The European Nutrition for Health Alliance

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The Optimal Nutritional Care for All (ONCA) campaign

Launched in 2014, the Optimal Nutritional Care for All (ONCA) campaign is a multi-stakeholder initiative to facilitate greater screening for risk of disease-related malnutrition/undernutrition and nutritional care implementation across Europe. ENHA is the driving force behind the campaign, and has appointed a Steering Committee from its membership to lead the initiative through strategic guidance and engagement with partners at national level. The Steering Committee is made up of representatives from ESPEN, EUGMS, ESPEN, PGEU, HOPE, EFAD, EGAN and MNI.

Why was the campaign launched?

Up to 2010, ENHA worked extensively with members of the European Parliament and other stakeholders to organise political support to get disease-related malnutrition/undernutrition on the European health agenda. At a conference organised in November 2010 together with European Parliament members and the Belgian EU Presidency, one of the conclusions was to translate political support into action in the form of implementation at national level. Since 2011, ENHA developed collaborations with selected countries including Belgium and Ireland to engage in this implementation process. Several countries in Europe are now making progress in various ways towards improving nutritional care. ENHA felt that the time is right to speed up the process to make sure that all patients in Europe receive optimal nutritional care.

What are the key steps in the campaign?

The ONCA campaign aims to engage with diverse stakeholders in selected focus countries to:

Who are the focus countries?

There are four focus countries currently involved in the ONCA campaign; Croatia, Germany, Spain and Turkey.

The ENHA Steering Committee selected these countries on the basis of a number of factors, including:

  • ENHA member presence in the country
  • Evidence of steps already made to ensure implementation of screening and access to good nutritional care
  • Willingness from national stakeholders to take steps in the direction of positive change and engage in multi-stakeholder collaboration
  • Size of the country

Who are the Observer Countries?

In addition to the focus countries, there are four ‘observer’ countries; France, Israel, Poland and Slovenia. These countries have been invited to the Implementation Conference and it is hoped that they will be inspired to become focus countries of the future.