Wednesday, August 20, 2014

Letter (#2) to the DAA Board: DAA as an advocacy organistaion

This post is an adjunct to the Trust in Professional Integrity series.  This is a letter I sent to DAA while I was still a DAA member and acknowledged APD in response to DAA's [in]action on a juice product that hit our Australian supermarket shelves uncontested....now an "open" letter because it will be available publicly when it is published.   


The product: a 250ml organic juice product marketed to mothers as suitable for infants from 6 months old as "a safe and convenient way to feed infants on the go" because of its "ready-to-go" teat attached.  The product was engineered and manufactured in Australia by a local Melbourne group; juice source is from New Zealand.

The product, specifically, the organic juice product with teat, is no longer available for purchase on Australian supermarket shelves.  There remains a Bebi bottled water with teat available in supermarkets. 

To me, this product represents our lax approach to public health.  It is easier for us to "help" and "educate" once the problem is there, rather than saying NO to food industry.....just in case opposition to a product might accidentally affect our economy for a moment.  If a product like Bebi can enter the market uncontested, then what hope have we got as dietitians, the experts in "what to eat to achieve health", in making any difference at the other end?  

It is so difficult to compete with the hard-core marketing of these products.....how can we truly convince people not to buy these "fun", "healthy", "convenient" products.  There is not much fun or cute about buying an apple.  

.....................................................

23-11-12
via email to Claire Hewat, Julie Dundon, DAA National Office, DIPSIG

23 November 2013
  
Dear DAA,

I will write here as my individual opinion because I have not canvassed the membership on this issue, but in the interests of healthy debate, strengthening our profession, and fairness and transparency I must write this now.

The reason I made sure DAA was included in all correspondence on the list-serves about the Bebi product is because it was an opportunity for DAA to demonstrate they are serious about their vision, and achieving two of our four strategic directives 1) influence government policy and 2) influence the food supply. I have copied and pasted the mission and the two strategic plan points at the end of this email.

In a way, Bebi was an 'easy target' because of the 'teat' and the clear marketing strategy to infants.  In the correspondence on the list serves, I did point out my struggle to find much wrong with the product in terms of 'food law' and even 'misleading and deceptive'.  Even my complaint to MAIF took some time to find a specific contravening issue.  The response via [Name removed for privacy: "a DAA staff member"] sent to DIPSIG yesterday, outlining the process by DAA-FRAC to 'redress breaches of The Code'...is 'due process' not advocacy.  

In fact, DAA already has its own evidence-based reference point, a set of guidelines against which to advocate to achieve our mission, vision, and a great deal of the items in the 'strategic plan'.  This reference is the Australian Dietary Guidelines.

Based on my work in 'achieving effectiveness in dietetic practice for obesity, a main barrier for dietitians to achieve effectiveness, is their client being able to navigate through a supermarket, past the two-for-one tim tams and over to the F&V area (and then the weighing-up of the relative risk with perishables vs packaged foods).  'Influencing the food supply and influencing policy' sets up the supportive infrastructure for dietitians to make a serious dent in Australia's obesity statistics.  Bebi characterises everything we are up against in the food supply - accessible, cute, start them early, convenience, making parents think there is a need etc. 

From my work so far, to create a supportive framework for dietetic effectiveness, my position statement is this:

The aim of this position is to influence the food supply toward a 'healthy normal'.

Melanie Voevodin will publicly oppose any product that enters the market that does not meet the Australian Dietary Guidelines.  Products targeting and/or marketed to children (i.e <15 years of age) will be particularly scrutinised.  

Melanie says NO to products entering the market that are not on the healthy eating pyramid.  Melanie supports innovation and marketing to close the gap on making the healthy choices easy choices and this means fruit and vegetables relative to packaged and processed foods.  

Melanie recognises the economic fragility, the global market, and Australia's position in this.  However, where one market fails, another takes it's place; Melanie's position seeks to move the free market away from a reliance on packaging and processing, to a reliance on local and sustainable.  

As a health professional, Melanie has a responsibility to speak up and oppose the importing, distribution, development and sale of any product that contradicts the Australian Dietary Guidelines

Imagine if we replaced the 'Melanie's' with 'DAA'.  A statement like this really would, i believe, make it clear that DAA is serious about achieving its vision, mission, and strategic plan. But then DAA does have a position on 'position statements'....

Excerpt from the DAA March e- newsletter 
 ..........................................

Position statements: Everyone wants them but . . .  

“From time to time members question 
why DAA no longer produces 
position statements, or members 
ask for a statement to be written on 
a particular topic. DAA used to have 
position statements on a number of 
subjects but the Board took a clear 
decision some years ago that this 
was not a route the organisation 
would continue to take.”

 .................................................

As an active and concerned member of DAA, I commit to supporting DAA to:
a) Decide on our position about positions
b) Be clear about what advocacy means 
c) Fill the 'Strategic plan' with clear operational objectives
d) Add to the strategic plan how we will know the objectives are achieved
e) Be clear in the annual report on income from industry vs membership vs other funds

Whatever the decisions are for this, for us (DAA) to clearly communicate decisions to all members. And the vision and mission adjusted accordingly. Remembering, everything DAA does in the public arena reflects on all dietitians.  I am sure all members will do what they can for DAA to truly achieve our current mission - and are looking to DAA to look beyond 'due process', and toward the global concepts of GOOD governance, and the attributes of a civil society organisation.  

DAAs Vision and the two strategic directives referred to earlier in this email are copied and pasted below my signature block

Kind regards

Melanie Voevodin

.............................................................

DAAs Vision and the two points in the strategic plan

Vision

DAA is the leader in nutrition for better food, better health and wellbeing for all.

And in the strategic plan 2011-2014

1.  Influence Government Policy

- Contribute to build the recognition of DAA as the peak nutrition body
- Identify key policy agendas for advocacy efforts
- Develop and implement DAA advocacy action plan
- Increase member capacity to influence government policy
- Communicate DAA's positions to members
- Appoint and resource high profile advocates
- Develop tools for members to resource and encourage "grass roots" advocacy 
- Develop and leverage alliances with other organisations
- Proactively engage media in relation to action plan objectives

2. Influence the food supply

- Build member expertise in the area of food regulation
- Provide regular and informed input on food regulation decisions
- Advocate to ensure nutrition holds an appropriate level of importance in the overall food security debate
- Advocate to ensure nutrition holds an appropriate level of importance in the overall food supply and sustainability debate
- Action the food and nutrition policy statement developed in collaboration with the PHAA
- Advocate for, and support the development of, improved nutrition and nutrition standards in all settings
- Work with partners and other stakeholders to achieve a safe, secure healthy and sustainable food supply
- Increase opportunities for members to work within the food supply system