDRESS THIS 2099 01:23:19,483 --> 01:23:20,484 DISINVESTMENT, I MAY BE RUNNING 2100 01:23:20,484 --> 01:23:23,254 OUT OF TIME, LOOKING AT HOW 2101 01:23:23,254 --> 01:23:25,156 RACIAL POVERTY AND LONG TERM 2102 01:23:25,156 --> 01:23:27,558 UNEMPLOYMENT, SO EQUITABLE 2103 01:23:27,558 --> 01:23:29,927 OPPORTUNITIES AND PEOPLE IN 2104 01:23:29,927 --> 01:23:33,898 PLACE, AND THEN MY LAST SLIDE. 2105 01:23:33,898 --> 01:23:36,133 SO WE HAVE TO THINK ABOUT THIS 2106 01:23:36,133 --> 01:23:39,403 BROADER CONTEXT OF WHERE FOOD IS 2107 01:23:39,403 --> 01:23:42,339 SERVED, HOW MARKETED SO THINGS 2108 01:23:42,339 --> 01:23:44,775 LIKE WHAT HAPPENS ON WEEKEND WEEKEND. OR 2109 01:23:44,775 --> 01:23:46,310 SUMMER MEALS SO I WILL STOP 2110 01:23:46,310 --> 01:23:50,514 THERE AND TURN IT OVER. THANK 2111 01:23:50,514 --> 01:23:56,287 YOU. 2112 01:23:56,287 --> 01:24:01,092 >> THANK YOU VERY MUCH AND 2113 01:24:01,092 --> 01:24:04,061 THANKS -- (INAUDIBLE) INTENSE 2114 01:24:04,061 --> 01:24:08,532 INFORMATION. SO I THINK THE MOST 2115 01:24:08,532 --> 01:24:10,568 IMPORTANT THING IS IS THIS LAST 2116 01:24:10,568 --> 01:24:13,370 THREE WEEKS INCLUDING TODAY, WE 2117 01:24:13,370 --> 01:24:17,141 LOOK AT THE WHAT AND THEN THE 2118 01:24:17,141 --> 01:24:19,777 NEXT QUESTION IS SO WHAT, WE ARE 2119 01:24:19,777 --> 01:24:21,412 AT A POINT NOW SAYING NOW WHAT 2120 01:24:21,412 --> 01:24:23,114 AND THIS IS WHERE TRANSLATION 2121 01:24:23,114 --> 01:24:25,249 SCIENCE BECOMES VERY IMPORTANT. 2122 01:24:25,249 --> 01:24:31,155 SO LET ME MAKE A LITTLE -- 2123 01:24:31,155 --> 01:24:32,289 (INAUDIBLE) SLIDES AND NOT 2124 01:24:32,289 --> 01:24:38,195 SHOWING ANY COMPLICATED SLIDES, 2125 01:24:38,195 --> 01:24:39,964 MY POINT IS IN AND OF 2126 01:24:39,964 --> 01:24:41,966 THEMSELVES, A BIT OF GUIDANCE 2127 01:24:41,966 --> 01:24:45,169 AROUND KEY MESSAGE WE CAN BE 2128 01:24:45,169 --> 01:24:47,538 MOVING FORWARD AS WE ARE LOOK AT 2129 01:24:47,538 --> 01:24:50,374 TO ADDRESSING EQUITY FROM AS 2130 01:24:50,374 --> 01:24:53,644 ANGELA SAID DOMESTIC PERSPECTIVE 2131 01:24:53,644 --> 01:25:00,050 AND ALSO FROM INTERNAL 2132 01:25:00,050 --> 01:25:05,956 PERSPECTIVE. WE MUST LOOK AT 2133 01:25:05,956 --> 01:25:08,792 MULTI-PACKTORAL LENS. SCHOOL 2134 01:25:08,792 --> 01:25:09,627 MEALS SCHOOL HEALTH AND 2135 01:25:09,627 --> 01:25:12,830 NUTRITION. IS VERY COMPLEX. WE 2136 01:25:12,830 --> 01:25:16,700 NEED TO BE LOOKING AT EQUITY 2137 01:25:16,700 --> 01:25:18,736 AROUND DIFFERENT CONSIDERATIONS 2138 01:25:18,736 --> 01:25:22,039 FROM PRODUCTION TO THE CONSUMER 2139 01:25:22,039 --> 01:25:23,774 AND FOOD ENVIRONMENTS. IN THIS 2140 01:25:23,774 --> 01:25:25,176 REGARD THIS REMAINS VERY 2141 01:25:25,176 --> 01:25:29,246 IMPORTANT AGRICULTURE TRADING 2142 01:25:29,246 --> 01:25:30,781 MARKETS, PROCESSING HEALTH, 2143 01:25:30,781 --> 01:25:31,849 EDUCATION, AND OF COURSE 2144 01:25:31,849 --> 01:25:35,953 NUTRITION. THIS -- 2145 01:25:35,953 --> 01:25:38,322 UNDERSTANDING THE BIOMARKERS FOR 2146 01:25:38,322 --> 01:25:42,393 INTAKE NUTRITION AND THEN 2147 01:25:42,393 --> 01:25:46,797 GOVERNANCE KEY IN HOW WE 2148 01:25:46,797 --> 01:25:52,169 UNDERSTAND HOW FEED PROGRAMS ARE 2149 01:25:52,169 --> 01:25:53,737 RUN, (INAUDIBLE) PROBLEMS 2150 01:25:53,737 --> 01:25:59,343 POLICIES FOR ACTION. AND 2151 01:25:59,343 --> 01:26:00,377 PROTECTION. THE SECOND POINT I 2152 01:26:00,377 --> 01:26:03,614 WOULD LIKE TO MAKE IS THAT THERE 2153 01:26:03,614 --> 01:26:08,385 IS NEED TO ENSURE SOCIAL AND 2154 01:26:08,385 --> 01:26:09,820 POLICIES AND PROGRAMS ARE FAIR 2155 01:26:09,820 --> 01:26:12,289 AND JUST ESPECIALLY TO INCLUDE 2156 01:26:12,289 --> 01:26:14,191 THE MARGINALIZED POPULATIONS. TO 2157 01:26:14,191 --> 01:26:18,462 GIVE THEM A VOICE FOR THEM TO BE 2158 01:26:18,462 --> 01:26:24,568 ABLE AND GIVE THEM FOOD TO -- TO 2159 01:26:24,568 --> 01:26:27,504 IMPLEMENT PROGRAMS THAT ARE 2160 01:26:27,504 --> 01:26:28,639 CONTEXTUALIZED FOR THEIR 2161 01:26:28,639 --> 01:26:31,976 ENVIRONMENTS, CREATE EQUITABLE 2162 01:26:31,976 --> 01:26:35,813 AND PLAIN SIMILAR LEVEL PLAYING 2163 01:26:35,813 --> 01:26:40,818 FIELD. WE NEED TO STRIVE AS 2164 01:26:40,818 --> 01:26:43,821 GLOBAL NORTH AND SOUTH TO HAVE 2165 01:26:43,821 --> 01:26:50,060 SIMILAR OPPORTUNITIES TO PLAN 2166 01:26:50,060 --> 01:26:53,130 TOK AND SUCCEED. WE NEED 2167 01:26:53,130 --> 01:26:54,999 FINANCING FOR SMALL TO MEDIUM 2168 01:26:54,999 --> 01:26:57,701 ENTERPRISES, FINANCING FOR SMALL 2169 01:26:57,701 --> 01:26:59,003 FARMERS, OPINIONSING ESPECIALLY 2170 01:26:59,003 --> 01:27:04,141 FOR FEMALE FARMERS WHO BY DESIGN 2171 01:27:04,141 --> 01:27:09,013 HAVE BEEN THE MOST MY-- IF YOU 2172 01:27:09,013 --> 01:27:10,681 LOOK AT (INAUDIBLE) THERE'S SO 2173 01:27:10,681 --> 01:27:12,883 MUCH INEQUITY, AFRICA REMAINS 2174 01:27:12,883 --> 01:27:13,951 THE CONTINENT WITH HIGHEST ONE 2175 01:27:13,951 --> 01:27:16,720 OF THE HIGHEST LEVELS OF 2176 01:27:16,720 --> 01:27:20,591 DIFFERENT FORMS OF MALNUTRITION. 2177 01:27:20,591 --> 01:27:23,360 IF LIVING IN EQUITABLE WORLD WE 2178 01:27:23,360 --> 01:27:25,062 WOULDN'T BE TALKING ABOUT THIS 2179 01:27:25,062 --> 01:27:26,797 IN THE 21ST CENTURY SO WE NEED 2180 01:27:26,797 --> 01:27:28,932 TO LOOK AT RESEARCH. WHO DESIGN 2181 01:27:28,932 --> 01:27:31,068 IT IS RESEARCH, THE RESEARCH 2182 01:27:31,068 --> 01:27:33,070 EQUITABLE, IN THE SENSE OF IF 2183 01:27:33,070 --> 01:27:36,840 YOU UNDERSTAND THE PROBLEMS AND 2184 01:27:36,840 --> 01:27:39,677 -- TALKING ABOUT THIS, -- ON THE 2185 01:27:39,677 --> 01:27:41,912 GROUND YOU KNOW WHAT WORKS FOR 2186 01:27:41,912 --> 01:27:43,947 YOU. YOU KNOW WHAT YOU REALLY 2187 01:27:43,947 --> 01:27:46,383 NEED. BECAUSE SOMETIMES WE TEND 2188 01:27:46,383 --> 01:27:50,387 TO -- SOLUTIONS FROM ELSEWHERE, 2189 01:27:50,387 --> 01:27:53,857 THINKING GOING TO WORK IN THAT 2190 01:27:53,857 --> 01:27:55,526 PARTICULAR ECOSYSTEM, WHEN THEY 2191 01:27:55,526 --> 01:27:57,461 DON'T WORK WE STAND BACK AND SAY 2192 01:27:57,461 --> 01:27:59,363 WHAT HAPPENED? IS SOMETHING 2193 01:27:59,363 --> 01:28:00,931 HAPPENED BECAUSE WE DIDN'T 2194 01:28:00,931 --> 01:28:02,466 CONSIDER WHERE THE RUBBER HITS 2195 01:28:02,466 --> 01:28:06,437 THE TARMAC. WHERE IT REALLY 2196 01:28:06,437 --> 01:28:08,706 MATTERS. THIN WE HAVE TO LOOK IN 2197 01:28:08,706 --> 01:28:11,408 TERMS OF EQUITY, CAPACITY AND 2198 01:28:11,408 --> 01:28:13,610 SKILL DEVELOPMENT, ARE WE 2199 01:28:13,610 --> 01:28:14,945 DEVELOPING CAPACITY 2200 01:28:14,945 --> 01:28:17,047 IMPLEMENTATION POLICY DESIGN, TO 2201 01:28:17,047 --> 01:28:19,149 MAKE SURE THAT WE HAVE 2202 01:28:19,149 --> 01:28:19,817 SUSTAINABILITY SYSTEM GOING 2203 01:28:19,817 --> 01:28:22,419 FORWARD. SO THAT THE PEOPLE ON 2204 01:28:22,419 --> 01:28:26,390 THE GROUND CAN BE ABLE TO 2205 01:28:26,390 --> 01:28:27,591 IMPLEMENT THAT AND THEN MOVE 2206 01:28:27,591 --> 01:28:31,795 AWAY FROM THE PROJECT TO A 2207 01:28:31,795 --> 01:28:33,030 SUSTAINABLE PROGRAM DESIGN AND 2208 01:28:33,030 --> 01:28:35,733 IMPLEMENTATION. AND LAST BUT 2209 01:28:35,733 --> 01:28:38,502 NOT LEAST, AS (INAUDIBLE) NOTED 2210 01:28:38,502 --> 01:28:41,572 THE QUALITY OF MEALS ARE WE 2211 01:28:41,572 --> 01:28:42,439 GIVING THE SCHOOL KIDS MEALS 2212 01:28:42,439 --> 01:28:45,709 THAT ARE NUTRITIOUS, THAT WILL 2213 01:28:45,709 --> 01:28:47,711 SUSTAIN THEM, AN HELP THEM 2214 01:28:47,711 --> 01:28:49,847 DEVELOP? IN AN EQUITABLE FASHION 2215 01:28:49,847 --> 01:28:53,751 WHETHER IT IS IN A LOW MEDIUM 2216 01:28:53,751 --> 01:28:54,852 INCOME COUNTRY OR RICH COUNTRY. 2217 01:28:54,852 --> 01:28:57,221 SO WILL IS NEED, THAT IS MY 2218 01:28:57,221 --> 01:29:09,366 FOURTH POINT, THERE'S NEED TO 2219 01:29:09,366 --> 01:29:11,301 FOR THEM TO SEE THE CONTEXTUAL 2220 01:29:11,301 --> 01:29:15,172 SOLUTIONS, SO YOU SEE IF YOU 2221 01:29:15,172 --> 01:29:18,742 DON'T CONTEXTUALIZE YOUR PROGRAM 2222 01:29:18,742 --> 01:29:26,383 AND SOLUTION (INAUDIBLE) HAS TO 2223 01:29:26,383 --> 01:29:29,620 BE COMING OR HAS TO BE AIMING AS 2224 01:29:29,620 --> 01:29:30,854 THE CONTRIBUTION TO WEALTH, THE 2225 01:29:30,854 --> 01:29:34,224 MARKET FOR OUR GROWTH AND 2226 01:29:34,224 --> 01:29:36,760 OBJECTIVES AND BENEFIT SHOULD 2227 01:29:36,760 --> 01:29:40,531 CONSIDER INCLUDING PROPERTY 2228 01:29:40,531 --> 01:29:41,732 REDUCTION, HUMAN CAPITAL 2229 01:29:41,732 --> 01:29:42,766 DEVELOPMENT, SOCIOECONOMIC 2230 01:29:42,766 --> 01:29:46,103 DEVELOPMENT AND OVERALL 2231 01:29:46,103 --> 01:29:51,208 DEVELOPMENT BECAUSE YOU CANNOT 2232 01:29:51,208 --> 01:29:53,844 RUN (INAUDIBLE) SO BEYOND A 2233 01:29:53,844 --> 01:29:57,381 THOUSAND DATES, TO THE NEXT 2234 01:29:57,381 --> 01:30:00,150 7,000 DATES, WHAT CAN WE DO 2235 01:30:00,150 --> 01:30:01,251 DIFFERENT IN AN EQUITABLE 2236 01:30:01,251 --> 01:30:02,920 MANNER. EQUITY IS CRITICAL FOR 2237 01:30:02,920 --> 01:30:05,889 ENSURING THAT NO ONE (INAUDIBLE) 2238 01:30:05,889 --> 01:30:14,031 ENSURING NO ONE IS LEFT BEHIND, 2239 01:30:14,031 --> 01:30:16,133 FOR SYSTEMATIC INEQUALITIES AND 2240 01:30:16,133 --> 01:30:21,472 INEQUITIES IN OUR SYSTEMS. SO 2241 01:30:21,472 --> 01:30:23,907 TRANSLATION IS ABOUT ACTION, 2242 01:30:23,907 --> 01:30:26,410 ACTION, ACTION, MORE ACTION. IN 2243 01:30:26,410 --> 01:30:28,512 EQUITABLE WAY TO ENSURE BEST 2244 01:30:28,512 --> 01:30:30,647 NUTRITION, BEST HEALTH E BEST 2245 01:30:30,647 --> 01:30:32,316 EDUCATION AND BEST PRODUCTIVITY. 2246 01:30:32,316 --> 01:30:33,584 WITH GOOD NUTRITION YOU END UP 2247 01:30:33,584 --> 01:30:36,920 WITH THE BEST PRODUCTIVITY AND 2248 01:30:36,920 --> 01:30:37,621 CONTRIBUTION TO A BETTER 2249 01:30:37,621 --> 01:30:43,060 SOCIETY. SO ALL THIS VERY 2250 01:30:43,060 --> 01:30:46,697 IMPORTANT TENANTS OF (INAUDIBLE) 2251 01:30:46,697 --> 01:30:49,032 AND WHAT -- INTENDS TO ACHIEVE 2252 01:30:49,032 --> 01:30:50,701 BY INCLUDING THE FOOD 2253 01:30:50,701 --> 01:30:52,903 ENVIRONMENT, AND ENSURING THAT 2254 01:30:52,903 --> 01:30:55,372 EVERYBODY GETS WHAT THEY REALLY 2255 01:30:55,372 --> 01:30:59,042 -- AT A VERY -- FROM AN EARLY 2256 01:30:59,042 --> 01:31:02,346 AGE INTO THE ADULT YEARS. SO I'M 2257 01:31:02,346 --> 01:31:04,982 GOING TO BE ASKING FOR ONE 2258 01:31:04,982 --> 01:31:07,985 MINUTE TO WATCH THE CLOSING, 2259 01:31:07,985 --> 01:31:09,853 MAKE ONE SMALL INTERVENTION. 2260 01:31:09,853 --> 01:31:13,090 THANK YOU VERY MUCH. 2261 01:31:13,090 --> 01:31:15,526 >> THANK YOU SO MUCH, ANGELA AN 2262 01:31:15,526 --> 01:31:16,894 BIBI. WE HAVE CENTERED THIS IN 2263 01:31:16,894 --> 01:31:19,963 OUR DISCUSSIONS AND OUR WORK AND 2264 01:31:19,963 --> 01:31:26,136 I HOPE THAT EVERYONE TOOK ALL OF 2265 01:31:26,136 --> 01:31:27,704 YOUR COMMENTS AND THINKING HOW 2266 01:31:27,704 --> 01:31:28,605 BOND KIDS CAN BE WITH THE BEST 2267 01:31:28,605 --> 01:31:30,207 EQUITY IN MINE. WE HAVE FIVE 2268 01:31:30,207 --> 01:31:31,208 MINUTES FOR SOME GROUP 2269 01:31:31,208 --> 01:31:35,479 DISCUSSION AND THEN YES GOIN TAKE TEN 2270 01:31:35,479 --> 01:31:36,713 MINUTE BREAK AN RECONVENE WITH 2271 01:31:36,713 --> 01:31:38,282 OUR INVITED SPEAKERS. SO I WILL 2272 01:31:38,282 --> 01:31:38,849 HAND TO YOU IF YOU HAVE A 2273 01:31:38,849 --> 01:31:50,627 QUESTION. 2274 01:31:50,627 --> 01:31:53,030 >> I'M LOOKING FOR A HAND UP IN 2275 01:31:53,030 --> 01:31:57,067 THE TEAM. OR IN THE OTHER 2276 01:31:57,067 --> 01:32:21,525 TEAMS. 2277 01:32:21,525 --> 01:32:23,093 >> SHE IS GETTING HER HEADSET 2278 01:32:23,093 --> 01:32:23,527 ON. 2279 01:32:23,527 --> 01:32:24,995 >> WRESTLING WITH HER 2280 01:32:24,995 --> 01:32:25,495 MICROPHONE. 2281 01:32:25,495 --> 01:32:26,830 >> HOW DOES THAT WORK? 2282 01:32:26,830 --> 01:32:29,232 >> HI, CONNIE. GREAT. 2283 01:32:29,232 --> 01:32:35,205 >> SO MY REACTION IS I THOUGHT 2284 01:32:35,205 --> 01:32:36,340 BIOLOGY WAS COMPLEX BUT THEN I 2285 01:32:36,340 --> 01:32:39,209 HAVE BEEN LISTENING TO THESE 2286 01:32:39,209 --> 01:32:42,913 OTHER WORKSHOPS AND I'M SORT OF 2287 01:32:42,913 --> 01:32:45,916 OVERWHELMED. I GUESS I WOULD 2288 01:32:45,916 --> 01:32:47,050 LIKE A LITTLE BIT OF 2289 01:32:47,050 --> 01:32:48,185 CONVERSATION ABOUT SEEMS LIKE 2290 01:32:48,185 --> 01:32:49,753 ALL OUR WORKING GROUPS HAVE 2291 01:32:49,753 --> 01:32:53,991 WORKED REALLY HARD AT EXPOSING 2292 01:32:53,991 --> 01:32:55,792 THE COMPLEXITY AND ALL THE 2293 01:32:55,792 --> 01:33:00,263 FACTORS THAT NEED TO BE 2294 01:33:00,263 --> 01:33:02,566 CONSIDERED I AM OF THE MIND 2295 01:33:02,566 --> 01:33:04,434 MAYBE THE WORK IS NOT THAT 2296 01:33:04,434 --> 01:33:13,210 HELPFUL UNTIL WE FUNNEL THOUGH 2297 01:33:13,210 --> 01:33:14,444 REPORT CAN GO THROUGH THE 2298 01:33:14,444 --> 01:33:15,178 DIFFERENT SYSTEMS THAT NEED TO 2299 01:33:15,178 --> 01:33:17,014 BE CONSIDERED AND REMINDERS 2300 01:33:17,014 --> 01:33:19,383 ABOUT WHO MIGHT GET LEFT OUT OR 2301 01:33:19,383 --> 01:33:23,720 WHATEVER. I THINK IN IN ORDER 2302 01:33:23,720 --> 01:33:25,722 FOR PROGRAM TO EVALUATE 2303 01:33:25,722 --> 01:33:28,125 EFFECTIVENESS, WE HAVE TO HELP 2304 01:33:28,125 --> 01:33:32,029 FUNNEL AND SAY HERE IS THE TOP 2305 01:33:32,029 --> 01:33:33,764 PRIORITIESPRIORITIES. I ENVISION AND WE 2306 01:33:33,764 --> 01:33:38,368 NEED TO TALK ABOUT THIS IN 2307 01:33:38,368 --> 01:33:40,203 FUTURE WORKING GROUP MEETINGS, 2308 01:33:40,203 --> 01:33:43,740 CAN WE SEE COMING UP WITH TABLES 2309 01:33:43,740 --> 01:33:47,144 THAT SORT OF OUTLINE HERE IS 2310 01:33:47,144 --> 01:33:48,812 YOUR TOP PRIORITY, MAYBE YOU 2311 01:33:48,812 --> 01:33:50,180 HAVE THIS OTHER CIRCUMSTANCES 2312 01:33:50,180 --> 01:33:51,214 AND CONSIDER THESE ADDITIONAL 2313 01:33:51,214 --> 01:33:56,219 ONES. BUT I THINK OUR NEXT BIG 2314 01:33:56,219 --> 01:33:57,387 EFFORT NEEDS TO BE FUNNELING. 2315 01:33:57,387 --> 01:33:59,189 >> I COULDN'T AGREE MORE, AND I 2316 01:33:59,189 --> 01:34:02,125 THINK WE ARE PICTURING A VISUAL 2317 01:34:02,125 --> 01:34:03,694 THAT HAS THE BASIC FOUNDATION 2318 01:34:03,694 --> 01:34:05,729 AND THEN BUILDING ON THAT WHICH 2319 01:34:05,729 --> 01:34:07,864 WILL BE CONTEXT SPECIFIC AND 2320 01:34:07,864 --> 01:34:09,199 DEVELOPMENTALLY SPECIFIC BUT 2321 01:34:09,199 --> 01:34:12,869 GIVING GUIDANCE, TO BUILD OUT AS 2322 01:34:12,869 --> 01:34:15,338 APPROPRIATE WHERE RESOURCES ARE 2323 01:34:15,338 --> 01:34:17,307 THERE, WHERE MANDATE IS THERE 2324 01:34:17,307 --> 01:34:18,508 BASED ON THE PARTICULAR 2325 01:34:18,508 --> 01:34:21,211 INTERVENTION BEING DONE AND 2326 01:34:21,211 --> 01:34:23,013 OUTCOME EXPECTED. I LIKE THAT 2327 01:34:23,013 --> 01:34:24,014 THOUGHT A LOT. IT WILL BE A 2328 01:34:24,014 --> 01:34:26,216 COMPLEX TABLE BUT I STILL THINK 2329 01:34:26,216 --> 01:34:29,252 IT WILL BE HELPFUL. APPRECIATE 2330 01:34:29,252 --> 01:34:30,153 THAT COMMENT. 2331 01:34:30,153 --> 01:34:32,522 >> CHRIS CAN I SUGGEST WE GO TO 2332 01:34:32,522 --> 01:34:34,091 -- THAT WE SKIP DEANNA BECAUSE 2333 01:34:34,091 --> 01:34:35,425 WE ARE GOING TO HAVE OUR GROUP 2334 01:34:35,425 --> 01:34:36,126 DISCUSSION AT THE END. 2335 01:34:36,126 --> 01:34:36,960 >> EXACTLY. 2336 01:34:36,960 --> 01:34:39,262 >> SO I'M GOING TO SUGGEST WE 2337 01:34:39,262 --> 01:34:41,732 JUST HEAR FROM MAUREEN AND THAT 2338 01:34:41,732 --> 01:34:45,368 CAN TAKE US TO OUR BREAK. 2339 01:34:45,368 --> 01:34:48,105 >> THEN MARIANNEELLE AND DEANNA 2340 01:34:48,105 --> 01:34:49,639 WILL WEIGH IN WORKING GROUP. 2341 01:34:49,639 --> 01:34:49,940 PERFECT. 2342 01:34:49,940 --> 01:34:50,507 >> EXACTLY. 2343 01:34:50,507 --> 01:34:54,878 >> THANK YOU VERY MUCH. I WILL 2344 01:34:54,878 --> 01:34:58,381 BE QUICK, SUCCINCT. I LOVE THE 2345 01:34:58,381 --> 01:35:01,551 TALKS. THEY WERE REALLY VERY 2346 01:35:01,551 --> 01:35:05,188 HELPFUL AND I THOUGHT CERTAINLY 2347 01:35:05,188 --> 01:35:07,524 EXTENDED FROM THE WORK WE DID IN 2348 01:35:07,524 --> 01:35:12,262 OUR ENVIRONMENTAL GROUP AND SO I 2349 01:35:12,262 --> 01:35:13,130 THOUGHT THERE WAS CONSISTENCY IN 2350 01:35:13,130 --> 01:35:20,403 THAT. THE CHALLENGE AND IS HOW 2351 01:35:20,403 --> 01:35:21,772 TOBLY THIS TOGETHER AND BRING IT 2352 01:35:21,772 --> 01:35:27,944 IN A WAY THAT HELPFUL 2353 01:35:27,944 --> 01:35:29,212 OPERATIONAL AND ENABLE US US TO 2354 01:35:29,212 --> 01:35:30,947 MOVE FORWARD. WHAT THIS REMIND 2355 01:35:30,947 --> 01:35:35,118 US, THERE'S NO MAGIC BULLET. 2356 01:35:35,118 --> 01:35:40,023 THERE'S NO QUICK ONE SIZE FITS 2357 01:35:40,023 --> 01:35:41,525 ALL SOLUTION. HOW CAN WE 2358 01:35:41,525 --> 01:35:43,293 MARSHALL WHAT WE KNOW AND SORT 2359 01:35:43,293 --> 01:35:45,529 OUT WHAT TO MEASURE, NOT ONLY 2360 01:35:45,529 --> 01:35:48,865 FROM THE CHILD PERSPECTIVE BUT 2361 01:35:48,865 --> 01:35:49,800 FROM SOME OF THE OTHER 2362 01:35:49,800 --> 01:35:51,268 INTERACTIONS AND ENVIRONMENTS 2363 01:35:51,268 --> 01:35:55,972 THAT WE KNOW INFLUENCE KIDS. THE 2364 01:35:55,972 --> 01:35:57,541 EXAMPLES THAT YOU GAVE RECENT 2365 01:35:57,541 --> 01:36:00,710 ONE ON SCHOOL MEAL, RACHEL 2366 01:36:00,710 --> 01:36:02,412 TALKED FROM THEIR PROJECT AND 2367 01:36:02,412 --> 01:36:03,847 HOW, YOU EVEN HAVE A DISPARITY 2368 01:36:03,847 --> 01:36:05,415 IN THAT. IN TERMS OF HOW THINGS 2369 01:36:05,415 --> 01:36:10,320 BENCH SO IT IS GREAT, I THINK WE 2370 01:36:10,320 --> 01:36:11,254 WILL NEED WORK AT THE END OF 2371 01:36:11,254 --> 01:36:12,622 THIS TO PUT THIS TOGETHER. SO 2372 01:36:12,622 --> 01:36:21,531 THANK YOU, VERY MUCH 2373 01:36:21,531 --> 01:36:24,568 >> I THINK MAUREEN SUMMARIZED MY 2374 01:36:24,568 --> 01:36:26,770 THOUGHTS SO I WANTED TO ADD IN 2375 01:36:26,770 --> 01:36:29,039 MANY WAYS THIS IS THE SESSION, 2376 01:36:29,039 --> 01:36:30,807 THIS IS WHERE THE RUBBER HITS 2377 01:36:30,807 --> 01:36:33,810 THE ROAD AS THEY SAY. THE 2378 01:36:33,810 --> 01:36:35,912 QUESTION I HAD WHILE WE HAVE 2379 01:36:35,912 --> 01:36:37,480 KNOWN FOR I DON'T KNOW DECADES 2380 01:36:37,480 --> 01:36:42,219 HOW CRITICAL CONTEXT IS, IS 2381 01:36:42,219 --> 01:36:43,453 THERE AN OPPORTUNITY, PEOPLE ON 2382 01:36:43,453 --> 01:36:44,721 THE GROUND ARE LOOKING FOR 2383 01:36:44,721 --> 01:36:46,022 SOLUTIONS AN DON'T HAVE A MAGIC 2384 01:36:46,022 --> 01:36:48,558 SOLUTION, BUT RATHER THAN 2385 01:36:48,558 --> 01:36:50,327 BRINGING OUR HAND ARE THERE 2386 01:36:50,327 --> 01:36:52,762 TOOLS, ARE ARE THERE APPROACHES 2387 01:36:52,762 --> 01:36:57,300 THAT CAN BE USED HAVING WORKED 2388 01:36:57,300 --> 01:37:01,171 IN CHILD DEVELOPMENT, HAVING -- 2389 01:37:01,171 --> 01:37:03,707 TO MEASURE CHILD DEVELOPMENT 2390 01:37:03,707 --> 01:37:06,209 HAVE MOVED FORWARD. SO I THINK 2391 01:37:06,209 --> 01:37:08,144 THAT'S SOMETHING WHICH I HOPE 2392 01:37:08,144 --> 01:37:12,716 COMES OUT OF IT BECAUSE WHILE I 2393 01:37:12,716 --> 01:37:14,217 AGREE YOU WANT FROM THE GROUND 2394 01:37:14,217 --> 01:37:16,152 UP WHEN PEOPLE -- THERE'S SO 2395 01:37:16,152 --> 01:37:17,921 MUCH DISPARITY, THIS IS NOT ON 2396 01:37:17,921 --> 01:37:20,924 TOP OF THEIR LIST, AND WE HAVE 2397 01:37:20,924 --> 01:37:24,961 TO -- THINGS THAT FACILITATE AND 2398 01:37:24,961 --> 01:37:28,798 AGREE WITH CONNIE. 2399 01:37:28,798 --> 01:37:30,400 >> CHALLENGE US TO DO THAT. IT 2400 01:37:30,400 --> 01:37:32,869 WOULD BE INCREDIBLY USEFUL. 2401 01:37:32,869 --> 01:37:33,436 PLEASE DAN. 2402 01:37:33,436 --> 01:37:37,874 >> SO LET ME JUST QUICKLY MAKE A 2403 01:37:37,874 --> 01:37:39,509 COMMENT. I THINK ALL THE WORKING 2404 01:37:39,509 --> 01:37:43,113 GROUPS ARE DOING A GREAT JOB. IT 2405 01:37:43,113 --> 01:37:45,849 IS COMPLEX, IT IS DAUNTING, WE 2406 01:37:45,849 --> 01:37:47,217 SHOULDN'T BE DAUNTED BY IT. THE 2407 01:37:47,217 --> 01:37:48,919 FIRST THREE WORKING GROUPS ARE 2408 01:37:48,919 --> 01:37:50,720 INTENDED TO FOCUS OUR ATTENTION 2409 01:37:50,720 --> 01:37:53,456 ON CHILD. WHAT IT IS WE MOW 2410 01:37:53,456 --> 01:37:55,358 ABOUT BIOLOGY, WHAT WE KNOW 2411 01:37:55,358 --> 01:37:57,260 ABOUT THE IMPLICATIONS OF THE 2412 01:37:57,260 --> 01:37:59,362 ENVIRONMENT ON THOSE DOMAINS OF 2413 01:37:59,362 --> 01:38:01,665 INTEREST IN TERMS OF FUNCTION WE 2414 01:38:01,665 --> 01:38:02,465 MIGHT BE INTERESTED IN 2415 01:38:02,465 --> 01:38:06,269 MEASURING. WORK GROUP IS GOING 2416 01:38:06,269 --> 01:38:11,808 TO DEVELOP SOME SORT OF SUITE, A 2417 01:38:11,808 --> 01:38:14,277 MODEL SOME SORT OF APPROACH TO 2418 01:38:14,277 --> 01:38:15,645 PUTTING THOSE TWO THINGS 2419 01:38:15,645 --> 01:38:17,981 TOGETHER. THIS GROUP HERE HAS 2420 01:38:17,981 --> 01:38:19,683 COVERED ALL THE ISSUES THAT WILL 2421 01:38:19,683 --> 01:38:22,953 NEED TO BE CONSIDERED, ONCE WE 2422 01:38:22,953 --> 01:38:24,854 HAVE COMPILE THE RESULTS OF 2423 01:38:24,854 --> 01:38:26,356 WORKING GROUPS ONE THROUGH 2424 01:38:26,356 --> 01:38:28,291 THREE, WHAT ARE THE ISSUES THAT 2425 01:38:28,291 --> 01:38:29,626 NEED TO BE CONSIDERED FOR 2426 01:38:29,626 --> 01:38:31,594 IMPLEMENTATION TRANSLATION WHICH 2427 01:38:31,594 --> 01:38:33,063 IS AS CHRIS HIGHLIGHTED WHAT 2428 01:38:33,063 --> 01:38:35,065 PHASE 2 IS GOING TO BE ABOUT. SO 2429 01:38:35,065 --> 01:38:36,733 I WOULDN'T GET OVERLY DISTRACTD 2430 01:38:36,733 --> 01:38:38,168 BY THE COMPLEXITY. IT IS 2431 01:38:38,168 --> 01:38:41,671 COMPLEX. BUT EACH OF YOU YOUR 2432 01:38:41,671 --> 01:38:42,739 WORKING GROUPS HAVE BEEN DOING 2433 01:38:42,739 --> 01:38:44,708 WHAT YOU NEED TO BE DOING TO 2434 01:38:44,708 --> 01:38:45,809 HIGHLIGHT WHAT IT IS WE NEED TO 2435 01:38:45,809 --> 01:38:48,111 BE THINKING ABOUT. TO MEASURE 2436 01:38:48,111 --> 01:38:50,947 THE IMPACT OF THESE PROGRAMS ON 2437 01:38:50,947 --> 01:38:53,950 CHILD HEALTH AND DEVELOPMENT. SO 2438 01:38:53,950 --> 01:38:55,518 PLEASE DON'T GET DISTRACTED BY 2439 01:38:55,518 --> 01:38:58,455 THE COMPLEXITY. OWN IT. BUT WE 2440 01:38:58,455 --> 01:38:59,789 CAN MOVE -- WE WILL MOVE FORWARD 2441 01:38:59,789 --> 01:39:01,858 WITH THIS. AND ALSO I WANT TO 2442 01:39:01,858 --> 01:39:03,326 HIGHLIGHT THE NEED -- THE FACT 2443 01:39:03,326 --> 01:39:07,197 THAT AS I MENTION IN MY 2444 01:39:07,197 --> 01:39:08,465 PRESENTATION, THERE NEEDS TO BE 2445 01:39:08,465 --> 01:39:10,834 A BALANCE BETWEEN RESEARCH AND 2446 01:39:10,834 --> 01:39:11,835 TRANSLATION. THAT IS NOT A 2447 01:39:11,835 --> 01:39:13,403 LINEAR RELATIONSHIP, IT IS A 2448 01:39:13,403 --> 01:39:14,938 CIRCULAR ONE. SO WILL IS A 2449 01:39:14,938 --> 01:39:16,639 CONSTANT FEEDBACK LOOP. WE NEED 2450 01:39:16,639 --> 01:39:18,541 TO HAVE A RESEARCH PRIORITIES 2451 01:39:18,541 --> 01:39:19,642 THAT WE CAN LAY OUT. TO 2452 01:39:19,642 --> 01:39:21,177 HIGHLIGHT WHAT WE NEED TO BE 2453 01:39:21,177 --> 01:39:22,178 DOING, BECAUSE IT IS OBVIOUSLY 2454 01:39:22,178 --> 01:39:25,982 THINGS THAT WE NEED TO BE DOING. 2455 01:39:25,982 --> 01:39:28,785 WHAT WE CAN DO WE SHOULD MYLIGHT 2456 01:39:28,785 --> 01:39:31,888 AS WELL. THESE WERE HIGHLIGHTED, 2457 01:39:31,888 --> 01:39:32,789 WITH DUE CONSIDERATION TO ALL 2458 01:39:32,789 --> 01:39:36,159 THE THINGS THAN WERE HIGHLIGHTED 2459 01:39:36,159 --> 01:39:38,128 IN THE PRESENTATION THIS 2460 01:39:38,128 --> 01:39:40,130 MORNING. I WOULD FINISH BY 2461 01:39:40,130 --> 01:39:41,598 SAYING WE HAVE GONE THROUGH THIS 2462 01:39:41,598 --> 01:39:43,066 WITH THE BEGIN PROJECT. THIS IS 2463 01:39:43,066 --> 01:39:45,502 A COMPLEX ISSUE. SCHOOL AGE 2464 01:39:45,502 --> 01:39:47,570 CHILDREN IN THE IMPACT NUTRITION 2465 01:39:47,570 --> 01:39:50,006 SCHOOL AGE CHILDREN. BUT THE 2466 01:39:50,006 --> 01:39:51,875 ISSUE OF INFANT FEEDING AND 2467 01:39:51,875 --> 01:39:54,044 BREAST FEEDING AND LACTATION, 2468 01:39:54,044 --> 01:39:55,745 AND THE CONTEXTUAL ISSUES THAT 2469 01:39:55,745 --> 01:39:58,381 IMPACT ON THAT, IS EQUALLY 2470 01:39:58,381 --> 01:40:00,316 DAUNTING BUT THOSE -- WE ARE 2471 01:40:00,316 --> 01:40:01,918 ABLE TO PULL THAT TOGETHER IN A 2472 01:40:01,918 --> 01:40:03,453 MEANINGFUL WAY. AND I THINK WE 2473 01:40:03,453 --> 01:40:06,022 CAN DO THAT HERE. PLEASE DON'T 2474 01:40:06,022 --> 01:40:07,557 BE DISTRACTED. YOU GUYS ARE 2475 01:40:07,557 --> 01:40:09,826 DOING A GREAT JOB. WE WILL MOVE 2476 01:40:09,826 --> 01:40:10,860 FORWARD WITH THIS AND IT WILL BE 2477 01:40:10,860 --> 01:40:12,262 GREAT. THANK YOU. 2478 01:40:12,262 --> 01:40:14,064 >> THANKS FOR THE WORDS OF 2479 01:40:14,064 --> 01:40:15,932 ENCOURAGEMENT, DAN. WE HAVE A 2480 01:40:15,932 --> 01:40:18,401 SHORT BREAK PLANNED. WE'LL ASK 2481 01:40:18,401 --> 01:40:21,738 EVERYONE TO RECONVENE TAKE TEN 2482 01:40:21,738 --> 01:40:23,173 MINUTES? OR STICK WITH THE FIVE? 2483 01:40:23,173 --> 01:40:25,575 >> I THINK WE NEED TO STICK WITH 2484 01:40:25,575 --> 01:40:26,543 FIVE. 2485 01:40:26,543 --> 01:40:29,045 >> OKAY. SET YOUR TIMERS. PLEASE 2486 01:40:29,045 --> 01:40:33,483 COME BACK IN FIVE MINUTES. AND 2487 01:40:33,483 --> 01:40:34,784 WE'LL BEGIN WITH OUR SPEAKERS. 2488 01:40:34,784 --> 01:40:35,885 THANK YOU TO EVERYONE O WHO 2489 01:40:35,885 --> 01:40:37,598 SPOKE THIS MORNING, THE WORKING 2490 01:40:37,598 --> 01:40:39,532 GROUP MEMBERS. SEE YOU SOON. 2491 01:40:39,532 --> 01:40:40,967 >> WELCOME BACK, EVERYBODY. WE 2492 01:40:40,967 --> 01:40:42,969 WILL TALK WITH OUR SERIES OF 2493 01:40:42,969 --> 01:40:44,804 FOUR TALKS FROM INVITED SPEAKERS 2494 01:40:44,804 --> 01:40:46,372 WE ARE EXCITED ABOUT AND SO 2495 01:40:46,372 --> 01:40:47,574 APPRECIATIVE EVERYONE WAS 2496 01:40:47,574 --> 01:40:49,142 WILLING TO MAKE THE TIME TO BE 2497 01:40:49,142 --> 01:40:51,044 HERE TODAY. SO I'M GOING TO 2498 01:40:51,044 --> 01:40:53,680 START BY INTRODUCING DONNA 2499 01:40:53,680 --> 01:40:55,982 MARTIN WHO IS FROM THE BURKE 2500 01:40:55,982 --> 01:40:58,084 COUNTY BOARD EVENINGCATION. AND 2501 01:40:58,084 --> 01:40:59,886 ALSO WAS -- EDUCATION. PAST 2502 01:40:59,886 --> 01:41:02,155 PRESIDENT OF ACADEMY OF 2503 01:41:02,155 --> 01:41:04,724 NUTRITION AN DIETETICS. SHE 2504 01:41:04,724 --> 01:41:06,159 WILL TALK TRANSLATION AND 2505 01:41:06,159 --> 01:41:07,627 IMPLEMENTATION CONSIDERATIONS 2506 01:41:07,627 --> 01:41:08,428 FOR SCHOOL FOOD PROGRAMS IN THE 2507 01:41:08,428 --> 01:41:12,599 UNITED STATES. WELCOME, DONNA. 2508 01:41:12,599 --> 01:41:14,267 >> THANK YOU FOR THE OPPORTUNITY 2509 01:41:14,267 --> 01:41:16,736 TO SPEAK TODAY ABOUT THE LOWER 2510 01:41:16,736 --> 01:41:18,338 SCHOOL MEAL TRANSLATING 2511 01:41:18,338 --> 01:41:19,806 IMPLEMENTING IMPACT OF PROGRAMS 2512 01:41:19,806 --> 01:41:21,774 AND INTERVENTIONS TARGETING 2513 01:41:21,774 --> 01:41:23,676 NUTRITIONAL NEEDS OF CHILDREN. 2514 01:41:23,676 --> 01:41:25,912 SCHOOL MEALS ARE THE ULTIMATE 2515 01:41:25,912 --> 01:41:30,049 SAFETY NET FOR CHILDREN IN FOOD 2516 01:41:30,049 --> 01:41:31,251 INSECURITY AND EXCELLENT WAY TO 2517 01:41:31,251 --> 01:41:32,519 ENSURE CHILDREN LEARN TO EAT 2518 01:41:32,519 --> 01:41:36,156 HEALTHY. SO SCHOOL NUTRITION 2519 01:41:36,156 --> 01:41:38,958 PROGRAMS PROVIDE CRITICAL SYSTEM 2520 01:41:38,958 --> 01:41:41,161 OF SUPPORT FOR MILLIONS OF 2521 01:41:41,161 --> 01:41:43,096 AMERICANS WHEN AT SCHOOL OR 2522 01:41:43,096 --> 01:41:44,531 OTHER SUPERVISED CHILD CARE 2523 01:41:44,531 --> 01:41:46,332 SETTINGS. NATIONAL SCHOOL LUNCH 2524 01:41:46,332 --> 01:41:49,769 PROGRAM WAS ESTABLISHED IN THE 2525 01:41:49,769 --> 01:41:51,137 RICHARD BE RUSSELL NATIONAL 2526 01:41:51,137 --> 01:41:53,573 NUTRITION ACT SIGNED INTO LAW BY 2527 01:41:53,573 --> 01:41:58,077 PRESIDENT HARRY TRUMAN IN 1946. 2528 01:41:58,077 --> 01:41:59,679 THE NATIONAL SCHOOL LUNCH 2529 01:41:59,679 --> 01:42:01,514 PROGRAM IS LARGEST OF THE 2530 01:42:01,514 --> 01:42:04,717 PROGRAMS AND FEDERALLY ASSISTED 2531 01:42:04,717 --> 01:42:08,788 PROGRAM THAT OPERATES IN PUBLIC 2532 01:42:08,788 --> 01:42:14,761 AND NON-PROFIT SCHOOLS 2533 01:42:14,761 --> 01:42:15,828 7.1 MILLION CHILDREN PARTICIPATE 2534 01:42:15,828 --> 01:42:17,931 IN NATIONAL SCHOOL LUNCH PROGRAM 2535 01:42:17,931 --> 01:42:21,434 IN ITS FIRST YEAR. IT REACHES 30 2536 01:42:21,434 --> 01:42:24,704 MILLION CHILDREN EVERY DAY. AND 2537 01:42:24,704 --> 01:42:27,373 PROVIDES NUTRITIONALLY BALANCED 2538 01:42:27,373 --> 01:42:29,609 LOW COST OR NO COST LUNCHES TO 2539 01:42:29,609 --> 01:42:31,611 CHILDREN EACH SCHOOL DAY. THE 2540 01:42:31,611 --> 01:42:34,480 SCHOOL BREAKFAST PROGRAM STARTED 2541 01:42:34,480 --> 01:42:36,783 IN 1966 AS PILOT PROJECT AND 2542 01:42:36,783 --> 01:42:39,152 MADE PERMANENT ENTITLEMENT 2543 01:42:39,152 --> 01:42:45,425 PROGRAM BY CONGRESS IN 1975. 2544 01:42:45,425 --> 01:42:46,893 SLOWLY BUT STEADILY GROWN OVER 2545 01:42:46,893 --> 01:42:48,962 THE YEARS SERVING NEARLY A HALF 2546 01:42:48,962 --> 01:42:53,299 A MILLION CHILDREN IN 1970, AND 2547 01:42:53,299 --> 01:42:55,268 NOW REACHING CLOSE TO 15 MILLION 2548 01:42:55,268 --> 01:42:57,670 CHILDREN A DAY. THE CHILD 2549 01:42:57,670 --> 01:42:58,705 DEVELOP CARE FOOD PROGRAM IS 2550 01:42:58,705 --> 01:43:01,107 FEDERAL MANDATE THAT PROVIDES 2551 01:43:01,107 --> 01:43:03,843 REIMBURSEMENTS FOR NUTRITIOUS 2552 01:43:03,843 --> 01:43:06,379 MEALS TO ELIGIBLE CHILDREN FOR 2553 01:43:06,379 --> 01:43:08,214 CARE AND PARTICIPATING CHILD 2554 01:43:08,214 --> 01:43:09,782 CARE CENTERS AND DAY CARE 2555 01:43:09,782 --> 01:43:14,354 CENTERS. CONTRIBUTES TO THE 2556 01:43:14,354 --> 01:43:15,388 WELTNESS AND HEALTH APPROXIMATE 2557 01:43:15,388 --> 01:43:16,756 AND GROWTH OF YOUNG CHILDREN IN 2558 01:43:16,756 --> 01:43:18,992 THE UNITED STATES BY SERVING 2559 01:43:18,992 --> 01:43:20,960 NEARLY 4 MILLION CHILDREN DAILY. 2560 01:43:20,960 --> 01:43:22,795 THE CENTER FOOD SERVICE PROGRAM 2561 01:43:22,795 --> 01:43:24,430 ALSO KNOWN AS THE SUMMER MEALS 2562 01:43:24,430 --> 01:43:27,433 PROGRAM WAS ESTABLISHED IN 2563 01:43:27,433 --> 01:43:28,968 CHILDREN TO ENSURE CHILDREN 2564 01:43:28,968 --> 01:43:30,770 CONTINUE TO RECEIVE NUTRITIOUS 2565 01:43:30,770 --> 01:43:32,038 MEALS WHEN SCHOOL IS NOT IN 2566 01:43:32,038 --> 01:43:34,274 SESSION. WHEN SCHOOL IS OUT IS 2567 01:43:34,274 --> 01:43:35,508 SUMMER FOOD PROGRAM PROVIDES 2568 01:43:35,508 --> 01:43:39,512 MEALS TO KIDS AND TEENS IN LOW 2569 01:43:39,512 --> 01:43:42,282 INCOME AREAS. THOUGH QUITE A 2570 01:43:42,282 --> 01:43:43,449 FEW CHILDREN WITH SUMMER FOOD 2571 01:43:43,449 --> 01:43:47,720 SERVICE PROGRAM BECAUSE OF THE 2572 01:43:47,720 --> 01:43:52,258 PANDEMIC, PREPANDEMIC WE WERE 2573 01:43:52,258 --> 01:43:53,760 SERVING A FRACTION OF THE 2574 01:43:53,760 --> 01:43:54,761 CHILDREN TO RECEIVE SCHOOL MEALS 2575 01:43:54,761 --> 01:43:59,098 IN THE SCHOOL YEAR. THE FDA FARM 2576 01:43:59,098 --> 01:44:01,000 TO SCHOOL GRANT FINDS STATE 2577 01:44:01,000 --> 01:44:02,368 REGIONAL ORGANIZATIONS AS THEY 2578 01:44:02,368 --> 01:44:04,137 INITIATE EXPAND AND 2579 01:44:04,137 --> 01:44:05,371 INSTITUTIONALIZE FARM TO SCHOOL 2580 01:44:05,371 --> 01:44:09,642 METHODS. ON AN ANNUAL BASIS 2581 01:44:09,642 --> 01:44:10,677 AWARDS COMPETITIVE FARM TO 2582 01:44:10,677 --> 01:44:12,111 SCHOOL GRANTS THAT SUPPORT 2583 01:44:12,111 --> 01:44:13,746 PLANNING, DEVELOPING AND 2584 01:44:13,746 --> 01:44:16,015 IMPLEMENTING FARM TO SCHOOL 2585 01:44:16,015 --> 01:44:17,884 PROGRAMS. BEGINNING IN THE 21, 2586 01:44:17,884 --> 01:44:19,352 22 SCHOOL YEAR FARM TO SCHOOL 2587 01:44:19,352 --> 01:44:22,155 GRANT PROGRAM WILL BE SUPPORTING 2588 01:44:22,155 --> 01:44:25,858 176 GRANTS SERVING 6,800 2589 01:44:25,858 --> 01:44:27,593 SCHOOLS, MORE THAN 1.4 MILLION 2590 01:44:27,593 --> 01:44:29,762 STUDENTS OF THE VEGETABLE 2591 01:44:29,762 --> 01:44:32,999 PROGRAM IS A FEDERALLY ASSISTIVE 2592 01:44:32,999 --> 01:44:35,468 PROGRAM PROVIDING FRESH FRUIT AN 2593 01:44:35,468 --> 01:44:36,636 VEGETABLES TO CHILDREN WITH 2594 01:44:36,636 --> 01:44:38,538 ELIGIBLE ELEMENTARY SCHOOLS IN 2595 01:44:38,538 --> 01:44:40,840 THE SKOL DAY. THE GOAL OF THE 2596 01:44:40,840 --> 01:44:42,976 THE VEGETABLE PROGRAM IS 2597 01:44:42,976 --> 01:44:44,243 INTRODUCE CHILDREN TO FRESH 2598 01:44:44,243 --> 01:44:45,545 FRUITS AND VEGETABLES TO INCLUDE 2599 01:44:45,545 --> 01:44:49,048 NEW DIFFERENT VARIETIES AND 2600 01:44:49,048 --> 01:44:50,883 INCREASE ACCEPTANCE AS FUNCTION 2601 01:44:50,883 --> 01:44:52,819 OF FOOD. UNPROCESSED PRODUCE 2602 01:44:52,819 --> 01:44:57,457 AMONG CHILDREN. THE FRUIT AND 2603 01:44:57,457 --> 01:44:59,392 VEGETABLE ENCOURAGES HEALTHIER 2604 01:44:59,392 --> 01:45:00,493 SCHOOL ENVIRONMENT BY PROMOTING 2605 01:45:00,493 --> 01:45:02,628 EDUCATION, OVER THE LAST YEARS 2606 01:45:02,628 --> 01:45:06,032 FDA HAS INVESTED NEARLY 200 2607 01:45:06,032 --> 01:45:09,302 MILLION A YEAR IN FUNDING IN 2608 01:45:09,302 --> 01:45:12,705 THIS PROGRAM. NUTRITION 2609 01:45:12,705 --> 01:45:13,406 PROVIDED INFRASTRUCTURE THAT CAN 2610 01:45:13,406 --> 01:45:15,942 BE MOBILIZED TO IMPROVE 2611 01:45:15,942 --> 01:45:18,611 CHILDREN'S DIET AND HELP ON 2612 01:45:18,611 --> 01:45:19,612 NATIONAL SCALE WHY ALSO 2613 01:45:19,612 --> 01:45:21,681 IMPROVING SCHOOL ATTENDANCE, 2614 01:45:21,681 --> 01:45:23,783 TEST SCORES AND EDUCATIONAL 2615 01:45:23,783 --> 01:45:26,853 ATTAINMENT. THERE IS EVIDENCE 2616 01:45:26,853 --> 01:45:27,787 SOCIAL AND ECONOMIC BENEFIT OF 2617 01:45:27,787 --> 01:45:29,322 THE SCHOOL NUTRITION PROGRAMS 2618 01:45:29,322 --> 01:45:30,990 THAT EXTEND IN THE LOCAL 2619 01:45:30,990 --> 01:45:32,658 COMMUNITIES INCLUDING 2620 01:45:32,658 --> 01:45:34,293 IMPROVEMENTS IN THE DIET OF 2621 01:45:34,293 --> 01:45:36,662 OTHER FAMILY MEMBERS. HEALTHIER 2622 01:45:36,662 --> 01:45:39,565 OPTIONS IN GROCERY STORES 2623 01:45:39,565 --> 01:45:41,234 ECONOMIC STIMULUS TO 2624 01:45:41,234 --> 01:45:42,602 COMMUNITIES, STAGE CUSTOMERS FOR 2625 01:45:42,602 --> 01:45:44,937 AMERICAN AGRICULTURE, JOB 2626 01:45:44,937 --> 01:45:47,173 CREATION, AND POVERTY REDUCTION. 2627 01:45:47,173 --> 01:45:51,411 IN LIGHT OF THE PANDEMIC, THE 2628 01:45:51,411 --> 01:45:53,813 OBESITY AND FOOD INSECURITY 2629 01:45:53,813 --> 01:45:55,048 SHOULD BE THE OUTMOST IN PERSONS 2630 01:45:55,048 --> 01:45:57,550 SCHOOL MEALS ARE BEST DEFENSE 2631 01:45:57,550 --> 01:46:01,187 AGAINST THIS. GENERALLY EVERY 2632 01:46:01,187 --> 01:46:02,188 FIVE YEARS UNITED STATES 2633 01:46:02,188 --> 01:46:04,724 CONGRESS PASSES LEGISLATION THAT 2634 01:46:04,724 --> 01:46:06,659 REAUTHORIZES THE EXISTING 2635 01:46:06,659 --> 01:46:10,530 CHILDHOOD PROGRAM, THE LAST YEAR 2636 01:46:10,530 --> 01:46:13,032 AUTHORIZATION HELP KIDS ACT WAS 2637 01:46:13,032 --> 01:46:14,801 PASS MISDEMEANOR 2010. 2638 01:46:14,801 --> 01:46:16,035 CONSEQUENTLY THESE PROGRAMS HAVE 2639 01:46:16,035 --> 01:46:18,070 NOT BEEN UPDATED IN A DECADE. 2640 01:46:18,070 --> 01:46:20,873 THOUGH THE CURRENT LAW, FREE 2641 01:46:20,873 --> 01:46:24,944 KIDS ACT OF 2010 EXPIRED ON 2642 01:46:24,944 --> 01:46:26,946 SEPTEMBER 30 OF 2015, THE 2643 01:46:26,946 --> 01:46:30,950 PROGRAMS CONTINUE TO OPERATE BUT 2644 01:46:30,950 --> 01:46:33,052 NEED UPDATES. THE HE WILL THY 2645 01:46:33,052 --> 01:46:35,688 -- ENACTED IN WIDESPREAD PUBLIC 2646 01:46:35,688 --> 01:46:37,690 CONCERN BY AUTHORIZING CHANGES 2647 01:46:37,690 --> 01:46:41,561 IN THE SCHOOL NUTRITION PROGRAM. 2648 01:46:41,561 --> 01:46:43,830 THESE CHANGES RANGE FROM 2649 01:46:43,830 --> 01:46:45,097 CREATING NEW SCHOOL LUNCH 2650 01:46:45,097 --> 01:46:46,999 BREAKFAST AND COMPETITIVE FOOD 2651 01:46:46,999 --> 01:46:52,138 NUTRITION STANDARDS, THAT ALIE 2652 01:46:52,138 --> 01:46:53,973 WITH THE LATEST NUTRITION 2653 01:46:53,973 --> 01:46:55,842 SCIENCE. TO ELEVATE STATUS OF 2654 01:46:55,842 --> 01:46:57,210 SCHOOL NUTRITION ARE 2655 01:46:57,210 --> 01:47:03,216 PROFESSIONALS MANY RBN REQUIRING 2656 01:47:03,216 --> 01:47:06,252 CONTINUING EDUCATION. THE NEW 2657 01:47:06,252 --> 01:47:08,354 MEAL PATTERNS INCLUDE MINIMUM 2658 01:47:08,354 --> 01:47:10,556 AND MAXIMUM POWER LEVELS, 2659 01:47:10,556 --> 01:47:13,059 REQUIREMENTS OF FULL MEALS MUST 2660 01:47:13,059 --> 01:47:14,494 INCHRUD A FRUIT OR VEGETABLE ON 2661 01:47:14,494 --> 01:47:15,962 THE TRAY BUT SPECIFIC VEGETABLE 2662 01:47:15,962 --> 01:47:18,064 SUB GROUPS INCLUDED WHEN MENUS 2663 01:47:18,064 --> 01:47:21,968 ARE PLANNED AND 100% SERVE 51% 2664 01:47:21,968 --> 01:47:24,737 WHOLE GRAIN RICH. THE HEALTHY 2665 01:47:24,737 --> 01:47:27,740 HUNGER FREE KIDS ACT PROVIDED 2666 01:47:27,740 --> 01:47:29,509 GRANT MONEY TO STRENGTHEN 2667 01:47:29,509 --> 01:47:31,911 INITIATIVINGS IMPROVE 2668 01:47:31,911 --> 01:47:33,312 TRANSPARENCY, OVERSIGHT, AND 2669 01:47:33,312 --> 01:47:34,714 TECHNICAL ASSISTANCE, TO SCHOOLS 2670 01:47:34,714 --> 01:47:37,450 FOR WELLNESS POM SHY DEVELOPMENT 2671 01:47:37,450 --> 01:47:38,985 SPECIFICALLY RELATED TO 2672 01:47:38,985 --> 01:47:40,553 NUTRITION EDUCATION AND 2673 01:47:40,553 --> 01:47:42,355 PROMOTION OF FOOD, AND BEVERAGE 2674 01:47:42,355 --> 01:47:44,924 MARKETING TO CHILDREN. AND 2675 01:47:44,924 --> 01:47:49,328 EXPANDED AFTER SCHOOL MEALS TO 2676 01:47:49,328 --> 01:47:54,834 ALL STATES. WHAT HAPPENED SINCE 2677 01:47:54,834 --> 01:47:56,636 THE LAST AUTHORIZATION? 2678 01:47:56,636 --> 01:47:58,104 ACCORDING TO TUFTS UNIVERSITY 2679 01:47:58,104 --> 01:48:00,540 STUDY THAT FOLLOWED DIETARY 2680 01:48:00,540 --> 01:48:04,610 TRENDS OVER 15 YEAR PERIOD 2681 01:48:04,610 --> 01:48:06,946 BETWEEN 2003 AND 2018 PERCENTAGE 2682 01:48:06,946 --> 01:48:11,117 OF CORE NUTRITIONAL QUALITY FOOD 2683 01:48:11,117 --> 01:48:14,820 CONSUMED AT SCHOOL SUCCESSFULLY 2684 01:48:14,820 --> 01:48:18,925 REDUCE 55.6% TO 24.4%. THIS 2685 01:48:18,925 --> 01:48:21,794 DRASTIC IMPROVEMENT TOOK PLACE 2686 01:48:21,794 --> 01:48:24,330 MOSTLY AFTER THE 2010 HEALTHY 2687 01:48:24,330 --> 01:48:26,132 HUNGER FREE KIDS ACT. 2688 01:48:26,132 --> 01:48:27,800 SIMULTANEOUSLY OCCURRING WITH 2689 01:48:27,800 --> 01:48:29,468 THE PASSAGE OF THIS ACT, 2690 01:48:29,468 --> 01:48:32,338 NUTRITION QUALITY WAS MEASURED 2691 01:48:32,338 --> 01:48:34,774 USING MULTIPLE SCALES INCLUDING 2692 01:48:34,774 --> 01:48:37,910 USDA HEALTHY EATING INDEX WHICH 2693 01:48:37,910 --> 01:48:40,780 SCORES A PERSON DIET USING NINE 2694 01:48:40,780 --> 01:48:44,450 ADVOCACY COMPONENTS, TOTAL FRUIT 2695 01:48:44,450 --> 01:48:46,018 WHOLE FRUIT TOTAL VEGETABLES, 2696 01:48:46,018 --> 01:48:48,788 WHOLE GRAIN, DAIRY, TOTAL 2697 01:48:48,788 --> 01:48:50,122 PROTEIN, PLANT PROTEINS AND 2698 01:48:50,122 --> 01:48:54,727 PATTY ACIDS. AND FOR MODERATION 2699 01:48:54,727 --> 01:48:56,295 REFINED GRAINS SODIUM ADDED 2700 01:48:56,295 --> 01:48:58,898 SUGAR AND SATURATED FAT. AS A 2701 01:48:58,898 --> 01:49:03,369 RESULT, SCHOOLS ARE THE 2702 01:49:03,369 --> 01:49:05,371 HEALTHIEST PLACE TO EAT. THEY 2703 01:49:05,371 --> 01:49:09,175 ARE THE HEALTHIEST PLACE TO EAT 2704 01:49:09,175 --> 01:49:12,044 FOR CHILDREN DEMONSTRATING 2705 01:49:12,044 --> 01:49:13,412 SCHOOL NUTRITION MEAL. IT SHOWS 2706 01:49:13,412 --> 01:49:17,016 YOU HOW A SINGLE POLICY PASSED 2707 01:49:17,016 --> 01:49:18,751 BY CONGRESS CAN DRAMATICALLY 2708 01:49:18,751 --> 01:49:20,419 IMPROVE THE NUTRITION OF 2709 01:49:20,419 --> 01:49:22,989 MILLIONS OF CHILDREN. AMEND THE 2710 01:49:22,989 --> 01:49:24,624 RESULT RESEARCHERS ALSO FOUND 2711 01:49:24,624 --> 01:49:27,426 THE INCREASE IN HEALTHY EATING 2712 01:49:27,426 --> 01:49:29,829 SCHOOLS, EQUALLY IMPACTED ALL 2713 01:49:29,829 --> 01:49:30,896 ETHNICITIES INCLUDED IN THIS 2714 01:49:30,896 --> 01:49:36,402 STUDY. TALK ABOUT EQUITY. IN 2715 01:49:36,402 --> 01:49:38,070 2019 USDA PUBLISHED A STUDY THAT 2716 01:49:38,070 --> 01:49:40,573 FOUND LEVELS OF -- WERE REDUCED 2717 01:49:40,573 --> 01:49:44,677 OR UNCHANGED AS A RESULT OF 2718 01:49:44,677 --> 01:49:46,245 IMPLEMENTATION OF HEALTHY -- 2719 01:49:46,245 --> 01:49:47,446 IMPROVEMENT ACT SO DON'T BELIEVE 2720 01:49:47,446 --> 01:49:49,348 ALL THE VIDEOS YOU SAW WITH KIDS 2721 01:49:49,348 --> 01:49:52,485 STARVING. THE STUDY FOUND THAT 2722 01:49:52,485 --> 01:49:53,919 SCHOOLS IMPLEMENTED THE 2723 01:49:53,919 --> 01:49:55,721 (INAUDIBLE) OPTION THAT PLACED 2724 01:49:55,721 --> 01:49:57,657 PLATE WEIGHTS SIGNIFICANTLY 2725 01:49:57,657 --> 01:49:59,191 LOWER SCHOOLS THAT DID NOT OFFER 2726 01:49:59,191 --> 01:50:02,728 THAT OPTION. ALSO SIGNIFICANT 2727 01:50:02,728 --> 01:50:04,063 ASSOCIATION BETWEEN THE TIMING 2728 01:50:04,063 --> 01:50:07,433 OF LUNCH PERIODS AND PLATED 2729 01:50:07,433 --> 01:50:08,968 WEIGHT. PERCENT OF PLATE WEIGHT 2730 01:50:08,968 --> 01:50:11,137 LOWER LUNCH PERIODS THAT STARTED 2731 01:50:11,137 --> 01:50:13,706 AFTER 12 P.M. OVERALL PLATE 2732 01:50:13,706 --> 01:50:18,010 WEIGHT HIGHEST FOR VEGETABLE, 2733 01:50:18,010 --> 01:50:21,714 FOLLOWED BY (INAUDIBLE) 29%, 2734 01:50:21,714 --> 01:50:25,251 FRUIT 26% AND GRAIN AND BREAD, 2735 01:50:25,251 --> 01:50:28,387 20% AND ENTREES AND MEAT WERE 2736 01:50:28,387 --> 01:50:30,189 THE LOWEST 16 AND 14% 2737 01:50:30,189 --> 01:50:34,694 RESPECTIVELY. ALSO STATISTICALLY 2738 01:50:34,694 --> 01:50:37,763 SIGNIFICANT ASSOCIATION BETWEEN 2739 01:50:37,763 --> 01:50:38,998 STUDENTS PARTICIPATION IN 2740 01:50:38,998 --> 01:50:39,832 NATIONAL SCHOOL LUNCH PROGRAM 2741 01:50:39,832 --> 01:50:44,937 AND NUTRITIONAL QUALITY MEASURED 2742 01:50:44,937 --> 01:50:47,807 BY HEALTHY INDEX. RATES OF 2743 01:50:47,807 --> 01:50:49,475 STUDENT PARTICIPATION 2744 01:50:49,475 --> 01:50:50,409 SIGNIFICANTLY HIGHER SCHOOLS 2745 01:50:50,409 --> 01:50:55,247 WITH HIGHER ATI SCORES. THE 2746 01:50:55,247 --> 01:50:57,383 THIRD HIGHEST QUARTILE, THE TOP 2747 01:50:57,383 --> 01:50:58,184 HALF, OF THE DISTRIBUTION 2748 01:50:58,184 --> 01:51:01,921 COMPARED TO THE LOWER QUARTILE. 2749 01:51:01,921 --> 01:51:04,657 IN DECEMBER 2018 USDA PUBLISHED 2750 01:51:04,657 --> 01:51:06,258 A RULE THAT MADE CHANGES TO THE 2751 01:51:06,258 --> 01:51:07,927 ORIGINALLY ESTABLISHED NUTRITION 2752 01:51:07,927 --> 01:51:10,029 STANDARDS. THIS WILL 2753 01:51:10,029 --> 01:51:11,764 PERMANENTLY ALLOW FLAVORED LOW 2754 01:51:11,764 --> 01:51:14,700 FAST MILK IN THE NATIONAL SCHOOL 2755 01:51:14,700 --> 01:51:17,937 LUNCH SCHOOL BREAKFAST MILK 2756 01:51:17,937 --> 01:51:19,705 PROGRAM AND -- PROGRAM LOWER 2757 01:51:19,705 --> 01:51:24,977 MINIMUM PERCENTAGE OF GRAIN 2758 01:51:24,977 --> 01:51:26,479 ELIMINATING THE THIRD TARGET ALL 2759 01:51:26,479 --> 01:51:30,916 TOGETHER. IN 2020, THE FEDERAL 2760 01:51:30,916 --> 01:51:31,817 COURT VAC THIS DOWN LEAVING WITH 2761 01:51:31,817 --> 01:51:32,585 THE ORIGINAL NUTRITION 2762 01:51:32,585 --> 01:51:36,155 STANDARDS. DUE TO COVID-19 2763 01:51:36,155 --> 01:51:38,557 PANDEMIC USDA ISSUED PANDEMIC 2764 01:51:38,557 --> 01:51:43,462 FLEXIBILITIES RANGING FROM 2765 01:51:43,462 --> 01:51:44,130 FLEXIBILITY MEAL PATTERN AND -- 2766 01:51:44,130 --> 01:51:46,232 CHILD NUTRITION PROGRAMS. THESE 2767 01:51:46,232 --> 01:51:48,033 FLEXIBILITY SUPPORTED SAFELY AND 2768 01:51:48,033 --> 01:51:51,137 SOCIAL DISTANCING MEASURES 2769 01:51:51,137 --> 01:51:54,240 DURING THE PANDEMIC SHOULD BE 2770 01:51:54,240 --> 01:51:55,441 CONSIDERED EXTENDED PERMANENTLY 2771 01:51:55,441 --> 01:51:57,243 BUT RIGHT NOW THE ABILITY FOR 2772 01:51:57,243 --> 01:52:01,714 USDA TO EXTEND HAS NOT PASSED 2773 01:52:01,714 --> 01:52:02,948 CONGRESS LEAVING SCHOOL 2774 01:52:02,948 --> 01:52:05,351 NUTRITION PROGRAMS AND 2775 01:52:05,351 --> 01:52:06,819 JEOPARDIZING SCHOOL ABILITY TO 2776 01:52:06,819 --> 01:52:10,222 FEED CHILDREN. SO WHAT ARE THE 2777 01:52:10,222 --> 01:52:13,225 PRIORITIES FOR THE NEXT CHILD 2778 01:52:13,225 --> 01:52:14,260 NUTRITION RE-AUTHORIZATION? WE 2779 01:52:14,260 --> 01:52:16,896 ARE SUPPORTING INCREASE FUNDS TO 2780 01:52:16,896 --> 01:52:19,365 ENSURE THAT STRONG COMPREHENSIVE 2781 01:52:19,365 --> 01:52:22,568 AND CULTURALLY APPROPRIATE 2782 01:52:22,568 --> 01:52:24,303 NUTRITIONAL PROMOTION IS 2783 01:52:24,303 --> 01:52:25,938 INCLUDED IN AUTHORIZATION AND 2784 01:52:25,938 --> 01:52:28,474 THEN PROVIDED FOR ALL NUTRITION 2785 01:52:28,474 --> 01:52:29,875 PROGRAMS. WE WANT THEM TO 2786 01:52:29,875 --> 01:52:32,311 PROVIDE ADEQUATE FUNDS TO HELP 2787 01:52:32,311 --> 01:52:34,914 ALL STATES FROM STATE LEVEL 2788 01:52:34,914 --> 01:52:36,015 LEADERSHIP INFRASTRUCTURE FOR 2789 01:52:36,015 --> 01:52:39,318 COMPREHENSIVE NUTRITIONAL 2790 01:52:39,318 --> 01:52:42,121 PROMOTION LED BY QUALIFIED 2791 01:52:42,121 --> 01:52:43,923 PROFESSIONALS IN EVERY STATE 2792 01:52:43,923 --> 01:52:46,559 DEVELOPING NUTRITION EDUCATION, 2793 01:52:46,559 --> 01:52:47,993 AND PROMOTION PLAN TO PROMOTE 2794 01:52:47,993 --> 01:52:50,629 COORDINATE AND PROVIDE NUTRITION 2795 01:52:50,629 --> 01:52:52,531 EDUCATION TO ALL CHILDREN 2796 01:52:52,531 --> 01:52:54,233 NUTRITION PROGRAMS. WE WANT THEM 2797 01:52:54,233 --> 01:52:57,770 TO GIVE PERMANENT AUTHORITY TO 2798 01:52:57,770 --> 01:53:01,473 USDA TO PROVIDE WAIVERS AND 2799 01:53:01,473 --> 01:53:05,411 FLEXIBILITIES DURING THE PLANNED 2800 01:53:05,411 --> 01:53:06,579 EMERGENCY SUPPORT EVIDENCE BASE 2801 01:53:06,579 --> 01:53:07,413 MEAL NUTRITION STANDING THAT 2802 01:53:07,413 --> 01:53:09,849 ALIGN WITH LATEST DIETARY 2803 01:53:09,849 --> 01:53:13,819 GUIDELINES FOR AMERICANS AND 2804 01:53:13,819 --> 01:53:16,722 UPDATED AS NECESSARY ON AN 2805 01:53:16,722 --> 01:53:18,824 ESTABLISHED TIME LINE, PROVIDE 2806 01:53:18,824 --> 01:53:20,759 ADEQUATE FUNDING TO FROM PROVIDE 2807 01:53:20,759 --> 01:53:22,294 TRAINING TECHNICAL ASSISTANCE TO 2808 01:53:22,294 --> 01:53:23,996 SUPPORT MAINTENANCE AND 2809 01:53:23,996 --> 01:53:25,898 ATTAINMENT OF NUTRITION 2810 01:53:25,898 --> 01:53:28,133 STANDARDS AS WELL AS SKILLS 2811 01:53:28,133 --> 01:53:30,469 NECESSARY TO RUN SUCCESSFUL 2812 01:53:30,469 --> 01:53:31,904 PROGRAM. INCREASE FUNDING 2813 01:53:31,904 --> 01:53:34,807 MECHANISMS FOR UPDATED 2814 01:53:34,807 --> 01:53:35,608 INFRASTRUCTURE AND EQUIPMENT TO 2815 01:53:35,608 --> 01:53:40,179 SCHOOL KITCHENS. ENSURE EQUAL 2816 01:53:40,179 --> 01:53:42,481 EQUITABLE SCHOOL MEALS BY 2817 01:53:42,481 --> 01:53:44,683 SUPPORTING HEALTHY SCHOOL MEALS 2818 01:53:44,683 --> 01:53:46,852 TOKER ALL COMMUNITY ELIGIBILITY 2819 01:53:46,852 --> 01:53:50,189 POSITION. INCREASE RESEARCH THAT 2820 01:53:50,189 --> 01:53:52,057 PROVIDE EVIDENCE BASE 2821 01:53:52,057 --> 01:53:53,759 IMPROVEMENT FOR COMPREHENSIVE 2822 01:53:53,759 --> 01:53:54,360 CULTURALLY APPROPRIATE 2823 01:53:54,360 --> 01:53:56,896 NATIONWIDE NUTRITION EDUCATION 2824 01:53:56,896 --> 01:53:58,797 AND PROMOTION THAT APPROACHES 2825 01:53:58,797 --> 01:54:01,166 AND FOSTERS HEALTHY BEHAVIORS 2826 01:54:01,166 --> 01:54:03,702 EDUCATIONAL ATTAINMENT, AND 2827 01:54:03,702 --> 01:54:05,004 LIFELINE -- LIFE LONG FOR ALL 2828 01:54:05,004 --> 01:54:10,776 CHILDREN. PARTICIPATION IN 2829 01:54:10,776 --> 01:54:12,811 MEALS PROGRAM. INCREASE THE 2830 01:54:12,811 --> 01:54:14,280 FUNDING FOR THE FARM TO SCHOOL 2831 01:54:14,280 --> 01:54:16,615 GRANT AND FRESH FRUIT VEGETABLE 2832 01:54:16,615 --> 01:54:18,984 PROGRAM SO THAT MORE SCHOOLS 2833 01:54:18,984 --> 01:54:21,453 HAVE THE OPPORTUNITY TO 2834 01:54:21,453 --> 01:54:23,355 PARTICIPATE. SO WHAT ARE THE 2835 01:54:23,355 --> 01:54:24,857 LIMITATIONS OF THE NUTRITION 2836 01:54:24,857 --> 01:54:26,525 PROGRAM RIGHT NOW? THE HUGE ONE 2837 01:54:26,525 --> 01:54:29,295 IS THE SCHOOLS DO NOT HAVE 2838 01:54:29,295 --> 01:54:31,297 KITCHENS, OR HAVE OLD KITCHENS 2839 01:54:31,297 --> 01:54:33,432 AND THEY NEED NEW EQUIPMENT. THE 2840 01:54:33,432 --> 01:54:36,001 UPDATED -- AND THEY DON'T HAVE 2841 01:54:36,001 --> 01:54:40,739 KITCHEN. WE NEED KITCHENS TO 2842 01:54:40,739 --> 01:54:41,840 OPERATE (INAUDIBLE) THAT'S NOT 2843 01:54:41,840 --> 01:54:43,509 FUNDING TO NUTRITION EDUCATION, 2844 01:54:43,509 --> 01:54:44,843 IN SCHOOL, WE NEED HEALTHY 2845 01:54:44,843 --> 01:54:48,113 SCHOOL MEALS FOR ALL, THERE ARE 2846 01:54:48,113 --> 01:54:50,349 SERIOUS LABOR SHORTAGES, WE NEED 2847 01:54:50,349 --> 01:54:52,818 TO INCREASE FUNDING, BECAUSE 2848 01:54:52,818 --> 01:54:56,989 PANDEMIC HAS INCREASED FOOD AND 2849 01:54:56,989 --> 01:54:58,057 SUPPLY CHAIN ISSUES WE NEED 2850 01:54:58,057 --> 01:54:59,425 PERMANENT WAIVER AND WE NEED 2851 01:54:59,425 --> 01:55:01,360 MORE RESEARCH TO SUPPORT 2852 01:55:01,360 --> 01:55:02,695 BREAKFAST IN THE CLASSROOM AND 2853 01:55:02,695 --> 01:55:05,130 ADEQUATE TIME FOR KIDS TO EAT. 2854 01:55:05,130 --> 01:55:11,370 THANK YOU SO MUCH. 2855 01:55:11,370 --> 01:55:14,073 >> THANK YOU, DONNA, THAT WAS 2856 01:55:14,073 --> 01:55:15,307 TERRIFIC. THANK YOU FOR 2857 01:55:15,307 --> 01:55:16,442 HIGHLIGHTING ALL THOSE ELEMENTS 2858 01:55:16,442 --> 01:55:20,846 WHICH ARE PART OF THE 2859 01:55:20,846 --> 01:55:24,817 IMPLEMENTATION INDICATORS, WE 2860 01:55:24,817 --> 01:55:29,188 TALKED ABOUT. OUR NEXT SPEAKER 2861 01:55:29,188 --> 01:55:31,290 IS FRANCIS ZOTOR UNIVERSITY OF 2862 01:55:31,290 --> 01:55:34,326 HEALTH ALLIED SCIENCES IN GHANA. 2863 01:55:34,326 --> 01:55:36,395 FRANCIS WILL SPEAK ON NUTRITION, 2864 01:55:36,395 --> 01:55:37,863 TRANSITION, AND THE NEED FOR 2865 01:55:37,863 --> 01:55:40,165 NUTRITION INDICATORS IN AFRICA. 2866 01:55:40,165 --> 01:55:44,770 WELCOME, FRANCIS. 2867 01:55:44,770 --> 01:55:46,472 >> THANK YOU SO MUCH KRISTINA 2868 01:55:46,472 --> 01:55:47,740 AND THANK YOU DAN FOR HOSTING 2869 01:55:47,740 --> 01:55:53,145 THIS EVENT. AS KRISTINA SAID, 2870 01:55:53,145 --> 01:55:57,583 (INAUDIBLE) HAS COME ALIVE. IN 2871 01:55:57,583 --> 01:56:00,085 NUTRITION, FIRST THOUSAND DAYS 2872 01:56:00,085 --> 01:56:01,420 BUT DO NOT KNOW DIFFERENCES 2873 01:56:01,420 --> 01:56:06,525 BEING MADE ON THE FIRST 7,000 2874 01:56:06,525 --> 01:56:07,126 (INAUDIBLE) TO THE NEXT SLIDE 2875 01:56:07,126 --> 01:56:14,266 PLEASE. NOW WE KNOW THAT OUR 2876 01:56:14,266 --> 01:56:17,703 CHILDREN ARE OUR FUTURE AND 2877 01:56:17,703 --> 01:56:18,704 INFORM (INAUDIBLE) OF THE 2878 01:56:18,704 --> 01:56:23,342 NATION. WE ALSO KNOW -- 2879 01:56:23,342 --> 01:56:27,212 INDICATED CAN ACHIEVE THE FULL 2880 01:56:27,212 --> 01:56:30,516 POTENTIAL. NEXT SLIDE PLEASE. 2881 01:56:30,516 --> 01:56:38,524 IF I TAKE IT BACK TO THIS 2882 01:56:38,524 --> 01:56:41,894 (INAUDIBLE) WE FIND NUTRITION IS 2883 01:56:41,894 --> 01:56:45,931 ABOUT THE INVESTMENT IN CHILDREN 2884 01:56:45,931 --> 01:56:48,567 AND -- IMPROVE THE LANGUAGE THAT 2885 01:56:48,567 --> 01:56:54,173 WE CAN OBTAIN EDUCATIONALLY. NOW 2886 01:56:54,173 --> 01:56:56,608 LOOK AT THE INTERRELATIONSHIP 2887 01:56:56,608 --> 01:57:00,112 BETWEEN EDUCATION AND NUTRITION 2888 01:57:00,112 --> 01:57:04,717 AND HEALTH IN EFFECTIVE 2889 01:57:04,717 --> 01:57:10,022 (INDISCERNIBLE) 2890 01:57:10,022 --> 01:57:15,127 LET ME PUT THIS INTO CONTEXT. 2891 01:57:15,127 --> 01:57:19,898 AFRICA IS MADE UP OF 55 2892 01:57:19,898 --> 01:57:29,975 COUNTRIES. AND (INDISCERNIBLE) 2893 01:57:29,975 --> 01:57:34,880 MOST LIKELY ZONES ALSO TELL US 2894 01:57:34,880 --> 01:57:36,582 COMMUNITIES, WHERE DIFFERENCES 2895 01:57:36,582 --> 01:57:41,553 IN A COMPLEXITY AND GREAT 2896 01:57:41,553 --> 01:57:47,192 CONTINENT WHERE -- ORIGINAL 2897 01:57:47,192 --> 01:57:49,695 COMMUNITIES CHALLENGES 2898 01:57:49,695 --> 01:57:53,732 DIFFERENTLY BASED ON THE -- THAT 2899 01:57:53,732 --> 01:57:59,938 WE HAVE PARTICULARLY AS AFRICA, 2900 01:57:59,938 --> 01:58:02,107 REALIZE STEPPING UP AN EFFECTIVE 2901 01:58:02,107 --> 01:58:06,011 SCHOOL HEALTH AND NUTRITION IS 2902 01:58:06,011 --> 01:58:07,980 COMMITMENT TO LEARN -- AND 2903 01:58:07,980 --> 01:58:09,548 CONTRIBUTE IN THE FUTURE OF 2904 01:58:09,548 --> 01:58:12,818 BLACK COMMUNITIES AN COUNTRIES. 2905 01:58:12,818 --> 01:58:21,994 NEXT SLIDE PLEASE. WE KNOW 2906 01:58:21,994 --> 01:58:24,429 STATISTICS THAT ONE IN FIVE 2907 01:58:24,429 --> 01:58:26,131 COUNTRIES -- FIVE PLACES ARE 2908 01:58:26,131 --> 01:58:29,801 FACING HUNGER. 282 MILLION 2909 01:58:29,801 --> 01:58:33,438 PEOPLE ARE UNDERNOURISHED. 2910 01:58:33,438 --> 01:58:38,277 (INDISCERNIBLE) COMPARED TO 2911 01:58:38,277 --> 01:58:39,845 INEQUITIES OF 46 MILLION. WHAT 2912 01:58:39,845 --> 01:58:44,883 ARE REASONS, THERE ARE SEVERAL 2913 01:58:44,883 --> 01:58:48,854 REASONS. FOOD INSECURITY DUE TO 2914 01:58:48,854 --> 01:58:57,262 CONFLICTS -- POOR MATERNAL -- 2915 01:58:57,262 --> 01:59:01,900 ETHNICITY BUT -- HAVE SHIFTED 2916 01:59:01,900 --> 01:59:05,871 SIGNIFICANTLY FROM NUTRIENT RICH 2917 01:59:05,871 --> 01:59:08,040 TRADITIONAL DIET HIGH IN FIBER 2918 01:59:08,040 --> 01:59:13,312 AND LOW IN FAT TO NOW HIGH 2919 01:59:13,312 --> 01:59:15,847 PROCESSED ENERGY DENSE SALTY 2920 01:59:15,847 --> 01:59:17,950 FATTY AND SWEET CONVENIENCE 2921 01:59:17,950 --> 01:59:20,085 FOODS AND SNACKS TERMED WESTERN 2922 01:59:20,085 --> 01:59:26,458 DIETS. WE ALSO SEE THE TREND 2923 01:59:26,458 --> 01:59:28,894 AND TRANSFORMATION OF HEALTHY 2924 01:59:28,894 --> 01:59:31,129 INDIGENOUS PRODUCED FOODS SNACKS 2925 01:59:31,129 --> 01:59:33,565 AND BEVERAGES IN TERTIARY 2926 01:59:33,565 --> 01:59:36,468 PROCESSED FOODS RICH IN SUGARS, 2927 01:59:36,468 --> 01:59:39,671 FATS, UNHEALTHY SYNTHETIC FOOD 2928 01:59:39,671 --> 01:59:42,874 ADDITIVES. THIS IS NOW 2929 01:59:42,874 --> 01:59:49,648 (INAUDIBLE) NEXT SLIDE PLEASE. 2930 01:59:49,648 --> 01:59:53,518 SO THE AFRICAN SCENARIO, NOT 2931 01:59:53,518 --> 01:59:55,287 ONLY -- ACROSS AFRICA AND THAT 2932 01:59:55,287 --> 02:00:04,463 IS AFFECTING OUR POPULATION. SO 2933 02:00:04,463 --> 02:00:05,697 GOING BACK TO INTERACTION 2934 02:00:05,697 --> 02:00:06,932 BETWEEN FOOD INSECURITY AND 2935 02:00:06,932 --> 02:00:10,836 HUMAN HEALTH AND NUTRITIONAL 2936 02:00:10,836 --> 02:00:16,174 RISK, IT COULD BE (INAUDIBLE) 2937 02:00:16,174 --> 02:00:19,211 INFLUENCES ARE IMPACT WITH MUCH 2938 02:00:19,211 --> 02:00:25,183 MORE FOOD INSECURITY WHEN THIS 2939 02:00:25,183 --> 02:00:30,355 HAPPENS WE HAVE (INAUDIBLE) 2940 02:00:30,355 --> 02:00:32,824 DEFICITS, WE HAVE MINIMAL 2941 02:00:32,824 --> 02:00:33,992 INFLUENCES AND LONG TERM 2942 02:00:33,992 --> 02:00:37,462 CLINICAL OUTCOMES AND THIS DOES 2943 02:00:37,462 --> 02:00:48,140 HAVE GREAT EFFECT ON THE -- SO 2944 02:00:48,140 --> 02:00:53,478 WHAT I WILL TALK ABOUT IS 2945 02:00:53,478 --> 02:00:55,781 PREVIOUS SLIDE, SOMETHING ABOUT 2946 02:00:55,781 --> 02:00:57,749 THE CONTINENTAL NUTRITION 2947 02:00:57,749 --> 02:00:59,217 ACCOUNTABILITY SCORE CARD. THIS 2948 02:00:59,217 --> 02:01:04,489 IS THE MEASURE OF THE PROGRESS 2949 02:01:04,489 --> 02:01:13,131 OF THE -- AFRICAN ENVIRONMENT 2950 02:01:13,131 --> 02:01:17,069 ADVOCACY TOOL FOR CHALLENGE OF 2951 02:01:17,069 --> 02:01:19,971 (INAUDIBLE) SO GO TO THE NEXT 2952 02:01:19,971 --> 02:01:22,174 SLIDE, YOU CAN SEE DIFFERENT 2953 02:01:22,174 --> 02:01:25,510 PATHS, YOU CAN SEE THE TROPICS 2954 02:01:25,510 --> 02:01:30,582 IS -- THE MARGIN OF MALNUTRITION 2955 02:01:30,582 --> 02:01:33,618 THE SLIDE GIVES YOU AN IDEA OF 2956 02:01:33,618 --> 02:01:36,154 THE 20 INDICATORS WHICH SHOW 2957 02:01:36,154 --> 02:01:43,028 STATUS OF NUTRITION 2958 02:01:43,028 --> 02:01:46,264 (INDISCERNIBLE) IT GIVES AN IDEA 2959 02:01:46,264 --> 02:01:50,435 WHERE WE ARE AT. AND EFFORT 2960 02:01:50,435 --> 02:01:58,243 BEING MADE, NUTRITION TARGETS, 2961 02:01:58,243 --> 02:02:02,514 SO WHAT IT TELLS YOU IN AFRICA 2962 02:02:02,514 --> 02:02:03,782 EFFORTS WILL BEING MADE TO 2963 02:02:03,782 --> 02:02:06,651 ADDRESS THE CHALLENGE, I DRAW AN 2964 02:02:06,651 --> 02:02:09,654 EXAMPLE FROM WEST AFRICA, WE SEE 2965 02:02:09,654 --> 02:02:15,694 PARTICULARLY IN WEST AFRICA, 16 2966 02:02:15,694 --> 02:02:18,497 COUNTRIES, THERE ARE ONLY -- 2967 02:02:18,497 --> 02:02:21,833 POLICIES, AND EDUCATION. ARE 2968 02:02:21,833 --> 02:02:27,005 FACING CHALLENGES, CANADA, THE 2969 02:02:27,005 --> 02:02:29,975 OTHER (INDISCERNIBLE) 55 2970 02:02:29,975 --> 02:02:31,143 COUNTRIES THAT (INAUDIBLE) TO 2971 02:02:31,143 --> 02:02:32,377 ADDRESS THIS CHALLENGE. NEXT 2972 02:02:32,377 --> 02:02:39,584 SLIDE. TO MAKE UP EFFORTS MADE 2973 02:02:39,584 --> 02:02:41,586 TOWARD SCHOOL NUTRITION WITH THE 2974 02:02:41,586 --> 02:02:44,923 HELP OF AUDA NEPAD, PARTICULARLY 2975 02:02:44,923 --> 02:02:48,160 THE AFRICAN UNION IS -- WHO ARE 2976 02:02:48,160 --> 02:02:49,928 IN THE FOREFRONT OF DRIVING 2977 02:02:49,928 --> 02:02:58,036 EDUCATION AGENDA AND (INAUDIBLE) 2978 02:02:58,036 --> 02:03:02,574 AND TO BRING BACK TO THE DINNER 2979 02:03:02,574 --> 02:03:05,744 TABLE AFRICAN -- PROGRAM THAT 2980 02:03:05,744 --> 02:03:11,082 IMPROVES THE (INAUDIBLE) ALSO 2981 02:03:11,082 --> 02:03:16,221 HAVE FULL ENVIRONMENT THE FOOD 2982 02:03:16,221 --> 02:03:18,557 ENVIRONMENT PLANNING 2983 02:03:18,557 --> 02:03:25,297 MODIFICATION, ENVIRONMENT OF -- 2984 02:03:25,297 --> 02:03:27,399 WHICH IS (INAUDIBLE) IMPROVING 2985 02:03:27,399 --> 02:03:34,439 HEALTH WITH NUTRITION -- THERE 2986 02:03:34,439 --> 02:03:38,977 IS -- SUPPLY CHAINS, PROCUREMENT 2987 02:03:38,977 --> 02:03:44,149 OF POLICIES FOR SCHOOL MEALS. 2988 02:03:44,149 --> 02:03:48,720 THIS IS THE RECOMMENDATION -- 2989 02:03:48,720 --> 02:03:53,758 SOCIETY, AND FOOD SYSTEM 2990 02:03:53,758 --> 02:03:58,663 DIALOGUE LED BY (INAUDIBLE). SO 2991 02:03:58,663 --> 02:04:00,499 WHAT ARE THE SHORT TERM 2992 02:04:00,499 --> 02:04:02,400 PRACTICAL AND PRAGMATIC 2993 02:04:02,400 --> 02:04:04,803 APPROACHES? IT IS A FACTNA THIS 2994 02:04:04,803 --> 02:04:08,240 AFRICA NOT ALL COUNTRIES HAVE 2995 02:04:08,240 --> 02:04:11,042 NATIONAL UPDATED BASELINE. SO 2996 02:04:11,042 --> 02:04:13,812 UNDER AFRICAN SOCIETY WE TRY TO 2997 02:04:13,812 --> 02:04:15,647 BUILD THIS -- TO DEVELOP 2998 02:04:15,647 --> 02:04:16,982 CAPACITY AND SKILLS ACROSS 2999 02:04:16,982 --> 02:04:19,751 AFRICA TO STRENGTHEN 3000 02:04:19,751 --> 02:04:22,087 OPPORTUNITIES. TO DO THIS WE 3001 02:04:22,087 --> 02:04:24,356 COLLECT DATA ANALYZE DATA AND 3002 02:04:24,356 --> 02:04:31,463 INTERPRET DATA. I CAN TELL YOU 3003 02:04:31,463 --> 02:04:40,038 THIS -- 17 COUNTRIES NOT GIVING 3004 02:04:40,038 --> 02:04:42,541 THE KNOWLEDGE AND PROGRAMS 3005 02:04:42,541 --> 02:04:45,911 INVOLVE 65 PEOPLE IN OUR SLIDE 3006 02:04:45,911 --> 02:04:48,280 HERE TO LOOK AT THE DATA THAT 3007 02:04:48,280 --> 02:04:52,851 WAS COLLECTED. THERE WAS A POINT 3008 02:04:52,851 --> 02:04:58,123 TOO -- BY COUNTRY SET UP TO 3009 02:04:58,123 --> 02:04:59,791 ABDUCT POLICIES AND STRATEGIES 3010 02:04:59,791 --> 02:05:05,830 TO NATIONAL CONTEXT AND 3011 02:05:05,830 --> 02:05:11,102 DATABASE. THIS CONTEXT IS -- 3012 02:05:11,102 --> 02:05:16,074 NATIONAL POLITICAL DATA, WHAT -- 3013 02:05:16,074 --> 02:05:22,314 NEXT SLIDE PLEASE. SO IN THE 3014 02:05:22,314 --> 02:05:24,015 (INAUDIBLE) CONSOLIDATING THE 3015 02:05:24,015 --> 02:05:26,751 EFFORTS UNDER THE AEGIS OF THE 3016 02:05:26,751 --> 02:05:28,086 AFRICAN NUTRITION SOCIETY AND 3017 02:05:28,086 --> 02:05:32,390 PARTNER, WANT TO LOOK AT THE 3018 02:05:32,390 --> 02:05:36,828 TOOLS, INDICATORS TO MONITOR 3019 02:05:36,828 --> 02:05:37,762 INSTRUMENTS THAT ARE DEVELOPED 3020 02:05:37,762 --> 02:05:42,400 AND TESTED. NOW SHORT TERM AND 3021 02:05:42,400 --> 02:05:44,402 MID LONG TERM GOALS, WHAT WE ARE 3022 02:05:44,402 --> 02:05:47,772 HOPING TO DO, AGAIN, WITH THE 3023 02:05:47,772 --> 02:05:49,240 AFRICAN (INAUDIBLE) IS TO 3024 02:05:49,240 --> 02:05:51,142 FACILITATE AND STRENGTHEN THE 3025 02:05:51,142 --> 02:05:53,078 NORTH SOUTH AND SOUTH SOUTH 3026 02:05:53,078 --> 02:05:54,512 COLLABORATIONS FOR RESEARCH AND 3027 02:05:54,512 --> 02:05:56,448 CAPACITY BUILDING AROUND HEALTH 3028 02:05:56,448 --> 02:06:08,259 AND NUTRITION OF A SCHOOL IS THAT THERE 3029 02:06:08,259 --> 02:06:11,229 ARE REALITIES AND 3030 02:06:11,229 --> 02:06:13,031 PARTICULARITIES MANY THE AFRICAN 3031 02:06:13,031 --> 02:06:14,299 CONTEXT IN THE DESIGN AND 3032 02:06:14,299 --> 02:06:17,335 IMPLEMENTATION OF INTERVENTIONS. INTERVEN TIONS. 3033 02:06:17,335 --> 02:06:19,070 WE WANT TO BUILD EXISTING 3034 02:06:19,070 --> 02:06:20,405 SUCCESSFUL INITIATIVES AN 3035 02:06:20,405 --> 02:06:22,240 PROGRAM, SUCH A AS SCALING UP 3036 02:06:22,240 --> 02:06:24,709 NUTRITION PROGRAMS, APPLIED IN 3037 02:06:24,709 --> 02:06:27,679 50 COUNTRIES, AFRICAN 3038 02:06:27,679 --> 02:06:31,950 DEVELOPMENT STRATEGY, PREVENTION 3039 02:06:31,950 --> 02:06:35,420 IN THE GUIDANCE FOR PROGRAMS. 3040 02:06:35,420 --> 02:06:39,024 WE ALSO WANT TO HOME GROWN 3041 02:06:39,024 --> 02:06:41,459 SCHOOL FEEDING AND SCHOOL 3042 02:06:41,459 --> 02:06:44,696 GARDENS ARE ALREADY ONGOING 3043 02:06:44,696 --> 02:06:46,965 ACTIVITIES, IN SEVERAL 3044 02:06:46,965 --> 02:06:49,267 COUNTRIES, GHANA, NIGERIA, 3045 02:06:49,267 --> 02:06:54,606 KENYA, RWANDA, TANZANIA, TO LOOK 3046 02:06:54,606 --> 02:06:58,109 AT EFFICIENCY IN THIS 3047 02:06:58,109 --> 02:07:05,183 REPLICATED. NEXT SLIDE. MY 3048 02:07:05,183 --> 02:07:07,919 (INAUDIBLE) TO GOVERNMENTS 3049 02:07:07,919 --> 02:07:09,187 SHOULD SERIOUSLY CONSIDER OUR 3050 02:07:09,187 --> 02:07:10,955 POLICIES AND PROGRAMS AND PAY 3051 02:07:10,955 --> 02:07:12,490 ATTENTION TO NUTRITION 3052 02:07:12,490 --> 02:07:16,227 TRANSITION WHICH IS HERE TO US, 3053 02:07:16,227 --> 02:07:19,564 LEVEL, ADVOCACY EFFORTS TO 3054 02:07:19,564 --> 02:07:21,700 ADDRESS THE TRIPLE BURDEN OF 3055 02:07:21,700 --> 02:07:22,834 DISEASE AND MALNUTRITION. THAT 3056 02:07:22,834 --> 02:07:25,637 IS A PROBLEM. WE HAVE TO SET UP 3057 02:07:25,637 --> 02:07:29,407 GOVERNMENTS TO LOOK UP PUBLIC 3058 02:07:29,407 --> 02:07:33,511 EVENTS TO ADDRESS THE -- 3059 02:07:33,511 --> 02:07:36,181 CONFRONTING THIS AND BRING THIS 3060 02:07:36,181 --> 02:07:41,352 WE ARE SAYING THAT -- WHEN WE 3061 02:07:41,352 --> 02:07:44,789 ARE FACING AN EPIDEMIC. 3062 02:07:44,789 --> 02:07:48,460 SHORTAGES OF -- BECAUSE OF 3063 02:07:48,460 --> 02:07:50,495 PANDEMIC, WHAT THE PANDEMIC DOES 3064 02:07:50,495 --> 02:07:52,797 -- IS INTERESTED IN OR WHEN THE 3065 02:07:52,797 --> 02:07:55,600 PROBLEM OF EPIDEMIC, AFRICA, 3066 02:07:55,600 --> 02:07:58,103 SHOULD ALREADY -- AND I'M GLAD 3067 02:07:58,103 --> 02:08:04,509 THAT WE HAVE A LOT OF 3068 02:08:04,509 --> 02:08:09,280 (INAUDIBLE) THERE ARE A HUNDRED 3069 02:08:09,280 --> 02:08:12,217 DATA TO ADDRESS NUTRITION 3070 02:08:12,217 --> 02:08:14,786 CHALLENGES. I'M ALSO GLAD TO SEE 3071 02:08:14,786 --> 02:08:17,455 AFRICA NUTRITION ACTION IS 3072 02:08:17,455 --> 02:08:24,028 WAKING UP TO -- NUTRITION 3073 02:08:24,028 --> 02:08:26,364 SOCIETY TO -- WAKE THEM UP TO 3074 02:08:26,364 --> 02:08:29,267 THESE INITIATIVES. TOGETHER WE 3075 02:08:29,267 --> 02:08:39,177 CAN FORM APPROACH TO (INAUDIBLE) 3076 02:08:39,177 --> 02:08:45,784 (INDISCERNIBLE) 3077 02:08:45,784 --> 02:08:48,953 THE DATA THAT IS THE SOLE 3078 02:08:48,953 --> 02:08:50,855 PURPOSE. THANK YOU, VERY MUCH 3079 02:08:50,855 --> 02:08:54,926 FOR YOUR TIME. 3080 02:08:54,926 --> 02:08:56,928 >> THANK YOU SO MUCH, THAT WAS 3081 02:08:56,928 --> 02:08:58,930 TERRIFIC. AND I THINK CONSISTENT 3082 02:08:58,930 --> 02:09:01,566 WITH A LOT OF WHAT WE HAVE BEEN 3083 02:09:01,566 --> 02:09:03,468 HEARING REALLY APPRECIATE YOUR 3084 02:09:03,468 --> 02:09:10,875 REMARKS. OUR NEXT SPEAKER IS 3085 02:09:10,875 --> 02:09:14,646 FROM THE ROCKEFELLER FOUNDATION 3086 02:09:14,646 --> 02:09:15,780 WHO WILL TALK ABOUT FOOD 3087 02:09:15,780 --> 02:09:17,615 INCONSISTENCIES IN LOW AND 3088 02:09:17,615 --> 02:09:18,416 MIDDLE FIRST QUARTER COUNTRIES. 3089 02:09:18,416 --> 02:09:20,485 >> THANK YOU VERY MUCH, GOOD 3090 02:09:20,485 --> 02:09:21,386 MORNING, GOOD AFTERNOON AND GOOD 3091 02:09:21,386 --> 02:09:23,488 EVENING FROM NAIROBI, IT IS A 3092 02:09:23,488 --> 02:09:26,925 PLEASURE TO JOIN SUCH A 3093 02:09:26,925 --> 02:09:27,859 DISTINGUISHED AND IMPORTANT 3094 02:09:27,859 --> 02:09:30,261 GROUP. MY PRESENTATION WILL 3095 02:09:30,261 --> 02:09:31,963 REALLY COME MORE FROM 3096 02:09:31,963 --> 02:09:33,097 PRACTITIONER PERSPECTIVE SO I 3097 02:09:33,097 --> 02:09:34,432 WILL WALK YOU THROUGH THE 3098 02:09:34,432 --> 02:09:36,267 JOURNEY THAT BROUGHT US TOWARDS 3099 02:09:36,267 --> 02:09:39,938 TRYING TO THINK ABOUT MEAL AND 3100 02:09:39,938 --> 02:09:42,140 DIET QUALITY, TAKING MORE OF A 3101 02:09:42,140 --> 02:09:44,609 FOOD AND DIET BASED APPROACH. 3102 02:09:44,609 --> 02:09:51,216 LET ME SHARE MY SCREEN HERE. AND 3103 02:09:51,216 --> 02:09:57,689 SLIDE SHOW. SO FOR US THE 3104 02:09:57,689 --> 02:09:59,157 STARTING POINT WAS AN INITIATIVE 3105 02:09:59,157 --> 02:10:01,226 THAT WE CALL THE POWER OF 3106 02:10:01,226 --> 02:10:04,863 PROCUREMENT FOR NUTRITION. PP 4N 3107 02:10:04,863 --> 02:10:08,132 WHICH IS ABOUT INTENTIONALLY 3108 02:10:08,132 --> 02:10:10,168 LEVERAGING INSTITUTIONAL FOOD 3109 02:10:10,168 --> 02:10:12,504 PROCUREMENT AS A LEVER TOWARDS 3110 02:10:12,504 --> 02:10:16,174 IMPROVE DIETS BUT ALSO FOR MORE 3111 02:10:16,174 --> 02:10:16,708 SUSTAINABILITY ENVIRONMENT 3112 02:10:16,708 --> 02:10:19,244 TOWARDS GREATER EQUITY IN THE 3113 02:10:19,244 --> 02:10:19,944 PRODUCTION DISTRIBUTION 3114 02:10:19,944 --> 02:10:22,046 CONSUMPTION OF FOOD. SO WITH 3115 02:10:22,046 --> 02:10:24,883 THIS WE HAD SAY A DUAL GOAL OF 3116 02:10:24,883 --> 02:10:27,886 SAY IMMEDIATE IMPACT FOR 3117 02:10:27,886 --> 02:10:29,220 BENEFICIARIES AND SCHOOL FOOD IS 3118 02:10:29,220 --> 02:10:32,724 THE INSTITUTIO INSTITUTIONAL FOOD CHANNEL 3119 02:10:32,724 --> 02:10:33,658 PAR EXCELLENCE BUT AT THE SAME 3120 02:10:33,658 --> 02:10:37,929 TIME WE WANTED TO SOW THE SEEDS 3121 02:10:37,929 --> 02:10:39,831 FOR A VIBRANT MARKET FOR 3122 02:10:39,831 --> 02:10:45,003 NUTRITIOUS FOODS. SO USING THAT 3123 02:10:45,003 --> 02:10:46,638 Z A LEVERAGE POINT, ENTRY POINT 3124 02:10:46,638 --> 02:10:47,705 TOWARDS ALSO GROWING THE MARKET 3125 02:10:47,705 --> 02:10:51,109 FOR NUTRITIOUS FOODS, IN THE 3126 02:10:51,109 --> 02:10:52,777 DIFFERENT COUNTRIES. THIS 3127 02:10:52,777 --> 02:10:55,046 SOMETHING THAT WE STARTED DOING 3128 02:10:55,046 --> 02:10:56,514 IN THE AFRICAN PARTNERSHIP WITH 3129 02:10:56,514 --> 02:10:58,249 THE WORLD FOOD PROGRAM AND I WAS 3130 02:10:58,249 --> 02:11:00,318 BECOMING THE FOCUS OF A GLOBAL 3131 02:11:00,318 --> 02:11:01,719 PARTNERSHIP BETWEEN OUR TWO 3132 02:11:01,719 --> 02:11:03,421 INSTITUTIONS TOGETHER OF COURSE 3133 02:11:03,421 --> 02:11:10,962 WITH THE MULTITUDE OF LOCAL 3134 02:11:10,962 --> 02:11:11,996 PARTNERS IN DIFFERENT COUNTRIES 3135 02:11:11,996 --> 02:11:13,264 WE RAN INTO THE CHALLENGE OF HOW 3136 02:11:13,264 --> 02:11:17,702 TO MEASURE THIS. SO THEY DID -- 3137 02:11:17,702 --> 02:11:19,938 THIS IS NOT EXHAUSTIVE, THERE'S 3138 02:11:19,938 --> 02:11:21,072 MORE COMPLEXITY BEHIND HERE BUT 3139 02:11:21,072 --> 02:11:24,542 THE IDEA BUZZ TO ILLUSTRATE HOW 3140 02:11:24,542 --> 02:11:26,344 STARTING WITH THE MEAL WE COULD 3141 02:11:26,344 --> 02:11:28,346 SORT OF TRY TO BUILD INTO THE 3142 02:11:28,346 --> 02:11:31,049 IDEA OF MEAL QUALITY, LEADING TO 3143 02:11:31,049 --> 02:11:32,383 MENU QUALITY AND THEN TO DIET 3144 02:11:32,383 --> 02:11:35,820 QUALITY. KNOWING THAT THERE IS 3145 02:11:35,820 --> 02:11:38,456 OF COURSE MANY GAPS AND LEAPS 3146 02:11:38,456 --> 02:11:40,058 FROM ONE TO THE OTHER BUT AT 3147 02:11:40,058 --> 02:11:44,429 LEAST IN THE LEVEL OF THE SCHOOL 3148 02:11:44,429 --> 02:11:45,997 WE HAVE REASONABLE DATA AND AS 3149 02:11:45,997 --> 02:11:47,966 WE WILL DISCUSS LATER THERE 3150 02:11:47,966 --> 02:11:50,068 MAYBE AN OPPORTUNITY TO 3151 02:11:50,068 --> 02:11:51,803 EXTRAPOLATE TO MENU QUALITY 3152 02:11:51,803 --> 02:11:53,171 METRIC AND THEN DIET QUALITY. 3153 02:11:53,171 --> 02:11:56,841 WHICH BY THE WAY IS OF COURSE 3154 02:11:56,841 --> 02:11:58,643 VERY EFFERVESCENT FEEL WITH 3155 02:11:58,643 --> 02:12:00,178 INTERESTING METRICS EMERGING 3156 02:12:00,178 --> 02:12:02,213 TRYING TO MEASURE THE QUALITY IN 3157 02:12:02,213 --> 02:12:04,882 A MORE COMPREHENSIVE MANNER. SO 3158 02:12:04,882 --> 02:12:07,885 THAT WAS OUR STARTING POINT. WE 3159 02:12:07,885 --> 02:12:09,554 JUST COULDN'T FIND A METRIC FOR 3160 02:12:09,554 --> 02:12:14,125 US WAS SATISFACTORY IN TERMS OF 3161 02:12:14,125 --> 02:12:15,727 MEASURING QUALITY AND 3162 02:12:15,727 --> 02:12:17,028 IMPROVEMENTS IN MEALS AND 3163 02:12:17,028 --> 02:12:18,429 INSTITUTIONAL SETS. IN THINKING 3164 02:12:18,429 --> 02:12:20,131 ABOUT HOW TO DO THAT, I MEAN, 3165 02:12:20,131 --> 02:12:22,567 THERE IS ONE CAN THINK OF SAY 3166 02:12:22,567 --> 02:12:25,036 THESE THREE STEPS OF A LADDER. 3167 02:12:25,036 --> 02:12:26,604 THERE'S NUTRIENT CONTENT 3168 02:12:26,604 --> 02:12:28,172 ADEQUACY LEVEL IN EACH MEAL THAT 3169 02:12:28,172 --> 02:12:31,843 ONE CAN EXPLORE. THERE IS THE 3170 02:12:31,843 --> 02:12:33,878 ELEMENT OF DIVERSITY IN THE DIET 3171 02:12:33,878 --> 02:12:36,814 BUT ALSO APPLIES TO MEAL, MEAL 3172 02:12:36,814 --> 02:12:38,483 MORE DIVERSE ENTERIC SIN LICK 3173 02:12:38,483 --> 02:12:40,318 SUPERIOR TO ONE THAT IS MADE UP 3174 02:12:40,318 --> 02:12:44,389 OF ONE FOOD GROUP. THEN LAYERING 3175 02:12:44,389 --> 02:12:46,357 UP TO HEALTHINESS WHERE YOU LOOK 3176 02:12:46,357 --> 02:12:47,658 NOT ONLY WHAT IS ON THE POSITIVE 3177 02:12:47,658 --> 02:12:49,427 SIDE OF THE EQUATION 3178 02:12:49,427 --> 02:12:51,429 CONTRIBUTING TO ADDRESS IN 3179 02:12:51,429 --> 02:12:52,697 NUTRITION BUT ALSO TRYING TO 3180 02:12:52,697 --> 02:12:55,033 ADDRESS THE GROWING RISK OF 3181 02:12:55,033 --> 02:12:58,569 OVERWEIGHT OBESITY AND CDs SO 3182 02:12:58,569 --> 02:12:59,837 SOMETHING THAT BALANCES TWO 3183 02:12:59,837 --> 02:13:01,239 SIDES OF THE EQUATION IN TERMS 3184 02:13:01,239 --> 02:13:04,642 OF CONTRIBUTING TO THE 3185 02:13:04,642 --> 02:13:06,844 HEALTHNESS OF MEAL AND DIET. SO 3186 02:13:06,844 --> 02:13:08,613 WE STARTED WITH JUST 3187 02:13:08,613 --> 02:13:09,647 ARTICULATING THE DESIGN 3188 02:13:09,647 --> 02:13:13,017 PRINCIPLES FOR SUCH A METRIC FOR 3189 02:13:13,017 --> 02:13:14,819 MEAL MENU QUALITY. SO JUST TO 3190 02:13:14,819 --> 02:13:18,122 TOUCH ON A FEW BRIEF HERE, WE 3191 02:13:18,122 --> 02:13:19,791 WANTED TO BE RESPONSIVE AND 3192 02:13:19,791 --> 02:13:22,060 SENSITIVE TO EXTENT THAT EVEN 3193 02:13:22,060 --> 02:13:23,795 SMALL CHANGES IN A MEAL OR A 3194 02:13:23,795 --> 02:13:26,431 MENU WOULD BE REFLECTED IN ANY 3195 02:13:26,431 --> 02:13:27,965 IMPROVED SCORE. SOMETHING THAT 3196 02:13:27,965 --> 02:13:30,401 WOULD BE CULTURALLY APPROPRIATE, 3197 02:13:30,401 --> 02:13:32,937 SO SAY A GLOBAL FRAMEWORK BUT 3198 02:13:32,937 --> 02:13:36,507 ALSO INTERPRETABLE AND 3199 02:13:36,507 --> 02:13:38,076 CONTEXTUALIZED TO A DEGREE. IT 3200 02:13:38,076 --> 02:13:40,611 SHOULD BE SIMPLE, IT SHOULD BE 3201 02:13:40,611 --> 02:13:42,180 INTEGRATABLE. IT SHOULD BE LOW 3202 02:13:42,180 --> 02:13:44,816 COST AND LOW BURDEN IN TERMS OF 3203 02:13:44,816 --> 02:13:47,018 DATA COLLECTION COLLECTION. COMPREHENSIVE 3204 02:13:47,018 --> 02:13:50,354 IN THE SENSE OF BRINGING FACT 3205 02:13:50,354 --> 02:13:51,122 DOORING IN BOTH SIDES OF THE 3206 02:13:51,122 --> 02:13:53,691 HEALTH EQUATION AND WITH SOME 3207 02:13:53,691 --> 02:13:54,492 FOUNDATION THAT WOULD BE 3208 02:13:54,492 --> 02:13:55,893 SCIENTIFICALLY ROBUST AND 3209 02:13:55,893 --> 02:13:57,195 VALIDATED. SO THOSE ARE THE 3210 02:13:57,195 --> 02:14:00,598 IDEAS IN THE BEGINNING, THE 3211 02:14:00,598 --> 02:14:02,066 DEVELOPMENT IN FIRST ITERATION 3212 02:14:02,066 --> 02:14:06,037 OF GLOBAL MEAL AND MENU QUALITY 3213 02:14:06,037 --> 02:14:09,006 SCORE ORIGIN QS. FOUNDATION WE 3214 02:14:09,006 --> 02:14:10,641 TOOK WAS ONE OF THE TWO -- WHAT 3215 02:14:10,641 --> 02:14:13,945 I WOULD CONSIDER ONE OF THE TWO 3216 02:14:13,945 --> 02:14:15,746 BEST EMERGING DIET QUALITY 3217 02:14:15,746 --> 02:14:18,416 METRICS WHICH IS THE GLOBAL DIET 3218 02:14:18,416 --> 02:14:21,519 QUALITY SCORE, IT IS A METRIC 3219 02:14:21,519 --> 02:14:22,787 AND FRAMEWORK THAT IS BEING 3220 02:14:22,787 --> 02:14:24,789 DEVELOPED BY HARVARD AND INTAKE 3221 02:14:24,789 --> 02:14:27,358 RESEARCHERS HAS A SCALE FROM 0 3222 02:14:27,358 --> 02:14:32,396 TO 49. IT HAS THIS SCALES TO SAY 3223 02:14:32,396 --> 02:14:34,532 DIVIDE CONSUMPTION OF DIFFERENT 3224 02:14:34,532 --> 02:14:37,602 FOOD GROUPS INTO TEAR TILES. 3225 02:14:37,602 --> 02:14:39,437 WITH INTERESTING, CERTAIN FOOD 3226 02:14:39,437 --> 02:14:41,205 GROUPS ARE GOOD UP TO CERTAIN 3227 02:14:41,205 --> 02:14:43,474 POINT BUT FROM CERTAIN THRESHOLD 3228 02:14:43,474 --> 02:14:45,309 UPWARD, THEY CAN HAVE A 3229 02:14:45,309 --> 02:14:47,745 DETRIMENTAL IMPACT ON HEALTH. 3230 02:14:47,745 --> 02:14:49,914 THIS HAS BEEN VALIDATED BOTH 3231 02:14:49,914 --> 02:14:52,216 NON-PREGNANT NON-LACTATING WOMEN 3232 02:14:52,216 --> 02:14:54,752 AGAINST UNDERNUTRITION AND RISK 3233 02:14:54,752 --> 02:14:56,354 AGAINST DATA SETS OF VARIOUS 3234 02:14:56,354 --> 02:14:59,023 COUNTRIES AND GEOGRAPHIES. THE 3235 02:14:59,023 --> 02:14:59,924 CONSUMPTION LABELS CAN BE 3236 02:14:59,924 --> 02:15:03,628 APPLIED TO OTHER ADULTS AND AGE 3237 02:15:03,628 --> 02:15:06,197 GROUPS. FOR US WE USE THE IDEA 3238 02:15:06,197 --> 02:15:08,599 OF SCALING THE CONSUMPTION LEVEL 3239 02:15:08,599 --> 02:15:11,802 TO SUPPORT CHILDREN, BY THE 3240 02:15:11,802 --> 02:15:15,106 DAILY CALORIC REQUIREMENTS SO 3241 02:15:15,106 --> 02:15:16,140 USING DEATH AS STARTING POINT TO 3242 02:15:16,140 --> 02:15:17,008 BRING TO SCALE FOR CHILDREN 3243 02:15:17,008 --> 02:15:22,079 POPULATIONS. SO THAT IS THE 3244 02:15:22,079 --> 02:15:24,916 GDQS. WE WANT TO DEVELOP 3245 02:15:24,916 --> 02:15:29,554 SOMETHING THAT SAY HAD SOME 3246 02:15:29,554 --> 02:15:36,928 FAITHFULNESS OR CONSISTENCY 3247 02:15:36,928 --> 02:15:39,397 PRINCIPLES OF GDQS. SOME OF THEM 3248 02:15:39,397 --> 02:15:41,866 FAVORABLE SO SOME RIGHT OFF THE 3249 02:15:41,866 --> 02:15:43,034 BAT IS BENEFIT OF PRECISE 3250 02:15:43,034 --> 02:15:44,835 QUANTITIES. AS OPPOSED TO HAVING 3251 02:15:44,835 --> 02:15:47,138 TO RELY ON DIETARY RECALLS. 3252 02:15:47,138 --> 02:15:50,808 ANOTHER ONE WHICH WAS THOUGHT 3253 02:15:50,808 --> 02:15:51,909 IMPORTANT BECAUSE OF 3254 02:15:51,909 --> 02:15:53,945 UNDERNUTRITION CHALLENGE IN LOW 3255 02:15:53,945 --> 02:15:55,713 AND MIDDLE INCOME COUNTRIES WAS 3256 02:15:55,713 --> 02:15:57,315 TO FACTORY FORTIFICATION AS 3257 02:15:57,315 --> 02:16:00,318 CONTRIBUTING TO THE POSITIVE 3258 02:16:00,318 --> 02:16:02,386 SIDE OF THE SCORE. WE HAD THE 3259 02:16:02,386 --> 02:16:05,289 THINK OF THIS AS A MEALS 3260 02:16:05,289 --> 02:16:06,691 CONTRIBUTION TO A HEALTHY DIET 3261 02:16:06,691 --> 02:16:08,960 BUT OF COURSE A MEAL WON'T 3262 02:16:08,960 --> 02:16:10,194 NECESSARILY REFLECT THE QUALITY 3263 02:16:10,194 --> 02:16:11,429 OR HEALTHNESS OF THE OVERALL 3264 02:16:11,429 --> 02:16:16,000 DIET. THEN IN TERMS OF 3265 02:16:16,000 --> 02:16:17,668 INTERPRETABILITY, WE FELT THAT 3266 02:16:17,668 --> 02:16:19,604 INSTEAD OF SCALES FROM 0 TO 49 3267 02:16:19,604 --> 02:16:21,239 IT WOULD BE INTERESTING TO 3268 02:16:21,239 --> 02:16:23,941 NORMALIZE 0 TO 100 OR 1 TO 100 3269 02:16:23,941 --> 02:16:27,712 SCALE TO JUST MAKE IT EASIER TO 3270 02:16:27,712 --> 02:16:29,747 INTERPRET FOR THE GENERAL PUBLIC 3271 02:16:29,747 --> 02:16:31,582 AND GENERAL STAKEHOLDERS. IN 3272 02:16:31,582 --> 02:16:35,219 TERMS OF DATA COLLECTION, OFTEN 3273 02:16:35,219 --> 02:16:36,921 TIMES THERE ARE PROCUREMENT 3274 02:16:36,921 --> 02:16:38,756 SYSTEMS UNDERLYING THE SCHOOL 3275 02:16:38,756 --> 02:16:40,458 FEEDING, WHEN THOSE ARE NOT 3276 02:16:40,458 --> 02:16:43,561 AVAILABLE WE CAN RELY ON A 3277 02:16:43,561 --> 02:16:44,629 SIMPLE TOOL TO COLLECT DATA 3278 02:16:44,629 --> 02:16:47,598 WHICH IS ESSENTIALLY CAPTURES 3279 02:16:47,598 --> 02:16:49,500 THE ITEMS, WEIGHT IN KILOGRAMS 3280 02:16:49,500 --> 02:16:52,069 AND NUMBER OF PUPILS SERVED 3281 02:16:52,069 --> 02:16:53,437 WHICH IS SOMETHING MANY SCHOOLS 3282 02:16:53,437 --> 02:16:55,139 DO ON REGULAR BASIS, HOW MANY 3283 02:16:55,139 --> 02:16:56,741 KIDS ARE IN SCHOOL TODAY SO THAT 3284 02:16:56,741 --> 02:16:58,743 CAN GIVE YOU THE BASIS TO 3285 02:16:58,743 --> 02:17:02,880 CALCULATE THE SCORE. WITH 3286 02:17:02,880 --> 02:17:07,051 PILOTED THIS METRIC IN A JOINT 3287 02:17:07,051 --> 02:17:09,253 ROCKEFELLER PILOT IN RWANDA 3288 02:17:09,253 --> 02:17:11,422 WHERE SAY THE MAIN CHANGE 3289 02:17:11,422 --> 02:17:15,626 INTRODUCE WAS REPLACING REFINED 3290 02:17:15,626 --> 02:17:17,595 MAZE FLOUR WITH FORTIFIED WHOLE 3291 02:17:17,595 --> 02:17:20,231 GRAIN FLOUR AMONG 14,000 KIDS IN 3292 02:17:20,231 --> 02:17:21,699 IN 18 SCHOOLS IN SOUTHERN 3293 02:17:21,699 --> 02:17:23,601 RWANDA. THAT MAY SEEM LIKE A 3294 02:17:23,601 --> 02:17:26,937 SIMPLE CHANGE BUT WHEN YOU LOOK 3295 02:17:26,937 --> 02:17:31,075 AT THESE PLACE, THEY ARE FAIRLY 3296 02:17:31,075 --> 02:17:33,411 REFLECTIVE OF TYPICAL MEALS YOU 3297 02:17:33,411 --> 02:17:35,613 HAVE, THIS SEMISOLID MEAL PLUS + 3298 02:17:35,613 --> 02:17:39,050 A LITTLE BIT OF BEANS, SO THAT 3299 02:17:39,050 --> 02:17:40,751 IS STARCH COMPONENT WHICH IS 3300 02:17:40,751 --> 02:17:43,621 CURRENTLY EATEN TYPICALLY IN 3301 02:17:43,621 --> 02:17:46,590 REFINED FOR, IF YOU REPLACE WITH 3302 02:17:46,590 --> 02:17:47,491 WHOLE GRAINS AND FORTIFY THERE 3303 02:17:47,491 --> 02:17:49,694 IS A SIGNIFICANT GAIN. THERE IS 3304 02:17:49,694 --> 02:17:52,029 OCCASIONAL ADDITION OF FRESH 3305 02:17:52,029 --> 02:17:53,698 FRUITS AND VEGETABLES WE WANT 3306 02:17:53,698 --> 02:17:57,034 TOTURE THAT AS WELL. THEN WE 3307 02:17:57,034 --> 02:18:02,073 WERE ABLE TO TRACK THIS METRIC 3308 02:18:02,073 --> 02:18:05,176 ON DAILY BASIS GO DOWN TO THAT 3309 02:18:05,176 --> 02:18:08,412 LEVEL. THIS IS AGAIN 3310 02:18:08,412 --> 02:18:10,948 ILLUSTRATIVE TO SHOW HOW THESE 3311 02:18:10,948 --> 02:18:14,185 FLUCTUATIONS AND IMPROVEMENTS IN 3312 02:18:14,185 --> 02:18:17,188 MEAL QUALITY CAPTURED BY SUCH A 3313 02:18:17,188 --> 02:18:21,092 METRIC THAT ENABLES YOU TO 3314 02:18:21,092 --> 02:18:26,297 MONITOR AGAINST TIME, GEOGRAPHY, 3315 02:18:26,297 --> 02:18:28,532 MANY METRICS AND DIMENSIONS. SO 3316 02:18:28,532 --> 02:18:30,034 WE OVERALL ARE FINDING WAS THAT 3317 02:18:30,034 --> 02:18:31,869 THIS IS A PROMISING METRIC THAT 3318 02:18:31,869 --> 02:18:38,008 HAS POTENTIAL. THIS -- THE GDQS 3319 02:18:38,008 --> 02:18:41,445 BECAUSE OF THE RICHNESS OF THE 3320 02:18:41,445 --> 02:18:43,781 FOOD GROUPS AND SAY INTRINSIC 3321 02:18:43,781 --> 02:18:45,916 SCIENTIFIC ROBUSTNESS PROVIDES A 3322 02:18:45,916 --> 02:18:47,818 GOOD FOUNDATION. AND THIS 3323 02:18:47,818 --> 02:18:50,154 SOMETHING THAT WE ARE NOW 3324 02:18:50,154 --> 02:18:51,522 ENGAGING WITH THE WORLD FOOD 3325 02:18:51,522 --> 02:18:52,890 PROGRAM, TO TAKE TO IT THE NEXT 3326 02:18:52,890 --> 02:18:54,625 LEVEL. AND TO DESCRIBE A LITTLE 3327 02:18:54,625 --> 02:18:58,662 BIT OF THE NEXT LEVEL, WE WANT 3328 02:18:58,662 --> 02:19:01,399 TO -- THIS IS NOT EXHAUSTIVE 3329 02:19:01,399 --> 02:19:02,800 LIST BUT SOME OF THE IMPORTANT 3330 02:19:02,800 --> 02:19:04,402 POINTS, WE WANT TO MAKE THIS 3331 02:19:04,402 --> 02:19:07,004 METRIC MORE SENSITIVE TO MEAL 3332 02:19:07,004 --> 02:19:08,572 COMPOSITION CHANGES WHICH MAY 3333 02:19:08,572 --> 02:19:11,809 APPLY POTENTIALLY LETTING GO OF 3334 02:19:11,809 --> 02:19:17,148 THOSE SCALES AND ADOPTING LINEAR 3335 02:19:17,148 --> 02:19:19,383 PROGRESSION AND SCORES THESE 3336 02:19:19,383 --> 02:19:20,584 QUANTITIES OF FOOD GROUPS WE 3337 02:19:20,584 --> 02:19:22,286 WANT TO EXTEND THE CURRENT 3338 02:19:22,286 --> 02:19:25,089 VERSION IS FOCUSED JUST ON MEALS 3339 02:19:25,089 --> 02:19:28,192 BUT WE WANT TO TAKE IT TO THE 3340 02:19:28,192 --> 02:19:30,528 NEXT STEP, THE MENU QUALITY. 3341 02:19:30,528 --> 02:19:33,998 HEAVY SIT POINT ALLOCATION FOR 3342 02:19:33,998 --> 02:19:37,668 FORTIFICATION, MORE SENSITIVE TO 3343 02:19:37,668 --> 02:19:39,236 CONTEXTUALIZED DEFICIENCIES IS, 3344 02:19:39,236 --> 02:19:40,604 REFINE SKILL AND INTERPRETATION 3345 02:19:40,604 --> 02:19:45,476 OF THE SCORE, EXTRAPOLATE DIET 3346 02:19:45,476 --> 02:19:47,077 QUALITY THROUGH SOME TARGETED 3347 02:19:47,077 --> 02:19:50,247 DATA COLLECTION PERHAPS AT THE 3348 02:19:50,247 --> 02:19:51,949 HOUSEHOLD LEVEL WHICH ENABLE 3349 02:19:51,949 --> 02:19:53,951 ADDING THAT TO THE MEAL TO 3350 02:19:53,951 --> 02:19:56,520 EXTRAPOLATE TO DIET QUALITY FOR 3351 02:19:56,520 --> 02:20:02,359 THESE POPULATIONS. ADAPT THE 3352 02:20:02,359 --> 02:20:03,160 DATA COLLECTION ALREADY 3353 02:20:03,160 --> 02:20:05,496 DEVELOPED WHICH IS LIKE AN APP 3354 02:20:05,496 --> 02:20:07,865 TO MAKE DATA COLLECTION SIMPLER 3355 02:20:07,865 --> 02:20:10,901 IN ENVIRONMENTS WHERE WILL IS 3356 02:20:10,901 --> 02:20:15,439 FEASIBLE. INTEGRATE INTO BROADER 3357 02:20:15,439 --> 02:20:16,740 FOOD SCORE NETWORK AND SHARE 3358 02:20:16,740 --> 02:20:18,042 WITH THE SCIENTIFIC COMMUNITY 3359 02:20:18,042 --> 02:20:18,943 THROUGH PEER REVIEWED 3360 02:20:18,943 --> 02:20:22,580 PUBLICATION. AND ENGAGE ON THE 3361 02:20:22,580 --> 02:20:24,782 COMMUNITY OF PRACTICE TYPE OF 3362 02:20:24,782 --> 02:20:26,717 EFFORT. FOR INSTITUTIONAL MEAL 3363 02:20:26,717 --> 02:20:28,252 QUALITY WITHIN THE SCOPE OF THE 3364 02:20:28,252 --> 02:20:30,087 SCHOOL MEAL COALITION AND THIS 3365 02:20:30,087 --> 02:20:34,725 EFFORT HERE. SO THANK YOU VERY 3366 02:20:34,725 --> 02:20:35,860 MUCH. I LOOK FORWARD TO 3367 02:20:35,860 --> 02:20:38,596 DISCUSSION. THANK YOU. 3368 02:20:38,596 --> 02:20:40,197 >> THANK YOU SO MUCH, AND THAT 3369 02:20:40,197 --> 02:20:43,434 WAS PERFECT TRANSITION TO OUR 3370 02:20:43,434 --> 02:20:47,204 LAST SPEAKER WHO IS CARMEN FROM 3371 02:20:47,204 --> 02:20:49,440 THE WORLD FOOD PROGRAM. AND BOOK 3372 02:20:49,440 --> 02:20:50,774 ENDING THIS ENTIRE SERIES FOR 3373 02:20:50,774 --> 02:20:52,476 US, CARMEN WILL BE SPEAKING 3374 02:20:52,476 --> 02:20:55,813 ABOUT THE SCHOOL MEALS 3375 02:20:55,813 --> 02:20:58,449 COALITION. 3376 02:20:58,449 --> 02:21:00,351 >> THANK YOU, KRISTINA AND DAWN, 3377 02:21:00,351 --> 02:21:01,619 APOLOGIZE FOR NOT PUTTING MY 3378 02:21:01,619 --> 02:21:04,321 CAMERA ON BUT I AM CONCERNED 3379 02:21:04,321 --> 02:21:06,657 ABOUT MY QUALITY OF WIFI. LET ME 3380 02:21:06,657 --> 02:21:10,094 KNOW IF YOU CAN HEAR ME. 3381 02:21:10,094 --> 02:21:11,462 >> WE CAN HEAR YOUR AND YOUR 3382 02:21:11,462 --> 02:21:11,795 SLIDES ARE UP. 3383 02:21:11,795 --> 02:21:15,799 >> GREAT. THANK YOU. SO THANK 3384 02:21:15,799 --> 02:21:16,967 YOU VERY MUCH. I WANT TO START 3385 02:21:16,967 --> 02:21:18,402 SAYING HOW INTERESTING AND 3386 02:21:18,402 --> 02:21:20,104 REALLY RICH THIS WHOLE SESSION 3387 02:21:20,104 --> 02:21:24,708 HAS BEEN. THANK YOU FOR THIS 3388 02:21:24,708 --> 02:21:27,378 OPPORTUNITY TO SPEAK TO THIS 3389 02:21:27,378 --> 02:21:30,581 GROUP. I GUESS MY JOB AT THE 3390 02:21:30,581 --> 02:21:31,815 MOMENT AS LAST SPEAKER IS 3391 02:21:31,815 --> 02:21:35,486 PROBABLY TO ZOOM OUT THERE HAS 3392 02:21:35,486 --> 02:21:37,021 BEEN A LOT OF DISCUSSION 3393 02:21:37,021 --> 02:21:39,056 THROUGHOUT THIS WHOLE SESSION 3394 02:21:39,056 --> 02:21:42,092 AROUND MEALS PROGRAMS IN THE 3395 02:21:42,092 --> 02:21:43,761 U.S., FOR MARGINALIZED MINORITY 3396 02:21:43,761 --> 02:21:48,632 GROUPS. MEALS AND NUTRITIONAL 3397 02:21:48,632 --> 02:21:49,633 LANDSCAPE FOR SCHOOL AGE 3398 02:21:49,633 --> 02:21:52,136 CHILDREN IN AFRICA, I REALLY 3399 02:21:52,136 --> 02:21:55,039 THINK ROCKEFELLAR FOUNDATION FOR 3400 02:21:55,039 --> 02:21:55,973 SHOWCASING THE WORK WE HAVE BEEN 3401 02:21:55,973 --> 02:21:58,576 DOING WITH THEM IN RWANDA AND 3402 02:21:58,576 --> 02:22:01,178 NOW THINKING ABOUT EXPANDING 3403 02:22:01,178 --> 02:22:03,013 THAT WORK FURTHER. BUT I THINK 3404 02:22:03,013 --> 02:22:05,716 WHAT MIGHT BE INTERESTING AT 3405 02:22:05,716 --> 02:22:11,388 THIS MOMENT IS ZOOMING OUT AND 3406 02:22:11,388 --> 02:22:13,257 REALLY MY JOB IS TO PRESENT WHAT 3407 02:22:13,257 --> 02:22:14,625 THIS LANDSCAPE OF SCHOOL MEALS 3408 02:22:14,625 --> 02:22:17,294 LOOKED LIKE AROUND THE WORLD. SO 3409 02:22:17,294 --> 02:22:19,430 THE FIRST THING THAT I WILL SAY 3410 02:22:19,430 --> 02:22:24,535 IS THAT UP UNTIL VERY RECENTLY, 3411 02:22:24,535 --> 02:22:25,903 WE DIDN'T HAVE AS GLOBAL 3412 02:22:25,903 --> 02:22:27,805 COMMUNITY A WAY TO MEASURE THE 3413 02:22:27,805 --> 02:22:30,608 SCALE OF THESE PROGRAMS 3414 02:22:30,608 --> 02:22:32,376 WORLDWIDE. IN A WAY WHAT THE 3415 02:22:32,376 --> 02:22:34,278 U.S. WAS DOING WHAT BRAZIL WAS 3416 02:22:34,278 --> 02:22:36,213 DOING WHAT CHINA WAS DOING WHAT 3417 02:22:36,213 --> 02:22:37,381 THE WORLD FOOD PROGRAM WAS 3418 02:22:37,381 --> 02:22:39,149 LOOKING AT IN AFRICA WERE 3419 02:22:39,149 --> 02:22:40,718 DISCRETE PIECES OF WORK THAT 3420 02:22:40,718 --> 02:22:45,990 WEREN'T CONNECTED. IN 2013 WFP 3421 02:22:45,990 --> 02:22:47,591 PUT OUT THE FIRST PUBLICATION 3422 02:22:47,591 --> 02:22:52,596 THAT QUANTIFIED THE NUMBER OF 3423 02:22:52,596 --> 02:22:53,731 CHILDREN RECEIVING MEALS IN 3424 02:22:53,731 --> 02:22:58,102 SCHOOL A DAY AND UPDATED THAT IN 3425 02:22:58,102 --> 02:22:59,937 2020 THANKS TO UPDATED SURVEY 3426 02:22:59,937 --> 02:23:01,805 FIGURES WE HAD. THE NUMBERS ARE 3427 02:23:01,805 --> 02:23:03,073 EXTRAORDINARY SO GO TO THE FIRST 3428 02:23:03,073 --> 02:23:03,841 SLIDE AND YOU WILL SEE WHAT WE 3429 02:23:03,841 --> 02:23:07,845 HAVE BEEN TALKING ABOUT IN THIS 3430 02:23:07,845 --> 02:23:09,513 CONVERSATION IS THE LARGEST 3431 02:23:09,513 --> 02:23:10,648 ASSISTANCE PROGRAM COVERING 3432 02:23:10,648 --> 02:23:18,288 CHILDREN IN THE WORLD. CURRENT 3433 02:23:18,288 --> 02:23:21,258 ESTIMATES PRE-PANDEMIC ARE 388 3434 02:23:21,258 --> 02:23:22,259 MILLION CHILDREN WERE RECEIVED 3435 02:23:22,259 --> 02:23:23,794 MEALS IN SCHOOL IN ONE SHAPE OR 3436 02:23:23,794 --> 02:23:26,030 FORM OR ANOTHER IN EVERY COUNTRY 3437 02:23:26,030 --> 02:23:27,698 OF THE WORLD, SOME ARE STILL IN 3438 02:23:27,698 --> 02:23:29,066 GRAY BECAUSE WE DON'T HAVE DATA 3439 02:23:29,066 --> 02:23:31,969 BUT YOU CAN SEE THE 3440 02:23:31,969 --> 02:23:33,103 PRESENTATIONS IF WE ZOOM OUT AND 3441 02:23:33,103 --> 02:23:37,241 PUT IN CONTEXT, ALMOST EVERY 3442 02:23:37,241 --> 02:23:38,876 COUNTRY IS WRESTLING WITH THE 3443 02:23:38,876 --> 02:23:40,678 SAME QUESTIONS WE HEARD FROM THE 3444 02:23:40,678 --> 02:23:41,912 U.S. FROM OUR COLLEAGUES IN 3445 02:23:41,912 --> 02:23:45,149 AFRICA, AND OTHERS, THE QUESTION 3446 02:23:45,149 --> 02:23:48,919 AROUND HOW DO WE ENSURE CHILDREN 3447 02:23:48,919 --> 02:23:51,355 DURING THEIR SCHOOL PERIOD 3448 02:23:51,355 --> 02:23:53,490 REALLY BEING PROVIDED WITH THE 3449 02:23:53,490 --> 02:23:56,794 RIGHT FOOD, THAT IS CONTEXT 3450 02:23:56,794 --> 02:24:00,064 SPECIFIC, THAT IS ALSO 3451 02:24:00,064 --> 02:24:01,165 ADDRESSING NUTRITIONAL PROBLEMS 3452 02:24:01,165 --> 02:24:02,533 WE SEE IN THE DIFFERENT CONTEXT 3453 02:24:02,533 --> 02:24:06,970 AND THAT IS INTEGRATED MORE WE 3454 02:24:06,970 --> 02:24:09,206 SEE INTEGRATED WITH BROADER 3455 02:24:09,206 --> 02:24:12,743 HEALTH NUTRITION INTERVENTIONS 3456 02:24:12,743 --> 02:24:14,778 AS WE SAW MANY PRESENTATIONS 3457 02:24:14,778 --> 02:24:17,014 FORTIFICATION, SUPPLEMENTATION 3458 02:24:17,014 --> 02:24:19,116 SOME CASES COMBINING WITH 3459 02:24:19,116 --> 02:24:22,519 DEWORMING VACCINATION AND OTHER 3460 02:24:22,519 --> 02:24:23,754 THINGS I MENTION THAT BECAUSE 3461 02:24:23,754 --> 02:24:25,756 THE LEVEL OF INTEGRATION WITH 3462 02:24:25,756 --> 02:24:30,094 OTHERS WILL HELP IN ADDITION 3463 02:24:30,094 --> 02:24:31,361 INTERVENTIONS HAVE IMPACT ON 3464 02:24:31,361 --> 02:24:32,796 NUTRITIONAL STATUS FROM DIET 3465 02:24:32,796 --> 02:24:35,099 ITSELF OF THE CHILDREN. SO THIS 3466 02:24:35,099 --> 02:24:37,968 IS WHERE WE WERE PRE-PANDEMIC. 3467 02:24:37,968 --> 02:24:40,204 FROM COMPARING TO 2013 BEHAD 3468 02:24:40,204 --> 02:24:47,010 SEEN A MASSIVE EXPANSION IN 3469 02:24:47,010 --> 02:24:48,579 SCALE AND COVERAGE. OVER LAST 3470 02:24:48,579 --> 02:24:49,847 DECADE, NOT COUNTING THE LAST 3471 02:24:49,847 --> 02:24:51,014 COUPLE OF YEARS, THIS IS A 3472 02:24:51,014 --> 02:24:52,883 PROGRAM THAT HAD REALLY EXPENDED 3473 02:24:52,883 --> 02:24:57,654 PARTICULARLY IN AFRICA. WE 3474 02:24:57,654 --> 02:25:02,159 QUANTIFIED AND ANALYZE TRENDS 3475 02:25:02,159 --> 02:25:04,027 BETWEEN 2013 AND 2020, AFRICA 3476 02:25:04,027 --> 02:25:04,928 NEARLY DOUBLED THE COVERAGE OF 3477 02:25:04,928 --> 02:25:06,330 THE NUMBER OF KIDS THAT WERE 3478 02:25:06,330 --> 02:25:09,767 RECEIVING MEALS IN SCHOOLS, NOW 3479 02:25:09,767 --> 02:25:13,904 UP TO ABOUT 65 MILLION CHILDREN. 3480 02:25:13,904 --> 02:25:15,773 SO A SIGNIFICANT PUSH, HUGE 3481 02:25:15,773 --> 02:25:17,241 AMOUNTS OF DOMESTIC FUNDING 3482 02:25:17,241 --> 02:25:18,976 DEVOTED TO THIS. AND JUST BEFORE 3483 02:25:18,976 --> 02:25:20,310 THE PANDEMIC THIS WAS A REALLY 3484 02:25:20,310 --> 02:25:22,546 ROSY PICTURE IN TERMS OF OUR 3485 02:25:22,546 --> 02:25:26,016 ABILITY TO EXPAND ACCESS TO 3486 02:25:26,016 --> 02:25:31,088 THESE PROGRAMS. THIS IS THE 3487 02:25:31,088 --> 02:25:33,323 PICTURE A YEAR AGO, PUBLISHED 3488 02:25:33,323 --> 02:25:34,792 THESE NUMBERS VERY EARLY ON IN 3489 02:25:34,792 --> 02:25:36,326 THE PANDEMIC IN THE MONTH OF MAY 3490 02:25:36,326 --> 02:25:39,630 OF 2020. OUR CONCERN AT THE 3491 02:25:39,630 --> 02:25:41,899 MOMENT WAS THAT ESSENTIALLY THE 3492 02:25:41,899 --> 02:25:43,834 WHOLE PLATFORM, THE WHOLE SAFETY 3493 02:25:43,834 --> 02:25:45,669 NET COLLAPSED WORLDWIDE TOGETHER 3494 02:25:45,669 --> 02:25:47,871 WITH THE CLOSURE OF SCHOOLS. WE 3495 02:25:47,871 --> 02:25:50,040 HAVE BEEN MONITORING HOW THIS 3496 02:25:50,040 --> 02:25:51,942 PANORAMA HAS CHANGED AND IN MOST 3497 02:25:51,942 --> 02:25:53,644 OF THE HIGH INCOME COUNTRIES 3498 02:25:53,644 --> 02:25:55,412 EVEN IN MIDDLE INCOME COUNTRIES 3499 02:25:55,412 --> 02:25:58,715 THE PICTURE HAS IMPROVED 3500 02:25:58,715 --> 02:26:01,218 SOMEWHAT. BUT WE STILL ARE 3501 02:26:01,218 --> 02:26:02,719 CONCERNED WITH THE LACK OF 3502 02:26:02,719 --> 02:26:06,190 ACCESS TO SCHOOL MEALS AND ALSO 3503 02:26:06,190 --> 02:26:09,493 TO EDUCATION FOR CHILDREN IN LOW 3504 02:26:09,493 --> 02:26:11,161 INCOME COUNTRIES WE CURRENTLY 3505 02:26:11,161 --> 02:26:12,963 ESTIMATE SOMETHING LIKE 150 3506 02:26:12,963 --> 02:26:14,031 MILLION CHILDREN ARE STILL NOT 3507 02:26:14,031 --> 02:26:16,967 RECEIVING THE MEALS THEY WERE 3508 02:26:16,967 --> 02:26:23,106 RECEIVING BEFORE SO RESTORING 3509 02:26:23,106 --> 02:26:24,074 ACCESS HAS BECOME AN IMPORTANT 3510 02:26:24,074 --> 02:26:25,676 FACTOR. I HAVE TO SAY ADDED TO 3511 02:26:25,676 --> 02:26:29,780 THIS OF COURSE IS A NEW 3512 02:26:29,780 --> 02:26:31,882 DIMENSION YOU MIGHT BE AWARE OF 3513 02:26:31,882 --> 02:26:34,785 WHICH IS THE LOOMING HUNGER AND 3514 02:26:34,785 --> 02:26:37,454 FOOD PRICE CRISIS COMING OUT OF 3515 02:26:37,454 --> 02:26:39,723 THE UKRAINE WAR AND YOU PROBABLY 3516 02:26:39,723 --> 02:26:42,693 HAVE SEEN IN THE NEWS RECENTLY, 3517 02:26:42,693 --> 02:26:46,663 REALLY THE ALARM OF WORLD FOOD 3518 02:26:46,663 --> 02:26:48,765 PROGRAM AND OTHER AGENCIES ON 3519 02:26:48,765 --> 02:26:50,434 THIS IMPENDING LACK OF 3520 02:26:50,434 --> 02:26:52,202 AVAILABILITY CERTAIN STAPLES AND 3521 02:26:52,202 --> 02:26:54,037 ALSO THE ISSUE OF RISING FOOD 3522 02:26:54,037 --> 02:26:55,472 PRICES, ALL AROUND THE WORLD. 3523 02:26:55,472 --> 02:26:58,041 THIS IS OBVIOUSLY IMPACTING 3524 02:26:58,041 --> 02:26:59,643 CHILDREN AND IT IS IMPACTING 3525 02:26:59,643 --> 02:27:01,912 THEIR HEALTH AND THEIR NUTRITION 3526 02:27:01,912 --> 02:27:03,180 STATUS AND ALSO THEIR ABILITY TO 3527 02:27:03,180 --> 02:27:07,384 GO TO SCHOOL. SO COMBINED THE 3528 02:27:07,384 --> 02:27:11,288 COVID PANDEMIC PLUS THIS NEW 3529 02:27:11,288 --> 02:27:14,324 FOOD CRISIS, WE ARE VERY 3530 02:27:14,324 --> 02:27:15,792 CONCERNED ABOUT HOW CHILDREN ARE 3531 02:27:15,792 --> 02:27:16,994 FAIRING. SO ONE OF THE COMMENTS 3532 02:27:16,994 --> 02:27:18,362 THAT I WANTED TO MAKE AS WE 3533 02:27:18,362 --> 02:27:21,331 CLOSE IS THAT THE WORK OF THIS 3534 02:27:21,331 --> 02:27:23,467 GROUP, THE WORK OF KIDS IN THIS 3535 02:27:23,467 --> 02:27:25,068 PARTICULAR PROJECT IS I THINK 3536 02:27:25,068 --> 02:27:28,505 MORE IMPORTANT THAN EVER. WE DO 3537 02:27:28,505 --> 02:27:30,540 NOT HAVE MEASURES TO TRY TO 3538 02:27:30,540 --> 02:27:32,542 UNDERSTAND HOW IS THIS AFFECTED 3539 02:27:32,542 --> 02:27:34,711 CHILDREN OF THE SCHOOL AGE AN 3540 02:27:34,711 --> 02:27:36,680 ADOLESCENCE. WE CAN MEASURE WHAT 3541 02:27:36,680 --> 02:27:39,783 IS HAPPENING WITH CHILDREN UNDER 3542 02:27:39,783 --> 02:27:43,854 FIVE MORE EASILY THERE ARE NOW 3543 02:27:43,854 --> 02:27:46,290 MEASURES BEING PUBLISHED ALL 3544 02:27:46,290 --> 02:27:49,927 AROUND IN TERMS OF HOW 3545 02:27:49,927 --> 02:27:51,261 UNDERWEIGHT AND ISSUES RELATED 3546 02:27:51,261 --> 02:27:52,496 TO PREGNANT AND LACTATING WOMEN, 3547 02:27:52,496 --> 02:27:54,097 ET CETERA, TO TRY AND MEASURE 3548 02:27:54,097 --> 02:27:57,467 THE IMPACT OF THESE CRISES, WE 3549 02:27:57,467 --> 02:28:00,237 HAVE NO COMMONLY USED INDICATOR 3550 02:28:00,237 --> 02:28:02,372 OR SET OF INDICATORS TO LET US 3551 02:28:02,372 --> 02:28:05,075 UNDERSTAND HOW THIS IS IMPACTING 3552 02:28:05,075 --> 02:28:07,411 THE SET OF -- THE AGE GROUP THAT 3553 02:28:07,411 --> 02:28:10,414 WE ARE TALKING ABOUT HERE. SO MY 3554 02:28:10,414 --> 02:28:11,548 SECOND COMMENT IS HOW IMPORTANT 3555 02:28:11,548 --> 02:28:13,150 IT IS THAT THE WORK OF THIS 3556 02:28:13,150 --> 02:28:15,485 GROUP IS TRANSLATED AS SOON AS 3557 02:28:15,485 --> 02:28:16,753 POSSIBLE INTO WORKABLE 3558 02:28:16,753 --> 02:28:19,289 INDICATORS SO WE CAN START 3559 02:28:19,289 --> 02:28:20,424 TRACKING. IN THE CONTEXT OF 3560 02:28:20,424 --> 02:28:22,225 THIS, IN THE CONTEXT OF THE 3561 02:28:22,225 --> 02:28:24,995 PANDEMIC, AND REALLY THE CRISIS 3562 02:28:24,995 --> 02:28:27,331 THAT ENSUED, LAST YEAR IN THE 3563 02:28:27,331 --> 02:28:29,032 FOOD SYSTEM SUMMIT NUMBER OF 3564 02:28:29,032 --> 02:28:30,500 COUNTRIES STARTED TO LOOK AT 3565 02:28:30,500 --> 02:28:32,636 THIS ISSUE AND REALLY DECIDED TO 3566 02:28:32,636 --> 02:28:35,539 DO SOMETHING ABOUT IT. LED BY 3567 02:28:35,539 --> 02:28:36,907 FINLAND AND FRANCE WHO HAVE 3568 02:28:36,907 --> 02:28:40,344 REALLY TAKEN ON THE BANNER OF 3569 02:28:40,344 --> 02:28:42,779 LOOKING AT THIS ISSUE NOT JUST 3570 02:28:42,779 --> 02:28:45,549 AS GOING BACK TO WHERE WE WERE 3571 02:28:45,549 --> 02:28:47,718 BUT HOW DO WE USE THE EXPANSION 3572 02:28:47,718 --> 02:28:50,354 AND RESTORATION OF SCHOOL MEALS 3573 02:28:50,354 --> 02:28:52,689 PROGRAMS TO TRANSFORM FOOD 3574 02:28:52,689 --> 02:28:53,824 SYSTEMS CHILDREN RELATIONSHIP TO 3575 02:28:53,824 --> 02:28:56,827 FOOD, THEIR NUTRITION, AND ALSO 3576 02:28:56,827 --> 02:28:58,395 OTHER ELEMENTS OF SOCIAL 3577 02:28:58,395 --> 02:29:00,897 PROTECTION AND EDUCATION. SO IN 3578 02:29:00,897 --> 02:29:02,766 THE CONTEXT OF THE FOOD SYSTEM 3579 02:29:02,766 --> 02:29:04,034 SUMMIT, THE SCHOOL MEALS 3580 02:29:04,034 --> 02:29:05,369 COALITION WAS CREATED. WE CAN 3581 02:29:05,369 --> 02:29:13,477 GO TO THE NEXT SLIDE. COUNTRIES 3582 02:29:13,477 --> 02:29:14,711 DECIDED IT WAS GOING TO HAVE A 3583 02:29:14,711 --> 02:29:18,548 BROAD GOAL,S THIS WAS ENSURING 3584 02:29:18,548 --> 02:29:20,117 THAT EVERY CHILD HAS OPPORTUNITY 3585 02:29:20,117 --> 02:29:22,085 TO RECEIVE HEALTHY NUTRITIOUS 3586 02:29:22,085 --> 02:29:23,387 SCHOOL MEAL BY 20306789 FROM 3587 02:29:23,387 --> 02:29:26,123 THAT GOAL THIS APPLIES TO ALL 3588 02:29:26,123 --> 02:29:27,457 INCOME LEVELS SO COUNTRIES FROM 3589 02:29:27,457 --> 02:29:30,093 RANGING FROM THE U.S. AND 3590 02:29:30,093 --> 02:29:31,561 FINLAND TO COUNTRIES LIKE SOME 3591 02:29:31,561 --> 02:29:34,231 OF THOSE THAT WE DISCUSSED TODAY 3592 02:29:34,231 --> 02:29:41,772 WHAT -- HAITI, RWANDA, MALAWI, 3593 02:29:41,772 --> 02:29:43,140 ET CETERA. THIS IS IMPORTANT 3594 02:29:43,140 --> 02:29:45,709 ACROSS THE BOARD, NOT JUST ABOUT 3595 02:29:45,709 --> 02:29:47,611 LOW INCOME COUNTRIES AFRICAN 3596 02:29:47,611 --> 02:29:49,946 COUNTRIES OR VULNERABLE KIDS IN 3597 02:29:49,946 --> 02:29:51,415 THOSE COUNTRIES, THE 3598 02:29:51,415 --> 02:29:52,015 RECOMMENDATION IN ADDITION WE 3599 02:29:52,015 --> 02:29:52,849 ARE TALKING ABOUT B 3600 02:29:52,849 --> 02:29:54,151 VULNERABILITY ACROSS INCOME 3601 02:29:54,151 --> 02:29:57,654 LEVELS IN COUNTRIES. AND THEN 3602 02:29:57,654 --> 02:29:59,356 THREE OBJECTIVES SET AS PART OF 3603 02:29:59,356 --> 02:30:02,059 THE COALITION AS IT WAS CREATED. 3604 02:30:02,059 --> 02:30:04,494 ONE THAT SPEAKS TO WHAT I WAS 3605 02:30:04,494 --> 02:30:06,296 TALKING ABOUT THE RESTORATION OF 3606 02:30:06,296 --> 02:30:09,466 WHAT WE HAD BEFORE PANDEMIC HIT 3607 02:30:09,466 --> 02:30:10,801 ENSURING ALL THE CHILDREN THAT 3608 02:30:10,801 --> 02:30:12,002 WERE RECEIVING THOSE MEALS GO 3609 02:30:12,002 --> 02:30:14,104 BAG TO RECEIVING THEM. AND 3610 02:30:14,104 --> 02:30:14,704 SUBSEQUENT GENERATIONS OF 3611 02:30:14,704 --> 02:30:17,741 COURSE. THE SECOND OBJECTIVE IS 3612 02:30:17,741 --> 02:30:20,243 REALLY FOCUSED ON LOW INCOME 3613 02:30:20,243 --> 02:30:23,346 COUNTRIES, THAT WAS AND IS THIS 3614 02:30:23,346 --> 02:30:24,948 RECOGNITION THAT EVEN THOUGH THE 3615 02:30:24,948 --> 02:30:26,716 PROGRAMS ARE WIDESPREAD AS YOU 3616 02:30:26,716 --> 02:30:28,418 SAW IN THE FIRST MAP THE LEVELS 3617 02:30:28,418 --> 02:30:29,453 OF COVERAGE AND LOW INCOME 3618 02:30:29,453 --> 02:30:30,487 COUNTRIES ARE SIMPLY 3619 02:30:30,487 --> 02:30:33,423 UNACCEPTABLE. WHILE HIGH INCOME 3620 02:30:33,423 --> 02:30:34,891 COUNTRIES COVERAGE OF SCHOOL 3621 02:30:34,891 --> 02:30:37,627 MEALS RANGES BETWEEN 80 AND 100% 3622 02:30:37,627 --> 02:30:39,529 OF VULNERABLE CHILDREN IN MIDDLE 3623 02:30:39,529 --> 02:30:41,465 INCOME COUNTRIES THAT FIGURE IS 3624 02:30:41,465 --> 02:30:44,601 AROUND 60 TO 70%, THE DROP IS 3625 02:30:44,601 --> 02:30:46,169 HUGE IN LOW INCOME COUNTRIES WE 3626 02:30:46,169 --> 02:30:49,005 ONLY SEE FIGURE OF ABOUT 20, 3627 02:30:49,005 --> 02:30:52,843 25%. . SO REALLY THE NEED TO 3628 02:30:52,843 --> 02:30:55,445 LOOK AT THIS ISSUE AND EXPAND 3629 02:30:55,445 --> 02:30:57,581 ACCESS IN MOST VULNERABLE 3630 02:30:57,581 --> 02:30:59,249 CHILDREN AND MOST VULNERABLE 3631 02:30:59,249 --> 02:31:01,318 COUNTRIES IS AN ISSUE AND WE 3632 02:31:01,318 --> 02:31:04,354 HAVE WITH THE EMPIRICAL COLLEGE 3633 02:31:04,354 --> 02:31:06,490 QUANTIFIED THAT WE WOULD BE 3634 02:31:06,490 --> 02:31:08,859 LOOKING AT LOOKING AT 73 MILLION 3635 02:31:08,859 --> 02:31:10,360 CHILDREN LIVING IN EXTREME 3636 02:31:10,360 --> 02:31:12,229 POVERTY AND 60 COUNTRIES MOST OF 3637 02:31:12,229 --> 02:31:15,565 THEM LOW INCOME, SOME LOW MIDDLE 3638 02:31:15,565 --> 02:31:17,767 INCOME THAT NEED THE SUPPORT 3639 02:31:17,767 --> 02:31:18,969 URGENTLY, O SO THAT WOULD BE THE 3640 02:31:18,969 --> 02:31:21,204 TARGET OF YOUR COALITION. THE 3641 02:31:21,204 --> 02:31:23,540 THIRD OBJECTIVE APPLIES ACROSS 3642 02:31:23,540 --> 02:31:25,942 THE BOARD. AND WE HAVE SEEN AND 3643 02:31:25,942 --> 02:31:27,644 WE ARE HAPPY TO START TO SEE 3644 02:31:27,644 --> 02:31:29,179 COUNTRIES WITHIN THE COALITION 3645 02:31:29,179 --> 02:31:32,249 FOR EXAMPLE FINLAND, FRANCE, AND 3646 02:31:32,249 --> 02:31:34,217 SOME OTHER COUNTRIES AS WELL, 3647 02:31:34,217 --> 02:31:35,452 LOOKING AT HOW THESE PROGRAMS 3648 02:31:35,452 --> 02:31:38,054 CAN BE IMPROVED, MUCH OF THE 3649 02:31:38,054 --> 02:31:39,322 CONVERSATION TODAY CENTERED 3650 02:31:39,322 --> 02:31:40,924 AROUND ISSUE OF IMPROVING THE 3651 02:31:40,924 --> 02:31:44,628 QUALITY OF THE MEALS AND THE 3652 02:31:44,628 --> 02:31:45,996 MENUS, HOW AS WAS MENTIONED WE 3653 02:31:45,996 --> 02:31:47,230 CAN MAKE TWEAKS IN WHAT CHILDREN 3654 02:31:47,230 --> 02:31:49,799 ARE RECEIVING TO HAVE IMPACT OF 3655 02:31:49,799 --> 02:31:53,069 THEIR NUTRITIONAL STATUS AND 3656 02:31:53,069 --> 02:31:56,806 AVAILABILITY. BUT ALSO HOW THESE 3657 02:31:56,806 --> 02:31:58,041 BE EFFECT CANNED TO MORE 3658 02:31:58,041 --> 02:31:59,075 SUSTAINABILITY VALUE CHAINS HOW 3659 02:31:59,075 --> 02:32:03,079 WE CONNECT TO LOCAL AGRICULTURAL 3660 02:32:03,079 --> 02:32:04,214 PRODUCTION PROVIDE OPPORTUNITIES 3661 02:32:04,214 --> 02:32:06,750 FOR JOB CREATION. VALUE CREATION 3662 02:32:06,750 --> 02:32:10,453 LOCALLY. AND COMMUNITY SUPPORT. 3663 02:32:10,453 --> 02:32:12,122 ALSO THE INTEGRATION AS I WAS 3664 02:32:12,122 --> 02:32:13,924 MENTIONING EARLIER WITH OTHER 3665 02:32:13,924 --> 02:32:16,793 SCHOOL HEALTH NUTRITION -- 3666 02:32:16,793 --> 02:32:19,796 COMPONENTS NUTRITION AN 3667 02:32:19,796 --> 02:32:21,064 EDUCATION, WATER AND SANITATION 3668 02:32:21,064 --> 02:32:22,866 IS AN IMPORTANT ISSUE IN MANY 3669 02:32:22,866 --> 02:32:25,235 COUNTRY, VACCINATIONS ET CETERA, 3670 02:32:25,235 --> 02:32:28,672 HOW DO WE TRULY DELIVER ON THE 3671 02:32:28,672 --> 02:32:31,341 PROMISE OF THESE PROGRAMS AS 3672 02:32:31,341 --> 02:32:32,809 PLATFORMS, FOR CHILD SUPPORT, IN 3673 02:32:32,809 --> 02:32:35,145 THE FORM OF NUTRITION, SOCIAL 3674 02:32:35,145 --> 02:32:37,280 PROTECTION, EDUCATION, 3675 02:32:37,280 --> 02:32:40,483 AGRICULTURE, ET CETERA. AS THE 3676 02:32:40,483 --> 02:32:43,253 MOMENT AS I SPEAK THE COALITION 3677 02:32:43,253 --> 02:32:47,023 HAS 62 MEMBER COUNTRIES, AND 64 3678 02:32:47,023 --> 02:32:48,792 PARTNER ORGANIZATIONS WHEN IT 3679 02:32:48,792 --> 02:32:51,127 WAS LAUNCHED, IT WAS THE MOST 3680 02:32:51,127 --> 02:32:55,966 IMPORTANT HOME VISIBLE 3681 02:32:55,966 --> 02:32:57,867 INITIATIVE COMING OUT AND HAS 3682 02:32:57,867 --> 02:32:59,369 CONTINUED TO GROW SINCE THEN 3683 02:32:59,369 --> 02:33:02,038 CREATING A MOMENTUM AND 3684 02:33:02,038 --> 02:33:03,773 IMPRESSIVE MOMENTUM OF 3685 02:33:03,773 --> 02:33:04,441 COMMITMENT FROM GOVERNMENT 3686 02:33:04,441 --> 02:33:06,309 LEADERS AROUND THIS ISSUE. LET'S 3687 02:33:06,309 --> 02:33:11,948 MOVE FORWARD. ONE OF THE THINGS 3688 02:33:11,948 --> 02:33:13,850 WE DISCUSSED IN THE CONTEXT OF 3689 02:33:13,850 --> 02:33:16,219 THE COALITION WAS THAT IF WE 3690 02:33:16,219 --> 02:33:19,456 REALLY WERE LOOKING AT HELPING 3691 02:33:19,456 --> 02:33:20,824 GOVERNMENTS, INCREASE THE 3692 02:33:20,824 --> 02:33:23,226 QUALITY SUSTAINABILITY OF THEIR 3693 02:33:23,226 --> 02:33:24,027 PROGRAMMING THERE WERE SOME 3694 02:33:24,027 --> 02:33:27,497 BOTTLENECKS THAT NEEDED TO BE 3695 02:33:27,497 --> 02:33:29,733 ADDRESSED, SO FIVE GLOBAL 3696 02:33:29,733 --> 02:33:31,201 INITIATIVES WERE ANNOUNCED AS 3697 02:33:31,201 --> 02:33:34,204 PART OF THE COALITION, AND THREE 3698 02:33:34,204 --> 02:33:36,339 OF THEM ARE NOW UP AND RUNNING 3699 02:33:36,339 --> 02:33:38,074 THE TWO THAT REMAIN ARE GO TO BE 3700 02:33:38,074 --> 02:33:40,076 CONSOLIDATED THIS YEAR. THE 3701 02:33:40,076 --> 02:33:43,780 FIRST ONE, RESEARCH CONSORTIUM 3702 02:33:43,780 --> 02:33:47,017 REPRESENTED HERE BY PROFESSOR 3703 02:33:47,017 --> 02:33:48,184 DONALD BUNDY IS CONSOLIDATED 3704 02:33:48,184 --> 02:33:49,653 INITIATIVE AND WE SEE THE WORK 3705 02:33:49,653 --> 02:33:51,288 OF KIDS AS BEING DIRECT 3706 02:33:51,288 --> 02:33:52,289 CONTRIBUTION TO THE WORK OF THE 3707 02:33:52,289 --> 02:33:53,323 COALITION AND THE RESEARCH 3708 02:33:53,323 --> 02:33:58,595 CONSORTIUM. AS DON CAN EXPLAIN 3709 02:33:58,595 --> 02:34:00,263 BETTER THAN MYSELF, THIS IS AN 3710 02:34:00,263 --> 02:34:03,600 INDEPENDENT INITIATIVE WHICH IS 3711 02:34:03,600 --> 02:34:07,304 NETWORK OF ACADEMIC INSTITUTIONS 3712 02:34:07,304 --> 02:34:08,605 SPECIFICALLY DEVOTEDDED TO 3713 02:34:08,605 --> 02:34:10,573 RESEARCH HA IS ABOUT PROVIDING 3714 02:34:10,573 --> 02:34:12,575 DECISION MAKERS IN COUNTRIES 3715 02:34:12,575 --> 02:34:14,878 WITH BETTER INFORMATION TO ENACT 3716 02:34:14,878 --> 02:34:17,113 AND IMPLEMENT POLICY SO VERY 3717 02:34:17,113 --> 02:34:19,749 OPERATIONAL APPROACH HERE, TO 3718 02:34:19,749 --> 02:34:21,217 RESEARCH AROUND THIS AREA. THE 3719 02:34:21,217 --> 02:34:23,019 SECOND ONE IS SUSTAINABLE 3720 02:34:23,019 --> 02:34:24,821 FINANCING TASK FORCE,ING THIS 3721 02:34:24,821 --> 02:34:26,256 LED BY GLOBAL EDUCATION 3722 02:34:26,256 --> 02:34:29,793 COMMISSION. WHICH IS LED BY 3723 02:34:29,793 --> 02:34:31,261 GORDON BROWN, DEVOTEDDED TO THE 3724 02:34:31,261 --> 02:34:32,662 ISSUE AND -- DEVOTED TO THE 3725 02:34:32,662 --> 02:34:34,464 ISSUE, THE STABILITY OF THE 3726 02:34:34,464 --> 02:34:35,832 PROGRAMS PARTICULARLY THE 3727 02:34:35,832 --> 02:34:38,902 FINANCING OF SCHOOL MEALS AND 3728 02:34:38,902 --> 02:34:41,171 FINDING MORE SUSTAINABLE 3729 02:34:41,171 --> 02:34:43,106 SOLUTIONS PARTICULARLY LOW 3730 02:34:43,106 --> 02:34:45,342 INCOME COUNTRIES TO SUSTAIN 3731 02:34:45,342 --> 02:34:47,544 THESE PROGRAMS IN A PROPER WAY 3732 02:34:47,544 --> 02:34:48,678 THROUGHOUT SCHOOL YEAR AND 3733 02:34:48,678 --> 02:34:50,246 THROUGHOUT MANY YEARS. THIS 3734 02:34:50,246 --> 02:34:51,181 CONTINUES TO BE PROBABLY ONE OF 3735 02:34:51,181 --> 02:34:53,149 THE BIGGEST BOTTLE NEXT FOR THE 3736 02:34:53,149 --> 02:34:55,385 IMPLEMENTATION OF THE PROGRAMS 3737 02:34:55,385 --> 02:34:58,488 BUT ALSO TO THE STABILITY OF 3738 02:34:58,488 --> 02:35:01,458 THIS PLATFORM THAT LATER CAN OR 3739 02:35:01,458 --> 02:35:02,726 CANNOT DELIVER ON OUTCOMES WE 3740 02:35:02,726 --> 02:35:06,763 HAVE BEEN DISCUSSING. THIRD IS 3741 02:35:06,763 --> 02:35:12,235 DATA MONITOR INITIATIVE. ONE OF 3742 02:35:12,235 --> 02:35:15,905 THE MAJOR CONVERSATIONS NOW WITH 3743 02:35:15,905 --> 02:35:19,676 PARTNERS IS HOW DO WE AGREE ON A 3744 02:35:19,676 --> 02:35:23,446 SET OF INDICATORS THAT WILL BE 3745 02:35:23,446 --> 02:35:25,315 CONSIDERED CORE INDICATORS TO 3746 02:35:25,315 --> 02:35:27,717 MEASURE THIS AREA OF WORK 3747 02:35:27,717 --> 02:35:29,686 GLOBALLY. HOW DO WE MEASURE THEM 3748 02:35:29,686 --> 02:35:31,187 IN DIFFERENT CONTINENTS AND 3749 02:35:31,187 --> 02:35:33,156 DIFFERENT COUNTRIES AND HOW DO 3750 02:35:33,156 --> 02:35:34,991 WE ESTABLISH A GLOBALLY 3751 02:35:34,991 --> 02:35:37,894 RECOGNIZED DATABASE THAT CAN BE 3752 02:35:37,894 --> 02:35:39,596 CONSULTED AND CAN BE GLOBAL 3753 02:35:39,596 --> 02:35:41,931 PUBLIC, SO THIS IS THE THIRD 3754 02:35:41,931 --> 02:35:44,401 INITIATIVE LED BY WFP WITH THE 3755 02:35:44,401 --> 02:35:46,002 HELP OF MANY PARTNERS AND 3756 02:35:46,002 --> 02:35:47,203 ELEMENTS WE WOULD LIKE TO BRING 3757 02:35:47,203 --> 02:35:49,873 NOW IS WORK OF THIS GROUP BUT 3758 02:35:49,873 --> 02:35:52,108 ALSO OF THE WHOLE PROJECT 3759 02:35:52,108 --> 02:35:53,576 HOPEFULLY CAN BE INCORPORATED 3760 02:35:53,576 --> 02:35:55,612 LATER ON AS PART OF THE STEERING 3761 02:35:55,612 --> 02:35:57,113 COMMITTEE OF THIS DATA AND 3762 02:35:57,113 --> 02:35:58,214 MONITORING INITIATIVE FOR THE 3763 02:35:58,214 --> 02:36:02,285 GLOBAL COMMUNITY. THE OTHER TWO 3764 02:36:02,285 --> 02:36:04,554 ARE ABOUT PUTTING THIS IN 3765 02:36:04,554 --> 02:36:06,322 PRACTICE BOTH HELPING COUNTRIES 3766 02:36:06,322 --> 02:36:08,191 CONNECT AS A PEER TO PEER 3767 02:36:08,191 --> 02:36:09,225 COMMUNITY OF BEST PRACTICE LED 3768 02:36:09,225 --> 02:36:11,561 BY GERMANY AND WORKING AROUND 3769 02:36:11,561 --> 02:36:13,363 COMMUNICATIONS AND ADVOCACY WITH 3770 02:36:13,363 --> 02:36:19,436 THE VARIOUS PARTNERS. I WANT TO 3771 02:36:19,436 --> 02:36:22,138 ALSO MENTION AS PART OF THIS 3772 02:36:22,138 --> 02:36:22,739 GLOBAL CONVERSATION ON THE 3773 02:36:22,739 --> 02:36:24,874 COALITION OF COURSE THE WORLD 3774 02:36:24,874 --> 02:36:26,309 FOOD PROGRAM WE ARE A SEPARATE 3775 02:36:26,309 --> 02:36:29,312 PERIOD OF COALITION BUT WE ARE 3776 02:36:29,312 --> 02:36:30,680 ALSO ONE IMPORTANT STAKEHOLDER 3777 02:36:30,680 --> 02:36:33,183 IN THIS CONVERSATION BECAUSE WE 3778 02:36:33,183 --> 02:36:33,883 IMPLEMENT MANY OF THE PROGRAMS 3779 02:36:33,883 --> 02:36:37,787 WE HAVE BEEN DISCUSSING IN LOW 3780 02:36:37,787 --> 02:36:39,556 INCOME COUNTRIES HERE YOU HAVE 3781 02:36:39,556 --> 02:36:41,558 OUR REACH, WE ARE THE LARGEST 3782 02:36:41,558 --> 02:36:43,326 SUPPORTER OF SCHOOL MEALS ACROSS 3783 02:36:43,326 --> 02:36:47,197 THE WORLD. WE WORK IN 73, 74 3784 02:36:47,197 --> 02:36:49,332 COUNTRIES AND OUR COVERAGE 3785 02:36:49,332 --> 02:36:51,468 FLUCTUATES ANYWHERE BETWEEN 15 3786 02:36:51,468 --> 02:36:52,569 TO 17 MILLION CHILDREN, A LOT OF 3787 02:36:52,569 --> 02:36:54,504 THIS WITH SUPPORT OF USDA, SO 3788 02:36:54,504 --> 02:36:55,772 SOME OF THE PRESENTATIONS YOU 3789 02:36:55,772 --> 02:36:57,674 SAW EARLIER TODAY OF COURSE CUT 3790 02:36:57,674 --> 02:37:00,410 ACROSS OUR WORK. AND SO WE DO 3791 02:37:00,410 --> 02:37:02,011 ASIDE FROM THE SUPPORT WE 3792 02:37:02,011 --> 02:37:04,581 PROVIDE GLOBALLY THROUGH THE 3793 02:37:04,581 --> 02:37:06,115 COALITION WE HAVE A STEAK BUT 3794 02:37:06,115 --> 02:37:09,118 ALSO REALLY IMPORTANT PLATFORM 3795 02:37:09,118 --> 02:37:10,920 TO IMPLEMENT SOLUTIONS THAT 3796 02:37:10,920 --> 02:37:12,422 HOPEFULLY WILL BE COMING OUT 3797 02:37:12,422 --> 02:37:16,326 THROUGH THIS WORK. ONE OF THE 3798 02:37:16,326 --> 02:37:18,127 THINGS WE HAVE DONE IN THE LAST 3799 02:37:18,127 --> 02:37:20,797 COUPLE OF YEARS WHICH WAS 3800 02:37:20,797 --> 02:37:21,798 MISSING FROM OUR PROGRAMMING 3801 02:37:21,798 --> 02:37:23,366 TOOL KIT IS THINKING ABOUT A 3802 02:37:23,366 --> 02:37:25,735 THEORY OF CHANGE FOR OUR 3803 02:37:25,735 --> 02:37:27,770 PROGRAMMING AND FOR SCHOOL MEALS 3804 02:37:27,770 --> 02:37:29,239 IN GENERAL. LET ME SHOW YOU 3805 02:37:29,239 --> 02:37:31,274 WHERE WE ARE WITH THE THEORY OF 3806 02:37:31,274 --> 02:37:35,478 CHANGE. I WON'T GO THROUGH IT 3807 02:37:35,478 --> 02:37:38,481 SPECIFICALLY. TO THE NEXT SLIDE. 3808 02:37:38,481 --> 02:37:41,284 CONNECTIONS ARE MULTIPLE. HERE 3809 02:37:41,284 --> 02:37:45,855 YOU GO. YOU CAN GO THROUGH THE 3810 02:37:45,855 --> 02:37:50,059 NEXT ONE, IF YOU LOOK AT OUR 3811 02:37:50,059 --> 02:37:50,727 IMPACT, ON THE RIGHT HAND SIDE, 3812 02:37:50,727 --> 02:37:54,163 WE ARE LOOKING AT VARIOUS SDGs 3813 02:37:54,163 --> 02:37:56,933 THAT THESE PROGRAMS REALLY 3814 02:37:56,933 --> 02:38:01,671 RELATE TO, AND REALLY LOOKING AT 3815 02:38:01,671 --> 02:38:03,239 OPPORTUNITY -- DELIVERING 3816 02:38:03,239 --> 02:38:05,241 SUPPORT SO THAT CHILDREN CAN 3817 02:38:05,241 --> 02:38:06,809 HAVE THE OPPORTUNITY TO ACHIEVE 3818 02:38:06,809 --> 02:38:09,512 THEIR FULL POTENTIAL BUT ALSO 3819 02:38:09,512 --> 02:38:12,549 THE CONNECTION TO LIVELIHOOD AND 3820 02:38:12,549 --> 02:38:14,450 SUPPORT INCOME LEVELS AND GENDER 3821 02:38:14,450 --> 02:38:16,920 DIMENSIONS HERE. YOU CAN SEE 3822 02:38:16,920 --> 02:38:19,722 SOME OF THE ITEMS WE ARE 3823 02:38:19,722 --> 02:38:20,423 TARGETING INCLUDING OUTCOMES 3824 02:38:20,423 --> 02:38:23,426 RELATED TO EDUCATION, TO 3825 02:38:23,426 --> 02:38:25,828 LEARNING TO INCOME GENERATING 3826 02:38:25,828 --> 02:38:27,630 OPPORTUNITIES AND ELEMENTS 3827 02:38:27,630 --> 02:38:29,632 RELATED TO ALSO STABILITY AND 3828 02:38:29,632 --> 02:38:30,466 CAPACITY OF GOVERNMENT 3829 02:38:30,466 --> 02:38:32,502 INSTITUTIONS TO IMPLEMENT THESE 3830 02:38:32,502 --> 02:38:34,370 PROGRAMS. THEN YOU CAN GIVE IT 3831 02:38:34,370 --> 02:38:36,506 ANOTHER CLICK AND THIS COMPLEX 3832 02:38:36,506 --> 02:38:38,274 WEB WILL COME UP, I WON'T REALLY 3833 02:38:38,274 --> 02:38:40,143 DEVOTE A LOT OF TIME TO THIS BUT 3834 02:38:40,143 --> 02:38:41,544 AS MANY OF THE SPEAKERS HAVE 3835 02:38:41,544 --> 02:38:45,915 SAID TODAY, THIS IS A COMPLEX 3836 02:38:45,915 --> 02:38:47,617 ECOSYSTEM, FOR US THE THEORY OF 3837 02:38:47,617 --> 02:38:50,853 CHANGE IS VERY MUCH GENERIC 3838 02:38:50,853 --> 02:38:52,322 BLUEPRINT. HOW THIS IS 3839 02:38:52,322 --> 02:38:53,022 IMPLEMENTED IN PARTICULAR 3840 02:38:53,022 --> 02:38:54,891 COUNTRIES VARIES. AND SOME OF 3841 02:38:54,891 --> 02:38:56,392 THE OUTCOMES THAT WE CAN EXPECT 3842 02:38:56,392 --> 02:38:59,896 VARY. MOVE FORWARD PLEASE. ONE 3843 02:38:59,896 --> 02:39:01,898 OF THE THINGS THAT I WANTED TO 3844 02:39:01,898 --> 02:39:05,234 SAY FOR THIS GROUP IS THAT IF WE 3845 02:39:05,234 --> 02:39:08,004 LOOK AT THE PATHWAY THAT IS 3846 02:39:08,004 --> 02:39:09,806 ABOUT SCHOOL HEALTH AND 3847 02:39:09,806 --> 02:39:11,608 INCREASED ACCESS AND ALSO ON THE 3848 02:39:11,608 --> 02:39:14,377 OUTCOME SIDE OF THE NUTRITION 3849 02:39:14,377 --> 02:39:16,613 PATHWAY, HERE IS WHERE HOW WE 3850 02:39:16,613 --> 02:39:18,748 SEE THIS EVOLVING INCLUDING THE 3851 02:39:18,748 --> 02:39:21,618 PROVISION OF FOOD, HOW THIS HAS 3852 02:39:21,618 --> 02:39:22,752 IMPACT ON DIET SHORT TERM 3853 02:39:22,752 --> 02:39:28,358 HUNGER. IF YOU CLICK ONE MORE 3854 02:39:28,358 --> 02:39:34,430 TIME YOU WILL SEE WHERE WE HAVE 3855 02:39:34,430 --> 02:39:35,665 GAPS MANY TERMS OF INDICATORS 3856 02:39:35,665 --> 02:39:38,201 AND ABLE TO MEASURE AND NOT ABLE 3857 02:39:38,201 --> 02:39:40,436 TO MEASURE AT THE MOMENT. THIS 3858 02:39:40,436 --> 02:39:42,138 IS -- AS WE HAVE SEEN MANY MANY 3859 02:39:42,138 --> 02:39:43,506 PRESENTATIONS TODAY THIS IS NOT 3860 02:39:43,506 --> 02:39:45,541 JUST OUR PROBLEM, IT IS A 3861 02:39:45,541 --> 02:39:50,513 GENERAL PROBLEM. THE SQUARES YOU 3862 02:39:50,513 --> 02:39:51,748 SEE HERE IN RED ARE WHERE WE 3863 02:39:51,748 --> 02:39:55,985 DON'T HAVE INDICATOR AT ALL, AND 3864 02:39:55,985 --> 02:39:57,987 ORANGE BOXES WHERE WE HAVE SOME 3865 02:39:57,987 --> 02:40:00,089 MEASURES THAT ARE CONSIDERED AT 3866 02:40:00,089 --> 02:40:02,425 LEAST INADEQUATE OR REALLY 3867 02:40:02,425 --> 02:40:04,093 CURRENTLY IN DEVELOPMENT PHASE, 3868 02:40:04,093 --> 02:40:09,499 THE WORK OF THIS GROUP WE HOPE 3869 02:40:09,499 --> 02:40:10,733 CAN HELP FILL IN THE BANK AND 3870 02:40:10,733 --> 02:40:13,636 GIVE INDICATOR AND MEASURES TO 3871 02:40:13,636 --> 02:40:16,005 BE ABLE TO MOVE FORWARD ON THIS 3872 02:40:16,005 --> 02:40:21,044 AGENDA. LAST SLIDE. AS A 3873 02:40:21,044 --> 02:40:22,712 CONTRIBUTION HERE IN TERMS HOF 3874 02:40:22,712 --> 02:40:26,349 WE SEE THIS BEING APPLICABLE TO 3875 02:40:26,349 --> 02:40:28,451 BROADLY THE CONTEXT ONE SHORT 3876 02:40:28,451 --> 02:40:31,120 TERM IDEA IS HOW CAN CAN WE PIE 3877 02:40:31,120 --> 02:40:32,055 WILL THE SOME OF THE MEASURES 3878 02:40:32,055 --> 02:40:35,391 AND INDICATORS COMING OUT OF 3879 02:40:35,391 --> 02:40:38,227 THIS GROUP, AS FIRST INSTANCE IN 3880 02:40:38,227 --> 02:40:39,262 VARIOUS SETTINGS. THIS IS 3881 02:40:39,262 --> 02:40:41,097 SOMETHING WE CAN DO QUICKLY. 3882 02:40:41,097 --> 02:40:42,065 WITH DIFFERENT PARTNERS AND AS 3883 02:40:42,065 --> 02:40:44,267 YOU HAVE SEEN FROM ROCKEFELLAR 3884 02:40:44,267 --> 02:40:48,471 WE ARE DEVELOPING THAT. MEDIUM 3885 02:40:48,471 --> 02:40:51,874 TERM AN UPDATE OF THIS IN 3886 02:40:51,874 --> 02:40:53,109 CONTEXT OF SCHOOL MEALS 3887 02:40:53,109 --> 02:40:54,677 COALITION AND HOW TO INFLUENCE 3888 02:40:54,677 --> 02:40:56,646 GOVERNANCE, IN UP TAKING THIS 3889 02:40:56,646 --> 02:40:59,515 ISSUE. AND THEN REALLY IN THE 3890 02:40:59,515 --> 02:41:01,184 LONG TERM IMPORTANT CONTRIBUTION 3891 02:41:01,184 --> 02:41:02,885 OF THIS WORK WOULD BE HOW DO WE 3892 02:41:02,885 --> 02:41:04,787 LOOK AT THIS IN THE CONTEXT OF 3893 02:41:04,787 --> 02:41:06,956 THE NEXT ITERATION OF GLOBAL 3894 02:41:06,956 --> 02:41:10,927 GOALS AND HOW DO WE ENSURE NO 3895 02:41:10,927 --> 02:41:13,362 GAP NEXT TIME HOW WE MEASURE 3896 02:41:13,362 --> 02:41:14,397 CONDITIONS, WELL BEING OF 3897 02:41:14,397 --> 02:41:15,865 CHILDREN OF THE AGE GROUP IN THE 3898 02:41:15,865 --> 02:41:18,434 NEXT ITERATION OF THE GLOBAL 3899 02:41:18,434 --> 02:41:19,936 GOALS AS WE MOVE FORWARD. THANK 3900 02:41:19,936 --> 02:41:21,938 YOU SO MUCH, DON AND KRISTINA, 3901 02:41:21,938 --> 02:41:23,206 PLEA -- DAN AN KRISTINA, 3902 02:41:23,206 --> 02:41:26,275 PLEASURE TO BE WITH YOU TODAY. 3903 02:41:26,275 --> 02:41:27,376 >> THANK YOU SO MUCH, CARMEN, 3904 02:41:27,376 --> 02:41:29,178 GREAT WAY TO END. WOW, WHAT 3905 02:41:29,178 --> 02:41:30,880 AMAZING GROUP OF PRESENTATIONS 3906 02:41:30,880 --> 02:41:31,647 FROM EVERYONE SO MUCH 3907 02:41:31,647 --> 02:41:34,951 INFORMATION. AND ECHOING WHAT 3908 02:41:34,951 --> 02:41:37,620 SOME HAVE SAID, THIS IS COMPLEX 3909 02:41:37,620 --> 02:41:38,955 BUT SHOULDN'T BE AFRAID, WE 3910 02:41:38,955 --> 02:41:41,858 SHOULD FEEL OPTIMISTIC ABOUT THE 3911 02:41:41,858 --> 02:41:42,792 BRAIN TRUST ON THE CALL RIGHT 3912 02:41:42,792 --> 02:41:45,261 NOW AND WHAT WE CAN ESTABLISH 3913 02:41:45,261 --> 02:41:46,629 MOVING FORWARD. WE HAVE JUST 3914 02:41:46,629 --> 02:41:48,164 ABOUT 15 MINUTES WHICH IS 3915 02:41:48,164 --> 02:41:50,299 TERRIFIC. TO OPEN UP FOR 3916 02:41:50,299 --> 02:41:52,201 DISCUSSION AND DON AND I WOULD 3917 02:41:52,201 --> 02:41:53,569 LOVE TO HEAR FROM ANYONE WHO 3918 02:41:53,569 --> 02:41:55,138 WOULD LIKE TO MAKE A COMMENT OR 3919 02:41:55,138 --> 02:41:56,339 ASK A QUESTION. WE HAVE MANY 3920 02:41:56,339 --> 02:42:09,886 SPEAKERS ON THE CALL STILL. 3921 02:42:09,886 --> 02:42:13,122 >> I KNOW EARLIER DEE 3922 02:42:13,122 --> 02:42:15,057 >> AND MARIONELLA HAD THEIR 3923 02:42:15,057 --> 02:42:16,993 HANDS UP SO GREAT TIME TO JUMP 3924 02:42:16,993 --> 02:42:17,226 IN NOW: 3925 02:42:17,226 --> 02:42:22,732 >> I CAN GO AHEAD AND COMMENT ON 3926 02:42:22,732 --> 02:42:28,571 WHEN CONNIE TALKED ABOUT THE 3927 02:42:28,571 --> 02:42:30,306 IMPLEMENTATION AND TRANSLATING 3928 02:42:30,306 --> 02:42:34,677 IT, THAT IS ONE OF THE TENANTS 3929 02:42:34,677 --> 02:42:35,812 OF TRANSLATION SCIENCE OR 3930 02:42:35,812 --> 02:42:36,546 IMPLEMENTATION SCIENCE. YOU HAVE 3931 02:42:36,546 --> 02:42:41,684 TO HAVE A PACKAGE OR INNOVATION 3932 02:42:41,684 --> 02:42:44,287 TO DISSEMINATE. SO GETTING THAT 3933 02:42:44,287 --> 02:42:45,988 TOGETHER, THE YOU HAVE A PACKAGE 3934 02:42:45,988 --> 02:42:48,457 IT COULD BE THAT THINGS ARE NOT 3935 02:42:48,457 --> 02:42:52,094 THE SAME IN THAT PACKAGE, FOR 3936 02:42:52,094 --> 02:42:53,462 SCHOOL FOOD -- SCHOOL HEALTH 3937 02:42:53,462 --> 02:42:55,364 PROGRAM YOU MIGHT HAVE A FOOD 3938 02:42:55,364 --> 02:42:56,165 SERVICE COMPONENT, YOU MIGHT 3939 02:42:56,165 --> 02:42:57,567 HAVE A PE COMPONENT. YOU MIGHT 3940 02:42:57,567 --> 02:42:59,569 HAVE A FAMILY COMPONENT. BUT 3941 02:42:59,569 --> 02:43:04,941 THEY HAVE TO BE SIMILAR ENOUGH 3942 02:43:04,941 --> 02:43:06,943 TO EVALUATE CONTEXTUAL FACTORS. 3943 02:43:06,943 --> 02:43:12,048 JUST SOMETHING TO CONSIDER. 3944 02:43:12,048 --> 02:43:18,654 >> SEE DON WITH HIS HAND UP. -- 3945 02:43:18,654 --> 02:43:19,789 DAN WITH HIS HAND UP. 3946 02:43:19,789 --> 02:43:22,925 >> THAT IS GREAT. QUICK QUESTION 3947 02:43:22,925 --> 02:43:25,027 FOR DR. MALANI, THANK YOU FOR 3948 02:43:25,027 --> 02:43:26,596 THE PRESENTATION. THE DIET 3949 02:43:26,596 --> 02:43:28,831 QUALITY SCORE YOU ARE WORKING 3950 02:43:28,831 --> 02:43:30,833 ON, AND MOST OF WHAT YOU 3951 02:43:30,833 --> 02:43:34,937 PRESENTED WAS PRE-FOOD CENTRIC. 3952 02:43:34,937 --> 02:43:36,339 IN YOUR DIET QUALITY SCORE YOU 3953 02:43:36,339 --> 02:43:38,441 MENTIONED RELIANCE ON THE WORK 3954 02:43:38,441 --> 02:43:40,243 BEEN DONE IN HARVARD SO ASSUMING 3955 02:43:40,243 --> 02:43:44,513 THAT'S FOCUSED ON IN HCDs. 3956 02:43:44,513 --> 02:43:47,750 WHAT ABOUT OTHER ISSUES THAT ARE 3957 02:43:47,750 --> 02:43:53,923 FACED BY THE 7,000 DAYS. CAN WE 3958 02:43:53,923 --> 02:44:00,229 BUILD INTO THIS EQUATION MODEL 3959 02:44:00,229 --> 02:44:01,664 THINGS THAT ARE REFLECTION OF 3960 02:44:01,664 --> 02:44:03,599 THINGS MORE PREVALENT REAL TIME 3961 02:44:03,599 --> 02:44:05,635 THIS THINGS WE HAVE BEEN TALKING 3962 02:44:05,635 --> 02:44:07,570 ABOUT. ENTERRICK DISEASE, OTHER 3963 02:44:07,570 --> 02:44:12,875 INFECTIONS. COVID, HOW CAN WE 3964 02:44:12,875 --> 02:44:15,244 BUILD RESILIENT FRAMEWORK THAT 3965 02:44:15,244 --> 02:44:17,713 CAN BE APPLIED TO 7,000 DAYS, 3966 02:44:17,713 --> 02:44:25,766 WHICH IS ONE OF THE GOALS HERE. 3967 02:44:25,766 --> 02:44:27,468 >> THANK YOU FOR THE QUESTION 3968 02:44:27,468 --> 02:44:33,274 AND GENEROSITY OF THE DOCTOR. 3969 02:44:33,274 --> 02:44:36,911 THOSE ARE GOOD QUESTIONS.ED THE 3970 02:44:36,911 --> 02:44:38,079 GLOBAL DIET QUALITY SCORE, 3971 02:44:38,079 --> 02:44:45,019 THAT'S THE WORK OF LED BY WALTER 3972 02:44:45,019 --> 02:44:48,456 WILLET AND INTAKE TEAM. MY 3973 02:44:48,456 --> 02:44:51,192 UNDERSTANDING, IT DOES ACCOUNT 3974 02:44:51,192 --> 02:44:53,561 FOR WHAT IS A HEALTHY DIET, NOT 3975 02:44:53,561 --> 02:44:58,633 JUST NCDs BUT SAY JUST 3976 02:44:58,633 --> 02:44:59,500 NUTRIENT ADEQUACY IS IMPLICIT 3977 02:44:59,500 --> 02:45:04,639 THERE. THAT WAS PART OF THE 3978 02:45:04,639 --> 02:45:06,807 VALIDATION EXERCISE THEY DID. IN 3979 02:45:06,807 --> 02:45:09,043 OUR OBJECTIVE WAS MODEST, IN THE 3980 02:45:09,043 --> 02:45:10,711 SENSE OF STARTING WITH THE MEAL 3981 02:45:10,711 --> 02:45:14,849 AND SEEING HOW IT CAN BUILD UP 3982 02:45:14,849 --> 02:45:16,484 TOWARDS MENU AND DIET. BUT THOSE 3983 02:45:16,484 --> 02:45:18,719 ARE CERTAINLY QUESTIONS THAT I 3984 02:45:18,719 --> 02:45:19,654 THINK ARE PART OF THE RESEARCH 3985 02:45:19,654 --> 02:45:25,726 AGENDA. SO THIS IS NOT THOUGH WE 3986 02:45:25,726 --> 02:45:28,062 WANT TO MEASURE DIET QUALITY FOR 3987 02:45:28,062 --> 02:45:29,697 SCHOOL CHILDREN AND ENTIRE 3988 02:45:29,697 --> 02:45:31,065 POPULATION. WE WERE TRYING TO 3989 02:45:31,065 --> 02:45:33,100 WORK OUR WAY FROM THE OTHER 3990 02:45:33,100 --> 02:45:34,535 DIRECTION. STARTING WITH THE 3991 02:45:34,535 --> 02:45:37,104 MEAL AND THEN GROWING UP TO 3992 02:45:37,104 --> 02:45:39,373 THOSE OTHER LEVELS OF SKILL. 3993 02:45:39,373 --> 02:45:42,143 THANKS. 3994 02:45:42,143 --> 02:45:44,512 >> NUTRITION, PERHAPS CON CAN 3995 02:45:44,512 --> 02:45:45,646 SPEAK TO THIS AND SOME MEMBERS 3996 02:45:45,646 --> 02:45:51,686 WORK GROUP. KNEW PRESENTATION IS 3997 02:45:51,686 --> 02:45:55,523 A BIOLOGICAL VARIABLE THAT IS 3998 02:45:55,523 --> 02:45:59,160 CONTROLLED BY THE CONTEXT. SO 3999 02:45:59,160 --> 02:46:00,695 NOT JUST MATTER OF WHAT GOES IN 4000 02:46:00,695 --> 02:46:01,829 OUR MOUTH QUALITY OF FOOD IS 4001 02:46:01,829 --> 02:46:03,831 IMPORTANT BUT THE CONTEXT THE 4002 02:46:03,831 --> 02:46:05,600 KIDS ARE LIVING IN IS IMPORTANT. 4003 02:46:05,600 --> 02:46:09,036 PARTICULARLY HEALTH CONTEXT. SO 4004 02:46:09,036 --> 02:46:10,004 HOPEFULLY WE CAN CAPTURE THIS 4005 02:46:10,004 --> 02:46:13,674 HERE. BUT WE NEED TO FIGURE OUT 4006 02:46:13,674 --> 02:46:15,343 A WAY TO BUILD IN THAT CONTEXT, 4007 02:46:15,343 --> 02:46:17,144 IT IS EVALUATION OF THESE 4008 02:46:17,144 --> 02:46:19,480 PROGRAMS. 4009 02:46:19,480 --> 02:46:22,750 >> GREAT POINT. I SEE A LITTLE 4010 02:46:22,750 --> 02:46:25,019 BIT OF SAY TROUGH OFF OR 4011 02:46:25,019 --> 02:46:27,488 BALANCING ACT BETWEEN SOMETHING 4012 02:46:27,488 --> 02:46:29,156 THAT CAN BE GLOBALLY MEANINGFUL 4013 02:46:29,156 --> 02:46:32,259 WHILE REFLECTING COUNTRIES SO 4014 02:46:32,259 --> 02:46:35,029 THANKS GOOD POINT. 4015 02:46:35,029 --> 02:46:38,065 >> THE OTHER POINT IS -- PLAY AS 4016 02:46:38,065 --> 02:46:39,200 ROLE BUT THERE ARE OTHER ISSUES, 4017 02:46:39,200 --> 02:46:41,435 SO TAKING US BACK TO THIS BIT 4018 02:46:41,435 --> 02:46:42,837 COMPLEXITY, QUESTION. AND I 4019 02:46:42,837 --> 02:46:45,706 REALIZE I CUT OFF MARIONEL LOOKA 4020 02:46:45,706 --> 02:46:53,214 WHO WAS GOING TMARE --MARIONELLA SO HOPEFU LLY YOU CAN 4021 02:46:53,214 --> 02:46:54,181 COME BACK NOW AND TALK TO US, 4022 02:46:54,181 --> 02:46:57,184 THANK YOU. 4023 02:46:57,184 --> 02:46:58,219 >> THANK YOU VERY MUCH FOR THESE 4024 02:46:58,219 --> 02:47:00,988 GREAT PRESENTATIONS. I JUST 4025 02:47:00,988 --> 02:47:03,090 WANTED TO MAKE SOME COMMENTS AND 4026 02:47:03,090 --> 02:47:07,928 I TOOK A LOT OF NOTES ACROSS THE 4027 02:47:07,928 --> 02:47:13,868 FOUR WORKSHOPS. TODAY I WANT TO 4028 02:47:13,868 --> 02:47:18,172 HIGHLIGHT WE ARE CHANGING 4029 02:47:18,172 --> 02:47:21,409 CRITICAL POINTS THAT IN THE PAST 4030 02:47:21,409 --> 02:47:24,478 WERE DIFFICULT TO HIGHLIGHT AND 4031 02:47:24,478 --> 02:47:27,314 PUT ON THE SPOT LIGHT. 4032 02:47:27,314 --> 02:47:28,749 SUGGESTING POLITICAL INFLUENCE 4033 02:47:28,749 --> 02:47:32,753 THAT WE CAN GET INTO DETERMINED 4034 02:47:32,753 --> 02:47:33,888 SITUATION. THAT IS REALLY 4035 02:47:33,888 --> 02:47:35,189 IMPORTANT. WE WERE KIND OF 4036 02:47:35,189 --> 02:47:38,826 AFRAID IN THE PAST JUST TO 4037 02:47:38,826 --> 02:47:42,863 MENTION THERE WAS A POLITICAL 4038 02:47:42,863 --> 02:47:47,068 INFLUENCE.INFLUENCE. WE ARE NOW REGAINING 4039 02:47:47,068 --> 02:47:48,436 THE STRENGTH TO SAY OKAY, IF 4040 02:47:48,436 --> 02:47:51,539 THERE IS NO POLITICAL WILL 4041 02:47:51,539 --> 02:47:53,708 THEREFORE WE CANNOT EXPECT 4042 02:47:53,708 --> 02:47:57,244 ANYTHING GOING INTO ACTION AT 4043 02:47:57,244 --> 02:48:01,449 LEAST IN A COUPLE OF SCENARIOS 4044 02:48:01,449 --> 02:48:05,286 AND ENVIRONMENTS. THAT IS REALLY 4045 02:48:05,286 --> 02:48:06,353 IMPORTANT. DEFINITELY WE ARE 4046 02:48:06,353 --> 02:48:09,890 NOW TALKING ABOUT HOW COMPLEX 4047 02:48:09,890 --> 02:48:13,427 ARE THE CHALLENGES THAT WE ARE 4048 02:48:13,427 --> 02:48:16,697 FACING IN EVERY ONE OF THE 4049 02:48:16,697 --> 02:48:17,998 DIMENSION WE HAVE BEEN 4050 02:48:17,998 --> 02:48:21,836 DISCUSSING IN TO THESE SERIES OF 4051 02:48:21,836 --> 02:48:23,471 WORKSHOPS. ONE THING -- WE CAN 4052 02:48:23,471 --> 02:48:27,408 GO LATER IN TO OUR GROUP 4053 02:48:27,408 --> 02:48:29,677 DISCUSSION GO INTO DEEPER 4054 02:48:29,677 --> 02:48:33,214 DISCUSSION OF THIS. IT IS CLEAR 4055 02:48:33,214 --> 02:48:36,183 TO ME RIGHT NOW THE DIFFERENCES 4056 02:48:36,183 --> 02:48:39,386 ON THE VALUES ON HEALTH AND FOOD 4057 02:48:39,386 --> 02:48:42,089 AND NUTRITION BETWEEN THE GLOBAL 4058 02:48:42,089 --> 02:48:45,659 AND IF WE CAN SAY THE GLOBAL 4059 02:48:45,659 --> 02:48:49,029 NORTH WHEN YOU ARE TAKING THE N 4060 02:48:49,029 --> 02:48:51,532 VALUE AS SOMETHING VERY 4061 02:48:51,532 --> 02:48:54,502 DIFFERENT, AND YOU PUT ALL THE 4062 02:48:54,502 --> 02:49:00,875 VALUE ON THE HEALTH CARE VERSUS 4063 02:49:00,875 --> 02:49:01,809 PRESERVING YOUR HEALTH AND 4064 02:49:01,809 --> 02:49:06,747 TAKING CARE OF YOUR HEALTH AND 4065 02:49:06,747 --> 02:49:07,982 HAVING A GROUP NUTRITION. SO 4066 02:49:07,982 --> 02:49:11,418 WITHIN THIS FRAMEWORK IT IS 4067 02:49:11,418 --> 02:49:16,991 INTERESTING TO THINK ABOUT N 4068 02:49:16,991 --> 02:49:19,326 VALUE, BECAUSE THAT WILL MAKE 4069 02:49:19,326 --> 02:49:22,463 TRANSLATE THE ACTIONS. IF WE CAN 4070 02:49:22,463 --> 02:49:24,698 EXPECT PEOPLE TO VALUE THEIR 4071 02:49:24,698 --> 02:49:28,502 HEALTH VALUE THEIR NUTRITION, IF 4072 02:49:28,502 --> 02:49:30,704 WE START AS EARLY AS DURING 4073 02:49:30,704 --> 02:49:35,743 SCHOOL AGE TO HAVE THAT VALUE WE 4074 02:49:35,743 --> 02:49:37,444 WILL MAKE HUGE DIFFERENCE ALONG 4075 02:49:37,444 --> 02:49:40,748 THE WAY. AND MANY MORE DETAILS I 4076 02:49:40,748 --> 02:49:42,116 WILL LEAVE TO OUR GROUP 4077 02:49:42,116 --> 02:49:42,683 DISCUSSION. THANK YOU VERY 4078 02:49:42,683 --> 02:49:46,120 MUCH. FOR ALL THESE FANTASTIC 4079 02:49:46,120 --> 02:49:50,825 WORK. 4080 02:49:50,825 --> 02:49:59,900 >> THANK YOU, MAI,ANELLA. MARIANELLA. 4081 02:49:59,900 --> 02:50:01,368 >> IT IS REALLY IMPORTANT, IT IS 4082 02:50:01,368 --> 02:50:03,037 ABOUT THE DIFFERENCE IN 4083 02:50:03,037 --> 02:50:06,140 PERCEPTION OF THE ROLE OF FOOD 4084 02:50:06,140 --> 02:50:11,545 IN OUR LIVES. I SEE PROFESSOR 4085 02:50:11,545 --> 02:50:13,681 ZOTOR HAS HIS HAND UP SO MAYBE 4086 02:50:13,681 --> 02:50:15,716 SEGUE WHAT HE'S GOING TO SHARE. 4087 02:50:15,716 --> 02:50:20,487 >> I WANT TO MAKE A PASSIONATE 4088 02:50:20,487 --> 02:50:24,225 PLEA, LOT OF AFRICANS THAT 4089 02:50:24,225 --> 02:50:24,859 BRINGS (INAUDIBLE) BECAUSE WE 4090 02:50:24,859 --> 02:50:26,026 DON'T HAVE THE TOOLS TO WORK 4091 02:50:26,026 --> 02:50:29,964 WITH. BUT I WANT TO ALSO ASSURE 4092 02:50:29,964 --> 02:50:35,169 THEM AND MAKE PASSIONATE APPEAL, 4093 02:50:35,169 --> 02:50:36,937 SOME THINKING OUTSIDE THE BOX. 4094 02:50:36,937 --> 02:50:41,942 THERE IS A COMMUNITY OF 4095 02:50:41,942 --> 02:50:46,313 PRACTICE, -- CONDITION THE GOAL, 4096 02:50:46,313 --> 02:50:51,852 WE ARE BUILDING RESILIENCE IN 4097 02:50:51,852 --> 02:50:55,289 THE -- SOCIAL POLITICAL 4098 02:50:55,289 --> 02:50:58,392 DEVELOPMENT. SO THAT OUTCOME AND 4099 02:50:58,392 --> 02:51:06,166 OUTPUT ARE ACTIVITIES, OBVIOUSLY 4100 02:51:06,166 --> 02:51:13,340 BETTER LIVED THAN -- PATIENT 4101 02:51:13,340 --> 02:51:15,042 SOCIETY TO ACTUALLY THIS. WE 4102 02:51:15,042 --> 02:51:20,314 WANT TO MAKE IMPACT -- HOPING 4103 02:51:20,314 --> 02:51:27,054 THAT WILL COME AND -- SO YOU CAN 4104 02:51:27,054 --> 02:51:27,922 SEE CONTINENT. THANK YOU VERY 4105 02:51:27,922 --> 02:51:30,824 MUCH. 4106 02:51:30,824 --> 02:51:32,893 >> THANK YOU. ARE THERE ANY -- 4107 02:51:32,893 --> 02:51:35,663 WE HAVE THREE MINUTES LEFT. ANY 4108 02:51:35,663 --> 02:51:39,066 OTHER COMMENTS FROM THE GROUP? 4109 02:51:39,066 --> 02:51:41,001 IF NOT I THINK I'M GOING TO GIVE 4110 02:51:41,001 --> 02:51:43,170 DON AND DAN LAST WORD, WHOEVER 4111 02:51:43,170 --> 02:51:44,772 WANTS TO TAKE IT. 4112 02:51:44,772 --> 02:51:46,540 >> I WILL TAKE ONE WORD WHICH IS 4113 02:51:46,540 --> 02:51:47,007 TO SAY -- 4114 02:51:47,007 --> 02:51:49,610 >> BIBI DID THROW HER HAND UP. 4115 02:51:49,610 --> 02:51:53,213 >> GO, BIBI. 4116 02:51:53,213 --> 02:51:54,915 >> THANK YOU VERY MUCH JUST 4117 02:51:54,915 --> 02:52:03,057 BEFORE THE CLOSING ONE MINUTE, -- 4118 02:52:03,057 --> 02:52:05,259 WE HAVE BEEN FEW OF US ARE 4119 02:52:05,259 --> 02:52:10,364 MULLING OVER HOW DO WE GET THE 4120 02:52:10,364 --> 02:52:12,032 -- PROJECT IN GLOBALLY AND 4121 02:52:12,032 --> 02:52:15,336 DIFFERENT PLACES OF THE WORLD. 4122 02:52:15,336 --> 02:52:19,106 SO MIGHT BE GREATEST USE BENEFIT 4123 02:52:19,106 --> 02:52:21,508 IF WE CAN HAVE WORKSHOP IN 4124 02:52:21,508 --> 02:52:27,548 DIFFERENT BRIDGES, SO WE KNOW 4125 02:52:27,548 --> 02:52:28,582 PETITIONERS UNDERSTAND WHAT IT 4126 02:52:28,582 --> 02:52:31,585 IS ABOUT. AND HOW THEY CAN BE 4127 02:52:31,585 --> 02:52:33,587 BETTER FIT. SO THAT IS MY 4128 02:52:33,587 --> 02:52:37,024 REQUEST TO SAY YOU KNOW, 4129 02:52:37,024 --> 02:52:39,026 (INAUDIBLE) CURRENTLY BUT I 4130 02:52:39,026 --> 02:52:41,295 THINK IMPORTANT FOR INTERVIEW SO 4131 02:52:41,295 --> 02:52:43,564 AWARE IT IS EMBEDDED IN THE 4132 02:52:43,564 --> 02:52:44,565 PROCESSES, THANK YOU. 4133 02:52:44,565 --> 02:52:47,434 >> THANK YOU, BIBI. LINDSEY JUST 4134 02:52:47,434 --> 02:52:48,869 PUT HER HAND UP. 4135 02:52:48,869 --> 02:52:53,507 >> I WANT TO MAKE A PLEA THAT IN 4136 02:52:53,507 --> 02:52:57,011 ALL OF THIS COMPLEXITY WHAT OMAR 4137 02:52:57,011 --> 02:52:59,346 POINTED OUT IS ABSOLUTELY RIGHT, 4138 02:52:59,346 --> 02:53:00,881 IT MATCHES OF COURSE THE 4139 02:53:00,881 --> 02:53:04,852 CHILDREN HAVE ACCESS TO SCHOOL 4140 02:53:04,852 --> 02:53:06,286 MEALS BUT THEY THE BOTTOM LINE 4141 02:53:06,286 --> 02:53:10,491 IS WHAT IS ON THAT PLATE. I 4142 02:53:10,491 --> 02:53:12,359 BELIEVE THAT THE GLOBAL 4143 02:53:12,359 --> 02:53:15,195 DIVERSITY SCORE IS IMPORTANT, IT 4144 02:53:15,195 --> 02:53:18,032 IS REALLY PRACTICAL TOOL BUT I 4145 02:53:18,032 --> 02:53:20,934 WOULD LIKE TO SEE MORE WORK 4146 02:53:20,934 --> 02:53:26,240 LINKING THAT TO ACTUALLY THE 4147 02:53:26,240 --> 02:53:28,008 NUTRIENT MICRONUTRIENTS INTAKES 4148 02:53:28,008 --> 02:53:31,211 OF CHILDREN, WE NEED HARMONIZE 4149 02:53:31,211 --> 02:53:33,047 INFORMATION ON CHILDREN NUTRIENT 4150 02:53:33,047 --> 02:53:36,550 REQUIREMENTS, THAT IS AVAILABLE, 4151 02:53:36,550 --> 02:53:40,687 WE NEED SOFTWARE TO MODEL THE 4152 02:53:40,687 --> 02:53:43,157 IMPACT OF FORTIFICATION ON THE 4153 02:53:43,157 --> 02:53:45,726 CHANGE IN MICRONUTRIENT INTAKES. 4154 02:53:45,726 --> 02:53:51,031 AND THAT IS AVAILABLE I JUST 4155 02:53:51,031 --> 02:53:54,068 DON'T WANT TO EVERYBODY TO STOP 4156 02:53:54,068 --> 02:53:55,936 A DIET DIVERSITY BECAUSE 4157 02:53:55,936 --> 02:53:57,738 PERSONALLY I FOUND MANY TIMES 4158 02:53:57,738 --> 02:54:01,408 THAT REALLY DOESN'T MEASURE VERY 4159 02:54:01,408 --> 02:54:03,577 WELL WHAT IS GOING ON IN TERMS 4160 02:54:03,577 --> 02:54:05,279 OF MICRONUTRIENT INTAKES AND 4161 02:54:05,279 --> 02:54:08,048 STATUS OF CHILDREN. SO I'M 4162 02:54:08,048 --> 02:54:09,583 MAKING A PLEA FOR ADDITIONAL 4163 02:54:09,583 --> 02:54:12,986 WORK. IN ADDITION TO THE 4164 02:54:12,986 --> 02:54:16,356 WONDERFUL WORK THAT IS GOING ON 4165 02:54:16,356 --> 02:54:18,959 >> THANK YOU, LINDSEY. WE ARE 4166 02:54:18,959 --> 02:54:22,496 RIGHT AT THE HOUR. DON, DAN, ANY 4167 02:54:22,496 --> 02:54:24,698 LAST WORDS? 4168 02:54:24,698 --> 02:54:28,035 >> I'M GOING TO SAY ONE THING 4169 02:54:28,035 --> 02:54:30,938 THAT BOND KIDS HAS DONE IS MADE 4170 02:54:30,938 --> 02:54:32,372 IT CLEAR WE SHOULD BE PAYING 4171 02:54:32,372 --> 02:54:34,808 ATTENTION TO SCHOOL ADOLESCENTS, 4172 02:54:34,808 --> 02:54:36,376 IN TERMS OF NUTRITION NUTRITION. KEY 4173 02:54:36,376 --> 02:54:38,278 PIECE. IT IS CLEARER HOW TO 4174 02:54:38,278 --> 02:54:39,847 MOVE FORWARD, YOU SEE THE 4175 02:54:39,847 --> 02:54:41,281 COMPLEXITY NOW WE FUNNEL IT DOWN 4176 02:54:41,281 --> 02:54:43,917 AS CONNIE SAID. THAT'S OUR WAY 4177 02:54:43,917 --> 02:54:46,220 FORWARD. 4178 02:54:46,220 --> 02:54:48,455 >> I WANT TO THANK EVERYBODY, 4179 02:54:48,455 --> 02:54:50,424 THANKS TO THE CHAIRS CHRIS AND 4180 02:54:50,424 --> 02:54:52,559 DON FOR PLAYING TOGETHER AND 4181 02:54:52,559 --> 02:54:53,794 YOUR WHOLE TEAM PUTTING TOGETHER 4182 02:54:53,794 --> 02:54:56,363 A WONDERFUL WEBINAR. WE HAVE 4183 02:54:56,363 --> 02:54:58,732 LOTS OF WORK TO DO. BUT WE HAVE 4184 02:54:58,732 --> 02:55:01,602 A GREAT TEAM TO DO IT. WE HAVE 4185 02:55:01,602 --> 02:55:03,570 TWO GOALS, WE HEARD ABOUT FRAME 4186 02:55:03,570 --> 02:55:05,706 WORKS BUT THERE IS ACTUALLY TWO 4187 02:55:05,706 --> 02:55:07,441 FRAME WORKS TALKING ABOUT HERE. 4188 02:55:07,441 --> 02:55:09,576 IN BOND KIDS ONE IS RESILIENT 4189 02:55:09,576 --> 02:55:11,512 FRAMEWORK THAT CAN PULL TOGETHER 4190 02:55:11,512 --> 02:55:12,813 ALL THE INFORMATION THAT WAS 4191 02:55:12,813 --> 02:55:15,916 COVERED BY WORKING GROUP ONE AND 4192 02:55:15,916 --> 02:55:21,822 TWO, INTO A RESILIENT RESPONSE 4193 02:55:21,822 --> 02:55:24,525 TO MEANS OF 7,000 DAYS IN 4194 02:55:24,525 --> 02:55:27,694 CONTEXT OF SPECIFIC SETTINGS AN 4195 02:55:27,694 --> 02:55:29,363 WORKING GROUP 4 ALL THOSE 4196 02:55:29,363 --> 02:55:30,564 FACTORS TO CONSIDER MANY THE 4197 02:55:30,564 --> 02:55:32,833 APPLICATION OF THAT FLAME WORK 4198 02:55:32,833 --> 02:55:34,168 IN DIFFERENT CONTEXT SPECIFIC 4199 02:55:34,168 --> 02:55:36,970 SETS. SO I THINK WE HAVE DONE A 4200 02:55:36,970 --> 02:55:39,840 LOT LOVE WORK. MORE TO DO ON 4201 02:55:39,840 --> 02:55:42,743 THIS PROJECT. HAPPY TO ANSWER 4202 02:55:42,743 --> 02:55:46,380 ANY QUESTIONS. ONLINE BOTH NICHD 4203 02:55:46,380 --> 02:55:48,682 TEAM AND THE AMD TEAM ARE HERE 4204 02:55:48,682 --> 02:55:50,083 TO SUPPORT YOU AND PROVIDE THE 4205 02:55:50,083 --> 02:55:52,419 INFORMATION YOU NEED MOVING 4206 02:55:52,419 --> 02:55:53,253 FORWARD. THANKS TO EVERYBODY 4207 02:55:53,253 --> 02:55:56,390 THAT LISTENED IN. WE ARE HERE 4208 02:55:56,390 --> 02:55:58,959 FOR YOU AND WE ARE GOING TO GET 4209 02:55:58,959 --> 02:56:00,227 SOMETHING OUT. AND WE ARE 4210 02:56:00,227 --> 02:56:02,095 INSPIRED BY THE WORK THAT'S 4211 02:56:02,095 --> 02:56:03,730 BEING DONE BY YOU. THANK YOU AND 4212 02:56:03,730 --> 02:56:05,232 HAVE A GREAT DAY. 4213 02:56:05,232 --> 02:56:15,232 >> THANKS, EVERYONE.