"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" "25859","GHA","Ghana","","Food and Drugs Act. 199","Legislation relevant to nutrition","","English","","1992","","","Provisional National Defense Council","","1992","","","","","","","","","","","","","","","","","","","","","","","","","","","
(1) A person shall not
(a) mine salt for human or animal consumption, or
(b) import, manufacture, package, label, advertise, store, deliver, distribute, trade, sell or export salt, that is not fortified with potassium iodate in accordance with this Act.
(4) A person shall not label, package, or sell or advertise salt in a manner that is likely to be mistaken for salt of the prescribed standard.
7. Sale of food under unsanitary conditions
(I) A person who sells, prepares, packages, conveys, stores or displays for sale a food under unsanitary conditions commits an offence
8. Food unfit for human consumption
(1) A person who
(a) sells, or offers or exposes for sale, or has in possession for sale, or
(b) deposits with or consigns to any other person for the purpose of sale,
food intended for, but unfit for, human or animal consumption commits an offence.
9. Penalty and defence
(I) A person who is found guilty of an offence under section I, 2, 3, 4, 5, 6, 7 or 8 is liable on conviction to a fine not exceeding five hundred penalty units or to a term of imprisonment, not exceeding two years or to both the fine and the imprisonment and is liable, in the case of a continuing offence, to a further fine of twenty-five penalty units for each day during which the offence continues.
","Food labelling|Iodine|Food fortification|Food grade salt|Mandatory fortification|Mandatory salt iodization|Sanctions exist","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GHA%201992%20Food%20and%20drugs%20act.pdf" "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" "8613","GHA","Ghana","","Breastfeeding Promotion Regulations 2000, LI1667","Legislation relevant to nutrition","","English","5","2000","","","Government","1","2000","Adopted","","2000","","Health","Food and Drug Board","","","","","","","","","","","","","","","","","","","","","","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Food labelling|Functioning implementation and monitoring mechanism - Fully implemented|Labelling: Message on superiority of breastfeeding|Labelling: Recommended age for designated product|Promotion to health workers and health facilities: Prohibition of free/low-cost supplies of BMS - Fully implemented|Promotion to health workers and health facilities: Prohibition of materials/gifts - Fully implemented|Promotion to the general public: Prohibition of advertising of BMS - Fully implemented|Promotion to the general public: Prohibition of sale promotions - Fully implemented","","","","WHO (2013) Country implementation of the International Code of Marketing of Breast-milk Substitutes: Status report 2011 (http://www.who.int/nutrition/publications/infantfeeding/statusreport2011/en/index.html) / Link to eLENA "Regulation of marketing breast-milk substitutes" : https://www.who.int/tools/elena/interventions/regulation-breast-milk-substitutes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GHA%202000%20Breastfeeding%20Promotion%20Regulations_0.pdf" "24088","ETH","Ethiopia","","Labour Proclamation No. 377/2003","Legislation relevant to nutrition","","English","","2003","","","","","2003","","","","","","","","","","","","","","","","","","","","","","","","","","","This section shows data from the TRAVAIL Database of Conditions of Work and Employment Laws with analyses of national legislation for maternity protection in the areas of: maternity leave, maternity leave benefits. Further data (e.g. on paternity leave) are available at http://www.ilo.org/dyn/travail","Maternity protection|Less than 14 weeks|100%|Employer liability","","","","Maternity protection at work is an essential element in equality of opportunity, treatment and health protection. It seeks to enable women to combine their reproductive and productive roles successfully, and to prevent unequal treatment in employment due to women’s reproductive role. Maternity protection is important for nutrition in terms of achieving good birth outcomes and enabling breastfeeding. Since the ILO was founded in 1919, international labour standards have been established to provide maternity protection for women workers. The ILO Maternity Protection Convention No. 183 represents the minimum standards, whereas the accompanying ILO Maternity Protection Recommendation No. 191 proposes additional measures.ILO maintains the TRAVAIL Database of Conditions of Work and Employment Laws, which provides a picture of the regulatory environment of working time, minimum wages and maternity protection in more than 100 countries around the world. It contains comprehensive legal information, which allows customized research on a specific country, comparison of the legislation of several countries or regions on a particular subject, and searches by text. ILO also periodically publishes reviews of national legislation related to maternity protection at work. Read more about the work of ILO related to maternity protection at","" "24259","VNM","Viet Nam","","Labour Code dated 23 June 1994, as amended to 2 April 2002 (effective 1 January 2003), [Law 35-2002-QH10]. Law amending and supplementing a number of articles of the Labour Code dated 29 November 2006 (effective 1 July 2007) also attached. Published by th","Legislation relevant to nutrition","","English","","2007","","","","","2007","","","","","","","","","","","","","","","","","","","","","","","","","","","This section shows data from the TRAVAIL Database of Conditions of Work and Employment Laws with analyses of national legislation for maternity protection in the areas of: maternity leave, maternity leave benefits. Further data (e.g. on paternity leave) are available at http://www.ilo.org/dyn/travail","Maternity protection|18 weeks or more|100%|Full social security|Paid breastfeeding breaks|Breastfeeding facilities","","","","Maternity protection at work is an essential element in equality of opportunity, treatment and health protection. It seeks to enable women to combine their reproductive and productive roles successfully, and to prevent unequal treatment in employment due to women’s reproductive role. Maternity protection is important for nutrition in terms of achieving good birth outcomes and enabling breastfeeding. Since the ILO was founded in 1919, international labour standards have been established to provide maternity protection for women workers. The ILO Maternity Protection Convention No. 183 represents the minimum standards, whereas the accompanying ILO Maternity Protection Recommendation No. 191 proposes additional measures.ILO maintains the TRAVAIL Database of Conditions of Work and Employment Laws, which provides a picture of the regulatory environment of working time, minimum wages and maternity protection in more than 100 countries around the world. It contains comprehensive legal information, which allows customized research on a specific country, comparison of the legislation of several countries or regions on a particular subject, and searches by text. ILO also periodically publishes reviews of national legislation related to maternity protection at work. Read more about the work of ILO related to maternity protection at","" "26136","ETH","Ethiopia","","Infant Formula and Follow-up Formula Directive No.21 /2014","Legislation relevant to nutrition","","English","10","2014","","","Ethiopian Food, Medicine and Healthcare Administration and Control Authority","6","2014","Adopted","","2014","","Health|Food and agriculture","Ethiopian Food, Medicine and Healthcare Administration and Control Authority","","","","","","","","","","","","","","","","","","","","","Objectives
The objectives of this directive shall be to:
1) protect infants and young children from health risks emerging out of unsafe or poor quality this products;
2) take regulatory measures in safeguarding breast feeding; and
3) control the packaging, labelling information and advertisement of regulated products under this directive
","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Empowered to impose legal sanctions|Follow-up formula|Infant formula|Bans of pictures/text idealizing infant formula|Message on superiority of breastfeeding|Only to be used on advice of health worker|Preparation instructions","","","","Marketing of breast-milk substitutes: national implementation of the international code, status report 2018. Geneva: World Health Organization; 2018. https://www.who.int/nutrition/publications/infantfeeding/code_report2018/en/ ","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202014%20Infant%20Formula%20and%20Follow-up%20Formula%20Directive%20No.21%202014.pdf" "114892","ETH","Ethiopia","","ES 6132: 2017 Ethiopian Fortified Wheat flour- Specification ","Legislation relevant to nutrition","","English","","2017","","2021","","12","2017","Adopted","","","","","Ethiopian Standard Agency","","","","","","","","","","","","","","","","","","","","","Fortified wheat flour - specification
1. Scope
This Ethiopian Standard specifies the requirements for fortified wheat flour prepared by milling sound and cleaned hard wheat or soft wheat or blends thereof intended for human consumption such as baking of bread, biscuits and other bakery products and for the manufacture of pasta products.
5. Fortification requirements
5.1. Levels of micronutrients
The wheat flour shall be fortified with all the micronutrients indicated using the fortificants shown, in such a way that the product conforms to the limits set in Table 2.
Factories should aim at fortifying the products at the recommended factory level to ensure the product conforms to the regulatory levels throughout the distribution chain.
Table 2 Requirements for levels of micronutrients in fortified wheat flour
S/No (Regulatory levels, mg/kg: Minimum - Maximum)
5.1. 1 Vitamin B1 (4.6- NA)
5.1.2 Vitamin B2 (3.3- NA)
5.1.3 Niacin (30-NA)
5.1.4 Vitamin B6 (3- NA)
5.1.5 Folate ( 1.1-3.2)
5.1.6 Vitamin B12 (0.01- NA)
5.1.7 Zinc (20-40)
5.1.8 iron NaFeEDTA (20-40)
Iron Ferrous fumarate (30-50)
1- NA not applicable. The maximum limits for these nutrients are not necessary because the upper tolerance limits of these nutrients are very high
This Ethiopian standard cancels and replaces first edition of ES 6132:2017, Wheat flour - Specification
...
1. Scope
This Ethiopian Standard specifies the requirements for wheat flour prepared by milling cleaned hard wheat or soft wheat or blends thereof intended for the baking of bread, biscuits and other bakery products and for the manufacture of pasta products.
...
5.3 Fortification requirements
5.3.1 Levels of micronutrients
The wheat flour shall be fortified with all the micronutrients indicated using the fortificants shown, in such a way that the product conforms to the limits set in Table 2.
Factories should aim at fortifying the products at the recommended factory level to ensure the product conforms to the regulatory levels throughout the distribution chain.
Table 2. Requirements for levels of micronutrients in fortified wheat flour
S/No (Regulatory levels, mg/kg: Minimum - Maximum)
5.3.1.1 Vitamin B1 (4.6- NA)
5.3.1.2 Vitamin B2 (3.3-NA)
5.3.1.3 Niacin (30-NA)
5.3.1.4 Vitamin B6 (3-NA)
5.3.1.5 Folate (1.1-3.2)
5.3.1.6 Vitamin B12 (0.01- NA)
5.3.1.7 Zinc (70-90)
NA- Not applicable the maximum limits for these nutrients are not necessary because the upper tolerance limits of these nutrients are very high.
...
...
This Compulsory Ethiopian Standard cancels and replaces second edition of ES 6132:2021, Wheat flour - Specification
Application of this standard is COMPULSORY with respect to clauses 5, 8 and 9.
...
1. Scope
This Ethiopian Standard specifies the requirements for wheat flour prepared by milling cleaned hard wheat or soft wheat or blends thereof intended for the baking of bread, biscuits and other bakery products and for the manufacture of pasta products.
...
5. Requirements
...
5.3 Fortification requirements
5.3.1 Levels of micronutrients
The wheat flour shall be fortified with all the micronutrients indicated using the fortificants shown, in such a way that the product conforms to the limits set in Table 2 below.
Factories should aim at fortifying the products at the recommended factory level to ensure the product conforms to the regulatory levels throughout the distribution chain.
Table 2. Requirements for levels of micronutrients in fortified wheat flour
Nutrient (Regulatory levels, mg/kg: Minimum - Maximum)
Vitamin B1 (4.6- NA)
Vitamin B2 (3.3-NA)
Niacin (30-NA)
Vitamin B6 (3-NA)
Folate (1.1-3.2)
Vitamin B12 (0.01- NA)
Zinc (70- )
NA - Not applicable. The maximum limits for these nutrients are not necessary because the upper tolerance limits of these nutrients are very high.
THE OVERALL OBJECTIVE
By the year 2010, this strategy aims to ensure the significant improvement of nutritional status of the country’s population; it will focus on nutrition and care improvement for all families, primarily children and mothers; it will also concentrate on giving access to all ethnic minority groups in the country to adequate dietary intake (quantitatively sufficient, qualitatively balanced, hygienic and safe). It will also attempt to minimize emerging nutrition-related health problems.
SPECIFIC OBJECTIVES
","
I. FOOD AND NUTRITION INTERVENTIONS TO IMPROVE NUTRITIONAL STATUS, FOOD QUALITY, HYGIENE AND SAFETY
1. Universal nutrition education
1.1 Universal nutrition training
1.2 Nutrition education and communication
1.3 Staff training and research
2. Ensured household food security
This is a very important approach, mainly for the regions prone to food shortages, poor areas and low-income populations. Based on specific situation, VAC development should be introduced and promoted so that every family will have their own VAC system, providing an available food source. The production and consumption of nutritive foods such as beans, peanuts, sesame and soybeans should be promoted. Providing loans to poor households is also needed in order to create more jobs to improve their income. Agricultural services need to be improved, e.g. providing new seeds and seedlings with higher yield, minimizing the use of chemical fertilizers and increasing the use of organic or microbiological fertilizers, improving local food processing and preservation at community and household level, finding or creating new markets, etc. Ensuring equal access to food for every household members is also a key intervention.
3. Control of protein energy malnutrition among children and mothers
4. Control of micro-nutrient deficiencies
5. Prevention of non-communicable nutrition-related chronic diseases
6. Integration of nutrition activities into Primary Health Care
Along with the implementation of the Expanded Program of Immunization, the prevention of infectious diseases (ARI and diarrhea), the promotion of exclusive breastfeeding in the first 4 months and improved complementary feeding practices thereafter, the Integrated Management of Childhood Illnesses (IMCI) be strengthened. The implementation of Reproductive Health Care has to go hand in hand with nutrition and healthy lifestyle education, especially for vulnerable groups.
7. Ensuring Food quality and food safety
Food safety is an important aspect supported by the Government in a separated program. There is a close relation between food hygiene and safety, and nutrition. The main proposed approaches focus on the following points:
8. Monitoring, evaluation and surveillance of nutrition
9. Piloting of Nutrition Models
II. NUTRITION-RELATED AREAS
1. Ensuring National Food Security: The Government needs to have appropriate policies and solutions to diversify agriculture production, increase productivity and decrease manufacturing price. Proper farming patterns should adjust to actual situations of different areas to meet their food demand. Production plans need to be based on actual requirements to ensure food security in parallel with the regulation given by the market and reasonable price policies. Investments in processing and storage of agricultural products and the promotion of safe food production should be paid more attention.
2. Promotion of Hunger Eradication and Poverty Alleviation: This is one of the important policies of the party and government affecting nutrition. It is considered necessary to give prioritized support to the infrastructure of food production in the areas at risk of food insecurity, with high prevalence of malnutrition. For urban areas, support is given to employment in order to increaseincome, which will result in increased food accessibility for the poor and high-risk groups. Nutrition objectives should be incorporated into the program’s objectives.
3. Improved infrastructure and basic service for maternal and child care.
III. SUPPORTIVE POLICIES TO NUTRITION
Based on the national objectives of this strategy, each of the different sectors, social agencies and mass organizations needs to develop practical and specific implementation plans to achieve both their own specific objectives as well as the objectives of this nutrition strategy. Quarterly review meetings will be called by the MOH to review the implementation of this strategy with the participation of related ministries/branches. Semi-annual reports from all provinces/major cities must be sent to the MOH, who will be responsible for reporting the progress to the Prime Minister. A multidisciplinary approach should be strengthened at all levels. Local and central steering committees need to closely communicate.
1. To improve the population's appropriate nutrition knowledge and practices.
2. To reduce maternal and child malnutrition prevalence
3. To reduce micro-nutrient deficiencies
4. To reduce proportion of household with low energy intake
5. To improve food quality and food safety
This Circular was prepared jointly by the Ministries of Health, of Trade, of Culture and Information, the Prime Minister and the Vietnam Committee for Child Protection. It consists of 7 Parts: general provisions (I); Information, education, communications (II); Advertisement (III); Trading in mother milk substitutes (IV); responsibility of the Obstetric and Paediatric departments and the medical cadres and personnel of these establishments (V); State management responsibilities (VI); implementation provisions (VII). Article 2 of Part I outlines the application sphere of the Circular. Before being placed on the market, all mother milk substitutes must have their food quality, hygiene and safety characteristics registered with the Ministry of Health.
(Summary retrieved from FAOLEX)
The strategy adopted rests on these three basic pillars: To increase the availability of food through increased domestic production. To ensure access to food for food deficit households; and To strengthen emergency response capabilities
","B. Essential Elements of the StrategyB.1 Agricultural Production, Marketing and CreditB.2 Pastoral AreasB.3 Micro and Small Scale EnterprisesB.4 Agricultural Exports and Diversification
","","","","Growth monitoring and promotion|Complementary feeding promotion/counselling|Complementary food provision|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Household food security|Vulnerable groups","","","","WHO Global Nutrition Policy Review 2009-2010","" "40033","GHA","Ghana","","Food and Agriculture Sector Development Policy (FASDEP)","Food security or agriculture sector national policy, strategy or plan with nutrition components","","English","","2002","","","Ministry of Food and Agriculture","9","2002","","","","","Food and agriculture","","","","","","","","","","","","","","","","","","2.2 Objectives of MOFA
To accomplish it’s mission, MoFA will pursue the following objectives:
Ensure food security,
Facilitate the production of agricultural raw materials for industry,
Facilitate the production of agricultural commodities for export,
Facilitate effective and efficient input supply and distribution systems,
Facilitate effective and efficient output processing and marketing system; and
Formulate and co-ordinate the implementation of policies and programmes for the food and
agricultural sector.
3 MOFA’S STRATEGIC THRUSTS
In line with the Accelerated Agricultural Growth and Development Strategy (AAGDS), FASDEP will seek to achieve the following:
Enhanced human resource development and institutional capacity building,
Improved financial services delivery,
Development, dissemination and adoption of appropriate technology,
Infrastructure development, and
Promotion of selected commodities and improved access to markets.
""""2. GOAL AND OBJECTIVES OF THE STRATEGY
The overall goal of this strategy is to improve infant and young child feeding practices in Ethiopia. The objectives include:
1. To standardize infant and young child feeding (IYCF) practices for improved child health.
2. To specify roles and responsibilities of partners in promoting appropriate IYCF practices
3. To outline technical directives for interventions.""""(pg.3)
3. INFANT AND YOUNG CHILDREN FEEDING:
TECHNICAL GUIDANCE
3.1 Breastfeeding - 0 to 6 months (pg.3-4)
RECOMMENDATIONS (12) (pg.4-5)
3.2 Complementary feeding - 6 to 24 months and beyond (pg.5)
RECOMMENDATIONS (17) (pg.6-7)
4. INFANT AND YOUNG CHILD FEEDING INDIFFICULT CIRCUMSTANCES
4.1 IYCF in Emergencies (pg.8)
RECOMMENDATIONS (pg.9)
4.2 Infant and Young Child Feeding related to HIV & AIDS
RECOMMENDATIONS (pg.10)
5. INTERVENTIONS TO IMPROVE INFANT ANDYOUNG CHILD FEEDING
5.1 Supportive law (pg.12)
5.2 Pre service training
5.3 Advocacy
5.4 Health Facilities (pg.13)
5.5 Communities (pg.14)
6. MONITORING AND EVALUATION
Continued clinical and population based research and investigation of behavioral concerns are mechanisms for improving feeding practices. Crucial areas include:
completion and application of the international growth standards,
prevention and control of micronutrient malnutrition,
programmatic approaches and community based interventions for improving breastfeeding and complementary feeding practices,
improving maternal nutritional status and pregnancy outcome, and
interventions for preventing mother-to-child transmission of HIV in relation to infant feeding
Indicators to monitor for determining the impact of this strategy wouldinclude:
Prevalence of pre-lacteal feeding
Rate of continued breastfeeding to 24 months
Frequency of complementary feeding between 6 and 24 months
Variety of foods being fed between 6 and 24 months of age(pg.15)
3.9.1. Goals of HSDP
The ultimate goal of HSDP-III is to improve the health status of the Ethiopian peoples through provision of adequate and optimum quality of promotive, preventive, basic curative and rehabilitative health services to all segments of the population.
The following are the general goals of HSDP-III that contribute to the achievement of the ultimate goal:
1. to improve maternal health;
2. to reduce child mortality;
3. to combat HIV/AIDS, malaria, TB and other diseases.
Promotion of preventive and promotive health services through the Health Service Extension Programme.
Adapt and implement the pastoralist, urban and school HSEP; and mainstream HSEP into the existing structure.
Facilitation of the proper implementation of the National Reproductive Health and the National Strategy for Child Survival.
Promotion of the implementation of the Essential Health Service Package and the Referral System.
Facilitation of the proper implementation of the MPS (through development of national strategy, implementation plan and GL), IMCI programmes and micro planning using the Reach Every District (RED).
Introduce new vaccines against Hepatitis B and Haemophilus Influenzae.
Building the capacity for effective programme implementation, monitoring and evaluation.
Enhance partnership with NGOs/CBOs/Private sectors and international organizations to scale up interventions.
Support efforts towards empowerment of women and promote maternal mental health.
Table 3-4 Strategic Action Plan (pg.89-90)
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Complementary feeding|Diet-related NCDs|Growth monitoring and promotion|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Zinc|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation","","","","","" "7935","ETH","Ethiopia","","Plan for Accelerated and Sustained Development to End Poverty (PASDEP)","Multisectoral development plan with nutrition components","","","","2005","","2010","Ministry of Finance and Economic Development (MOFED), Government of Ethiopia","","2006","Adopted","","2006","Ministry of Finance and Economic Development (MOFED)","Finance, budget and planning|Other","Ministry of Finance and Economic Development (MoFED), Welfare Monitoring Technical Committee (WMTC)","","","","","The World Bank","","","","National NGOs","","","","","","Other","Members of Civil Society organizations","""""In effect, PASDEP is explicitly linked to the MDGs and constitutes Ethiopia's medium term plan for achieving the MDGs. """" (pg.1)
"""" The poverty reduction effort of the Government of Ethiopia has taken a longer-term view with the MDGs in perspective. Accordingly, the PASDEP was conceived as the medium-term plan to attain the MDGs. In other words, it is an MDGs-based plan. It establishes concrete basis for human rights -the right of every person in the country to health, education, shelter and security-' as pledged in the Universal Declaration of Human Rights and the UN Millennium Declaration. For the millions of Ethiopians still living in extreme poverty, Ethiopia's MDG-Based Plan carries the hopes and aspiration of the next decade. Hence, this Five Year Development Plan (PASDEP) has been synchronized and aligned with the MDG time frame."""" (pg.2)
See Table """"Food Poverty Head Count Index"""" (pg.2-3)
""""The eight pillar strategies of the PASDEP are:
Building all-inclusive implementation capacity;
massive push to accelerate growth;
Creating the balance between economic development and population growth;
Unleashing the potentials of Ethiopia's women;
Strengthening the infrastructure backbone of the country;
Strengthening human resource development;
Managing risk and volatility; and,
Creating employment opportunities. """"(pg.1-2)
AIM
To improve knowledge and practice on IYCF (for children aged 0-3 years) of mothers and caregivers in order to improve nutritional and health status for optimal growth and development of Vietnamese children by the year 2010.
II. SPECIFIC OBJECTIVES
1. Specific objective 1
To improve availability and accessibility of appropriate and correct information on IYCF for the population.
2. Specific objective 2
To improve awareness and to change behavior/practice on IYCF for mothers and other caregivers.
3. Specific objective 3
To create an enabling environment and policies, which support proper IYCF practice.
MAIN APPROACHES AND ACTIVITIES ON IYCF IN VIETNAM
I. Improvement of the availability and accessibility of appropriate and correct information on IYCF for the population
II. Improvement of awareness and behavior/practice on IYCF of mothers and other caregivers
- Communication activities will be conducted regularly through mass media: television, radio, newspapers, and journals...1. Specific objective 1
To improve availability and accessibility of appropriate and correct information on IYCF for the population.
Indicators:
Number of communal health stations with communication and counseling corners on IYCF.Number of local health workers being trained on IYCF knowledge and counseling skills.
Number of IEC materials on IYCF published and disseminated.
2. Specific objective 2
To improve awareness and to change behavior/practice on IYCF for mothers and other caregivers.
Indicators:
Number of mothers being trained on IYCF knowledge and skills.
Percentage of infants being breastfed within one hour after birth.
Percentage of children being exclusively breastfed in the first 6 months of life.
Percentage of children being given proper complementary feeding (initiation, quantity and quality of complementary food).
3. Specific objective 3
To create an enabling environment and policies, which support proper IYCF practice.
Indicators:
Number of establishments, workshops, factories achieving the criteria of ""Baby Friendly Initiative""
The establishment of a system of legal documents and supportive policies to reinforce proper IYCF, meeting the need of a legislative corridor for IYCF.
Number of hospitals achieving the criteria of BFHI.
Number of communes (or CHS) achieving the criteria of “Baby Friendly Initiative”.
Establishment of a supervising and monitoring network on IYCF from the central to the local level.
Article 1.- Scope of regulation and subjects of application
1. This Decree provides for information, education and communication on, advertisement for, trading in, and use of, nutritious products for infants, feeding bottles and dummies.
2. This Decree applies to Vietnamese and foreign organizations and individuals in Vietnam.
4.0 Strategic Objectives
Four key areas have been identified:
Table 1: Priority RHN Intervention
[1] Healthy Diets
[2] Exercise
[3] Rest
[4] Environmental sanitation
[2]
","Policy Objective: The objective of this component is to promote healthy lifestyles and reduce risk factors that arise from environmental, economic, social and behavioural causes. Promoting healthy lifestyles in a healthy environment implies (Box 7)
Policy Measures
Policy Objective: The objective of this component is to ensure equitable access to good quality and affordable health, population and nutrition services – services that will improve health outcomes, respond to people’s legitimate expectations and are financially fair.
","","","","","School-based health and nutrition programmes|Nutrition in the school curriculum|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Food safety","","http://www.moh.gov.gh/wp-content/uploads/2016/02/NATIONAL-HEALTH-POLICY.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GHA%202007%20Creating%20Health%20through%20Wealth.pdf" "23184","GHA","Ghana","","Under Five's Child Health Policy 2007-2015","Health sector policy, strategy or plan with nutrition components","","English","","2007","","2015","MoH","","2007","Adopted","","2007","","Health|Education and research","","","","","","","","","","","","","","Private sector","private partners","Other","health facilities","
Objective 1. Food security, emergency preparedness, and reduced income variability
Focus at the national and agro-ecological levels on the development of key staple crops. Emergency preparedness and disaster management.Record food aid data from national and international food providers in Ghana;
Promote access to nutritious food, as well as nutrition and health information. Coordinate food security programming to address malnutrition issues with key agencies.
Number of districts and households benefiting from food aid
% of child underweight.
(Quantitative and outcome indicator)
""""4. Objective The key objective of this National Nutrition Strategy (NNS) is to ensure that all Ethiopians secure adequate nutritional status in a sustainable manner, which is an essential requirement for a healthy and productive life. Specific objectives: 1. To provide due attention to malnutrition vulnerable groups of society, particularly under five children, pregnant and lactating women; 2. To ensure the citizens are free from malnutrition related health problems; 3. To protect the society from unhealthy dietary patterns and unhealthy lifestyle that may affect their health; and 4. To coordinate and support nutritional activities of all sectors, government, non-governmental organizations and individuals working to alleviate nutritional problems.""""(pg.6)
","6.1 Promotion of Essential Nutrition Actions 6.1.1 improving the nutrition status of women; 6.1.2 Improving the nutrition status of children; 6.2 Child Growth Monitoring and Promotion; 6.3 Building Knowledge, Attitudes, and Practices for Improved Nutrition; 6.4 Improving the Care and Nutritional Status of People Living with HIV and AIDS; 6.5 Strengthening Nutrition in Emergencies; 6.6 Strengthening Food Security Activities; 6.7 Micronutrient Supplementation and Fortification; 6.8 Food Standards Enforcement; 6.9 Diet-Related Noncommunicable Diseases; 6.10 Improving Water and Sanitation Services; 6.11 Strengthening Nutrition Information System; 7. Establishment of a Nutrition Coordinating Body(pg.7-14)
","","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Growth monitoring and promotion|Breastfeeding promotion/counselling|Nutrition in the school curriculum|Nutrition counselling on healthy diets|Micronutrient supplementation|Micronutrient powder for home fortification|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202008%20National%20Nutrition%20Strategy_1.pdf" "39775","VNM","Viet Nam","","National Plan of Action for Child Survival 2009 – 2015 ","Health sector policy, strategy or plan with nutrition components","","English","","2009","","2015","Ministry of Health","","2009","","","","","Health","","","","","","","","","","","","","","","","","","I. GOAL
To maintain and expand the coverage of essential interventions for child survival in order to decrease disparities, improve child health, and reduce child mortalities in all population groups and regions of Viet Nam, towards the achievement of Millennium Development Goal 4 - :reducing child mortality” by the year 2015.
III. Essential CS interventions
The Regional Child Survival Strategy recommended an Essential package as below:
Skilled attendance during pregnancy, intrapartum and postpartum period
Care of newborns
Breastfeeding and complementary feeding
Micro-nutrient supplementation
Immunization of children and mothers
Integrated Management of Sick Children
Use of insecticide-treated bed nets (in malaria prevalent areas)
Objective 1. To obtain universal coverage of essential child survival interventions and improve their availability and accessibility for children particularly in disadvantaged socio-economic, remote and mountainous areas
Activities:
Maintaining and strengthening essential interventions for CS through national MCH care programs and relevant projects that are currently available.
Identifying disadvantaged localities for prioritized investments and resources and localities where MMR and NMR are high.
Enhancing the breastfeeding and reasonable complementary feeding promotion activities through implementation of 2006-2010 National Plan of Action on Child Feeding.
Improving capacity and strengthening operational activities of the Steering Committee for Child Feeding and Breastfeeding in order to enhance advocacy for resource mobilization in implementing child nutritional activities.
Reviewing implementation of 2006-2010 National Plan of Action on Child Feeding and developing 2011-2015 work plan.
Providing training and re-training on breastfeeding to Ob-Ped doctors, midwives, nurses.
Providing training to VHWs on counseling, advocacy for pregnant women to attend facility-based delivery, and implement essential interventions for CS.
Providing training to village midwives or VHWs in mountainous and ethnic
minority areas to have knowledge on pregnancy management, normal delivery, newborn care.
Designing appropriate models to deliver services to all mothers and children such as mobile service team for MCH, nutrition, vaccination at village/hamlet, breast-milk support group at the community, etc.
Targets by the year 2015:
Objective 1. To obtain universal coverage of essential child survival interventions and improve their availability and accessibility for children particularly in disadvantaged socio-economic, remote and mountainous areas
Targets by the year 2015:
Objective 4: To increase community participation and awareness on child survival and best key family practices for child survival and neonatal care at family and community levels
Targets by the year 2015:
3. 95% of children between 0-59 months of age who had diarrhoea to be treated with ORT and 80% of them to be treated by zinc.
PART THREE
FOOD SAFETY AND QUALITY
ADMINISTRATION AND CONTROL
8. Packaging and Labeling
1/ Any producer, importer, distributor or retailer of packed food shall not supply it to the market or distribute it otherwise unless it is duly packed and labeled.
2/ The label of any packed food shall be written either in Amharic or English language.
9. Nutrition
1/ No person may involve in the production of nutrition unless it fulfills the standards set by the appropriate organ.
2/ No person may disclose the nutritious content in the food it produces without obtaining approval from the executive organ.
3/ The type and content of nutrition, usage guide and shelf-life of nutritionally produced food shall be stated in an unfading and clearly mark on its package.
4/ Any person who produces or distributes salt for human consumption shall ensure that it meets the standard requirement of iodine content.
PART ELEVEN
MISCELLANEOUS PROVISIONS
50. Commercial Advertisement
1/ Commercial advertisement of food, medicine or health service through mass media or other means shall be determined by directive issued by the executive organ.
2/ Any mass media or advertising organ shall be obliged to respect the directive issued.
3/ The executive organ shall ensure the implementation of the food, medicine or health service commercial advertisement directive.
","Food labelling|Iodine|Mandatory salt iodization|Sanctions exist","","http://www.fao.org/faolex/results/details/en/c/LEX-FAOC094419","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202009%20Proclamation%20for%20Food%2C%20Medicine%20and%20health%20care%20administratoin%20and%20control.pdf" "17883","GHA","Ghana","","Medium-Term Development Policy Framework, Ghana Shared Growth and Development Agenda (GSGDA, 2010-2013)","Multisectoral development plan with nutrition components","","English","","2010","","2013","National Development Planning Commission (NDPC)","12","2010","","","","","","","","","","","","","","","","","","","","","","","","7.5 NUTRITION AND FOOD SECURITY
Nutrition and food security is an essential cross-cutting issue in addressing overall human resource development. Currently, there is a persistent high malnutrition rate among children, especially male children in rural areas and in northern Ghana. However coverage of nutrition programmes is limited geographically and there is a general lack of national nutrition and food security policy.
The following policy objectives would be adopted to address the issues relating to nutrition and food security: reducing malnutrition-related disorders and deaths among infants and young children and Women in their Reproductive Ages (WIRA); promoting the consumption of locally available and nutritionally adequate food including the consumption of micro-nutrient rich foods among children and WIRA; advocating for increased food security and social protection for vulnerable households including smallholder farmer households; developing a comprehensive national nutrition and food security policy; and mitigating the impacts of rising food prices as well as climate change on food security of the poor and vulnerable households.
","","","","Counselling on infant feeding in the context HIV|Wasting in children 0-5 years|Growth monitoring and promotion|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Food security and agriculture|Household food security|Vulnerable groups","","","http://www.imf.org/external/np/prsp/prsp.aspx","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GHA%202010%20PRSP.pdf" "114895","GHA","Ghana","","Directive for the fortification of all wheat flour and vegetable oil(s) locally produced and/or imported","Legislation relevant to nutrition","","English","2","2010","","","Ministry of Health","","2010","Adopted","2","2010","Ministry of Health","Health","","","","","","","","","","","","","","","","","","","I. General objective
To improve knowledge and practice on IYCF and maternal nutrition to contribute to a reduction of stunting malnutrition and improved development of children aged 0 to 2 years.
II. Specific objectives
1. Objective 1— Strengthen advocacy, development and implementation of policies supporting infant and young child feeding
2. Objective 2— Improve infant and young child feeding knowledge and practices among child caregivers
3. Objective 3— Improve maternal and children nutritional status
4. Objective 4—Improve Capacity and effectiveness of health service provision system on IYCF
5. Objective 5—Improve monitoring and evaluation system for IYCF interventions
","III. Objective 3 - Improve maternal and children nutritional status
(The outputs of Objective 3 will be implemented in Plan of Action for Nutrition to 2015).
Output 3.1 Promotion of iron/folic acid, micronutrient supplement, de-worming, treatment for malaria for pregnant women and women at high risks areas
Activities:
· Provide iron/folic acid tablets, micronutrient tablets.
· Provide de-worming tablets and medicines for malaria treatment in areas with high rate of worm and malaria under guidance of the MOH.
· Expand the social marketing approaches to enhance the local production and supply in urban and relevant regions.
Output 3.2 Capacity of health workers at all levels in prevent micronutrient deficiency is strengthened
Activities:
· Provide trainings for health workers at all levels on preventing malnutrition including preventing micronutrient.
· Develop training and communication materials.
· Conduct integrated supportive supervision.
Output 4.2: The Baby-Friendly Hospital Initiative is maintained and strengthened
Activities:
· Develop and implement National guideline on implementation and maintenance of BFHI (10 steps for successful BF).
· Add the standards of BFHI into the standard of annual M&E for hospitals.
· Add the 10 steps for successful BF into the criteria for evaluating quality of hospitals.
· Standardize training materials, provide guidance for evaluation and re-evaluation.
· Organize trainings for health workers of Ob/Ped hospitals on BFHI standards.
· Develop pilot model for Commune Health Center that implement 10 steps for successful BF.
· Organize evaluation, re-evaluation and monitoring the maintenance of BFHI standards.
Output 4.4: Infant and Young Child Feeding in emergency and special conditions are strengthened and duplicated
Activities:
· Evaluate the pilot model of acute malnutrition management for scaling up.
· Develop and implement plan to satisfy nutrition needs in case of emergency for areas frequently faces natural disasters, floods; provide guidelines for acute malnutrition management; prevent micronutrient deficiencies.
· Develop training materials.
· Organize trainings for health workers at all levels.
· Produce and distribute food products to treat acute malnutrition.
Output 4.5: Infant and young child feeding capacity of health workers at all levels is enhanced
Activities:
· Develop training materials and organize national standard for re-trainings on IYCF
· Develop trainers network at central and provincial levels.
· Provide trainings at all levels.
· Provide monitoring after training.
","2. Objective 2— Improve infant and young child feeding knowledge and practices among child caregivers
Monitoring/evaluating indicators by 2015:
· 80% of mothers practice early breastfeeding and 27% of mothers practice exclusive breastfeeding in the first 6 months.
· 60% of mothers continue to breastfeed until 24 months of age or longer
· 80% of mothers practice appropriate complementary feeding for their children from 6 – 24 months.
Objective 3— Improve maternal and children nutritional status:
Monitoring/evaluating indicators by 2015:
· Reduce the rate of chronic energy deficiency in women in reproductive age to 15%
· Reduce the rate of anemia among pregnant women to 28%
· Reduce the rate of birth underweight (<2500g) to under 10%
· Reduce the rate of stunting malnutrition of children under 5 years of age to 26%
· Reduce the rate of underweight malnutrition of children under 5 years of age to 15%
4. Objective 4—Improve Capacity and effectiveness of health service provision system on IYCF
Monitoring/evaluating indicators by 2015:
· Activities of IYCF manage board at all levels are strengthened.
· 75% of provincial health staff and 50% of district health staff have been trained on IYCF counseling.
· 60% nutrition focal persons and nutrition collaborators at commune level have been trained, provided with up-to-date knowledge on IYCF.
· The number of general hospitals at national/provincial/district level and obstetric/pediatric hospitals achieving and maintaining the BFHI standards has doubled in comparison to that of 2012.
· 30% of commune health centers are able to provide counseling services on IYCF.
","Outcome indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Low birth weight|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Complementary feeding|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Iron and folic acid|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Deworming|Nutrition and malaria","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM%202012%20National%20plan%20of%20action%20for%20IYCF_0.pdf" "38207","VNM","Viet Nam","","National Plan of Action on Nutrition","Comprehensive national nutrition policy, strategy or plan","","English","","2012","","2015","Ministry of Health","","2012","","","","","","Ministry of Health Ministry of Health","","","","","","","","","National NGOs","","","","","","","","","","","","","Low birth weight|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Nutrition in schools|Provision of school meals / School feeding programme|School milk scheme|Monitoring of children’s growth in school|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 vehicles (i.e. types of fortified foods)|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","" "39759","VNM","Viet Nam","","National Plan of Action on Nutrition for 2012 – 2015 For Implementation of the National Nutrition Strategy for 2011 – 2020","Comprehensive national nutrition policy, strategy or plan","","English","","2012","","2015","Ministry of Health","","2012","","","","","Health","","","","","","","","","","","","","","","","","","
Specific objectives
Objective 1: To continue to improve the diet of the population, in terms of both quantity and quality
Objective 2: To improve the nutrition status of mothers and children
Objective 3: To improve micronutrient status
Objective 4: To effectively control overweight and obesity and risk factors of nutrition related non – communicable chronic diseases in adults
Objective 5: To improve knowledge and practices of proper nutrition
Objective 6: To reinforce capacity and effectiveness of the network of nutrition services in both community and health care facilities
","for full list of activities see pages 17-78
Output 1.2: Advices of proper nutrition for the coming period are re-compiled
Expected outcome 2: Knowledge of proper nutrition (diets of sufficient quantity and balanced quality) of the population is improved.
Output 2.1: Communication and education materials based on contents of newly updated “advices of proper nutrition” are developed and distributed
Output 2.3: Communication activities on the mass media in nutrition communication campaigns (Micronutrient Day, Nutrition and Development Week) are implemented.
Activity 2.3.1: Organize communication campaigns of proper and balanced nutrition at national level.
Output 5.2: “School meal” and complementary micronutrient for school pupils are developed
Activity 5.2.2: Organize training courses in development of proper menu, supervision and management of ""school meals"" in order to ensure sufficient nutrition demand response and food safety for nutrition staff of schools in big cities.
Activity 5.2.3: Set up proper menus and cook daily meals for school pupils in Ha Noi
Activity 5.2.6: Implement pilot models of school milk for pre-school children and primary school pupils.
Output 6.3: Nutrition interventions in addition to proper physical exercise to prevent and control overweight and obesity are developed.
Activity 7.4.1: Develop multi-sectoral supervision plans for Micronutrient Day, Nutrition and Development Week, and Breastfeeding Week.
Output 8.3: Monitoring, investigation and evaluation of nutrition status are implemented.
Activity 8.3.1: Organize weighing, measuring and evaluating nutrition status of children, monitoring the growth chart of children.
Output 1.2. Awareness and resources for prevention of anemia and micronutrient deficiency (iodine, iron, zinc, vitamin A, folic acid, vitamin D, selen, etc.) are raised and mobilized.
Output 2.1.: Supplementary iron/folic acid pills for pregnant women in prioritized areas, reproductive age women in industrial zones, adolescent females in schools are provided. Supplementary polymicronutrient powder (sprinkle) is given to 6-24 months old children.
Activity 2.3.1: Conduct periodical deworming for children between 2-5 years of age and reproductive age women in compliance with MOH guidelines on examination and treatment.
Expected outcome 3: Activities for prevention of Vitamin A deficiency are effectively implemented.
Expected outcome 4: Activities for prevention of zinc deficiency are effectively implemented
Output 4.1.: Supplementary zinc for children with diarrhea in compliance with MOH approved regimen is provided.
Expected outcome 8: Fortification of micronutrient into foods is enhanced.
Expected outcome 10: Prevention of iodine deficiency.
Output 2.2: Models for reducing salt consumption to prevent hypertension in the community are developed and implemented
Expected outcome 9: Issuance of regulations on nutrition labeling for food products is conducted.
Output 9.1: Standards for nutrition labeling are issued
Expected outcome 1: Knowledge and practices for exclusive breast feeding (EBF) of children during the first 6 months in life are improved
Expected outcome 3: Knowledge on proper nutrition, rational supplementary feeding for children is improved
Output 3.1: Knowledge and practices of child feeding are improved.
Activity 3.1.2: Conduct direct nutrition counseling to pregnant women and youth females through the system of nutrition counseling clinics.
","Indicators:
- The proportion of households with low energy intake (below 1800Kcal) will be reduced to 10% by 2015.
- The proportion of households with a balanced diet (Protein: Lipid: Carbohydrate ratio- 14:18:68) will reach 50% by 2015.
- The prevalence of chronic energy deficiency of reproductive age women will be reduced to 15% by 2015.
- The rate of low birth weight (infant born less than 2,500 g) will be reduced to less than 10% by 2015.
- The rate of stunting in children under 5 years old will be reduced to 26% by 2015.
- The prevalence of underweight among children under 5 years old will be reduced to 15% by 2015.
- By 2015, the average height of children under 5 years old will increase by between 0.7cm and 1cm in both boys and girls; and height in adolescents by sex will increase by 0.4cm – 0.5cm compared with the averages from 2010.
- The prevalence of obesity in children under 5 years old will be less than 5% in rural areas and less than 10% in big cities by 2015.
- The prevalence of children under 5 years old with low serum vitamin A (<0.7 µ mol/L) will be reduced to less than 10% by 2015.
- The prevalence of pregnant women suffering from anemia will be reduced to 28% by 2015.
- The prevalence of children under 5 suffering from anemia will be reduced to 20% by 2015.
- By 2015, the proportion of households eating qualified iodized salt (≥ 20 ppm) will reach more than 90%; Mean urinary iodine levels in mothers with children under 5 years old will be between 10 - 20 µg/dl.
- The prevalence of obesity in adults will be controlled to a rate of less than 8% by 2015.
- The proportion of adults with elevated serum cholesterol (over 5.2 mmol/L) will be less than 28% by 2015.
- The rate of exclusive breastfeeding (EBF) for the first 6 months will reach 27% by 2015.
- The proportion of mothers with proper nutrition knowledge and practices when caring for a sick child will reach 75% by 2015.
- The proportion of adolescent females receiving maternal and nutrition education will reach 65% by 2015.
- By 2015, 75% of nutrition staff at provincial level and 50% of those at district level will be trained in community nutrition from 1 to 3 months.
- By 2015, 100% of commune nutrition staff and nutrition collaborators will be trained and updated knowledge on nutrition care practices.
- By 2015, the proportion of hospitals with dieticians will reach 90% at central level, 70% at provincial level and 30% at district level.
- The proportion of hospitals providing nutrition counseling services and applying diets for proper nutrition for targeted diseases and group members including aging people, HIV/AIDS and TB will reach 90% at central level, 70% at provincial level, and 20% at district level by 2015.
- By 2015, the proportion of provinces with qualified nutrition surveillance units will reach 50%. A set of nutrition indicators on implementation of objectives will be appropriately and adequately developed. Monitoring and supervision of nutrition in emergencies will be conducted in disaster – stricken provinces.
","Outcome indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|Low birth weight|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Overweight in children 0-5 yrs|Overweight and obesity in adults|Raised blood cholesterol|Sodium/salt intake|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Provision of school meals / School feeding programme|School milk scheme|Food labelling|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Salt reduction|Iodine|Iron and folic acid|Zinc|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Nutrition education|Food grade salt|Deworming|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Home, school or community gardens|Diarrhoea or ORS","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM_2012_NPAN.pdf" "23453","VNM","Viet Nam","","United Nations Development Assistance Framework for Viet Nam- ""One Plan""","Non-national nutrition policy document","","English","","2012","","2016","UN Country Team","","2011","Adopted","6","2008","14 Participating UN System Agencies","","","","","","","","","","","","","","","","","","","
Article 1. Scope of regulation
1. This Law specifies the advertising activities; the rights and obligations of organizations and individuals participating in advertising activities; the State management of advertising.
2. The political propagation and dissemination are not regulated by this Law.
Article 7. Products, goods and services banned from advertising
4. Dairy being breast milk substitute for children under 24 months old, dietary supplements for children under 06 months old; artificial feeding bottles and pacifiers
","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Food labelling","","","Scope of the Code: 0-24 months of age","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM%202012%20Law%20on%20Advertising_0.pdf" "17834","ETH","Ethiopia","","National Nutrition Programme","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","2015","Government of the Federal Democratic Republic of Ethiopia","","2013","Adopted","","","National Nutrition Coordination Body (State Ministers of Health, of Education, of Industry, of Water and Energy, of Trade, of Agriculture, of Labour and Social Affairs, of Finance and Economic Development, and of Women, Children and Youth Affairs)","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Environment|Industry","","","","","","","","","","","","","","","","","","Strategic Objective 1: Improve the nutritional status of women (15-49 years) and adolescents (10-19 years)
Strategic Objective 2: Improve the nutritional status of infants (0-6 months), young children (6-24 months) and children under 5 years
Strategic objective 3: Improve the nutrition service delivery for communicable and non-communicable/lifestyle related diseases (all age groups)
Strategic objective 4: Strengthen implementation of nutrition sensitive across sectors
Strategic objective 5: Improve multisectoral coordination and capacity to ensure implementation of the NNP
Impact Objectives: Improve Nutritional status of women and children
(Additional outcome, output, process and input indicators from Accountability and results matrix in relation to the strategic objectives, results and initiatives.)
","","","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 in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|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|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Maize flours|Complementary foods|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","http://www.moh.gov.et/English/Resources/Documents/NNP.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202013%20National%20Nutrition%20Programme.pdf" "26274","ETH","Ethiopia","","Food, Medicine and Health Care Administration and Control Council of Ministers Regulation (Regulation No. 299/2013)","Legislation relevant to nutrition","","English","","2013","","","Federal Negarit Gazette No. 11 24th January, 2014","1","2014","","","","","","","","","","","","","","","","","","","","","","","","","","","7. Food Fortification
1/ For the purpose of protection of public health the Authority may order any food manufacturer to fortify food with different minerals and vitamin.
2/ Any food establishment may only manufacture, import, distribute or sale any food identified for fortification in accordance with sub-article (1) of this Article where such food is enriched in accordance with requirements adopted by the Authority.
3/ The labelling of fortified food shall contain the phrase stipulating with what mineral or vitamin the food is fortified.
10. Food Supplement and Genetically Modified Foods
1/ Any person may only sale food supplements upon the registration and .. permit of the Authority.
2/ No person may sell a food supplement unless in pre-packed form and its labelling contains the phrase """"food supplement"""".
3/ No labelling, presentation or advertisement of a food supplement may describe that a balanced and varied diet cannot provide appropriate quantities of nutrients or attribute to the food supplement the property of preventing or treating a human disease.
4/ Special permit of the Authority shall be required to manufacture. import, export or distribute genetically modified foods. 5/ No person may sell genetically modified food unless in pre-packed form and its labelling contains the phrase """"genetically modified food"""".
","Food labelling|Food fortification","","http://www.fmhaca.gov.et/publication/food-medicine-and-healthcare-administration-and-control-councils-of-ministers-regulation-no-299-2013/","","","" "23720","GHA","Ghana","","Health Sector Medium Term Development Plan 2014-2017 ","Health sector policy, strategy or plan with nutrition components","","English","","2014","","2017","Ministry of Health","10","2014","","","","","Health","","World Health Organization (WHO)","","","Christian Health Assciation","","","","","National NGOs","","","","Private sector","Privet Health Institutions","Other","Pharmacy Council; Nurses and Midwifes Council; Healthy Institution and Facility Regulatory Authorities; Teaching Hospitals; Training Institution Agency","Objectives 6: Intensify prevention and control of non-communicable and other communicable diseases
Strategy: Review and Scale up Regenerative Health and Nutrition Programme (RHNP)
Activities:
During the period of the HSMTDP (2014-2017), it is expected that the health sector will work with other stakeholders to reduce inequities in health status across and within regions. This will be measured by how regions and districts perform in reducing the wide disparities in:
Targerts and Indicators
3.1 Proportion of restaurants and food vendors in good standing (No. of restaurants and food vendors in good standing / no. of restaurants and food vendors ever registered with FDA)
5.12 Proportion of children U5 who are stunted -> 2015: <16%
5.15 Exclusive breast feeding for six months -> 2017: >57%
","","","Stunting in children 0-5 yrs|Media campaigns on healthy diets and nutrition|Food safety","","http://www.moh.gov.gh/wp-content/uploads/2016/02/2014-2017-Health-sector-medium-term-dev-plan.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GHA%202014%20Health%20Sector%20Mid%20Term%20Development%20Pllan.pdf" "126233","GHA","Ghana","","Excise Duty Act 2014 (Act 878) ","Legislation relevant to nutrition","","English","","2014","","","Government of Ghana","","2014","","","","","Finance, budget and planning","","","","","","","","","","National NGOs","","","","","","","","","","","","Abridged Version of EXCISE DUTY ACT 2014 (ACT 878) :
Payment of Excise Duty
Scope
Excise duty is payable on the under listed goods manufactured or imported into Ghana:
• waters including mineral water of all description, distilled, bottled water and sachet water;
• malt drinks, however a lower rate is payable if manufactured using local raw material;
","Sugar intake|Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Mineral, aerated or flavoured waters (taxes)","","https://gra.gov.gh/wp-content/uploads/2020/09/2_Abridged-version-of-Excise-Duty-Act.pdf","Appendix 1: Goods Liable to Excise DutyFirst Schedule: Excise Duty Act, 2014 (Act 878)Tariff Number Tariff Description Duty Rate1a) Waters, including mineral water of all description 17.5% of the ex-factory priceb) Distilled, bottled water 17.5% of the ex-factory pricec) Sachet water 0%2 Malt drink; % use of local raw materiala) Less than 50% of local raw material 17.5% of the ex-factory priceb) 50% to 70% of local raw material 10% of the ex-factory pricec) Above 70% of local raw material 7.5% of the ex-factory pricehttps://gra.gov.gh/domestic-tax/tax-types/excise-duty/","","" "40372","VNM","Viet Nam",""," Quyết định 376/QĐ-TTg của Thủ tướng Chính phủ banh hành Chiến lược quốc gia phòng chống bệnh không lây nhiễm giai đoạn 2015-2025 [Decision No. 376/QĐ-TTg of Prime Minister to approve the National Strategy for prevention and control of NCD]","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2025","Ministry of Health","3","2015","Adopted","3","2015","","Health","","","","","","","","","","","","","","","","","","2. Objectives and targets to 2025
a) Objective 1: To raise awareness of government at all levels and citizens on prevention and control of cancer, cardiovascular diseases, diabetes, chronic obstructive pulmonary disease and asthma
Targets:
- 100% People's Committees of provinces and cities have plans and allocate budget to implement strategy at the locals;
- 70% of adults have knowledge about cancers, cardiovascular diseases, diabetes, chronic obstructive pulmonary disease and asthma, about the impact of NCDs to the community’s health, to national society and economy, as well as principle of NCD prevention and control. ;
b) Objective 2: To minimize behavioral risk factors of cancers, cardiovascular diseases, diabetes, chronic obstructive pulmonary disease and asthma.
Targets:
- A 30% relative reduction in the prevalence of smoking among people aged 15 and older compared with 2015; reducing the prevalence of smoking among aldolescent to less than 3.6%.
- A 10% relative reduction in the prevalence of harmful use of alcohol among adult men compared with 2015; reducing the prevalence of drinking among aldolescent to less than 20%
- A 30% relative reduction in the mean salt consumption/adult/day compared with 2015;
- A 10% relative reduction in the prevalence of physical inactivity among adults, compared with 2015
c) Objective 3: To halt the increase of pre-diseases, morbidity and premature death due to cancer, cardiovascular diseases, diabetes, chronic obstructive pulmonary diseases and asthma.
Targets:
- To constrain the prevalence of overweight/obesity (BMI≥25) among persons aged 18+ to less than 15%; constrain the prevalence of overweight/obesity among children to less than 10%
- To constrain the prevalence of raised total cholesterol (>5.0 mmol/L) among adults to less than 35%;
- To constrain the prevalence of hypertension among adults to less than 30%;
50% of hypertensive persons are detected; 50% of detected persons are managed and treated in accordance with the guidelines;
- To constrain the prevalence of pre-diabetes among persons aged 30-69 to less than 16%, prevalence of diabetes among persons aged 30-69 to less than 8%;
50% of persons with diabetes are detected; 50% of detected diabetes are managed and treated in accordance with the guidelines.
- 50% of people with chronic obstructive pulmonary diseases are detected at an early stage; 50% of detected patients are managed and treated in accordance with the guidelines;
- 50% of people with asthma are detected and treated at an early stage; 50% of treated patients are well controled in which 20% fully achieved target treatment;
- 40% of people with some common cancers are detected at an early stage (cancers which the effectiveness of treatment can be improved if detected at early stages)
- a 20% relative reduction in premature (aged <70 ) death rate due to cancer, cardio-vascular diseases, diabetes and chronic obstructive pulmonary diseases compared with 2015.
","1. Measures on policy, legislation and multi-sectoral collaboration.
a) To supplement, perfect and enhance enforcement of the policies, legal documents to control risk factors and promote healthy factors for prevention and control of NCDs:
- Fully implementing the Tobacco Control Law, Environment Protection Law, Food Safety Law, the National policy for prevention and control of harmful use of alcohol until 2020 and other relevant policy documents. Develop and submit to authorize level for the approval of the Alcohol control Law. Enhance the enforcement, supplement and complete policy documents and warning about the health impact of processed foods, soft drink, food additives, especially products for children.
- Propose, supplement regulations on controlling advertising and tax policy to reduce consumption of tobacco, alcohol, soft drink, processed food and other products that have risks of causing NCDs
- Propose, supplementent policies to encourage production, provision and consumption of safe and healthy foods; the policy to facilitate people's access to and use of public spaces, sport and gymnasium facilities; promote public transportation and non-motorised transportation
b) Complete multi-sectoral collaboration mechanisms from central to locals, along with mobilize organizations, individuals and community to be involved in the implementation of the strategy.
c) Review, supplement and complete legal policies to ensure NCD prevention and control activities are performed in an uniformed system from central to local level; ensure the availability of essential medicine and equipment for prevention, early detection, treatment and long term management at grassroots’ health care facilities.
d) Propose policies to encourage providing services of prevention, treament and management of NCDs at community through private sector and family doctors especially the remote and isolate areas.
2. Measure on communication and social mobilization
a) Use the network of information and communication from central to local level to communicate, disseminate, and mobilize support from government at all levels, sectors, mass organizations and individuals to implement policies, laws, guidelines and recommendations on the prevention and control of NCDs.
b) Develop and supply communication programmes and materials, on NCD prevention and control, which are suitable to communication channels and target audiences.
c) Promote the development and implementation of models of healthy communities and settings relevant to local context and population groups including models of health promoting school, healthy workplace and healthy city.
d) Propose the launching of a movement on Healthy Lifestyles for all to prevent and control NCDs.
","","","","Overweight and obesity in adults|Overweight in school children|Raised blood cholesterol|Raised blood glucose/diabetes|Sodium/salt intake|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Creation of healthy food environment|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Salt reduction|Vaccination","","https://vncdc.gov.vn/files/document/2016/4/chien-luoc-quoc-gia-phong-chong-benh-khong-lay-nhiem.pdf","","WHO NCD Country Capacity Survey 2019","https://extranet.who.int/nutrition/gina/sites/default/filesstore/VNM%202015%20Quy%E1%BA%BFt%20%C4%91%E1%BB%8Bnh%20376%20Q%C4%90-TTg%20c%E1%BB%A7a%20Th%E1%BB%A7%20t%C6%B0%E1%BB%9Bng%20Ch%C3%ADnh%20ph%E1%BB%A7%20banh%20h%C3%A0nh.pdf" "36195","ETH","Ethiopia","","National Nutrition Programme","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2020","Government of the Federal Democratic Republic of Ethiopia","","2016","Adopted","","2017","National Nutrition Coordination Body (State Ministers of Health, of Education, of Industry, of Water and Energy, of Trade, of Agriculture, of Labour and Social Affairs, of Finance and Economic Development, and of Women, Children and Youth Affairs)","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Labour|Other","Government of the Federal Democratic Republic of Ethiopia Ministry of Health, Agriculture and Natural resource, livestock and fishery, ministry of water, irrigation and electricity, ministry of education, Labor and social affairs, women and children affairs","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","CARE|Concern Worldwide|Global Alliance for Improved Nutrition (GAIN)|Nutrition International|Other, please specify under further details","Alive and Thrive, CIFF, BIG win, SCI(GTN, INSPIRE), SUN-Coalition, etc.","Bill and Melinda Gates Foundation","","","","","","Research/academia","","Private sector","chamber of commerce","","Professional associations","
STRATEGIC OBJECTIVE 1: Improve the nutritional status of women (15–49 years) and adolescent girls (10–19 years)
STRATEGIC OBJECTIVE 2: Improve the nutritional status of children from birth up to 10 years
STRATEGIC OBJECTIVE 3: Improve the delivery of nutrition services for communicable and non-communicable/lifestyle related diseases
STRATEGIC OBJECTIVE 4: Strengthen the implementation of nutrition-sensitive interventions across sectors
STRATEGIC OBJECTIVE 5: Improve multisectoral coordination and capacity to implement the national nutrition program
","","
2020 TARGETS
","","","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 in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|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|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Maize flours|Complementary foods|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|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/ETH%202016%20National%20Nutrition%20Programme%20II.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" "39360","ETH","Ethiopia","","Growth and Transformation Plan II","Multisectoral development plan with nutrition components","","English","","2016","","2020","Ministry of Finance and Economic Cooperation","","2016","Adopted","","2016","Ministry of Finance and Economic Cooperation","Finance, budget and planning","all government sectors","","all UN agencies","","all NGOs","","","","","National NGOs","","","","Private sector","private sectors have a share","","","
6.2. Health Sector Development
Major Targets
a) The national nutrition strategy which aims at producing healthy and productive citizens by fulfilling their nutrition demand will be implemented with due consideration by the relevant stakeholders. In this regard, special emphasis will be given to ensuring household food security, maternal and child care, render health services accessible and create healthy environment.
g) Expand primary health care service coverage from 98 percent in 2014/15 to 100 percent by 2019/20, ensuring universal coverage in primary health care. This would be achieved by improving access to quality health services and implementing preventive health policy and by strengthening implementation of nutrition program.
","","
Stunting Rate: Baseline year (2014/15) 40%; Plan targets (2019/20) 26%
Wasting Rate: Baseline year (2014/15) 9%; Plan targets (2019/20) 4.9%
Households using iodized salt coverage: Baseline year (2014/15) 15%; Plan targets (2019/20) 80%
","","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Food security and agriculture|Vaccination","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202016%20Growth%20and%20Transformation%20Plan%20II.pdf" "24468","ETH","Ethiopia","","United Nations Development Assistance Framework for Ethiopia ","Non-national nutrition policy document","","English","","2016","","2020","UN Country Team in Ethiopia","","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Environment|Industry|Justice","","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 Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, OHCHR, UNCTAD, UNEP, UNCDF,UNODC , UNOPS, UN Women","Other","","","","","","","","Research/academia","","Private sector","","","","Outcome 1: By 2020 Ethiopia will achieve increasingly robust and inclusive growth in agricultural production and productivity and increased commercialisation of the agricultural sector.
Outcome 7: Enhanced appropriate feeding and care practices for improved nutrition status of children under five years,adolescents, pregnant and lactating women.
Output 7.1: National,subnational and partner capacity (multisectoral nutrition technical committees and nutrition coordination bodies at all levels) strengthened for National Nutrition Programme (NNP) implementation, coordination, monitoring and reporting.
Output 7.2: Improved nutrition care practices for infants, young children, adolescents, and pregnant and lactating women (PLW).
Output 7.3: Enhanced capacity of the health system to provide quality preventive and curative nutrition services for infants, young children, adolescents, and pregnant and lactating women.
Outcome 9: By 2020 the Ethiopian population, in particular women, children and vulnerable groups, have increased access to and use affordable, safe and adequate water, sanitation and hygiene (WASH) services.
Output 9.1: Strengthened capacity of WASH sector Ministry (water, health & education) in conducting strategic planning, coordination, leveraging, advocacy and implementation of development and emergency WASH interventions.
Output 9.2: Strengthened sector WASH capacity in knowledge management that informs improvements in service delivery, policies, procedures, monitoring and evaluation at the federal and regional levels.
Output 9.3: Enhanced support for children and families leading to resilient and equitable, access to and use of safe and adequate water and sanitation services and adoption of appropriate hygiene practices in households and institutions in urban and rural areas.
Output 9.4:Populations affected by WASH Emergencies receive WASH services in line with minimum standards.
","Outcome 1. Under this outcome the UN will work with the relevant Government and other partners to strengthen the capacities of farmers and agro-pastoralists to adopt innovative farming techniques and inputs for increased production and productivity. Specific technologies that will be promoted through advocacy and practical training sessions include agricultural technologies and practices that: help increase production and productivity; ensure the reduction of pre and post-harvest losses; improve livestock production; encourage sustainable land management; promote integrated watershed management; and stimulate climate-smart agricultural practices and nutrition-sensitive agriculture. Furthermore emphasis will be placed on crop diversification as well as value added processing and commercialization of
selected commodities through inclusive value chain approaches. On the supply side, the capacity of service providers and local level institutions will be strengthened to deliver quality agricultural extension services, including financial services, further improving the capabilities of farmers, (especially women and youth) to access and control productive resources and have access to markets and agricultural related financial products.
Outcome 7. In the area of nutrition the UN will support the Government to implement and monitor the National Nutrition Programme, including the strengthening of coordination of partners working in the sub-sector at national, regional and zonal levels. At the service delivery level, the capacity of the health, agriculture and education system to provide quality preventative and curative nutrition services for infants, young children, adolescents, pregnant and lactating women, and people living with HIV will be strengthened. At the community level the UN will engage with households to improve nutrition care practices for infants, young children, adolescents and pregnant and lactating women, and provide treatment of moderate and severe acute malnutrition. In addition to this, UN agencies will use their collective capacity and work with other partners to strengthen the capacity of Government to monitor and use nutrition information, and prepare and respond to nutrition needs during emergencies.
Outcome 9. In this area the UN will work with the Government to build the capacity of technical staff in the Ministry of Water, Irrigation and Energy and at subnational level to plan, coordinate and implement both development and emergency related WASH interventions; increasing their capacity of relevant institutions to collect and analyse data to inform evidence-based service delivery. At the community level emphasis will be placed on increasing communitylevel knowledge and awareness to improve hygiene and sanitation practices within the household.
","3.3: Global acute malnutrition rate (GAM)
7.1: Proportion of children 6 to 23 months with minimum acceptable diet
7.2 Proportion of children under 6 months exclusively breastfed (disaggregated by national & refugee population)
7.1.1: Federal and regional coordination bodies and technical committees (NNCB, NNTC, RNCBs, RNTCs) meet as per schedule
7.1.2: NNP monitoring mechanism (scorecard) established at federal and regional level and updated on a regular basis
7.1.3 Number of ministries that have aligned their respective sector plan with NNP
7.1.4 Integrated NNP monitoring tool established at different levels (national and woreda)
7.2.1: Percent of GMP participation for girls and boys under 2 year of age
7.2.2: Number of woredas in developing regions with active Women-to-Women support groups.
7.3.1: Percent of children under 5 receiving vitamin A supplementation
7.3.2:. Percent of health facilities providing SAM treatment
7.3.3: Number of health posts or mobile health and nutrition teams (MHNT) providing MAM treatment
7.3.4: Number of woredas with schools providing nutrition programmes including adolescents
7.3.5: Number of SAM cases treated among refugee populations
9.1: % of populations using safe and adequate WASH services disaggregated by rural and urban areas
9.3.1: % of Ethiopian population and refugee users of safe, adequate and resilient water supply services disaggregated by urban and rural areas
9.3.2: % of Ethiopian population and refugee using safe, adequate and resilient sanitation services disaggregated by urban and rural areas
9.3.4: # of people adopting appropriate hand washing practices
9.4.1: # of people affected by WASH emergencies provided with safe and adequate water supply as per minimum emergency standards
9.4.2: # of people affected by WASH emergencies provided with appropriately designed emergency latrines
9.4.3: # of people affected by WASH emergencies participating in hygiene promotion activities
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Wasting in children 0-5 years|Underweight in children 0-5 years|Vitamin A deficiency|Minimum acceptable diet|School-based health and nutrition programmes|Vitamin A|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","http://et.one.un.org/content/unct/ethiopia/en/home/assistance-framework/undaf.html","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202016%20UNDAF.pdf" "39357","ETH","Ethiopia","","Nutrition Sensitive Agriculture Strategic Plan","Food security or agriculture sector national policy, strategy or plan with nutrition components","","English","","2016","","2020","Ministry of Agriculture and Natural Resource, Ministry of Livestock and Fishery","","2016","Adopted","","2016","MOANR, MOLF","Food and agriculture|Sub-national","Ministry of Agriculture and Natural resource, Ministry of livestock and fisheries, (sub-) regional administrations","Food and Agriculture Organisation (FAO)","","","","US Agency for International Development (USAID)","","","","National NGOs","","","","","","","","
Strategic objective 1. Leverage nutrition in to agriculture policy, strategy, and program documents at all level
Strategic objective 2: Establish and strengthened structure responsible for nutrition mainstreaming and build capacity of agricultural sector at all
Strategic objective 3. Enhance resilience of vulnerable community and households prone to climate change and moisture stress.
Strategic objective 4. Increase year-round availability, access, and consumption of diverse, safe, and nutritious foods
Strategic Objective 5. Gender
Strategic objective 6. Develop strong multi-sectorial coordination
","","
Table of indicators p. 22-31
","","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Growth monitoring and promotion|School fruit and vegetable scheme|Distribution of take home rations|Monitoring of children’s growth in school|School gardens|Nutrition counselling on healthy diets|Nutrition education|Biofortifcation|Food distribution/supplementation for prevention of acute malnutrition|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/ETH%202016%20Nutrition%20Sensitive%20Agriculture%20Strategic%20Plan_0.pdf" "39745","GHA","Ghana","","National Nutrition Policy ","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","","Government of Ghana","7","2016","","","","","Health","The Ministry of health and the Ghana Health Service the Nutrition and reproductive and child health department","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","Global Affairs Canada|The World Bank|US Agency for International Development (USAID)","","","","","","Research/academia","Department of Nutrition and Food Science of the University of Ghana","","","","","The goal of the NNP is to ensure optimal nutrition for all the people living in Ghana, to promote child survival, and to enhance capacity for economic growth and development.To achieve this goal, the following policy objectives will be pursued:
1- To increase coverage of high impact nutrition specific interventions that ensure optimal nutrition of Ghanians throughout their lifecyle, with special reference to maternal health and child survival
2- To ensure high coverage of nutrition sensitive interventions to address the underlying causes of malnutrition
3- To reposition nutrition as a priority multi-sectoral development issue in Ghana
","policy measures for objective one:
1. Nutrition of Women in Child-Bearing Age and the New-Born
2. Optimal Nutrition during Infancy and Childhood
3. Nutrition of School-age Children and Adolescents
4. Nutrition in the general population
5. Prevent and Manage Obesity and Diet-Related Non Communicable Diseases
6. Prevent and Manage Acute Malnutrition
7. Nutrition in Emergency Situations
Policy measures for Objective 2
1. Health, Water, Hygiene, and Sanitation Services
2. Agricultiure and Food Security
3. Social Protection and Safety Nets
4. Eduction
Policy measures for objective 3
1. Advocacy and communication
2.Nutrition as a priority
3. Integartion and coordination
4.Institutional Strengthening
5. Research
6. Monitoring and Evaluation
","","Outcome indicators","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Iodine|Iron and folic acid|Micronutrient supplementation|Food fortification|Nutrition education|Food grade salt|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Family planning (including birth spacing)|Improved hygiene / handwashing|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/GHA_B14_National_Nutrition_Policy_JULY2016.pdfWHO NCD Country Capacity Survey 2019","","WHO NCD Country Capacity Survey 2019","" "39358","ETH","Ethiopia","","Food and nutrition policy","Comprehensive national nutrition policy, strategy or plan","","English","","2018","","","Federal Democratic Republic of Ethiopia","11","2018","","","","","","Government of Ethiopia, NNP implementing sectors","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","all","","","","","","","","","Private sector","food and beverage manufacturers","","","General Objectives
To develop a support environment, to raise awareness and make behaviour changes for each citizen so that they would reduce salt intake in their daily diet to prevent and control hypertension, stroke and cardiovascular diseases and other non-communicable diseases, contributing to people’s health protection, care and promotion.
Specific Objectives
Objective 1. Raise awareness and make behaviour changes in the population to reduce salt intake in the daily diet
Objective 2. Strengthen the responsibility of the authorities of all levels, agencies and sectors, and mass unions in developing and implementing policies and mechanisms to generate sustainable resources for interventions to reduce salt in the people’s diet.
Objective 3. Raise the responsibility of organizations and individuals that produce and trade foods and catering service providers to implement interventions to reduce salt in the people’s diet.
Objective 4. Raise capacity and efficiency of surveillance, counseling and guidance on low-salt diets in health facilities and the community
","
KEY ACTIVITIES AND SOLUTIONS
1. Solution groups of legal policies
a) Enhance enforcement, supplementation and finalization of relevant polices and legal regulations on salt reduction in the people’s diet:
- Study and propose supplementation to regulations on food labeling such as: disclosure of the salt content in products, warning about high-salt foods, warning about the harm to health of excessive salt consumption and recommendations on the maximum salt consumption level per day.
- Study and propose supplementation to regulations on restricting advertisement and marketing of high-salt products, especially to children and high risk groups.
- Propose, supplement and finalize policies and regulations on serving school meals and providing low-salt foods that are good for health of children, school-children and students.
- Propose and supplement policies to encourage production, supply and consumption of safe, low-salt and healthy foods.
- Embrace and implement Decree No. 09/2016/ND-CP providing for fortification of food with micronutrients, especially iodine fortified salt.
b) Establish a mechanism of inter-sectoral collaboration from the central to local levels and promote involvement of organizations, individuals and the community in conducting activities to reduce salt consumption in people’s diet.
2. Solutions of communication and social mobilization
a) Efficiently use the information and communication system from the central to local levels to perform information, education and communication activities on low-salt consumption for prevention and control of hypertension, stroke, cardiovascular diseases and other non-communicable diseases.
b) Compile and provide communication messages and materials on salt reduction appropriate to communication modes and target groups, including: (1) mass media communication, (2) advocacy communication, (3) community communication, (4) communication and guidance in catering service providers, (5) school communication, (6) communication with food producers and traders.
c) Promote communication programs and activities to raise awareness and responsibility of the authorities of all levels, ministries, agencies, sectors, mass media and food producers and traders:
- Organize conferences and seminars to provide information and scientific evidence on the harm of excessive salt consumption and salt reduction measures to managers, policy-makers and related enterprises.
- Conduct study tours and share domestic and international experience on enforcement of dietary salt reduction policies and interventions.
- Conduct advocacy communications on mass media, develop a column in newspapers, and hold television talks on the topic of salt consumption reduction for prevention and control of hypertension, stroke, cardiovascular diseases and other non-communicable diseases.
d) Implement behaviour change communication programs and campaigns:
- Conduct a national communication campaign annually on the topic of universal salt consumption reduction for prevention of hypertension, stroke, cardiovascular diseases and other non-communicable diseases.
- Conduct salt consumption reduction communication programs and campaigns integrated into annual health days or events such as the World Cancer Day, World Health Day, World Stroke Day, Nutrition and Development Week, etc.
- Continue to enhance behaviour change communication on salt consumption reduction via face-to-face communicators in the community.
- Develop and broadcast communication messages on salt reduction on Vietnam Television and the Voice of Vietnam; post communication articles on online newspapers and traditional newspapers; periodically broadcast communication messages on salt reduction on the provincial/city radio and television and on commune/ward public address systems nationwide.
- Apply new communication forms such as the Internet, SMS, and social websites by posting articles and messages, constructing a portal on universal health with a salt reduction guidance column, creating fanpages on salt consumption reduction on social websites.
- Design and disseminate salt reduction communication materials: billboards for provinces/cities, picture folders and communication manual for commune health stations, posters for commune health stations, enterprises, agencies and schools.
- Display posters and messages, distribute leaflets on salt consumption reduction in markets, supermarkets and catering service providers.
3. Professional and technical solutions
a) Salt consumption reduction intervention in schools
- Develop guidance on knowledge and skills for communication on salt consumption reduction in schools; organize seminars/trainings for awareness raising and communication guidance for education managers, teachers, school health staff; training for cooking and waiting staff on salt reduction measures in selecting and processing foods and serving meals to school-children.
- Develop communication materials and conduct communication activities for school-children and students on low-salt diets, minimize fast foods, processed foods and snacks.
- Serve low-salt school meals with proper nutrition to semi-boarding and boarding school-children including: selecting low-salt foods; reducing salt in preparing meals; reducing salt, spices and sauce on the dining table; provide and disseminate messages, warnings, and instructions on salt reduction at kitchens, dining tables, restaurants and canteens in schools.
- Manage the operation of school canteens and catering services to limit school-children’s access to high-salt foods; enforce regulations on banning sales of unhealthy foods at school gates.
- Perform counseling on health, nutrition and salt consumption reduction with school-children, their parents; periodically monitor the nutrition and growth status and perform health checks for school-children for early detection of health risks and diseases.
b) Salt consumption reduction interventions for high-risk people and patients
- Develop knowledge dissemination materials, use electronic portals to provide information and guidance on low-salt diets for patients of hypertension, cardiovascular diseases and other non-communicable diseases.
- Develop professional guidance documents, provide training to enhance capacity for health workers of different levels on nutrition counseling, salt reduction in treatment, care and management of patients, especially for grass-root health workers.
- Provide counsels and guidance on low-salt diets in treatment of hypertension, cardiovascular diseases and other related diseases in medical care facilities.
- Commune health workers shall provide counsels and guidance on salt consumption reduction to patients of hypertension and cardiovascular diseases receiving outpatient treatment at health stations; hamlet health staff shall visit families to measure blood pressure and monitor and encourage hypertension patients to apply low-salt diets and adhere to treatment at home.
c) Salt consumption reduction interventions in households and the community
- Develop the guidance document set on salt reduction communication in the community; provide training on salt reduction communication and counseling to hamlet health staff, collaborators and commune health worker; organize seminars to raise awareness and seek support and involvement of local authorities and mass unions in the community salt reduction programs.
- Broadcast communication messages and articles on commune/ward public address systems.
- Arrange hamlet health staff’s and collaborators’ visits to households to distribute communication materials, give counsel and guidance on salt reduction practice to the people focusing on the following aspects: (1) the harm of excessive salt consumption to health and recommendations on salt reduction, (2) how to identify high-salt foods, (3) how to reduce salt in cooking and preparing foods, (4) reduction of salt, fish sauce and salty spices on the dining room. Visit households to measure blood pressure, give counsel to suspected hypertension patients and persuade them to visit health stations for diagnosis and treatment.
- Commune health staff shall collaborate with hamlet health staff and collaborators to organize community social meetings, talks to provide salt reduction messages, integrated into hamlet meetings, women meetings, elderly meetings, authorities meetings and other community meetings.
- Implement and roll out clubs and social meetings of women’s unions to share knowledge and experience on low-salt cooking in households.
- Consolidate and maintain clubs of diabetes patients, hypertension patients, cardiovascular disease patients, etc. at the commune/ward level.
d) Salt consumption reduction interventions in catering service providers (restaurants, food shops and canteens, etc.)
- Collaborate with catering service providers to perform salt reduction measures for menus.
- Provide materials, guidance and training to chefs, cooks and restaurant staff on salt reduction techniques and measures for menu foods.
- Apply salt reduction measures in restaurants including: selecting low-salt foods; reduce salt in preparing and cooking foods; reduce the types and quantities of spices, fish sauce and salt available on dining tables.
- Provide warning messages on the harm of excessive salt consumption to health and recommendations on salt reduction measures for customers: (1) display posters in restaurant precincts, (2) display messages and instructions in kitchens, (3) display warning messages and advice on customers’ dining tables, (4) mark and note high-salt foods in the restaurant menu.
d) Salt consumption reduction interventions in food production and trading establishments
Food producers and traders shall implement measures to reduce salt in packaged foods; and for the immediate future, select certain common high-salt foods:
- Supplement details of food on labels including: (1) disclose the added salt content of foods, (2) give warning about high-salt foods, (3) give warning about the harm of excessive salt consumption to health and recommendations on the maximum salt amount consumed per day.
- Reduce the salt content in foods for certain types of packaged foods.
- Apply scientific and technology measures to produce low-sodium salt or sodium replacements ensuring proper nutrition and food safety.
4. Resource solutions
a) Human resource development
- Strengthen and enhance the capacity of nutrition staff and grass-root health workers, especially hamlet health staff and nutrition collaborators on communication and counseling for community dietary salt reduction.
- Enhance the capacity of nutrition and dietetics staff and clinical physicians in medical care facilities to develop menus and give guidance on nutrition and low-salt diets for treatment and management of patients of hypertension, cardiovascular diseases and other related diseases.
b) Ensure financial resources
- Provide adequate finance for salt reduction intervention activities from various sources: central and local state budget, health insurance, socialization and other legal sources, while the state budget is used with priority for communication, surveillance and interventions for community salt reduction.
- Mobilize and seek contribution from enterprises, organizations and individuals to provide resources for application of technology solutions, development of community salt reduction models and enabling people to practice healthy behaviours.
","- More than 90% of adults know the harm of excessive salt consumption, identify high-salt foods and know measures to reduce salt intake.
- More than 60% of adults implement at least one measure to reduce salt intake in their daily diet.
- The average salt consumption of an adult is reduced to 7 gram per day.
- More than 90% of primary and secondary school-children understand the harm of excessive salt consumption and identify high-salt foods; more than 70% of school-children implement at least one measure to reduce salt as recommended.
- 100% of boarding schools and semi-boarding schools that serve school lunch adopt the low-salt diets for school children.
- More than 90% of people detected of contracting hypertension, cardiovascular diseases and other related diseases are counseled and instructed on adopting the low-salt diet.
- 90% of relevant ministries, agencies, sectors and mass unions collaborate with the Ministry of Health to promulgate policies and implement communication intervention plans for reducing salt intake in the people’s diet.
- 90% of centrally-run provinces and cities allocate funding and implement the health sector’s plan for dietary salt reduction communication and interventions in the localities.
- More than 30% of food and catering service providers implement at least one salt reduction measure in cooking, processing and provision of foods.
- More than 30% of processed food producers have at least one low-salt product and label products to disclose the salt content, indicate high-salt foods and make warning about health problems due to excessive salt consumption.
4.2.1 Goals of the Newborn Strategy
1. To contribute to the reduction of neonatal mortality rate from 32 per 1000 live births in 2011 to 21 per 1000 live births in 2018 (5%/year).
2. To contribute to the reduction of institutional neonatal mortality rate by at least 35% by 2018.
4.2.2 Objectives of the Newborn Strategy
1. Increase the proportion of health workers trained in Essential Newborn Care...
c) To increase the proportion of skilled workers trained in the IMNCI strategy to at least 80% by the year 2018....
2. Improve Basic Essential Newborn Care (primarily preventive care)
a) To increase the proportion of deliveries conducted by skilled birth attendants from 68% in 2011 to 82% in 2018.
b) To increase the proportion of babies receiving the first postnatal visit within 48 hours from 56% in 2011 to 90% in 2018.
c) To increase the proportion of babies receiving the 2nd postnatal visit by day 7 from 40% in 2013 to at least 80% in 2018.
d) To increase early initiation of breastfeeding (within 1 hour of birth) from 45.9% in 2011 to 80% in 2018.
e) To increase exclusive breastfeeding at 6 months from 45.7% in 2011 to 85% in 2018.
3. Provide basic neonatal resuscitation for adverse intrapartum events (birth asphyxia)
Treatment: To reduce institutional neonatal mortality (case fatality) due to adverse intrapartum events (birth asphyxia) by 50% by the year 2018.
4. Improve care of preterm/low-birthweight/growth-restricted babies
a) Prevention: To administer antenatal corticosteroids to at least 60% of preterm births under 34 weeks gestational age by 2018.
b) Treatment: To increase the number of hospitals providing the full package of KMC according to national criteria to at least 80% by 2018.
c) To increase the proportion of babies with birth weight less than 2000 g receiving skin- to-skin contact for at least 3 hours per day for at least 1 week to at least 60% by 2018.
...
","Chapter 5 Strategies and Implementation Activities
Page 40-52
....
5.9 Strategy 9: Scaling Up a Strengthened and Expanded Mother/Baby- Friendly Facility Initiative
APPENDIX 3: LIST OF INDICATORS1
page 58-64
Goal
The overall goal of the Child Health Strategy is by 2025, to achieve 50% reduction10 in the childhood mortality rates from the baseline of 2014:
4.2: Strategy Objectives
4.6: Linkages to the Global and Regional Strategies
Page 47-48
Table 3 Page 57
","","","Low birth weight|Anaemia|Anaemia in pregnant women|Vitamin A deficiency|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Complementary feeding|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Baby-friendly Hospital Initiative (BFHI)|Counselling on feeding and care of LBW infants|Counselling on infant feeding in the context HIV|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Physical activity and healthy lifestyle|Vitamin A|Folic acid|Iron and folic acid|Zinc|Multiple micronutrients supplementation|Nutrition education|Food grade salt|Management of moderate acute malnutrition|Deworming|HIV/AIDS and nutrition|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation","","","","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/GHA%202017%20Child_Health_Policy_and_Strategy_2017-2025.pdf" "40411","GHA","Ghana","","Adolescent Health Service Policy and Strategy (2016-2020)","Health sector policy, strategy or plan with nutrition components","","English","","2016","","2020","Ghana Health Service ","","2016","Not adopted","","","","Health","","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","Other","UK aid","","","","","","","Private sector","Palladium- Make it possible","","","4.5 Targets
The key Impact and Outcome targets to be achieved by 2020 will include the following.
17. Reducon of prevalence of anaemia in women ages aged 15-19 from 47.7% in 2014 To 35% by 2020
....
20. Reduce prevalence of BMI among females undernourished (15-19) from 14.4% in 2014 to 10% by 2020
21. Reduce prevalence of BMI among females Overweight/Obesity (15-19) from 8.7% in 2014 to 5% by 2020
5.3.7 Strategy 3.7: Improving the Nutrional status of adolescents
5.3.8 Strategy 3.8: Integraon of Non-communicable disease (NCD) prevenon into all adolescent health services
5.4.3 Strategy 4.3: Ensuring the enforcement of laws for control of exposure, markeng, importaon and access to unhealthy products including tobacco, alcohol, illegal substances and unhealthy foods and beverages high in salt, sugar and unhealthy fats
4.4. Outcome Targets
Nutrition and Physical Activity
4.5. Priority Areas, Strategies, Performance Targets and Interventions
Each of these priority areas is accompanied by its respective strategies, performance targets and priority interventions (Table 4).
page 24-33
ANNEX 6. Monitoring and Evaluation Matrix
page 67-72
4.1 Vision
4.2 Goals
4.3 Objectives
To ensure effective universal coverage of high impact neonatal and child survival interventions with special focus on the poorest and marginalized sections of the population including in regions requiring equitable development
To ensure provision of high quality essential health care for mothers, newborns and children at the community and health facility levels
Ensure community empowerment and demand creation for effective use of newborn and child survival interventions and promote key family and community care practices
11: ANNEXES
ANNEX 1 - Intervention packages and selected indicators for monitoring the strategy
page 67-71
11: ANNEXES
ANNEX 1 - Intervention packages and selected indicators for monitoring the strategy
page 67-71
In order to create an enabling policy environment and align with the strategic directions in FNP, FNS will have the following strategic objectives:
Page 66 - Page 175
Page 66 - Page 175
Article 1. The approval of the national nutrition strategy for the 2021 - 2030 period with a vision toward 2045 (hereinafter referred to as ""Strategy"") includes the following contents:
I. VIEWPOINTS
1. All people have the right to equally access nutrition and food in order to obtain the maximum nutritional state, improving their health.
2. Proper nutritional implementation needs to be maintained throughout each person's life so as to improve personal health and family health; thus, contributing to the improvement of protection and healthcare of the community.
3. The state is responsible for developing mechanisms and policies to promote proper nutritional implementation; arrange and allocate intervention resources to improve the nutrition for mothers and children in regions with difficulties, remote areas, ethnic minority areas, mountainous areas, and islands.
II. TARGETS
1. General targets: Implement proper nutrition to improve the nutritional state suitable for each person, locality, region, and ethnicity, contributing to the decrease of disease and increase of stature, stamina, and intelligence of Vietnamese.
2. Specific targets
a) Implementation of a varied, appropriate, and food-security diet for all ages and subjects according to the life cycle
- The percentage of children from 6 to 23-month-old that have correct and sufficient diet will reach 65% by 2025 and 80% by 2030.
- The percentage of adults who consume adequate amounts of fruit and vegetables daily will reach 55% by 2025 and 70% by 2030.
- The percentage of households that suffer from severe and moderate food insecurity will be reduced to below 8% (below 25% for households in mountainous areas) by 2025 and below 5% (below 20% for households in mountainous areas) by 2030.
- The percentage of schools that develop diets that satisfy the recommendation of the Ministry of Health on proper nutrition assurance according to the age and food diversity will reach 60% for urban areas and 40% for rural areas by 2025; strive to reach 90% for urban areas and 80% for rural areas by 2030.
-The percentage of hospitals that provide examinations, advice, and treatments via diet suitable for nutritional status and disease for patients will reach 90% for the central or provincial level; 75% for district level by 2025; 100% for central, provincial level and 80% for district level by 2030.
- The percentage of communes that provide nutritional counseling for pregnant mothers, mothers with children under 2 years old in the basic healthcare service package for primary health care, prevention, and improvement conducted by health stations of communes, wards, or commune-level towns will reach 50% by 2025 and 75% by 2030.
b) Improvement of nutritional status for mothers, children, and teenagers
- The percentage of stunted children below 5 years old will be reduced to below 17% (below 28% for stunted children in mountainous areas) by 2025 and below 15% (below 23% for mountainous areas) by 2030.
- The percentage of underweight children below 5 years old will be reduced to below 5% by 2025 and below 3% by 2030.
- The average height of 18-year-old teenagers will increase by 2 - 2,5cm for males and by 1,5 to 2 cm for females by 2030 compared to those in 2020.
- The percentage of children who are breastfed soon after birth will reach 75% by 2025 and 80% by 2030.
- The percentage of children below 6 months old who are exclusively breastfed will reach 50% by 2025 and 60% by 2030.
c) Control of overweight, prevention of non-infectious chronic diseases, related risk factors in children, teenagers, and adults
- The percentage of overweight will be controlled: below 10% for children below 5 years old (below 11% for urban areas and below 7% for rural areas); below 19% for children from 5 to 18 years old (below 27% for urban areas and below 13% for rural areas); below 20% for adults from 19 to 64 years old (below 23% for urban areas and below 17% for rural areas) by 2025 and maintain such percentages until 2030.
- The average salt consumption of the population (from 15 to 49 years old) will be reduced to below 8 grams/day by 2030.
d) Reduction of micronutrient deficiency in children, teenagers, and women of childbearing age
- The percentage of anemia in pregnant women will be reduced to below 23% (below 30% for mountainous areas) by 2025 and below 22% (below 25% for mountainous areas) by 2030.
- The percentage of anemia in female children from 10 to 14 years old in mountainous areas will be reduced to below 10% by 2025 and below 9% by 2030.
- The percentage of preclinical vitamin A deficiency in children from 6 to 59 months old will be reduced to below 8% (below 13% for mountainous areas) by 2025 and below 7% (below 12% for mountainous areas) by 2030.
- The percentage of children from 6 to 59 months old with low serum zinc levels will be reduced to below 50% (below 60% for mountainous areas) by 2025 and below 40% (below 50% for mountainous areas) by 2030.
- The percentage of households using iodized salt qualified for preventing diseases or iodized salty seasoning daily will increase to above 80% by 2025 and above 90% by 2030.
dd) Improvement of the nutritional reaction in emergency situations and enhancement of strategy implementation resource
- By 2025, 100% of provinces and cities that are potentially affected by climate change, natural disasters, or epidemics will have their response plans; evaluate and implement special nutritional intervention in emergency situations and maintain such percentage until 2030.
- By 2025, 100% of provinces, cities that are allocated the annual local budget will ensure the nutritional activities according to approved plans and maintain such percentage until 2030.
3. Vision toward 2045: All people will achieve their maximum nutritional status; non- infectious diseases related to nutrition will be controlled, thus contributing to the improvement of health and living quality.
III. MAJOR DUTIES AND SOLUTIONS
1. Complete mechanisms and policies on nutrition
a) Review, develop, amend, and complete regulations of the law on proper nutritional implementation; especially nutritional intervention in regions with difficulties, rural and remote areas, ethnic minority areas, mountainous areas, and islands. Complete the national technical nutritional standard system for food; develop financial mechanisms or policies including the payment of health insurance for nutritional activities in healthcare facilities and schools; develop regulations on nutrition labeling on the front of prepackaged products; limit advertisements for unhealthy foods, especially for children; impose excise tax for on sugary drinks.
b) Include the target to reduce stunted, underweight, or overweight children below 5 years old in the socio-economic development targets of the whole country and each administrative division.
2. Improve the inter-sectorial cooperation and social mobilization
a) Develop and conduct mechanisms of the inter-sectorial cooperation on nutrition work from the centrality to locality; focus on integrating, cooperating with programs or projects related to nutrition.
b) Mobilize organizations, individuals, and communities to participate in implementing the Strategy. Encourage social organizations, industrial communities to participate in implementing the Strategy via sponsorship for nutritional activities; ensure nutrition at workplaces; produce healthy nutritional products, and comply with regulations on production and trading of nutritional products, food.
3. Strengthen communication and education on nutrition
a) Strengthen the communication and mobilization to policy-making groups in order to incorporate nutrition work into strategies, programs, projects, or plans implemented in localities.
b) Organize the implementation of communication activities with types, methods, contents suitable for each region, group of subjects in order to improve knowledge; practice proper nutrition especially in preventing stunting malnutrition, micronutrient deficiency; controlling overweight - obesity and other non-infectious chronic diseases related to nutrition for all people.
c) Improve the efficiency of communication, education, or provision of advice on the practice of proper nutrition according to the life cycle. Focus on providing soft skill education; strengthen the cooperation between schools, families, and society to form a healthy lifestyle and habits of proper nutrition.
d) Increase the amount of time for communication and guidance on proper nutrition in the mass media especially on the Vietnam Television, Voice of Vietnam, Television and Broadcasting Station of provinces, online broadcasting system, social media, and other digital communication platforms.
4. Strengthen and improve the quality of human resources
a) Consolidate and develop nutrition staff; ensure the sustainability, especially of the network of specialized nutritionists and medical staff in rural areas; standardize clinical nutritionists.
b) Develop the curriculum; standardize training documents about nutrition in the medical school system; improve nutritional teaching or training capability for the teaching staff of schools; improve the quality of training and advanced training contents on nutrition work in schools, hospitals, and communities.
c) Improve the capability of officers of ministries, divisions, central authorities, unions, social organizations, non-governmental organizations, religious organizations in terms of integrating nutritional activities into programs or projects.
5. Enhance technical expertise for the implementation of nutritional intervention a) Improve meal quality; ensure food security and nutrition security
- Develop and disseminate dietary reference intakes, food pyramid, proper nutrition advice, menu, proportion, diet, and physical activities suitable for every subject.
- Develop regulations and provide guidelines for food labeling, nutrition labeling; enhance education and provision of advice for the people in order to create the needs of using varied, healthy, and nutritious food.
- Develop plans, nutritional agriculture models, and guidelines for food security and meal quality at households.
b) Increase the coverage and enhance the quality of essential nutritional interventions
- Develop and effectively implement programs, projects, and models of essential nutritional intervention such as: nutrition care in the first 1000 days of life (nutrition care for pregnant and breastfeeding women; exclusively breastfeeding for the first 6 months; proper additional meal and continuation of breastfeeding for children from 6 to 23 months old); monitor the children’s growth and development; manage and treat children with acute malnutrition; prevent micronutrient deficiency in mothers and children; ensure clean water, personal and environmental hygiene.
- Provide services of counseling, nutrition recovery, intervention models against obesity, prevention of non-infectious chronic diseases, and related risk factors at all levels. Strengthen the implementation of nutritional intervention for elderly people and occupational nutrition
- Promote the fortification of domestic or imported food products. Encourage people to use fortified foods. Supervise the implementation of regulations on mandatory food fortification.
- Strengthen the in-place food systems that are safe, diverse, nutritious, and sustainable in order to meet the needs of every subject in every region, especially areas affected by natural disasters and epidemics.
- Improve the service provision quality by constructing, standardizing technical procedures, guidelines for groups of nutritional intervention. Incorporate the evaluation of the quality of nutritional intervention into the annual evaluation target of healthcare facilities.
- Integrate nutritional services into other programs in terms of healthcare, education, social-economic development of mountainous areas and ethnic minority areas, new rural areas, poverty reduction, social protection in order to increase investment resources for every subject that needs interventions.
c) Implement nutritional activities at schools
- Promote and improve the quality of school nutrition education, physical education, and sports; integrate them into regular school hours, extracurricular activities; develop appropriate communication models.
- Develop communication documents and organize communication activities for parents of students about proper nutrition, healthy and safe food, prevention of non-infectious diseases, and enhancement of physical activities for children, students. Pay special attention to proper nutrition for children in pre-puberty or puberty.
- Develop guidelines and organize school meals in a manner of nutrition assurance according to age, region, and food diversity assurance (for schools that provide meals for students). Promulgate regulations in order to prevent students from approaching unhealthy food.
- Develop mechanisms for cooperation and connection between the school and families in nutrition care for children, students; inform parents about the nutritional status of children, students in the school.
- Maintain regular deworming in areas with high prevalence of worms and helminths. c) Implement nutritional activities at hospitals
- Develop and implement specialized guidelines for nutritional treatment, clinical nutrition, and dietetics at facilities that provide examination and treatment.
- Organize communication activities and provide nutritional counseling for patients, their families at healthcare facilities.
- Implement regulations on nutrition in hospitals such as nutrition targets and breastfeeding in the criteria for hospital quality.
dd) Strengthen the implementation of emergency nutritional activities
- Develop and incorporate nutrition assurance content into the response plan for natural disasters, epidemics of the central and provinces, cities.
- Improve the nutritional response capability in emergency situations of officers of all levels and related divisions, central authorities.
- Efficiently implement emergency nutritional activities both in the community and hospitals at localities affected by climate change, natural disasters, and epidemics.
6. Promote basic research and technology application research on nutrition and food suitable for Vietnamese. Enhance technical development; research high technology application model serving nutrition purposes.
7. Promote the application of information technology in management, operation, supervision, counseling, statistic, and report of nutrition work nationwide.
8. Actively integrate and strengthen international cooperation on nutrition; resolve regional and global nutrition problems.
a) Actively participate in the nutrition network or movements regional or global.
b) Promote international cooperation to utilize the support for finance, technique, training, and management skills in terms of nutrition work with other countries, international organizations.
The Rate, Base and Payment of Excise Tax
EXCISE TAX PROCLAMATION
WHEREAS, it has become necessary to review the type of goods on which excise tax has been collected and impose the tax on goods and services that are believed to be luxury, hazardous to health, causes social problems as well as on basic goods which are demand inelastic;
…
NOW, THEREFORE, in accordance with Article 55(1) and (11) of the Constitution of
the Federal Democratic Republic of Ethiopia, it is hereby proclaimed as follows.
…
CHAPTER TWO LIABILITY FOR EXCISE TAX
5. Imposition of Excise Tax
1/ Subject to this Proclamation, a tax, to be known as excise tax, shall be charged in accordance with the provisions of this Proclamation on:
a) excisable goods manufactured in Ethiopia by a licensed manufacturer;
b) excisable goods imported into Ethiopia;
c) excisable services supplied in Ethiopia by a licensed person.
2/ Excise tax shall be charged at the rate specified in the First Schedule for the excisable goods or services in force at the time the liability arises for excise tax as determined under Article 9 of this Proclamation.
…
First Schedule
Heading
Tariff Number
Description
Excise Rate on Value
1. Fats and Oils
15.01 to 15.15
Edible animal or vegetable fats and oils and their cleavage products; with content of 40g or more saturated fat per 100g, or unable to determine level of saturated fat from label.
30%
15.16
Edible animal or vegetable fats and oils, partially or wholly hydrogenated, with content of 40g or more saturated fat per 100g, or more than 0.5g of trans fat per 100g, or unable to determine level of saturated fat from label.
40%
15.17
Edible margarine 40g or more saturated fat per 100g, or more than 0.5g of trans fat per 100g.
50%
2. Sugar and Sugar Confectionery
17.01 1701.1200
Any type of sugar (in solid or liquid form) excluding molasses, Maple sugar and maple syrup
20%
1701.1400 1701.9100 1701.9900 17.02 1702.2000 17.04 1704.1000
Chewing gum, whether or not sugar coated
30%
17.04 1704.9000
Sugar confectionery including white chocolate not containing cocoa.
30%
3. Chocolate and food preparation containing cocoa
18.06 1806.1000, 1806.2000, 1806.3100, 1806.3200, 1806.9090
Chocolate and other food preparations containing cocoa not including Infant or Invalid food
30%
4. Soft Drink Powder
21.06 2106.9040
Powder soft drinks
25%
5. Beverages and Spirits
5.1. Non-Alcoholic Beverages
22.01 2201.1000
All types of waters, including natural or artificial mineral waters and aerated (sparkling) waters canned in a factory, not containing added sugar or other sweetening matter nor flavored.
10%
2201.9000 22.02 2202.1000
All types of mineral waters and aerated (sparkling) water containing added sugar or other sweetening matter or flavored, and other non-alcoholic beverages, excluding fruit or vegetable juices and dietary supplements.
25%
2202.9990 2202.9100
Non-Alcoholic beer
25%
...
25. Salt
25.01 2501.010 2501.0090
Salt
25%
","Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Mineral, aerated or flavoured waters with added sugars (taxes)|Mineral, aerated, flavoured waters with non-sugar sweetener (taxes)|Syrups, powders or concentrates (taxes)|Fats and oils (taxes)|Sugars (solid or liquid) (taxes)|Foods and snacks (taxes)|Saturated fat (taxes)|Trans fat (taxes)","","https://www.lawethiopia.com/images/EXCISE%20TAX%20PROCLAMATION.pdf http://www.mor.gov.et/documents/49818/172546/Excise+Tax+Proclamation+1186-2012.pdf/43384121-424d-1cd8-9ab2-fe0f9a22b2a4?t=1628060465444&download=true https://lawethiopia.com/images/latest%20proclamations/1229_2013%20የኤክሳይዝ%20ታክስ%20(ማሻሻያ)%20አዋጅ.pdf ","http://www.mor.gov.et/index.php/proclamation/38-excise-tax","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202020%20Excise%20Tax%20Proclamation%201186_2020.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/ETH%202020%20Excise%20Tax%20Proclamation%201186_2020.pdf"