"policy_id","iso3code","countryname","province","policy_title","policy_type","policy_type_other","language","start_month","start_year","end_month","end_year","published_by","published_month","published_year","adopted","adopted_month","adopted_year","adopted_by","partner_gov","partner_government_details","partner_un","partner_un_details","partner_ngo","partner_ngo_details","partner_donors","partner_donors_details","partner_intergov","partner_intgov_details","partner_national_ngo","partner_nat_ngo_details","partner_research","partner_research_details","partner_private","partner_private_details","partner_other","partner_other_details","goals","strategies","me_indicators","me_indicator_types","legislation_details","topics","link_action","url","further_notes","references","attached_file" "23872","VNM","Viet Nam","","Decree No. 19/1999/ND-CP on the production and supply of iodised salt for human use","Legislation relevant to nutrition","","English","6","1999","","","","5","1999","Adopted","","1999","Official Gazette No. 19 (22-5- 1999)","Health|Development|Food and agriculture|Trade","Mintstry of Agriculture and Rural Development, Ministry of Trade, Ministry of Health","","","","","","","","","","","","","","","","","","","","","
Article I.-
1. This Decree prescribes thc production and supply of iodized salt for human use; called edible salt.
2. Edible salt and salt used in food preparation must all be mixed with iodine according to the prescribed standards.
","Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Sanctions exist","","","","ACKNOWLEDGEMENT: Document retrieved from FAOLEX - legislative database of the FAO Legal Office. http://faolex.fao.org","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM%201999%20Decree%20No.%2019.1999.ND-CP%20on%20the%20production%20and%20supply%20of%20iodised%20salt%20for%20human%20use..pdf" "126213","HTI","Haiti","","Décret Etablissant le Budget Général de la République d'Haïti, Exercice 2020-2021","Legislation relevant to nutrition","","French","","2020","","","LE MONITEUR Spécial No 30 - Lundi 5 Octobre 2020","10","2020","Adopted","9","2020","Le Président, Le Premier Ministre, Des Ministres","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Transport|Trade|Environment|Industry|Information|Other","","","","","","","","","","National NGOs","","","","","","","","","","","","Article 27.- L’article 13 du Budget Général 2019-2020 est ainsi modifié :
…
Les droits d’accises à l’importation sur les boissons non alcoolisées, sauf eau, eau minérale, glace, neige, sont calculés au taux de 10% sur la valeur en Douane (CIF) additionnée des autres impôts, droits et taxes.
Article 28.- Les droits d’accises sur la pâte concentrée de concentrée de tomate conditionnée ou non pour la vente au détail, le ketchup et autre sauce de tomates des positions tarifaires 20029011, 20029019, 2103200 sont fixés au taux de 15%.
","Sugar intake|Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Mineral, aerated or flavoured waters (taxes)|Foods and snacks (taxes)","","https://budget.gouv.ht/loi-de-finances/Lois%20de%20Finances%20et%20Budgets","","","" "126214","HTI","Haiti","","Décret Établissant le Budget Général de la République d'Haïti, Exercice 2021-2022","Legislation relevant to nutrition","","French","","2022","","","LE MONITEUR Spécial No 13 - Lundi 16 Mai 2022","5","2022","Adopted","5","2022","Le Président, Le Premier Ministre, Des Ministres","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Transport|Trade|Environment|Industry|Information|Other","","","","","","","","","","National NGOs","","","","","","","","","","","","Article 28.- L’Article 27 du Budget Général 2020-2021 est ainsi modifié :
«…
Les droits d’accises sur les boissons énergisantes de la position tarifaire 22021011, sont calculés au taux de 30% de la valeur en Douane (CIF) additionnée des autres impôts, droits et taxes pour les produits importés.
Les droits d’accises sur les boissons énergisantes fabriquées localement sont calculés au taux de 15% sur le prix ex-usine».
Article 29.- Les droits d’accises sur la pâte concentrée de tomate conditionnée ou non pour la vente au détail,
le ketchup et autres sauces de tomates des positions tarifaires 20029011, 20029019, 2103200 sont
fixés au taux de 15%.
","Sugar intake|Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Energy drinks (taxes)|Foods and snacks (taxes)","","https://budget.gouv.ht/loi-de-finances/Lois%20de%20Finances%20et%20Budgets","","","" "8488","GHA","Ghana","","National Plan of Action on Food and Nutrition","Comprehensive national nutrition policy, strategy or plan","","English","","1995","","2000","Government of Ghana","","1996","Adopted","","1995","Ministry of Agriculture","Development|Education and research|Food and agriculture|Health","","United Nations Children's Fund (UNICEF)","","","","","","","","","","Research/academia","","","","","","","","","Outcome indicators","","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Underweight in women|Food-based dietary guidelines (FBDG)|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Food fortification|Food grade salt|Edible oils and margarine|Food distribution/supplementation for prevention of acute malnutrition|Household food security|Improved hygiene / handwashing|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GHA%201995%20National%20Plan%20of%20Action%20on%20Food%20and%20Nutrition1995-2000.PDF" "8645","CMR","Cameroon","","Plan d'Action National pour la Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","1996","","","Gouvernement","","1996","","","","","Development|Education and research|Environment|Food and agriculture|Health|Justice|Women, children, families","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","Private sector","Banque Internationale pour la Reconstruction et le Développement","Other","Fond National de Développement Rural, Sindicat des Boulangers","","","","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Complementary feeding|Growth monitoring and promotion|Promotion of fruit and vegetable intake|Food labelling|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Micronutrient supplementation|Food fortification|Food grade salt|Edible oils and margarine|Deworming|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CMR%201996%20Plan%20D%27Action%20National%20Pour%20La%20Nutrition.pdf" "8636","KHM","Cambodia","","National Plan of Action for Nutrition","Comprehensive national nutrition policy, strategy or plan","","English","","1997","","2000","Royal Government of Cambodia","1","1997","Adopted","1","1997","Council of Ministers","Development|Education and research|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Women, children, families","Ministry of Rural Development, Ministry of Education, Youth and Sports, Ministry of Planning, Ministry of Agriculture Technical Extension, Ministry of Health, Ministry of Industry, Mines and Energy, Ministry of Information, Ministry of Women's Affairs","","","","","","","","","National NGOs","","","","","","","","","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Complementary feeding|Growth monitoring and promotion|School-based health and nutrition programmes|Promotion of fruit and vegetable intake|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Food grade salt|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KHM%201997%20National%20Plan%20of%20Action%20for%20Nutrition.PDF" "8236","UGA","Uganda","","The Uganda Food and Nutrition Policy","Comprehensive national nutrition policy, strategy or plan","","","","2003","","","Ministry of Agriculture, Animal Industry, and Fisheries and Ministry of Health","","2003","Adopted","","2003","Uganda Government (Reference from """"The National Food and Nutrition Strategy"""")","Development|Education and research|Food and agriculture|Health|Other|Trade","Ministry of Agriculture, Animal Industry, and Fisheries and Ministry of Health Development, Education and research, Food and agriculture, Health, Trade: Ministry of Gender, Labour and Social Development, Ministry of Education and Sports, Ministry of Agric","","","","","","","","","","","Research/academia","Research/academia: Makerere University","","","","","2. THE FOOD AND NUTRITION POLICY
2.2 Overall Policy Goal
The overall goal of the UFNP is to ensure food security and adequate nutrition for all the people in Uganda, for their health as well as their social and economic well-being.
2.2.1 Policy Objective
The overall objective of the policy is to promote the nutritional status of the people of Uganda through multi-sectoral and coordinated interventions that focus on food security, improved nutrition and increased incomes.
2.2.2 Key specific objectives
These are to:
(i) to ensure availability, accessibility, affordability of food in the quantities and qualities sufficient to satisfy the dietary needs of individuals sustainably;
(ii) to promote good nutrition of all the population;
(iii) to incorporate food and nutrition issues in the national, district, sub-county and sectoral development plans;
(iv) to ensure that nutrition education and training is incorporated in formal and informal training in order to improve the knowledge and attitudes for behavioural change of communities in food and nutrition-related matters;
(v) to ensure food and income security at household, sub-county, district and national levels for improving the nutrition as well as the socio-economic status of the population;
(vi) to monitor the food and nutrition situation in the country;
(vii) to create an effective mechanism for multi-sectoral co-ordination and advocacy for food and nutrition;
(viii) to promote the formulation and/or review of appropriate policies, laws and standards for food security and nutrition;
(ix) to ensure a healthy environment and good sanitation in the entire food chain system;
(x) to safeguard the health of personnel associated with agricultural chemicals, food processing inputs and products, consumers and any other third parties likely to be affected;
(xi) to promote gender-sensitive technologies and programmes;
(xii) to achieve maximum production with minimum effort; and
(xiii) to promote technologies that are user-friendly to people with disability.
3.7 Nutrition
3.7.1 Goal
The goal of the Government is to improve and promote the nutritional status of the population to a level that is consistent with good health.
3.7.2 Specific objectives
(i) to significantly reduce macro-and micro-nutrient malnutrition, especially among children.
(ii) to reduce under-nutrition among adolescents and women of reproductive age;
(iii) to reduce the incidence of low birth weight;
(iv) to encourage and support women exclusively to breast-feed their babies up to six months of age and to continue breast-feeding while giving appropriate complementary foods up to 2 years;
(v) to promote and support optimum infant and young child feeding practices;
(vi) to eliminate micro-nutrient deficiency disorders with particular emphasis on:
• Vitamin A deficiency;
• Iodine deficiency disorders; and,
• Iron deficiency anaemia;
(vii) to prevent and control chronic nutrition-related non-communicable diseases;
(viii) to promote optimal nutritional standards in institutions; and
(ix) to promote optimum nutrition for people living with HIV/AIDS.
3.10 Gender, Food and Nutrition
3.10.1 Goal
The goal of Government in the area of gender, food and nutrition is to ensure that both men and women achieve optimal nutrition status through improved food security and nutrition, taking into account their reproductive and productive roles in the food chain and in nutrition.
3.10.2 Specific objectives
(i) to promote the nutrition status of women in light of their reproductive and productive roles in society;
(ii) to ensure good nutrition status of men;
(iii) to promote access to maternal and child health services; and
(iv) to ensure that men and women have sufficient time and knowledge to take care of their nutrition needs as well as those of their families.
3.11 Food, Nutrition and Surveillance
3.11.1 Goal
The Government’s goal in the area of food and nutrition surveillance is to have a monitoring system in place that will provide timely information that will be used to stabilise the food and nutrition situation in the country.
3.11.2 Specific objectives
(i) to ensure that relevant personnel have knowledge and skills in data collection, analysis and utilisation of information;
(ii) to monitor and evaluate the food supply and demand conditions; and
(iii) to strengthen systems for providing early warning information on the food and nutrition situation.
","2. THE FOOD AND NUTRITION POLICY
2.4 Strategies
2.4.1 creating a mechanism to ensure that the entire food chain, from food production to consumption, is efficiently managed within the overall development strategy; through building capacities at all levels (households, communities, local councils, sub-counties, district levels) for adequate action to improve household food security;
2.4.2 establishing the UFNC as a statutory body that will co-ordinate food and nutrition programmes at the national level;
2.4.3 integrating food and nutrition issues at local governments and lower administrative units;
2.4.4 applying the life-cycle of poverty and malnutrition approach in developing nutrition and health strategies and action plans;
2.4.5 developing appropriate nutrition curricula and training materials for the education and training of different development workers in formal institutions and at the local level;
2.4.6 mobilising resources to support food and nutrition programmes at the national and local levels;
2.4.7 enforcing regulations that safeguard the health of personnel handling agricultural inputs and by-products, as well as third parties likely to be affected;
2.4.8 enforcing environmental protection regulations that apply to the food chain;
2.4.9 supporting, promoting and guiding the establishment of national food reserves;
2.4.10 formulating and/or reviewing policies, guidelines, legislation, regulations and standards relating to food and nutrition;
2.4.11 establishing a national food and nutrition training centre;
2.4.12 developing human resources that will provide professional guidance in food and nutrition at the centre and throughout the districts; and
2.4.13 collaborating with line ministries and government departments, local and international Non-Government Organisations (NGOs) and the private sector in the implementation of the policy.
3.7 Nutrition
3.7.3 Strategies
This goal and these objectives shall be realised through:
(i) establishing and strengthening community-based systems for implementing nutrition interventions;
(ii) creating awareness and mobilising communities for better nutrition at all levels;
(iii) developing and maintaining an effective and efficient nutrition monitoring system;
(iv) encouraging improvement in the quality of diets for mothers during their reproductive period;
(v) developing nutrition communication strategies to facilitate behavioural change for better nutrition practices in the community;
(vi) instituting measures that will enable mothers to continue breast-feeding during early post-partum period and at places of work including protection of maternity leave.
(vii) making legislation and enforcement for regulations for marketing of breast milk substitutes and iodised salt.
(viii) promoting the use of local produce in manufacturing appropriate weaning foods;
(ix) disseminating information on prevention, early detection and control of chronic non-communicable nutrition-related disorders;
(x) developing and maintaining a nutrition data bank for planning, monitoring and surveillance;
(xi) developing and implementing specific intervention programmes for the control of common macro- and micro-nutrient deficiencies;
(xii) providing food and micro-nutrients supplementation to the most vulnerable population groups;
(xiii) fortifying some commonly-used foods with recommended micro-nutrients;
(xiv) incorporating nutrition management in the care of HIV/AIDS patients; and
(xv) providing effective therapeutic feeding for sick and malnourished children.
3.10 Gender, Food and Nutrition
3.10.3 Strategies
(i) ensuring availability and access to an adequate and nutritious diet throughout a person’s life;
(ii) ensuring that employers and employees in both public and private sectors comply with maternity leave laws; and
(iii) encouraging the provision of facilities for breast-feeding and care of infants at places of work and in the community.
(iv) ensuring that employees get adequate meals at places of work
3.11 Food, Nutrition and Surveillance
3.11.3 Strategies
This goal and these objectives shall be achieved through:
(i) establishing sentinel sites for the collection of data on food and nutrition;
(ii) training relevant personnel and communities in data management for improving their food and nutrition situation;
(iii) publishing and disseminating regular reports on the food and nutrition situation at all levels;
(iv) providing timely information on food and nutrition for rational decision-making at all levels;
(v) establishing a co-ordinated national food and nutrition information network; and
(vi) maintaining an effective weather monitoring system covering sub-county, district and national levels.
","","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Wasting in children 0-5 years|Underweight in women|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|Overweight, obesity and diet-related NCDs|Maternal, infant and young child nutrition|Breastfeeding promotion/counselling|Nutrition in schools|Nutrition in the school curriculum|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Micronutrient supplementation|Food fortification|Food vehicles (i.e. types of fortified foods)|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Health related","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202003%20The%20Uganda%20Food%20and%20Nutrition%20Policy.pdf" "7917","MWI","Malawi","","Food and Nutrition Security Policy","Comprehensive national nutrition policy, strategy or plan","","English","","2005","","","The Ministry of Agriculture","6","2005","Adopted","","2005","","Cabinet/Presidency|Development|Finance, budget and planning|Food and agriculture|Health|Other|Social welfare|Trade","Office of President and Cabinet, Ministry of Local Government and Rural Development, Ministry of Economic Planning and Development, Ministry of Finance, Ministry of Agriculture, Ministry of Health, Department of Poverty and Disaster Management Affairs, Ministry of Gender, Child welfare and Community Services, Ministry of Trade and Private Sector Development","","","","","","","","","","","","","","","","","2.0 POLICY GOALS AND OBJECTIVES
2.1 Overall Goal of Food and Nutrition Security Policy
The long-term goal of this policy is to significantly improve the food and nutrition security of the population. The goal implies a rapid and substantial reduction in the degree and severity of malnutrition, in all its forms, i.e., chronic and acute malnutrition and micronutrient deficiencies among the men, and women, boys and girls, especially under-fives, expectant and lactating mothers of the population.
2.1.1 The concept of food security implies that:
(a) All Malawians at all times have both physical and economic access to enough nutritious food for an active, healthy life;
(b) The ways in which food is produced and distributed should be environmentally friendly and sustainable;
(c) Both the production and consumption of food are governed by social values that are just and equitable as well as moral and ethical;
(d) The ability to acquire food is ensured;
(e) The food is nutritionally adequate and personally and culturally acceptable;
(f) The food is obtained in a manner that upholds human dignity.
2.1.2 Primary Objective of Food Security
The primary objective of Food Security, is to guarantee that all men, women, boys and girls, especially under-fives in Malawi have, at all times, physical and economic access to sufficient nutritious food required to lead a healthy and active life.
2.1.3 The concept of nutrition security implies that:
a) Healthy food choices and lifestyles, are easy choices for all Malawians;
b) There is absence of all forms of malnutrition that is, protein-energy, micronutrient and over-nutrition;
c) All Malawians should have access to services for the prevention, timely treatment and proper management of malnutrition and infectious diseases;
d) Good nutrition and its role in the context of a healthy lifestyle is a fundamental part of achieving social justice and poverty reduction.
2.1.4 Primary Objective of Nutrition Security
The primary objective of Nutrition Security is to significantly improve health and nutritional status to lead an active healthy life and reduce the burden of diet-related, illness, deaths and disability among men, women, boys and girls living in Malawi.
4.0 SUSTAINABLE ACCESS TO FOOD
4.1 Food Access
Access by individuals to adequate resources (entitlements) to acquire appropriate food for a nutritious diet. Entitlements are defined as the set of all those commodity bundles over which a person can establish a command given the legal, political, economic and social arrangements of the community in which he/she lives including traditional rights, for example, access to common resources.
4.2 To guarantee physical, social and economic access to adequate food at all times
4.2.1 Promote sustainable access to adequate nutritious food and other resources at household and national level
Strategies
4.2.1.1 Formalize trade in foods and other economic products in line with bilateral, regional and international trade agreements without compromising sanitary and phytosanitary issues
4.2.1.2 Promote traditional and cultural practices that improve food and nutrition security for women and men, girls and boys and food technology
5.2.3 Promote the control, prevention and treatment of micronutrient deficiency disorders particularly those caused by Vitamin A, iodine and iron deficiencies.
Strategies
5.2.3.1 Encourage production and consumption of micronutrient rich foods.
5.2.3.2 Develop and enforce mandatory guidelines on food fortification
5.2.3.3 Strengthen supplementation of micronutrients in under-five children, school-aged children, and pregnant and postpartum mothers
5.2.3.4 Promote community based technologies for fortification
5.2.4 Promote control, prevention and treatment of diseases that have direct impact on nutrition and health status
Strategies
5.2.4.1 Facilitate the implementation of the Essential Health Package
5.2.4.2 Strengthen counselling services for management of nutrition related diseases especially for symptoms of common HIV and AIDS related illnesses
5.2.4.3 Provide counselling services on infant and young child feeding especially in the context of HIV and AIDS
5.2.4.4 Encourage early health care seeking behaviours among all people who are sick, especially those living with HIV and AIDS
5.2.4.5 Facilitate dissemination of information and support to clients on medical treatment (including ARV) to ensure adherence
5.2.4.6 Facilitate implementation of water supply and sanitation programmes
5.2.4.7 Promote and support palliative care and community coping mechanisms for HIV-positive and affected households
5.2.4.8 Promote implementation of national guidelines for management of moderate and severe malnutrition
5.2.5 Increase access and availability of services and information to prevent consumers from health hazards
Strategies
5.2.5.1 Review and enforce national legislation and regulations according to the international Sanitary and Phytosanitary (SPS) agreements
5.2.5.2 Establish comprehensive food-control systems at all levels that include risk analysis to ensure safety in the entire food chain
5.2.5.3 Regulate development and use of modern biotechnology including Genetically Modified Organisms (GMOs) and Genetically Engineered Seeds and Substances (GESS) in order to enhance bio safety
5.2.6 Promote the consumption of adequate food in both quality and quantity to meet nutritional needs for rural and urban households with special emphasis on vulnerable groups
Strategies
5.2.6.1 Facilitate the implementation of the national nutrition strategy.
5.2.6.2 Strengthen the implementation of the School Health and Nutrition< programme
5.2.6.3 Build capacity for communities to adequately care for the socioeconomically deprived and the nutritionally vulnerable groups
CHAPTER 6
6.0 STABILITY IN FOOD AND NUTRITION
6.1 Food stability
To be food secure, a population, household, or individual must have access to adequate food at all times. They should not be at risk of losing access to food as a consequence of an economic or climatic crisis or seasonal food variations. The concept of stability can therefore refer to both availability and access to food.
6.2 To guarantee that every individual has adequate and nutritious food that is accessible at the required time and in useable form.
6.2.1 Improve the management of disasters
Strategy
6.2.1.1 Promote a coordinated approach to disaster preparedness and management
6.2.1.2 Ensure allocation of adequate resources to disaster management
6.2.1.3 Improve system of assessing possibilities of a shock
7.0 FOOD AND NUTRITION INFORMATION SYSTEMS, MONITORING ANDEVALUATION
7.2 To harmonise and improve Food and Nutrition Security Information Systems(FNSIS) for evidence based interventions
7.2.1 Enhance monitoring and evaluation through proper management of information systems at all levels
6.1 The Vision and Goal
The vision of the Uganda Food and Nutrition Strategy is a hunger free country without malnutrition in all segments of the population. Its over-arching goal is transform Uganda into a hunger free and properly nourished country within a timeframe of 10 years.
","Annex 2: Matrix of Food and Nutrition Strategies Showing Stakeholder Roles and Responsibilities.
Issue One: How to address the food and nutrition needs of the child in the womb and during the first two years of the child’s life after birth?
Strategic interventions and actions
1. Educate pregnant and lactating women on the components of a balanced diet
2. Provide education about the kinds of foods that can increase the intake and absorption of vitamins and minerals.
3. Prevent low birth weight through prenatal food and micronutrient supplementation.
4. Improve child growth by encouraging exclusive breast-feeding for the first six months of life
5. Address micronutrient deficiencies -anaemia (iron), iodine, and vitamin A
6. Advocate against early pregnancies
7. Prevent diseases and reduce parasite loads that reduce the body’s ability to absorb and retain nutrients consumed.
8. Enable mothers to continue breast-feeding during the early post-partum period and encourage provision of facilities for infant care at workplaces
9. Ensure that employers and employees in both public and private sectors comply with maternity leave laws.
10. Regulate marketing of breast milk substitutes and iodised salt.
11. Promote the use of local produce in manufacturing appropriate weaning foods.
12. Provide effective therapeutic feeding for sick and malnourished children.13. Increase coverage of safe water sources and proper sanitation.14. Increase coverage of and accessibility to family planning services.
Issue Two: How to address the food and nutrition needs of pre-school children (3 to 5 years of age)?
1 Educate lactating women on importance of regular child growth monitoring, maintaining a sanitary and healthy environment, and control of infant and childhood illnesses, in particular.
2 Advocate for optimum child spacing and increase coverage of and accessibility to family planning services.
3 Promote the use of local produce for appropriate weaning foods.
4 Increase coverage of safe water sources and proper sanitation.
Issue Three: How to address the food and nutrition needs of school-going children (6 to 12 years of age)?
1 Advocate reducing distances children have to walk from home to school.
2 Advocate for establishing school children feeding fund.
3 Advocate for reviewing training institutions’ curricula to improve food and nutrition education components.
4 Encourage establishment of demonstration farms and school gardens.
Issue Four: How to address the food and nutrition needs of internally displaced persons, refugees, and others affected by conflict?
1 Advocate for establishing emergency food fund.
2 Strengthen Early Warning System for disaster preparedness. MAAIF MWLE, LGs, MOH, donors Medium
3 Advocate for ensuring safety of donated food.
4 Advocate for special care and nutrition education programmes for children & mothers in conflict situations.
5 Advocate for formal social safety net programmes.
Issue Five: How to address the food and nutrition needs of HIV/AIDS sufferers?
1 Take census to establish numbers and location.
2 Create a fund to support agencies and institutions caring for vulnerable groups.
3 Support Agencies and Institutions providing comprehensive care for people living with HIV/AIDS.
4 Initiate food accessibility and nutritional programmes for HIV/AIDS infected people.
Issue Six: How to address the food and nutrition needs of asset-less widows and widowers, orphans, female and childheaded households, adolescent mothers, victims of domestic abuse, elderly and people with disabilities?
1 Advocacy and monitoring to ensure access by members of these vulnerable groups to food, health care, and the other components needed to ensure their nutrition security.
Issue Seven: How to address the food and nutrition needs of the poor?
1 Advocacy and monitoring to ensure that matters relating to the food and nutrition security of the poor are adequately addressed by designated ministries and agencies.
2 Promote appropriate agricultural technologies and crops that provide significant nutritional advantages.
3 Expand local and external food markets by assisting private sector improve food storage, marketing and distribution.
4 Develop pro-poor system for collecting, collating, and disseminating information on food marketing and distribution.
Issue Eight: How to address the emerging problems of obesity and diet-related non-communicable diseases?
1 Monitor trends in diet–related disorders and promote healthy diets and lifestyle choices.
2 Implement both supply-side and demand-side policies to slow increases in obesity.
Issue Nine: How to address the problem of cross-sectoral coordination in implementing the Food and Nutrition Strategy?
1 Set up national food & nutrition coordinating body to ensure sectors implement their respective components of UFNP.
2 Set up the institutional and legal framework for the national coordinating body.
3 Establish incentive mechanisms to induce sector technical staff to meet their respective food and nutrition responsibilities.
4 Establish a food and nutrition surveillance and monitoring system.
5 Set up advocacy fund for food and nutrition policy implementation.
6 Set up food and nutrition advocacy and oversight focal points in sector ministries, local government.
7 Build capacity of institutions at central and local governments responsible for food and nutrition.
Issue Ten: How to address human-rights concerns in implementing the Food and Nutrition Strategy?
1 Provide institutional seat on the UFNC to Uganda Human Rights Commission.
2 Establish, strengthen and build capacity of human rights institutions. Guarantee independence of NGOs that advocate for and promote human rights.
3 Advocate investments in education & empowerment needs of nutritionally vulnerable.
4 Advocate for social safety nets to help nutritionally vulnerable.
","","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Anaemia|Iodine deficiency disorders|Vitamin A deficiency|Overweight, obesity and diet-related NCDs|Dietary practice|Fruit and vegetable intake|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Nutrition in schools|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Reformulation of foods and beverages|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Food fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Health related","","n/a","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202005%20The%20National%20Food%20and%20Nutrition%20Strategy.pdf" "24713","SEN","Senegal","","Plan Stratégique pour la Fortification des Aliments en Micronutriments au Sénégal (PSFAMS)","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2006","","2011","","6","2006","","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Trade|Industry|Information","Institut de Technologie Alimentaire (ITA), Association Sénégalaise de Normalisation (ASN)","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Global Alliance for Improved Nutrition (GAIN)|Helen Keller International (HKI)|Other|World Vision International","ABT ASSOCIATES","US Agency for International Development (USAID)","","","","National NGOs","OSDIL, CONGAD, UNAFA.","Research/academia","Université Cheikh Anta Diop de Dakar : Faculté de Médecine et Pharmacie etEquipe de Nutrition de la Faculté des Sciences et Techniques.","Private sector","Conseil National des Employeurs du Senegal, Syndicat Patronal des Industries Alimentaires (SPIDS), Société Nationale des Oléagineux du Sénégal (SONACOS), Grands Moulins de Dakar (GMD),Nouvelles Minoteries de l’Afrique (NMA), Nestlé Sénégal, Sosagrin, Oasis International, Mamelles Jaboot, Sonia, SelSine, Sedima, Eurogerm","Other","l’Association Nationale des Consommateurs du Sénégal (ASCOSEN), l’Union Nationale des Consommateurs du Sénégal (UNCS), SOS-consommateurs","2. OBJECTIF GLOBAL DU PROGRAMME
L’objectif global du programme est de contribuer à améliorer la santé des populations pour la survie et le développement humain durable
3. BUT DU PROGRAMME
Le but du programme est de réduire les prévalences des carences en micronutriments (fer, vitamine A, iode), chez les femmes en âge de procréer et chez les enfants de moins de 5 ans, au bout des 5 prochaines années.
4. OBJECTIFS SPECIFIQUES
En termes d’objectifs spécifiques, le programme se propose de :
5. 1. Enrichissement en fer et vitamine A des aliments dont la technologie est bien maitrisée
5. 2 Accélération de l’iodation du sel et utilisation des acquis comme référence pour les autres micronutriments
5.3 – Partenariat
","See document table ANNEX1, pages 33-43
","","Outcome indicators|Process indicators","Iodine deficiency disorders|Vitamin A deficiency|Vitamin A|Wheat flours","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN%202006%20Plan%20Strat%C3%A9gique%20pour%20la%20Fortification.pdf" "8025","BGD","Bangladesh","","National Strategy for infant and young child feeding (IYCF)","Nutrition policy, strategy or plan focusing on specific nutrition areas","","","","2007","","","Institute of Public Health and Nutrition (IPHN)","","2007","Adopted","","2007","Ministry of Health and Family Welfare","Health|Women, children, families|Development","Institute of Public Health and Nutrition (IPHN) Development, Health, Women, children, families: Ministry of Local Government, Rural Development, Director General of Health Services (DGHS), Director General Of Family Planning (DGFP)","","","","","","","","","National NGOs","National NGOs: Bangladesh Medical Association, Bangladesh Pediatric Association, Bangladesh Perinatal Society, Nutrition Society of Bangladesh, Obstetrical and Gynecological Society of Bangladesh","","","","","","","The overall goal of the National Strategy is to improve the nutritional status, growth and development, health, and survival of infants and young children in Bangladesh through optimal infant and young child feeding practices.The specific objectives of the National Strategy, to be achieved by 2010, are:
-Increase the percentage of newborns who are breastfed within one hour of birth from 24% to 50% (early initiation of breastfeeding)
-Increase the percentage of infants aged less than 6 months of age who are exclusively breastfed from 42% to 60% (exclusive breastfeeding)
-Maintain the percentage of children aged 20-23 months who are still breastfed at 90% (continued breastfeeding)
- Increase the percentage of children aged 6-9 months who are breastfed and receive appropriate complementary foods (rice or starch plus foods from animal sources and one other item of fruit, pulses or vegetable) to 50% (complementary feeding)
Legislation, policy and standards
Strategy 1: Code of marketing of breast-milk substitutes
- Strengthen the implementation, monitoring and enforcement of the Breastmilk Substitutes (Regulation of Marketing) Ordinance and amendments.
Strategy 2: Maternity protection in the workplace
- Enact adequate legislation protecting the breastfeeding rights of working women in a full range of employment and establish the means for its enforcement.
Strategy 3: Codex Alimentarius
- Ensure that processed infant and complementary foods are safe and nutritionally adequate, in accordance with the relevant Codex Alimentarius standards.
Strategy 4: National policies and plans
- Incorporate infant and young child feeding interventions into national development policies and plans, major health initiatives and other projects to advocate for its importance and mobilize resources.
Health system support
Strategy 5: Baby-Friendly Hospital Initiative
- Ensure that every health facility successfully and sustainably practices all the ""Ten steps to successful breastfeeding"" and other requirements of the BFHI.
Strategy 6: Mainstreaming and prioritization of IYCF activities
- Integrate skilled behavior change counseling and support for infant and young child feeding into all points of contact between mothers and health service providers during pregnancy and the first two years of life of a child.
Strategy 7: Knowledge and skills of health service providers
- Improve the knowledge and skills of health service providers at all levels to give adequate support to mothers on infant and young child feeding, including skills training on interpersonal communication, behaviour change counselling and community mobilization.Community-based support
Strategy 8: Community-based support
- Develop community-based networks to help support appropriate infant and young child feeding at the community level, e.g. mother-to-mother support groups and peer or lay counsellors.IYCF in exceptionally difficult circumstances
Strategy 9: IYCF in exceptionally difficult circumstances
Strategy 9a: HIV and IYCF
- Develop capacity among the health system, community and family to provide adequate support to HIV-positive women to enable them to select the best feeding option for themselves and their infants, and to successfully carry out their infant feeding decisions.
Strategy 9b: Emergencies and IYCF
- Develop capacity among the health system, community and family to ensure appropriate feeding and care for infants and young children in emergencies.
Strategy 9c: Malnutrition and IYCF
- Develop the capacity among the health system (both facility and community-based), community and family to manage malnutrition, including severe wasting.
NATIONAL STRATEGY
Actions in support of anaemia prevention and control must be monitored and evaluated to test and assess program effectiveness, justify the continuation or modification of interventions and provide feedback at all levels. Monitoring of an ongoing program is continuous and aims to provide the management and other stakeholders with early indications of progress (or lack thereof) in the achievement of results and objectives. Evaluation is a periodic exercise that attempts to systematically and objectively assess progress towards and the achievement of a program's objectives or goals. Because progress in anaemia prevention and control depends on the achievement of behavioural aims and objectives, monitoring and evaluation of behavioural indicators should be given special attention.
A monitoring and evaluation plan should be developed to provide a standardized framework on how needed information will be collected, processed, analysed, interpreted, shared and used. All organizations working in the field of anaemia prevention and control should follow the same monitoring and evaluation plan to ensure comparability. It is particularly important to ensure the consistent use of indicators for monitoring and evaluating trends in anaemia prevention and control. Where possible, monitoring indicators should be incorporated into existing health information systems. Outcome and impact indicators can be included in surveys such as the Bangladesh Health and Demographic Survey, Child Nutrition Survey, and Multiple Indicator Cluster Survey.
Research, including operations research, is needed to determine the factors that contribute to anaemia and to identify cost-effective approaches to its prevention and control for evidence-based advocacy and programme implementation.
BROAD PLAN OF ACTION
3.6.1 Develop a monitoring and evaluation framework/plan to monitor and evaluate the effectiveness of IYCF interventions:
Select a standard set of input, process, output and impact indicators, including behavioural indicators
For each indicator, identify criteria and targets; trigger points for remedial action; data collection methodology, and types and sources of data.
3.11.2 Incorporate IYCF indicators into existing information systems by modifying monitoring and reporting formats and training health service providers to collect monitoring data as part of their routine activities
3.11.3 Review the monitoring data at the sub-district, district and national level and provide constant feedback to stakeholders for appropriate action.3
.11.4 Conduct periodic evaluations of the impact of interventions on infant and young child practices every 2-3 years
3.11.5 Identify priority research gaps to improve the design of interventions and programmes, and institutions which can help, technically and/or financially, to conduct and/or support the needed research.
3.11.6 Conduct assessments, operations research and evaluations of interventions related to infant and young child feeding practices.
3.11.7 Disseminate results of research, and revise strategies, interventions and guidelines in response to new knowledge and programme experiences and outcomes.
The overall goal of the National Strategy is to reduce by one quarter the prevalence of anaemia among high-risk groups in Bangladesh by 2015.The objectives to be achieved by 2015 are:
- Provide a package of interventions to prevent and control anaemia in 60% of high-risk groups, including micronutrient supplementation, parasitic diseases control, and promotion of key dietary behaviours known to improve micronutrient intake.
- Fortify at least one food vehicle with iron and other micronutrients needed for anaemia prevention
- Increase the availability of affordable micro-nutrient rich foods through household food production, crop diversification, biotechnology and biofortification.
As there are many causes of anaemia, multiple strategies are needed for its prevention and control. These strategies fall into two categories: population-based strategies and targeted strategies for high-risk groups:
Targeted strategies for high-risk groups
Strategy 1: Micronutrient supplementation
- Provide iron-folate (IFA) or multiple micronutrient (MMN) supplements to low birth weight infants aged 2-5 months and all children aged 6-23 months, pregnant women, and breastfeeding women for the first three months after delivery, adolescent girls and newly wed women in the recommended dose and frequency.
- If resources are available, provide IFA or MMN supplements to other vulnerable groups, such as children aged 24-59 months, school-aged children and non-pregnant women of reproductive age in the recommended dose and frequency.
- Counsel women and caregivers on how to take the IFA/MMN supplements, the importance of taking the full dose, and help them solve any problems they have in complying, such as managing side effects.
- Screen all children, adolescent girls and women for severe anaemia at every contact with a health service provider using the most appropriate and feasible screening method at the health care level. Provide appropriate treatment for anaemia or refer children and women for treatment.
- In emergencies, provide MMN supplements or therapeutic spreads to children aged less than 5 years, pregnant women, and breastfeeding women.
Strategy 2: Dietary improvement
- Protect, promote and support breastfeeding and complementary feeding practices, including
- Initiation of breastfeeding immediately after delivery (within half an hour)
- Exclusive breastfeeding for the first six months (180 days) of life
- Timely and appropriate introduction of complementary feeding on completion of six months (180 days) of life
- Continued breastfeeding until the child is at least 2 years
- Advise adolescent girls, mothers and caregivers on how to improve the dietary intake for themselves and their young children:
- Increase intake of meat and fish, where economically and culturally feasible
- Increase intake of locally available and affordable plant foods that are rich in micronutrients (e.g. green leafy vegetables, pulses, and legumes) and contain vitamin C to enhance iron absorption from plant foods (e.g. citrus fruits and guava)
- Consume foods and beverages which contain substances that inhibit iron absorption from plant foods at least one hour after meals (e.g. tea, milk and milk products)
- Use food processing techniques such as germination and fermentation to improve iron absorption from plant foods
- Using cooking techniques that minimize the loss of micronutrients and increase the bioavailability of micronutrients (e.g. cut vegetables after washing, add small amounts of oil, and minimize cooking times).
- Educate school children about the importance of nutrition and options for improving nutrient intake.
- Promote the consumption of fortified foods, where available and affordable.
Strategy 3: Parasitic disease control
Soil-transmitted helminths and diarrhoea
- Provide presumptive anti-helmintic treatment to children aged 24-59 months2 and adolescent girls once every six months.
- Provide a single dose of presumptive anti-helmintic treatment to pregnant women at the earliest opportunity in the second trimester3. If the local prevalence of hookworm infections is >50%, provide a second dose of anthelmintic treatment at the earliest opportunity after delivery.
- If resources allow, provide anthelmintic treatment to children aged 5-11 years every six months4.
- Provide information to women and caregivers on home care of diarrhoea (oral rehydration therapy and continued feeding), the danger signs of severe diarrhoea, and when and how to seek medical care.
- Promote good hygiene and sanitary practices to prevent infection, including the use of shoes and latrines, and hand washing after defecation, before food preparation and before eating.
Malaria (areas of malaria transmission only)
- Provide information to women and caregivers on the danger signs of malaria, and when and how to seek treatment.
- Provide rapid malaria treatment to young children and pregnant women with symptoms of fever or malaria in line with national malaria management protocol
- Promote protection measures against malaria (use of insecticide-treated bed-nets, particularly by pregnant women and children aged less than 5 years, and environmental control of mosquitoes)
Strategy 4: Family planning and safe motherhood
- Encourage women to attend ANC services as early as possible in pregnancy, and PNC after delivery.
- Provide micronutrient supplementation (Strategy 1), counseling on dietary improvement (Strategy 2), and interventions to prevent and treat hookworm infection and malaria, where endemic (Strategy 3) to pregnant and breastfeeding women.
- Mitigate and manage blood loss during delivery and in the postpartum period using appropriate methods.
- Intensify efforts with adolescents, families and communities to delay age at marriage and age at first pregnancy.
- Promote family planning methods to delay and space birthsPopulation-based strategies
Strategy 5: Food fortification
- Set legislation and regulations for fortification with iron and other micronutrients.
- Develop, produce and market foods fortified with iron and/or other micronutrients (including folic acid, vitamin B-12 and vitamin A) for the general population.
- Develop, produce, and market low cost foods fortified with iron and/or other micronutrients for specific vulnerable groups, particularly infants and young children.
- Fortify food aid products for development and emergency response programmes with iron and other micronutrients, including school-feeding programmes.
- Promote (through social marketing) foods fortified with iron and other micronutrients.
Strategy 6: Production of micronutrient-rich foods through household food production, crop diversification, biotechnology and biofortification
- Promote year-round production by households of micronutrient-rich foods or crops in home gardens, fruit tree plantation, small animal husbandry and fisheries.
- Promote the development of new varieties of staples that are rich in micronutrients (biotechnology and biofortification)
UNDAF OUTCOME 1:
THE MULTI-SECTORAL RESPONSE TO HIV AND AIDS AT NATIONAL, PROVINCIAL AND DISTRICT LEVEL SCALED UP BY 2010.
UNDAF OUTCOME 2:
BY 2010, ACCESS OF VULNERABLE GROUPS TO QUALITY BASIC SOCIAL SERVICES INCREASED.
UNDAF OUTCOME 3:
BY 2010, INSTITUTIONS, SYSTEMS AND PROCESSES IN SUPPORT OF NATIONAL DEVELOPMENT PRIORITIES STRENGTHENED
UNDAF OUTCOME 4:
BY 2010, THE PROPORTION OF FOOD SECURE HOUSEHOLDS INCREASED FROM 35 TO 75 PER CENT
Programme outputs included in the table of the attached PDF
","M & E indicators included in the matrix of the attached PDF
","Outcome indicators","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Complementary feeding|School-based health and nutrition programmes|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Vaccination|Water and sanitation|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202007_UNDAF.pdf" "11503","KEN","Kenya","","Food Security and Nutrition Strategy","Comprehensive national nutrition policy, strategy or plan","","English","","2008","","","Republic of Kenya","","2008","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Sport|Transport|Trade|Environment|Sub-national|Other","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)","","Other|Oxfam|Population Services International","Help Age International","","","","","National NGOs","Action Aid Kenya, Sacred Africa","Research/academia","University of Nairobi, Friedman School of Nutrition of Tufts University (USA), Kenya Agricultural Research Institute, and Kenya Institute for Public Policy Research Analysis; Kenya Industrial Research and Development Institute; National Council for Science","Private sector","","Other","Media, Kenya Association of Manufacturers; Kenya Private Sector Alliance; Jua Kali Association","Goals:
Programs:
1.4 Food Security Action Plan
The overall objectives of the Food Security Action plan are to:
i. Assist in coordinating the FSP with the National Nutrition Policy;
ii. Enhance the collaboration between the projects and the Government both at central and district level and
iii. Ensure complementarity and support to the ADP process.
The specific objectives are:
i. Prioritize the strategies in the FSP which should be implemented immediately at ground level (in line with ADP objectives); and
ii. Develop approaches/modalities for reorienting on going projects and programmes or pipeline projects (in line with the ADP process).
The final list of the prioritized strategies:
A. Improve staple food availability at household and national level
1. Promote contract farming for agricultural production development.
2. Encourage domestic production of high quality improved varieties.
3. Promote integration of livestock into smallholder farming systems.
4. Create conducive environment for private sector investment and local community participation in irrigation development.
5. Promote environment, land and water management for sustainable agricultural development.
B. Increase Food Access at Household Level
6. Promote off-farm employment opportunities through economic empowerment and IGA programmes.
C. Improve stability at national level.
7. Establish community grain banks.
3.3. Goal
To accelerate the reduction of maternal, newborn and childhood morbidity and mortality, in line with MDGs 4 and 5, by 2015.
","3.7 Guiding principles:
o Addressing underlying causes of high mortality: Taking a multi-sectoral and partnership approach to address the underlying causes of maternal, newborn and child death such as, transport, nutrition, food security, water and sanitation, education, gender equality and women empowerment to ensure sustainability.
","3.5 Operational targets to be achieved by 2015:
4. Reduced stunting and underweight status among under-fives from38% and 22% to 22% and 14%, respectively.
5. Increased exclusive breast feeding coverage from 41% to 80 %
Other list of indicators to assess maternal, newborn and child health:
c) Neonatal indicators:
• Prevalence of low birth weight
• Early initiation of breast feeding (within the first hour)
• Proportion of district hospitals implementing Kangaroo Mother Care for management of Low Birth Weight
• Proportion of district hospitals that are accredited baby friendly
• Postnatal vitamin A coverage
Objectives
Initiatives
Accelerate public education and awareness on prevention, early detection and treatment of communicable and non-communicable diseases
Reduce malnutrition
Decrease morbidity rate
Incidence of non-communicable diseases
VI. BUT
Contribuer à l’amélioration de l’état de santé de la population en lui assurant un bon état nutritionnel à travers une meilleure adéquation entre l’offre de soins et la couverture des besoins nutritionnels.
OBJECTIF GENERAL
Améliorer l’état nutritionnel de la population, en particulier des groupes les plus vulnérables notamment les enfants, les femmes en âge de reproduction, les PVVIH, les OEV et ceux issus des situations de crise, d’urgence et des catastrophes naturelles.
La stratégie globale vise à :
VII. AXES STRATEGIQUES POUR L’AMELIORATION DE LA NUTRITION
A. N°1 : Prise en charge de la malnutrition (Déficit & Excès)
1. Au niveau des structures de santé
2. Au niveau communautaire
B. N°2 : lutte contre les carences en micronutriments (vit A, fer, fluor, zinc …)
C. N°3 : Amélioration de la sécurité alimentaire des ménages
D. N°4 : Promotion de la sécurité sanitaire des aliments
E. N°5 -Amélioration de la sécurité alimentaire et nutritionnelle des PIAVIH et autres malades chroniques
F. N°6 : Intégration de la nutrition en milieu scolaire et universitaire
G. N° 7 : Intégration de la nutrition en milieu carcéral
H. N°8 : Développement du soutien nutritionnel des personnes du troisième âge
I. N°9 : Communication pour le changement de comportement durable
Intensification du plaidoyer à tous les niveaux pour :
Sensibilisation
Mobilisation sociale
J. N°10 : Promotion de la recherche en matière de nutrition
K. N°11 : Développement des compétences en matière de nutrition
L. N°12 : Préparation à l’urgence et réponses nutritionnelles aux situations d’urgences
The Government’s Vision for Health
Within the broader context of Millennium Development Goals (MDG), the Government’s vision for health, nutrition and population sector is as follows: “The Government seeks to create conditions whereby the people of Bangladesh have the opportunity to reach and maintain the highest attainable level of health. It is a vision that recognizes health as a fundamental human right and, therefore, the need to promote health and to alleviate ill health and suffering in the spirit of social justice. This vision derives from a value framework that is based on the core values of access, equity, gender equality and ethical conduct.”
Table 5.2 Health, Population and Nutrition Targets for the SFYP
Indicators, Impact/Outcome:
9 Prevalence of Night blindness among pregnant women Base value: 2.90% FY2015 target: 1%
10 Underweight of Under 5 children (6-59 months) Base value: 41% (BDHS 2007) FY2015 target: 33%
11 Stunting of Under- 5 children 16-59 months) Base value: 43% (BDHS 2007) FY2015 target: 25%
Indicators, Output:
33 VAC coverage (6 m-6 y) Base value: 98%- 100% FY2015 target: 98%- 100%
34 Postnatal VAC supplementation Base value: 29% FY2015 target: 80%
35 Severe anemia (Children) Base value: 64% FY2015 target: 50%
36 Severe anemia (Pregnant women) Base value: 46% FY2015 target: 40%
37 Exclusive breast feeding of children (less than 6 months) Base value: 42% FY2015 target: 80%
","NUTRITION ISSUES AND MANAGEMENT IN THE SIXTH PLAN
Strategies for Improving Nutritional Status
Improving Maternal and Infant Nutrition: Longer term interventions with nutrition and poverty alleviation objectives contribute to reduction in child malnutrition. However, child nutrition is strongly related with maternal nutrition and therefore malnutrition among pregnant and lactating mothers should be strongly dealt with. The priority interventions in this context are:
• Iron-folic acid supplementation among pregnant and lactating women and adolescent girls will be undertaken through health and family planning facilities. Such programs will be strengthened through complementary policies to regular programs e.g. community based programs to cover the hard-to-reach vulnerable communities.
• Post partum Vitamin A distribution to improve vitamin A status of neonates through breast milk will be scaled up.
• The national strategy for infant and young child feeding will be implemented.
• Early initiation and exclusive breast-feeding up to six months of age will be encouraged.
• Supplementary feeding for malnourished and marginalized pregnant and lactating women through strengthening and scaling-up maternal iron and foliate supplementation will be introduced.
Strengthening Institutional Capacity: Combating malnutrition and child mortality certainly requires improving the bureaucracies and administrative complexities. Given the large numbers of malnourished mother and children and high under 5 mortality rate, the best institutional strategy would be to implement assistance programs at both facility and community levels. The SFYP in this context will take the following strategies:
• The institutional home for nutrition within the MOHFW will be identified and responsibilities of the selected institute will be expanded and capacity will be developed.
• Roles and responsibilities of other stakeholders for nutrition will be specified with arrangements of appropriate coordination and synergistic action.
• Capacities of Upazila health complexes and district hospitals will be strengthened to adequately manage severely malnourished cases.
• Effective nutrition surveillance will be developed.
• All types of health workers (health assistants, family welfare assistants, assistant health inspectors, family planning inspectors, family welfare visitors, medical assistants/subassistant community medical officers) will be appropriately trained in nutrition education.
• The value of women status in reducing malnutrition and dissemination of proper knowledge about nutrition amongst the citizens will be strengthened.
• Appropriate inter-sectoral collaboration will be established for controlling prices of food grains and products and for ensuring food security.
• A comprehensive nutrition policy will be formulated.
• Strategies will be designed to link nutrition programs with safety net programs of the government, e.g. Vulnerable Group Development Program. In this context problems related to leakages and mis-targeting will be seriously taken care of.
• Nutrition interventions which are interlinked with food-based, economic empowerment programs should be strengthened and should be targeted towards the most vulnerable communities and districts.
• Division specific nutritional management program will be introduced with more vulnerable regions receiving priorities in terms of allocation of development expenditure.
• Information systems related to food security and nutritional issues will be strengthened.
Improving Overall Nutritional Status: With a view to combating malnutrition and various diseases related to nutritional deficiency, the SFYP will undertake several strategies, focusing primarily on the nutritional status of children:
• Existing half-yearly Vitamin A capsules distribution for children will be continued.
• Age specific complementary feeding and micronutrient supplements for children will be introduced.
• Monitoring of universal iodization of edible salt will be strengthened to ensure quality through adequacy of potassium iodide in salt.
• Zinc for treatment of diarrhea will be adequately promoted. With the coverage of IMCI, zinc tablets are expected to provide free to children with diarrhea.
• Community management of severely acute malnutrition in children through therapeutic and supplementary feeding will be emphasized.
• Complementary feeding will be linked to multiple micronutrient supplementation programs to improve the quality of diets of children aged 6 to 23 months.
• Strategies to increased coverage of access to safe water and improved sanitation in urban slums and rural areas will be under taken.
• Emphasis will be given on local homestead food production.
• Nutrition education to promote diet diversity will be encouraged.
• Preventive and Therapeutic interventions while incorporating the seasonal dimension of malnutrition will be designed.
• Translating nutrition related research into action.
Treatment of Severe Acute Malnutrition: Mainstreaming the implementation of nutrition interventions into health and family planning services will ensure more coordination in the treatment of moderate and severe acute malnutrition at the health facility as well as community level. At the health facility level, children with severe acute malnutrition and who have additional medical complications will be treated according to internationally recommended protocols. At the community level, the GOB will address community-based management of acute malnutrition through the community based IMCI program.
BCC to Promote Good Nutritional Practices: Social mobilization and behavioral change and communication activities at health facility and community levels will be implemented to promote good health and nutrition practices. Specific behaviors to be targeted will include; promotion of exclusive breast feeding for 6 months and continued breastfeeding up to 2 years; introduction of complementary foods of adequate nutritional quality and quantity after the age of 6 months; and improved hygiene practices including hand washing.
Mainstreaming Gender into Nutrition Programming: Gender and nutrition are closely associated in Bangladesh, and there are strong linkages between a woman’s status and both her health and her children’s nutritional outcomes. Therefore, both the health facility and the community-based nutrition interventions will involve all community and household members who are responsible for decision making and those who can influence maternal, infant and young child feeding practices as well as other nutrition behaviors. Such an approach will ensure that the concerns of men and women, when it comes to household food and nutrition security, are considered as the joint responsibilities for the nutritional well-being of all household members of men, women and the community as a whole.
PARTICIPATION, SOCIAL INCLUSION AND EMPOWERMENT
Children’s Advancement and Rights
The Vision: The vision regarding children’s advancement and rights is to create ‘a world fit for children’. The goals to be achieved are: … (ii) providing health services the children need; (iii) ensuring access to food and nutrition they need; …
Proposed Actions in the Sixth Plan
Intervention and actions for achieving the strategic objectives are indicated below:
• Child health: The program areas include eradication of polio, elimination of measles and neonatal tetanus, improvement of nutrition and strengthening the school health program. The actions will include maximizing the efficiency and cost-effectiveness of health expenditure and improving governance. The specific activities will include sensitizing primary and secondary students about critical child health and reproductive health issues, healthy practices and worm infestation, and supplying iron and folic acid tablets for schoolgirls. Activities will be undertaken to develop an adolescent health strategy including counseling, building awareness for adolescents on hygienic practices, nutrition, puberty, RTI/STD and HIV/AIDS.
• Food and nutrition: To control vitamin A deficiency and contain the prevalence of night blindness, vitamin A supplements will be distributed to children with vitamin A deficiency, measles, persistent diarrhea or severe malnutrition and to postpartum women within 6 weeks of delivery. Ongoing efforts to control iodine deficiency disorders through universal salt iodization will continue. To address the causes of anemia, strategies will be used to control anemia, including iron-foliate supplementation, anathematic treatment, fortification, and BCC to increase the consumption of iron-rich foods and promoters of iron absorption. A strategy will be developed to address the health care needs of children with physical and mental disabilities.
","Table 5.2 Health, Population and Nutrition Targets for the SFYP
Indicators, Impact/Outcome:
9 Prevalence of Night blindness among pregnant women Base value: 2.90% FY2015 target: 1%
10 Underweight of Under 5 children (6-59 months) Base value: 41% (BDHS 2007) FY2015 target: 33%
11 Stunting of Under- 5 children 16-59 months) Base value: 43% (BDHS 2007) FY2015 target: 25%
Indicators, Output:
33 VAC coverage (6 m-6 y) Base value: 98%- 100% FY2015 target: 98%- 100%
34 Postnatal VAC supplementation Base value: 29% FY2015 target: 80%
35 Severe anemia (Children) Base value: 64% FY2015 target: 50%
36 Severe anemia (Pregnant women) Base value: 46% FY2015 target: 40%
37 Exclusive breast feeding of children (less than 6 months) Base value: 42% FY2015 target: 80%
","","","Breastfeeding|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Complementary feeding|Diet-related NCDs|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Vitamin A|Folic acid|Iodine|Iron|Zinc|Micronutrient supplementation|Food grade salt|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Deworming|Food safety|Food security and agriculture|Household food security|Diarrhoea or ORS|Water and sanitation|Vulnerable groups","","http://www.plancomm.gov.bd/","","http://www.imf.org/external/np/prsp/prsp.aspx","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BGD%202011%20PRSP.pdf" "23595","BWA","Botswana","","National Health Policy 2011","Health sector policy, strategy or plan with nutrition components","","","","2011","","2021","Ministry of Health","","2011","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Finance, budget and planning|Development|Sport|Transport|Trade|Environment|Industry|Justice|Labour|Sub-national|Other","Ministry of Local Government; Ministry of Infrastructure,Science and Technology; Ministry ofDefense, Justice and Security; Ministry of Transport and Communications; Ministry ofEducation and Skills Development; Ministry of Labour and Home Affairs; Ministry of Lands and Housing; Ministry of Environment, Wildlife and Tourism; Ministry of Finance and Development Planning; Ministry of Presidential Affairs and Public Administration; Ministry ofMinerals, Energy and Water Resources; Ministry of Youth, Sports and Culture; Ministry ofForeign Affairs and International Cooperation","","","","","","","","","National NGOs","","","","Private sector","","","","4.7.2.1 Goal
Increase access to affordable healthy food and promote healthy eating habits and increased physical activity in order to reduce malnutrition as well as preventing chronic diseases such as diabetes, cardiovascular disease, osteoporosis, etc.
4.7.2.2 Objectives
• To reduce obesity;
• To prevent children from obesity and malnutrition;
• To increase accessibility to affordable, healthy foodstuffs to all population particularly in deprived and rural areas; and
• To implement a physical exercise programme along with the health and wellness week in all work places and schools.
MDG Targets
1. Underweight children for under 5 (%) to reduce by half: baseline (1990-94) 17.0%; target (2015) 8.5%
","","","","","Underweight in children 0-5 years|Overweight in children 0-5 yrs|Overweight in adolescents","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202011%20National%20Health%20Policy.pdf" "8241","KEN","Kenya","","National Food and Nutrition Security Policy","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","","Agricultural Sector Coordination Unit","","2011","Adopted","","2011","Ministry of Agricuture","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Development|Consumer affairs|Other","Agricultural Sector Coordination Unit, Inter-ministerial Coordinating Committee on Food and Nutrition, Kenya Food Security Meeting (Office of the President), National Food Safety Coordinating Committee","","","","","","","","","","","","","","","","","1.6 Overall policy goal and objectives
1.6.2 The broad objectives of the FNSP are:
i. To achieve adequate nutrition for optimum health of all Kenyans;
ii. To increase the quantity and quality of food available, accessible andaffordable to all Kenyans at all times; and
iii. To protect vulnerable populations using innovative and cost-effectivesafety nets linked to long-term development.
4. Nutrition Improvement/Nutrition Security
4.2 The life-cycle approach to nutrition improvement
Objectives:
1. improving maternal and newborn nutrition
2. improving early childhood nutrition and survival
3. improving late childhood nutrition
4. improving adolescent nutrition
5. improving adult nutrition
6. improving nutrition of older persons
","4. Nutrition Improvement/Nutrition Security
4.2 Maternal and newborn nutrition
i. Promote actions to ensure pregnant and lactating women and their families have access to and are knowledgeable about their need for an adequate and nutritious diet;
ii. Support the establishment of a monitoring and support system to promote compliance with iron/folate supplementation and healthy weight programme before and during pregnancy and lactation;
iii. Support the development of a universal programme of iron/folate or multi micronutrient supplementation for adolescent girls and young women and promote dietary diversification and consumption of fortified food at the household level;
iv. Promote behavioural changes; strengthen linkages between nutrition care in health facilities and community centres, and monitor birth weights of babies born outside health facilities;
v. Promote early initiation and exclusive breastfeeding;
vi. Promote linkage of nutrition interventions and nutrition education of mothers with Safe Motherhood, Baby Friendly Hospital Initiatives, immunization, malaria control and Integrated Management of Childhood Illness (IMCI); and
vii. Promote workload reduction technologies and increase income-generating activities for women.
Early childhood nutrition
i. Promote and protect exclusive breastfeeding and create an enabling environment which will include enactment and enforcement of a law to regulate marketing of breast-milk substitutes (Code of Marketing of Breast-milk Substitutes) and ensuring supportive labour laws in relation to maternity leave;
ii. Support the development of systems to implement the right to proper nutrition and health care for all children as per the Constitution;
iii. Promote improvements to micronutrient status of children and support micronutrient supplementation;
iv. Ensure equitable access to high impact nutrition and health interventions and increased uptake of optimal feeding and hygiene practices.
v. Support expansion of growth monitoring and promotion to all communities.
Late childhood nutrition
i. Support coordination efforts to improve nutrition through schools, including full integration in the curriculum, routine health/nutrition assessments and school meal standards;
ii. Support adoption of food preparation and eating practices that better ensure children’s adequate nutrition; and
iii. Lay emphasis on improving sanitation and hygiene.
Adolescence nutrition
i. Support coordination efforts to improve nutrition through schools, including full integration within the education curriculum, routine health/nutrition assessments, school meal standards;
ii. Promote the establishment of lifestyle micronutrient supplementation programmes to prevent such deficiencies among young women;
iii. Promote the importance of adequate nutrition for young women especially before pregnancy; and
iv. Promote use of fortified foods in the diet.
Adult nutrition
i. Promote good eating habits and weight monitoring, and establish supportive community based health and nutrition counselling centres;
ii. Support the development and dissemination of national food and dietary guidelines and lifestyle education packages on a regular basis with revisions at least every five years; and
iii. Improve the system of social safety nets to ensure all affected family members have adequate protein, energy as well as necessary micronutrients in their daily diets.
Nutrition for older persons
i. Develop and actively disseminate dietary guidelines and standards for older persons;
ii. Develop and support nutrition care initiatives and support community based life-style and health services; and
iii. Improve the system of social safety nets to ensure the older persons have adequate protein, energy as well as necessary micronutrients in their daily diets.
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Micronutrient supplementation|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202011%20National%20Food%20and%20Nutrition%20Security%20Policy%5B1%5D_0.pdf" "11530","MOZ","Mozambique","","Plano de Acção Multissectorial de Redução da Desnutrição [Multisectoral plan for chronic malnutrition reduction 2011 – 2014 (2020)]","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","2014","MAPUTO","","2010","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Sport|Urban planning|Industry","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","Helen Keller International (HKI)","International NGOs: Helen Keller International (HKI) -","Other|US Agency for International Development (USAID)","Bilateral and donor agencies and lenders: US Agency for International Development (USAID),","","","","","","","","","","","
GENERAL OBJECTIVE:
To accelerate the reduction of chronic undernutrition in children under 5 years of age from 44% in 2008 to 30% in 2015 and 20% in 2020, contributing to the reduction of infant morbidity-mortality and ensuring the development of a healthy and active society.
GOALS FOR EACH TARGET GROUP:
Adolescents
• Reduce anaemia rates in adolescents in and out of school from (estimated) 40% in 2010 to 20% in 2015 and 10% in 2020.
Pregnant and nursing women
• Reduce rates of anaemia during pregnancy from 53% in 2002 to 30% in 2015 and 15% in 2020.
• 30% increase in the number of women who gain 5kg during pregnancy in 2015 and 2020 (baseline to be assessed).
• Reduce iodine deficiency in pregnant women from 68% in 2004 to 35% in 2015 and 15% in 2020.
• Increase coverage rates of preventive postpartum administration of vitamin A from 60% in 2010 to 70% in 2015 and 90% in 2020.
Women of Reproductive Age
• Reduce rates of anaemia in women of reproductive age from 56% in 2010 to 30% in 2015 and 15% in 2020.
Children under 5 years of age, with emphasis on children under 2 years of age:
• Reduce Low Birth Weight from 15% in 2008 (MICS) to 10% in 2015 and 5% in 2020.
• Reduce the prevalence of chronic undernutrition in children under two years from 37.4% in 2008 (MICS) to 27% in 2015 and 17% in 2020.
• Increase the rates of exclusive breastfeeding in infants under six months from 37% in 2008 (MICS) to 60% in 2015 and 70% in 2020.
• Increase the rate of children aged 9-11 months who received at least three meals of complementary food during the day, from 37% in 2008 (MICS) to 52% in 2015 and 67% in 2010.
• Reduce the prevalence of anaemia in children from 74% in 2002 to 30% in 2015 and 15% in 2020.
Strategic Objectives:
1: To strengthen activities with impact on the nutritional status of adolescents.
2: To strengthen interventions with impact on the health and nutrition of women of reproductive age before and during pregnancy and lactation.
3: To strengthen nutrition activities for children in the first two years.
4: To strengthen household-oriented activities to improve access and utilization of foods with a high nutritional value.
5: To strengthen the Human Resources capacity in the area of nutrition.
6: To strengthen the national capacity for advocacy, coordination, management and progressive implementation of the Multisectoral Action Plan for the Reduction of Chronic Undernutrition.
7: To strengthen the food and nutrition surveillance system.
","Interventions/Activities included in the Activity Plan of the PDF
","
M & E Indicators included in the Activity Plan of the PDF (Section 5.2)
","","","International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in women|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Conditional cash transfer programmes","","http://www.who.int/nutrition/landscape_analysis/MozambiqueNationalstrategyreductionstunting.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MZB%202010%20Multisectoral%20plan%20for%20chronic%20malnutrition%20reduction.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/MZB%202010%20Multisectoral%20plan%20for%20chronic%20malnutrition%20reduction.pdf" "14728","PER","Peru","","Estrategia Nacional de Desarrollo e Inclusión Social “Incluir para Crecer”","Multisectoral development plan with nutrition components","","Spanish","","2011","","","Ministry for Development and Social Inclusion","","2011","","","","","Social welfare|Development","","","","","","","","","","","","","","","","","","Objetivo
Reducir la desnutrición crónica infantil, a través de intervenciones orientadas a la madre gestante y a los niños entre 0 y 3 años.
","Desarrollo de los ejes estratégicos
2.2.1 E je 1: Nutrición infantil
En el marco de la Convención sobre los Derechos del Niño se ratifica la necesidad de que el Estado ejecute acciones que garanticen la supervivencia, el desarrollo y la protección del niño. En este sentido, una de las principales líneas de acción está asociada a asegurar la adecuada nutrición de las niñas y los niños, como una de las herramientas iniciales para cortar el círculo vicioso de la transmisión intergeneracional de la pobreza. Las deficiencias en la nutrición de las niñas y los niños, especialmente en aquellos menores de tres años, no se traducen solo en un problema de salud, sino también en una limitante para el desarrollo del país.
La DCI se asocia a daños físicos y cognitivos de difícil reversión, lo que afecta la salud del niño en el presente con efectos en su bienestar social y productividad económica en el futuro. Las consecuencias de una nutrición deficiente continúan en la edad adulta y afectan a la próxima generación, debido a que las niñas y mujeres desnutridas tienen mayor riesgo de tener hijos desnutridos.
","Indicadores
*Reducir la prevalencia de la Desnutrición Crónica Infantil en niñas y niños menores de 3 años
1. Reducir la incidencia de bajo peso al nacer
2. Reducir los índices de morbilidad por IRA y EDA en menores de 36 meses
3. Calidad de la dieta (micronutrientes) de menores de 36 meses
*Revisar indicadores en el link
","","","Low birth weight|Stunting in children 0-5 yrs|Nutrition counselling on healthy diets|Micronutrient supplementation|Food security and agriculture|Conditional cash transfer programmes","","http://www.midis.gob.pe/dmdocuments/estrategianacionaldedesarrolloeinclusinsocialincluirparacrecer.pdf","","WHO 2nd Global Nutrition Policy Reviewhttp://scalingupnutrition.org/sun-countries/peru","" "8234","UGA","Uganda","","Uganda Nutrition Action Plan 2011-2016: Scaling Up Multi-Sectoral Efforts to Establish a Strong Nutrition Foundation for Uganda's Development","Comprehensive national nutrition policy, strategy or plan","","","","2011","","2016","Government of Uganda","","2011","Adopted","","2011","presidential cabinet","Development|Education and research|Finance, budget and planning|Food and agriculture|Health|Other|Trade","Government of Uganda Prime Ministry & Ministry of Public Service, Ministry of Agriculture, Animal Industry & Fisheries, Ministry of Health, Ministry of Education & Sports, Ministry of Trade and Cooperatives, Ministry of Gender, Labour & Social Development","","","","","","USAID, others development partners","","","","","","","","","","","5.1 Goal
The goal of the Uganda Nutrition Action Plan is to reduce malnutrition levels among women of reproductive age, infants and young children from 2011 through 2016 and beyond.
5.2 Objectives, Strategies, and Strategic Interventions
Objective 1: Improve access to and utilisation of services related to maternal, infant, and young child nutrition
Objective 2: Enhance consumption of diverse diets
Objective 3: Protect households from the impact of shocks and other vulnerabilities that affect their nutritional status.
Objective 4: Strengthen the policy, legal, and institutional frameworks and the capacity to effectively plan, implement, monitor, and evaluate nutrition programmes.
Objective 5: Create awareness of and maintain national interest in and commitment to improving and supporting nutrition programmes in the country.
","5.2 Objectives, Strategies, and Strategic Interventions
Objective 1: Improve access to and utilisation of services related to maternal, infant, and young child nutrition
Strategy 1.1: Promote access and utilisation of nutrition and health services to all women of reproductive age, infants, and young children.
Interventions
1) Promote and support health and nutrition education to increase the level of awareness of good nutrition.
2) Promote integration of nutrition services in all routine and outreach health services and programmes targeting children and mothers.
3) Manage nutrition for sick children, pregnant and lactating mothers, and other women of reproductive age.
4) Integrate the management of severe and moderate acute malnutrition into routine health services.
5) Promote utilisation of antenatal and postnatal care services among all pregnant and lactating mothers to monitor child growth, and the health and nutrition status of both the mother and the child.
6) Promote and support breastfeeding policies, programmes, and initiatives.
7) Promote and support appropriate complementary feeding practices.
8) Support and scale up community-based nutrition initiatives.
9) Promote proper food handling, hygiene, and sanitation through increased knowledge, use of safe water, and hand washing practices at household level.
Strategy 1.2: Address gender and socio-cultural issues that affect maternal, infant, and young child nutrition.
Interventions
1) Promote male involvement in family health services and in food security and nutrition programmes.
2) Advocate and seek solutions for reducing workload for all women, especially pregnant women and lactating mothers.
3) Address detrimental food taboos and norms that impair nutrition of women, infants, and young children.
Objective 2: Enhance consumption of diverse diets
Strategy 2.1: Increase access and use of diverse nutritious foods at household level
Interventions
1) Promote production and consumption of diversified nutritious foods at household and community levels.
2) Advocate for and support integration of nutrition in agricultural programmes at national and local government levels.
3) Increase consumption of both raw and processed nutritious foods.
4) Promote and support local food processing and value addition at household and community levels.
5) Promote and support the utilisation of safe labour-saving technologies at household and community levels.
6) Support on farm enterprise mix to promote stable diversified food production.
7) Promote production and consumption of indigenous foods to enhance diet diversification.
8) Promote positive indigenous dietary practices.
Strategy 2.2: Enhance post-harvest handling, storage, and utilisation of nutritious foods at household and farm levels.
Interventions
1) Promote and support adoption of post-harvest handling and storage technologies at household and community levels.
2) Provide an enabling environment to the private sector to manufacture, market, and distribute appropriate post-harvest handling and storage technologies.
Strategy 2.3: Promote the consumption of nutrient-enhanced foods.
Interventions
1) Promote production of fortified common staples by local manufacturers.
2) Promote production of bio-fortified varieties.
3) Promote consumption of nutrient-enhanced foods through increased awareness of their benefits.
4) Support local production of ready-to-use therapeutic and complementary food.
Objective 3: Protect households from the impact of shocks and other vulnerabilities that affect their nutritional status.
Strategy 3.1: Develop preparedness plans for shocks.
Interventions
1) Strengthen and scale up early warning systems on food and nutrition information from community to national levels.
2) Support and promote urban farming to serve the most vulnerable households in urban areas.
3) Develop, promote, and implement in a timely fashion a comprehensive package of nutrition services and food items to provide during emergencies and recovery periods.
4) Make integration of nutrition in all disaster management programmes mandatory.
5) Promote and support diversified production of drought-resistant crops including vegetables and raising of animals tolerant to heat stress at household and community levels.
6) Carry out sensitisation programmes for communities to raise their awareness of prevention, mitigation, and response to risks of malnutrition during shocks.
Strategy 3.2: Promote social protection interventions for improved nutrition.
Interventions
1) Provide social transfers to and support livelihoods for the most vulnerable households and communities.
2) Develop and implement programmes for special social assistance and for livelihood promotion and protection in areas with high levels of malnutrition.
3) Advocate for and promote school feeding programmes.
4) Manage cases of SAM by integrating care into routine health services and providing follow-up support and monitoring at household and community levels.
5) Promote social protection interventions for improved nutrition.
Objective 4: Strengthen the policy, legal, and institutional frameworks and the capacity to effectively plan, implement, monitor, and evaluate nutrition programmes.
Strategy 4.1: Strengthen the policy and legal framework for coordinating, planning, and monitoring nutrition activities.
Interventions
1) Fast-track enactment of the Food and Nutrition Bill, which will provide the statutory mechanism for establishing the FNC and its secretariat.
2) Revitalise and legalise the functionality of the FNC and establish its secretariat/coordinating unit.
3) Review the Food and Nutrition Policy to integrate emerging issues.
4) Revise the draft Uganda Food and Nutrition Strategy to align it with the prevailing national, regional, and global nutrition agenda and disseminate the Strategy widely.
5) Advocate for the enactment of bylaws and ordinances that promote nutrition and food security at district and sub-county levels.
6) Integrate nutrition issues into plans and budgets at all levels of governments by mainstreaming nutrition and creating vote functions for nutrition.
7) Support the development of nutrition curricula for all levels of education and training.
8) Advocate for establishment of lower and middle cadre nutrition courses in the education structure.
9) Review and integrate nutrition issues in the existing curricula of formal and non-formal education and in pre- and in- service training.
Strategy 4.2: Strengthen and harmonise the institutional framework for nutrition from local to central government levels.
Interventions
1) Review the country’s current institutional framework for nutrition and implement a suitable one.
2) Establish an interim multi-sectoral coordination mechanism for nutrition programming and M&E.
3) Strengthen human resource capacity for nutrition programming at all levels in all sectors.
Strategy 4.3: Strengthen human resource capacity to plan, implement, monitor, and evaluate food and nutrition programmes in the country.
Interventions
1) Design and implement a capacity-strengthening plan for nutrition programming at national, local government, and community levels.
2) Establish a food and nutrition M&E system for tracking performance of nutrition indicators and for timely decision-making.
3) Conduct a national food and nutrition baseline survey to establish up-to date nutrition baseline monitoring indicators.
4) Conduct periodic district-level food and nutrition surveys in vulnerable areas and among vulnerable populations.
5) Undertake mid-term and end-of-term impact evaluation of the UNAP.
6) Strengthen district-level food and nutrition surveillance systems.
Strategy 4.4: Enhance operational research for nutrition.
Interventions
1) Conduct formative research studies on best practices for nutrition.
2) Research, document, and disseminate findings on positive indigenous dietary practices.
3) Compile food composition data for all foods consumed in Uganda.
4) Identify and conduct research relevant to scaling up food and nutrition interventions.
5) Collate and share research findings and best practices for scaling up food and nutrition in Uganda.
Objective 5: Create awareness of and maintain national interest in and commitment to improving and supporting nutrition programmes in the country.
Strategy 5.1: Increase awareness of and commitment to addressing nutrition issues in the country.
Interventions
1) Develop and implement a nutrition communication strategy.
2) Produce annual policy statements and periodic policy briefs on the national food security and nutrition situation.
3) Commemorate nutrition-related events and take advantage of other opportunities to raise the profile of nutrition.
Strategy 5.2: Advocate for increased commitment to improving nutrition outcomes.
Interventions
1) Develop and implement a nutrition communication strategy.
2) Develop and implement a comprehensive and sustainable nutrition advocacy plan.
3) Produce and publish an annual report on the state of the food security and nutrition situation in the country.
","Key Nutrition Outcome Indicators
1. Stunting among under-5s: baseline 38%, target 32%
2. Underweight among under-5s: baseline 16%, target 10%
3. Underweight among non-pregnant women age 15-49 (BMI less than 18.5 kg/m2): baseline 12%, target 8%
4. Iron deficiency anemia among under-5s: baseline 73%, target 50%
5. Iron deficiency anemia among women age 15-49: baseline 49%, target 30%
6. Vitamin A deficiency among under-5s: baseline 19%, target 13%
7. Vitamin A deficiency among women age 15-49: baseline 20%, target 12%
8. Low birth weight (newborns weighing less than 2.5 kg: baseline 13%, target 9%
9. Exclusive breastfeeding to age 6 months (percentage of infants): baseline 60%, target 75%
10. Dietary diversification index (percentage calories consumed from foods other than cereals and starchy roots): baseline 57%, target 75%
11. Calorie consumption (average daily energy intake per capita): baseline 2,220 kcal, target 2,500 kcal
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Vitamin A deficiency|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Nutrition in schools|Provision of school meals / School feeding programme|Home grown school feeding|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Food fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Staple foods|Biofortifcation|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition sensitive actions|Food security and agriculture|Health related|Social protection related","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202011%20Uganda%20Nutrition%20Action%20Plan.pdf" "36037","TZA","United Republic of Tanzania","","Tanzania Agriculture and Food Security Investment Plan (TAFSIP) ","Food security or agriculture sector national policy, strategy or plan with nutrition components","","English","","2011","","2021","","10","2011","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Social welfare|Finance, budget and planning|Development|Trade|Industry|Sub-national|Other","Inter-Ministerial Coordinating Committee (ICC),","Food and Agriculture Organisation (FAO)","","","","","","","","","","","","Private sector","","Other","communities, farmer organizations","Goal: contribute to the national economic growth, household income and food security in line with national and sectoral development
aspirations growth, household income and food security in line with national and sectoral development aspirations
Objective: rationalise allocation of resources to achieveannual 6 percent agricultural GDP growth, consistent with national objectives to reduce ruralpoverty and improve house hold food and nutrition security
Strategic objective: Enhanced household and national food and nutrition security
","4 THE INVESTMENT PLAN
4.3 Priority Investment Areas
4.3.5 Food and Nutrition Security
109. Food and nutrition security takes a number of forms, all of which affect the quality of life and productivity of rural people. Chronic, transitory and emergency food insecurity due to poor agricultural productivity, food inaccessibility and natural disasters all play a role. A 2005 survey found that 15 per cent of households in selected locations were food insecure and another 15 per cent were highly vulnerable. Northern and central regions were worst affected and the level of food insecurity in some areas was high as 45 percent. Food security is highly dependent on rain-fed agriculture which also is susceptible to the vagaries of weather. Therefore there is need to promote and embark on irrigated agriculture and diversification of crops (drought resistant crops) for greater reliability of food supplies.
110. Capacity of strategic food reserves; The issue of strategic food reserves needs to consider: (i) an appropriate level of stocks to hold; (ii) transparent protocols and rules for the acquisition and release of stocks, stock rotation, and the use of financial instruments to complement physical stock-holding; and (iii) policies and procedures for dealing with food price spikes of the type currently being experienced.
111. Malnutrition is one of the most serious constraints to labour productivity and economic growth. Chronic malnutrition is also high with 38 per cent of children less than five years of age being stunted, making it one of the ten worst affected countries in the world and third worst in Africa. Over the last five years (2005 to 2010) the levels of chronic malnutrition and calorie deficiency were only reduced slightly. Malnutrition reduces labour productivity and earning potential most within the agricultural sector where physical stature and body strength are critical. In children, malnutrition often contributes to increased child mortality, and for those who survive, it diminishes their ability to grow, learn and earn a decent income as adults.
112. There will continue to be a proportion of rural households needing special support to help them achieve food security and protect them against shocks, principally droughts. It is expected that advancements in other areas of the TAFSIP will progressively reduce the number of households requiring food aid and other forms of assistance to survive. The effectiveness of targeting social safety net programmes for vulnerable groups will be sharpened, and the prevalence of child and maternal malnutrition is expected to decline. As the size and cost of the safety net programme begins to decline, more resources will be available for disaster risk management including disaster preparedness and mitigation.
113. SO5 also aims at strengthening social protection systems, particularly for the most vulnerable households by improving their food and nutrition security and asset creation while promoting human capital development through education. The National Nutrition Strategy addresses the problem of chronic malnutrition by working with multiple sectors and across government agencies. This recognises that increasing food production alone does not necessarily translate into improved nutrition outcomes. Families must also be provided with information and education about good nutrition and sanitation practices. A national school feeding program will also be supported to improve food intake and increase school attendance.
114. Small, strategic and targeted support can meet the immediate nutritional needs of vulnerable households, buffering them from asset depletion and coping strategies that undermine their long-term resilience. However, emergency support will not shift households out of poverty. Therefore additional interventions such as productive safety net and household asset protection will also be implemented. These measures support productive investment through conditional transfers that provide pathways out of poverty via rural infrastructure development, market access, agricultural productivity improvement, education, healthcare and other services.
115. The Tanzania National Food Centre (TNFC) is currently finalising the National Food and Nutrition Policy. A key policy issue is the need to ensure that significant numbers beneficiaries graduate from chronic food insecurity to enable them to advance towards becoming small-scale semi-commercial farmers under SO5; and for households to improve their knowledge about how to use increasing food availability to improve the nutritional status of their children. Increasing the rate of graduation is contingent upon the rate of progress under the other three strategic objectives and should be responsive to the needs of vulnerable households affected by natural disasters. As such, it is not advisable to prescribe the rate at which social safety net programmes can be scaled down, and to retain the capacity to respond to weather-related and other crises should circumstances deteriorate, for example through a severe and widespread drought or epidemic.
116. There is a need for better integration of dietary diversification and nutrition behavior change into all agricultural sector programmes. This recognises that simply producing more and better food is not sufficient. Rural households, especially the more vulnerable and disadvantaged ones need to understand the importance of diet in overall wellbeing and have the knowledge to use the food that they have in the best possible way. In this context there are potential tensions between policies that encourage agricultural commercialisation (often involving increased specialisation) and the need to maintain diversification of farming systems and diets.
117. Other aspects of food and nutrition policy include food safety and food fortification. Current standards of food safety need to be greatly improved including microbiology, pesticide residues, labelling standards and safe storage and transport. The new food fortification standards for oil, wheat and maize flour need to be enforced. The development and enforcement of standards needs to be balanced with public education on safe food handling practices. This is also important in accessing export markets and will be increasingly important in maintaining a competitive position in the high end of the domestic market. In addition to the above, the following priority areas will be addressed: (i) finalization and implementation of nutrition strategy; (ii) establishment of high level nutrition steering committee in the Mainland ; (iii) effective 2012 designate budget line in the national budget for nutrition; (iv) stronger integration of nutrition into agricultural activities; (v) establishment of nutritional focal point at district level; and finalization and implementation of guidelines related to food fortification. The outcomes that SO4 is expected to influence, and the milestone indicators showing progress towards these outcomes are as well reflected in Annex 1.
","
3.1.5. Prevention of mother to child transmission
Priority strategies:
ii. Providing technical guidance to optimize quality pediatric HIV prevention, care nutrition support
and treatment services
3.2.1. Antiretroviral therapy
Priority strategies:
v. Provide nutrition for malnourished people living with HIV (PLHIV), children and infants
3.3.1 Vulnerable households and Individuals
Priority strategies:
iii. Provide food and material support to incapacitated vulnerable households (e.g. because of
physical or life-cycle status)
iv. Promote small scale sustainable community or households agricultural projects that will
improve household food security. Some of the livelihood initiatives would be more of income
generating activities
v. Prioritise food assistance to food insecure households with chronically ill adults and children
3.3.2 Orphans and vulnerable children
Priority strategies
ii. Provide education, psychosocial and material support nutrition, and shelter, and a caregiver to in and out- of- school female and male OVC
","Annex 1. The NASF Results Framework
D) MITIGATION
Outcome result:
Vulnerable households and food security
[OC17] More people receive comprehensive and quality care at home and in the community. Female and male aged 15-59 who either have been very sick or who died within the last 12 months after being very sick whose households received certain free basket external support to care for them within the last year increased from 41% in 2009 to 50 % in 2013 and 60 % by 2015.
Output result
[OP44] Households with vulnerable persons who received all three types (medical, emotional, and social/material) of support in the last year increased from 5.5% in 2007 to 10% in 2013 and 20% by 2015
[OP45] Females and males adult PLHIV who are clinically malnourished and who received nutritional support increased from 15% in 2007 to 25% in 2013 and to 50% in 2015.
","","","Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202010%20National%20AIDS%20Strategic%20Framework.pdf" "17771","MLI","Mali","","Politique Nationale de Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2012","","2021","Ministère de la Santé","","2013","Adopted","","2012","","Nutrition council|Health|Food and agriculture|Education and research|Development|Environment|Other","Ministère de l'éducation et de l'alphabétisation et des langues nationales","Food and Agriculture Organisation (FAO)|Other|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","","","","","L’objectif général de la Politique Nationale de Nutrition (PNN) est de contribuer à assurer à chaque malien un statut nutritionnel satisfaisant pour son bien-être et pour le développement national.
Les objectifs spécifiques, ci-après listés, sont ciblés d’ici 2021:-
4.1. Stratégies
4.1.1. Surveillance de la croissance et du développement de l’enfant
4.1.2. Alimentation du nourrisson et du jeune Enfant
4.1.3. Lutte contre les carences en micronutriments
4.1.4. Prévention des maladies chroniques liées à l’alimentation
4.1.5. Nutrition scolaire
4.1.6. Production alimentaire familiale à petite échelle et transferts sociaux
4.1.7. Communication pour le Développement (CPD)
4.1.8. Renforcement de la participation communautaire en faveur de la nutrition
4.1.9. Systèmes d’Information en matière de nutrition (SIN)
4.1.10. Recherche Appliquée et formation en nutrition
4.1.11. Promotion de la sécurité sanitaire des aliments
4.1.12. Préparation et réponse aux situations d’urgence
4.1.13. Intégration Systématique des objectifs de Nutrition dans les politiques et programmes de développement et de protection sociale
4.1.14. Renforcement du cadre institutionnel
","
Indicateurs (Unités, Situation initiale 2010, Objectifs en 2015, Objectifs en 2017)
Autres indicateurs de suivi et d’évaluation de la politique nationale de nutrition
Impact
Indicateurs (Périodicité de collecte, Sources)
Pratiques alimentaires
Indicateurs (Périodicité de collecte, Sources)
Couvertures
Indicateurs (Périodicité de collecte, Sources)
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition counselling on healthy diets|Vitamin A|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Conditional cash transfer programmes","","","https://extranet.who.int/ncdccs/Data/MLI_B14_POLITIQUE%20NATIONALE%20DE%20NUTRITION_version%20finale%20du%2019%20FEV%202013%20%20avec%20Preface%2006%20SEPT%202013.pdf","WHO 2nd Global Nutrition Policy Review 2016-2017","" "11531","NPL","Nepal","","Multi-sectoral Nutrition Plan For Accelerating the Reduction of Maternal and Child Under-nutrition in Nepal","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","2017","GOVERNMENT OF NEPAL National Planning Commission","4","2012","","","","","Development|Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Industry|Sub-national|Urban planning|Women, children, families","Secretary Ministry of Local Development, Secretary Ministry of Education, Ministry of Environment, Secretary Ministry of Finance, Secretary Ministry of Agriculture and Cooperatives, Secretary Ministry of Health and Population, Secretary Ministry of Commerce and Supplies, Nutrition and Food Security Steering Committee - District Level, VDC Level and Municipal Level, Secretary Ministry of Physical Planning and Works, Secretary Ministry of Women Children and Social Welfare","","","","","","","","","","","","","","","","","
Goal:
The longer-term vision of the multi-sectoral nutrition plan, over the next ten years, is to embark the country towards significantly reducing chronic malnutrition to ensure that it no longer becomes an impeding factor to enhance human capital and for overall socio-economic development. The goal over the next five years is to improve maternal and child nutrition, which will result in the reduction of MIYC under-nutrition, in terms of maternal Body Mass Index (BMI) and child stunting, by one third.
Outcomes:
Outcome 1: Policies, plans and multi-sectoral coordination improved at national and local levels.
Outcome 2: Practices that promote optimal use of nutrition ‘specific’ and nutrition ‘sensitive’ services improved, leading to enhanced maternal and child nutritional status.
Outcome 3: Strengthened capacity of central and local governments on nutrition to provide basic services in an inclusive and equitable manner.
Activities:
1.1. Raise nutrition profile among ministries
1.2 Advocate with Ministries for prioritizing nutrition in their plans, and for including core nutrition specific and sensitive indicators
1.3 Incorporate nutrition in the national and sectoral plans, and include nutrition specific and sensitive monitoring and evaluation framework
1.4 Update National Nutrition Policy and Strategy, including M&E framework in line with the MSNP
1.5 Incorporate nutrition aspects in local plans and planning process, including nutrition specific and sensitive M&E framework
2.1 Establish/ strengthen secretariat for supporting the nutrition and food security initiatives within the NPC
2.2 Establish effective communication to improve coordination
2.3 Form multi-sectoral steering committees at local level
3.1 Implement/scale up maternal infant and young child feeding through a comprehensive approach
3.2 Maintain/expand programmes to improve maternal infant and young child micronutrient status
3.3 Scale up and manage infant and child severe acute malnutrition
3.4 Update health sector nutrition related acts, regulations, policies, strategies, standards, guidelines and nutrition training packages (including establishment of National Nutrition Centre)
3.5 Institutional strengthening of the health sector
4.1 Nutrition integration with life-skills education to adolescent girls, with a focus on improving maternal and child nutrition and on reducing chronic malnutrition (create an enabling environment)
4.2 Raise adolescent girls’ knowledge and skills on reduction of chronic malnutrition
4.3 Prepare/update resource materials on parenting education for improved child care and feeding practices
4.4 Organize programmes to enhance parental knowledge on maternal and child care and feeding practices
4.5 Develop mid-day meal to adolescent girls (grades 5 to 8) to enhance their school performance and participation
4.6 Provide nutritional support to adolescent girls (IFA with deworming to all and schools meals in the targeted areas) to increase their educational participation and performance (grades 5-8)
5.1 Organise promotional campaigns to increase practices on hand washing with soap at critical times, especially among adolescents, mothers with infants and young children
5.2 Conduct Open Defecation Free campaigns, with a particular focus among the most affected districts
5.3 Raise awareness on water safety plan and use of safe water at the point of use, with a particular focus on the most affected areas
6.1 Provide targeted support to make MN rich food available, including animal source foods, at households and community levels
6.2 Recipe development and promotion of MN rich minor/indigenous crops.
6.3 Link up programs to increase income and MNrich foods consumption among adolescent girls, pregnant and lactating mothers and children less than 2 years age from lowest quintile
6.4 Provide support for clean and cheap energy to reduce Women’s workload
6.5 Revise existing child cash grants mechanism (from pregnancy to U2 years children) based on review of the existing evidence to reduce maternal malnutrition and child stunting
7.1Build/facilitate for staff capacity development at central and local level
7.2 Carry out organisation and management assessment of the sectors for organisational strengthening
7.3 Establish uniform and results based reporting system
7.4 Review indicators in PMAS and DPMAS to incorporate MSNP key indicators
7.5 Carry out routine and joint sectoral monitoring of implementation
7.6 Establish monitoring framework and mechanisms at local levels (DDC and other line agencies)
7.7 Allocate institutional responsibilities for nutrition at all levels
8.1 Link/Update nutrition information at central level (PMAS, HMIS, EMIS, WASH, Agriculture and Local Development)
8.2 Link/Update nutrition information in DPMAS at local levels DDC, municipality; and health, education, WASH, agriculture and NGOs
","
M & E Indicators included in the Action Plan
","Outcome indicators","","Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Complementary feeding|Minimum acceptable diet|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Fat reduction (total, saturated, trans)|Vitamin A|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Food fortification|Wheat flours|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Improved hygiene / handwashing|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NPL%202012_MSNP_Vol-I%281%29.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/NPL%202012_MSNP_Vol-I%281%29.pdf" "40064","BEN","Benin",""," Stratégie nationale pour l’alimentation du nourrisson et du jeune enfant 2015-2019","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2014","","2019","Ministère de la santé","7","2015","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Trade","","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","CARE|Catholic Relief Services|Other, please specify under further details|Plan International|Terre des Hommes","Borne Fonden","US Agency for International Development (USAID)","","","","National NGOs","","Research/academia","Université d'Abomey CalaviIRSP","","","","","Objectif général
Améliorer par une alimentation optimale, l’état nutritionnel, la croissance, le développement, la santé et la survie du nourrisson, du jeune enfant et de la mère en vue de contribuer à la réduction de la mortalité infanto juvénile.
Objectifs spécifiques
Axe stratégique 1 : Promotion d’une alimentation appropriée du nourrisson et du jeune enfant
L’Allaitement Maternel Exclusif
Alimentation complémentaire.
Pour que ses besoins nutritionnels soient satisfaits, il faut donc que les aliments complémentaires soient :
Axe stratégique 2: Alimentation du nourrisson et du jeune enfant en situations particulières y compris dans le contexte du VIH
Axe stratégique 3: Promotion de l’alimentation de la mère
Effet UNDAF 3: D’ici 2018, les populations les plus vulnérables utilisent les services sociaux de base de qualité (éducation, santé, sécurité alimentaire, eau et assainissement) ainsi que des services financiers adaptés.
Produit 3.1 : Les populations les plus vulnérables ont accès à un paquet de services essentiels de santé de qualité définis selon les normes nationales.
Produit 3.3 : Les ménages atteignent un niveau de sécurité alimentaire acceptable
Produit 3.4 : Les populations vulnérables ont accès à l’eau potable
","3. Les ménages atteignent un niveau de sécurité alimentaire acceptable : depuis plusieurs années, la couverture des besoins alimentaires nationaux est en partie assurée par un important volume d’importations, essentiellement constituées de produits carnés, traduisant la forte dépendance à l’extérieur ; d’où la nécessité de la relance de la production nationale. Les capacités des femmes seront renforcées étant donné leur important rôle dans le secteur agricole en général et en particulier dans la culture de production subsistance et dans l’alimentation. Le SNU accompagnera le renforcement des capacités techniques, logistiques et humaines du secteur agricole et halieutique, par l’encadrement des producteurs au niveau départemental et par l’appui à la diversification de leurs activités.
4. Les populations vulnérables ont accès à l’eau potable : L’accès à l’eau de boisson est un défi majeur au Congo. Malgré quelques progrès réalisés ces dernières années, des disparités existent toujours selon le milieu de résidence et les départements, et les risques d’exposition aux maladies d’origine hydrique (diarrhées, choléra) demeurent importants, au regard du faible accès à l’eau potable et des faiblesses des services d'assainissement, notamment dans les zones rurales et périurbaines. La fréquence des épidémies (choléra, poliomyélite…) enregistrées au cours de ces trois dernières années en est une excellente illustration. De ce fait, le SNU accompagnera techniquement le gouvernement dans l’amélioration de la fourniture et de la surveillance de la qualité de l’eau potable fournie aux populations.
","Taux de mortalité maternelle. Baseline : 426/100 000 Cible : 390/100 000
Taux de mortalité infantile. Baseline : 81décès pour 1000 naissances vivantes Cible : 56décès pour 1000 naissances vivantes
Taux de malnutrition chronique. Baseline : 24,4% ; Cible : 20,0%
Taux d’accès à l’eau potable. Baseline : 32% dans les zones rurales et 65%en milieu urbain ; Cible : 95%
Proportion des formations sanitaires offrant un paquet de services essentiels de santé complet. Baseline : 30% ; Cible : 90%
Pourcentage de la population qui utilise le paquet de services essentiels. Baseline : 20% ; Cible : 60%
Pourcentage des ménages ayant bénéficié d’un appui pour compléter leur ration alimentaire (jardins potagers, petit élevage, etc.).
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COG%202014%20UNDAF.pdf" "23523","GIN","Guinea","","Plan Stratégique Multisectoriel d'Alimentation et de Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","5","2014","","2016","Ministère de la Santé et de l'Hygiène Publique","5","2014","Adopted","5","2014","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Environment|Industry|Information|Sub-national","Comité national de suivi de la CINAlliance guinéenne pour la fortification des aliments Conseil national de sécurité alimentaire Agence nationale de développement agricole et de sécurité alimentaire, Division alimentation et nutrition)","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Action Against Hunger (AAH) / Action contre la faim (ACF)|Helen Keller International (HKI)|Terre des Hommes","","Other|Japan International Co-operation Agency (JICA)|The World Bank","","European Union","","","","","","Private sector","","","","3.2 Objectifs du plan stratégique national de nutrition et alimentation
Le but de ce plan est de faire reculer la sous-alimentation et la malnutrition ainsi que leurs conséquences socio-sanitaires.
Les objectifs spécifiques d’ici à fin 2016 sont de:
3.4.2 Approche stratégique 2 : La sécurité nutritionnelle des groupes vulnérables
7. Promotion de l’alimentation de la mère et de l’enfant
12. Supplémentation alimentaire aux groupes vulnérables – enfants de 24 à 59 mois, personnes âgées, malades, population carcérale, enfants dans la rue, réfugiés, soudure rigoureuse, PVVIH
15. Supplémentation en micronutriments (Fer Acide folique, Vit A, Zinc, Calcium…) des femmes enceintes et allaitantes, femmes de 15 à 45 ans, enfants scolarisés et non scolarisés de 1 à 14 ans
3.4.3 Approche stratégique 3 : L’Accès universel à la prise en charge holistique des cas de malnutrition
3.4.4 Approche stratégique 4 : La Formation, la recherche et le développement pour la sécurité alimentaire et nutritionnelle
Further detail on activities per strategies can be found in tables P20-25
","
Goal
The goal of the multisectoral action plan is to reduce preventable morbidity, avoidable disability and premature mortality due to NCDs in Nepal.
Targets
","
Adopt breast feeding promotion and protection regulation
","
Indicator 1: Unconditional probability of dying between ages of 30 and 70 from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases
Indicator 6: Age-standardized mean population intake of salt(sodium chloride) per day in grams in persons aged 18+years
Indicator 7: Age-standardized prevalence of raised blood pressure among persons aged 18+ years (defined as systolic blood pressure > 140 mmHg and/or diastolic blood pressure >90 mmHg) and mean systolic blood pressure
Indicator 8: Age-standardized prevalence of raised blood glucose/diabetes among persons aged 18+ years (defined as fasting plasma glucose concentration > 7.0 mmol/l (126 mg/dl) or on medication for raised blood glucose)
Indicator 16: Adoption of national policies that limit saturated fatty acids and virtually eliminate partially hydrogenated vegetable oils in the food supply, as appropriate, within the national context and national program
Indicator 17: Age-standardized prevalence of persons (aged 18+ years) consuming less than five total servings (400 grams) of fruit and vegetables per day
Indicator 18: Age-standardized prevalence of raised total cholesterol among persons aged 18+ years (defined as total cholesterol >5.0 mmol/l or 190 mg/dl); and mean total cholesterol concentration
","Outcome indicators","","International Code of Marketing of Breast-milk Substitutes|Fat intake|Saturated fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Monitoring of the Code|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food-based dietary guidelines (FBDG)|Promotion of fruit and vegetable intake|Food labelling|Fats|Salt/sodium|Taxation on unhealthy foods|Subsidies on healthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle","","http://www.searo.who.int/nepal/mediacentre/ncd_multisectoral_action_plan.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NPL%202014%20NCD%20Multisectoral%20Action%20Plan.pdf" "24482","NER","Niger","","Plan cadre des Nations Unies Pour l’assistance au développement (UNDAF)","Non-national nutrition policy document","","French","","2014","","2018","UN Country Team of Niger","","2014","","","","","Health|Education and research|Women, children, families|Development|Justice|Other","Intérieur","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IAEA, CEA, IOM, UN Women, UNCDF, PNUD, UNEP, UNOPS, UN Habitat, ONUD","Other","","Other|Japan International Co-operation Agency (JICA)","USA, Belgique, France","European Union","","National NGOs","","","","Private sector","","","","
Effet 1. D’ici à 2018, les ménages vulnérables et les communautés ciblés augmentent leur résilience en matière de sécurité alimentaire et nutritionnelle, d’environnement, de catastrophes et d’inclusion socio-économique
Produit 1-2 : Les ménages vulnérables ciblés utilisent les services de prévention et de soins et les bonnes pratiques en vue d’améliorer leur nutrition
Produit 1-3 : Les ménages vulnérables dans les zones d’intervention ont accès à des filets sociaux et des programmes de relèvement adaptés
Effet 2. D'ici à 2018, les institutions nationales, régionales et locales appuyées utilisent des systèmes et mécanismes adaptés pour la prévention/gestion des risques/ catastrophes, la gestion durable de l’environnement et de la sécurité alimentaire
Produit 2-3 : Les institutions de vulgarisation nationales, régionales et locales soutenues disposent de capacités renforcées de transfert de compétences pour améliorer la production agro-pastorale et l’état nutritionnel des populations
","24. La stratégie du SNU consistera à apporter un appui-conseil au Gouvernement, à renforcer les capacités des acteurs, à développer un plaidoyer en faveur de la mobilisation des ressources et à inciter les pouvoirs publics à formuler et à mettre en oeuvre des politiques et programmes appropriés dans ses secteurs d'intervention.
25. Dans cette perspective, le SNU contribuera à l’amélioration de la sécurité alimentaire et nutritionnelle, de l'accès aux moyens de subsistance et de la gestion des ressources naturelles. Le SNU propose de faciliter aux ménages vulnérables un meilleur accès aux intrants (services financiers, eau, engrais, semences améliorées, équipements, appui-conseil/vulgarisation/encadrement, intrants zootechniques, etc.), aux marchés et aux infrastructures de stockage et transformation ainsi qu'à l'énergie, dans une approche de sauvegarde d'un environnement sain et d’atténuation des impacts du changement climatique. Le SNU veillera également à renforcer l’implication des acteurs des chaînes alimentaires et des institutions pour permettre l’adoption des bonnes pratiques limitant les pertes post-récoltes (infrastructures qualité).
26. L’amélioration de l’état nutritionnel des enfants et des femmes implique nécessairement : i) le renforcement et l’extension de couverture des services de prévention, de soins et de prise en charge de la malnutrition aiguë et chronique ; ii) la diversification de leur alimentation et la correction des carences nutritionnelles spécifiques (micronutriments) ; iii) l'application des pratiques familiales essentielles pour la survie et le développement de l’enfant (lavage des mains, allaitement maternel, espacement des naissances, utilisation des moustiquaires imprégnées, etc.) ; iv) l’amélioration de l’accès à l’eau potable et l’assainissement.
27. Le SNU facilitera également l'accès des ménages vulnérables, y compris les ménages non agricoles, à des filets sociaux de sécurité adaptés (transferts conditionnels et inconditionnels d’espèces, etc.), à des programmes de relèvement et de restauration des moyens d’existence diversifiés (AGR, etc.), à des opportunités économiques, à des emplois décents et à des connaissances utiles et pratiques pour promouvoir le changement social et de comportement et rehausser le niveau de leur résilience. Le SNU renforcera aussi les capacités du Dispositif National de Prévention et de Gestion des Catastrophes et des Crises Alimentaires (DNPGCCA) et des institutions nationales compétentes pour assurer une meilleure efficacité dans le domaine de la prévention et de la gestion des crises alimentaires et des catastrophes.
","1.1 Taux de prévalence de l’insécurité alimentaire sévère et modérée pour les ménages (désagrégé par sexe)
1.2 Taux de prévalence de la malnutrition aiguë et chronique
1.5 Pourcentage des ménages des zones vulnérables à l’insécurité alimentaire bénéficiaires de filets sociaux
1.1.1 Pourcentage de ménages vulnérables à l’insécurité alimentaire utilisant les intrants agricoles (désagrégé par sexe)
1.2.1 Taux de guérison des enfants malnutris par sexe pris en charge dans les centres de récupération nutritionnelle
1.2.2 Taux de couverture des enfants en vitamine A
1.2.3 Pourcentage de ménages assurant la diversification de l’alimentation des enfants (désagrégé par milieu de vie)
1.2.4 Pourcentage de mères pratiquant l’allaitement maternel exclusif pendant les 6 premiers mois dans les localités ciblées
1.3.2 Pourcentage des ménages vulnérables bénéficiant de programmes de restauration et de développement de moyens d'existence
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Vitamin A deficiency|Vitamin A|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Improved hygiene / handwashing|Conditional cash transfer programmes","","http://www.uncclearn.org/sites/default/files/niger_undaf.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202014%20UNDAF.pdf" "39754","PAK","Pakistan","Balochistan","Balochistan –An Inter-Sectoral Nutrition Strategy","Sub-national nutrition policy document","","English","","2014","","","planning and development department Government of Balochistan","8","2014","","","","","Development","Planning and development department Government of Balochistan","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","Goal: Improving human development through enhanced nutritional status of mothers and children in Balochistan
Strategy 6: Household level capacity building to enhance quality and quantity of homestead food
6.1 Promotion of kitchen gardening and homestead food production; for ensuring family food security and safety
6.2 Capacity building on food diversification, reduction in nutrients losses during food processing, preservation and post harvest losses and improvement of market services
6.3 Improved supply of agricultural inputs and provision of subsidies
6.4 Food fortification and micronutrient supplementation
Strategy 7: Livelihood generation in the agriculture sector
7.1 TA on exploring venues of income generation through the agriculture sector
7.2 Small business enterprises,local marketing, income generation
7.3 Promotion of crops/products to meet the population’s nutritional needs (quantity &quality, diversification, food processing)
Strategy 8: Social safety nets in the agriculture sector
8.1 Establishment of food safety net for target households and communities at risk of malnutrition
8.2 Livelihood support to food insecure households (i.e., livestock,gardens, fisheries)
Strategy 9: Women-focused capacity building in agriculture sector
9.1 TA on Introduction of the concept of balanced diet in the curriculum
9.2 Capacity building of women’s groups in fruit and vegetable preservation, sericulture, floriculture, bee keeping, kitchen gardening, calf rearing, soap making, tailoring, embroidery, and home baking; toy making and other handicrafts based on local raw materials available.
9.3 Awareness sessions on healthy nutrition and use of fortified foods especially to address anaemia in women.
9.4 Adolescent girls’ education in nutrition
Strategy 10: Flour fortification and value addition
10.3 Mandatory fortification of wheat flour with micronutrients
10.4 Restart wheat flour fortification to control micronutrient deficiencies in vulnerable populations
Strategy 11: Creating a conducive legal and political environment
11.1 Review of laws and their implementing mechanisms for breast feeding, food fortification and salt iodization
11.2 Mandatory legislation on oil and ghee fortification with Vitamin A, Wheat Flour Fortification with iron and salt fortification with iodine
11.3 Advocacy to enhance political commitment and ownership in nutrition
11.4 Citizen voice: More visible face of community involvement with emphasis on vulnerable groups
Strategy 12: Human resource capacity building to raise profile of nutrition
12.3 Introduction of nutrition education in school and college curricula
12.4 Inclusion of a nutrition component in the training curricula for all cadres of health care providers
Strategy 13: Scaling up and expansion of nutrition services
13.1 Scaling up of CMAM in food insecure districts
13.2 Expansion of the salt iodization program
13.3 Expansion of wheat flour fortification with Departments of Food and Agriculture and in partnership with Wheat Flour Mills Association
13.4 Zinc/ ORS supplementation through LHW program & PPHI
13.6 Integration of nutrition in disaster and emergency plans
13.7 Initiation of local production of high density complementary foods
Strategy 14: Institutional strengthening for better management of nutrition programs
14.1 Inclusion of nutrition indicators in DHIS
14.2 Establishment of a nutrition surveillance system at hospitals, and other health- related institutions to address IDD, anemia, protein-energy malnutrition and micronutrient deficiencies.
14.3 Development of a BCC strategy to address malnutrition, the promotion of exclusive breast feeding for six months, dietary diversity for young children, intensified self-care and IYCF counselling of pregnant women and mothers at the community and facility levels
Strategy 15: Improved nutrition service delivery
-Zinc to children for treatment of diarrhoea, -Iron/folic acid supplementation, -Continued twice yearly vitamin A supplementation through NIDs and measures to increase its coverage,
-Micronutrient powder for young children, and -Increased coverage of salt iodization.
15.2 High quality dissemination of priority nutrition messages via media- and also cell phones, as part of a behavioral change strategy with a primary focus on inter-personal communication (e.g. through LHWs and NGOs)
15.3 High energy biscuits, powders, and nutrient-rich ready-to-use foods targeted to pregnant women and young children in particularly low income households as identified by LHWs.
15.4 Conditional social transfers for positive nutrition behaviours
15.5 Pilot and research studies to implement nutrition interventions (e.g. CMAM, PLW and children treatment of MAM)
Strategy 17: Services to improve access and use of safe drinking water and proper sanitation
Strategy 20: Direct nutrition support to children through education sector
Deworming for all children
Weekly iron supplement for adolescent girls
Strategy 21: Research-based advocacy on nutrition
21.1 Piloting LHW program for out of school children
21.2 TA on school feeding programs
21.3 School feeding programs and other incentives designed to increase female school enrolment and attendance
21.4 Nutrition campaigns and nutrition promotion through agents of change
21.5 Inclusion of out-of-school children through PTSMC
Child stunting (H/A <2)
Child wasting (W/H <-2)
Child underweight (W/A<-2)
Iron deficiency anemia in children
Vitamin A deficiency in children
Zinc deficiency in children
Prevalence of low birthweight (<2.5 kg) or “smaller than usual”
Pregnancy iron deficiency anemia
Maternal vitamin A deficiency
Maternal zinc deficiency ure/Food Sector Indicators
% of households “food secure”
% of children consuming at least four of seven food groups on the previous day
% of landless or small holder rural households reached in the past 6 months with assistance in garden production, small livestock or fisheries
% of commercial wheat flour-consuming households - consuming fortified wheat flour site data
% of commercial edible oil-consuming households consuming fortified edible oil
% of households consuming iodized salt (min 15 ppm)
Literacy of women
% of schools including nutrition in school curricula at any level
% of secondary schools offering life skills education and weekly iron tablets to adolescent girls
% of dwellings with piped or tubewell/boring water
% households using hygienic sanitation facilities WASH sector MIS plus NSS
% of households with soap available at the washing place (observation)
% of infants 0-6 months of age for whom breastfeeding was initiated within 1 hour of birth
% of infants aged 6-12 months of age who received exclusive breastfeeding up to six months
% of children aged 12-24 months who were introduced to complementary food between 6-8 months of age
% of mothers with a child aged 0-12 months who received any ANC during their last pregnancy
% of mothers with a child aged 0-12 months who received any micronutrient supplements during her last pregnancy
% of children aged 12-60 months who received a vitamin A supplement in the past 6 months
% of children aged 12-60 months who consumed multimicronutrient powder within the past week
% of children aged 6-60 months with diarrhea in the past 10% 20% Annual HMIS and NSS two weeks who received ORS with zinc
% of communities in pre-determined food insecure districts with functioning CMAM
% of unions covered by LHWs, CMWs, NGOs or CSOs
","Outcome indicators","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Minimum acceptable diet|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Media campaigns on healthy diets and nutrition|Vitamin A|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Food grade salt|Edible oils and margarine|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Deworming|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Improved hygiene / handwashing|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PAK%202014%20Balochistan%20MultiSectoral%20Nutrition%20Strategy_0.pdf" "39757","PAK","Pakistan","Khyber","Khyber Pakhtunkhwa Multi-sectoral Integrated Nutrition Strategy","Sub-national nutrition policy document","","English","","2014","","","Planning and Development Department Government of Khyber Pakhtunkhwa","12","2014","","","","","Development","Planning and Development Department Government of Khyber Pakhtunkhwa","","","","","","","","","","","","","","","","","
The provincial nutrition strategy aims to improve population nutrition wellbeing. It focuses on remedial measures for addressing nutritional issues that have not only been adversely affecting the behvioural, cognitive, scholastic, physical performances but have also been increasing morbidity and mortality and impairing socioeconomic development. The role of nutrition in health and socioeconomic development has been well established and recognized. Avoiding and ignoring nutrition issues lead to a vicious cycle of health related problems along with increased sufferings of the families and that perpetuate from one generation to another in terms of health and wealth.
Strategy Outlines & Plan of Actions for DoH, Khyber Pakhtunkhwa
Target Population: Children < 5 Years, Pregnant & Lactating Women and adolescent girls
strategy 1 Improving malnutrition in children and women through BCC, CB, surveillance and management:
Strategy Outlines & Plan of Actions for Drinking Water and Sanitation, Local Government and Public Health Engineering Department, Government of Khyber Pakhtunkhwa
Strategy Outlines & Plan of Actions for Elementary & Secondary Education (E&SE) Department, Government of Khyber Pakhtunkhwa
Strategy Outlines and Plan of Actions for the Department of Industry, Commerce and Technical Education, Government of Khyber Pakhtunkhwa
6.2. Objectif Général
L’objectif général du Plan National Multisectoriel pour la Nutrition 2016-2020 est
d’améliorer le statut nutritionnel de la population.
6.3. Objectifs Spécifiques
6.4. Objectifs Sectoriels
Objetivo
Garantizar el derecho a la salud de todas las personas mediante un Sistema Nacional de Salud integrado, sólido, que fortalezca sostenidamente lo público y regule efectivamente lo privado, con un abordaje de determinación social de la salud y la aplicación plena de la estrategia de APS-I, sumando esfuerzos hacia la cobertura universal de salud, el acceso universal a la salud, búsqueda constante de la equidad y de un ambiente sano y seguro, a través de la promoción de la salud, prevención de la enfermedad, curación y rehabilitación.
","Ejes estratégicos de la Reforma de Salud
Líneas de acción
Observatorio de la Reforma de Salud
El observatorio se constituye en la instancia ofi cial para dar seguimiento a los avances y retos del proceso de reforma del sector. Es una herramienta integrada de gestión para aportar información y conocimiento que apoye el trabajo de los responsables de políticas y los tomadores de decisiones. Tendrá como marco de referencia el proceso de reforma (10 ejes actualmente establecidos) y como marco teórico la APS-I, la determinación social de la salud y el modelo de atención en salud basado en el individuo, familia y comunidad. Líneas de acción
A l’horizon 2025, le Burundi vise :
(6) Réduction de la malnutrition jusqu’aux seuils de l’OMS soit : malnutrition chronique :<40%, Insuffisance pondérale :<25%, Malnutrition aigue : <5% particulièrement chez les populations les plus vulnérables notamment les enfants de moins de cinq ans, les femmes enceintes ou allaitantes, les personnes vivant avec le VIH et les personnes âgées.
(10) L’accès pour les jeunes de 20- 24 ans à l’éducation nutritionnelle des jeunes
","6.1.3. Domaine prioritaire III : amélioration de la santé maternelle, du nouveau-né, de l’enfant d’âge préscolaire, de l’enfant d’âge scolaire, de l’adolescent(e) et de la personne âgée.
(1) Période pré-gestationnelle:
(2) Période gestationnelle:
(3) Période de travail et de l’accouchement :
(5) Période postnatale (nouveau-né):
(6) Période de la petite enfance ( jusqu’à 11 mois):
(7) Période de l’enfance (12-59 mois)
(8) Période scolaire (6 à 10 ans): (
(9) Période de l’adolescence (10- 20 ans)
(10) Période de la jeunesse (20- 24 ans) :
6.1.4. Domaine prioritaire IV : lutte contre la malnutrition
6.1.4.1. Reduction de la malnutrition chronique chez les enfants de moins de 5 ans
6.1.4.2. Reduction de la malnutrition chez la femme en âge de procréer, surtout la femme enceinte ou la femme allaitante
6.1.4.3. Amélioration de l’état nutritionnel des autres groupes vulnérables (PVVIH, orphelins,…)
% d’enfants < 5 ans souffrant de malnutrition chronique
","Outcome indicators","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood glucose/diabetes|Raised blood pressure|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron and folic acid|Micronutrient supplementation|Food fortification|Nutrition education|Food grade salt|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Nutrition & infectious disease|Household food security|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202016%20National%20Health%20Policy.pdf" "24483","SWZ","Eswatini","","Swaziland United Nations development assistance framework (UNDAF)","Non-national nutrition policy document","","English","","2016","","2020","UN country team of Swaziland","","2016","","","","","Health|Finance, budget and planning|Development|Urban planning|Justice","","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UNODC","Other","","Other|The World Bank","PEPFAR","European Union","","","","Research/academia","","Private sector","","","","Outcome 2.2
Families and communities’ access to and uptake of integrated, quality health and nutrition services increased by 2020
Output 2.2.2:
Ministry of Health enabling environment for planning and coordination strengthened
Output 2.2.4:
Children under five, pregnant and lactating women have improved access to nutrition interventions
Output 2.3.2:
Health sector capacity to deliver quality HIV treatment care and support services strengthened
","Building on the support provided under the previous UNDAF, the UN system will assist the Ministry of Health (MOH) to strengthen its capacities and those of its partners to deliver essential health and nutrition packages on maternal, child and adolescent health services and continue to support integration of HIV into health programmes. The UN will also focus on strengthening the regulatory environment for nutrition, including strengthening capacities of multi-stakeholder forums using lessons and best practice available via South-South learning.
The capacity of the MOH and its partners to implement the National Health Sector Strategic Plan II and contribute to the attainment of Universal Health Coverage (UHC) will be enhanced. The UN will also work with key Government institutions and partners to develop and deliver a comprehensive package of nutrition interventions, including positive WASH practices and Community-led Total Sanitation, contributing towards Open- Defecation Free (ODF) communities. Particular attention will be paid to vulnerable populations, children under-five years, pregnant and lactating women, with combined efforts to prevent stunting.
","Indicator: Percentage of children 0-6 months old exclusively breastfed
Indicator: % of children aged 6-23 months receiving a minimum meal frequency of complementary foods
Indicator: % of population practicing open defecation (ODF)
Indicator: Unconditional probability of dying between ages of 30 and 70 from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases
Indicator: Key health and nutrition policies and strategies49 developed, approved and operationalized
Indicator: Key health and nutrition acts amended and enacted50
Indicator: Proportion of pregnant and lactating women receiving iron supplementation
Indicator: Proportion of children aged 6 -59 months receiving Vitamin A supplementation
Indicator: # of households oriented in community led total sanitation (CLTS) approach in targeted regions
Indicator: Number of eligible HIV and TB clients accessing nutrition services at health facilities.
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Vitamin A deficiency|Complementary feeding|Minimum acceptable diet|Vitamin A|Iron|HIV/AIDS and nutrition|Improved hygiene / handwashing|Water and sanitation","","http://sz.one.un.org/content/dam/unct/swaziland/docs/Final%20Swaziland%20UNDAF%202016%20-%202020_11_March_2016%20(Electronic%20copy).pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SWZ%202016%20UNDAF.pdf" "39359","ETH","Ethiopia","","Health Sector Transformation Plan","Health sector policy, strategy or plan with nutrition components","","English","","2016","","2020","Ministry of Health","","2016","Adopted","","2016","FMOH","Cabinet/Presidency|Health|Education and research|Finance, budget and planning|Development|Labour|Other","Ministry of Capacity Building","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","International NGOs","","","","","National NGOs","","","","","","","","","
Strategic Initiatives:
Nutrition
8. Scale-up community-based nutrition (CBN) program and the first 1000 days initiative
9. Implement the Sequota declaration of ending child under nutrition
10. Implement Baby-friendly hospitals initiative in all hospitals
","
Reduce childhood stunting, wasting and under-weight in under-5 year from 40%, 9% and 25% to 26%, 4.9% and 13%, respectively
Increase proportion of children ages 6-59 months who received vitamin A supplementation to 95%
Increase availability of quality assured iodized salt to 100%
Increase proportion of under 5 children with regular growth monitoring to 95%
More indicators in table on p. 165 (Nutrition) and p. 169 (NCDs)
","","","Baby-friendly Hospital Initiative (BFHI)|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Vitamin A deficiency|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Sodium/salt intake|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Physical activity and healthy lifestyle|Vitamin A|Micronutrient supplementation|Food safety|Vaccination","","www.moh.gov.et","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202016%20Health%20Sector%20Transformation%20Plan.pdf" "40054","LSO","Lesotho","","Lesotho Food and Nutrition Policy (LFNP) 2016-2025","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2025","Food and Nutrition Coordinating Office","","2016","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Trade|Industry|Other","Food and Nutrition Coordinating Office (under the Prime Minister’s Office), Ministry of Local Government, Ministry of Water, Ministry of Gender, Youth, Sports and Recreation, Disaster Management Authority, Food Management Unit, National AIDS Commission","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","NGOs (unspec.), community volunteers","","","","","National NGOs","","","","","private education institutions","","","2.3. Goal
To attain optimal nutritional requirements for the improvement of health status among the population of Lesotho, enabling them to contribute effectively to national socio-economic growth and development.
3.1. Policy Objectives
Objective I. Nutrition-Specific Programming
1. To ensure that women of child-bearing age and during the neonatal period consume a diet that provides adequate nutrients appropriate for their physiological needs
2. To ensure that all infants and young children 0-59 months of age in Lesotho are appropriately fed
3. To ensure optimal nutrition for school-age children and adolescents
4. To ensure prevention, treatment and management of acute malnutrition according to IMAM guidelines
5. To ensure prevention and control of diet-related non-communicable diseases and ensure a healthy lifestyle.
6. To ensure that all people in Lesotho have adequate micronutrient status
7. To ensure that nutrition aspects are strengthened in all TB and HIV and AIDS prevention, treatment and care programmes.
Objective II. Nutrition-Sensitive Programming
1. To achieve reliable production, supply and utilisation of a variety of safe, adequate, affordable and nutritious foods at all times, the Government shall aim to promote climate-smart technologies
2. To ensure that multiple micronutrients are added to staple and other regularly consumed foods
3. To enact and implement appropriate legislation and other regulatory frameworks to ensure that safe and high quality food is available at all times
4. To expand the coverage of social protection programmes, target nutritionally vulnerable groups and strengthen the quality of service provision
5. To ensure that all children in Early Childhood Care and Development (ECCD) centres and primary schools get adequate nutrition and that nutrition education is covered in curricula from ECCD to institutions of higher learning
6. To ensure that all households and other institutions in Lesotho can live in conditions of good environmental health.
Objective III. Enabling Environment
1. Nutrition capacity building
2. Nutrition research, to ensure coordinated, regulated and appropriately prioritised nutrition research that contributes to and supports policy objectives, poverty reduction and strategy reviews.
3. Institutional framework, to facilitate coordination and harmonisation of all nutrition-related policies and programmes in order to avoid duplication, ensure optimal use of scarce resources and ensure standardisation of operations by all public and private entities
4. Budget - Efficient allocation and use of resources for implementation of LFNP
5. Common Results Framework - Monitoring and evaluation of nutrition programmes.
3.2. National Nutrition Targets to be achieved by 2025
Based on WHA global targets, the following national targets have been formulated for the LFNP to be achieved by 2025:
1. Stunting among children 6-59 months of age will be reduced to a prevalence of 23 per cent or lower
2. Anaemia prevalence among women of reproductive age (15-49 years) will be reduced to 13 per cent or lower
3. Childhood overweight will not have increased and at most will affect 7 per cent of children under five years of age
4. The exclusive breastfeeding rate during the first six months will be maintained at a level of at least 50 per cent
5. Childhood wasting will be maintained at a level below 5 per cent.
6. Low birth-weight will be maintained at a level below 5 per cent.
","
4.1. Improving Maternal Nutrition
Strategic objectives:
1. Integrate nutrition services into antenatal and postnatal care and family health packages.
2. Ensure routine iron folate supplementation and deworming.
3. Institutionalise universal maternity care.
4. Prevent malnutrition and mother-to-child transmission of HIV; ensure adherence to treatment through provision of nutrition services to women and infants.
5. Promote nutritional support for malnourished women of child-bearing age.
4.2 Promotion of Appropriate Infant and Young Child Feeding Practices
Strategic objectives:
1. Promote, protect and support exclusive breastfeeding and create an enabling environment that includes enforcement of the law on marketing breast-milk substitutes.
2. Promote efficient nutrition assessment and counselling.
3. Promote and create access to appropriate, diverse, nutritionally adequate complementary foods for children aged 6-to-24 months.
4. Support the monitoring of IYCF trends.
5. Provide essential nutrition services.
6. Advocate for the incorporation of IYCF into the curricula at all levels of formal and non-formal education systems.
4.3. Prevention, Treatment and Management of Malnutrition
Strategic objectives:
1. Promote efficient early identification, management and follow-up of acute malnutrition patients at community and health facility level.
2. Ensure availability of specialised nutrition products to treat acute malnutrition.
3. Enhance monitoring, evaluation and management of acute malnutrition programmes.
4.4. Nutrition in the General Population
Strategic objectives:
1. Facilitate the prevention and control of nutritional deficiencies through micronutrient supplementation, food fortification, food-based approaches and disease-control measures.
2. Promote behavioural practices supportive of optimal nutrition and healthy lifestyles.
4.5. Preventing and Managing Diet-Related Non-Communicable Diseases
Strategic objectives:
1. Promote consumption of healthy foods and diets, physical activity and healthy lifestyles
2. Promote programmes on prevention and management of diet-related NCDs
3. Promote screening for NCDs
4.5. Preventing Micronutrient Deficiencies
Strategic objectives:
1. Provide access to essential nutrition services, with a focus on vitamin A and iron supplementation and salt iodisation
2. Enforce micronutrient legislation
3. Support the implementation of appropriate micronutrient supplementation programmes for identified groups at risk (pregnant and lactating mothers, infant and young children, school-aged children and people living with HIV/AIDS and TB)
4. Promote the production, processing, preservation, packaging and consumption of foods rich in micronutrients
5. Develop new (and/or update existing) regulations and legislation on micronutrient fortification of both locally-produced and imported foods
6. Develop and implement a communication strategy on the importance of foods rich in micronutrients, to encourage behavioural change
7. Strengthen collaboration and linkages between communities, the GoL, NGOs and the private and informal sectors
8. Support the enforcement of food-fortification regulations and legislation
9. Advocate for the integration of routine de-worming for all populations at risk.
4.6. Nutritional Needs of Special Groups
4.6.1. Nutrition, HIV and AIDS and TB
Strategic objectives:
1. Integrate nutrition into TB, HIV and AIDS prevention, treatment and care programmes
2. Advocate for increased commitment at public, private, NGO and community levels to support nutrition, TB, HIV and AIDS programmes
3. Establish linkages between nutrition assessment care and support (NACS) in communities and livelihood programmes.
4.6.2. School-Aged Children and Adolescents
Strategic objectives:
1. Promote nutrition for optimal growth and development for school-age children and adolescents
2. Promote optimal nutrition composition of all school meals
3. Support school-based meals that contribute to improved daily attendance and reduction of dropout rates
4. Strengthen nutrition education.
5. POLICY OBJECTIVE 2: NUTRITION-SENSITIVE PRIORITY ACTIVITY AREAS
5.1. Food and Nutrition Security at National, Community and Household Level
Strategic objectives:
1. Promote utilisation of diverse, safe and nutritious foods
2. Contribute to the diversification of sustainable food production and supply-base, considering climate-smart technologies
3. Promote community nutrition programmes that support income-generating, sustainable and resilient livelihoods
4. Promote climate-smart and labour-saving technologies.
5.2. Food Fortification
Strategic objectives:
1. Promote the consumption of nutrient-enhanced foods.
2. Advocate for the provision of multiple micronutrient sachets for addition to a child’s meal before consumptions and addition to milling machines used in the community each time a pre-measured portion of grain is added.
5.3. Food Safety and Standards
Strategic objectives:
1. Improve/ensure food standards, quality and safety.
2. Develop food standards guidelines.
5.4. Caring for the Socio-Economically Deprived & Nutritionally Vulnerable
Strategic objectives:
1. Promote social protection interventions for improved nutrition
2. Promote participation by men in the provision of nutritional care and support for their families
3. Support the creation of community-based livelihood and growth-promotion programmes
4. Build capacity for the provision of nutritional care to socio-economically deprived and nutritionally vulnerable household members
5. Advocate for food and nutrition programmes directed to vulnerable groups
6. Ensure that all food packages aimed at nutritionally vulnerable groups meet nutritional standards.
5.5. Early Childhood Care and Development
Strategic objectives:
1. Improve the nutritional status of children in ECCD
2. Improve the nutritional status of children in primary schools
3. Reduce malnutrition in schools
4. Improve food and nutrition security
5. Increase knowledge on nutrition, food production and livelihood opportunities at all schools.
5.6. Water, Sanitation and Hygiene (WASH)
Strategic objectives:
1. Promote safety of drinking water, including commercially bottled water
2. Promote essential WASH practices (hand-washing with water and soap at critical times, treatment and safe storage of drinking water, and sanitary disposal of human faeces)
3. Promote water protection interventions
4. Advocate for water, sanitation and hygiene distribution services to households and other institutions.
5.7. Nutrition in Emergency Situations
Strategic objectives:
1. Strengthen nutrition early warning systems by including a food security and nutritional assessment
2. Strengthen the capacity of Government, UN agencies and NGOs to respond to nutrition and nutrition-related early warning information related to potential shocks
3. Ensure availability of specialised nutrition products, supplementary food, therapeutic food, safe drinking water and water purification commodities
4. Support integration and linkage of emergency programmes to livelihood interventions and social safety nets/transfers
5. Support infant and young child nutrition emergency principles, including breastfeeding support, essential WASH actions and access to other critical services.
","","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in school children|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Distribution of take home rations|Monitoring of children’s growth in school|School gardens|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Reformulation of foods and beverages|Creation of healthy food environment|Healthy food environment in workplaces|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Wheat flours|Maize flours|Staple foods|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LSO%202016%20Food%20and%20Nutrition%20Policy.pdf" "36034","TZA","United Republic of Tanzania","","National Multi-sectoral Nutrition Action Plan (NMNAP)","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2021","Prime Ministers Office: United Republic of Tanzania","10","2016","Adopted","10","2016","Prime Ministers Office: United Republic of Tanzania. High Level Steering Committee on Nutrition (HLSCN)","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Trade|Environment|Industry|Information|Labour|Sub-national","Prime Ministers Office: United Republic of TanzaniaTNFC","","UNICEF, WHO, UN-REACH, WFP, FAO","Helen Keller International (HKI)","PANITA, HKI, COUNSENUT","","Fhi360, Irish Aid, DFID, USAID","","","National NGOs","","","academia (SUA, MUHAS); institutions (Ifakara Health Institute), Tanzania Public Health Association - TPHA, Tanzania Diabetic Association – TDA, Tanzania NCD Alliance)","","unspecified","","","
The NMNAP’s broad goal is to accelerate scaling up of high impact multisectoral nutrition specific and nutrition sensitive interventions and creating an enabling environment for improved nutrition, to contribute to the building of a healthy and wealthy nation.
NMNAP Key targets by 2020/21
4.5 Key strategies
4.5.1 Community-centred multisectoral approach as overarching strategy
82. Acknowledging that nutrition is a crosscutting issue that requires the effective contribution of multiple actors, sectors and administrative levels, the NMNAP is based on a national multisectoral strategic nutrition framework for planning, implementation and coordination. Thus, the overarching strategy for the NMNAP is a community-centred multisectoral nutrition approach that explicitly embraces simultaneous actions for nutrition specific interventions at the level of immediate causes and nutrition sensitive interventions at the levels of underlying and basic causes of malnutrition. A multisectoral nutrition system is composed of multiple sectors (e.g. agriculture, health, WASH (water, sanitation and hygiene), education, social protection, environment); multiple levels (national, regional, Local Government Authorities and importantly the community); and multiple partners (Government, development partners – UN/multi-laterals, bilaterals, NGOs, CSOs, academia and private sector). The multisectoral community-centred strategy is based on the overwhelming scientific evidence that achieving high coverage of the evidence-based high impact nutrition interventions (Lancet Nutrition Series 2008 and 2013) requires multisectoral harmonization and collaboration with key nutrition stakeholders.
4.5.2 Supportive cross-cutting strategies
83. The overarching multisectoral approach is complemented by several supportive strategies which are relevant and applicable to each of the seven key result areas. These include: -
1) Social and Behaviour Change Communication (SBCC) for nutrition through interpersonal communication and mass media to promote adoption of appropriated behaviours and practices and commitment to achieving common results for everyone and everywhere in the country for improved nutrition. The NMNAP will use the SBCC Strategy for 2013-2018.
2) Advocacy and Social mobilization to sustain political will and Government commitment for nutrition and to mobilise adequate resources for nutrition. Social mobilisation activities are important to create awareness of the problems of malnutrition among decision makers and community members to improve nutrition. For example, a 2013 landscape analysis by TFNC found that policy makers and communities do not perceive stunting and micronutrient deficiencies as problems to be addressed. Since many of the actions in advocacy and social mobilization require behavioural, attitude and practice changes by policy makers and communities for overall societal change all types of media need to be involved. Social mobilization will also increase the participation of communities in the implementation of the NMNAP. Since the key actors for improved nutrition are households and communities ensuring their active participation of communities is a critical success factor for the NMNAP.
3) Community-Centred Capacity Development (CCCD): The development of human, institutional and organizational capacity is critical in the implementation of the NMNAP especially at the community level. Community participation in doing their own triple A processes of assessment, analysis and action can be greatly enhanced by developing the capacity of the community and that of community-based organisations to support social accountability mechanisms (see section 6.1 for definition of social accountability). Recognizing that communities constitute the greater whole of society and that they exist in relationship with society as a whole, development of capacity of communities should go hand in hand with developing capacity at the higher levels – council, district, region, national.
4) Developing functional human resource capacity: Although human resource technical capacity in nutrition is fairly adequate, functional capacity in communication skills, coordination and strategic leadership and management requires further development. System-wide development of nutrition relevant institutions, especially for TFNC as the institutional leader in the implementation of this NMNAP will be given priority. Institutionalization of the nutrition steering committees at all levels and developing their functional capacity will be further explored.
5) Aligning all stakeholders with the NMNAP through Community-Public-Private Partnerships (C-PPP) using the “three ONES principle” of ONE plan, ONE coordinating mechanism and ONE monitoring and evaluation framework, so that every stakeholder come together to tackle malnutrition and build an enabling environment for improved nutrition with equity. Capacities will be developed to conduct and manage C-PPPs as part of a collaborative leadership strategy. Forming strategic partnerships at all levels of the nutrition system will enhance coordination and accountability. Strategic collaboration, including the engagement of the private sector through implementation of appropriate principles of social and corporate responsibility, is likely to result in cost-efficiency and effectiveness and promote ownership and sustainability.
6) Delivery of quality and timely nutrition services: This NMNAP will promote the delivery of nutrition and nutrition-relevant services that are timely and of high quality. Tools will be put in place to assess the effective implementation and delivery of services, and where bottlenecks are identified, remedial and corrective measures will be adopted including legal enforcement as appropriate.
7) Mainstream equality in all the seven Key Result Areas of the NMNAP without discrimination, focusing on women, children and adolescent girls. Although generally Tanzania has made good progress in empowering women, traditional patriarchal practices remain, that favour men, including in nutrition relevant practices, and are often reflected in both formal and informal systems and institutions especially in the rural areas.
8) A resource mobilization strategy will be developed to advocate for resource allocation to the NMNAP by both Government and partners.
9) Tracking progress and operational research and development will be promoted to ensure key lessons and insights gained from the implementation of the NMNAP are learnt and used in adjusting and improving the proposed interventions at regular intervals and linking research with programmes and training. Research will also provide quality assurance, robust data on program performance and support learning. Linking research to the programmes and to training will assure evidence-based sharing of experience and intergenerational transfer of knowledge. Efforts will be made to link the implementation of the NMNAP with nutrition-relevant centres of excellence both nationally and internationally.
10) Overall planning and coordination is a key strategy to align implementation of the NMNAP to achieve far greater results than what single sectors could achieve alone.
","note: indicators are embedded in targets: see above and document, table 4, p49
","Outcome indicators","","Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight and obesity in adults|Overweight in school children|Raised blood glucose/diabetes|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Vitamin A|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Wheat flours|Staple foods|Food grade salt|Complementary foods|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Food security and agriculture|Household food security|Family planning (including birth spacing)|Nutrition and malaria|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.tfnc.go.tz/uploads/publications/en1512587132-NMNAP%202016-21.pdf ","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/1_TZA%202016%20NMNAP.pdf" "24491","ZMB","Zambia","","Zambia- United Nations Sustainable Development Partnership Framework (2016-2021)","Non-national nutrition policy document","","English","","2016","","2021","UN country team in Zambia","","2016","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Sport|Trade|Environment|Industry|Justice|Sub-national|Other","Community, Mines, Disaster management, Tourism","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, UNECA","Other","","Other|Department of International Development (DFID)|The World Bank|US Agency for International Development (USAID)","African Development Bank, Government of Sweden, Embassy of Finland","European Union","","National NGOs","","","","Private sector","","","","Outcome 1.1: By 2021, GRZ and partners deliver equitable, inclusive, quality and integrated social services
Outcome 1.2: By 2021, marginalised and vulnerable populations demand and utilise quality and integrated social services
","","
Proportion of the population with access to safe drinking water (rural, urban)
Stunting rate
Proportion of population with access to improved sanitation (urban, rural)
Children under 6 months who are exclusively breastfed
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Improved hygiene / handwashing|Water and sanitation","","http://zm.one.un.org/sites/default/files/final_zambia-united_nations_sustainable_development_partnership_framewor.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202016%20UNSDPF.pdf" "24453","BWA","Botswana","","UN Sustainable Development Framework ","Non-national nutrition policy document","","English","","2017","","2021","Government of Botswana and UN country team","12","2016","","","","","Finance, budget and planning|Development","","Food and Agriculture Organisation (FAO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","IOM, UNDP, UN Women","","","Other|The World Bank","African Development Bank","European Union","","National NGOs","","","","Private sector","","","","","
Output 1.2: Enhanced national capacities to develop integrated policies, strategies and programmes to strengthen human and social development outcomes
The UN will provide support to the development of policies, strategies and programmes to enhance human and social development outcomes paying particular attention to challenges in the supply of quality services, the demand for services, the enabling environment for quality services and strengthening accountability systems. Specific areas that will be addressed include support in the development of a comprehensive Poverty Eradication Policy and Strategy, Comprehensive Social Protection Policy and support to address challenges such as HIV&AIDS, education, health including Sexual and Reproductive Health, Gender inequality including Gender Based Violence, malnutrition, human trafficking, migration, climate change and disaster resilience.
Output 2.2: Improved capacities to plan for delivery, identify and resolve implementation challenges and account for the delivery of quality interventions to strengthen human and social development outcomes
In developing capacities to plan for delivery and resolve implementation challenges to strengthen human and social development outcomes focus will be on strengthening capacities for multi-sector, multi-level multi- stakeholder and inclusive gender mainstreamed intervention design and implementation to achieve improvements in the quality of services, services demand and utilization and strengthening the enabling environment. Emphasis will be placed on complementarities and synergies between sector-based interventions in addressing issues such as prevention of HIV among adolescents and young people, reduction of stunting, healthy lifestyles, prevention ofgender based violence, women’s economic empowerment and other objectives requiring multi-sector action. Support to district government will be key to this output.
Output 3.2: Increased institutional capacities to collect, manage, analyses, package and utilize data to improve planning, monitoring, evaluation and decision-making to strengthen human and social development outcomes.
Capacity development for the gathering, analysis and use of disaggregated data for intervention design, targeting, monitoring and evaluation will aim to strengthen access to data that facilitates vertical and horizontal coordination and accountability. Investments will be made to increase the frequency and timeliness of data collection and programme adaptation to evidence. Capacities to use administrative data complemented by data from citizens for the management of services will be strengthened. In critical services such as health care, real time monitoring systems will be promoted as possible interventions to improve the timeliness and completion of routine interventions such as nutrition.
","","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|HIV/AIDS and nutrition","","https://www.unicef.org/about/execboard/files/Botswana-UNSDF-2017-2021.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202017%20UNSDF.pdf" "26102","TCD","Chad","","National Development Plan 2017-2021","Multisectoral development plan with nutrition components","","English","","2017","","2021","Prime Minister's Office; Ministry of the Economy and Development Planning","3","2017","","","","","Cabinet/Presidency|Finance, budget and planning|Development","Ministry of the Economy and Development Planning","United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)","","","","Other|The World Bank","African Development Bank","European Union","","","","","","","","","","","","","","","Deworming|Food safety|Food security and agriculture|Water and sanitation","","http://www.imf.org/external/np/prsp/prsp.aspx#HeadingB","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TCD%202017%20National%20Development%20Plan_0.pdf" "40309","GAB","Gabon","","Politique nationale de sécurité alimentaire et nutritionnelle","Comprehensive national nutrition policy, strategy or plan","","French","","2017","","2025","Ministère de l'agriculture, de l'élevage, chargé de la mise en œuvre du programme graine","5","2017","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Urban planning|Trade|Environment|Industry|Information|Labour","Ministères en charge des mines, du pétrole et des hydrocarburesMinistère des affaires étrangères, de la francophonie et de l’intégration régionale, chargé des gabonais de l’étrangerMinistère de l’eau et de l’énergie","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","National NGOs","","","","Private sector","","","","4.5. Objectif général
L’objectif général de la PNSAN est de contribuer à l’élimination de l’insécurité alimentaire et la malnutrition sous toutes ses formes au Gabon.
4.6. Objectifs spécifiques
4.7.1. Axe stratégique 1: Amélioration de la souveraineté à travers l’accroissement durable de la production agricole animale, halieutique, cynégétique et des produits forestiers non ligneux
4.7.1.4. Objectif stratégique 4: Promouvoir des régimes alimentaires sains et durables
4.7.2. Axe stratégique 2: Accroissement des interventions spécifiques à la nutrition
4.7.2.1. Objectif stratégique 1: Améliorer la nutrition des adolescentes et des femmes en âge de procréer
4.7.2.2. Objectif stratégique 2: Améliorer l’Alimentation du Nourrisson et du Jeune Enfant (ANJE) pour prévenir la malnutrition chronique.
4.7.2.3. Objectif stratégique 3: Mettre en oeuvre les interventions de nutrition en milieu scolaire
4.7.2.4. Objectif stratégique 4: Prévenir la malnutrition chez la population en général
4.7.2.5. Objectif stratégique 5: Prévenir et gérer l'obésité.et les maladies non transmissibles liées à l'alimentation
4.7.2.6. Objectif stratégique 6: Prévenir et prendre en charge la malnutrition aigüe
6. Стратегия предусматривает поэтапное расширение охвата системой школьного питания общеобразовательных учреждений в зависимости от экономических возможностей, социального и демографического развития Республики Таджикистан и отдельных регионов.
7. Стратегия разработана с учетом возможности предоставления бесплатного питания детям из необеспеченных семей и частичного софинансирования стоимости школьного питания для семей с низким уровнем доходов.
28. Реализация стратегии будет осуществляться в соответствии с целями, задачами и основными направлениями развития системы школьного питания, определенными в концепции улучшения школьного питания в общеобразовательных учреждениях Республики Таджикистан.
29. Целью стратегии является обеспечение условий для сохранения и укрепления здоровья и совершенствования образовательных результатов учащихся через устойчивое развитие школьного питания в Республике Таджикистан.
30. Для обеспечения устойчивого развития школьного питания в Республики Таджикистане требуется решение следующих задач:
31. Решение предусмотренных настоящей стратегией задач осуществляется путем разработки и реализации краткосрочных, среднесрочных и долгосрочных программ, пилотных проектов и иных мероприятий по отдельным направлениям реализации настоящей стратегии
","32. Основными направлениями действий по совершенствованию государственной политики и нормативно-правовой базы, необходимых для решения задач устойчивого развития школьного питания в Республике Таджикистан, являются:
34. Основными направлениями действий по обеспечению стабильного финансирования для решения задач устойчивого развития школьного питания в Республике Таджикистан, являются:
36. Основными направлениями действий по обеспечению эффективной разработки и реализации государственной программы устойчивого развития школьного питания в Республике Таджикистан, являются:
37. Основными направлениями действий по расширению участия родителей и общественности в решении задач развития школьного питания, являются:
46. На первом этапе (2017 - 2018 годы) осуществляется формирование базовых условий, необходимых для развития системы школьного питания в Республике Таджикистан и решения задач, определяемых настоящей стратегией:
47. На втором этапе (2019 - 2020 годы) осуществляется:
49. На третьем этапе (2021 - 2026 годы) осуществляется:
38. Мониторинг и оценка хода реализации стратегии осуществляется с использованием следующих основных целевых индикаторов и показателей:
50. Развитие системы школьного питания в Республике Таджикистан позволит обеспечить:
Assurer la sécurité alimentaire, nutritionnelle et l’accès a l’eau potable pour tous
","Garantie d’une alimentation saine et équilibrée pour toute la population
501
La situation nutritionnelle au Benin demeure également très préoccupante. La malnutrition chronique ou retard de croissance est passée de 32 % en 2011 (EMICoV, 2011) a 34,4 % en 2014 (MICS, 2014) ; elle se situe, aujourd’hui, au-dessus de 30 %, seuil juge critique par l’OMS. D’ou la nécessite de prendre toutes les mesures nécessaires pour ≪ assurer une autosuffisance alimentaire ≫. Dans ce cadre, l’accent devra être mis sur les interventions touchant les quatre (4) piliers de la sécurité alimentaire à savoir la disponibilité, l’accès, l’utilisation et la stabilité de l’aliment a toute la population et à tout moment. De façon plus spécifique, il s’agira de : i) l’accompagnement des paysans pour augmenter leurs capacités de production d’une part mais aussi pour produire des aliments a forte potentialité nutritive afin d’éviter la dénutrition, les carences en micronutriments, mais aussi l’obésité et l’excès pondéral et ii) l’IEC sur l’alimentation et la nutrition en vue d’une meilleure utilisation des produits alimentaires disponibles.
Réduction de la malnutrition chronique et développement harmonieux de l’enfant au cours des premières années de la vie
502
Au regard de l’impact négatif et irréversible de la malnutrition chronique sur le développement psychomoteur et cognitif de l’enfant et au-delà sur le développement du capital humain, il est absolument nécessaire de prendre toutes les dispositions pour : i) la promotion des interventions nutritionnelles efficaces et rentables notamment celles du paquet d’interventions sur la fenêtre d’opportunité des 1 000 premiers jours de la vie ; ii) le renforcement des interventions relatives au développement de l’enfant au cours des premières années de la vie notamment celles liées a la stimulation, a l’apprentissage précoce et a l’éveil.
","2.1.1 – Prevalence de la sous-alimentation
2.2.1 – Prévalence du retard de croissance (indice taille/Age inferieur a -2 écarts types par rapport a la moyenne des normes de croissance de l'enfant définies par l'OMS) chez les enfants de moins de 5 ans,
2.2.2 – Prévalence de la malnutrition (indice poids/taille supérieur a +2 écarts
types ou inferieur a -2 écarts types par rapport a la moyenne des normes de croissance de l'enfant définies par l'OMS chez les enfants de moins de 5 ans, par forme (surpoids et émaciation),
","Outcome indicators","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Nutrition counselling on healthy diets|Food security and agriculture|Household food security|Food sovereignty|Water and sanitation|Vulnerable groups","","https://plan.gouv.bj/wp-content/uploads/2019/01/MPD_Plan-National-D%C3%A9veloppement_2018-2025_version-edite-.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202018%20Plan%20National%20de%20Developpement1.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202018%20Plan%20National%20de%20Developpement1.pdf" "74266","CAF","Central African Republic","","Plan stratégique MNT","NCD policy, strategy or plan with healthy diet components","","French","","2018","","2022","Minstére de la Sante Publique","","2018","","","","","Health|Development|Trade|Information","","","","","","","","","","National NGOs","","","","","","","","5.5. Cibles volontaires
Objectif stratégique 2
Réduire l’exposition aux facteurs de risques modifiables des MNT et aux déterminants sociaux sous-jacents en créant des environnements favorables à la santé.
","Axe d’intervention : 2.7 Promotion d’allaitement exclusif au sein jusqu’à 6 mois et du maintien de l’allaitement jusqu'à 24 mois.
Axe d’intervention 2.8.: Promotion d’une alimentation saine (suffisante, variée et équilibrée) chez l’enfant en milieux éducatifs
Axe d’intervention : 2.9. Développement d’un programme de communication sur la relation «Alimentation et Santé» en milieux éducatifs
2.8.: Promotion d’une alimentation appropriée à l’état de grossesse eu égard aux macro- et micronutriments en préconception et pendant la grossesse
","
3.1 Goal
Significantly and sustainably reduce the burden of malnutrition in the country with focus on most marginalized and disadvantage segments of the populations.
Objective 1: Develop enabling federal policy environment
Objective 2: Provide guidelines and protocols
Objective 3: Capacity Building to Support Provincial Programs
Objective 4: Communication, Advocacy & Public Education
Objective 5: Nutrition Lens process & Research & Development
Objective 6: National Reporting, Monitoring & Evaluation
Objective 7: Nutrition services in humanitarian emergencies
Objective 8: Platform for Coordination & Collaboration
Coordination and Implementation of Strategy and Activities
Comprehensive antenatal services for pregnant women, including provision of iron and folic acid , adequate consumption of iodized salt and screening of severe anemia along with health and nutrition counselling
Provision of balanced energy protein supplementation for key risk groups;
Maternal multiple micronutrient supplementation
Adolescent multiple micronutrient supplementation;
immunization of infants against vaccine preventable diseases
Vitamin A supplementation for children 6-59 months;
Preventative zinc supplementation via Multiple Micronutrient Powders;
Protection, promotion and support of optimal breastfeeding and complementary feeding practices
Promotion facility based delivery, lactation management, improved post-natal care;
Deworming of school and pre-school aged children
Iron-Folate Supplementation for Adolescent Girls
Fortified oils, flours and iodized salt
Nutrition counseling for key risk groups.
Proposed Nutrition Impact Objectives by 2025
Objectif Stratégique (OS) n°1 : Réduire d’au moins 20% la prévalence du retard de croissance d’ici 2021 au niveau national
OS.1.1. Réduire d’au moins 40% la prévalence du retard de croissance dans les régions de Sédhiou, Tambacounda, Kédougou, Kolda, Louga Kaffrine, Fatick, Matam, Diourbel ;
OS.1.2. Réduire d’au moins 15% la prévalence du retard de croissance dans les autres régions (Dakar, Thiès, Kaolack, Saint-Louis, Ziguinchor) ;
OS.1.4.Augmenter d’au moins 30% la proportion de femmes enceintes et allaitantes qui ont un régime alimentaire varié, diversifié, de quantité suffisante et équilibrée ;
OS.1.5. Augmenter à 20% au moins la proportion d'enfants 6-23mois qui bénéficient d'un apport alimentaire minimum acceptable.
Objectif Stratégique (OS) n°2 : Réduire de 15% la proportion d’enfants ayant un faible poids de naissance, d’ici 2021
OS.2.1. Réduire d'au moins 40% la prévalence du faible poids de naissance dans les régions Centre et Nord ;
Objectif Stratégique (OS) n°3 : Réduire à moins de 5% la prévalence de la malnutrition aigüe des enfants de 0 à 5 ans
OS.3.1. Réduire à moins de 10% la prévalence de la malnutrition aigüe chez les enfants de 0 à 5 ans dans les régions de Saint Louis, Matam, Louga, Tambacounda et Diourbel ;
OS.3.2. Réduire à moins de 5% la prévalence de la malnutrition aigüe chez les enfants de 0 à 5 ans dans les autres régions.
OS.2.2. Réduire d'au moins 20% la prévalence du faible poids de naissance dans les régions Sud, Sud-Est et Ouest.
Objectif Stratégique (OS) n°4 : Porter à 43% au moins le taux de l’Allaitement Maternel Exclusif durant les 6 premiers mois
OS.4.1. Réduire de 50% le pourcentage de femmes qui donne de l’eau en plus de l’allaitement maternel pendant les six (06) premiers mois ;
OS.4.2. Porter la mise au sein précoce (dans l’heure qui suit la naissance) à 50% au moins.
Objectif Stratégique (OS) n°5 : Réduire de 25% la prévalence de l’anémie chez les groupes vulnérables
OS.5.1. Réduire de 25% la prévalence de l’anémie chez les enfants de 6 - 59 mois ;
OS.5.2. Réduire de 25% la prévalence de l’anémie chez les adolescentes (par rapport à la situation de référence à évaluer lors des prochaines enquêtes) ;
OS.5.3. Réduire de 25% la prévalence de l’anémie chez les femmes en âge de reproduction.
Objectif Stratégique (OS) n°6 : Réduire d’au moins 20% la prévalence des carences pour les autres micronutriments (iode, zinc et vitamine A)
OS.6.1. Réduire de 20% la carence en zinc chez les enfants de moins de 5 ans ;
OS.6.2. Réduire d’au moins 20% la prévalence de la carence en iode chez les FAR ;
OS.6.3. Réduire d’au moins 20% la prévalence de la carence en iode chez les FE ;
OS.6.4. Réduire d’au moins 20% la prévalence de la carence en Vitamine A chez les enfants de moins 5 ans ;
OS.6.5. Porter à 80% le taux de consommation de sel adéquatement iodé dans les ménages.
Objectif Stratégique (OS) n°7 : Réduire de 10% la prévalence de l’obésité chez les groupes vulnérables
OS.7.1. Réduire la prévalence de l’obésité d’au moins 5% chez les enfants de moins de 5 ans ;
OS.7.2. Réduire la prévalence de l’obésité de 5% chez les adolescents (par rapport à la situation de référence à évaluer lors des prochaines enquêtes) ;
OS.7.3. Réduire la prévalence de l’obésité de 5% chez les FAR.
","","*Voir le Tableau 1 sur la page 70
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Food labelling|Regulating marketing of unhealthy foods and beverages to children|Vitamin A|Other B-vitamins|Micronutrient supplementation|Micronutrient powder for home fortification|Wheat flours|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes|Vulnerable groups","","http://intomorrowetrust.com/psmn/","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN-2017-2021-Plan%20Strategique%20multisectorel%20de%20la%20Nutrition.pdf" "40346","BEN","Benin","","Plan stratégique intégré de lutte contre les maladies non transmissibles 2019-2023","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2023","Ministère de la Santé","11","2018","","","","","Cabinet/Presidency|Health|Education and research|Development|Trade","","World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","- Promouvoir un régime alimentaire équilibré
- Assurer la consommation d’au moins 5 portions de fruits et légumes par jour
","Adoption de mesures favorisant une alimentation équilibrée
Plaidoyer pour la mise en place des environnements favorables à la consommation de fruits et légumes
Communication pour un changement de comportement
Objectif 3 : Réduire l’exposition aux facteurs de risque modifiables des maladies non transmissibles et aux déterminants sociaux sous-jacents en créant des environnements favorables à la santé
Cibles
4- Réduction relative de 4.15% de l’apport moyen de sel/sodium dans la population
","Adoption de mesures favorisant une alimentation saine et équilibrée
…
5. NATIONAL STRATEGIC AGENDA FOR NCDS
5.1. Vision
A healthy Nigerian population with reduced burden of non-communicable diseases and enhanced quality of life for socio-economic development.
5.2. Mission
To provide a framework for strengthening multi-sectoral response to NCDs
Goal
To significantly reduce the burden of non-communicable diseases in Nigeria in line with global non-communicable diseases prevention and control targets.
5.3. Specific National Targets
5.3.1. Target Statements
The implementation of the MSAP aims to achieve these specific national targets as adapted from global NCD goals and SDGs are to achieve;
…
…
…
…
6. STRATEGIC FRAMEWORK FOR NMSAP
Objetivo General
Garantizar las oportunidades para el desarrollo integral de niñas y niños desde la gestación hasta cumplir los 9 años.
Objetivos específicos
Acciones clave
Evaluación
La evaluación de la Estrategia Nacional para el Desarrollo Integral de la Primera Infancia abordará procesos, productos, resultados e impacto. Se realizarán tres evaluaciones: inicial, intermedia y final. La evaluación inicial al finalizar el tercer año de la implementación, la evaluación intermedia al finalizar el séptimo año de implementación y una evaluación final, al concluir el décimo año de implementación.
Indicadores
1.2.3 Goal of the policy
The goal of the policy is to provide direction and guidance to all sectors for quality, inclusive, coordinated and well-funded ECD services and programs.
1.2.4 Objectives of the policy
The NIECD Policy of Uganda has three objectives;
To harmonize existing ECD policy related goals, objectives and strategies and initiatives within and across all sectors.
To set, improve and align standards for ensuring access to well- coordinated, quality, equitable and inclusive ECD services within and across sectors
To build and strengthen capacity of systems and structures to deliver integrated quality and inclusive ECD programs.
Food Security and Nutrition
Strategies
a) Promote micronutrient supplementation and diet diversification.
b) Promote and improve food security at household and community level.
c) Promote breastfeeding and optimal feeding practices for infants and young children
Priority Program Initiatives
% Stunting of children under five years
% Underweight – prevalence in under-fives
% Low birth weight - newborns less than 2.5 kg
% of children 6-59 with anemia, vitamin or other mineral deficiency
% children 6-59 who receive micro nutrient supplementation and deworming
% women 15-49 years (adolescents, expectant women and lactating mothers) with anemia vitamin or other mineral deficiency
% women (adolescents, expectant women and lactating mothers) 15-49 years who receive micro nutrient supplementation
% of families/households that are engaged in production of nutritious foods
% of families/households that have diverse sources of food
% of families/households accessing education and extension services (health, agriculture and nutrition)
% of infants who exclusively breastfeed to 6 months
% of infants who start breastfeeding within 1 hour of birth
% of infants who continue breastfeeding up to 20 -23 months
% of infants who start receiving solid, semi solids or soft foods at 6 months of age
% of infants (6-23 months) who receive minimum acceptable diet(four food groups)
% of infants who receive fortified foods
Objective 4.1: ensure equitable ecd service provision through a core ecd service package
Objective 4.2: ensure engagement of families & communities through a family support package
","Strategies
Objective 4.1: ensure equitable ecd service provision through a core ecd service package
Objective 4.2: ensure engagement of families & communities through a family support package
1. Strengthen and expand a comprehensive family support system to ensure young children’s healthy growth, protection and development.
","","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Growth monitoring and promotion|Breastfeeding promotion/counselling|Health professional training on breastfeeding|School-based health and nutrition programmes|Vitamin A|Iron|Zinc|Micronutrient supplementation|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Deworming|Diarrhoea or ORS|Family planning (including birth spacing)|Vaccination|Conditional cash transfer programmes","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BWA%202015%20ECD%20Policy%20Frameworks.pdf" "40334","BGD","Bangladesh","","National Strategy for Adolescent Health 2017-2030","Health sector policy, strategy or plan with nutrition components","","English","","2017","","2030","Ministry of Family and Welfare","12","2016","Not adopted","","","","Health|Education and research|Women, children, families|Social welfare|Development","Ministry of Family and Welfare; Local Government, Rural Development and Cooperatives; Education; Social Welfare; and Women and Children Affairs","Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","","","","","","","","","","","","","SD3 Adolescent Nutrition
Problem Statement
Malnutrition, micronutrient deficiencies and other nutrition related diseases among adolescents, particularly adolescent girls contributes to the perpetuation of intergenerational malnutrition.
Strategic Objectives
1.To reduce under nutrition and anaemia among adolescent girls (pregnant and non-pregnant) and boys;
2.To reduce the risk of low birth weight babies, pregnancy related complications and nutritional risks among adolescent girls;
3.To reduce micronutrient deficiencies such as Calcium, Vitamin D and Iodine deficiency among pregnant adolescent girls;
4.To improve lifestyles and reduce the risks of overweight and obesity among all adolescents.
","Key Strategies
1.Mainstream nutrition education and promotion and hygiene education including hand washing into the health care system, education system as well as other systems which reach out-of-school adolescents;
2.Establish programmes that promote dietary diversification, dietary adequacy, fortified foods and nutrition security through community and school based interventions;
3.Strengthen the capacity of service providers to deliver effective nutrition counselling and services to all adolescents, with a special focus on raising awareness on the consequences of child marriage and meeting the nutritional needs of pregnant adolescent girls;
4.Provide and promote micronutrient supplementation (i.e. IFA and MMS), consumption of fortified foods and de-worming at health facilities, schools, and workplace;
5.Conduct community based awareness campaigns on the importance of good nutrition, healthy foods and the consequences of malnutrition, anaemia and obesity on the overall development and growth of adolescents;
6.Promote and improve access to sports and physical activity in the community, schools and at the workplace.
","","","","Low birth weight|Underweight in adolescent girls|Anaemia|Anaemia in adolescent girls|Iodine deficiency disorders|Overweight in adolescents|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Calcium|Iodine|Iron and folic acid|Vitamin D|Micronutrient supplementation|Food fortification|Nutrition education|Deworming|Improved hygiene / handwashing|Water and sanitation","","http://etoolkits.dghs.gov.bd/toolkits/bangladesh-program-managers/national-strategy-adolescent-health-2017-2030","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BGD%202016%20National%20Strategy%20for%20Adolescent%20Health%202017-2030.pdf" "40357","KHM","Cambodia","","Health Strategic Plan 2016-2020","Health sector policy, strategy or plan with nutrition components","","English","","","","","Department of Planning & Health Information","5","2016","Not adopted","","","","Development","","United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","Other|Japan International Co-operation Agency (JICA)|US Agency for International Development (USAID)","Korea International Cooperation Agency (KOICA); The International Health Partnership plus (IHP+)","","","","","","","","","","","Executive Summary
Health Development Framework
...
20. Achieving the stated policy goal is supported by a set of four Health Development Goals:
...
...
5. Sector Priority
5.4 STRATEGIC PRIORITY
(1) Sustaining and further improving access and coverage with a renewed focus on improving quality of health services across geographical areas; and
(2) Increasing financial risk protection across socio-economic groups when accessing needed health care.
To effectively address the identified strategic priorities, the health sector needs to (re)direct available resources and concentrate its efforts on potential priority areas for actions specific to health needs of the population and specific components of the health system.
- Reproductive, maternal, newborn, child health (including immunization), and nutrition;
...
- Non-communicable diseases (diabetes, hypertension, cancers, chronic respiratory infection) mental health, substance abuse, blindness prevention and control, vision and hearing impairment, disability, elderly care;
- Risks factors to and social determinants of health -tobacco & alcohol, food safety, hygiene and sanitation (improved water sources, toilet facilities..);
...
...
- Promoting behavioral change and communication for both health providers and consumers; promoting clients’ and providers’ rights, promoting healthy lifestyle, and appropriate health seeking behavior;
...
9. Strategic Areas
...
9.2 STRATEGIC AREA 1 HEALTH SERVICE DELIVERY
Strategic Objective 1
The population will have accessed to comprehensive, quality, safe and effective health services at public and private health facilities.
...
1.4 Increase coverage and access to effective nutrition services, thereby reducing protein-energy malnutrition and micronutrient deficiencies among women and children aged under five;
...
1.9 Reduce population exposure to risk factors for non-communicable and chronic diseases, including cancer, diabetes, and cardio-vascular diseases; and promote early detection of NCDs as well as primary and secondary prevention;
...
1.13 Promote hygiene and sanitation, food safety, oral health and school health;
...
16. Health System Governance
...
16.3 STRATEGIC INTERVENTIONS
...
32. Develop health policies, legislations and regulations, and build regulatory capacity at all levels of the health system.
Outcome: Effective law enforcement and stronger regulated health market
...
- Develop and enforce policies and regulations related to food safety and hygiene measures, and to safeguard environmental health.
...
","","","","","Raised blood glucose/diabetes|Raised blood pressure|Food safety|Diarrhoea or ORS|Vaccination","","http://hismohcambodia.org/public/fileupload/carousel/HSP3-(2016-2020).pdf","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KHM%202016%20Health%20Strategic%20Plan%202016-2020.pdf" "40696","LSO","Lesotho","","National Adolescent Health Policy","Health sector policy, strategy or plan with nutrition components","","English","","2006","","","The Government of Lesotho","11","2006","Not adopted","","","","Health|Food and agriculture|Education and research|Social welfare|Finance, budget and planning|Development|Sport|Justice|Labour|Other","the National AIDS Commission","","","","","","","","","","","","","","","","","Goals:
To contribute to improving the quality of the human resource base of the country and to reducing child and maternal mortality.
Objectives
Directions
1. Contribute to the reduction of disparities related to nutrition through a focus on population groups and areas highly affected or at-risk to malnutrition, specifically:
a. Pregnant women, infants, and children 1-2 years old
b. Families with pregnant women, children 0-2 years old, and underweight children 0-5 years old
c. Local government units (LGUs) with high levels of child undernutrition or at risk to increased levels of undernutrition
2. Increase investments and go to scale in effective interventions that could impact more significantly on undernutrition among under-fives
a. Promotion of optimum infant feeding and young child feeding practices anchored on exclusive breastfeeding in the first six months of life, the introduction and use of complementary foods that are calorie- and nutrient-dense and safe from 6th month of life onward with continued breastfeeding up to 2 years of age and beyond.
b. Promotion of sanitary practices including personal hygiene and handwashing
c. Supplementation with vitamin A, zinc in the management of diarrhea, iron-folic acid for pregnant women and infants and young children and iodine for pregnant women in areas with levels of iodine deficiency disorders and low access to adequately-iodized salt.
d. Deworming
e. Appropriate medical and dietary management of acute malnutrition as well as of other forms of nutrition-related infections
f. Iron fortification of rice and flour, vitamin A fortification of other staples, and iodization of salt
3. Revive, identify, document, and adopt good practices and models for nutrition improvement
4. Strengthen food-based approaches to address malnutrition
5. Strengthen the nutrition component of the healthy lifestyle package
6. Philippine Plan of Action for Nutrition 2011-2016
7. Strengthen the linkage of nutrition with other sectors of development and converge with existing sectoral efforts, e.g. conditional cash transfer, universal health care coverage, agriculture development, labor and employment, among others.
8. Strengthen and nurture interagency structures for integrated and coordinated implementation of nutrition and related services at national and local levels
9. Strengthen system for planning, monitoring and evaluation of nutrition plan implementation at national and local levels
10. Formulate and implement a nutrition research agenda
","Indicator, Baseline (2008), Target (2016)
Prevalence (%) of underweight under-five children, 20.6, 12.7
Prevalence (%) of stunted under-five children, 32.3, 20.9
Prevalence (%) of wasted under-five children,6.9, <5.0
Prevalence (%) of underweight children 6-10 years old (IRS), 25.6, 21.8
Prevalence (%) of thin children 6-10 years old, 8.1, <5.0
Percent of pregnant women who are nutritionally-at-risk, 26.3, 22.3
Percent of low birthweight, 19.6, <19.6
Vitamin A deficiency (% of population with low to deficient serum retinol, μmol/L)(Preschool children, 6-60 months old), 15.2. <15
Vitamin A deficiency (% of population with low to deficient serum retinol, μmol/L)(Pregnant Women), 9.5, <15
Vitamin A deficiency (% of population with low to deficient serum retinol, μmol/L)(Lactating Women), 6.4, <15
Anemia (% with hemoglobin level below recommended level)(Infants), 55.7,<40
Anemia (% with hemoglobin level below recommended level)(one-year old children), 41.0, <40
Anemia (% with hemoglobin level below recommended level)(Pregnant women), 42.5, <40
Anemia (% with hemoglobin level below recommended level)(Lactating women), 31.4, <40
Iodine deficiency (based on urinary iodine excretion (UIE), μg/L)(Children, 6-12, median UIE), 132, >100
Iodine deficiency (based on urinary iodine excretion (UIE), μg/L)(Children, 6-12, moderate and severe %), 19.7, <20
Iodine deficiency (%,based on urinary iodine excretion (UIE), μg/L)(Pregnant women, median UIE), 105, >150
Iodine deficiency (%,based on urinary iodine excretion (UIE), μg/L)(Lactating women, median UIE), 81, >100
Overweight and obesity (%, Children 0-5), 3.3, ≤3.3
Overweight and obesity (%, Children 6-10), 6.5, ≤6.5
Overweight and obesity (%, Adults 20+), 26.6, ≤26.6
","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in adults|Overweight in school children|Right to food|Right to health|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Baby-friendly Hospital Initiative (BFHI)|Health professional training on breastfeeding|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Monitoring of children’s growth in school|Promotion of fruit and vegetable intake|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Wheat flours|Rice|Staple foods|Food grade salt|Refined sugar|Edible oils and margarine|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Vaccination|Water and sanitation|Conditional cash transfer programmes","","http://www.nnc.gov.ph/plans-and-programs/ppan/itemlist/tag/PPAN","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PHL%202011%20PPAN.pdf"