"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" "43866","BEL","Belgium","","Koninklijk besluit betreffende brood en andere bakkerijprodukten [Royal Decree on bread and other bakery products]","Legislation relevant to nutrition","","Dutch","12","1986","","","Belgian Official Gazette","9","1985","Adopted","","","Volksgezondheid en Gezin Economische Zaken","Health|Women, children, families|Finance, budget and planning|Social welfare|Environment","Volksgezondheid en Gezin Economische Zaken","","","","","","","","","National NGOs","","","","","","","","","","","","
Volksgezondheid en Gezin Economische Zaken
...
Art. 3. De in dit besluit bedoelde waren moeten aan de volgende samenstellingseisen voldoen :
1° wat de in artikel 1 bedoelde waren betreft :
a) uitsluitend verkregen of gefabriceerd zijn uit meel, dat voldoet aan de bepalingen van de reglementering betreffende meel;
b) uitsluitend verkregen of gefabriceerd zijn vanaf grondstoffen of voedingsmiddelen bepaald in artikel 1;
2° wat de in artikel 1, 1° tot 3° bedoelde waren betreft : het gehalte aan keukenzout, uitgedrukt in natriumchloride, berekend op de droge stof, mag niet hoger zijn dan 2,0 pct.;
3° wat de in artikel 1, 1° bedoelde waren betreft :
_ mag de minieme hoeveelheid vetstoffen, gebruikt om het vóórsnijden mogelijk te maken, niet hoger zijn dan 0,5 pct., berekend op het gebruikte meel;
_ mag de hoeveelheid suikers, moutmeel of moutextrakt, gebruikt om de gisting te bevorderen, niet hoger zijn dan 1 pct., berekend op het gebruikte meel;
4° wat de in artikel 1, 2° bedoelde waren betreft : de hoeveelheid bijkomende ingrediënten bedoeld in artikel 1, 2° mag niet meer bedragen dan 6 pct. noch minder dan 2 pct. berekend op het gebruikte meel, met dien verstande dat de hoeveelheid vetstoffen niet meer dan 3 pct. berekend op het gebruikte meel, mag bedragen;
","Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Reformulation of foods and beverages|Mandatory reformulation|Measures to limit sodium content|Measures to limit sugars content|Measures to limit total fat content|Bread, bread products and crisp breads (Reformulation sodium)|Bread, bread products and crisp breads (Reformulation sugars)|Bread, bread products and crisp breads (Reformulation total fat)","","http://www.ejustice.just.fgov.be/eli/besluit/1985/09/02/1985013286/justel","","","" "14991","BEN","Benin","","Décret portant réglementation de la commercialisation des substituts de lait maternel et des aliments pour nourrissons (Décret n° 97-643)","Legislation relevant to nutrition","","French","12","1998","","","Président de la République","12","1998","Adopted","12","1997","Conseil des Ministres","Health|Women, children, families","Protection Sociale et de la Condition Féminine","","","","","","","","","","","","","","","","","","","","","Le décret comporte 36 articles répartis en 10 chapitres, à savoir: But et champ d'application (I); Définitions (II); Information et éducation (III); Distribution (IV); Promotion (V); Responsabilité et obligations des agents de santé (VI); Etiquetage (VII); Qualité (VIII); Répression (IX); Dispositions diverses (X). L'information fournie aux familles, aux professionnels de la santé et à tous ceux qui jouent un rôle dans la nutrition du nourrisson doit comporter des renseignements clairs et visibles sur les avantages et la supériorité de l'allaitement maternel. Toute publicité ou autre forme de promotion auprès du grand public des produits visés par ce décret reste interdite. Ces produits devront répondre aux normes applicables en la matière recommandées par la commission du Codex alimentaire, les dispositions du décret de déontologie du commerce international des denrées alimentaires et du décret d'usage du Code en matière d'hygiène pour les aliments destinés aux nourrissons et aux enfants de bas âge.
(Summary retrieved from FAOLEX)
Leiðbeiningarreglur þessar eru fremur hugsaðar til viðbótar gildandi laga- og leiðbeiningarreglum eða til stuðnings og útfærslu gildandi reglum. Í leiðbeiningarreglum þessum felst því ekki upptalning á þegar gildandi reglum.
Article 1
Les déjeuners et dîners servis dans le cadre de la restauration scolaire comprennent nécessairement un plat principal, une garniture, un produit laitier et, au choix, une entrée et/ou un dessert.
La variété des repas est appréciée sur la base de la fréquence de présentation des plats servis au cours de 20 repas successifs selon les règles fixées à l'annexe I du présent arrêté.
La taille des portions servies doit être adaptée au type de plat et à chaque classe d'âge. Les gestionnaires des restaurants scolaires doivent exiger de leurs fournisseurs que les produits alimentaires qu'ils livrent soient conformes aux valeurs précisées à l'annexe II du présent arrêté.
Article 2
L'eau est à disposition sans restriction.
Le sel et les sauces (mayonnaise, vinaigrette, ketchup) ne sont pas en libre accès et sont servis en fonction des plats.
Le pain doit être disponible en libre accès.
Article 3
Les dispositions du présent arrêté entrent en vigueur à compter du 1er septembre 2012 pour les services de restauration scolaire servant moins de 80 couverts par jour en moyenne sur l'année.
Article 4
Le présent arrêté sera publié au Journal officiel de la République française.
…
A N N E X E I
FRÉQUENCES DE PRÉSENTATION DES PLATS
Au sens de la présente annexe, on entend par :
― produits gras : produits à teneur en matières grasses supérieure à 15 % ;
― produits sucrés : produits contenant plus de 20 g de sucres simples totaux par portion ;
― plat protidique : plat principal à base de viandes, poissons, œufs, abats ou fromages.
Les fréquences figurant ci-dessous sont définies sur la base de 20 repas successifs.
Pour garantir les apports en fibres et en vitamines, il convient de servir :
― au moins 10 repas avec, en entrée ou accompagnement du plat, des crudités de légumes ou des fruits frais ;
― au moins 8 repas avec en dessert des fruits crus ;
― 10 repas avec, en garniture ou accompagnement du plat protidique, des légumes cuits, autres que les légumes secs ;
― 10 repas avec, en garniture ou accompagnement du plat protidique, des légumes secs, féculents ou céréales.
Pour garantir les apports en calcium, il convient de servir :
― au moins 8 repas avec, en entrée ou en produit laitier, des fromages contenant au moins 150 mg de calcium par portion ;
― au moins 4 repas avec, en entrée ou en produit laitier, des fromages dont la teneur en calcium est comprise entre 100 mg et 150 mg par portion ;
― au moins 6 repas avec des produits laitiers ou des desserts lactés contenant plus de 100 mg de calcium et moins de 5 g de matières grasses par portion.
Pour garantir les apports en fer et en oligoéléments, il convient de servir :
― au moins 4 repas avec, en plat protidique, des viandes non hachées de bœuf, veau, agneau ou des abats de boucherie ;
― au moins 4 repas avec, en plat protidique, du poisson ou une préparation d'au moins 70 % de poisson et contenant au moins deux fois plus de protéines que de matières grasses ;
― moins de 4 repas avec, en plat protidique, une préparation à base de viande, de poisson ou d'œuf contenant moins de 70 % de ces produits.
Pour limiter les apports en matières grasses, il convient de ne pas servir :
― plus de 4 entrées constituées de produits gras ;
plus de 3 desserts constitués de produits gras ;
― plus de 4 plats protidiques ou garnitures constitués de produits gras à frire ou préfrits ;
― plus de 2 plats protidiques qui contiendraient autant ou plus de matières grasses que de protéines.
Pour limiter les apports en sucres simples, il convient de ne pas servir :
― plus de 4 desserts constitués de produits sucrés et contenant moins de 15 % de matières grasses.
","Overweight in adolescents|Overweight in school children|Dietary practice|Fat intake|Total fat intake|Sodium/salt intake|Fibre|Sugar intake|Free sugars|Fruit and vegetable intake|School-based health and nutrition programmes|Provision of school meals / School feeding programme|School meal standard|School milk scheme|Mandatory standards|School breakfasts or snacks|School lunches|Schools (standards)|Food-based criteria (standards)|Foods high in energy (standards)|Foods high in fats (standards)|Foods high in sugars (standards)|Foods high in salt (standards)|Fruit and vegetables (standards)|Pulses, legumes, nuts (standards)|Fish (standards)|Lean meat (standards)|Water (standards)|Confectionary, savoury snacks, cakes and pastries (standards)|Salt and high-sodium condiments (standards)|Sugar-sweetened beverages (standards)|Carbonated or non-carbonated soft drinks (standards)|Salt shakers should not be available|Nutrient-based criteria (standards)|Total fat (standards)|Micronutrients (standards)|Total sugars (standards)|Portion size (standards)","","https://www.legifrance.gouv.fr/jorf/id/JORFTEXT000024614763","","","" "34050","KAZ","Kazakhstan","","Правилa организации питания обучающихся в организациях среднего образования [Regulations for organization of nutrition for children in schools]","Legislation relevant to nutrition","","Russian","","2014","","","Government of Kazakhstan","","2014","Adopted","","2014","Утверждены приказом Министра образования и науки Республики Казахстан","Education and research|Women, children, families|Sub-national","Child Protection Committee","","","","","","","","","","","","","","","Other","Schools","","","","","1. Настоящие Правила организации питания обучающихся в организациях среднего образования (далее – Правила) устанавливают порядок организации питания в организациях образования, реализующих общеобразовательные программы начального, основного среднего и общего среднего образования (далее - организации среднего образования), предоставляемого обучающимся на платной и бесплатной основе.
...
2. Требования к организации питания обучающихся в организациях среднего образования
6. В организациях среднего образования питание обучающихся
организуется в соответствии с разделом 3 настоящих Правил. В сельских общеобразовательных школах, в случае отсутствия потенциального поставщика услуги по итогам конкур са, опускается введениеработников пищеблоков по решению местных представительных органов за счет средств местных бюджетов.
7. Администрация организации среднего образования обеспечивает принятие организационно-управленческих решений, направленных на обеспечение рациональным питанием обучающихся, принципов и санитарногигиенических основ здорового питания, ведение консультационной и разъяснительной работы с родителями (законными представителями) обучающихся.
8. Питание обучающихся осуществляется в столовых и буфетах
организаций среднего образования в соответствии с утвержденным меню.
9. Способами организации питания обучающихся в организации
образования являются:
организация питания обучающихся в столовой, работающей на
продовольственном сырье с учетом хранения, обработки пищевых продуктов на пищеблоке и реализации готовых блюд и кулинарной продукции по месту ее производства;
организация питания обучающихся в буфетах, осуществляющих
реализацию готовых блюд, кулинарных и кондитерских изделий;
индустриальная организация питания обучающихся, предусматривающая промышленное производство охлажденных или замороженных кулинарных полуфабрикатов высокой степени готовности, готовой продукции базовыми организациями школьного питания (комбинатами школьного питания).
10. Поставщик услуги в процессе оказания услуги по организации питания
обучающихся выполняет требования технического задания организатора
конкурса.
...
23. Поставщик услуги обеспечивает наличие единой картотеки
приготовления блюд (технологические карты) на пищеблоках с целью соблюдения технологии приготовления и соответствия калорийности готовых блюд.
В технологических картах отражается раскладка продуктов, выход блюд, полная информация о составе каждого блюда и его пищевой ценности (содержание белков, жиров, углеводов, витаминов) и энергетической ценности (калорийности) каждого блюда (кулинарного изделия) и каждого приема пищи в совокупности.
24. Организацию работы по обеспечению технологического процесса приготовления блюд и кулинарной продукции на пищеблоке столовой обеспечивает заведующий производством.
25. В столовой и местах, доступных для обучающихся, организовывается питьевой режим за счет установки емкостей с питьевой водой. Используемая питьевая вода по органолептическим, микробиологическим, физикохимическим показателям соответствует санитарно-эпидемиологическим требованиям.
...
","School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Food safety|Mandatory standards|School food provided free of charge|School lunches|Schools (standards)|Water (standards)|Monitoring mechanism established","","http://www.bala-kkk.kz/sites/default/files/upload/files/%D0%9F%D1%80%D0%B0%D0%B2%D0%B8%D0%BB%D0%B0%20%D0%BE%D1%80%D0%B3%D0%B0%D0%BD%D0%B8%D0%B7%D0%B0%D1%86%D0%B8%D0%B8%20%D0%BF%D0%B8%D1%82%D0%B0%D0%BD%D0%B8%D1%8F%20%D0%BE%D0%B1%D1%83%D1%87%D0%B0%D1%8E%D1%","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KAZ%202014%20School%20Nutrition.pdf" "24663","IND","India","","Food safety and standards (Food product standards and food additives) Amendment Regulation 2015","Legislation relevant to nutrition","","English","","2016","","","The Gazette of India","","2015","","","","","Health|Women, children, families","Ministry of Health and Family Welfare","","","","","","","","","","","","","","","","","","","","","relating to FATS, OILS, and FAT EMULSIONS -
""""Provided that the maximum limit of trans fatty acids shall be not more than 5% by weight, on and from the 27th of August 2016.""""
","Trans fat intake|Ban or virtual elimination of industrial trans fatty acids|Fat reduction (total, saturated, trans)|Limit on 5 g / 100 g fats and oils","","http://old.fssai.gov.in/Portals/0/Pdf/Gazette_Notification_TFA_28_08_2015.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/IND%202015%20Gazette_Notification_TFA.pdf" "66508","IRL","Ireland","","Nutrition Standards for School Meals Standard","Government guidance","","English","1","2018","","","the Department of Health, the Department of Employment Affairs and Social Protection, the Department of Education and Skills and the Department of Children and Youth Affairs","9","2017","Adopted","","2017","Department of Health","Education and research|Health|Social welfare|Women, children, families","","","","","","","","","","National NGOs","","","","","","","These Standards were developed with the assistance of safefood and the Health Service Executive in cooperation with members of the School Meals Programme in the Department of Employment Affairs and Social Protection and Department of Education and Skills.","","","","","These Nutrition Standards have been created for those involved in providing food to schools or organisations in receipt of funding from the School Meals (Local Projects) Scheme.
...
5. Standards that apply to all meals and snacks
Foods and drinks high in fat, sugar and salt
Standard
• Jam, marmalade and honey, which have a high sugar content, should not be offered as a breakfast option.
• Low fat spreads to be used for sandwiches or toast.
• Sugar, including honey and brown sugar, must NOT be available to add to cereals or porridge.
• Confectionery, such as crisps, chocolate, cakes and biscuits, must NOT be served and will NOT be funded. Fried and other high fat food products, such as chips, roast potatoes, fried potatoes, products fried in the manufacturing process, garlic bread, fried fish or meal choices containing pastry, should only be served a maximum of one day per week.
Notes
• Processed meat or chicken products (such as burgers, sausages, chicken nuggets etc.) should only be served a maximum of once a week.
• Processed meat and chicken products are manufactured products that have been processed and are ready for cooking or reheating.
• On days where processed meat or chicken products are served, schools should aim to provide 50% of the meal offering as a healthy option to allow a choice for pupils.
• Limiting fried and other high fat options helps to limit the overall fat content of lunches.
Salt : Table salt must not be available to add to food.
6. Standard for drinks
Current status:
Funding must NOT be spent on sugar-sweetened drinks or juices. Milk and water are the best drinks to serve; fruit juice (unsweetened) should not be served more than once per day.
","Overweight in school children|Fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Provision of school meals / School feeding programme|School meal standard|Mandatory standards|Any foods and beverages offered in school|School breakfasts or snacks|School food subsidized|School lunches|Schools (standards)|Criteria based on national FBDGs (standards)|Foods high in fats (standards)|Foods high in sugars (standards)|Foods high in salt (standards)|Fruit and vegetables (standards)|Water (standards)|Whole grain bread and cereals (standards)|Limited or prohibited food|Confectionary, savoury snacks, cakes and pastries (standards)|Processed foods (standards)|Fried foods (standards)|Salt and high-sodium condiments (standards)|Sugar-sweetened beverages (standards)|Salt shakers should not be available|Total fat (standards)|Energy (standards)|Micronutrients (standards)","","https://health.gov.ie/blog/publications/food-nutrition-guidelines-for-primary-schools-2/","https://www.gov.ie/en/publication/a9bfb-school-meals/","","" "96706","TUR","Türkiye","","Türkiye Sağlıklı Beslenme ve Hareketli Hayat Programı. Yetişkin ve Çocukluk Çaği Obezitesinin Önlenmesi ve Fiziksel Aktivite Eylem Plani 2019-2023 [Adult and Childhood Obesity Prevention and Physical Activity Action Plan]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Turkish","","2019","","2023","Ministry of Health","10","2019","","","","","Health|Food and agriculture|Women, children, families|Social welfare|Finance, budget and planning|Trade","Ministry of Health; General Directorate of Public Health; Department of HealthyNutrition and Active Life; Ministry of Agriculture and Forestry; Ministry of Finance; Ministry of Commerce: Ministry of Labor; Social Services and Family;","","","","","","","","","","","","","Private sector","the industry sector","","","BÖLÜM I. YETİŞKİNLERE YÖNELİK EYLEM PLANI
…
2. HEDEF VE STRATEJİLER
A. Bütünsel sağlık yaklaşımı için yönetişim ve iş birliklerinin güçlendirilmesi
Ana Öncelik:
Önemli bir halk sağlığı sorunu olan obezitenin önlenmesi ve azaltılması için ilgili kurum ve kuruluşlarla iş birliği içinde obezite ile mücadele eylem planının uygulanmasını sağlayarak obezite ile etkin mücadele etmek.
B. Sağlıklı beslenme çevreleri oluşturulması
Ana Öncelik:
Toplumda yeterli ve dengeli beslenme ve fiziksel aktivite alışkanlığını kazandırmak ve obezite riskini azaltmak.
C. Özellikle dezavantajlı gruplar başta olmak üzere yaşam boyu sağlıklı beslenmenin kazanımlarının desteklenmesi
Ana Öncelik:
Türkiye Sağlıklı Beslenme ve Hareketli Hayat Programı kapsamında bütün vatandaşlar için dengeli ve sağlıklı beslenme için sağlıklı gıdaya erişimini sağlamak.
D. Sağlık hizmetlerinin reorganizasyonu; entegre sağlık hizmeti sunumu (beslenmeyle ilgili bilgi ve danışmanlık verilmesi, erken tanı, tedavi rehabilitasyon hizmetleri)
Ana Öncelik:
Sağlık kuruluşlarına başvuran bireyleri fazla kiloluluk ve obezite açısından değerlendirmek, obezite teşhisi konan hastaların erken tanı, danışmanlık ve tedavilerini (tıbbi ve cerrahi tedaviler dâhil olmak üzere) yapmak, obezite ve obezite ile ilişkili kronik hastalıkların tedavisinin yol açtığı sağlık harcamalarını ve obezite sıklığını azaltmak.
…
BÖLÜM II. ÇOCUKLUK ÇAĞIOBEZİTESİNİN ÖNLENMESİ EYLEM PLANI (2019-2023)
…
2. HEDEF VE STRATEJİLER
Programda yer alan eylem alanları ve ana öncelikler aşağıda yer almakta olup eylemlere ilişkin detaylı aktiviteler ve izleme göstergeleri tablolarda yer almaktadır.
A. Hayata sağlıklı bir başlangıcın desteklenmesi
“Çocukluk çağı obezitesi riskinin azaltılması ve BOH’ların önlenmesi için mevcut doğum öncesi ve gebelik öncesi bakım rehberliklerinin güçlendirilerek entegre edilmesi”
Ana Öncelik:
Mümkün olabildiğince erken yaşta/aşamada etkili bir yaklaşımı sağlamak.
B. Okullarda ve okul öncesinde daha sağlıklı çevrelerin teşvik edilmesi
“Sağlıklı davranışların geliştirilmesi ve çocukların uygun büyümelerinin sağlanması, erken çocukluk döneminde sağlıklı beslenme, uyku ve fiziksel aktivitenin desteklenmesi ve rehberlik sağlanması”.
“Okul çağı çocuklar ve ergenlerde sağlık ve beslenme okuryazarlığı, fiziksel aktivitenin geliştirilmesine yönelik sağlıklı okul çevrelerinin geliştirilmesi için kapsamlı programlar uygulanması”.
Ana Öncelik:
Okullarda çocukların sağlığını öncelik olarak belirlemek.
C. Ailelerin bilgilendirilmesi ve güçlendirilmesi
“Obez olan çocuk ve gençler için yaşam tarzı ağırlık yönetimi üzerine çok bileşenli aile tabanlı hizmet sağlanması”.
Ana Öncelik:
Çocuklu aileleri günlük besinleri ve sağlıklı seçenekler hakkında bilgilendirmek.
D. Sağlıklı seçeneklerin kolay seçenek olmasının sağlanması
“Çocuk ve ergenler tarafından şekerli ve sağlıksız gıdaların alımını azaltan ve sağlıklı gıdaların alımını teşvik eden kapsamlı programların uygulanması”.
Ana Öncelik:
Çocuklara sağlıklı gıda seçeneklerinin geniş bir şekilde sunulmasını / erişilebilirliğini sağlamak.
E. Çocuklara yönelik pazarlama baskısının azaltılması
Ana Öncelik:
Çocukların yüksek yağ, tuz ve şeker içeren gıda /içecek reklamlarına maruz kalmalarını sınırlamak, konuyla ilgili mevzuat ve düzenlemeler geliştirmek gibi etkili önlemler almak ve mevzuatın etkin bir şekilde uygulanabilmesi için mekanizmalar oluşturmak.
“Sağlıksız gıdaların pazarlanma gücü ve çocuk ve ergenlerin pazarlama maruziyetinin azaltılması için alkolsüz içecekler ve gıda pazarlamaları üzerine DSÖ öneri setlerinin uygulanması”.
…
","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Continued|Maternity protection|Stunting in children 0-5 yrs|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|School fruit and vegetable scheme|School milk scheme|School gardens|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Menu labelling|Fats|Taxation on unhealthy foods|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Portion size control|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Folic acid|Iodine|Iron|Vitamin D|Home, school or community gardens|Water and sanitation|Vulnerable groups","","https://hsgm.saglik.gov.tr/tr/beslenmehareket-yayinlar1/beslenmehareket-programlar/585.html","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TUR%202019%20T%C3%BCrkiye%20Sa%C4%9Flikli%20Beslenme%20ve%20Hareketli%20Hayat%20Programi.pdf" "126213","HTI","Haiti","","Décret Etablissant le Budget Général de la République d'Haïti, Exercice 2020-2021","Legislation relevant to nutrition","","French","","2020","","","LE MONITEUR Spécial No 30 - Lundi 5 Octobre 2020","10","2020","Adopted","9","2020","Le Président, Le Premier Ministre, Des Ministres","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Transport|Trade|Environment|Industry|Information|Other","","","","","","","","","","National NGOs","","","","","","","","","","","","Article 27.- L’article 13 du Budget Général 2019-2020 est ainsi modifié :
…
Les droits d’accises à l’importation sur les boissons non alcoolisées, sauf eau, eau minérale, glace, neige, sont calculés au taux de 10% sur la valeur en Douane (CIF) additionnée des autres impôts, droits et taxes.
Article 28.- Les droits d’accises sur la pâte concentrée de concentrée de tomate conditionnée ou non pour la vente au détail, le ketchup et autre sauce de tomates des positions tarifaires 20029011, 20029019, 2103200 sont fixés au taux de 15%.
","Sugar intake|Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Mineral, aerated or flavoured waters (taxes)|Foods and snacks (taxes)","","https://budget.gouv.ht/loi-de-finances/Lois%20de%20Finances%20et%20Budgets","","","" "66548","TGO","Togo","","Loi n° 2020-007 relative à l’alimentation scolaire","Legislation relevant to nutrition","","French","6","2020","","","Journal Officiel de la République Togolaise 65e Année N° 21 Numéro Spécial du 26 juin 2020","6","2020","Adopted","6","2020","L’Assemblée nationale","Cabinet/Presidency|Health|Education and research|Women, children, families|Social welfare|Sub-national|Food and agriculture","","","","","","","","","","National NGOs","","","","","","","Les mamans/papas cantines","","","","","Article premier : La présente loi a pour objet de garantir à terme, à chaque élève de l’enseignement de base, particulièrement aux élèves situés dans les zones les plus vulnérables, l’accès à une alimentation scolaire suffi sante et équilibrée et à promouvoir le développement de la production locale.
…
Section 2 : Principes directeurs et champ d’application
Art. 3 : Les principes qui soutiennent les interventions en matière d’alimentation scolaire sont décrits ci-après :
- le droit à l’alimentation est fondamental et l’alimentation des enfants est saine, équilibrée et diversifiée pour leur épanouissement ;
- l’alimentation scolaire assure l’équité entre les sexes et contribue à la réduction des disparités entre les filles et les garçons en milieu scolaire ;
- l’alimentation scolaire est multisectorielle ;
- l’alimentation scolaire assure durablement la promotion des produits locaux ;
- l’alimentation scolaire implique et responsabilise les collectivités territoriales et les communautés à la base ;
- l’alimentation scolaire intègre l’éducation alimentaire et nutritionnelle dans les programmes d’enseignement.
La couverture nationale se fait de manière progressive à travers l’utilisation des ressources techniques et fi nancières disponibles ou mobilisables aux niveaux central, régional et local.
Art. 4 : La présente loi s’applique à tous les acteurs et bénéficiaires de toute initiative en matière d’alimentation scolaire au Togo, qu’elle soit publique ou privée.
…
Art. 11 : Les menus des cantines scolaires sont élaborés en tenant compte des denrées alimentaires de base, des besoins nutritionnels et des habitudes alimentaires locales. Ils respectent un équilibre et une diversité nutritionnelle. La taille des portions alimentaires est adaptée au type de plat et à la tranche d’âge.
","Right to food|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Home grown school feeding|Deworming|Mandatory standards|School lunches|Schools (standards)|Procure from local sources|Sanctions exist","","https://jo.gouv.tg/sites/default/files/JO/JOS_26_06_2020%20-%2065%20E%20ANNEE%20N%C2%B021.pdf","","","" "126214","HTI","Haiti","","Décret Établissant le Budget Général de la République d'Haïti, Exercice 2021-2022","Legislation relevant to nutrition","","French","","2022","","","LE MONITEUR Spécial No 13 - Lundi 16 Mai 2022","5","2022","Adopted","5","2022","Le Président, Le Premier Ministre, Des Ministres","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Transport|Trade|Environment|Industry|Information|Other","","","","","","","","","","National NGOs","","","","","","","","","","","","Article 28.- L’Article 27 du Budget Général 2020-2021 est ainsi modifié :
«…
Les droits d’accises sur les boissons énergisantes de la position tarifaire 22021011, sont calculés au taux de 30% de la valeur en Douane (CIF) additionnée des autres impôts, droits et taxes pour les produits importés.
Les droits d’accises sur les boissons énergisantes fabriquées localement sont calculés au taux de 15% sur le prix ex-usine».
Article 29.- Les droits d’accises sur la pâte concentrée de tomate conditionnée ou non pour la vente au détail,
le ketchup et autres sauces de tomates des positions tarifaires 20029011, 20029019, 2103200 sont
fixés au taux de 15%.
","Sugar intake|Taxation on unhealthy foods|Ad valorem excise tax|National level SSB tax|Energy drinks (taxes)|Foods and snacks (taxes)","","https://budget.gouv.ht/loi-de-finances/Lois%20de%20Finances%20et%20Budgets","","","" "8274","IND","India","","National Nutrition policy","Comprehensive national nutrition policy, strategy or plan","","English","","1993","","2000","Ministry of HRD, Dept of Women and child Development","","1993","Adopted","","1993","Ministry of HRD, Dept of Women and child Development","Development|Food and agriculture|Health|Women, children, families","Ministry of Rural development, Ministry of food, MOHFW, Dept of Women and child Development","","","","","","","","","","","","","","","","","","","","","","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Complementary feeding|Vitamin A|Iron and folic acid|Food fortification|Nutrition & infectious disease","","http://wcd.nic.in/nnp.pdf","","WHO Global Nutrition Policy Review 2009-2010","" "8712","MAR","Morocco","","Plan d'Action National en Faveur de la Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","1993","","","Ministère de la Santé Publique","9","1993","Adopted","","1995","Interministerial Commission on Food and Nutrition","Education and research|Food and agriculture|Health|Industry|Information|Sport|Women, children, families","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","","","","","","","","","","","","Process indicators","","Breastfeeding|Breastfeeding - Continued|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Complementary feeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Growth monitoring and promotion|Fiscal policies|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Vitamin D|Food grade salt|Edible oils and margarine|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MAR%201993%20Plan%20D%27Action%20National%20En%20Faveur%20De%20La%20Nutrition.pdf" "8754","IND","India","","National Plan of Action on Nutrition","Comprehensive national nutrition policy, strategy or plan","","English","","1995","","2000","Food and Nutrition Board. Department of Women and Child Development. Ministry of Human Resource Development","","1995","Adopted","","1995","Interministerial Coordination Committee","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Development|Information|Other","Food and Nutrition Board and others","","","","","","","","","","","","","","","","","National Nutrition Goals to be reached by 2000
1) to reduce moderate/severe malnutrition among pre-school children by half
2) to reduce chronic under nutrition and stunted growth in children
3) to reduce incidence of low birth weight to less than 10%
4) to eliminate blindness due to vitamin A deficiency
5) to reduce iron deficiency anaemia among pregnant women to 25%
6) to ensure universal iodization of salt to reduce iodine deficiency disorders (goitre prevalence) to 10%
7) to give due emphasis to Geriatric Nutrition
8) to produce 250 million tonnes of food grains
9) to improve household food security through poverty alleviation programmes
10) to promote appropriate diets and healthy lifestyles
11) to ensure national level food and security including adequate buffer stocks and national considerations in Agriculture Policy
12) to ensure food security at the household level by making the essential food available through the Public Distribution System to the people, particularly to the disadvantaged sections.
13) to provide convergent services under Education sector to enhance the nutrition and health status of the community with special emphasis on girls education and improved status of women
14) to popularize the growing of plants/trees supplying foods/ fruits with special emphasis on B-carotene(vitamin”A”) rich species in the Social Forestry Programmes with a view to create nutritional awareness and promote the consumption of nutritious foods
15)to improve the nutritional status of women and children through nutrition prophylaxis programmes, health and nutrition education and public health measures, besides achieving a small familynorm
16) to ensure Food Security in the country
17) to meet the nutritional needs of the people by giving nutrition orientation to the projects in food processing sector
18)to achieve health for all by 2000 A.D. through prevention and control of various forms of malnutrition, diseases related to inappropriate diets, creating health awareness among the people and ensuring adequate primary health care for all
19) to create a climate of awareness in the country about the importance of nutrition for the well-being of the people and ways and means of preventing various forms of malnutrition through its different units
20) to protect and promote the nutrition of various types of labor-agricultual, construction, industrial etc., with special emphasis on children and women at work, through formulation and enforcement of appropriate labor laws
21) to improve purchasing power of the people in rural areas through employment generation and poverty alleviation programmes with a view to improve food security at the household level
22) to ensure access to social services relating to Health Care, Nutrition, Women & Child Development , Pre-school and Non-Formal Education and Physical amenities like potable water supply, sanitation, sewerage, drainage etc. ; with view to improve the nutrition level of the urban poor
23) to promote nutrition of the disadvantaged sections of society by ensuring nutritional components in various welfare programmes
24) to ensure appropriate development of human resources both through direct nutrition interventions for specially vulnerable groups as well as through various development policy instruments for improved nutrition as laid down in National Nutrition Policy. To improve nutrition and health of women and children through strengthening and expansion of ICDS programme and setting up of appropriate systems for monitoring the follow-up actions under National Plan of Action for Children
General and specific objectives included in the 14 sectoral plans inside the National Plan of Action on Nutrition (i.e. Agriculture, Civil supplies, Education, Environement and Forests, Family welfare, Food, Food processing industries, Health, Information and broadcasting, Labour, Rural development, Urban development, Welfare and Women and child development).
","Sectoral plan Agriculture
Activities
1 Ensure the production of 208 million tonnes of food grains by 1997 and 250 million tonnes by 2000 through appropriate planning and improved technology
2 Establish a Nutrition Cell in the Agriculture sector to incorporate nutritional objectives as explicit objectives of Agriculture Policy and Programmes
3 Diversify crop pattern in agriculture by augmenting the production of pulses, millet/coarse grains, oilseeds, vegetables and fruits
4 Implement Livestock Policies to improve production and productivity of livestock and poultry to enhance availability of milk, fish, eggs, etc.
5 Evolve District/Block strategies for nutrition oriented horticultural interventions to promote production of β-carotene, iron and vitamin C rich foods and to identify local varieties for propagation
6 Emphasize production and distribution of quality planting materials, areas expansion, improvement in quality and increase in productivity of horticultural crops
7 Strengthen infrastructural facilities for grading, sorting, storage, packing and marketing of horticultural produce together with the propagation of post-harvest technology
8 Distribute to the households seeds, saplings and plant materials of species rich in -carotene, iron, vitamin C etc. and also dark green leafy vegetables
9 Identify local fruits and vegetables with -carotene content and promote them at regional levels through educational campaigns with a special focus on women
10 Promote production and consumption of non-conventional foods to combat vitamin A deficiency
11 Management and emphasis good quality seeds, encourage bio-fertilizers and minimize use of chemical fertilizers and pesticides to avoid micronutrient loss, to improve agricultural implements, irrigation, credit and transfer of technology, soil/water management projects
12 Adopt policy decisions to incorporate basic information concerning food, nutrition and population issues in syllabi of degree courses in agriculture as well as orientation training of extension personnel at all levels
13 Widen the scope of agricultural extension by including disciplines like horticulture, sericulture, agroforestry, etc.
14 Promote the planting of nutritionally rich plants, shrubs, trees and creepers and create awareness to improve the consumption of fruits and vegetables with specific emphasis on green leafy vegetables
15 Intensify programmes to upgrade skills and knowledge of women farmers to increase their productivity thereby increasing their economic condition and standard of living
16 Mobilize farm women to be organized into viable groups for channelling agricultural support through them
17 Besides regular training in agriculture and allied sectors, provide women farmers with appropriate training in managerial organization and enterprising skills
18 Emphasize four areas of activities namely demonstration, vocational training, in-service training and on-farm research to promote the production and consumption of micronutrient rich foods through the network of Krishi Vigyan Kendras in the country
19 Strengthen linkages between agriculture, nutrition and health to ensure effective integration of services provided to the community
Sectoral plan Civil Supplies & Public Distribution
Activities
1 Ensure effective management of essential food grain supplies and maintenance of their uninterrupted flow at affordable prices to the public in rural/urban areas in the Public Distribution System (PDS) to ensure food security at household level
2 Ensure sustained expansion of the network of Fair Price Shops with an emphasis on remote and inaccessible areas
3 Launch a special drive for speedy implementation of Revamped PDS in identified areas to bring the essential food grains to the poor and disadvantaged
4 Ensure availability of ORS packets in remote areas through PDS infrastructure
4 Give due emphasis to nutritional considerations in selecting commodities for the PDS and promote the distribution of pulses, edible oil, coarse grains, iodized salt, etc.
6 Making additional allocations to meet the demand of Revamped PDS areas during lean periods
7 Create adequate infrastructure like additional Fair Price Shops and storage capacity in the identified areas
8 Issue ration cards to families in identified areas who have not yet been issued family cards
9 Set up Vigilance Committees by States/UTs comprising local people at the Fair Price Shops and other levels to ensure effective delivery of PDS commodities
10 Ensure easy availability of essential foods to protect them from exploitation by the traders
Sectoral plan Education
Activities
1 Enlist support Village Education Committees with adequate representation of women and disadvantaged groups to ensure regular participation of children in the educational process
2 Attempt convergence between primary school system and ECCE activities in terms of timing, use of school building, training of personnel and resource sharing
3 Identify MLLs in the areas of health, sanitation and nutrition for primary and upper-primary stages
4 Identify capable and committed NGOs to provide them the necessary assistance and encouragement to take up programmes of nutritional relevance
5 Review existing curricula of formal and non-formal education programmes at elementary levels to incorporate nutrition, health and sanitation components
6 Train teachers in the areas of health and nutrition education through DIETs, allocate time for this purpose and reflect the concern in pre- and in-service training curricula
7 Sensitize District/Block and Village level officials through DIETs on the need and significance of convergence of the service under Education sector for improved nutritional status
8 Disseminate messages on health, sanitation and nutrition through Total Literacy Campaigns and other programmes of continuous education
9 Improve infrastructure at schools by providing safe drinking-water, sanitation and a hygienic environment as well as facilities for regular health and nutrition status check ups
Sectoral plan Forestry
Activities
1 Popularize raising of plans/trees supplying food/fruits with special emphasis on ¯-carotene rich species in the Social Forestry Programme
2 Coordinate with concerned departments to create facilities for processing, transportation, marketing and storage at grass root level to make the raising of such plants economically feasible
3 Develop a framework for intersectoral coordination with Integrated Child Development Services (ICDS), Food and Nutrition Board (FNB), Health, KVK, Horticulture, Urban Basic Services (UBS) and Adult Education Programmes for technical support and utilizatio
4 Organize training and demonstration programmes for farmers, extension personnel of the Forestry sector and the rural community for their information and skills development
5 Involve the use of media to promote campaigns to create an awareness within rural households and to improve consumption
6 Provide the list of forest species identified by ICFRE which are rich in different nutrients for guidance and adoption in the Social/Farm Forestry Programmes
7 Strengthen extension machinery for micro-planning and joint forestry management to assist local people in the selection of species and planting programmes
Sectoral plan Maternal & Child health
Activities
1 Strengthen MCH infrastructure and services and adopt the strategy of a holistic approach aimed at better health and nutrition for women and children with emphasis on girls
2 Ensure universal coverage through interventions like iron and folic acid supplementation for pregnant women and vitamin A administration to children from 9 months to 3 years of age
3 Improve management of diarrhoeal diseases and acute respiratory infections at home
4 Intensify Child Survival and Safe Motherhood Programme for universal coverage by 1997
5 Ensure that health care providers receive high quality training on breastfeeding and appropriate complementary feeding practices, lactation management, etc. using up-to-date training material and techniques
6 Ensure that the information disseminated on the feeding of infants and young children is consistent and in line with current scientific knowledge and provisions of the Infant Milk Substitutes Act, 1993
7 Empower all mothers to breastfeed their children exclusively for the first 4-6 months and to continue breastfeeding with complementary food well into the second year
8 Ensure effective collaboration with infrastructure of Integrated Child Development Services (ICDS), Food and Nutrition Board (FNB), Urban Basic Services (UBS) and Development of Women and Children in Rural Areas (DWCRA) to reach young children and women
9 Promote birth spacing measures as part of health intervention measures for mother and child by ensuring access by all couples to information and services on family planning
Sectoral plan Food
Activities
1 Ensure food security is the fundamental objective of the Food Policy
2 Maintain the price of food grains at a level within the reach of the vulnerable groups
3 Build up and maintain buffer stocks to ensure stability in supply and price for the entire year and provide food security to the country especially during natural and other calamities
4 Ensure nutritional considerations are important in import and export of food grains
5 Increase grain storage structures, research and extension activities
6 Accelerate measures to ensure quality and safety of food grains during storage and transportation
7 Reduce post-harvest losses through application of up-to-date technology
8 Consider utilization of surplus food grains for supplementary nutrition programmes for weaker sections
Sectoral plan Food Processing Industries
Activities
1 Give nutrition orientation to various food processing projects through effective coordination with the Nutrition Cell
2 Ensure conservation of nutrients in various rice milling, roller flour milling and pulse milling industries
3 Set up agro-industrial complexes utilizing local fruits and vegetables in remote areas and develop linkages with khadi village industries, sale counters of State Government Institutes to facilitate marketing of their products
4 Produce low cost processed nutritious food to meet the needs of supplementary feeding programmes, school children and the general public
5 Promote traditional foods with good shelf life by setting up small production units at community level
6 Produce high quality nutritious beverages containing vegetable proteins
7 Fortify usual foods with nutrients like vitamin A, iron, iodine, protein, etc.
8 Enrich various processed foods with essential nutrients
9 Produce special supplements like Amylase Rich Flour for supplementing the diets of severely malnourished children, 6-36 months old beneficiaries in supplementary feeding programme and sick and aged people
10 Provide training on nutrition concepts to the Food Processing Industry
Sectoral plan Health
Activities
1 Expand and improve the utilization of Primary Health Care Services
2 Strengthen the National IDD Control Programme and effective monitoring of salt iodization
3 Strengthen the application of the Food Adulteration Act, 1954 and Infant Milk Substitutes Act, Rules and Central and State Food Laboratories and ensure quality check on street foods
4 Accelerate programmes to control noncommunicable diseases related to unhealthy lifestyles and inappropriate diets like obesity, hypertension, cardiovascular diseases, diabetes mellitus, osteoporosis, dental caries, AIDS and some cancers, etc.
5 Trigger appropriate behavioural changes among people through health education involving communication experts and the Central Health Education Bureau
6 Provide sustainable assistance to victims of natural calamities and ensure their nutritional well-being by giving priority to the control of diseases and prevention of malnutrition
7 Ensure health and nutrition education is an important component of the job responsibilities of all medical and paramedical personnel of the Primary Health Care Services to promote appropriate diets and healthy lifestyles
Sectoral plan Information& Broadcasting
Activities
1 Involve advertising agencies and communication experts in IEC programmes
2 Use a social marketing strategy to convey nutrition and health messages
3 Create adequate software to highlight nutrition issues
4 Arrange preparation of various programmes on nutrition with special reference to prevention and control of protein-energy and micronutrient malnutrition
5 Telecast/broadcast these programmes regularly to communicate the essential messages
6 Overview the activities concerning mass media communication on nutrition through a screening committee
7 Create nutritional awareness among people with the help of different units of information broadcasting like Publication Division, Depts. of Advertising and Visual Publicity, Research and Reference Division, Photo Division, AIR, Doordarshan, Press Informat
8 Incorporate nutrition education programmes in Educational Programmes on AIR, in Special Campaigns, Rural Programmes, Educational Programmes and Social Awareness Programmes on Doordarshan
Sectoral plan Labour
Activities
1 Provide non-formal education to workers and elementary education to their children
2 Create nutritional awareness among workers and their families through interpersonal communication, distribution of printed literature and mass media communication
3 Implement ""The Child Labour (Prohibition & Regulation) Act, 1986"" with special focus on preventing child employment below the age of 14 years in hazardous conditions
4 Expand network of voluntary organizations to provide services to working children and women like non-formal education, supplementary nutrition, health care and vocational and skill training
Sectral plan Rural Development
Activities
1 Strengthen effective implementation of the restructured poverty alleviation programmes as well as employment generation schemes
2 Undertake area development programmes, etc.
3 Encourage involvement of people and local Panchayati Raj Institutions at different levels to ensure effective rural development strategy and its implementation
4 Create greater job opportunities in rural areas through infrastructural development
5 Utilize the substantial increase in the rural development outlay during the 8th Five Year Plan period to improve access of the poorest groups to a means to generate income and secure their livelihood
6 Regard land reform measures as an intrinsic part of the anti-poverty strategy
7 Improve linkages with other sectors implementing nutrition, health and welfare schemes to converge services for the beneficiaries
8 Consider the importance of safe drinking-water to ensure nutritional well-being of the people, accelerate efforts to provide universal access to potable water and make the water sources sustainable, take into account quality problems of water like guineaworm
9 Consider the importance of environmental sanitation in promoting health of the community and in accelerating rural sanitation programmes
10 Implement schemes to upgrade skills
11 Monitor women's participation in various income generation and poverty alleviation programmes
Secoral plan Urban Development
Activities
1 Strengthen the Urban Basic Services for the Poor (UBSP) systems especially at community and neighbourhood levels to achieve its objectives through data collection and analysis related to the nutritional status of urban poor, training of volunteers and programme
2 Support system of improved municipal planning in the light of 74th CAA to ensure that the urban poor are targeted in a cost effective manner through convergence of various available inputs under other sectoral programmes contributing to the nutritional goals
3 Support the efforts towards universalizing ICDS in all slum areas through appropriate linkages to the UBSP Community networks, use of community halls for the programme and other necessary adjustments required for the successful implementation of the programmme
4 Expand income generating activities and saving/credit mechanisms as essential elements towards sustainability related to NPA Goal achievement among the urban poor in convergence with NRY, Environmental Improvement of Urban Slums (EIUS) and other UPA programmes
5 Revitalize Environmental Improvement of Urban Slums (EIUS) linking it directly to UBSP community participatory systems through the city level Urban Poverty Alleviation cell to improve the environmental conditions contributing to infections and other underlying
6 Expand UBSP programme coverage by 2000 aiming at universal coverage of the target groups, i.e. urban poor to improve nutrition/health of urban poor by joint provision of social services
7 Improve access to safe drinking-water to the recommended per litre/head norms for urban poor by 2000
8 Ensure that all maternity homes under municipal and district administration are classified as ""baby friendly"" by 1995, and have complementary community-based efforts promoting breastfeeding and improved weaning practices and implement appropriate disease
9 Strengthen/expand the centrally sponsored scheme of low cost sanitation to ensure access to sanitary means of excreta disposal and liberation of scavengers
10 Organize workshops based on priority nutrition goals regarding status of city specific needs in cooperation with State Department of Women and Child Development (DWCD) and NGOs to identify specific strategies and activities in association with UBSP system
Sectoral plan Welfare
Activities
1 Review various welfare programmes for the disadvantaged and give nutrition orientation through effective coordination with the Nutrition Cell
2 Give importance to the nutritional needs and care of children in orphanages, tribal people, disabled, street children, etc.
3 Provide nutrition and health education programmes as part of various welfare programmes
4 Provide short-term educational programmes on mother and child care, home-scale preservation of fruits/vegetables, family welfare etc. for tribal girls
5 Converge nutrition and health services with welfare programmes to prevent disability due to nutritional deficiencies
6 Highlight nutritional needs of the elderly in programmes for welfare of aged
7 Give importance to the nutritional aspects of drug counselling and de-addiction services
Sectoral plan Women and Child Development
Activities
1 Set up a Nutrition Cell in the DWCD to function as a focal point for implementation of the National Nutrition Policy and the NPAN
2 Expand ICDS to cover all Community Development Blocks and 50% of urban slums by 2000
3 Strengthen nutrition and health education component of ICDS by expanding and strengthening the FNB infrastructure and involving NGOs working in the field
4 Give emphasis to young children (0-3 years) and severely malnourished children by improved referral services
5 Intensify the recent initiative of including adolescent girls in the field of ICDS to improve their status of awareness and to trigger appropriate behavioural changes
6 Ensure better coverage of pregnant and lactating women for better child survival and development by empowering women to look after themselves and their children
7 Enlist better community participation through health and nutrition education
7(1) Create community awareness of malnutrition, its causes and strategies to monitor it through health and nutrition education
7(2) Involve the community, through their Panchayati Raj Institutions and community-based monitoring system, in the management of nutrition and child-mother-care programmes with a special focus on young child (0-3 years) programmes
7(3) Provide training and education to people, especially women, on various aspects of food production and processing activities and their impact on the nutritive value, and include nutrition messages in the primary and secondary school and non-formal education curriculum
7(4) Promote schemes relating to kitchen gardens, food preservation, preparation of weaning foods and other food processing units at home and in the community through health and nutrition education
7(5) Create effective demand at community level for all services relating to nutrition through health and nutrition education
8 Improve the economic and social status of women through awareness generation, education and economic activities like thrift, credit and income generation.
9 Control micronutrient deficiencies by
9(1) creating awareness by the organization of workshops, seminars and campaigns at National/State/District/Block level, etc.
9(2) improving the dietary pattern by extensive nutrition education and use of local foods
9(3) increasing the availability of micronutrient-rich foods by promoting their production in kitchen, school and community gardens etc.
10 Intensify linkages with horticultural interventions to promote vitamin A status
11 Universalize fortification of milk with vitamin A
12 Continue research into double fortification of salt with iron and iodine
13 Accelerate efforts for the development and production of nutritious food (using local foods) for children through women's groups, NGOs, State Governments, etc.
14 Strengthen infrastructure for mass media communication and interpersonal communication
15 Establish a national nutrition surveillance system to periodically monitor the nutritional situation at all levels through the involvement of grass root level workers and communities
16 Sponsor operational research into nutrition issues of national importance
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Health professional training on breastfeeding|School-based health and nutrition programmes|Nutrition in the school curriculum|Monitoring of children’s growth in school|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Iron and folic acid|Micronutrient supplementation|Food fortification|Food grade salt|Milk|Food distribution/supplementation for prevention of acute malnutrition|Management of severe acute malnutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Family planning (including birth spacing)|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","" "8645","CMR","Cameroon","","Plan d'Action National pour la Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","1996","","","Gouvernement","","1996","","","","","Development|Education and research|Environment|Food and agriculture|Health|Justice|Women, children, families","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","Private sector","Banque Internationale pour la Reconstruction et le Développement","Other","Fond National de Développement Rural, Sindicat des Boulangers","","","","","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Complementary feeding|Growth monitoring and promotion|Promotion of fruit and vegetable intake|Food labelling|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Micronutrient supplementation|Food fortification|Food grade salt|Edible oils and margarine|Deworming|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CMR%201996%20Plan%20D%27Action%20National%20Pour%20La%20Nutrition.pdf" "8711","LBN","Lebanon","","National Plan of Action for Nutrition","Comprehensive national nutrition policy, strategy or plan","","English","","1996","","2000","Ministry of Agriculture","7","1995","","","","","Education and research|Environment|Food and agriculture|Health|Nutrition council|Other|Social welfare|Sub-national|Trade|Women, children, families","Ministry of Education, Ministry of Higher Education, Ministry of Environment, Ministry of Agriculture, Ministry of Public Health, National Intersectoral Committee for Food and Nutrition, Ministry of Municipalities and Local Industrialists, Ministry of Water and Electricity, Ministry of Social Affairs, Council for Development and Reconstruction, National Council for Scientific Research, Ministry of Economy and Trade, Supreme Council for Children","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","","","","","Private sector","","","","","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Maternity protection|Underweight in women|Complementary feeding|School-based health and nutrition programmes|Food-based dietary guidelines (FBDG)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron|Zinc|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Food safety|Food security and agriculture|Household food security|Family planning (including birth spacing)|Vaccination|Water and sanitation|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBN%201995%20National%20Plan%20of%20Action%20for%20Nutrition.pdf" "8636","KHM","Cambodia","","National Plan of Action for Nutrition","Comprehensive national nutrition policy, strategy or plan","","English","","1997","","2000","Royal Government of Cambodia","1","1997","Adopted","1","1997","Council of Ministers","Development|Education and research|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Women, children, families","Ministry of Rural Development, Ministry of Education, Youth and Sports, Ministry of Planning, Ministry of Agriculture Technical Extension, Ministry of Health, Ministry of Industry, Mines and Energy, Ministry of Information, Ministry of Women's Affairs","","","","","","","","","National NGOs","","","","","","","","","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Complementary feeding|Growth monitoring and promotion|School-based health and nutrition programmes|Promotion of fruit and vegetable intake|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Food grade salt|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Vulnerable groups","","","","WHO Global Database on National Nutrition Policies and Programmes","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KHM%201997%20National%20Plan%20of%20Action%20for%20Nutrition.PDF" "8240","GMB","Gambia","","National Nutrition Policy 2000-2004","Comprehensive national nutrition policy, strategy or plan","","English","","1999","","","National Nutrition Council","11","1999","","11","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning","","","","","","Australian Agency for International Development (AUSAID)","","","","National NGOs","","","","Private sector","","Other","National Nutrition Council; National Public Health Laboratory","The Goal of the policy which is to attain the basic nutritional requirements of the Gambian population and assure a healthy and productive living, will be realised through 7 priority substantive areas
Caring for the socio-economically deprived and nutritionally vulnerable and 4 principal instruments to address these areas:
2.2 GOAL To empower all mothers to breastfeed their children exclusively for up to six months, and to continue breastfeeding with appropriate complementary foods, well into the second year and beyond.
2.3 OBJECTIVES
3.2 GOAL To ensure a reliable and uninterrupted supply and proper utilisation of adequate, safe and nutritious foods at affordable prices.
3.3 OBJECTIVES
4.2 GOAL To ensure food produced and/or consumed by the Gambian population is of high quality and safe.
4.3 OBJECTIVES
5.2 GOAL To reduce the morbidity and mortality rates of infectious diseases.
5.3 OBJECTIVES
6.2 GOAL To prevent and control micronutrient malnutrition among the population.
6.3 OBJECTIVES
7.2 GOAL To reduce the incidence of diet-related non-communicable diseases
7.3 OBJECTIVES
8.2 GOAL To improve care, with emphasis on nutritional requirements, for the socio-economically deprived and nutritionally vulnerable groups.
8.3 OBJECTIVES
9.2 GOAL To raise public awareness on the nutrition policy and programmes.
9.3 OBJECTIVES
10.2 GOAL To establish an effective and efficient Nutrition Information System (NIS) for policy and programming.
10.3 OBJECTIVE To enhance national capacity to assess, analyse and monitor nutrition and nutritionrelated situations.
11.2 GOAL To ensure the incorporation of nutrition objectives into national development policies and programs.
11.3 OBJECTIVE To sensitise policymakers on the importance of nutrition as an input and output in all development policies and programmes.
","2.4 STRATEGIES
3.4 STRATEGIES
4.4 STRATEGIES:
5.4 STRATEGIES
6.4 STRATEGIES
7.4 STRATEGIES
1- Objectif général
Assurer la prise en charge correcte, standardisées et régulière des hypertendus et des diabétiques dans les structures de 1ère ligne afin de réduire les complications dégénératives.
2- Objectifs intermédiaires
a- Prévenir les facteurs de risque de l’HTA et du diabète
b- Dépister précocement le diabète et l’HTA essentiellement chez les groupes à risque
c- Assurer le suivi régulier des hypertendus et des diabétiques
d- Faire l’éducation pour la santé aux malades, à leurs familles et à la population générale
","1- L’éducation pour la santé
L’information-éducation et communication (IEC) de la population constitue un moyen efficace en vue
2- L’évaluation des différentes composantes du programme
L’évaluation du programme est faite par l’évaluation des indicateurs de prévalence de la maladie, de son incidence, de l’incidence des cas dépistés au stade de complications, sur la proportion des malades suivis dans le centre de santé de base par rapport à la population diabétique attendue dans la localité ainsi que sur l’évolution du nombre de défaillants.
3- La supervision
Elle a pour objectif d’identifier les insuffisances et de proposer des solutions
4- La formation des médecins de la santé publique
","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
Objetivos generales
Acciones
La operacionalización de la Política de Desarrollo Social y Población se dará por medio del Sistema de Consejos de Desarrollo Urbano y Rural, de acuerdo al artículo 6, inciso f) Ley de los Consejos de Desarrollo Urbano y Rural al (decreto 11-2002) que literalmente dice: “Dar seguimiento a la ejecución de políticas, planes, programas y proyectos nacionales de desarrollo, verificar y evaluar su cumplimiento, y, cuando sea oportuno, promover medidas correctivas a la Presidencia del Organismo Ejecutivo o a las entidades responsables.”.
","","","Nutrition & infectious disease","","http://www.segeplan.gob.gt/downloads/clearinghouse/politicas_publicas/Transversales/Pol%C3%ADtica%20Desarrollo%20Social%20y%20Poblaci%C3%B3n.pdf","","WHO Global Nutrition Policy Review 2009-2010","" "8092","IND","India","","National Health Policy","Health sector policy, strategy or plan with nutrition components","","","","2002","","2015","Ministry of Health and Family welfare","","2002","","","","","Finance, budget and planning|Health|Women, children, families","Ministry of Health and Family welfare Finance, budget and planning, Health, Women, children, families: Ministry of Rural development, Ministry of Health and Family welfare, Dept of Women and child Development","","","","","","","","","","","","","","","","","","","","","","","","http://www.mohfw.nic.in","","WHO Global Nutrition Policy Review 2009-2010","" "8419","HUN","Hungary","","Johan Bela' National Programme for the Decade of Health","Health sector policy, strategy or plan with nutrition components","","English","","2003","","","Policy Documentation Center","","2003","Adopted","","2003","Ministry of Health, Social and Family Affairs","Health|Food and agriculture|Women, children, families|Social welfare|Sub-national","","","","International Committee of the Red Cross (ICRC)","","","","","","National NGOs","","","","","","Other","Religious Communities; Media; NPHMOS; Activists","HEALTHY YOUTH
HEALTH PROMOTION IN SETTINGS OF DAILY LIFE
HEALTHY NUTRITION AND FOOD SAFETY
The Goal: To reduce the prevalence of nutritionrelated disorders and to improve the general state of health through healthy nutrition
REDUCING MORBIDITY AND MORTALITY DUE TO CORONARY HEART DISEASES AND CEREBROVASCULAR DISEASES
HEALTHY YOUTH
HEALTH PROMOTION IN SETTINGS OF DAILY LIFE
HEALTHY NUTRITION AND FOOD SAFETY
HEALTHY YOUTH
HEALTHY NUTRITION AND FOOD SAFETY
If the sub-project is implemented successfully, the following results can be expected:
","Outcome indicators|Process indicators","","Low birth weight|Iodine deficiency disorders|Fat intake|Sodium/salt intake|Fibre|Added sugars|Fruit and vegetable intake|Vegetables|Right to health|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|School-based health and nutrition programmes|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Promotion of fruit and vegetable intake|Food labelling|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Nutrition education|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Vulnerable groups","","http://pdc.ceu.hu/archive/00002882/","","WHO 2nd Global Nutrition Policy Review; NOPA","https://extranet.who.int/nutrition/gina/sites/default/filesstore/HUN%202003%20National%20Health%20Programme.pdf" "8410","NAM","Namibia","","National Policy on Infant and Young Child Feeding","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2003","","2008","MOHSS","","2003","","","","","Health|Food and agriculture|Education and research|Women, children, families|Sport|Trade|Information|Labour|Sub-national|Other","MOHSS National Multi-sectoral AIDS Coordination Committee (NAMACOC), Gender, Regional Government, Sport and Culture","United Nations Children's Fund (UNICEF)","","","","","","","","","","Research/academia","","","","","","
Goal:
To ensure the survival, healthy development, and protection of the child from birth up to 5 years and the healthy status of mothers.
Objectives:
Strategies:
2. 0 GOALS OF THE NATIONAL FOOD AND NUTRITION POLICY AND PLAN OF ACTION
2.1 Goals of the Policy
2.1.1 Overall Goal
The overall goal of Nigeria's Food and Nutrition Policy is to improve the nutritional status of all Nigerians, with particular emphasis on the most vulnerable groups, i.e., children, women, and the elderly.
2.1.2 Specific Goals
The Food and Nutrition Policy aims to promote the following specific goals:
(i) Establishing of a viable system for guiding and coordinating food and nutrition activities undertaken In the various sectors and at various levels of the society, from the community to the national level;
(ii) Incorporating of food and nutrition considerations into development plans and allocation of adequate resources towards solving the problems pertaining to food and nutrition at all levels;
(iii) Promoting habits and activities that will reduce the level of malnutrition and improve the nutritional status of the population;
(iv) Identifying of sectoral roles and assignment of responsibilities for the alleviation of malnutrition;
(v) Ensuring that nutrition is recognised and used as an important indicator to monitor and evaluate development policies and programmes; and
(vi) Promoting good, indigenous food cultures and dietary habits among Nigerian people for healthy living and development.
2.1.3 Specific Objectives
To achieve the overall goal of improving nutritional status of vulnerable groups, a number of specific objectives have been formulated, as follows:
1 To improve food security at the household and aggregate levels to guarantee that
families have access to safe food that is adequate (both in quantity and quality) to meet the nutritional requirements for a healthy and active life;
2. To enhance care-giving capacity within households with respect to child feeding and child care practices, as well as addressing the care and well-being of mothers;
3. To improve the provision of human services, such as health care, environmental sanitation, education, and community development;
4. To improve the capacity within the country to address food and nutrition problems; and
5. To raise understanding of the problems of malnutrition in Nigeria at all levels of society, especially with respect to its causes and possible solutions.
2.2 Goals of the NPAN
The goals of the National Plan of Action on Food and Nutrition in Nigeria is to initiate new programme focus, integrate and coordinate effectively all food and nutrition programmes of all sectors. Furthermore, it is to advance vigorously a national nutrition agenda that will recognise and respond effectively to regional, zonal, and specific needs in accordance with the National Policy on Food and Nutrition in Nigeria. A detailed individual workplan of each project is expected to be developed based on more detailed time frame and budget.
In this context the following goals will be pursued in the overall national programme:
1. Improve the economic situation of Nigeria, with particular emphasis on protecting the welfare of the most vulnerable groups in society; and
2. Increase investment in the social sector, thereby raising the status of women in our society by increasing their access to and control over productive resources.
2.2.1 General and Specific Objectives of the NPAN
These are presented before the details of each of the 5 programme areas
2.3 Targets of the NPAN
The following targets are being set to address the food and nutrition problems in the country:
1. Reduce the level of poverty by 10% by 2010 from the 65.8% (1996);
2. Reduce starvation and chronic hunger to the barest minimum through increased food intake;
3. Reduce undernutrition, especially among children, women, and the aged, and, in particular, severe and moderate malnutrition among under-fives by 30% by 2010;
4. Reduce micronutrient deficiencies, particularly iodine deficiency disorders (IDD) [13%], vitamin A deficiency (VAD) [29.5%], and iron deficiency anaemia (IDA) [36.5%] by 50% of these levels by 2010;
5. Reduce the rate of low birth-weight (less than 2.5 kg) at 17% to less than 10% of the above level by 2010;
6. Reduce diet-related, non communicable diseases by 25% of current levels by 2010;
7. Improve general sanitation and hygiene, including the availability of safe drinking water from the 54% level;
8. Reduce the prevalence of infectious and parasitic diseases that aggravate the poor nutritional status of infants and children by 25% of the current levels.
3.2 Food Security, Food Safety, and Consumer Protection
3.2.2 General Objectives
3.2.3 Specific Objectives
3.3 ENHANCING CARE GIVING CAPACITY
3.4 ENHANCING PROVISION OF HUMAN SERVICES
3.5 IMPROVING CAPACITY TO ADDRESS FOOD AND NUTRITION ISSUES
3.6 RAISING AWARENESS AND UNDERSTANDING OF THE PROBLEMS OF MALNUTRITION IN NIGERIA
3.6.2 General Objective
3.2 Food Security, Food Safety, and Consumer Protection
3.3 ENHANCING CARE GIVING CAPACITY
3.3.4 Strategies
3.5 IMPROVING CAPACITY TO ADDRESS FOOD AND NUTRITION ISSUES
3.5.4 Strategies:
","
4.0 PROGRAMME CO-ORDINATION, MONITORING AND EVALUATION
","","","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|Iodine deficiency disorders|Vitamin A deficiency|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Complementary feeding promotion/counselling|Complementary food provision|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Food labelling|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Micronutrient supplementation|Food fortification|Wheat flours|Maize flours|Refined sugar|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Conditional cash transfer programmes|Vulnerable groups","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NGA%202005%20National%20Plan%20of%20Action%20on%20Food%20and%20Nutrition.pdf" "8309","AUT","Austria","","Public health in Austria","Health sector policy, strategy or plan with nutrition components","","","","2005","","","Federal Ministry of Health and Women","","2005","","","","","Health|Women, children, families","Federal Ministry of Health and Women","World Health Organization (WHO)","","","","","","European Union","","","","","","","","","","","
Under the heading “Conscientious living is better living” (“Bewusst lebt besser”), the Healthy Austria Fund has conducted themed media campaigns since 1999 to promote health-consciousness in everyday life. From 2003 to 2005, the Fund emphasised physical activity, emotional health and nutrition, including the setup of a nutrition hotline, because the campaigns were meant not just to sensitize their audience or warn of unhealthy lifestyles, but also to offer practicable solutions. An initial evaluation shows that around 40 percent of the Austrian population was reached by the physical activity campaign - more women than men. The Federal Ministry of Health and Women has now initiated the nationwide campaign iSch (“innerer Schweinehund” [“the lazy dog within”]) in order to promote self-responsibility in terms of health and quality of life. The emphases here are on nutrition, physical activity, stress reduction, accident avoidance and medical prevention. The campaign has its own website (www.isch.at). (p. 63)Thematic health care measures and promotion (p. 67)Women's and men's health (p. 67)
Societal and health-policy demands for a gender-specific, gender-sensitive and genderfair view of health are based on a growing consciousness of differences between men and women in many health-related areas.Vaccination strategies (p. 70)Diabetes (p. 71)
Consciousness-raising and publicity work,
Age and gender-specific activities and offerings
Lifestyle measures such as proper nutrition and physical activityHealth promotion and prevention in the area of emotional health (p. 75) Assistance for the elderly in hospitals and clinics (p. 77)Care of the handicapped (p. 79)Food labelling (p. 82)
1.2 Goal and Objectives
Infant and young child feeding is an integral part of the overall objective of ensuring the socio-economic well being of all Nigerians. It is in this context that the problem of malnutrition exists and within which the goal and objectives of this policy are derived.
1.2.1 Goal
The overall goal of the National Policy on Infant and Young Child Feeding in Nigeria is to ensure the optimal growth, protection and development of the Nigerian child from birth to the first five years of life.
1.2.2 Specific Objectives:
i. To promote, protect and support exclusive breastfeeding in the first six months of life.
ii. To create and sustain a positive image for breastfeeding throughout the society.
iii. To empower all women (including women who work outside their homes) to adopt and practice optimal infant feeding.
iv. To promote the timely introduction of appropriate and adequate complementary foods while continuing breastfeeding up to 24 months and beyond.
v. To ensure the provision of specific feeding recommendations for all infants and young children irrespective of their circumstances of birth and health status.
vi. To promote the provision of appropriate information for nutrition counselling and support for households in the prevention of malnutrition in children.
vii. To develop and strengthen activities that will protect, promote and support adequate infant and young child feeding practices.
viii. To raise awareness on issues affecting infant and young child feeding in Nigeria.
ix. To provide an enabling environment for mothers, family members and communities to make and implement informed decisions on optimal feeding of infants and young children.
x. To support and enhance the provision of enabling environment without any form of discrimination for working mothers, fathers and other care-givers including those in part-time and domestic occupation to practice optimal infant and young child feeding.
xi. To promote the prevention of mother-to-child transmission of HIV through appropriate and safe measures that ensure optimal infant and young child feeding.
xii. To ensure that health workers and other care providers have adequate skills and information to support optimal infant and young child feeding including in emergency situations.
xiii. To support and enhance the national capacity to address issues of infant and young child feeding in different situations and circumstances.and other care-givers including those in part-time and domestic occupation to practice optimal infant and young child feeding.
xi. To promote the prevention of mother-to-child transmission of HIV through appropriate and safe measures that ensure optimal infant and young child feeding.
xii. To ensure that health workers and other care providers have adequate skills and information to support optimal infant and young child feeding including in emergency situations.
xiii. To support and enhance the national capacity to address issues of infant and young child feeding in different situations and circumstances.
Chapter 2 and 3 promote breastfeeding and complementary feeding, with particular attention to ""special situation"" groups:
Infants and young children of HIV positive mothers;
Sick infants and young children, particularly 1) with persistent diarrhoea 2) living with HIV/AIDS;
Low birth weight infants;
Motherless/adopted infants and young children;
Infants and young children in emergency situations;
Infants of adolescent mothers;
Infants with cleft-palate.
The National Policy on infant and young child feeding in Nigeria shall achieve its goal and objectives through the following key strategies:-Legal, gender and cultural considerations-Advocacy and social mobilisation-Information, Education, Communication (IEC)-Capacity building and development-Counselling and support services-Research-Monitoring and evaluation-Supervision-Coordination
General objective: The general objective of the national nutrition policy is to improve the nutritional status of the Rwandan people.
Specific objectives:
- Promote practices favorable to the improvement of the nutritional status
- Reduce the prevalence of diseases linked to nutritional deficiencies and excesses
- Prevent mother-to-child transmission of HIV through appropriate breastfeeding and infant and young child feeding practices
- Assure adequate treatment of malnutrition due to nutritional deficiencies and excesses
- Provide nutritional care and support for people living with HIV/AIDS
Expected outcomes and the link to the Millennium Development Goals:
Goal 1: Reduce poverty and hungry
• The prevalence rate of protein-energy malnutrition in under five of age children is reduced from 45% to 30% for stunting, 22% to 15% for underweight, 4% to 2% for wasting.
Goal 2: Ensure primary education
• The prevalence rate of anemia is reduced by from 56% to 37% in children and from 33% to 22% in women.
• Iodine Deficiency Disorders are eliminated from 26% to less than 5% of total goiter.
Goal 3: Reduce Infant Mortality
• Increase the proportion of women exclusively breastfeeding for the first 6 months with optimal complementary feeding up to 24 months from 17,4% to 60%.
• Reduce Vitamin A deficiency in children under five from 25% to 5% in children under five years.
Goal 4: Reduce Maternal Mortality
• Reduce Vitamin A deficiency (night blindness) in pregnant women from 7% to less than 1%.
• Reduce the prevalence of anemia in pregnant women from 33% to 22%.
Goal 5: Combat HIV/AIDS and other diseases
• Nutritional support is provided to PLWA and other vulnerable people.
• Nutrition related chronic diseases are prevented.
Strategies for nutrition iprovement:
1. Reinforcement of the political commitment
2. Promotion of optimal infant and young child feeding
3. Scaling up of community-based nutrition programs
4. Food Fortification
5. Promotion of household food security
6. Prevention and management of malnutrition and related diseases
7. Nutritional support to PLWHA and their families
8. Communication for behavior change
Monitoring and evaluation:
To ensure effective implementation of planned activities, monitoring and evaluation is essential in all development programs. In addition, periodic evaluations are necessary for establishing level of objective achievement.
In order to follow up implementation of nutrition programs, data will be collected regularly at the health center and community level, In addition, other opportunities for nationwide surveys will be identified and utilized (MICS, EDST, EICV, etc…)
Nutritional surveys and epidemiologic surveillance will be conducted regularly, with appropriate indicators, to evaluate the progress and impact of nutritional interventions.
Operational research will also be carried out to address specific problems identified during the implementation of nutritional activities.
To prevent nutritional emergencies, nutrition unit will reinforce collaboration with all existing structures that collect and analyze bioclimatic, environmental, demographic and agricultural data for early warning and timely intervention measures against disasters that can negatively affect the nutrition.
1. Lograr con una adecuada intersectorialidad, acciones que influyan favorablemente en el ambiente y con ello a una protección superior en la salud de la población.
2. Desarrollar con efectividad un trabajo dirigido a la disminución y control de los factores de riesgo más importantes que afectan la salud de la población.
3. Disminuir la mortalidad y la morbilidad de las enfermedades no trasmisibles y otros daños a la salud que constituyen las principales causas de enfermedad y muerte en la población cubana.
4. Mantener y mejorar la situación de salud alcanzada en relación con las enfermedades infecciosas y parasitarias, y enfatizar en aquellas que no se han podido resolver mediante la aplicación de inmunobiológicos y en las exóticas susceptibles de introducirse en el país.
5. Consolidar y mejorar los niveles alcanzados en la salud de la madre y el niño.
6. Desarrollar las acciones que permitan enfrentar con éxito la atención que demanda el envejecimiento de la población cubana
","","Внесены изменения и дополнения в Закон Кыргызской Республики ""О государственных пособиях в Кыргызской Республике"", в котором закреплен порядок предоставления и определен размер ежемесячного социального пособия для детей, живущих с ВИЧ/СПИДом или рожденных ВИЧ-инфицированными матерями
1.2. Подключение служб охраны здоровья матери и ребенка (далее ОЗМиР) и служб репродуктивного здоровья к реализации программ профилактики ВИЧ-инфекции у детей грудного возраста.
3.3. Обеспечение искусственным питанием детей, родившихся от ВИЧинфицированных женщин
3.4. Подготовка медицинских кадров, обученных вопросам профилактики вертикальной трансмиссии ВИЧ/СПИДа
- по вожможности, отказ от грудного вскармлевания существенно снижает риск инфецирования ребенка
","","","","Maternity protection|Minimum acceptable diet|Complementary feeding promotion/counselling|Complementary food provision|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KGZ%202006-2010%20HIVAIDS%20prevention%20programme.pdf" "8389","LUX","Luxembourg","","Plan d'action pour la promotion de l'alimentation saine et de l'activité physique [Action Plan for the Promotion of Healthy Eating and Physical Activity]","Comprehensive national nutrition policy, strategy or plan","","French","","2006","","","Ministry of Health and Ministry of Education","7","2006","Adopted","7","2006","Ministry of Health and Ministry of Education","Health|Education and research|Women, children, families|Sport|Sub-national","","","","","ONGs actifs dans des domaines de santé","","","","","","","Research/academia","Medical Schools","","","Other","Health Professionals and Experts in the field; International Organizations; Associations and Youth Centers","Objectif I Sensibiliser et informer sur l’importance de modes de vie favorables à la santé physique, psychique et sociale
Objectif II Manger sain et équilibré
Améliorer les habitudes alimentaires en vue, notamment, de réduire la prévalence du surpoids, de l’obésité et des maladies conséquentes dans la population en accordant une attention particulière aux enfants et adolescents ainsi qu’aux groupes sociaux les plus menacés.
Des interventions diverses seront appliquées:
Objectif III Augmenter en quantité et en qualité l’activité motrice de la population, notamment des enfants et adolescents
","Campagne de sensibilisation et d’information
Manger sain et équilibré
Plan d’action « Gesond iessen, méi bewegen » 3. Ministère de la Santé
VII. Réalisation des objectifs de la stratégie :
a) La première mesure pour atteindre les objectifs de la présente stratégie consiste à réaffirmer la pertinence et même l’urgence des quatre cibles opérationnelles de la Déclaration « Innocenti » sur la protection, la promotion et le soutien de l’allaitement maternel :
b) Dans le cadre de l’initiative des hôpitaux « amis des bébés », le Mali à labellisé de 2002 à 2006, 19 structures sanitaires au niveau du District de Bamako et dans certaines régions (CSREF et CSCOM).
En outre, la Déclaration « Innocenti » se préoccupe uniquement de l’allaitement maternel. Il faut donc des cibles complémentaires pour refléter une approche globale répondant aux besoins en matière de soins et d’alimentation pendant les trois premières années de la vie au moyen de tout un ensemble de mesures liées entre elles.
c) A la lumière des données scientifiques accumulées et de l’expérience acquise en matière de politiques et de programmes, le moment est venu pour le Mali, avec l’appui des organisations internationales et des autres parties intéressées :
d) Compte tenu de ces considérations, la stratégie Nationale aura comme priorité l’atteinte des cibles opérationnelles supplémentaires ci-après :
The overall goal of the National Strategy is to improve the nutritional status, growth and development, health, and survival of infants and young children in Bangladesh through optimal infant and young child feeding practices.The specific objectives of the National Strategy, to be achieved by 2010, are:
-Increase the percentage of newborns who are breastfed within one hour of birth from 24% to 50% (early initiation of breastfeeding)
-Increase the percentage of infants aged less than 6 months of age who are exclusively breastfed from 42% to 60% (exclusive breastfeeding)
-Maintain the percentage of children aged 20-23 months who are still breastfed at 90% (continued breastfeeding)
- Increase the percentage of children aged 6-9 months who are breastfed and receive appropriate complementary foods (rice or starch plus foods from animal sources and one other item of fruit, pulses or vegetable) to 50% (complementary feeding)
Legislation, policy and standards
Strategy 1: Code of marketing of breast-milk substitutes
- Strengthen the implementation, monitoring and enforcement of the Breastmilk Substitutes (Regulation of Marketing) Ordinance and amendments.
Strategy 2: Maternity protection in the workplace
- Enact adequate legislation protecting the breastfeeding rights of working women in a full range of employment and establish the means for its enforcement.
Strategy 3: Codex Alimentarius
- Ensure that processed infant and complementary foods are safe and nutritionally adequate, in accordance with the relevant Codex Alimentarius standards.
Strategy 4: National policies and plans
- Incorporate infant and young child feeding interventions into national development policies and plans, major health initiatives and other projects to advocate for its importance and mobilize resources.
Health system support
Strategy 5: Baby-Friendly Hospital Initiative
- Ensure that every health facility successfully and sustainably practices all the ""Ten steps to successful breastfeeding"" and other requirements of the BFHI.
Strategy 6: Mainstreaming and prioritization of IYCF activities
- Integrate skilled behavior change counseling and support for infant and young child feeding into all points of contact between mothers and health service providers during pregnancy and the first two years of life of a child.
Strategy 7: Knowledge and skills of health service providers
- Improve the knowledge and skills of health service providers at all levels to give adequate support to mothers on infant and young child feeding, including skills training on interpersonal communication, behaviour change counselling and community mobilization.Community-based support
Strategy 8: Community-based support
- Develop community-based networks to help support appropriate infant and young child feeding at the community level, e.g. mother-to-mother support groups and peer or lay counsellors.IYCF in exceptionally difficult circumstances
Strategy 9: IYCF in exceptionally difficult circumstances
Strategy 9a: HIV and IYCF
- Develop capacity among the health system, community and family to provide adequate support to HIV-positive women to enable them to select the best feeding option for themselves and their infants, and to successfully carry out their infant feeding decisions.
Strategy 9b: Emergencies and IYCF
- Develop capacity among the health system, community and family to ensure appropriate feeding and care for infants and young children in emergencies.
Strategy 9c: Malnutrition and IYCF
- Develop the capacity among the health system (both facility and community-based), community and family to manage malnutrition, including severe wasting.
NATIONAL STRATEGY
Actions in support of anaemia prevention and control must be monitored and evaluated to test and assess program effectiveness, justify the continuation or modification of interventions and provide feedback at all levels. Monitoring of an ongoing program is continuous and aims to provide the management and other stakeholders with early indications of progress (or lack thereof) in the achievement of results and objectives. Evaluation is a periodic exercise that attempts to systematically and objectively assess progress towards and the achievement of a program's objectives or goals. Because progress in anaemia prevention and control depends on the achievement of behavioural aims and objectives, monitoring and evaluation of behavioural indicators should be given special attention.
A monitoring and evaluation plan should be developed to provide a standardized framework on how needed information will be collected, processed, analysed, interpreted, shared and used. All organizations working in the field of anaemia prevention and control should follow the same monitoring and evaluation plan to ensure comparability. It is particularly important to ensure the consistent use of indicators for monitoring and evaluating trends in anaemia prevention and control. Where possible, monitoring indicators should be incorporated into existing health information systems. Outcome and impact indicators can be included in surveys such as the Bangladesh Health and Demographic Survey, Child Nutrition Survey, and Multiple Indicator Cluster Survey.
Research, including operations research, is needed to determine the factors that contribute to anaemia and to identify cost-effective approaches to its prevention and control for evidence-based advocacy and programme implementation.
BROAD PLAN OF ACTION
3.6.1 Develop a monitoring and evaluation framework/plan to monitor and evaluate the effectiveness of IYCF interventions:
Select a standard set of input, process, output and impact indicators, including behavioural indicators
For each indicator, identify criteria and targets; trigger points for remedial action; data collection methodology, and types and sources of data.
3.11.2 Incorporate IYCF indicators into existing information systems by modifying monitoring and reporting formats and training health service providers to collect monitoring data as part of their routine activities
3.11.3 Review the monitoring data at the sub-district, district and national level and provide constant feedback to stakeholders for appropriate action.3
.11.4 Conduct periodic evaluations of the impact of interventions on infant and young child practices every 2-3 years
3.11.5 Identify priority research gaps to improve the design of interventions and programmes, and institutions which can help, technically and/or financially, to conduct and/or support the needed research.
3.11.6 Conduct assessments, operations research and evaluations of interventions related to infant and young child feeding practices.
3.11.7 Disseminate results of research, and revise strategies, interventions and guidelines in response to new knowledge and programme experiences and outcomes.
The overall goal of the National Strategy is to reduce by one quarter the prevalence of anaemia among high-risk groups in Bangladesh by 2015.The objectives to be achieved by 2015 are:
- Provide a package of interventions to prevent and control anaemia in 60% of high-risk groups, including micronutrient supplementation, parasitic diseases control, and promotion of key dietary behaviours known to improve micronutrient intake.
- Fortify at least one food vehicle with iron and other micronutrients needed for anaemia prevention
- Increase the availability of affordable micro-nutrient rich foods through household food production, crop diversification, biotechnology and biofortification.
As there are many causes of anaemia, multiple strategies are needed for its prevention and control. These strategies fall into two categories: population-based strategies and targeted strategies for high-risk groups:
Targeted strategies for high-risk groups
Strategy 1: Micronutrient supplementation
- Provide iron-folate (IFA) or multiple micronutrient (MMN) supplements to low birth weight infants aged 2-5 months and all children aged 6-23 months, pregnant women, and breastfeeding women for the first three months after delivery, adolescent girls and newly wed women in the recommended dose and frequency.
- If resources are available, provide IFA or MMN supplements to other vulnerable groups, such as children aged 24-59 months, school-aged children and non-pregnant women of reproductive age in the recommended dose and frequency.
- Counsel women and caregivers on how to take the IFA/MMN supplements, the importance of taking the full dose, and help them solve any problems they have in complying, such as managing side effects.
- Screen all children, adolescent girls and women for severe anaemia at every contact with a health service provider using the most appropriate and feasible screening method at the health care level. Provide appropriate treatment for anaemia or refer children and women for treatment.
- In emergencies, provide MMN supplements or therapeutic spreads to children aged less than 5 years, pregnant women, and breastfeeding women.
Strategy 2: Dietary improvement
- Protect, promote and support breastfeeding and complementary feeding practices, including
- Initiation of breastfeeding immediately after delivery (within half an hour)
- Exclusive breastfeeding for the first six months (180 days) of life
- Timely and appropriate introduction of complementary feeding on completion of six months (180 days) of life
- Continued breastfeeding until the child is at least 2 years
- Advise adolescent girls, mothers and caregivers on how to improve the dietary intake for themselves and their young children:
- Increase intake of meat and fish, where economically and culturally feasible
- Increase intake of locally available and affordable plant foods that are rich in micronutrients (e.g. green leafy vegetables, pulses, and legumes) and contain vitamin C to enhance iron absorption from plant foods (e.g. citrus fruits and guava)
- Consume foods and beverages which contain substances that inhibit iron absorption from plant foods at least one hour after meals (e.g. tea, milk and milk products)
- Use food processing techniques such as germination and fermentation to improve iron absorption from plant foods
- Using cooking techniques that minimize the loss of micronutrients and increase the bioavailability of micronutrients (e.g. cut vegetables after washing, add small amounts of oil, and minimize cooking times).
- Educate school children about the importance of nutrition and options for improving nutrient intake.
- Promote the consumption of fortified foods, where available and affordable.
Strategy 3: Parasitic disease control
Soil-transmitted helminths and diarrhoea
- Provide presumptive anti-helmintic treatment to children aged 24-59 months2 and adolescent girls once every six months.
- Provide a single dose of presumptive anti-helmintic treatment to pregnant women at the earliest opportunity in the second trimester3. If the local prevalence of hookworm infections is >50%, provide a second dose of anthelmintic treatment at the earliest opportunity after delivery.
- If resources allow, provide anthelmintic treatment to children aged 5-11 years every six months4.
- Provide information to women and caregivers on home care of diarrhoea (oral rehydration therapy and continued feeding), the danger signs of severe diarrhoea, and when and how to seek medical care.
- Promote good hygiene and sanitary practices to prevent infection, including the use of shoes and latrines, and hand washing after defecation, before food preparation and before eating.
Malaria (areas of malaria transmission only)
- Provide information to women and caregivers on the danger signs of malaria, and when and how to seek treatment.
- Provide rapid malaria treatment to young children and pregnant women with symptoms of fever or malaria in line with national malaria management protocol
- Promote protection measures against malaria (use of insecticide-treated bed-nets, particularly by pregnant women and children aged less than 5 years, and environmental control of mosquitoes)
Strategy 4: Family planning and safe motherhood
- Encourage women to attend ANC services as early as possible in pregnancy, and PNC after delivery.
- Provide micronutrient supplementation (Strategy 1), counseling on dietary improvement (Strategy 2), and interventions to prevent and treat hookworm infection and malaria, where endemic (Strategy 3) to pregnant and breastfeeding women.
- Mitigate and manage blood loss during delivery and in the postpartum period using appropriate methods.
- Intensify efforts with adolescents, families and communities to delay age at marriage and age at first pregnancy.
- Promote family planning methods to delay and space birthsPopulation-based strategies
Strategy 5: Food fortification
- Set legislation and regulations for fortification with iron and other micronutrients.
- Develop, produce and market foods fortified with iron and/or other micronutrients (including folic acid, vitamin B-12 and vitamin A) for the general population.
- Develop, produce, and market low cost foods fortified with iron and/or other micronutrients for specific vulnerable groups, particularly infants and young children.
- Fortify food aid products for development and emergency response programmes with iron and other micronutrients, including school-feeding programmes.
- Promote (through social marketing) foods fortified with iron and other micronutrients.
Strategy 6: Production of micronutrient-rich foods through household food production, crop diversification, biotechnology and biofortification
- Promote year-round production by households of micronutrient-rich foods or crops in home gardens, fruit tree plantation, small animal husbandry and fisheries.
- Promote the development of new varieties of staples that are rich in micronutrients (biotechnology and biofortification)
The Goal of the Policy and Strategic Plan is to have a well nourished Malawi nation with sound human resource that effectively contributes to the economic growth and prosperity of the country.
Objectives:
Objective 1: To prevent and control the most common nutrition disorders among women, men, boys, girls in Malawi by 2011 with emphasis on vulnerable groups.
Objective 2: To increase access to timely and effective management of the most common nutrition disorders among women, men, boys, girls in Malawi by 2011 with emphasis on vulnerable groups.
Objective 3: To create an enabling environment for the effective implementation of nutrition services and programmes between 2007 and 2011.
Strategies (P=Prevention, M=Management, E= Enabling Environment):
P1. Promotion of optimal breastfeeding practices for children 0-6 months in the context of HIV and AIDS at facility, community and household level.
P2. Promotion of optimal feeding practices for children 6-24 months or beyond to sustain breast feeding while giving appropriate complementary feeds with emphasis on feeding frequency, amount, energy and nutrient density and diversity based on the six food groups.
P3. Strengthening of optimal feeding of a sick child during and after illness.
P4. Promotion of women’s nutritional status among the general public.
P5. Prevention and control of micronutrient deficiency disorders with emphasis on Vitamin A deficiency, anaemia and iodine deficiency disorders.
P6. Promotion of practices that promote health life styles, food availability, diversity, access, proper storage, preparation, utilisation, the consumption of a variety of foods from the six food groups every day, safety and quality in the general population.
P7. Promotion of access to at least one nutritious meal and related health and nutrition services for the school-going children through the school feeding and the school health and nutrition programmes.
P8. Strengthening capacities for households and communities to attain adequate nutrition for their families with emphasis on socio-economically deprived persons.
P9. Promotion of food safety and quality.
P10. Controlling of nutrition related non-communicable and other diseases.
M1. Promoting access and quality of nutrition and related services to facilitate effective management of nutrition deficiency disorders in under-five children, adolescents and adults.
E1. Firmly position nutrition on the national development agenda and include Nutrition in the key development programmes, allocate adequate resources, strengthen institutional and human capacities, put in place necessary coordination mechanisms in all sectors for the implementation of the National Nutrition Policy and Strategic Plan at all levels.
E2. Increased budgetary allocation of resources by government and her partners for the implementation of the National Nutrition Policy and Strategic Plan.
E3. Government shall strive to build institutional and human capacity for the effective delivery of nutrition services, including the design, development and implementation of relevant nutrition programmes, projects and interventions in the public sector.
E4. Establishment of a well defined coordination mechanism for nutrition services, programmes and projects at central, district and community level.
E5. Government shall ensure evidence based programming of nutrition programmes, projects, activities, interventions and services through the generation and dissemination of nutrition research information and findings and appropriate documentation and dissemination of best practices.
E6. Results-oriented monitoring and evaluation.
","Monitoring Activities:
• Quarterly Field Monitoring Visits:
Field monitoring visits will be undertaken to selected sites to check the progress on service delivery and the implementation of the activities. The visits will assist in identifying challenges faced and serve as the basis for dialoguing with service providers and implementers in focusing towards the achievement of the results. The quarterly field monitoring visits will also help in checking compliance to the laid down nutrition implementation procedures and guidelines. Quarterly monitoring visits will be led by the OPC, Department of Nutrition and HIV and AIDS, although multisectoral and multi-agency teams will also be encouraged. A quarterly field monitoring report will be produced by the monitoring team and will include (a) key findings of the visit, (b) main challenges observed in the course of implementing the NNPSP activities, and (c) recommendations on resolving bottlenecks.
• National Integrated Nutrition Surveillance:
National Integrated Nutrition Surveillance System will be used to track the progress on the output and outcome indicators on a Monthly/quarterly basis. The results would be discussed in the quarterly review meetings. Because these will happen throughout the implementation period, the results will also be used for the evaluation at the outcome and impact levels.
• Bi-annual Nutrition Review Meetings:
These will be held to review the implementation of the activities of the NNPSP. It will also review quarterly review reports by the Nutrition and Food Security M&E working group that reports on output as well as outcome indicators. While primarily a coordination activity, the quarterly review meeting will provide a useful forum for stakeholders to appreciate the in loads made towards the NNPSP goals and challenges constraining progress. The outcome of the quarterly
review meetings will be a concise brief outlining the next steps.
• Nutrition Steering Committee Meetings/Government Development Partner Meetings:
These will focus on policy issues and discuss policy implementation, resource mobilization and progress towards policy outcomes. The meetings will discuss issues that have a bearing on the Nutrition policy such as inadequacies in the policy provisions that constrain the implementation and compliance, emerging issues on the ground that need to be addressed at the policy level as well as funding prospects for nutrition activities. The objective will be to ensure that the whole Nutrition Programme as envisaged in the NNPSP is moving towards the achievement of the Planed objectives.
• Develop an operational database and Coordination of Information:
The OPCDepartment of Nutrition and HIV and AIDS will ensure the establishment of a coordinated management information system to be able to collect data, store them, and make them easily accessible to facilitate analysis and reporting on the NNPSP. In this regard, an inventory of all agencies implementing nutrition activities will be created. The data base would include- names of nutrition projects/service providers, type of activity, budget, output and outcome indicator targets, geographical location of services/project, target group and achievements for a particular period among others.
Evaluation activities:
• Construction of Baselines and Targets:
This will be a key activity as the ability of the nutrition response via the NNPSP to monitor the performance will depend on it, focusing on those targets without the baselines. In particular, baselines on the key outcome indicators in the NNPSP will be useful for determining the impact of the response at the end of the implementation period. Performance targets at annual, mid-term and end of the implementation of the plan will be critical in undertaking performance monitoring.
• Annual Nutrition Sector Reviews:
These will be undertaken to review the implementation progress, challenges and the status of the outcome indicators. While focusing also on coordination and the extent to which nutrition activities are being implemented in accordance with the agreed frameworks, the sector reviews will be foras where knowledge on the implementation experiences, good practice and challenges will be shared. An outcome of the meetings will be the identification of the implementation bottlenecks and recommendations to improve the performance towards the achievement of the results.
• Periodic Nutrition Surveys:
These will be used to track among others (a) the effectiveness of the interventions; and (b) impact on malnutrition levels. They will include the existing sector surveys on nutrition, Malawi Vulnerability Assessment and Mapping (VAM) work, National Statistical Office Surveys such as MICS and MDHS, Micronutrient Surveys, and National Nutrition Surveys. Impact studies focusing on specific interventions will also form part of the tracking studies. These will be population-based surveys and will be used to identify and understand the core factors and patterns fuelling chronic malnutrition, and influencing the demand for and supply of various nutrition services.
• Mid-Term Evaluation:
The Nutrition National Strategic Plan will be evaluated mid-way through the implementation with the aim of gauging implementation progress at midstream, and devise ways of improving the performance at post mid-term of the plan. The mid term evaluation will either be conducted by an independent assessor or internally by stakeholders but led by the OPC, Department of Nutrition and HIV and AIDS.
• End of NNPSP Evaluation:
The end of NNPSP evaluation will be undertaken at the end of the implementation period of the Plan in 2011 or early 2012. The focus of the end of NNPSP evaluation will be to learn lessons to inform the future national nutrition initiatives and strategies in the country. The evaluation will be undertaken by an independent reviewer. Its main aim will be for reprogramming and replanning.
M & E components for each objective, listed under Annex 3
","","","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|Underweight in women|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Maize flours|Refined sugar|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 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MWI%202009%20National%20Nutrition%20Policy%20Strategic%20Plan%202009.pdf" "8326","MLT","Malta","","Healthy Eating Lifestyle Plan (HELP)","Comprehensive national nutrition policy, strategy or plan","","English","","2007","","","Ministry of Education, Youth and Employment","","2007","Adopted","","2007","Ministry of Education, Youth and Employment","Education and research|Women, children, families|Social welfare|Finance, budget and planning|Environment|Labour|Other","Healthy Eating Lifestyle Plan - HELP working group","","","","","","","","","National NGOs","Federation of Industry;","Research/academia","Faculty of Education","","","Other","Healthy School Nutrition Audit Board; Home Economics Seminar Centre [HESC]; Chamber of Commerce","Education Division is outlining the following as its main goals for its Healthy Eating Lifestyle Plan:
The Education Division is proposing a multifaceted approach which touches different aspects of school life, through the following three objectives:
6.4.1. General objective
The general objective of the national nutrition policy is to improve the nutritional status of the Rwandan people, prevent and appropriately manage cases of malnutrition.
6.4.2. Specific objectives
In order to improve the nutritional status of the population, the policy seeks to achieve the following specific objectives:
-Promote practices favorable to the improvement of the nutritional status,
- Reduce the prevalence of diseases linked to nutritional deficiencies and excesses,
-Assure adequate treatment and prevention of malnutrition due to nutritional deficiencies and excesses,
-Prevent mother-to-child transmission of HIV through appropriate breastfeeding and infant and young child feeding practices,
-Provide appropriate nutritional support and care for people living with HIV/AIDS
","7 STRATEGIES FOR NUTRITION IMPROVEMENT
To achieve its objectives, the National Nutrition Policy proposes the following strategies:
7.1
Reinforcement of the political commitment
Given the magnitude and persistence of nutrition problems in the country, their multi-causal factors and impact on different development sectors, Rwanda needs to strengthen its political commitment to improve the nutritional well-being of its people and make this a priority government action for its sustainable development. Some of the measures that can strengthen the political commitment are:
Allocate and/or mobilize adequate government or partner resources for the fight against nutritional problems, in particular, the financing of nutrition activities through the medium-term expenditure framework (MTEF).
Re-establish the training of nutritionists at A1 level and initiate undergraduate (A) and graduate nutrition degree programs in the university.
7.2 Promotion of optimal infant and young child feeding
Inappropriate breastfeeding and complementary feeding practices are major factors affecting infant and child mortality. Children from 0 to 6 months who are not breastfed have 7 and 5 times higher risk of dying from diarrhea and pneumonia, respectively. Promoting optimal child feeding makes it possible to reduce child deaths, the practice of breast-feeding and optimal complementary feeding respectively constitute the first and the 3rd most effective preventive interventions of child mortality. Breastfeeding is part of the Rwandan culture, however, it needs to be maintained and optimally practiced through the following strategies: 21
Promotion and protection of the exclusive breastfeeding in infants from birth up to six months, including infants born to HIV positive mothers who cannot meet the AFASS (Acceptable, Accessible, Feasible, Sustainable and Safe) conditions for replacement feeding,
7.3 Scaling up of community-based nutrition programs
Certain simple actions, easy to be implemented by community workers, have a very positive impact on the nutritional status and the survival of the population. The Community–Based Nutrition Program (CBNP) is an approach that promotes equity and efficiency in the fight against malnutrition in a participatory manner. In addition, this approach will enable the link of nutrition services and the communities, and can constitute an entry point to child survival interventions such as integrated management of childhood illnesses (IMCI) at community level. Thus, the objective of the approach is achieving coverage of up to 80% of cells (umurenge) in all the districts of the country. In order to achieve this objective, the following activities are planned:
7.4 Food Fortification
Fortification is one of the approaches to provide essential micronutrients to a large proportion of any population using commonly consumed and easily accessible foods. In Rwanda, the only food that is fortified and widely consumed is table salt which is iodized. However, there is a potential to fortify other foods to combat micronutrient deficiencies. To achieve this objective, the following activities are planned:
7.5 Promotion of household food security
The following strategies can improve availability, accessibility and utilization of foods at all levels:
7.6 Prevention and management of nutritional deficiency or excess-related diseases
The following strategies can promote prevention and management of malnutrition and related diseases:
Nutrition care and support is now integrated into the national strategy for prevention, treatment and care for PLWHA. In line with this, the government has developed and adopted guidelines and protocol giving practical recommendations for improving the nutritional well being of PLWHA. These guidelines are intended to be used by service providers, including those providing home based care. In order to meet the nutrition needs of PLWHA and their families, the following actions should be implemented:
Health professionals in nutrition centers and health facilities in nutritional assessment and counseling, management and follow up,
Community health workers in order to promote community based nutrition interventions for PLWHAs,
Associations to act as a forum for setting up community-based nutrition programs and as an agent of behavioral change.
7.8 Promotion of pre-school and school nutrition
In order to improve the children’s nutritional status and school performance, including HIV/AIDS orphans and vulnerable children, the following actions have to be taken:
7.9 Communication for behavior change
Because clinical symptoms associated with malnutrition appear in the advanced stages of deficiency, communication for behavior change should be reinforced at all levels. Communication should provide pertinent educational messages to trigger voluntary changes in dietary behavior and practices that impact on nutrition. Appropriate Communication channels should include the mass media, radio, televisions, audio-visual press, newspaper, conferences, plays, traditional media (street shouters, songs, sketches...) e.t.c and relevant messages passed through health facilities, community health or nutrition workers, schools, churches, CBOs, NGOs, etc… To reach rural populations, developed messages must be culturally appropriate and translated to the local language.
","6.5 Expected outcomes and the link to the Millennium Development Goals
In accordance with the Millennium Development Goals, operationalization of the National Nutrition Policy will lead to the following outcomes by the year 2015:
Goal 1: Reduce poverty and hungry
Goal 2: Ensure universal primary education
Goal 4: Reduce Infant Mortality
Goal 5: Reduce Maternal Mortality
Goal 6: Combat HIV/AIDS and other diseases
","
Objective 4 To ensure access for people to the comprehensive services reducing MTC transmission
Before 2008: to mobilise donor resources and establish targeted stock of supplementary feeding for newborns from HIV-positive mothers by commercially available baby food. Emergency stock of such foods must be available in all AIDS centres. To design mechanism for free delivery of supplementary feeding as needs for that will emerge.
","","Annual number of HIV-infected children from HIV-infected mothers is under 8%;
","","","Maternity protection|Complementary feeding promotion/counselling|Complementary food provision|HIV/AIDS and nutrition|Nutrition & infectious disease|Vulnerable groups","","http://www.nationalplanningcycles.org/planning-cycle/TJK","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202007%20Programme%20on%20the%20response%20to%20the%20epidemic%20of%20HIV%20in%20the%20Republic%20of%20Tajikistan%20for%20the%20period%202007%20-%202010.pdf" "8273","BGD","Bangladesh","","National Health Policy","Health sector policy, strategy or plan with nutrition components","","English","","2008","","","Ministry of Health and Family Welfare","","2008","Adopted","","2008","Cabinet","Education and research|Food and agriculture|Health|Women, children, families","MOE, MOA, DGHS, DGFP, MOHFW","","","","","","","","","","","","","","","","","Vision
The health sector seeks to support creation of an enabling environment whereby the people of Bangladesh have the opportunity to reach and maintain the highest attainable level of health. With a vision that recognizes health as a fundamental human right the need to promote health is imperative for social justice. This vision derives from a value framework that is based on the core values of access equity, gender equality and ethical conduct.
Goal
The goal is sustainable improvement in health, nutrition and family welfare status of the people, particularly of the poor and vulnerable groups, including women, children and elderly with ultimate aim of their economic and social emancipation and physical and mental well being.
Objectives
The overall objectives of the NHP will be to (i) increase availability of user-centered quality services for a defined Essential Service Package (ESP) delivery along with other health related services, and (ii) develop a sustainable quality health service system to meet people's need. A set of principles, as described below, for attainment of the objectives will be followed:
- Making health service equitably affordable and accessible to all and ensuring an efficient and effective quality health service.
- Innovations in health care, e.g., geographical targeting to benefit high poverty areas, health insurance coverage for the poorer sections of the society, public private partnership, demand-side financing, etc., will be explored.
- Based on epidemiological data and evidence as well as socio -cultural contexts, strategies and interventions of the health sector will be prioritized and addressed.
- Emerging and re-emerging issues will be addressed taking into account the changing pattern of diseases, including those arising out of demographic transitions and environmental concerns.
- Creating health related safety net to ensure supply of service, medicine, equipment, etc., for emergency relief to the disaster affected people.
- Creating and expanding various types of incentive mechanisms/facilities including in - service training, career development planning, etc., for the health professionals.
- Developing capable, motivated and supportive health professionals and workers at all levels with appropriate skill-mix for overcoming bottlenecks to achieve national health goal.
- Expanding the scope of health service provision to include proven alternative health care system (e.g., Ayurvedic, Homeopathy and Unani).
- Establishing an effective linkage with global and regional information network for strengthening health sector's research and systems development.
- Viewing health as central to socio -economic development, public sector allocations to health will be increased gradually with due recognition to transparency, accountability and participation as the hallmarks of good governance for health at all levels.
9.02 Nutrition: All issues related to nutrition will be guided by the actions incorporated into the national food and nutrition policy. The National Nutritional Program (NNP) will be expanded to cover the entire country and adjusted on the basis of gathered experience. Nutrition activities will be reinforced by forging links with other activities in the health sector like community-centered immunization and hospital services for referral of the severely malnourished, etc. The multi-sectoral links of MOHFW's nutrition initiatives with programs by other ministries for food fortification and income security would be further strengthened to achieve accelerated decline in malnutrition. Dissemination of proper knowledge about nutrition amongst the citizens will be strengthened. The on-going micronutrient programs will be continuously reviewed for their refinement and expansion with particular emphasis on gender equity. Monitoring and surveillance system will be strengthened to improve nutrition of the poorer sections of the society.
9.04 Health Education and Promotion: A major strategy to ensure better health would be to promote public health through health education within MOHFW and channels outside it. The existing institutions of MOHFW will be strengthened for providing effective health messages. Coalition will be built with mass media for providing health education to the population on a continuing basis regarding methods of preventing communicable and non-communicable diseases, caring practices for children, adolescents and the old aged, and creating awareness on nutrition and proper sanitation. Steps will also be taken to reach basic health and reproductive health information through school curricula and utilize NGOs and different religious centers to influence health behavior of the people. Moreover, activities of existing school health clinics will be reviewed and based on learnt lessons, school health program will be scaled up through developing a strategy in collaboration with MOE, MOPME, Girl's Guides, Boy's Scouts, etc.
9.05 Control of Non-communicable Diseases: Reduction of morbidity and premature mortality due to non-communicable diseases (NCDs) will require appropriate actions at all levels from primary prevention to treatment and rehabilitation in an integrated manner. The government will, in partnership with local government administration and private sector create greater awareness of, and provide services for the control of unhealthy diet and lifestyle related major NCDs like-- cardio-vascular diseases, cancer, diabetes, mental illness, etc. It will also take steps to combat common NCDs, such as, hypertension, asthma, blindness, etc., which particularly afflict the poor. Existing preventive and curative measures with respect to all NCDs will further be expanded and strengthened to increase access of all for health care services.
9.17 Food Safety and Quality: The problem of major health hazards stem from drinking unsafe water and consuming unhygienic and low quality food. Definitive food standards would be established to serve as benchmark for evaluating and maintaining standards. Presently, the MOHFW covers issues related to drugs, while the Pure Food Ordinance, which is administered by the Local Government Municipal Authorities, covers issues related to food standards. An institutional partnership will be developed with the LG Division in collaboration with MOC, MOHA, MOA, MO Food and other relevant ministries for ensuring safety and quality of food and water. All existing food safety laws will be reviewed by the government and strengthened incorporating penal provisions for providing sub-standard and unhygienic food to the public. The government will examine the need for an integrated authority for food and drug administration and take necessary follow -up action with the aim of removing threat to health of the citizens from substandard and or adulterated food and drugs.
A multiphase approach to monitoring the implementation of the NHP will be adopted. The principle of peer review will also be applied in cross -sectoral assessment of implementation of the policy. Output and performance-based monitoring as appropriate will be used to evaluate results in the field to make sure that people's health and daily lives are really being improved with the money invested. The NHP should be treated as a living document - updating periodically through review. Annually, MOHFW is to produce a status report about implementation of the NHP and make that report public for scrutiny, comments and suggestions. In every five years the policy needs to be reviewed, evaluated and updated.
","","","School-based health and nutrition programmes|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Food fortification|Management of severe acute malnutrition|Food safety|Family planning (including birth spacing)|Vaccination|Water and sanitation","","","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BGD%202008%20National%20Health%20Policy.pdf" "11506","BGD","Bangladesh","","National Food Policy Plan of Action","Food security or agriculture sector national policy, strategy or plan with nutrition components","","","","2008","","2015","Food Planning and Monitoring Unit (FPMU) Ministry of Food and Disaster Management","","2008","Adopted","","2008","Food Planning and Monitoring Committee","Cabinet/Presidency|Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Nutrition council|Other|Social welfare|Sub-national|Women, children, families","Food Planning and Monitoring Unit (FPMU) Ministry of Food and Disaster Management Cabinet/Presidency, Education and research, Environment, Finance, budget and planning, Food and agriculture, Health, Industry, Information, Nutrition council, Social welfare","World Health Organization (WHO)|World Food Programme (WFP)|Food and Agriculture Organisation (FAO)","","Helen Keller International (HKI)","International NGOs: Helen Keller International (HKI) & National NGOs: Association of Development Agencies in Bangladesh","US Agency for International Development (USAID)","","","","National NGOs","","Research/academia","","","","Other","","Goal:
Ensure a dependable sustained food security for all people at all times
Core Objective 1: Adequate and stable supply of safe and nutritious food
Specific Objectives:
1. Sustained increase in food production
2. Efficient food markets
3. Non-distortionary food grain market intervention for price stabilization
Targets:
Core Objective 2: Increased purchasing power and access to food of the people
Specific objectives:
1. (Effective) Transitory shock management
2. Effective implementation of targeted programmes to improve food security
3. Employment generating income growth
Targets:
Core Objective 3: Adequate nutrition for all individuals, especially women and children
Specific Objectives:
1. Long-term national plan for ensuring balanced food in building a healthy nation
2. Supply of sufficient nutritious food for vulnerable groups
3. Balanced diet containing adequate micronutrients
4. Safe drinking water and improved sanitation
5. Safe quality and food supply
6. Adequate health status
Targets:
Key areas of intervention/Program areas:
1.1: Agricultural Research and Extension
1.2: Use and Management of Water Resources
1.3: Adequate Supply and Sustainable Use of Agricultural Inputs
1.4: Agricultural Diversification
1.5: Agricultural Credit and Insurance
1.6: Physical Market Infrastructure Development
1.7: Agricultural Marketing and Trade
1.8: Policy and Regulatory Environment
1.9: Early Warning System Development
1.10: Producer Price Support
1.11: Public Stock Management / Price Stabilization
2.1: Agricultural Disaster Management
2.2: Emergency Distribution from Public Stock
2.3: Enabling Environment for Private Food Trade and Stock
2.4: Effectiveness of Targeted Food Security Programs and Other Safety Nets
2.5: Income Generation for Women and the Disabled
2.6: Promotion of Agro-based/Agro-processing and Micro/Small Rural Enterprises
2.7: Market-driven Skill Development
3.1: Long-term Planning for Balanced Nutrition
3.2: Balanced and Nutritious Food at Minimal Costs for Vulnerable Groups
3.3: Nutrition Education for Dietary Diversification
3.4: Supplementation and Fortification for Balanced Nutrition
3.5: Safe Drinking Water and Improved Sanitation
3.6: Safe, Quality Food Supply
3.7: Women and Children’s Health
3.8: Promotion and Protection of Breastfeeding and Complementary Feeding
","Goal - Outcome-target indicators:
WFS (number of undernourished people) – Target: reduced from 39.3 million (1990-1992) to 19.65 by 2015
MDG (prevalence of undernourished) – Target: reduced from 35% (1990-2002) to 17.5 % by 2015
Objective 1 - Outcome/impact indicators:
Availability/Adequacy of supply: Agricultural GDP; food supply (domestic production, net imports, variation in stocks) compared to national requirements, food production and consumption requirements disaggregated by regions
Stability of supply: Variability of food production; food import dependency ratio, variability of food prices
Objective 2 - Outcome/Impact Indicators:
Proportion of people below the poverty line – MDG1 Target: Reduced proportion of people below US$1 per day (PPP) from 58.8% in 1991 to 29.4% by 2015
Proportion of people in extreme poverty – MDG1 Target: Proportion of people in extreme poverty reduced from 28% in 1991 to 14% by 2015
% increase in average HH cash income from on-farm and off-farm income generating activities
# HH with no food gap – have sufficient food to meet HH needs in all 12months of the year
# income sources per HH
% of HH income spent on food
Food price index; variability in food price
Objective 3 - Related Outcome/Impact indicators/Targets:
Low Birth Weight (Birth wt. <2.5 kg) – Target: reduced from 36% (2004) to 30% by 2010 and < 20% by 2015
Weight gain during pregnancy – Target: increased from 6.7 kg (2004) to 9-10 kg by 2010 and 11-12 kg by 2015
U-5 underweight (weight for age <-2SD) – Target: reduced from 51% (2000) to 38% by 2010 and 33% by 2015
U-5 stunting (height for age <-2SD) – Target: reduced from 49% (2000) to 37% by 2010 and 33% by 2015
U-5 wasting (Weight for height <-2SD) – Target: reduced from 12% (2000) to 10% by 2010and 7% by 2015
Rural-urban difference in U-5 (PEM) – Target: reduced from 10-12% point (2000) to 7-8% points by 2010 and 5-6% points by 2015
Chronic Energy Deficiency (CED) (Body Mass Index (BMI) <18.5 kg/m2) in women (including adolescent girls) – Target: reduced from 45% (2000) to 20% by 2010 and <20% by 2015
Vitamin A deficiency among children and women – Target: reduced from 30% (2000) to 15% by 2010 and to <10% by 2015
Iodine deficiency in children (6-12 years) and women (15-44 years) – Target: reduced from 34-38% (2005) to 25% by 2010 and to <10% by 2015
Iron deficiency anaemia (IDA) – Target: in infants (6-11 months), reduced from 77% (2003) to 60% by 2010 and to 40% by 2015; in adolescent girls (13-19 years) from 30% (2003) to 25% by 2010 and <20% by 2015; in pregnant women from 46% (2003) to 35% by 2010 and to 25% by 2015
Anthropometric indicators: height and weight of under-5 children – Target: increased to at least 80% of WHO standards by 2015
Others:
Per capita calorie intake – Target: Increased from 2238 (BBS, 2006) to 2400 (kcal/person/day)(provisional) by 2015
Dietary energy supply (DES) from cereals (%) – Target: decreased from the current 70% to 60% by 2015
Prevalence of food contamination and food adulteration (physical, chemical, microbiological) (%)
Incidence of food-borne illnesses (number of cases reported)
Ziele der “Strategie der Bundesregierung zur Förderung der Kindergesundheit”
Übergeordnete Ziele der “Strategie der Bundesregierung zur Förderung der Kindergesundheit” sind:
V. Anhang: Zusammenstellung konkreter Maβnahmen in Tabellenform (p. 26)
","III. Zentrale Handlungsfelder
III.1. Prävention und Gesundheitsförderung ausbauen (p. 8)
Ausbau der Prävention zu einer eigenständigen Säule der gesundheitlichen Versorgung (p. 8)
Förderung von Bewegung und gesunder Ernährung (p. 9)
Förderung des sicheren Radverkehrs (p. 10)
Prävention von Essstörungen (p. 10)
Gesundheitsförderung in Kindertageseinrichtungen, in der Kindertagespflege, in Schulen und Mehrgenerationenhäusern (p. 11)
Interdisziplinäre Frühförderung (p. 12)
Steigerung der Durchimpfung bei Kindern und Jugendlichen (p. 12)
Konzentrierte Umsetzung von Initiativen zur Alkohol-, Tabak- und Cannabisprävention (p. 12)
Förderung der psychischen Entwicklung von Kindern und Jugendlichen (p. 14)
Kind- und familiengerechte Stadtentwicklung (p. 14)
III.2. Gesundheitliche Chancengleichheit fördern
Unterstützung chronisch kranker Kinder (p. 15)
Spezifische Angebote zur Gesundheitsförderung und Prävention (p. 16)
Frühe Hilfen und soziale Frühwarnsysteme (p. 16)
Verbesserung der Früherkennungsuntersuchungen für Kinder und Jugendliche (p. 16)
Sexualerziehung und Prävention von Teenagerschwangerschaften (p. 17)
Ausbau der Mutter-/Vater-Kind-Maβnahmen (p. 17)
Stärkung der elterlichen Erziehungskompetenz, Bekämpfung von Gewalt (p. 17)
Umweltgerechtigkeit (p. 18)
III.3. Gesundheitliche Risiken mindern (p. 18)
V. Anhang: Zusammenstellung konkreter Maβnahmen in Tabellenform (p. 26)
","III.4. Situation beobachten, Grundlagen erforschen und Risiko- und Schutzfaktoren ermitteln (p. 22/23)
","Outcome indicators","","Overweight and obesity in school age children and adolescents|Diet-related NCDs|School-based health and nutrition programmes|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vaccination","","http://www.bmg.bund.de/fileadmin/redaktion/pdf_misc/psychische-Gesundheit_01.pdf","","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/DEU%202008%20Strategie%20der%20Bundesregierung%20zur%20F%C3%B6rderung%20der%20Kindergesundheit.pdf" "7965","LBR","Liberia","","National Food Security and Nutrition Strategy","Comprehensive national nutrition policy, strategy or plan","","English","","2008","","","Ministry of Agriculture Republic of Liberia","","2008","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Trade","","","","","","","","","","","","","","","","","","The key objectives of the FSNS are to make certain that all Liberians have reliable access to the food they need and are able to utilize that food to live active and healthy lives. As such, ensuring food security and good nutrition is not a policy choice of government that it can decide to accept or reject, but a right of the citizens of Liberia which the government is obligated to respect, promote, and protect. Although the strategy encompasses the food security and nutritional needs of all Liberians, it prioritizes the needs of food insecure and nutritionally vulnerable groups in society, including the elderly who have little support, female-headed households, orphans, and HIV-affected households. In addressing the needs of nutritionally vulnerable households and in working to safeguard the food security and good nutritional status of others, two demographic groups are targeted - infants and children under 5 years of age and pregnant and lactating women. The period from conception through the first two years of life is crucial in terms of food security and nutrition, as growth failure in a child during this period cannot be fully corrected later in life. Consequently, the central outcome measures of whether this strategy can be judged successful are those that establish whether the food and nutritional needs of young children in Liberia are being met. If these needs are satisfied, prospects are good that all Liberians will be properly nourished and food secure.
","PRIORITIES FOR ACHIEVING FOOD SECURITY AND IMPROVED NUTRITION IN LIBERIA
The central outcome measures of whether this Food Security and Nutrition Strategy for Liberia can be judged successful are those that establish whether the food and nutritional needs of young children in Liberia are being met. If these needs are satisfied, prospects are good that all Liberians will be able to enjoy the chance of living active and healthy lives and to contribute to the emergence of a peaceful, secure, and prosperous Liberia. As such, the FSNS adopts child nutritional indicators based on anthropometry - stunting (low height for age), underweight (low weight for age), and wasting (low weight for height) prevalence levels - as key indicators of progress towards the objectives of the strategy.Of course, these indicators must be assessed in context, particularly in light of trends. While child nutritional indicators integrate the contributions of factors relating to food availability, access, and utilization, they are static indicators. That is, they do not give any indication of what the nutritional status of the children will be in the future. Consequently, the monitoring of trends in the underlying determinants of child nutrition - food security, but also nutritional care, and the provision of health services and a healthy environment - is necessary to assess the likely sustainability of current child nutritional status and any progress achieved under the FSNS.(pg.4)
","","","International Code of Marketing of Breast-milk Substitutes|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Micronutrient supplementation|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition","","","http://www.fao.org/righttofood/inaction/countrylist/Liberia/FoodandNutritionStrategy_2008.pdf","WHO Global Nutrition Policy Review 2009-2010","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LBR%202008%20National%20Food%20Security%20and%20Nutrition%20Strategy.pdf" "8070","MYS","Malaysia","","National Breastfeeding Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2008","","2010","Ministry of Health","","1992","Adopted","","1992","Ministry of Health","Development|Education and research|Health|Women, children, families","Ministry of Rural & Regional Development, Ministry of Education, Ministry of Health, Ministry of Women, Family & Community Development","","","","","","","","","National NGOs","Related NGO","Research/academia","Universities","","","","","","","","","","Breastfeeding|International Code of Marketing of Breast-milk Substitutes|Complementary feeding","","","","WHO Global Nutrition Policy Review 2009-2010","" "14773","TZA","United Republic of Tanzania","","The National Road Map Strategic Plan To Accelerate Reduction of Maternal, Newborn and Child Deaths in Tanzania","Health sector policy, strategy or plan with nutrition components","","English","","2008","","2015","Ministry of Health and Social Welfare","4","2008","","","","","Cabinet/Presidency|Development|Education and research|Finance, budget and planning|Food and agriculture|Health|Labour|Sport|Women, children, families","Ministry of Health and Social Welfare, Ministry of Community Development, Gender and Children, Ministry of Communication, Science and Technology","","","","","","","","","","","","","","","","","3.3. Goal
To accelerate the reduction of maternal, newborn and childhood morbidity and mortality, in line with MDGs 4 and 5, by 2015.
","3.7 Guiding principles:
o Addressing underlying causes of high mortality: Taking a multi-sectoral and partnership approach to address the underlying causes of maternal, newborn and child death such as, transport, nutrition, food security, water and sanitation, education, gender equality and women empowerment to ensure sustainability.
","3.5 Operational targets to be achieved by 2015:
4. Reduced stunting and underweight status among under-fives from38% and 22% to 22% and 14%, respectively.
5. Increased exclusive breast feeding coverage from 41% to 80 %
Other list of indicators to assess maternal, newborn and child health:
c) Neonatal indicators:
• Prevalence of low birth weight
• Early initiation of breast feeding (within the first hour)
• Proportion of district hospitals implementing Kangaroo Mother Care for management of Low Birth Weight
• Proportion of district hospitals that are accredited baby friendly
• Postnatal vitamin A coverage
2.3. Goal and objective of the National IYCF Policy and Strategy
The IYCF Policy and Strategy is designed to contribute to the objectives of the Afghanistan National Health and Nutrition Sector Strategy 2008-2013 of reducing child and maternal mortality and malnutrition.
Its overall goal is the same as the overall goal of the Public Nutrition Policy and Strategy, namely: To reduce all forms of undernutrition, thereby improving the growth, development and health of Afghan infants and young children, through improved infant and young child feeding practices.
The objective of the Infant and Young Child Feeding Policy, and its associated Strategy is:
To increase the percentage of child caregivers adopting appropriate infant and young child feeding and caring practices (by 20%, by 2013).
Strategic components and approaches to achieve this objective are described in section 3 of the present document.
2.4. Purpose of the Infant and Young Child Feeding Policy and Strategy
The purpose of the present Policy and Strategy is to describe the Government of Afghanistan’s position on IYCF, in accordance with the Global Strategy on IYCF. All key stakeholders directly or indirectly involved in IYCF, notably health sector professionals, NGOs, UN agencies, military, and private sector, are responsible, and will be held accountable, for respecting the present Policy.
This document also clarifies the strategies that need to be adopted and interventions to be implemented to achieve the policy objectives. It will serve to support advocacy and resource mobilization, as well as coordination between the main implementing partners (MoPH Departments, BPHS partners, NGOs, UN, private sector, communities). Finally, it provides guidance on how to monitor the protection and promotion of optimal IYCF in Afghanistan.
","Strategy for Promoting Optimal Infant and Young Child Feeding
The IYCF Policy and Strategy is designed to contribute to the objectives of the Afghan National Health and Nutrition Sector Strategy and the overall goal of the Public Nutrition Policy and Strategy by focusing on the following objective:
To increase the percentage of child caregivers adopting appropriate infant and young child feeding and caring practices (by 20% by 2013).
This objective will be achieved through the following three strategy components:
1. Application of IYCF Policy and Strategy supported by advocacy, technical guidance and law enforcement
National IYCF Policy and Strategy
1. Disseminate the National IYCF Policy and Strategy amongst all key stakeholders (MoPH, MAIL, MoJ, MoMI, MoEd, MoRA, MoWA, NGO’s, private sector).
2. Regular updating of IYCF action plan and preparation of a resource mobilization plan to support the implementation of the IYCF Policy & Strategy
3. Review MoPH related sub-policies, strategies and guidelines and make sure IYCF has been reflected in these documents
The Code of Marketing of Breast-milk Substitutes
4. Establish a National Committee for the Enforcement of the Code
5. Establish enforcement mechanisms for the Code of Marketing of BMS
6. Disseminate information on the Code (including translations) and related legislation to all key stakeholders (Provincial Departments of Health, PRTs, private sector, all health facilities, MOWA, NGOs, etc.) through posters, leaflets, and workshops
7. Training of Code monitors (IBFAN)
Maternity protection
8. Establish enforcement mechanisms and develop guidelines for the implementation of the Maternity Protection Act
9. Inform working women of their rights under the Maternity Protection Act (e.g. through leaflets and radio; can be part of IYCF Public Awareness Campaign)
IYCF Guidelines
10. Review existing international guidelines and national training packages and develop a comprehensive and coherent set of harmonized guidelines covering IYCF policy and priorities and strategic interventions, namely: IYCF promotion in different health facilities (including BFHI guidelines); IYCF promotion at community level; Infant and Young Child Feeding in Emergencies; Implementation of the Code, etc.
11. Disseminate guidelines to the relevant stakeholders, and conduct trainings on their implementation (c.f. also training activities under outputs 2 and 3)
Infant and Young Child Feeding in Emergencies
12. As part of the Afghan IYCF guidelines, develop a section on IYCF in Emergencies based on the internationally endorsed Operational Guidance for IFE
13. Disseminate the IFE Guidelines to all relevant stakeholders (including the Disaster Management Committee, the PRT, NGOs and Provincial Development Councils) and ensure they are implemented in emergency situations.
2. Caregivers know optimal IYCF practices and are supported in providing optimal care and mobilizing the resources required for IYCF, through IEC/BCC and community support interventions.
Public awareness Raising
Establishment of community support groups and interventions
Integration of IYCF in non-health community-level interventions
3. IYCF promotion and counselling is effectively implemented as part of the BPHS and EPHS in all health facilities.
Capacity-building of various categories of personnel involved in implementation will be an integrated component of each strategic priority/output. Advocacy and resource mobilization will be essential to enable the implementation of the activities required to achieve these outputs. An advocacy and resource mobilization plan will therefore be developed. The activities to be implemented to achieve these outputs/strategic priorities are described below.
Expansion of Baby-Friendly Hospital Initiative to more hospitals and selected health facilities providing MCH services
1. Review lesson learned from the current BFHI
2. Train pool of BF assessors/advocates at the central and regional level.
3. Develop tools, conduct assessment/re-assessment to certifying health facilities as Baby-friendly
4. Train health facility staff on measures required to comply with BFHI criteria and implement these measures
5. Supervise and monitor facilities and provide certificates for facilities complying with BFHI criteria
Integrationif IYCF counselling in all health gacilities
6. Develop guidelines and establish IYCF corners in health facilities, including breastfeeding counselling and participatory cooking sessions (N.B. can be part of child health corner)
7. Ensure IYCF counselling is part of health education activities, including breastfeeding demonstration and participatory cooking sessions
8. Ensure breastfeeding counselling and re-lactation assistance are part of the management of acute malnutrition (in TFU and CMAM)
9. Identify at least one referral centre in each province for referral of complicated and difficult lactation and IYCF cases.
Training of health staff on IYCF
10. Integrate IYCF into the curricula of all medical and paramedic education institutions including community midwifery school and postgraduate programs (esp. residency training programs in paediatrics, obstetrics and gynaecology).
11. Develop training packages and job aids on IYCF for different health staff categories, including: doctors, nurses, midwives, community midwives, and CHWs
12. Integrate IYCF training modules as part of in-service trainings, in particular for MCH staff, CHWs & midwives (e.g. as part of C-IMCI training)
13. Distribute printed material and job aids to all facilities, including for CHWs and community midwives as part of C-IMCI
15. Train and establish pool of trainers at the national level and in “each region” on MBFI and IYCF, in particular by training Provincial Nutrition Officers on IYCF
16. Train at least 2 MCH staff of each health facility.
17. Train out-reach staff to enable them to integrate IYCF in out-reach services.
","Indicator (Baseline, Target)
Overall Goal: The prevalence of chronic and global acute undernutrition among children 0-59 months and the prevalence of MDDs are reduced by 10% of current levels
Objective: To increase the percentage of child caregivers that have adopted appropriate infant and young child feeding and caring practices.
(see new WHO indicators for IYCF in annex 5)
Component 1: Application of IYCF Policy and Strategy supported by advocacy, technical guidance and law enforcement
Component 2: Caregivers know optimal IYCF practices and are supported in providing optimal care and mobilizing the resources required to apply adequate IYCF through IEC/BCC and community support interventions
Component 3: IYCF promotion and counselling is effectively implemented as part of the BPHS and EPHS in all health facilities
","Outcome indicators|Process indicators","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Anaemia|Complementary feeding|Minimum acceptable diet|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|Nutrition in the school curriculum|Promotion of fruit and vegetable intake|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Iodine|Iron|Zinc|Micronutrient supplementation|Food fortification|Wheat flours|Food grade salt|Management of severe acute malnutrition|Home, school or community gardens|Improved hygiene / handwashing","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202009%20National%20Infant%20and%20Young%20Child%20Feeding%20Policy%20and%20Strategy.pdf" "17851","AFG","Afghanistan","","National Public Nutrition Policy and Strategy","Comprehensive national nutrition policy, strategy or plan","","","","2009","","2013","Ministry of Public Health","","2010","Adopted","","2009","MoPH","Development|Education and research|Food and agriculture|Health|Justice|Nutrition council|Other|Trade|Women, children, families","Ministry of Public Health Development, Education and research, Food and agriculture, Health, Justice, Nutrition council, Trade, Women, children, families: MoPH Public Nutrition Department, Provincial Nutrition Officers, other MoPH Departments, such as the","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","Food and Agriculture Organisation (FAO), United Nations Children's Fund (UNICEF), World Food Programme (WFP), World Health Organization (WHO),","International Baby Food Action Network (IBFAN)|Nutrition International|Other|World Alliance for Breastfeeding Action (WABA)","International NGOs: International Baby Food Action Network (IBFAN), Micronutrient Initiative (MI), World Alliance for Breastfeeding Action (WABA), - Breastfeeding Promotion Network of India","The World Bank|US Agency for International Development (USAID)","Bilateral and donor agencies and lenders: The World Bank, US Agency for International Development (USAID),","","","National NGOs","National NGOs: Implementation of the Public Nutrition interventions is mainly done through partnerships with NGOs (in particular BPHS NGOs, but also NGOs working in agriculture, rural development and education)","","","Private sector","Private sector","","","
Specific objectives of the Public Nutrition Strategy 2009-2013
1. To increase the awareness about nutrition amongst the general population, and provide caregivers with the knowledge, skills and support that is required to adopt healthy nutrition practices, using food-based approaches.
2. To increase the percentage of child caregivers adopting appropriate infant and young child feeding practices.
3. To reduce the prevalence of major micronutrient deficiency disorders, in particular iron, folic acid, iodine, vitamin A, and zinc, throughout the country and prevent possible outbreaks of vitamin C.
4. To strengthen case management and increase access to quality therapeutic feeding and care at health facility and community levels.
5. To ensure that all commercial and home-produced foods are safe for consumption.
6. To monitor changes in the nutritional situation in Afghanistan and evaluate the impact of nutrition strategies and programs, in order to inform development planning and emergency responses.
7. To ensure that responses to treat or to prevent moderate acute and/or chronic malnutrition are timely and appropriate, and that increases in global acute malnutrition rates are effectively managed.
8. To strengthen in-country capacity to assess the nutrition situation, and design, implement, monitor and evaluate public nutrition interventions.
","
1. Strategies for Nutrition Promotion at National, Provincial and Community levels
Objective 1: To increase the awareness about nutrition amongst the general population, and provide caregivers with the knowledge, skills and support that are required to adopt healthy nutrition practices, using food-based approaches
Strategy 1.1: Advocacy and sensitization on the importance of promoting healthy nutrition
Strategy 1.2: Harmonized Nutrition Promotion across sectors
Strategy 1.3: Strengthening of community-based nutrition promotion activities
Strategy 1.4: Nutrition promotion through schools and literacy courses
Strategy 1.5: Linkages to food security interventions
2. Strategies for Infant and Young Child Feeding
Objective2: To increase the percentage of child caregivers adopting appropriate infant and young child feeding practices.
Strategy 2.1: Advocacy, regulations, guidelines.
Strategy 2.2: Behaviour change through awareness raising, counselling and community Support
Strategy 2.3: Infant and Young Child Feeding in health facilities.
3. Strategies to address Micronutrient Deficiency Disorders
Objective 3: To reduce the prevalence of major micronutrient deficiency disorders, in particular iron, folic acid, iodine, vitamin A, and zinc, throughout the country, and prevent possible outbreaks of vitamin C deficiency.
Strategy 3.1: Public education on micronutrients
Strategy 3.2: Universal Salt Iodization
Strategy 3.3: Flour Fortification
Strategy 3.4: Ghee and Cooking Oil Fortification
Strategy 3.5: Fortification of complementary foods
Strategy 3.6: Micronutrient Supplementation
4. Strategies for Adequate Management of Severe Acute Malnutrition
Objective 4: To reduce mortality from severe acute malnutrition through strengthened case management and increased access to quality therapeutic feeding and care at health facility and
community levels.
Strategy 4.1: Improved Community Mobilization and Screening of Acute Malnutrition at Health Facility and Community Levels.
Strategy 4.2: strengthen network of Therapeutic Feeding Units for complicated cases
Strategy 4.3: Out-patient treatment of SAM for non-complicated cases
5. Strategies for Food Safety and Quality Control
Objective 5: To ensure that all commercial and home-produced foods are safe for Consumption.
Strategy 5.1: Food safety education for consumers, food processors, retailers and traders
Strategy 5.2: Establishment and strengthening of a food quality control system
6. Strategies for Nutrition surveillance, Monitoring and Evaluation
Objective 6: To monitor changes in the nutritional situation in Afghanistan and evaluate theimpact of nutrition strategies and programs, in order to inform development planning and emergency responses.
Strategy 6.1: Strengthen nutrition surveillance
Strategy 6.2: Evidence-based action and Monitoring and Evaluation
7. Strategies for Adequate prevention and response to moderate acute malnutrition and/ or chronic malnutrition
Objective 7: To ensure that responses to treat or to prevent moderate acute and/or chronic malnutrition are timely and appropriate, and that increases in global acute malnutrition rates are effectively managed.
Strategy 7.1: Appropriate Assessments, Design and Implementation of Timely and Relevant Interventions
Strategy 7.2: Appropriate use of food assistance
Strategy 7.3: Management and prevention of Global Acute Malnutrition and Chronic Malnutrition.
8. Strategies for Human resource capacity development on Public Nutrition
Strategy 8.1: Integrate public nutrition in pre-service and in-service training
Strategy 8.2: Support to the Public Nutrition Department
","To protect and promote child and maternal nutrition, reduce chronic malnutrition and associated MDDs, and reduce mortality from SAM
- Prevalence of chronic malnutrition
- Prevalence of MDDs (see micronutrient targets, below)
- Prevalence death associated to SAM among children <5 yrs of age
- Coverage of treatment of SAM among children < 5yrs of age.
(Note: Proportion of SAM among children < 5 yrs of age cured and discharge. This indicator will be used as proxy indicator to measure the coverage of SAM among children <5yrs of age.)
Objective: To increase access to and utilization of quality nutrition services provided at community level and through health facilities.
- % of BPHS facilities provide nutrition services planned in the BPHS
- % of EPHS facilities provide nutrition services planned in the BPHS
- % of villages (defined by presence of a Community Development Council) where community nutrition promotion activities are delivered
Nutrition promotion:
To increase the awareness about nutrition amongst the general population, and provide caregivers with the knowledge,skills and support required to adopt health nutrition practices
- % of Afghan adult and adolescent population is aware of key healthy nutrition message on IYCF. (e.g. 9 messages in MoPH nutrition booklet)
- % of Afghan adult and adolescent population is aware of key healthy nutrition message on SAM (e.g. 9 messages in MoPH nutrition booklet)
- % of community leaders and shura members (men & women) aware of key healthy nutrition messages.
- # of functional community support groups promoting breastfeeding practices.
Advocacy and sensitization
- % of the households applies improved family nutrition practices (including their dietary diversity).
- Number of senior government officials actively participating in nutrition advocacy and sensitization meetings.
- % of funding commitment to public nutrition interventions as compare to year 2008.
Harmonized Nutrition Promotion
- # of Radio & TV spots on nutrition disseminated through the local media and average airing time
- % of health facilities providing nutrition education messages
- # of schools where nutrition education is provided
- # of producer groups receiving nutrition education through agricultural extension projects
Community-based nutrition promotion
- Number of IYCF community support groups established and operational
Nutrition promotion through schools and literacy courses
- Number of schools with school gardens available.
- Number of children participating in school gardening recreational activities
- Number of literacy learners receiving nutrition education
Linkages to food security interventions
- # of communities where nutrition activities are effectively linked to food security interventions (diversification and increase of home based production), or where nutrition promotion activities are integrated in agricultural and rural development programmes
2. IYCF: To increase the percentage of child caregivers adopting appropriate infant and young child feeding practices
- Increase in percentage of mothers who have initiated breast feeding within first hour after birth
- Increase in percentage of mothers that are exclusively breastfeeding until the child is 6 months.
- Increase in percentage of mothers who continue breastfeeding until the child is two years or older.
- Increase in percent of children that are receiving complementary foods at the age of 6 months
- Increase in percentage of children’s under 2 with adequate frequency of complementary feeding
Advocacy, regulations, guidelines
- Number of Relevant government officials, civil servants, NGO and health sector personnel, and private sector aware the IYCF Policy & Strategy
- Financial resources for IYCF mobilised and allocated
- National Committee for the Code of Marketing of BMS active
- Number of Violations of the Code and Maternity Protection Act denounced and condemned
Behaviour change
- Number of facilities certified as Baby-friendly facilities.
- 50% of the EPHS facilities and health centers (CHC&BHC) provide IYCF counselling as part of the MCH services. (=700)
- 50% of health care providers demonstrate correct counseling skills on IYCF
- Number of women receiving breastfeeding counseling per month per counselor in health services
- Number of health facilities conducting participatory cooking demonstrations sessions
IYCF integration in BPHS/EPHS
- Prevalence of iodine deficiency among school age children and women of reproductive age
3. Micronutrients: To reduce the prevalence of major micronutrient deficiency disorders, in particular
iron, folic acid, iodine, vitamin A,and zinc, throughout the country and prevent possible outbreaks of
vitamin C
- Prevalence of iron deficiency among under-five children and women of reproductive age.
- Prevalence of vitamin A deficiency among under-five children and women of reproductive age (night-blindness and vitamin A level in blood)
- Number of outbreaks of vitamin C deficiency
Universal Salt Iodisation
- % of households using Iodised salt
- Quantity of Iodized salt produced responding to MoPH quality standards
- % of households using Iodised salt
- Quantity of Iodized salt produced responding to MoPH quality standards
Flour fortification
- % of households using fortified flour
- Annual production of fortified flour compliant with MoPH standards
Ghee & oil fortification
- Standards developed for fortified ghee and oil
- Quality controls for imported ghee & oil in place at customs
Supplementation
- % of women pregnant and lactating women receiving iron/folic acid supplements.
- % women receiving post-partum vitamin A supplements
- Coverage of vitamin A supplementation through NIDs
- % of patients treated for diarrhoea receiving zinc
- Number of health facilities applying MoPH guidelines for supplementation
4. SAM treatment: To reduce mortality from severe acute malnutrition through strengthened case management and increased access to quality therapeutic feeding and care at health facility and community levels
- # of children under 5 years admitted for SAM treatment in inpatient and/or out-patient care
- % Admitted SAM children cured
- Percentage of defaulted SAM children <5yrs of age in TFUs and CMAM
Screening & community mobilization
- # of children screened and referred at community level
- # of children screened and referred in health facilities
- Number of CHWs applying MoPH screening guidelines
In-patient care
- # of SAM children admitted for in-patient care
- # of SAM patients referred for out-patient care after stabilization
- # of inpatient cases cured
- # of inpatient cases died
- # of inpatient cases defaulted
- Inpatient Average weight gain
- Inpatient Average length of stay
- Number of health facilities correctly applying MoPH guidelines for in-patient care
Out-patient care
- # of children admitted for out-patient care
- # of patients referred for in-patient care if complications
- # of outpatients cured
- #of out patients died
- # of out patient defaulted
- out patients average weight gain
- out patients average length of stay
- Number of health facilities correctly applying MoPH guidelines for out-patient care
5. Food safety
- Nationwide campaign on food safety and food hygiene targeted at the public and food retailers is implemented
Consumer and food retailer education
- Effective inter-ministerial coordination mechanism for food safety established
- Relevant standards defined and legislation passed
- Number of inspectors trained and carrying out regular inspections
- Number of foodstuffs which can be checked in laboratory facilities or number of analyses which can be made (N.B. Not
necessarily in MoPH labs)
6. Nutrition surveillance & M&E To monitor changes in the nutritional situation in Afghanistan and evaluate the impact of nutrition strategies and programs
- Information available to measure progress on the PNPS according to the indicators described in the present table.
- Number of Information sharing sessions on nutrition situation is regularly shared with key stakeholders (Government,
donors, technical assistance providers and implementing partners)
Surveillance
- Estimates of prevalence of acute malnutrition among children <5yrs of age.
- IYCF M&E indicators effectively collected and results regularly disseminated to main partners
- Inpatients care M&E indicators effectively collected and results regularly disseminated to main partners
- Outpatient care M&E indicators effectively collected and results regularly disseminated to main partners
- Micronutrient M&E indicators effectively collected and results regularly disseminated to main partners
7. Severe and Moderate acute malnutrition: To ensure that responses to nutritional emergencies are timely and appropriate, and that increases in global acute malnutrition prevalence are effectively managed
- Number of Effective & relevant responses to nutritional crises implemented in timely manner
Assessment and response capacity
- Number of quality nutrition emergency assessments carried out when a crisis justifies such assessment
Food assistance
- Number of food assistance rations that meet the MoPH requirements (nutritional adequacy, safety, cultural acceptability)
GAM cases management
- Number of children admitted for MAM in SFP
- Number of children admitted for SAM in-patient care
- Number of children admitted for or SAM out-patient care
- Number of patients referred for in-patient care if complications
- Number of MAM patients cured from SFP
- Number of MAM patient defaulted from SFP
- Average weight gain of MAM cases in SFP
- Average length of stayof MAM cases in SFP
- Number of partners applying correctly SFP guidelines
8. Public Nutrition Capacity development: To strengthen incountry capacity to assess the nutrition situation, and design,
Implement, monitor and evaluate
- Number of professional staff trained in nutrition topics related to their terms of reference
- Number of professionals trained in nutrition who apply in practice the skills they have acquired
In-service and pre-service training
- Number of academic institutions providing pre-service public nutrition training
- Nutrition of session training on IYCF conducted,
- Number of session training on Micronutrients conducted,
- Number of session training on SAM conducted
- Number of session training on CMAM conducted
Support to PND
- Number of PND staff received Diploma/master degree in Public Nutrition
- Number of PND staff received training on IYCF.
- Percentage in Staff turnover
","","","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|Underweight in adolescent girls|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Dietary practice|Fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Total carbohydrate|Fibre|Sugar intake|Added sugars|Free sugars|Fruit and vegetable intake|Fruits|Vegetables|Minimum dietary diversity of women|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|Nutrition in schools|Nutrition in the school curriculum|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Food-based dietary guidelines (FBDG)|Food labelling|Menu labelling|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Vitamin B12|Micronutrient supplementation|Micronutrient powder for home fortification|Food vehicles (i.e. types of fortified foods)|Wheat flours|Staple foods|Complementary foods|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|Nutrition sensitive actions|Food security and agriculture|Health related|Social protection related","","http://moph.gov.af/Content/Media/Documents/PublicNutritionPolicyStrategy2009-2013309201292640770553325325.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202009%20National%20Public%20Nutrition%20Policy%20and%20Strategy.pdf" "17857","AFG","Afghanistan","","National Child and Adolescent Health Strategy","Social protection plan with nutrition components","Child or adolescent plan with nutrition components","English","","2009","","2013","Ministry of Public Health","7","2009","","","","","Development|Education and research|Food and agriculture|Health|Industry|Information|Justice|Women, children, families","Ministry of Rural Rehabilitation and Development (MRRD), Ministry of Education, Ministry of Higher Education, Ministry of Agriculture, Irrigation and Livestock (MAIL), Ministry of Commerce and Industry, Ministry of Communication and Information Technology, Ministry of Justice, Ministry of Women’s Affairs","","","","","European Commission (EC)|Japan International Co-operation Agency (JICA)|The World Bank|US Agency for International Development (USAID)","","","","","","","","","","","","
Strategy overview
Goal
To reduce newborn and under five mortality and improve child and adolescent health in order to achieve MDG4.
Objectives
- To improve access to and utilization of a package of strategic interventions for child survival,
particularly in the areas of greatest need; and
- To provide an enabling environment for child survival where political will, financial and human
resources match the burden of disease.
","Priority Strategic Interventions - an integrated package
- Skilled or improved attendance during pregnancy, delivery and immediate post-partum
- Neonatal care
- Breastfeeding and complementary feeding
- Immunization of mothers and children
- Micronutrient supplementation
- Integrated management of sick children
- Use of LLINs high risk areas
- Birth spacing
Additional interventions that strengthen the package
- Improve water, sanitation, and environment
- Prevention of accidental injuries
- Promote health at schools
- Draw attention to adolescent health considerations
- Monitor changing priorities
","Indicator:
1.7.1 Handlungsfeld Bewegung (p. 14)
Durch geeignete MaΒnahmen und Interventionen soll die österreichische Bevölkerung - unter besonderer Berücksichtigung der körperlich inaktiven Österreicher/innen - dazu motiviert werden, Bewegung als “Lebensgewohnheit” in einem ausgewogenen MaΒ in den täglichen Lebensablauf zu integrieren. Dabei sollen auch die Voraussetzungen der Menschen - wie z.B. unterschiedliches Bewegungsverhalten, Mobilitätsgewohnheiten, soziale Normen und ökonomische Bedingungen - miteinbezogen werden. Weiter gilt es, die Verhältnisse, die gesundheitsförderliche Bewegung ermöglichen, durch nachhaltige Strategien der Gesundheitsförderung und Primärprävention unter Einbeziehung anderer relevanter Bereiche zu verbessern. Insbesondere hinsichtlich der Förderung der Alltagsbewegung sind Allianzen mit anderen Fachgebieten zu bilden (“Health in all policies”).
1.7.2 Handlungsfeld Ernährung (p. 14)
Darüber hinaus gilt es, die Verhältnisse, die gesunde Ernährung möglich machen, durch geeignete MaΒnahmen und Strategien der Gesundheitsförderung und Primärprävention zu verbessern.Ernährungshotline (p. 52)
1.7 Handlungsfelder
1.7.1 Handlungsfeld Bewegung (p. 14)
1.7.2 Handlungsfeld Ernährung (p. 14-15)
Im Einzelnen handelt es sich dabei um erhöhten Blutdruck, erhöhte Cholesterinwerte, Ãœbergewicht, zu geringen Obst- und Gemüsekonsum. (p. 15)
Die Jugendlichen essen zu wenig Obst und Gemüse, dafür täglich etwas SüΒes oder trinken gezuckerte Limonaden. (p. 17)
The goal of the National Neonatal Health Strategy 2009 is to contribute to the country's development and progress by reducing neonatal morbidity and significant reduction in neonatal mortality (22 per thousand live births by 2015) through improved policies, services and use of services by mothers before, during, and after pregnancy and at childbirth with special attention to care of neonates. This strategy has been developed for the period 2009-2015 with provision of review after three years.
The objectives are to provide guidance and recommendations to:
Strengthen service delivery at all levels to improve newborn health, using evidence-based interventions
Build capacity of health service providers at all levels to deliver quality services to address the major contributors to neonatal death, including birth asphyxia, neonatal sepsis and low birth weight
Increase awareness among mothers and their families of newborn health issues, to bring about behavior changes that reduce risks to the newborn through coordinated BCC efforts
Sustain an enabling political and policy environment that integrates maternal, neonatal, and child health interventions across different health programs to ensure consistency and optimal coverage
Improve overall management of human, physical, financial and information resources appropriately to ensure efficient delivery of neonatal interventions
Involve communities and civil society to own, oversee and ensure delivery of interventions for improving neonatal health
1. Prioritize and improve home and community practices
Introducing and sustaining best practices for neonatal care by family members (e.g. tetanus immunization, immediate breastfeeding, good hygiene practices, essential newborn care, awareness on neonatal and maternal danger signs, appropriate care-seeking)Implementing communication strategies to raise awareness among women, family members and community leaders on danger signs and risk factors for neonates, promoting healthy practices, early careseeking and self referral
Ensuring availability and capacity of community-based workers to increase contact with mothers in the pre- and postnatal periods, including educating mothers and providing essential newborn care
Strengthen community clinic based maternal & neonatal health services for quality & coverage.
Scaling up CSBA training under both government and non government sectors to increase coverage for skilled birth attendance, and to improve services to women and neonates during pregnancy, childbirth and the postnatal period
Introducing community case management for sick neonates including sepsis (e.g. injectable antibiotics for sepsis, mouth to mouth resuscitation).Establishing a birth and death registration system2. Strengthen Facility-Based Health Care
Strengthening capacity of managers, service providers and support staff and improving human resource availability at all facilities for provision of care to both pregnant women and neonates; use 'skills and values' based training approach
Expanding capacity for provision of twenty-four hour MNH services (including manpower and supplies)Strengthening referral systems from communities to facilities and between facilities to improve neonatal care; improve facility reception of referred patient
Increasing coverage of skilled care for every birth including utilization of nurse midwives; initiating preservice midwifery education, ensuring appropriate attention to neonates, including emergency neonatalcare
Strengthening supervision, monitoring and evaluation of quality of maternal and neonatal care offered by all levels of health workers using a standardized guidelines and evidence based care-practices
Strengthening capacity of academic institutions to meet specialization and sub-specialization needs in fetomaternal and neonatal care3. Improve Resources, Logistics, and Supplies
Developing detailed procurement lists and equipment specifications for supplies needed for ensuring critical maternal and neonatal services
Assessing resource needs and improving mobilization of adequate resources for maternal and neonatal health activities
Improving efficiency of resource utilization for both public and non public sectors to improve coverage and quality of neonatal services
Strengthening overall logistics supply systems for community and facility service delivery to ensure continuous availability of critical supplies4. Integrate Services for Neonates
Establishing functional linkages for overall maternal and neonatal services between different programs, including family planning, maternal and child health (including IMCI) and nutrition
Integrating services under DGHS, DGFP and NNP for essential maternal and neonatal care at home and community levels and in facilities
Strengthening partnerships, collaboration and integration with NGOs and private sectors to improve coverage and ensure consistent standards of care among skilled and unskilled health workers providing services to mothers and neonates
Establishing strong links between community and facility for all new community-based interventions (e.g. management of neonatal sepsis)Coordinating policies and technical standards between different related programs, including Maternal Health, EmOC, HIV/AIDS, PPTCT, IYCF, IMCI, CSBA, and other programs that involve services to mothers and neonates5. Innovative Approaches for Neonatal Care
Establishing mechanisms for exploring improvement of health systems and adjustments in job responsibilities of different categories of providers to improve coverage and quality of neonatal services
Including community-based operations research or feasibility studies to improve management of neonatal infections, compliance of KMC at home, low birth weight management, birth asphysxia management at community level etc.
Allowing for operational testing of interventions as efficacy evidence becomes available (e.g. chlorhexadine for reducing infection; calcium for preventing pre-eclampsia; misoprostol for reducing postpartum hemorrhage)
Budget and Finance.
1. Costed national plan for ensuring universal access to newborn interventions available.
.
Policies and Standards.
1. IMCI updated to include management of sick newborn.
2. Standards for newborn care including newborn resuscitation and ENC that have been reviewed and updated in the previous 2 years.
3. Essential newborn drugs list available.
4. Community-based management of sick newborns.
5. Financial protection of newborns and mothers.
.
Capacity Building.
1. Number & proportion of medical, nursing or other health worker training schools giving pre-service training in ENC.
2. Number & proportion of planned ENC & IMCI trainings for facility-based health workers conducted in the previous year .
3. Number and proportion of planned ENC trainings for community-based health workers conducted in the previous year.
4. Number & proportion of planned staffs trained on ENC & IMCI training.
5. Number & proportion of planned staffs trained on BEmONC/CEmONC.
.
Facility Preparedness and Functioning.
1. Proportion of first level facilities/OPDs equipped with essential supplies/medicine for management of sick newborn .
2. Proportion of first level facilities/OPDs with trained staffs for sick newborn management.
3. Proportion of facilities with in-patient services equipped with essential equipments & supplies/medicine for management of sick newborn .
4. Proportion of facilities with in-patient services have functioning BEmONC/CEmONC.
.
Pregnancy.
1. % of recently delivered women who received antenatal care (ANC) at least one from a qualified provider.
2. % of recently delivered women who received antenatal care (ANC) at least four from a qualified provider.
3. % of recently delivered women who know at least three newborn danger signs.
.
Delivery.
1. % of recently delivered women who were assisted by a skilled birth attendant .
2. % of recently delivered women who delivered in a facility.
.
Postpartum.
1. % of live born newborns weighted within 24 hours and within 3 days of birth.
2. % of live born newborns wiped, wrapped immediately (within 5 minutes) after birth.
3. % of live born newborns whose bath were delayed by 3 days.
4. % of live born newborns received dry cord care.
5. % of live born newborns who were fed colustrum.
6. % of live born newborns who were initiated on breastfeeding within 1 hour of birth.
7. % of live born newborns who received postnatal home visits from a qualified provider within 1 day and 3 days of birth.
8. % of sick newborns managed by a qualified provider.
9. % of sick newborns received appropriate antibiotic.
.
Impact Indicators.
1. Neonatal mortality rate.
2. Neonatal mortality as a proportion of infant and under-5 mortality.
3. Proportional cause of neonatal mortality.
4. Low birth weight rate
The National Nutrition Strategy will contribute to the following overall goals:
• Reduction in under-5 mortality from 83/1,000 live birth in 2005 to 65/1,000 in 2015
• Reduction of maternal mortality from 473/100,000 live births in 2005 to 243 in 2010 and 140 in 2015
• Reduction in child undernutrition (using NCHS/WHO growth reference):
o Stunting from 37% in 2005 to 28% in 2010 and 22% in 2015
o Underweight from 36% in 2005 to 29% in 2010 and 22% in 2015
o Wasting from 7% in 2005 to 6% in 2010 and 5% in 2015
• Improved nutritional status of women with underweight reduced from 20% in 2005 to 12% in 2010 and 8% in 2015
• Decreased prevalence of micronutrient deficiencies:
o Anemia in children under 5 years of age from 62% in 2005 to 52% in 2010 and 42% in 2015
o Vitamin A deficiencies in children under 5 years of age from 22% in 2000 to less than 10% in 2015
o Anemia in women of reproductive age from 44% in 2005 to 32% in 2010 to 19% in 2015
o Anemia in pregnant women from 57% in 2005 to 39% in 2010 and 33% in 2015
o Night blindness in pregnant women from 8% in 2005 to 5% in 2010 and less than 5% in 2015
Key result 1: Reduction in protein-energy malnutrition and micronutrient deficiencies in young children
Objectives
1.1 Increase the rates of immediate and early initiation of breastfeeding and exclusive breast feeding until six months
1.2 Increase the rates of appropriate complementary feeding of infants and young children (6-23 months of age), focusing on energy and nutrient density
1.3 Increase the rates of appropriate care for and feeding of sick children
1.4 Improve management of severely malnourished children at facility and community levels
1.5 Improve the management of nutrition/feeding of HIV-positive children, including counseling of HIV positive pregnant women and mothers
1.6 Increase and expand the coverage of vitamin A supplementation/Mebendazole distribution and vitamin A treatment for young children
1.7 Reduce the rate of anemia and zinc deficiency in young children
1.8 Increase the proportion of household using adequately iodized salt, targeting areas with lowest coverage
1.9 Promote nationwide coverage of zinc treatment during diarrhea
1.10 Strengthen the response capacity to nutrition emergencies, natural or manmade
Key result 2: Reduction of protein-energy malnutrition and micronutrient deficiencies in women
Objectives
2.1 Increase the coverage of weekly iron/folate supplementation of women of reproductive age
2.2 Improve care for pregnant women, including extra dietary intake and rest for increased weight gain during pregnancy
2.3 Increase the coverage of and adherence to iron/folate supplementation during pregnancy
2.4 Increase the coverage of Mebendazole during pregnancy
2.5 Increase the coverage of vitamin A, Mebendazole and iron/folate in the post partum period
2.6 Increase the coverage of HIV positive women receiving appropriate nutrition information
Key result 3: Strengthened national and sub-national leadership, cross-sectoral collaboration and increased allocation of resources to nutrition
Objectives
3.1 Increased technical nutrition capacity of government health staff at all levels
3.2 Strengthen the management capacity of the National Nutrition Program, Provincial Health Departments, Operational Districts and Health Centers
3.3 Strengthen existing and establish new linkages with other sectors, local authorities, private sector, civil society organizations and communities in support of nutrition
3.4 Strengthen the capacity of health center staff to deliver an integrated package of nutrition services at facility level and during outreach
3.5 Strengthen the capacity of the National Nutrition Program and the Ministry of Health to negotiate increased budget allocations for nutrition
3.6 Strengthen the partnership among development partners
3.7 Strengthen the policy environment on Nutrition
","The National Nutrition Strategy gives five strategic approaches to reach the objectives by 2015.
1. Increase the coverage of proven and cost effective maternal and young child nutrition interventions through health system strengthening, advancing progress in decentralization of health service delivery and mainstreaming of nutrition into all health programs.
2. Increase the coverage of proven and cost effective maternal and young child nutrition interventions through strengthening community involvement in nutrition activities and improving individual and family practices on maternal, infant and young child feeding and general nutrition.
3. Strengthen multi-sector linkages, improve the collaboration with concerned government structures/civil society and enhance the consideration of nutrition in overall strategies, and sector plans and programs.
4. Develop effective leadership and technical nutrition capacity of government and non government development partners for the implementation of the National Nutrition Strategy
5. Increase availability of information for policy makers and program planners through improved monitoring, evaluation and research
","","","","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|Underweight in women|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Vitamin A deficiency|Minimum acceptable diet|Maternal, infant and young child nutrition|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Complementary feeding promotion/counselling|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Media campaigns on healthy diets and nutrition|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Food vehicles (i.e. types of fortified foods)|Acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Health related","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KHM%202009%20National%20Nutrition%20Strategy%202009-15.pdf" "23729","NAM","Namibia","","Health Sector Strategic Plan 2009-2013","Health sector policy, strategy or plan with nutrition components","","English","","2009","","2013","Ministry of Health and Social Services","","2009","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Development|Sport|Transport|Other","Ministry of Health and Social Services, OPS, Home Affairs, Works and Transport, Gender, Youth Sport and Culture","","","Other, please specify under further details","Red Cross; NAPPA; TCE; NANASO; NFPDN; Health Unlimited; NASOMA; Catholic AIDS Action; ELCIN AIDS Action; ELCAPLife Line/ Child Line, FBOs","","","","","","","","","","","","Director PHC, SWS, trade unions (all)","Objectives
Initiatives
Accelerate public education and awareness on prevention, early detection and treatment of communicable and non-communicable diseases
Reduce malnutrition
Decrease morbidity rate
Incidence of non-communicable diseases
Objective 1: Ensure the prevention and treatment of nutrition related disorders in emergency and non-emergency situations.
Objective 2: Reduce nutritional risk for individuals throughout their life-cycle through implementation of integrated health, nutrition, and food security interventions.
Objective 3: Increased optimal use of available food and micro level resources to maximize nutritional benefit.
Objective 4: To reduce nutrition risk and improve malnutrition prevention and treatment programming.
Objective 5: Ensure that the nutritional needs of people living with HIV & AIDS and their families are adequately addressed
Objective 6: Ensure quality food production that meets food safety standards.
Objective 7: Increased knowledge & awareness & improved nutrition practice at community level
Objective 8: Increase skills and capacity of nutrition staff and non-nutrition staff working in areas related to the direct and underlying causes of malnutrition.
Objective 9: Multi-sectoral coordination and collaboration to address malnutrition comprehensively and effectively, to bring about sustained change in population nutrition status (linked to Objective 3).
Objective 10: Strengthen nutrition information, research, and nutrition advocacy systems, to feed into national and local planning, analysis, monitoring and evaluation.
","Strategy 1:
a. Prevent chronic malnutrition through improved dietary intake and reduced infant morbidity.
b. Prevent, detect and treat acute malnutrition (including response to emergencies) through provision of appropriate services through the public health system.
c. Prevent, detect, and treat Micronutrient Deficiency Disorders (MDDs) through a combination of supplementation, fortification, education, and food based approaches.
d. Prevent obesity and lifestyle diseases through the promotion of optimal eating and physical exercise habits.
Strategy 2:
a. Improve maternal nutrition status
b. Improve infant and young child nutrition status
c. Address the nutritional needs of school age children and adolescents
d. Address the nutritional needs of adults and older persons
Strategy 3:
Strategy 4:
a. Reduce nutrition risk caused by excess morbidity through increased coverage and accessibility of quality of basic child health care services (IMCI).
b. Improve nutrition related programming through coordinated engagement of a wide range of health providers in nutrition related activities and the establishment of strong linkages between facility and community based nutrition activities.
Strategy 5:
a. Develop systems and guidelines to support the nutritional needs of people living with HIV & AIDS and their families
Strategy 6:
b. Develop systems and guidelines to safeguard quality food production that meets food security standards.
Strategy 7:
a. Utilise social mobilization, nutrition education/behavior change communication and advocacy strategies to promote improved knowledge and nutritional practices through all health facilities, at community level and through the general media.
Strategy 8:
a. Support and develop technical and managerial/planning capacity in nutrition for nutritionists and dieticians
b. Support and develop appropriate nutrition capacity of wider public health staff
c. Support and develop appropriate nutrition knowledge/ capacity of technical staff in related sectors
Strategy 9:
a. To promote and facilitate multi sectoral coordination and collaboration to address malnutrition at Federal and State levels
b. Nutrition information, research and advocacy
Strategy 10:
a. Strengthen and further develop timely & accurate nutrition information systems for action.
b. Carry out research in areas that will improve the understanding of nutritional risk in Sudan.
c. Utilisation of nutrition information in advocacy efforts across a range of nutrition related issues.
","Overall goal: Health status of Yemeni people is improved through strengthening nutritional intervention by 2020.
Targets: Serious nutritional problems to be solved in this moment are malnutrition/under nutrition; including anemia, vitamin A deficiency, iodine deficiency, rickets, zinc deficiency and household insecurity.
","Conduct the following nutrition interventions:
Control of child undernutrition
- Reduce of the prevalence rate of undernutrition among infant and young children
- Improve infant and young child feeding
- Improve dietary habit affecting nutritional status of infant and children
- Contribute improving household food security
- Improve dietary habit affecting nutritional status of infant and children
- Reduce the risk of infectious diseases
- Reduce the prevalence of LBW
- Prevent the deterioration of malnutrition cases at early stage
Control of low birth weight
- Reduce the prevalence of low birth weight
- Reduce the prevalence of malnourished pregnant women
- Reduce cases of early and frequent pregnancies
- Reduce number of pregnant women having habit of smoking cigarette /shisha and chewing qat
- Improve the services of nutrition screening and counseling for pregnant women
- Increase the access rate of monitoring and providing special care for low-birth weight babies
Control of maternal undernutrition
- Reduce the prevalence of undernutrition among women of reproductive age
- Improve dietary diversity and modification for pregnant and lactating mothers
- Detect under-nutrition of pregnant mothers at early stage and provide appropriate counseling
- Prevent early pregnancy and frequent pregnancy
- Improve the life custom of women which can be a risk factor of maternal health and nutrition such as heavy work load, smoking and chewing qat
Control of rickets
- Eliminate the prevalence of rickets among children under five
- Increase the rate of children exposure to sunlight for children and pregnant mother
- Increase the consumption of foods rich with vitamin D and calcium in children and pregnant mothers
- Increase the rate of detection and treatment cases for children with rickets symptoms at early stage
Control of iron deficiency anemia
- Reduce the prevalence of anemia among children under five and women of reproductive age
- Improve the quality and diversity of diet to increase the intake and bioavailability of iron
- Promote the use of iron fortified food
- Increase the access of iron/folate tablets among pregnant and lactating women
- Reduce the risk factor of parasitic infestation (Malaria, Schistosomiasis, Helminthes)
Control of vitamin A deficiency
- Decrease the prevalence rate of vitamin A deficiency disorder among children under five and mothers
- Increase the consumption of vitamin A rich food
- Increase the covering of foods fortified with vitamin A
- Increase the coverage of vitamin A capsule for children and mothers
Control of iodine deficiency
- To eliminate Iodine Deficiency Disorders in Yemen
- To ensure all the people can access iodized salt
Control of zinc deficiency
- Reduce of the prevalence of zinc deficiency
- Clarify the severity and the target group/area of zinc deficiency
- Increase the zinc intake among people with high risk of zinc deficiency
- Reduce the risk factor of high excretion of zinc
School nutrition
- Reduce the prevalence of undernutrition among school children aged from 6 to 15 years
- Improve food intake of school children quantitatively and qualitatively
- Decrease the incidence of infectious diseases which interrupt the nutritional status of school children
- Reduce the prevalence of malnutrition at early stage
Nutrition for emergency situation
- Reduce the critical risk of death and malnutrition during emergency situation
- Improve the situation of food shortage in the people who suffer from natural or man-made disasters (flood, drought, earthquake, war, food price crisis, etc)
- Prevent death cases from malnutrition under emergency situation
","VI. BUT
Contribuer à l’amélioration de l’état de santé de la population en lui assurant un bon état nutritionnel à travers une meilleure adéquation entre l’offre de soins et la couverture des besoins nutritionnels.
OBJECTIF GENERAL
Améliorer l’état nutritionnel de la population, en particulier des groupes les plus vulnérables notamment les enfants, les femmes en âge de reproduction, les PVVIH, les OEV et ceux issus des situations de crise, d’urgence et des catastrophes naturelles.
La stratégie globale vise à :
VII. AXES STRATEGIQUES POUR L’AMELIORATION DE LA NUTRITION
A. N°1 : Prise en charge de la malnutrition (Déficit & Excès)
1. Au niveau des structures de santé
2. Au niveau communautaire
B. N°2 : lutte contre les carences en micronutriments (vit A, fer, fluor, zinc …)
C. N°3 : Amélioration de la sécurité alimentaire des ménages
D. N°4 : Promotion de la sécurité sanitaire des aliments
E. N°5 -Amélioration de la sécurité alimentaire et nutritionnelle des PIAVIH et autres malades chroniques
F. N°6 : Intégration de la nutrition en milieu scolaire et universitaire
G. N° 7 : Intégration de la nutrition en milieu carcéral
H. N°8 : Développement du soutien nutritionnel des personnes du troisième âge
I. N°9 : Communication pour le changement de comportement durable
Intensification du plaidoyer à tous les niveaux pour :
Sensibilisation
Mobilisation sociale
J. N°10 : Promotion de la recherche en matière de nutrition
K. N°11 : Développement des compétences en matière de nutrition
L. N°12 : Préparation à l’urgence et réponses nutritionnelles aux situations d’urgences
IV. A cselekvési területeken végzett tevékenységek eredményeinek, illetve a megtett intézkedéseknek előrehaladásának vizsgálata és értékelése
OBJECTIVES
The general objective of the NSP-NCD is to prevent or delay the onset of CVD and diabetes and their related complications, and to improve their management, thus enhancing quality of life of our population, leading to longer and more productive lifes.
The specific objectives are:
1. To raise the priority accorded to NCDs in development work at global and national levels, and to integrate prevention and control of such diseases into policies across all government departments;
2. To establish and strengthen national policies and plans for the prevention and control of NCDs;
3. To promote interventions to reduce the main shared modifiable risk factors for NCDs: tobacco use, unhealthy diets, physical inactivity and harmful use of alcohol;
4. To promote research for the prevention and control of NCDs;
5. To promote partnerships for the prevention and control of NCDs;
6. To monitor NCDs and their determinants, and evaluate progress at the national, regional and global levels.
","Strengthening existing content & creating new content for health promotion addressing the main diabetes (NCD) risk factors; unhealthy eating and physical inactivity (other NCD risk factors will also be included). The main messages are:
Strengthening of the School Health programmes to include a component involving the family and community, in both health education and health-promoting activities, with emphasis on:
Strengthening of the Workplace-based Health programmes, in both health education and health-promoting activities, with emphasis on:
Strengthening of the Community-based Health programmes, in both health education and health-promoting activities, with emphasis on:
Identification and involvement of all relevant stakeholders in strengthening Community-based health programmes in the promotion of healthy diet and physical activity.
Continue to collaborate with the food industries (including food technologists and retailers) to increase the production and promotion of low fat, low sugar foods.
Continue to establish partnerships with the media and advertising industries to promote the messages of healthy eating and being active, together with factual information on obesity and weight reduction. This includes engaging presenters/hosts and celebrities to use the ‘celebrity status’ as ‘role models’ for healthy eating and being physically active.
Incorporate nutrition and physical activity policy statements and programmes in the development plans of all relevant ministries and agencies.
Promotion of availability of fresh local fruits and vegetables, via subsidies for farmers, and to hold more regular fairs (e.g. Malaysian Agriculture, Horticulture & Agrotourism (MAHA) show in all states).
To continue to regulate and decrease the content of salt and sugar in all processed food and drink, via regulations and self-regulation by industries
","Table 3: Key Performance Index For NSP-NCD In Malaysia
Diabetes Mellitus (≥18 years):
No. NHMS III (2006) 11.6%
Proposed Target* (2016) <13.6%
Obesity (BMI ≥27.5kg/m2) (≥18 years):
No. NHMS III (2006) 26.2%
Proposed Target* (2016) <33.7%
","","","Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt intake|Sugar intake|Added sugars|Free sugars|Fruit and vegetable intake|Fruits|Vegetables|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Monitoring of children’s growth in school|Reformulation of foods and beverages|Fats|Salt/sodium|Sugars|Taxation on unhealthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","http://www.moh.gov.my/images/gallery/nspncd/NSPNCD.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MYS%202010%20National%20strategic%20plan%20for%20NCD.pdf" "25920","NGA","Nigeria","","National Policy on Infant and Young Child Feeding in Nigeria","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2010","","","Federal Ministry of Health, Department of Family Health","11","2010","","","","","Health|Food and agriculture|Women, children, families|Information","Federal Ministry of Health, Department of Family Health; Federal ministry of Women Affairs;Federal Ministry of Information and Communication;National Agency on Food and Drug Administration and Control (NPHCDA);National Primary Health Care Development Agency (NPHCDA);","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","Nutrition International","","","","","","National NGOs","Nutrition Society of Nigeria","Research/academia","","","","","","Goal and Objectives
Infant and young child feeding is an integral part of the overall objective of ensuring the socio-economic well-being of all Nigerians. It is in this context that the problem of malnutrition exists and within which the goal and objectives of this Policy are derived.
Goal
The overall goal of the National Policy on Infant and Young Child Feeding in Nigeria is to ensure the optimal growth, protection and development of the Nigerian child from birth to the first five years of life.
Specific Objectives:
i. To protect, promote and support exclusive breastfeeding in the first six months of life
ii. To create and sustain a positive image for breastfeeding throughout the society
iii. To empower all women (including women who work outside their homes) to adopt and practice optimal infant feeding.
iv. To promote the timely introduction of appropriate and adequate complementary foods while continuing breastfeeding up to 24 months and beyond.
v. To ensure the provision of specific feeding recommendations for all infants and young children irrespective of their circumstances of birth and health status.
vi. To promote the provision of appropriate information for nutrition counseling and support for households in the prevention of malnutrition in children.
vii. To develop and strengthen activities that will protect, promote and support adequate infant and young child feeding practices.
viii. To raise awareness on issues affecting infant and young child feeding in Nigeria
ix. To support and enhance the provision of an enabling environment without any form of discrimination for working mothers, fathers and other care-givers including those in part-time and domestic occupation to practice optimal infant and young child feeding.
x. To promote the prevention of mother-to-child transmission of HIV and ensure HIV-free survival through appropriate and safe measures that ensure optimal infant and young child feeding.
xi. To ensure that health workers and other care providers have adequate skills and information to support optimal infant and young child feeding, including in emergency situations.
xii. To support and enhance the national capacity to address issues of infant and young child feeding in different situations and circumstances.
","","","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Complementary feeding|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Complementary feeding promotion/counselling|Vitamin A|Iron|HIV/AIDS and nutrition","","http://www.health.gov.ng/index.php/resources/policy-documents/family-health","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NGA%202010%20National%20Policy%20on%20Infant%20and%20Young%20Child%20Feeding%20in%20Nigeria.pdf" "7974","LKA","Sri Lanka","","National Nutrition Policy of Sri Lanka","Comprehensive national nutrition policy, strategy or plan","","","","2010","","2018","Ministry of Healthcare and Nutrition","","2010","Adopted","","2010","Ministry of Healthcare and Nutrition, Nimal Siripala De SilvaCabinet","Education and research|Food and agriculture|Health|Other|Women, children, families","Ministry of Healthcare and Nutrition Education and research, Food and agriculture, Health, Women, children, families: Ministry of Education, Food and Drug Control Authority, Ministry of Agriculture, FHB (Family Health Bureau), HEB (Health Education Bureau","","WHO,UNICEF, WFP, FAO","","Sarvodaya, world vision, Plan Sri Lanka, Save the Children","","WB","","","","","","","","","","","
Goal:
To achieve and maintain the nutritional well
bring of all Sri Lankans enabling them to contribute effectively towards national socio
economic growth and development
Objectives: 1. To ensure optimal nutrition throughout the life cycle.
Policy Statement 5.1.1: Pregnant Women.
Ensure appropriate and adequate nutrition and related services for all pregnant women throughout the pregnancy enabling a delivery of a healthy baby with an adequate birth weight.
Policy Statement 5.1.2: Lactating Mothers.
Ensure supportive family environment, services and regulatory safety nets to enable mothers to provide optimal care including exclusive breastfeeding for 6 months and continuation of breast feeding for 2 years and beyond.
Policy Statement 5.1.3: Infant and Young Child.
Ensure a good foundation for all infants and young children during their early childhood years by providing optimal nutrition through provision of exclusive breastfeeding for 6 months followed by appropriate complementary feeding together with continued breast feeding for 2 years and beyond.
Policy Statement 5.1.4: Pr-School and School Children.
Ensure all pre-school and primary school children have access to adequate and safe nutrition, which will optimise their growth and development.
Policy Statement 5.1.5: Adolescents.
Reduce undernutrition and obesity (malnutrition) among adolescents enabling them to be healthy and productive adults.
Policy Statement 5.1.6: Adults and Elderly.
Promote appropriate nutrition for adults and elderly to ensure prevention and control of nutrition related Non-Communicable Diseases. To enhance capacity to deliver effective and appropriate interventions.
Policy Statement 5.2.1: Behaviour Change Communication.
Promote behaviour change communication to all sections of population enabling them to make right food choices and care practices.
Policy Statement 5.2.2 Capacity Building.
Strengthen capacity building of health staff and community-based workers for effective behaviour change communication with regards to nutrition promotion in all sections of the community.
Policy Statement 5.2.3 Community Empowerment.
Empower the community by reorganizing grass root level community organizations, in programme planning, implementation and monitoring of nutrition intervention programmes.
Policy Statement 5.2.4 Media.
Ensure dissemination of appropriate nutrition messages and promotion programmes through media in a responsible and ethical manner. To ensure effective management of adequate nutrition to vulnerable populations.
Policy Statement 5.3.1 : Vulnerable Populations.
Ensure targeting of nutritional interventions to underserved areas, plantation community, urban poor and areas identified by the nutrition surveillance system.
Policy Statement 5.3.2: Emergencies/Conflict.
Ensure access to adequate nutrition for people affected by emergencies (conflict or natural disasters) and ensure emergency preparedness and response plans to adequately address the basic nutrition needs of all people.
Policy Statement 5.3.3Illness/PLWHA.
Ensure adequate nutrition during and after illness with special considerations on those affected with chronic diseases and people living with HIV I AIDS (PLWHA). To ensure food and nutrition security for all citizens.
Policy Statement 5.4.1 : Food Based Approaches.
Ensure access to adequate, nutritious, safe and quality food at affordable price throughout the year.
Policy Statement 5.4.2: Dietary Diversification.
Promote consumption of a wide variety of foods ensuring intake of all macro and micronutrients to prevent deficiency disorders and diet related chronic diseases.
Policy Statement 5.4.3: Nutrient Enhancement.
Promote and facilitate improvement of quality of commonly consumed food items ( eg.
food fortification) to ensure micronutrient supplementation for vulnerable groups.
Policy Statement 5.4.4: Food Safety.
Enact and implement of appropriate legislations and other regulatory mechanisms to ensure provision of safe nutrition to all citizens of Sri Lanka.5. To strengthen advocacy, partnerships and networking.
Policy Statement 5.5.1 : Political Commitment.
Establish a mechanism for regular consultation and dialogue between political leadership, policy planners and other stakeholders to ensure sustainability of programmes in coherence with other nutrition related policies.
Policy Statement 5.5.2: Inter Agency Partnership.
Strengthen partnerships and networking with relevant sectors and stakeholders including private sector for undertaking collaborative programmes to improve nutrition at community level.6. To strengthen research, monitoring and evaluation.
Policy Statement 5.6.1 : Nutrition Surveillance.
Promote establishment and operation of National Nutrition Surveillance System providing policy makers, programme managers, and nutrition care providers with evidence needed for better programme management
Policy Statement 5.6.2: Evidence Based Review.
Prioritise and support research oriented activities and utilize evidence for regular monitoring and periodic evaluations of nutrition programmes
These are the Key Action areas [more detail in the strategic plan matrix]
Objective 1. To ensure optimal nutrition throughout the life cycle.
1.1.1 Reducing under nutrition and micronutrient deficiencies among women of reproductive age
1.1.2 Controlling and managing antenatal causes of fetal malnutrition (i.e., infectious disease, PIH)
1.2.1 Promoting, protecting and supporting exclusive breastfeeding for the first six months of life and continuation of breast feeding for 2 years and beyond
1.2.2 Strengthening complementary feeding practices
1.2.3 Strengthening Growth monitoring and Promotion
1.2.4 Promote psychosocial development of children during early childhood years
1.3.1 Strengthening Integrated Management of Childhood Illnesses
1.4.1 Create a good nutrition enabling environment in schools
1.4.2 Enhance fora in delivering nutrition services to non-school going adolescents
1.4.3 Regular nutritional status assessment of non-school going adolescents & youth
1.5.1 Regular nutritional status assessment of adults & elderly
1.5.2 Updating and implementing national food-based dietary guidelines
1.5.2 Promoting healthy workplaces
Objective 2. To enhance capacity to deliver effective and appropriate interventions.
2.1.1 Promote behavior change among all sections of population & enabling them to make right food choices and care practices
2.1.2 Build and empower the community organizations, in programme planning, implementation and monitoring of nutrition intervention programmes
2.1.3 Improving infrastructure facilities at all levels
2.1.4 Effect a behaviour surveillance system at all levels
Objective 3. To ensure effective management of adequate nutrition to vulnerable populations.
3.1.1 Ensure targeting of nutritional interventions to underserved areas, plantation community, urban poor and conflict affected areas
3.1.2 Establishing an effective hospital nutrition system
Objective 4. To ensure food and nutrition security for all citizens.
4.1.1 Ensure access to adequate, nutritious, safe and quality food at affordable prices throughout the year
4.1.2 Ensure provision of safe food
4.2.1 Ensuring intake of all macro and micronutrients to prevent deficiency disorders and diet related chronic diseases
Objective 5. To strengthen advocacy, partnerships and networking.
5.1.1 Mainstreaming nutrition in other related national and provincial policies
5.2.1 Establishing an effective coordinating system
5.3.1 Establish a high-level intersectoral coordination mechanism
5.3.2 Enhance coordination and harmonization of partners and stakeholders who work for food and nutrition in the country (UN agencies, bilateral agencies, NGOs/civil societies)
5.3.3 Strengthen partnerships and networking with relevant sectors and stakeholders for undertaking collaborative programmes at Provincial, Distriction, Divisional & community level to improve nutrition of the community
Objective 6. To strengthen research, monitoring and evaluation.
6.1.1 Strengthen National Nutrition Surveillance System
6.1.2 Establish National Nutrition Management Information System
6.1.3 Strengthen the support or research in nutrition and the use of its outcomes
6.1.4 Strengthen monitoring and evaluation of the impacts of nutrition intervention programmes
Outcome Indicators:
LBW rate
Exculsive Breast Feeding Rate at 6 months
% underweight, % stunting
Prevalence of iron deficiency anemia among infants at 6 – 11/12
% Wasting % Stunting
% under 5 children with diarrhea
% Stunting (Adolescents)
% Overweight (Adolescents)
% Anemic (School going children)
% Under-weight ( School going children)
% of reproductive age women under-weight
% of reproductive age women over-weight
% of reproductive age women anemic
% of health workers (PHM,PHI,HENO) reached competency level
% of BCC plans being implemented with quarterly follow ups
No of media channels reviewed monthly
% GSN divisions implement the package
% of resource centres at MCH clinics & hospitals developed
No. of communication materials developed
% of transport available - PHM, PHI, PHNS, MOH, HEO
% of behaviour surveillance programs conducted annually at community, PHM & MOH level
Under 5 year wasting and stunting % at District level
Percentage of hospitals using nutrition guidelnes
Proportion of population below minimum level of dietary energy
Anemia prevelance (<5yr)
Total goitre rate
Prevalence of Vitamin A deficiency
% of other relevant policies formulated inline with nutrition policy & strategic plan
Availability of a central management unit
Availability of an inter-ministerial committe
% Provinicial/local authorities using serveillance data for planing nutrition programs
No. of behaviour research conducted anually
Availability of periodical reports
% completion of the formulated research agenda
% Provincial & divisional bodies with laid-down evaluation programs
","","","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|Underweight in adolescent girls|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Dietary practice|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Nutrition in schools|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Food-based dietary guidelines (FBDG)|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Food fortification|Nutrition education|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Health related|Social protection related","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LKA%202010%20Sri%20Lanka%20National%20Nutrition%20Policy-English_0.pdf" "8159","BGD","Bangladesh","","Health Population & Nutrition Sector Development Plan (HPNSDP)","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","2016","Planning Wing, Ministry of Health and Family Welfare","","2010","Adopted","","","","Health|Women, children, families","Directorate General of Health, Institute of Public Health Nutrition, Directorate General of Family Planning","","","","","","","","","","","","","","","","","
The Goal is to ensure quality and equitable health care for all citizens in Bangladesh by improving access to and utilization of health, population and nutrition related services with special attention to improving the health status of the disadvantaged and the underserved - poor, women, children, elderly, marginalized and physically and psychologically challenged. The Strategic Objective of the HPNSSP is to ensure equitable and quality health care for all citizens in Bangladesh by improving access to and utilization of evidence-based high-impact health, population and nutrition related services; strengthened systems to support service delivery; and effective stewardship and governance.
The Vision of the health sector is to see the people healthier, happier and economically productive to make Bangladesh a middle income country by 2021, the golden jubilee year of Bangladesh's independence.
The Mission is to create conditions whereby the people of Bangladesh have the opportunity to reach and maintain the highest attainable level of health. This vision and mission are derived from the constitution of the People's Republic of Bangladesh that recognizes health as a fundamental basic need and, therefore, the need to promote health in the spirit of citizen right and social justice.
National Nutrition Services
4.17.2. Objectives
National Nutrition Services
RESULTS FRAMEWORK FOR HPNSDP 2011-2016
INDICATOR, BASELINE, TARGET 2016
Objectif général
Réaliser une croissance économique forte, soutenue et de qualité, génératrice d'effets multiplicateurs sur le niveau d'amélioration des revenus, la qualité de vie de la population et soucieuse du respect du principe de développement durable.
Objectifs spécifiques
Pages 37-39
","Outcome indicators","","Food security and agriculture|Food sovereignty|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BFA%202011%20SCADD_1.pdf" "11638","SLV","El Salvador","","Política de Protección, Promoción y Apoyo a la Lactancia Materna","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2011","","","Ministerio de Salud","","2011","Adopted","","2011","Ministerio de Salud","Nutrition council|Health|Education and research|Women, children, families","","United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","PAHO","","","","","","","","","","","","","","","Objetivo General
Garantizar el ejercicio del derecho a la lactancia materna de las niñas, niños, madres y familias salvadoreñas, como elemento indispensable para lograr un óptimo estado de salud, desarrollo y nutrición.
Objetivos Específicos
1. Fortalecer el marco legal y normativo para la protección, promoción y apoyo de la lactancia materna en El Salvador.
2. Asegurar la promoción de la lactancia materna para la población salvadoreña, teniendo en cuenta las diferentes condiciones sociales, culturales y medio ambientales.
3. Fortalecer los mecanismos de apoyo a la lactancia materna a nivel comunitario, laboral y en la prestacción de los servicios de salud con participación intersectorial.
4. Generar condiciones que faciliten la lactancia materna en situaciones especiales y a grupos vulnerables.
","Para cada uno de los objetivos específicos, se definieron estrategias y líneas de acción.
1.1. Elaboración y actualización de instrumentos legales y normativos para la protección de la práctica de la lactancia materna a través de un proceso participativo.
1.1.1. Promover la adopción de los convenios y recomendaciones internacionales relacionadas con la práctica de la lactancia materna.
1.1.2. Promover el proceso de elaboración y aprobación de la Ley de protección, promociónl y apoyo a la lactancia materna que incluya los artículos del Código Internacional de Comercialización de sucedáneos de la Leche Materna.
1.1.3. Establecer mecanismos de monitoreo y evaluación de las prácticas de comercialización de los sucedáneos de la leche materna.
1.1.4. Promover y vigilar el cumplimiento de la legislación relacionada a las licencias por maternidad y período de lactancia de la madre trabajadora tanto en el sector público como en el privado, incluyendo aquellas que ejercen formas atípicas de trabajo.
1.1.5. Actualizar y armonizar la normativa del Sistema Nacional de Salud relacionada con la atención integral de la madre, el recién nacido y el lactante, la lactancia materna y la alimentación infantil.
2.1. Crear y desarrollar herramientas innovadoras e inclusivas de información, educación y comunicación sobre lactancia materna a nivel nacional, con enfoque de derecho, género y participación social.
2.1.1. Fortalecer el Comité Nacional de Lactancia Materna para la integración de las herramientas de información, educación y comunicación.
2.1.2. Implementar planes de información, educación y comunicación sobre la práctica de lactancia materna, dirigido al personal de salud que atiende a mujeres, niñez, familia, comunidad y otros actores sociales.
2.1.3. Implementar campañas permanentes dirigidas a mujeres, familia y comunidad, que contribuya a crear valores y comportamientos culturales favorables a la lactancia materna con participación intersectorial e interinstitucional a través de diferentes medios.
2.1.4. Gestionar la incorporación de la temática de lactancia materna con efoque de derecho y metodología innovadora en la currícula del sistema educativo del paísl.
3.1. Propiciar las condiciones necesarias para asegurar la práctica de la lactancia materna exclusiva hasta los seis meses y prolongada hasta los dos años y más.
3.1.1. En las instituciones de Salud:
3.1.1.1. Implementar en todos los hospitales del Sistema Nacional de Salud y del sector privado que cuentes con atención de partos, la iniciativa de Hospitales Amigos de la Niñez y las Madres a través del cumplimiento de los diez pasos para una lactancia exitosa:
3.1.1.2. Implementar en los establecimientos del primer nivel del Sistema Nacional de Salud y del sector privado la iniciativa de Unidades de Salud Amigas de la Niñez y las Madres que incluya:
3.1.2. Ámbito laboral:
3.1.3. Ámbito comunitario:
4.1. Velar por el ejercicio del derecho de lactancia materna en aquellas situaciones especiales que limitan su práctica.
4.1.1. Creación y desarrollo de los bancos de leche humana a nivel institucional para alimentar a las niñas y niños en situaciones especiales.
4.1.2. Garantizar las condiciones para iniciar o continuar la práctica de lactancia materna durante y despúes de una situación de emergencia y desastre.
4.1.3. Ampliar en la red de establecimientos del Sistema Nacional de Salud y en el sector privado el desarrollo de la estrategia canguro.
","
No los incluye el documento.
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes","","http://siteresources.worldbank.org/EXTLACREGTOPNUT/Resources/4160377-1357590589927/8996498-1357590799892/8996560-1357606699744/POLITICA_LACTANCIA_MATERNA_FINAL.pdf","El 17 de agosto de 2011, la Primera Dama de la República y Secretaria de Inclusión Social, Dra. Vanda Pignato, junto a la Ministra de Salud, Dra. María Isabel Rodríguez, oficializaron la Política de Lactancia Materna.","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/POLITICA_LACTANCIA_MATERNA_FINAL.pdf" "39752","FRA","France","","Plan Obésité 2010-2013","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","7","2011","","2013","Ministère du Travail, de l’Emploi et de la Santé","","2010","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Urban planning|Consumer affairs|Information|Labour|Other","Ministère de l'intérieur, de l'outre-mer, des collectivités territoriales et de l'immigration.","","","","","","","","","","","","","Private sector","","","","AXE 2 → Mobiliser les partenaires de la prévention, agir sur l’environnement et promouvoir l’activité physique
","Mesure 2.1 : Actions préventives conduites dans le cadre du PNA
Pour son volet « prévention », le Plan obésité s’appuie sur les axes suivants du Programme national pour l’alimentation (les actions du PNA intégrées dans le Plan obésité ont pour numéro 15 (15.1, 15.2…)).
Faciliter l’accès de tous à une alimentation de qualité (Axe I)
- Mieux manger en situation précaire (I.1) :
- Prendre de bonnes habitudes alimentaires dans le cadre scolaire ou périscolaire (I.2) :
Améliorer l’offre alimentaire (Axe II)
- Généraliser les démarches volontaires et les partenariats publics/privés permettant d’innover pour améliorer la qualité des aliments (II.1).
- Développer des variétés végétales à haute valeur environnementale, nutritionnelle, et organoleptique (II.2).
Améliorer la connaissance et l’information sur l’alimentation (Axe III)
- Former les jeunes consommateurs de demain (III.1) :
- Éduquer les consommateurs (III.2) :
- Informer les consommateurs (III.3) :
Mesure 2.2 : Actions préventives conduites dans le cadre du PNNS
Pour son volet « Prévention », le Plan obésité s’appuiera sur les axes suivants du PNNS (les actions du PNNS intégrées dans le Plan obésité ont pour numéro 16 (16.1, 16.2…)).
Développer l’activité physique et sportive et limiter la sédentarité (Axe 2)
- Promouvoir, développer et augmenter le niveau d’activité physique quotidienne pour tous (mesure 1).
- Promouvoir l’activité physique et sportive adaptée (APA) chez les populations défavorisées, en situation de handicap, atteintes de maladies chroniques, ou âgées (mesure 2).
Valoriser le PNNS comme référence pour les actions en nutrition ainsi que l’implication des parties prenantes (Axe 4)
- Mettre en place une stratégie de communication du PNNS (mesure 1, action 29).
- Développer les chartes d’engagements des collectivités territoriales actives du PNNS (mesure 2, actions 30, 31 et 32).
- Développer la charte « entreprises actives du PNNS » (mesure 3, action 33).
- Faire connaître et valoriser les actions et documents validés par le PNNS (mesure 4, actions 34, 35 et 36).
Réduire, par des actions spécifiques, les inégalités sociales de santé dans le champ de la nutrition au sein d’actions générales de prévention (Axe 1)
- Mettre en place des interventions spécifiques pour réduire les inégalités sociales de santé (ISS) en matière nutritionnelle (mesure 1, actions 1 à 5).
- Développer et valoriser les chartes d’engagement volontaires de progrès nutritionnel pour une offre alimentaire allant dans le sens des objectifs du PNNS (mesure 2, action 8).
- Développer des actions d’information et d’éducation nutritionnelle (mesure 4) :
- Promouvoir l’allaitement maternel (mesure 5, action 13).
Organiser le dépistage et la prise en charge des patients en nutrition (Axe 3)
- Prévenir et prendre en charge les troubles nutritionnels des populations en situation de handicap (Mesure 4, action 28).
","","","","Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Breastfeeding promotion/counselling|School-based health and nutrition programmes|School meal standard|School fruit and vegetable scheme|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Food security and agriculture|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/FRA_B11_Plan_Obesite_2010_2013-2.pdf, https://extranet.who.int/ncdccs/Data/FRA_B11_Obésity plan.pdf","","WHO 2019 NCD Country Capacity Survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/FRA%202010%20Plan%20Obesite.pdf" "23177","KEN","Kenya","","National School Health Policy","Health sector policy, strategy or plan with nutrition components","","English","","2011","","2015","Ministry of Public Health and Sanitation/Ministry of Education","","2011","","","","","Health|Education and research|Women, children, families|Social welfare","Ministry of Public Health and Sanitation, Ministry of Gender, Children and Social Development","","","","","","","","","","","","","","","","","","Nutrition in schools:
1. To sensitize the stakeholders at all levels on the importance of school nutrition services.
2.To ensure all schools have instituted sustainable home-grown meals programmes by 2014. Instituting sustainable home-grown meals programmes.Provide mid morning snacks to pre-primary and primary school children in ASALs and targeted slum schools. Sensitizes the stakeholders on the scaling up of the mid-morning snacks.
3. Enhance nutrition: Review and update the curricula to enhance nutrition information. Develop/harmonize/print training manuals on nutrition, education and counseling. Train TTC lecturers and in-service teachers on nutrition education & assessment. Sensitize school community, and parents on nutrition education. Initiate and strengthen health clubs (4K clubs) in schools. Intiate school gardens including container gardens in urban schools for demonstration.
4. Micronutrient supplementation. 1. To address micronutrient deficiencies. Conduct bi-annual micronutrient supplementation (Vitamin A).
5. Enhance sustainability of school nutrition services. To strengthen mechanisms for sustainability of school nutrition services. Initiate/strengthen school gardens/tree nurseries and income generating activities. Supporting community based growing of food, diversification, milling, fortifying and preservation initiatives. Involve communities in planning, mobilization of resources and management of home-grown meals programmes. Encourage schools to use locally available foods
Food safety: Provision of safe food in schools.
To ensure all food for use should be transported, stored, prepared and served in a hygienic manner. To sensitize school management committee on the importance of medical examination, hygienic food handling and use of protective gear in schools.
","
75 % of pre-primary schools providing mid morning snack by 2014
60 % schools have school gardens by 2014
70 % of children vitamin A supplemented by 2014
50 % of schools with functional kitchen gardens/trees nurseries and income generating activities by 2014
","","","Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|Home grown school feeding|Monitoring of children’s growth in school|School gardens|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202011%20National%20School%20Health%20Strategy%20Implementation%20Plan%202011-2015.pdf" "36107","LUX","Luxembourg","","Plan d'actions national pour la protection, promotion et le soutien de l'allaitement au Luxembourg 2011-2015 [National Action Plan for the protection, promotion and support for breastfeeding]","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2011","","2015","Ministère de la Santé","","2012","Adopted","","2006","Ministère de la Santé","Health|Education and research|Women, children, families","","","","International Committee of the Red Cross (ICRC)|Other","Ligue Médico-sociale","","","","","National NGOs","","Research/academia","","Private sector","Professional Unions; Media","","","1. Continuer le développement des programmes et des politiques en faveur de l’allaitement maternel.
2. Maintenir et perfectionner le système de recueil de données, d’évaluation, de surveillance et d’information épidémiologique sur l’alimentation du bébé.
3. Optimiser l’information, les conseils et le soutien des mères dès la grossesse et à travers toute la période de l’allaitement et y inclure leurs familles et leur environnement.
4. Améliorer la promotion, la protection et le soutien de l’allaitement maternel dans tous les secteurs de vie de l´enfant et de la mère
5. Encourager la recherche sur le lait maternel, sur l’allaitement et les bébés allaités
","","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Minimum acceptable diet|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Monitoring of the Code|Regulation on marketing of complementary foods|Conditional cash transfer programmes","","http://www.sante.public.lu/fr/publications/p/plan-actions-allaitement-maternel-2011-2015/index.html","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LUX%202012%20Breastfeeding%20Action%20Plan.pdf" "17819","MAR","Morocco","","La Stratégie Nationale de la Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2011","","2019","Ministère de la Santé","","2011","Adopted","","2012","Ministère de la Santé/Direction de la Population","Health|Food and agriculture|Education and research|Women, children, families|Sport|Industry|Information|Other","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","II. Fondements de la Stratégie Nationale de Nutrition
A. Axes stratégiques et domaines d’intervention :
Axe stratégique 2 : Renforcement de la sécurité alimentaire et sanitaire :
La sécurité sanitaire des aliments constitue une priorité. Elle doit être accompagnée de mesures réglementaires pour assurer l’accessibilité, l’hygiène et l’innocuité des aliments.
4.Renforcement d’un approvisionnement durable en aliments surs et sains
Indicateurs : (Valeur actuelle, Valeur 2012, Valeur 2019)
Taux de pratique de la mise au sein précoce : (52%, 80%, 90%)
Prévalence de l’insuffisance pondérale chez les enfants de moins de 5 ans : (10%, 8%, 5%)
Allaitement maternel exclusif (0-6mois) : (15%, 50%, 60%)
Pourcentage des femmes qui donnent une alimentation de complément adéquate : (20% 30 % 50%)
Prévalence de la carence en vitamine A chez les enfants <5 ans : (41%, 10%, Élimination)
Incidence de l’hypothyroïdie congénitale : (1/1952, -, Élimination)
Prévalence d’anémie ferriprive
La prévalence des malformations du tube neural : (3.3/1000 naissances vivantes, 3/1000 naissances vivantes, 1.5/1000 naissances vivantes)
Prévalence de surpoids chez les enfants < 5 ans : (14%, 9%, 7%)
Prévalence de la surcharge pondérale chez les adultes de plus de 20 ans : (44%, 40%, 30%)
Pratique de l’activité physique chez la population marocaine : (50%, 55%, 70%)
Pratique de l’activité physique chez les enfants en milieu scolaire : (50%, 55%, 80%)
","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Nutrition education|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MAR%202011%20Strategie%20Nationale%20de%20Nutrition.pdf" "11530","MOZ","Mozambique","","Plano de Acção Multissectorial de Redução da Desnutrição [Multisectoral plan for chronic malnutrition reduction 2011 – 2014 (2020)]","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","2014","MAPUTO","","2010","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Sport|Urban planning|Industry","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","Helen Keller International (HKI)","International NGOs: Helen Keller International (HKI) -","Other|US Agency for International Development (USAID)","Bilateral and donor agencies and lenders: US Agency for International Development (USAID),","","","","","","","","","","","GENERAL OBJECTIVE:
To accelerate the reduction of chronic undernutrition in children under 5 years of age from 44% in 2008 to 30% in 2015 and 20% in 2020, contributing to the reduction of infant morbidity-mortality and ensuring the development of a healthy and active society.
GOALS FOR EACH TARGET GROUP:
Adolescents
• Reduce anaemia rates in adolescents in and out of school from (estimated) 40% in 2010 to 20% in 2015 and 10% in 2020.
Pregnant and nursing women
• Reduce rates of anaemia during pregnancy from 53% in 2002 to 30% in 2015 and 15% in 2020.
• 30% increase in the number of women who gain 5kg during pregnancy in 2015 and 2020 (baseline to be assessed).
• Reduce iodine deficiency in pregnant women from 68% in 2004 to 35% in 2015 and 15% in 2020.
• Increase coverage rates of preventive postpartum administration of vitamin A from 60% in 2010 to 70% in 2015 and 90% in 2020.
Women of Reproductive Age
• Reduce rates of anaemia in women of reproductive age from 56% in 2010 to 30% in 2015 and 15% in 2020.
Children under 5 years of age, with emphasis on children under 2 years of age:
• Reduce Low Birth Weight from 15% in 2008 (MICS) to 10% in 2015 and 5% in 2020.
• Reduce the prevalence of chronic undernutrition in children under two years from 37.4% in 2008 (MICS) to 27% in 2015 and 17% in 2020.
• Increase the rates of exclusive breastfeeding in infants under six months from 37% in 2008 (MICS) to 60% in 2015 and 70% in 2020.
• Increase the rate of children aged 9-11 months who received at least three meals of complementary food during the day, from 37% in 2008 (MICS) to 52% in 2015 and 67% in 2010.
• Reduce the prevalence of anaemia in children from 74% in 2002 to 30% in 2015 and 15% in 2020.
Strategic Objectives:
1: To strengthen activities with impact on the nutritional status of adolescents.
2: To strengthen interventions with impact on the health and nutrition of women of reproductive age before and during pregnancy and lactation.
3: To strengthen nutrition activities for children in the first two years.
4: To strengthen household-oriented activities to improve access and utilization of foods with a high nutritional value.
5: To strengthen the Human Resources capacity in the area of nutrition.
6: To strengthen the national capacity for advocacy, coordination, management and progressive implementation of the Multisectoral Action Plan for the Reduction of Chronic Undernutrition.
7: To strengthen the food and nutrition surveillance system.
","Interventions/Activities included in the Activity Plan of the PDF
","
M & E Indicators included in the Activity Plan of the PDF (Section 5.2)
","","","International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in women|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Provision of school meals / School feeding programme|Nutrition counselling on healthy diets|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Food security and agriculture|Conditional cash transfer programmes","","http://www.who.int/nutrition/landscape_analysis/MozambiqueNationalstrategyreductionstunting.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MZB%202010%20Multisectoral%20plan%20for%20chronic%20malnutrition%20reduction.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/MZB%202010%20Multisectoral%20plan%20for%20chronic%20malnutrition%20reduction.pdf" "11534","NAM","Namibia","","Strategic Plan for Nutrition 2011–2015","Comprehensive national nutrition policy, strategy or plan","","English","","2011","","2015","MOHSS","","2011","","","","","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Sport|Trade|Information|Sub-national|Other","Regional Development, Gender, Defense, Lands and resettlement, Youth Sport and Culture, Saftey and Security, Office of the Prime Minister (OPM) and Namibia Alliance for Improved Nutrition (NAFIN) Trust","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","Other, please specify under further details|Voluntary Services Overseas (VSO)","Health Unlimited (Britain), Doctors of the World( Spain), CESTAS (Italy), People in Need (Czech Republic), Chinese Medical Programme, faith-based organisations","Other|Centers for Disease Control and Prevention (CDC USA)|Gesellschaft für Technische Zusammenarbeit (GTZ, Germany)|US Agency for International Development (USAID)","PEPFAR (USA), Global Fund","European Commission|European Union","","National NGOs","","Research/academia","","Private sector","food producers, distributors, outlets, gyms, fitness institutions, Namibian grain producers Bokomo, Namib Mills and Southern Choice Mill","","","GOAL:
To improve the nutritional status of the Namibian population, with special emphasis on children, women and people living with HIV and TB, resulting in the reduction of morbidity and mortality due to or associated with malnutrition.
STRATEGIC PRIORITIES;
1. Maternal and child nutrition
2. Micronutrient deficiencies
3. Diet-related diseases and lifestyles
4. Nutritional management of communicable diseases
Objectives:
4.1.2.1. Underweight in under-fives reduced from 17 percent to 10 percent and severely underweight from 4 percent to 1.5 percent
4.1.2.2. Chronic malnutrition in women of reproductive age reduced from 16 percent to 12 percent
4.2.2.1. Disorders associated with iodine, iron, zinc and vitamin A deficiencies eliminated
4.3.2.1. Prevalence of obesity reduced from 12 percent to 8 percent and overweight from 16 percent to10 percent in women of reproductive age and from 4.3 percent to 1.5 percent in under-5s.
4.4.2.1. Appropriate nutrition care provided for at least 80 percent of people living with HIV and TB
4.4.2.2. Nutrition care integrated into management of malaria and other communicable diseases
Priority 1 Strategies:
I. Growth Monitoring and Nutrition Promotion
II. Universal implementation of Baby and Mother Friendly Hospital Initiative
III. Infant and Young Child Feeding
IV. Integrated Management of Acute Malnutrition
V. Code of Marketing of Breast-milk Substitutes
VI. Maternal and Child Nutrition Promotion
VII. Nutrition Surveillance
Priority 2 Strategies:
I. National household food consumption and micronutrient deficiency survey
II. Micronutrient supplementation (iron, zinc, vitamin A)
III. Universal salt iodisation
IV. Food fortification
V. Promotion of dietary diversification
VI. Legislative framework
Priority 3 Strategies:
I. Assessment of prevalence and causes of obesity and associated NCCD in the general population
II. Monitoring and promotion of healthy diets and physical activity
III. Dietary management of diet-related non-communicable diseases
IV. Regulation of food safety, food standards and food labelling
Priority 4 strategies:
I. Integrated Management of Acute Malnutrition
II. Promotion of appropriate nutrition for PLHIV and TB
III. Raise awareness on water and food safety, hygiene and sanitation
IV. Nutrition surveillance
V. Nutrition assessment, counselling and support
OUTPUT INDICATORS:
OUTCOME INDICATORS:
IMPACT INDICATORS:
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Overweight in children 0-5 yrs|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Dietary guidelines|Food labelling|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202011%20Final_strategic_Plan_for_Nutrition_14_March_2011%20%282%29.pdf" "17831","QAT","Qatar","","National Health Strategy","Health sector policy, strategy or plan with nutrition components","","","","2011","","2016","Ministry of Public Health","","2011","Adopted","","2011","Ministry of Public Health","Education and research|Food and agriculture|Health|Social welfare|Trade|Women, children, families","Ministry of Public Health Education and research, Food and agriculture, Health, Health, Social welfare, Trade, Women, children, families: Ministry of Education & Higher Education, Ministry of Municipality and Agriculture, Primary Health Care Corporation,","","","","","","","","","","Qatar Foundation","","","","","Other","Aspetar (Qatar Orthopedic and Sports Medicine Hospital)","
Project 3.1. Public health governance
Activities:
Implement three quick wins ( five potential examples given here):
− Pictorial warnings on cigarette packs
− Calorie labelling on restaurant menus
− Car seats for new mothers
− Updated vaccination programs for adults
- Awareness campaigns to promote exclusive BF
Project 3.2 Nutrition and physical activity
Outputs:
Project 3.8 Women and child health
","","","Overweight, obesity and diet-related NCDs|Nutrition in schools|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Micronutrient supplementation","","https://www.moph.gov.qa/home-en","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/QAT%202011%20National%20Health%20Strategy.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/QAT%202011%20National%20Health%20Strategy.pdf" "11524","ZMB","Zambia","","National Food and Nutrition Strategic Plan for Zambia 2011-2016","Comprehensive national nutrition policy, strategy or plan","","","","2011","","2015","National Food and Nutrition Commission of Zambia","","2012","","","","","Education and research|Food and agriculture|Health|Sub-national|Women, children, families","National Food and Nutrition Commission of Zambia Education and Research, Food and agriculture, Health, Sub-national, Women, children, families: Ministry of Education, Science Vocational Training, and Early Education, Ministry of Agriculture and Livestock,","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)","WHO, UNICEF, WFP, FAO, IFAD","","Concern International, CARE International, World Vision","Department of International Development (DFID)|Other|The World Bank|US Agency for International Development (USAID)","Bilateral and donor agencies and lenders: Department of International Development (DFID), The World Bank, US Agency for International Development (USAID),","","","","","","","","","","","
Strategic Directions:
SD 1: Prevention of Stunting in Children Under-Two Years of Age: First 1000 Most Critical Days
SD 2: Increasing Micronutrient and Macronutrient Availability,Accessibility and Utilization through Improving Food and Nutrition Security.
SD 3: Early Identification,Treatment, and Follow -up of Severe Acute Malnutrition
SD 4: Improving Nutrition Education and Nutritious Feeding through School
SD 5: Increase Linkages among Hygiene, Sanitation, Infection Control, and Nutrition
SD 6: Food and Nutrition to Mitigate HIV and AIDS
SD 7: Nutrition Related Control and Prevention Measures of Diet Related Non Communicable Diseases
SD 8: Food and Nutrition Preparedness and Response to Emergencies
SD 9: Strengthening Governance, Capacity Building and Partnerships in Support of Food and Nutrition Interventions at All Levels
SD 10: Monitoring and Evaluating Food and Nutrition Situation, Interventions and Research to Support their Improvement and Expansion
SD 11: Expanding and Developing Communication and Advocacy Support for Food and Nutrition Interventions at Various Levels.
","Strategies:
SD 1 Strategies
a) Expansion and enhancing integration of high impact maternal and child nutrition interventions focusing on the First 1000 Most Critical Days. This will involve development of a nation -wide programme to be designed with broad cross sector and civil society participation and rapid but phased implementation supported by well-designed monitoring and communication support elements.
b) Develop a costed funding strategy seeking resources from multiple sectors, and substantial funds from international sources committed to Scale up Nutrition (SUN).
c) Plan, generate necessary buy-in from leadership, sector ministries and other stakeholders at national and sub national levels and begin implementation of a national “First 1000 Most Critical Days Programme (MCDP)” to Prevent Stunting in Children Less than two Years of Age.
SD 2 Strategies
a) Promote sustainable production, processing, preservation, storage, consumption and marketing of variety of food crops (especially legumes, vegetables, and fruits), fish, and livestock.
b) Increase production and use of fortified and bio-fortified foods including home fortification to improve micronutrient nutrition.
c) Strengthen Public –Private Partnerships and support for food fortification.
d) Promote and expand micronutrient supplementation innovations to complement food-based approaches for increasing micronutrients availability, accessibility, and utilization.
SD 3 Strategies
a) Finalization and implementation of new national protocols for the management of severe acute malnutrition at hospital, clinic and community levels.
b) Strengthen Community Groups (e.g. Community health workers, Nutrition groups etc.) roles regarding acute malnutrition in children.
c) Increase resources to support community level resources for management of moderate and severe acute malnutrition.
SD 4 Strategies
a) Review, expand , and strengthen school health nutrition programme interventions countrywide.
b) Institutionalize home-grown school feeding program.
c) Strengthen nutrition education in schools.
d) Advocate for the improvement of appropriate water and sanitation facilities in all schools to carter for all learners including those with special needs and girls.
e) Strengthen school feeding and nutrition education.
SD 5 Strategies
a) Develop and provide sustainable water supply and sanitation services in rural, urban and periurban areas.
b) Enhance capacity in effective planning, implementation and monitoring of programmes for water supply and sanitation service delivery.
c) Strengthen human, technical and financial capacity of institutions for improved water supply and sanitation service delivery in the rural, urban and peri-urban areas.
d) Enhance communication and advocacy for improved sanitation and hygiene practices.
SD 6 Strategies
a) Advocacy for mainstreaming of food and nutrition as an integral part of comprehensive HIV management and support for those infected and affected by HIV and AIDS.
b) Strengthen community-clinic linkage on nutrition support for PLHIV and affected families.
c) Strengthening the community HIV programmes nutrition support capacity.
SD 7 Strategies
a) Strengthening nutrition related aspects of non-communicable diseases’ national control programme.
SD 8 Strategies
a) Develop and implement training in key areas of food and nutrition in the context of emergency preparedness and disaster risk reduction and response.
SD 9 Strategies
a) Position food and nutrition on the national development agenda.
b) Build institutional and human capacity for the effective delivery of nutrition services, including the design, development and implementation of relevant nutrition programmes, projects and interventions.
c) Establish strategic and operational partnerships and alliances with private, public and civil society organizations in food and nutrition.
SD 10 Strategies
a) Use of evidence based information for nutrition programme design.
b) Strengthen food and nutrition results-oriented monitoring and evaluation system.
SD 11 Strategies
a) Create platforms for information sharing and networking for decision and policy formulation aimed at promoting availability, accessibility and utilization of micronutrient and macronutrient among the public.
b) Increase knowledge and awareness among mothers and other stakeholders in Zambia on the prevention of stunting in children less than two years of age.
c) Advocate for effective implementation of policies that promote food and nutrition component in care, treatment and support services for PLHIV.
d) Advocate for the strengthening of existing policies and their implementation aimed at promoting early identification, treatment and follow-up of acute malnutrition.
e) Advocate for effective implementation of policy that support food and nutrition emergency preparedness and response.
f) Advocate for the development of policies and programmes that promote prevention and control of dietary related NCDs.
g) Promote practices that enhance sustainable availability, accessibility and consumption of a variety of foods at household level.
h) Advocate for improved investment in food and nutrition interventions.
M & E Indicators included in the Implementation Matrix
","","","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|Underweight in women|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Dietary practice|Minimum dietary diversity of women|Maternal, infant and young child nutrition|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Complementary feeding promotion/counselling|Nutrition in schools|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Wheat flours|Maize flours|Refined sugar|Complementary foods|Biofortifcation|Acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food security and agriculture|Social protection related","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202011-2015_NFNC-Stratergic-Plan-2011-2015%5B1%5D.pdf" "39419","BDI","Burundi","","Plan National d'investissement agricole","Food security or agriculture sector national policy, strategy or plan with nutrition components","","French","","2012","","2017","Ministere de l'Agriculture et de l'Elevage","","2011","Adopted","","2011","","Health|Food and agriculture|Women, children, families|Finance, budget and planning|Transport|Trade|Environment","Ministères ( agriculture, environnement, santé, finances)","Food and Agriculture Organisation (FAO)","FAO","","","","","","","National NGOs","","","","","","","","Objectifs
pages 61-64
","Outcome indicators|Process indicators","","Underweight in children 0-5 years|Nutrition counselling on healthy diets|HIV/AIDS and nutrition|Food security and agriculture|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202012%20Plan%20National%20D%27Investissement%20Agricole.pdf" "39446","COM","Comoros","","Politique Nationale de Nutrition et Alimentation","Comprehensive national nutrition policy, strategy or plan","","French","","2012","","2016","Vice prédidence en charge de la santé","","2012","","","","","Nutrition council|Women, children, families|Finance, budget and planning","Vice prédidence en charge de la santé","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","","","","","","","","National NGOs","","","","","","","","Les objectifs généraux de cette Politique Nationale de Nutrition et d’Alimentation consistent à contribuer à l’ (la):
5.2) Stratégies
La Politique Nationale de Nutrition et d’Alimentation s’articule autour de 5 axes stratégiques programmatiques d’intervention :
Dans le cadre de la mise en œuvre ces 5 axes seront appuyés par 5 axes transversaux :
M&E plan found below in PDF
","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Fruit and vegetable intake|Fruits|Vegetables|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Regulation on marketing of complementary foods|Nutrition in the school curriculum|Provision of school meals / School feeding programme|School gardens|Food-based dietary guidelines (FBDG)|Food labelling|Taxation on unhealthy foods|Media campaigns on healthy diets and nutrition|Vitamin A|Micronutrient supplementation|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COM%202012%20PNNA.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/COM%202012%20PNNA.pdf" "17863","KEN","Kenya","","National Nutrition Action Plan 2012-2017","Comprehensive national nutrition policy, strategy or plan","","English","","2012","","2017","Ministry of Public Health and Sanitation","","2012","Adopted","","2012","Ministry of Health","Nutrition council|Health|Food and agriculture|Women, children, families|Social welfare|Trade|Information|Other","Ministry of Public Health and Sanitation, Ministry of Fisheries, Ministry of Livestock Development, County Health Management Committee, Kenya National Bureau of Statistics, Nutrition Interagency Coordinating Committee (NICC) and technical working groups (national level), Food and Nutrition Security Secretariats (county and ward level), Ministry of Gender, Children and Social Development","","","","","","","","","","","Research/academia","Kenya Industrial Research and Development Institute, Kenya Medical Research Institute","Private sector","Kenya Private Sector Alliance","Other","Media, Kenya National Fortification Alliance","Purpose:
This Plan has been developed to operationalize the strategies outlined in the Food Security and Nutrition policy 2012. It serves as a road map for coordinated implementation of nutrition interventions by the government and nutrition stakeholders across development sectors for maximum impact.
Objectives:
Strategic Objective 1: To improve the nutritional status of women of reproductive age (15-49 years)
Activity:
Strategic Objective 2: To improve the nutritional status of children under 5 years of age
Activity:
Strategic Objective 3: To reduce the prevalence of micronutrient deficiencies in the population
Activity:
Strategic objective 4: To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies
Activity:
Strategic objective 5: To improve access to quality curative nutrition services
Activity:
Strategic objective 6: Halt and reverse the prevalence of diet related non communicable diseases
Activity:
Strategic objective 7: To improve nutrition in schools, public and private institutions
Activity:
Strategic objective 8: To improve nutrition knowledge attitudes and practices among the population
Activity:
Strategic objective 9: To strengthen the nutrition surveillance, monitoring and evaluation systems
Activity:
Strategic objective 10: To enhance evidence-based decision-making through research
Activity:
Strategic objective 11: To Strengthen coordination and partnerships among the key nutrition actors
Activity:
","
Output Indicators:
Strategic Objective 1: To improve the nutritional status of women of reproductive age (15-49 years)
Strategic Objective 2: To improve the nutritional status of children under 5 years of age
Strategic Objective 3: To reduce the prevalence of micronutrient deficiencies in the population
Strategic objective 4: To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies
Strategic objective 5: To improve access to quality curative nutrition services
Strategic objective 6: Halt and reverse the prevalence of diet related non communicable diseases.
Strategic objective 7: To improve nutrition in schools, public and private institutions
Strategic objective 8: To improve nutrition knowledge attitudes and practices among the population
Strategic objective 9: To strengthen the nutrition surveillance, monitoring and evaluation systems
Strategic objective 10: To enhance evidence-based decision-making through research
Strategic objective 11: To Strengthen coordination and partnerships among the key nutrition actors
Outcome indicators:
Strategic Objective 1: To improve the nutritional status of women of reproductive age (15-49 years)
Strategic Objective 2: To improve the nutritional status of children under 5 years of age
Strategic Objective 3: To reduce the prevalence of micronutrient deficiencies in the population
Strategic objective 4: To prevent deterioration of nutritional status and save lives of vulnerable groups in emergencies
Strategic objective 5: To improve access to quality curative nutrition services
Strategic objective 6: Halt and reverse the prevalence of diet related non communicable diseases
Strategic objective 7: To improve nutrition in schools, public and private institutions
Strategic objective 8: To improve nutrition knowledge attitudes and practices among the population
Strategic objective 9: To strengthen the nutrition surveillance, monitoring and evaluation systems
Strategic objective 10: To enhance evidence-based decision-making through research
Strategic objective 11: To Strengthen coordination and partnerships among the key nutrition actors
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition","","http://scalingupnutrition.org/wp-content/uploads/2013/02/Kenya_KNN_Action-Plan_2012_2017.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/KEN%202012%20National%20Nutrition%20Action%20Plan%202012%20-%202017.pdf" "23258","NAM","Namibia","","Multi-Sectoral Nutrition Implementation Plan, Results Framework & Dashboard of Indicators","Comprehensive national nutrition policy, strategy or plan","","English","","2012","","2016","Namibian Alliance for Improved Nutrition (NAFIN)","","2013","","","","","Health|Food and agriculture|Education and research|Women, children, families","Ministries of Health, National Planning Council, Education, Gender, Water and Sanitation, Agriculture, MAWF, MOE, DDRM, & NPC","United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","SUN","Other, please specify under further details","faith based org. NRCS, CAA, CHS","The World Bank","","","","","","Research/academia","Educational Institutions","Private sector","Namib Mills, FANTA, I-Tech","Other","Media, Regional Development Coordinating Committees(RDCC) and Constituency Development Committees(CDC), food fortification working group, CHBC","","","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|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|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fruit and vegetable intake|Vegetables|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|Regulation on marketing of complementary foods|School-based health and nutrition programmes|Provision of school meals / School feeding programme|School gardens|Dietary guidelines|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Staple foods|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes","","http://www.unicef.org/namibia/Namibia_Report_on_the_Multi-sectoralCIP_100913).pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202012%20Multi-Sectoral%20Nutrition%20Implementation%20Plan.pdf" "40384","NAM","Namibia","","National Policy on Sexual, Reproductive and Child Health","Health sector policy, strategy or plan with nutrition components","","English","","2012","","2022","Directorate of Primary Health Care","","2012","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Transport|Information|Justice|Labour|Other","Directorate of Primary Health Care, Ministry of Safety and Security, Ministry of Defense, Ministry of Home Affairs and Immigration, Ministry of Agriculture, Water and Forestry, Gender, ICT, Regional Reproductive and Child Health Committee, National Statistics Agency, Ministry of Regional and Local Government, Housing, and Rural Development","","","","","","Unspecified","","","National NGOs","Namibia Alliance for Improved Nutrition (NAFIN), Churches and faith-based organizations","Research/academia","","Private sector","Private health and social services providers","Other","Food Fortification Technical Working Group, Health Professions Councils of Namibia (HPCNA), National Youth Council, civil society organizations","
3.1 Goal
The overall goal of this policy is to enhance the attainment of the highest possible standard of Sexual, Reproductive Health, Child Health and Nutrition for the Namibian population through provision of equitable, accessible and affordable health and nutrition information and services.
3.3 Objectives (nutrition-related only)
","
Nutrition Policy Statements
Stunting rate among under 5 children
Prevalence of Malnutrition (wasting, stunting and underweight) disaggregated by age.
Prevalence of NCDs
Early initiation of breastfeeding: Proportion of children born in the last 24 months who were put to the breast within one hour of birth
Exclusive breastfeeding"": Proportion of infants aged 0-6 months who are fed exclusively with breast milk.
The new ""minimum acceptable diet"": Proportion of children 6-23 months of age who had both minimum meal frequency and dietary diversity (in both BF and non-BF children).
","","Outcome indicators|Process indicators","Baby-friendly Hospital Initiative (BFHI)|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Nutrition counselling on healthy diets|Vitamin A|Micronutrient supplementation|Nutrition education|Staple foods|Food distribution/supplementation for prevention of acute malnutrition|HIV/AIDS and nutrition","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NAM%202012%20Sexual%2C%20Reproductive%2C%20and%20Child%20Health%20Policy.pdf" "43355","RUS","Russian Federation","","Национальная стратегия действий в интересах детей на 2012 - 2017 годы / National Strategic Action Plan for Child Protection 2012-2017","Social protection plan with nutrition components","Child or adolescent plan with nutrition components","Russian","","2012","","2017","Ministry of Labor","6","2012","Adopted","6","2012","President of the Russian Federation","Cabinet/Presidency|Health|Education and research|Women, children, families|Social welfare|Sport|Information|Justice","","","","","","","","","","National NGOs","","","","","","","Institutions for child education, healthcare and child sanatoriums. Social child centers.","Сбережение здоровья каждого ребенка. В Российской Федерации должны приниматься меры, направленные на формирование у семьи и детей потребности в здоровом образе жизни, всеобщую раннюю профилактику заболеваемости, внедрение здоровьесберегающих технологий во все сферы жизни ребенка, предоставление квалифицированной медицинской помощи в любых ситуациях.
Особое внимание уязвимым категориям детей. В Российской Федерации во всех случаях особое и достаточное внимание должно быть уделено детям, относящимся к уязвимым категориям. Необходимо разрабатывать и внедрять формы работы с такими детьми, позволяющие преодолевать их социальную исключенность и способствующие реабилитации и полноценной интеграции в общество.
","Формирование потребности у детей и подростков в здоровом питании и совершенствование системы обеспечения качественным питанием детей в образовательных учреждениях, лечебных и лечебно-профилактических, санаторно-курортных и реабилитационных учреждениях.
4. Меры по развитию политики формирования здорового образа жизни детей и подростков
6. Меры по формированию культуры здорового питания детей и подростков, обеспечению качества и режима питания как залога здоровья ребенка
Организация просветительской работы с использованием специальных обучающих программ, средств массовой коммуникации, включая интернет-технологии, социальную рекламу, по формированию культуры здорового питания.
Расширение профилактики вертикальной передачи ВИЧ-инфекции и СПИДа, включая обязательное дородовое обследование беременных женщин независимо от наличия у них регистрации по месту жительства и гражданства, бесплатное обеспечение кормящих ВИЧ-инфицированных матерей молочными смесями для кормления ребенка, с привлечением средств, предусмотренных для реализации приоритетного национального проекта ""Здоровье"".
Цели и задачи Программы
усиление государственного контроля в сфере обеспечения продовольственной безопасности, разработка технических регламентов продовольственной безопас- ности (согласно требованиям Кодекса Алиментариус Организации Объединных Наций) и гармонизация стандартов.
","","","","Food safety|Food security and agriculture|Vulnerable groups","","http://moa.tj/wp-content/Program_Taj_Rus_Eng_ready.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TJK%202012%20Program%20on%20Agricultural%20Reform%202012-2020.pdf" "14829","ZWE","Zimbabwe","","Food and Nutrition Security for Zimbabwe in the context of Economic Growth and Development","Comprehensive national nutrition policy, strategy or plan","","","","2012","","","Food and Nutrition Council","","2012","","","","","Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Industry|Information|Nutrition council|Other|Sport|Trade|Transport|Women, children, families","Food and Nutrition Council Education and research, Environment, Finance, budget and planning, Food and agriculture, Health, Industry, Information, Nutrition council, Sport, Trade, Transport, Women, children, families: Labour and Social Services, Energy,","","","","","","","","","","","","","","","","","Policy Commitments
1. Policy Advice and Analysis:
The government of Zimbabwe is committed to ensuring that policy instruments that protect and enhance food and nutrition security particularly amongst the most vulnerable, are formulated and inform Government and non-Government decision-making and action.
2. Agriculture and Food Security:
The Government of Zimbabwe is committed to ensuring food security for all, including access to adequate, diverse and nutritious food by all people at all times
3. Social Assistance and Social Protection:
The government of Zimbabwe is committed to ensuring that where social protection including social assistance programmes are implemented , these must contribute and enhance food and nutrition security of the most vulnerable in the short and medium term.
4. Food Safety and Standards:
The government of Zimbabwe is committed to the provision of safe and wholesome food to all. Consequently, all food whether imported or locally produced shall meet national Public Health legislation and international standards for quality and safety.
5. Nutrition Security:
The government of Zimbabwe is committed to ensuring nutrition security for all through the implementation of evidence-based nutrition interventions that are integrated within a broad public health framework including health services, water and sanitation.
6. Food and Nutrition Security Information:
The Government of Zimbabwe is committed to ensuring a national integrated food and nutrition security information system that provides timely, reliable information on the food and nutrition security situation, effectiveness of programmes and informs decision-making.
7. Enhancing and strengthening national capacity for food and nutrition security:
The Government of Zimbabwe is committed to enhancing and strengthening national capacity in food and nutrition security primarily through supporting and reinforcing local community capacity and responsibility for food and nutrition security, applied context-specific research and learning and multi-sectoral professional training in food and nutrition security
","","Activity and Output (Quartely):
Outcome (Annually):
Impact (Every 3-4 years):
II. BUT ET OBJECTIFS DU PLAN
2.1. But
Contribuer à la réduction d’au moins 40% du retard de croissance chez les enfants âgés de 0 – 59 mois d’ici 2025 et à la réduction de la mortalité infanto-juvénile au Burkina Faso.
2.2. Objectif Général
Augmenter le taux de pratique d’allaitement maternel exclusif chez les enfants âgés de moins de 6 mois de 38% en 2012 à au moins 80% en 2025 et le taux de pratique d’alimentation minimale acceptable chez les enfants âgés de 6 – 23 mois de 3.5% en 2012 à au moins 30% en 2025.
2.3. Objectifs spécifiques
En termes d’objectifs spécifiques, le plan de passage à l’échelle de la promotion des pratiques optimales d’ANJE se propose de :
1. Renforcer la qualité et la couverture des interventions communautaires de promotion des pratiques optimales d’ANJE.
2. Créer au niveau communautaire un environnement favorable à la protection et à la promotion des pratiques optimales d’ANJE.
3. Mettre en oeuvre au niveau national un plan de communication d’appui aux activités communautaires.
4. Appuyer la protection et la promotion des pratiques optimales d’ANJE au niveau des structures sanitaires.
5. Renforcer l’application du code international de commercialisation des substituts du lait maternel par une adoption du texte réglementaire relu et la mise en place d’un système de surveillance
6. Renforcer les compétences pour la gestion de l’ANJE dans les situations difficiles (VIH, urgences).
2.4. Résultats attendus
Résultat 1 : D’ici fin 2022, 1122519 soit 90% des femmes enceintes et 1791949 soit 90% des mères d’enfants de 0 à 23 mois de la population totale du Burkina Faso ont accès à un Paquet Intégré des Services d’ANJE (PISA).
Résultat 2 : D’ici fin 2022, un environnement favorable à la mise en oeuvre du PISA est créé au niveau communautaire par l’appui technique et financier à 691 880 mères d’enfants âgés de 6 – 23 mois dans la conduite d’activités de production vivrière améliorées (maraîchage ou petit élevage) et par l’amélioration de l’accessibilité aux autres sources de micronutriments (farines locales infantiles enrichies, bouillies à base de farines infantiles locales enrichies et sachets de micronutriments pour la fortification à domicile).
Résultat 3 : D’ici fin 2022, au moins une campagne nationale de communication de masse pour amplifier les messages diffusés par les acteurs communautaires et les prestataires de santé est systématisée annuellement au Burkina Faso.
Résultat 4. D’ici fin 2022, la mise en oeuvre du PISA est institutionnalisée au niveau des formations sanitaires publiques et privées du Burkina Faso.
Résultat 5. D’ici fin 2016, une version revue de l’arrêté d’application du code international de commercialisation des substituts du lait maternel est adoptée et un système de vulgarisation et de surveillance est fonctionnel.
Résultat 6 : D’ici fin 2022, les compétences au niveau national pour la gestion de l’ANJE dans les situations difficiles (VIH, situations d’urgences) sont renforcées et l’amélioration des pratiques d’ANJE devient un objectif de planification dans les interventions de protection sociale.
","Tableau II : Paquet Intégré des Services d’ANJE à travers le cycle de vie
GASPA Composante du Paquet Intégré des Services d’ANJE
1 Femmes enceintes
Promotion de la consultation prénatale et de l’accouchement assisté
Promotion d’une bonne nutrition chez les femmes enceintes
Appréciation de la perception de la femme enceinte sur la mise au sein précoce et de l’AME pour des conseils appropriés.
Appui à la mise au sein précoce par des conseils appropriés et la création d’un environnement propice.
Promotion de l’hygiène au cours de l’alimentation du jeune enfant
Promotion de l’espacement des naissances
2 Femmes allaitantes d’enfants de moins de 6 mois d’âge
Suivi de l’option des mères pour l’alimentation de leurs nourrissons pour des conseils appropriés
Promotion d’une bonne nutrition chez les femmes allaitantes
Promotion de l’hygiène au cours de l’alimentation du jeune enfant
Promotion de l’espacement des naissances
3 Mère d’enfants ages de 6 – 24 mois.
Rappel systématique de l’introduction d’aliments de complément dès 6 mois
Evaluation de la poursuite de l’allaitement pour des conseils appropriés
Evaluation de la fréquence des repas pour des conseils appropriés
Evaluation de la diversité alimentaire pour des conseils appropriés
Promotion de l’accessibilité à des sources de micronutriments (farine infantile enrichie, fortification à domicile, production vivrière améliorée, produits forestiers non ligneux)
Promotion du principe des mélanges multiples pour la préparation de menus et farine de complément équilibrés par la démonstration culinaire
Promotion de l’hygiène au cours de l’alimentation du jeune enfant
Promotion de l’espacement des naissances
Promotion de la production vivrière améliorée pour la diversification alimentaire
Suivi de l’état nutritionnel des enfants et des mères
Promotion des jeux d’éveil et d’affection chez les enfants
","Indicateurs objectivement vérifiables
Réduction de 40% du retard de croissance chez les enfants ages de 0 – 59 mois d’ici 2025.
Le pourcentage des mères d’enfants âgés de 0 – 23 mois capables de citer trois avantages corrects de la mise au sein précoce augmente au moins de 80% au niveau national en 2025 par rapport à la situation de base.
Le pourcentage de mères d’enfants âgés de 0 – 23 mois capables de décrire correctement les critères pour une alimentation minimale acceptable augmente au moins de 50% en 2025 au niveau national par rapport à la situation de base.
Le taux d’initiation de l'allaitement dans la première heure après la naissance augmente de 29 2% en 2012 à 80% en 2025 au niveau national.
Le taux d’allaitement exclusif des enfants de moins de 6 mois augmente de 38% en 2012 à 80% en 2025 au niveau national.
Le pourcentage des enfants de 6 à 23 mois ayant une fréquence minimale des repas augmente de 66 6% en 2012 à 85% en 2025 au niveau national.
Pourcentage des enfants de 6-23 mois ayant une diversité alimentaire minimale augmente de 4 8% en 2012 à 30% en 2025 au niveau national.
Le pourcentage des enfants de 6 à 23 mois ayant une alimentation minimale acceptable (score minimum de diversité alimentaire et fréquence minimale des repas) augmente de 3 5% en 2012 à 30% en 2025 au niveau national.
D’ici fin 2022 1 122 519 soit 90% des femmes enceintes et 1 791 949 soit 90% des mères d’enfants de 0 à 23 mois de la population total du Burkina Faso ont accès à un Paquet Intégré des Services d’ANJE (PISA).
D’ici fin 2022 un environnement favorable à la mise en œuvre du PISA est créé au niveau communautaire par l’appui technique et financier à 691 880 mères d’enfants âgés de 6 – 23 mois dans la conduite d’activités de production vivrière améliorées (maraîchage ou petit élevage) et par l’amélioration de l’accessibilité aux autres sources de micronutriments (farines locales infantiles enrichies bouillies à base de farines infantiles locales enrichies et sachets de micronutriments pour la fortification à domicile).
D’ici fin 2022 au moins une campagne nationale de communication de masse pour amplifier les messages diffusés par les acteurs communautaires et les prestataires de santé est systématisée annuellement au Burkina Faso
D’ici fin 2022 la mise en œuvre du PISA est institutionnalisée au niveau des formations sanitaires publiques et privées du Burkina Faso.
D’ici fin 2016 une version revue de l’arrêté d’application du code international de commercialisation des substituts du lait maternel est adoptée et un système de vulgarisation et de surveillance est fonctionnel.
D’ici fin 2022 les compétences au niveau national pour la gestion de l’ANJE dans les situations difficiles (VIH situations d’urgences) sont renforcées et l’amélioration des pratiques d’ANJE devient un objectif de planification dans les interventions de protection sociale.
D’ici fin 2022 les capacités de 18 ONG RENCAP dans le cadre de la politique de contractualisation des interventions communautaires sont renforcés dans le cadre de la mise en œuvre du paquet promotionnel des pratiques optimales d’ANJE.
D’ici fin 2022 au moins 35 839agents de santé communautaire sont formés pour le respect d’une norme de qualité dans le cadre de la mise en œuvre du paquet promotionnel des pratiques optimales d’ANJE au niveau des 63 districts sanitaires du Burkina Faso.
D’ici fin 2022 au moins35 839 personnes ressources volontaires (élus locaux enseignants représentant des groupements de femmes représentant des groupements de jeunes animateurs de radios communautaires leaders communautaires guides religieux ou guides traditionnels) sont identifiées et orientées pour appuyer les ASBC dans la diffusion des pratiques optimales d’ANJE et contribuer à la levée des barrières.
D’ici fin 2022 au moins 35 839 ASBC sont outillés en kits de démonstration culinaire et en boîtes à image pour animer des sessions de groupes d’apprentissage de femmes enceintes et de mères d’enfants âgés de 0 – 23 dans le cadre de la mise en œuvre au niveau communautaire du paquet promotionnel des pratiques optimales d’ANJE.
D’ici fin 2022 63 fermes modèles sont créées au niveau des districts sanitaire pour servir de cadre de démonstration et de renforcement de capacité de 1 383 760 mères d’enfants 6 – 23 mois sur les activités de production vivrière améliorés (cultures maraîchères et l’arboriculture fruitière petit élevage).
D’ici fin 2022 630 promotrices de production vivrière sont formées dans la gestion de 63 fermes modèles pour assurer le transfert de compétences en direction des GASPA.
92 251 sessions de formation en direction de 1 383 760 mères d'enfants âgés de 6 - 23 mois à travers les Groupes d’Apprentissage et de Suivi des Pratiques optimales d’ANJE sont organisées sur les techniques de production vivrière améliorés
D’ici fin 2022 691 880 mères d’enfants âgés de 0 – 23 mois sont appuyées selon un système de transfert monétaire pour mettre en œuvre leur plan d’action de conduite d’activités de production vivrière améliorées (maraîchage ou petit élevage).
D’ici fin 2022 l’accessibilité des farines infantiles enrichies aux enfants des zones les plus vulnérables (milieu rural zone péri- urbaine) est améliorée par la création de 1260 points de vente à travers le pays.
D'ici 2016 le Burkina Faso dispose d'une stratégie d'extension de la fortification à domicile sur la base de la conduite d'une phase pilote au niveau de la région du Nord.
Au moins une campagne de mass média est organisée annuellement en lien avec la célébration avec la semaine mondiale d’allaitement maternel.
D’ici fin 2014 le Burkina Faso dispose d’un kit d’outils de formation pratiques des prestataires de santé sur l’ANJE qui intègre (1) le guide pratique du formateur (2) et le manuel du participant
D’ici 2015 les curricula de formation du personnel de santé en pré-emploi intègrent la promotion des pratiques optimales d’ANJE.
D’ici fin 2014 le Burkina Faso dispose d'un pool national de formateurs sur l'ANJE de 25 membres intégrant les agents de la DN.
D’ici fin 2018 le Burkina Faso dispose de 13 pools régionaux de formateurs sur l'ANJE de 65 membres pour appuyer les formations décentralisées.
D’ici fin 2023 au moins 5 456 prestataires de santé des formations sanitaires du Burkina Faso sont formés pour jouer leur partition dans la mise en œuvre du paquet promotionnel des pratiques optimales d’ANJE.
D’ici 2022 6 000 aide-mémoire pratiques des prestataires de santé pour la délivrance du paquet intégré des services d'ANJE sont mis en place dans les 1 728 formations sanitaires.
D’ici 2022 des outils d’institutionnalisation et de suivi des dix conditions pour le succès de l’allaitement maternel au niveau des services liés à la maternité sont mis en place dans les 1 728 formations sanitaires.
L’arrêté de 1993 d’application du code international de substitut du lait maternel a été revu par un comité de relecture et adopté par le Parlement.
Un comité de vulgarisation et de surveillance de la version revue de l’arrêté d’application du code internationale des substituts du lait maternel est mis en place et produit semestriellement un rapport sur les violations du code et les actions correctrices.
Des aspects d’application du code international des substituts du lait maternel sont intégrés dans les outils de formation des prestataires de santé sur l’ANJE.
D’ici fin 2015 les aspects de gestion de l’ANJE dans les situations difficiles (VIH urgences) sont effectivement pris en compte dans par leur intégration dans le kit d’outils de formation pratiques sur l’ANJE validés et adoptés au niveau national.
D’ici fin 2015 le Burkina Faso adopte une position tranchée conforme aux recommandations de l’OMS 2010 au sujet de l’alimentation des enfants nés de mères séropositives par rapport au niveau d’accessibilité ou non du traitement préventif ARV chez la mère et l’enfant au cours de la grossesse et après la naissance.
D’ici fin 2015 le plan national de contingence multirisques de préparation et de réponse aux catastrophes intègre des objectifs opérationnels pour la protection et la promotion des pratiques optimales d’ANJE.
Kit d’outils de formation des acteurs communautaires développés d'ici fin 2013.
Outils développés
L'atelier de validation et d'adoption organisé en 2013
Reproduction annuelle de 2000 Guides du formateur des agents communautaires sur l'ANJE 5000 Manuels de l’agent communautaire entre 2014 et 2019
5000 Aide-mémoires reproduits annuellement entre 2014 et 2019.
90 agents des ONG-RENCAP formés à travers 6 sessions de formation entre 2013 et 2018.
468 agents d’OBCE formés travers 19 sessions de formation entre 2013 et 2018
1543 diagnostics de base suivis de restitution aux communautés ciblées réalisés dans les aires communautaires des formations sanitaires (CMA CM et CSPS) d'ici 2023.
35 839 agents de santé communautaire ou autres agents communautaires formés à travers 1473 sessions de formation entre 2013 et 2022
35 839 personnes ressources volontaires orientés à travers 1434 sessions d’orientation sur l’utilisation des aide-mémoire entre 2013 et 2022
Au moins 143 356 Outils PRV reproduites d'ici 2022
35 839 boites à images et de kits de démonstration culinaires mis en place au niveau communautaire.
100% des femmes enceintes sont identifiées pour recevoir les services d’ANJE (2) 100% des mères d'enfants 0 – 23 mois sont identifiées pour recevoir les services d’ANJE. (3) Au moins 194 298 groupes d’apprentissage des femmes (soit 15 femmes par groupe) sont constitués.
D’ici fin 2022 au moins 90% des séances d’apprentissage sur l’ANJE planifiées mensuellement au profit des femmes enceintes sont réalisées (soit 67 352 séances réalisées sur 74 835 planifiées mensuellement).
D’ici fin 2022 au moins 90% des séances d’apprentissage sur l’ANJE planifiées mensuellement au profit des mères d’enfants 0
– 23 mois sont réalisées (soit 107 517 séances réalisées sur 119 463 planifiées mensuellement).
D’ici fin 2022 au moins 80% des femmes enceintes attendues participent aux séances d’apprentissage sur l’ANJE planifiées mensuellement (soit 898 015 présences sur les 1 122 519 attendues).
D’ici fin 2022 au moins 80% des mères d’enfants 0 – 23 mois attendues participent aux séances d’apprentissage sur l’ANJE planifiées mensuellement (soit 1 433 559 de présence sur les 1 791 949 attendues).
D’ici fin 2022 au moins 80% des dialogues communautaires planifiés trimestriellement par les personnes ressources volontaires sont réalisées en direction des cibles secondaires (maris grand mères leaders communautaires) (soit 278 176 réalisées sur 347 720 planifiées trimestriellement).
16 412 activités de mobilisations sociale autour des pratiques optimales d’ANJE semestriellement d'ici 2023 au niveau l’aire communautaire de chaque formation sanitaire (CMA CM et CSPS) en direction des communautés ciblées.
16 412 activités de mobilisations sociales autour des pratiques optimales d’ANJE au niveau de l’aire communautaire de chaque formation sanitaire (CMA CM et CSPS) en direction des communautés ciblées sur la base d’un paquet minimum d’appui financier
Pourcentage de réalisation des missions de supervision des OBCE en direction des ASBC en collaboration avec les ONG réalisées.
Pourcentage de réalisation des missions de supervision des prestataires de santé en direction des sites communautaires de mise en œuvre du PISA en collaboration avec les ONG partenaires des districts sanitaires.
Reproduction de 2000 guide du facilitateur et 5000 manuels du participant annuellement entre 2014 et 2022
Guide et manuel sur les techniques d'activités de production vivrière améliorée.
63 fermes modèles mis en place entre 2014 et 2022.
630 promoteurs de production vivrière formés entre 2014 et 2018.
1 383 760 mères d’enfants 6 – 23 mois sur les techniques de production vivrière améliorée entre 2014 et 2022
691 880 mères d'enfants âgés de 6 - 23 mois bénéficient de transfert monétaire pour exécuter leur plan d'action de production vivrière améliorée (maraîchage ou petit élevage)
1 260 points de vente de farines infantiles enrichies et/ou bouillies enrichies au niveau des districts sanitaires entre 2014 et 2022
Au moins une campagne de marketing sociale sur les farines infantiles enrichies organisée annuellement entre 2014 et 2022
Produire annuellement 5000 guides français et 5000 guides en langue locale de recettes locales par an entre
La phase pilote sur la fortification à domicile est effectivement réalisée évaluée.
Atelier effectivement tenu en 2016.
Un plan d'extension de la fortification à domicile élaboré sur la base des leçons apprises de la phase pilote de fortification à domicile.
Existence du plan stratégique de communication pour la mise en œuvre du PISA
90% des activités planifiées dans le plan stratégique de communication pour la mise en œuvre du PISA sont financés et réalisées
Au moins une activité de plaidoyer organisée annuellement sur les sujets prioritaires en rapport avec les interventions d'ANJE
Au moins une campagne de communication sur l'ANJE réalisée annuellement en lien avec la célébration de la semaine mondiale d'allaitement maternel
Existence du kit d'outils de formation sur l'ANJE à partir de 2013.
L'atelier de validation et d'adoption organisé en 2013
Reproduire annuellement 1000 guides du formateur et 2000 manuels du prestataire de santé sur l'ANJE entre 2014 et 2022.
Une session de formation d'un pool national de formateurs sur l'ANJE de 25 membres organisée en 2014
8 sessions de formation au profit de formateurs régionaux sur l'ANJE constitué chacun de 10 membres au niveau de chaque région du Burkina Faso
5436 prestataires de santé formés à travers 217 sessions de formation entre 2013 et 2018 au niveau des districts sanitaires du Burkina Faso
Outils développés et mis en place au niveau des services de maternité
1000 aide-mémoires reproduits annuellement entre 2014 et 2019.
Des sessions d'orientation sur l'ANJE sont organisées annuellement en direction du personnel enseignant et des prestataires en fin de cycle de formation en pré-emploi entre 2014 et 2016. (2) - Un atelier est organisé pour étudier les modalités de renforcement des services d'ANJE dans le curriculum de formation des agents de santé en pré-emploi à partir de 2017.
Au moins 90% des missions d'appui et de supervision des Equipes cadres de districts sanitaires en direction des prestataires de santé des formations sanitaires planifiées annuellement sont réalisées.
Au moins 90% des missions d'appui et de supervision de la Direction de la Nutrition en direction des districts sanitaires et des hôpitaux en collaboration avec le pool national de formateurs ANJE les équipes régionales et les partenaires techniques planifiées annuellement sont réalisées.
Le comité existe et est fonctionnel.
Tenue de l'atelier de validation de la revue de l'arrêté d'application du code international de commercialisation des substituts du lait maternel tenu avant fin 2016
Tenue de la session de plaidoyer avant fin 2015.
Le mécanisme existe et est fonctionnel d'ici 2017 (2) l'arrêté est diffusé et vulgarisé d'ici 2017
le mécanisme existe et est fonctionnel d'ici 2017 (2) au moins 2 sorties sont réalisées par an.
Un atelier national d'affinement des recommandations actuelles au sujet de l'alimentation des enfants nés de mères séropositives est organisé d'ici fin 2014.
5000 boites à images révisées sont reproduites annuellement entre 2015 et 2020
Existence au moins d'un module consacré à la gestion de l'ANJE dans les situations difficiles (Urgence VIH)
D'ici 2015 le plan national de contingence multirisque de préparation et de réponse aux catastrophes intègre des objectifs opérationnels pour la protection et la promotion des pratiques optimales d'ANJE
Au moins 200 agents humanitaires présetes au Burkina Faso sur la gestion de l'ANJE dans les situations d'urgence d'ici 2015.
Les plans de réponses aux urgences du système des Nations Unies intègrent au moins un axe stratégique sur la gestion de l'ANJE avec un budget associé à partir de 2014.
","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia|Minimum acceptable diet|Dietary practice|Fruit and vegetable intake|Fruits|Minimum dietary diversity of women|Maternal, infant and young child nutrition|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Breastfeeding in difficult circumstances|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Complementary food provision|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Food vehicles (i.e. types of fortified foods)|Complementary foods|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Food safety|Food security and agriculture|Health related|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BFA%202014%20Plan%20de%20passage%20%C3%A0%20l%27echelle%20ANJE.pdf" "24700","BFA","Burkina Faso","","Politique Nationale de Sécurité Alimentaire et Nutritionnelle","Comprehensive national nutrition policy, strategy or plan","","French","","2013","","2025","","","2013","","","","","Food and agriculture|Women, children, families","","","","","","","","Other","CILSS, UEMOA, CEDEAO","","","","","","","","","Objectif général
assurer une sécurité alimentaire et nutritionnelle durable à l’horizon 2025
Objectifs spécifiques
Augmenter de façon durable les disponibilités alimentaires ;
Axe stratégique 1 : Augmentation des disponibilités alimentaires pour couvrir les besoins de façon durable
Axe stratégique 2 : Renforcement de la capacité de prévention et de réponse aux crises alimentaires et nutritionnelles
Axe stratégique 3 : Amélioration de l’accessibilité physique et financière aux aliments
Axe stratégique 4 : Amélioration de l’état nutritionnel des populations
Axe stratégique 5 : Renforcement de la gouvernance en matière de sécurité alimentaire et nutritionnelle
Trois objectifs généraux sont retenus en vue d’une résilience optimum :
OG1- Assurer aux Tchadiens l’accès aux denrées alimentaires en quantité et en qualité suffisantes et de façon pérenne, en particulier les plus pauvres,
OG2- Réduire de façon significative et durable la mortalité et la morbidité liées aux problèmes de nutrition et d’alimentation, en particulier par la prévention et la prise en charge correcte de la malnutrition et à l’échelle,
OG3- Promouvoir des comportements alimentaires et nutritionnels adéquats à mieux de garantir un développement du capital humain
","La Politique Nationale de Nutrition et d’Alimentation (PNNA) s’articule autour de 5 axes stratégiques programmatiques d’intervention :
Dans le cadre de la mise en oeuvre, ces 5 axes stratégiques seront appuyés par 6 axes transversaux :
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" "24476","LSO","Lesotho","","Lesotho United Nations Development Assistant Plan (LUNDAP)","Non-national nutrition policy document","","English","","2013","","2017","UN Country Team of Lesotho","12","2012","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Trade|Environment|Industry|Justice|Labour|Sub-national","","Food and Agriculture Organisation (FAO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","","","","","","","","","","","Private sector","","","","Outcome 2: By 2017, National institutions (public and private) deliver quality services for increased agricultural growth and food security.
Output 2.1: Selected national institutions and farmer organizations have improved capacity to deliver and respond to potential agriculture and food insecurity risks.
Outcome 7: By 2017 equitable access to and utilization of high-impact, cost effective health and nutrition interventions achieved for vulnerable populations.
Output 7.2: System for promotion of healthy behavior is strengthened.
Output 7.4. Capacities of districts, health facilities, and communities to improve maternal nutrition and
child feeding practices and provide quality Integrated Management of Acute Malnutrition (IMAM) services are
strengthened.
Outcome 10: By 2017, persons living with HIV have access to and benefit from the integrated service delivery that includes nutrition support, ART and care; and HIV/TB co-infection management.
Output 10.2 Capacity of ART service delivery facilities to integrate nutritional and HBC support in their ART program strengthened.
","
Support promotion of short cycle animal species (small livestock) for food insecure farming households.
Support national institutions, including MAFS, farmer organisations and NGO’s with necessary inputs to respond to agricultural threats, crises/emergencies.
Rehabilitate community gardens and other productive assets.
Support advocacy efforts for introduction and strengthening of integrated community case management of diarrhea, pneumonia and malnutrition.
Support district health management teams and local communities in provision of integrated community case management of diarrhea, pneumonia and malnutrition services to sick children, thought trainings and logistical support.
Support MOH in forecasting, procurement, distribution and monitoring of supplies and logistics for community case management of diarrhea, pneumonia and malnutrition services to sick children.
Provide technical and financial assistance to district and health facilities to conduct integrated child survival outreach services (EPI, IMCI) in underserved areas using Reaching Every Community (REC) approach.
Provide technical assistance to map under-served and hard to reach areas for each district. Provide technical and financial support for development and review of the national health and nutrition promotion strategy.
Support food based approaches (homestead horticulture production and rearing of small livestock) to overcome micronutrient malnutrition.
Support agricultural production demonstrations in schools, prisons and health centres (gardens & intensive livestock rearing) to enhance nutrition education and consumer awareness.
Provide TA and logistics support for training of community health workers to promote good IYCF practices, growth monitoring and promotion and diet diversification through Positive Deviance approach.
Support the procurement and distribution of specialized nutrition commodities and nutrition assessment equipment.
Support training of health care providers on the integration of nutrition services.
Procure and distribute specialized nutrition commodities for children 6 to 23 months and pregnant and lactating women during the lean season.
Provide TA and financial support to strengthen the HIV care policy, guidelines, training and operating manuals to address delivery of integrated HIV care, nutrition and Home based care package.
Support the training and equipping of health facilities to adopt and operationalize the
integrated approach, including nutrition, BHC, FP and community-based HTC provision.
Support programmes and processes where food insecure PLHIV on antiretroviral therapy have their daily minimal nutritional intake and support.
Support programmes and processes where food insecure PLHIV on antiretroviral therapy have their daily minimal nutritional intake and support.
","Indicator 3: Proportion of households with poor food consumption (Household food consumption score <35)
Indicator 1. Under five-mortality rate for Lesotho (rural/urban)
Indicator 2. Stunting rate among children under-five years for Lesotho (rural/urban)
Indicator 1: Existence of NCD policy, strategic plan, strategy
See Annex 1 for further information.
Indicator 1: Proportion of hospitals and health centres providing Community based Management of Acute
Malnutrition (CMAM) services for malnourished children
Indicator 3: Proportion of health facilities and hospitals and health centers providing Community based Management of Acute Malnutrition (CMAM) IMAM services for malnourished children
Indicator 4: Proportion of health care providers trained on integration of nutrition services at community and health facility levels.
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Complementary feeding|Minimum acceptable diet|Minimum dietary diversity of women|Complementary feeding promotion/counselling|Complementary food provision|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|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LSO%202013%20UNDAP.pdf" "11531","NPL","Nepal","","Multi-sectoral Nutrition Plan For Accelerating the Reduction of Maternal and Child Under-nutrition in Nepal","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","2017","GOVERNMENT OF NEPAL National Planning Commission","4","2012","","","","","Development|Education and research|Environment|Finance, budget and planning|Food and agriculture|Health|Industry|Sub-national|Urban planning|Women, children, families","Secretary Ministry of Local Development, Secretary Ministry of Education, Ministry of Environment, Secretary Ministry of Finance, Secretary Ministry of Agriculture and Cooperatives, Secretary Ministry of Health and Population, Secretary Ministry of Commerce and Supplies, Nutrition and Food Security Steering Committee - District Level, VDC Level and Municipal Level, Secretary Ministry of Physical Planning and Works, Secretary Ministry of Women Children and Social Welfare","","","","","","","","","","","","","","","","","Goal:
The longer-term vision of the multi-sectoral nutrition plan, over the next ten years, is to embark the country towards significantly reducing chronic malnutrition to ensure that it no longer becomes an impeding factor to enhance human capital and for overall socio-economic development. The goal over the next five years is to improve maternal and child nutrition, which will result in the reduction of MIYC under-nutrition, in terms of maternal Body Mass Index (BMI) and child stunting, by one third.
Outcomes:
Outcome 1: Policies, plans and multi-sectoral coordination improved at national and local levels.
Outcome 2: Practices that promote optimal use of nutrition ‘specific’ and nutrition ‘sensitive’ services improved, leading to enhanced maternal and child nutritional status.
Outcome 3: Strengthened capacity of central and local governments on nutrition to provide basic services in an inclusive and equitable manner.
Activities:
1.1. Raise nutrition profile among ministries
1.2 Advocate with Ministries for prioritizing nutrition in their plans, and for including core nutrition specific and sensitive indicators
1.3 Incorporate nutrition in the national and sectoral plans, and include nutrition specific and sensitive monitoring and evaluation framework
1.4 Update National Nutrition Policy and Strategy, including M&E framework in line with the MSNP
1.5 Incorporate nutrition aspects in local plans and planning process, including nutrition specific and sensitive M&E framework
2.1 Establish/ strengthen secretariat for supporting the nutrition and food security initiatives within the NPC
2.2 Establish effective communication to improve coordination
2.3 Form multi-sectoral steering committees at local level
3.1 Implement/scale up maternal infant and young child feeding through a comprehensive approach
3.2 Maintain/expand programmes to improve maternal infant and young child micronutrient status
3.3 Scale up and manage infant and child severe acute malnutrition
3.4 Update health sector nutrition related acts, regulations, policies, strategies, standards, guidelines and nutrition training packages (including establishment of National Nutrition Centre)
3.5 Institutional strengthening of the health sector
4.1 Nutrition integration with life-skills education to adolescent girls, with a focus on improving maternal and child nutrition and on reducing chronic malnutrition (create an enabling environment)
4.2 Raise adolescent girls’ knowledge and skills on reduction of chronic malnutrition
4.3 Prepare/update resource materials on parenting education for improved child care and feeding practices
4.4 Organize programmes to enhance parental knowledge on maternal and child care and feeding practices
4.5 Develop mid-day meal to adolescent girls (grades 5 to 8) to enhance their school performance and participation
4.6 Provide nutritional support to adolescent girls (IFA with deworming to all and schools meals in the targeted areas) to increase their educational participation and performance (grades 5-8)
5.1 Organise promotional campaigns to increase practices on hand washing with soap at critical times, especially among adolescents, mothers with infants and young children
5.2 Conduct Open Defecation Free campaigns, with a particular focus among the most affected districts
5.3 Raise awareness on water safety plan and use of safe water at the point of use, with a particular focus on the most affected areas
6.1 Provide targeted support to make MN rich food available, including animal source foods, at households and community levels
6.2 Recipe development and promotion of MN rich minor/indigenous crops.
6.3 Link up programs to increase income and MNrich foods consumption among adolescent girls, pregnant and lactating mothers and children less than 2 years age from lowest quintile
6.4 Provide support for clean and cheap energy to reduce Women’s workload
6.5 Revise existing child cash grants mechanism (from pregnancy to U2 years children) based on review of the existing evidence to reduce maternal malnutrition and child stunting
7.1Build/facilitate for staff capacity development at central and local level
7.2 Carry out organisation and management assessment of the sectors for organisational strengthening
7.3 Establish uniform and results based reporting system
7.4 Review indicators in PMAS and DPMAS to incorporate MSNP key indicators
7.5 Carry out routine and joint sectoral monitoring of implementation
7.6 Establish monitoring framework and mechanisms at local levels (DDC and other line agencies)
7.7 Allocate institutional responsibilities for nutrition at all levels
8.1 Link/Update nutrition information at central level (PMAS, HMIS, EMIS, WASH, Agriculture and Local Development)
8.2 Link/Update nutrition information in DPMAS at local levels DDC, municipality; and health, education, WASH, agriculture and NGOs
","
M & E Indicators included in the Action Plan
","Outcome indicators","","Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Complementary feeding|Minimum acceptable diet|Growth monitoring and promotion|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Fat reduction (total, saturated, trans)|Vitamin A|Iodine|Iron|Iron and folic acid|Zinc|Micronutrient supplementation|Food fortification|Wheat flours|Food grade salt|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Diarrhoea or ORS|Improved hygiene / handwashing|Vaccination|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NPL%202012_MSNP_Vol-I%281%29.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/NPL%202012_MSNP_Vol-I%281%29.pdf" "23165","RWA","Rwanda","","National Food and Nutrition Policy 2013-2018","Comprehensive national nutrition policy, strategy or plan","","English","10","2013","","2018","Government of Rwanda","10","2013","Adopted","","","Cabinet of Ministers","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Trade|Sub-national|Other","Ministry of Agriculture and Livestock Resources, Ministry of Defence, Ministry of Disaster Management and Refugees, Ministry of local government, Ministry of Gender and Family Promotion","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Food Programme (WFP)|World Health Organization (WHO)","","Other","","","","","","National NGOs","","","","","","","","Strategic Direction 1: Food and nutrition advocacy to sustain commitment and mobilise resources for policy implementation
Strategic Direction 2: Prevent stunting in children under two years of age at national scale
- National level 1st 1000 Days Campaign
- Refocused and strengthened District Plans to Eliminate Malnutrition (DPEM) and District Food and Nutrition Steering Committee (DF&NSC)
- Village level: “1st 1000 Days Community-Based Food and Nutrition Programs”
Strategic Direction 3: Promote services and practices that result in improved household food security
Strategic Direction 4: Prevention and management of all forms of malnutrition
Strategic Direction 5: Improving food and nutrition in schools
Strategic Direction 6: Assuring food and nutrition in emergencies
Strategic Direction 7: Supporting programmes and services
","Community based monitoring of food and nutrition needs to be strengthened. This includes development of key indicators by and for the 1st 1000 Days groups and community leaders. Frontline personnel need to monitor household participation in 1st 1000 Days CBNP.
Further improvements to multisector monitoring and evaluation systems to support nutrition and household food security programmes and strategies.
Outcome 3.1 All Rwandan children, youth and families, especially the most vulnerable, access quality early childhood development, nutrition, education and protection
Output 3.1.2 Strengthened, coordinated and monitored multi-sectoral strategies or sustained reduction of child and maternal malnutrition
Outcome 3.2 All people in Rwanda have improved and equitable access to and utilize high quality promotional, preventative, curative and rehabilitative health services
Output 3.2.2 Strengthened national and subnational capacity to provide quality integrated health services
","3.2.1 TA to build capacity of key ministries to develop and/or review policies/strategies/protocols for improved programming
3.2.2 TA and FA to scale-up integrated community-based food and nutrition interventions
3.2.3 TA and FA to strengthen capacity (technical, supplies, etc.) of service providers on appropriate maternal and child food and nutrition security services
3.2.4 Advocacy for and promote key evidence-based nutrition actions
3.2.5 TA and FA to strengthen the capacity of the key sectors to monitor and coordinate implementation of pronutrition evidence-based interventions at national and decentralized levels
3.2.1 TA to provide a comprehensive integrated health service package along the continuum of care (including emergency obstetric and new born care, MDA, fistula, FP, GBV, Immunization, nutrition, WASH, HIV, NCD ) to key target populations
","1) % of children under five stunted disaggregated by sex
3) Updated Nutrition Policy
4) No of DDPs that have integrated elimination of malnutrition
2) % population satisfied with WASH services
","Outcome indicators|Process indicators","","Improved hygiene / handwashing|Water and sanitation","","http://www.unfpa.org/undaf-rwanda-2013-2018 ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/RWE%202013%20UNDAP.pdf" "23216","WSM","Samoa","","National Food and Nutrition Policy 2013","Comprehensive national nutrition policy, strategy or plan","","English","","2013","","2018","Ministry of Health, Samoa","","2013","Adopted","","2014","Ministry of Health","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Trade","Ministry of Health, Samoa, and partners. Those partners included in the action plan can work together with MOH to achieve a coordinated approach for implementing the strategies for the Food and Nutrition Policy goals.The key health sector partners are-• The Public• Government Ministries and Agencies• Development Partners• Private Health Providers• Health Professional Associations• Traditional Health Providers (including Traditional Birth Attendants)• Non-government organizations (NGOs)• Religious Organizations• Community Based Organisations• Academic Institutions","","","","","","","","","","","","","","","","","1. FOOD, NUTRITION AND HEALTH
1.1. Inform disaster risk management
1.2. Promote appropriate infant and young child feeding
1.3. Prevent malnutrition and micronutrient deficiencies
1.4 Strengthen food and nutrition education
1.5 Strengthen promotion of dental health
1.6 Promote healthy eating and lifestyles
1.7. Promote healthy food business practices
2. FOOD AVAILABILITY, ACCESS AND USE
2.1. Improve access to affordable and nutritious food
2.2. Strengthen the promotion of local food production
2.3. Strengthen the community’s understanding about the nutritional value of
food
2.4. Collaborate with key partners to promote the preparation of healthy, safe
food in the community
2.5. Advocate for food pricing and taxes to promote healthy food availability
2.6. Strengthen monitoring and evaluation of food security
2.7. Collaborate with sector partners to promote sustainable food
2.8. Collaborate with sector partners on strategies that reduce the negative
effects of food production and use on the environment
3. FOOD SAFETY
3.1. Protect the community from public health risk
3.2. Promote awareness about food safety issues
3.3. Prevent and manage food borne disease outbreaks
3.4. Monitor and evaluate food safety
","1.1.1 Collaborate with Disaster Advisory Committee on developing operational guidelines for nutrition and infant and young child feeding during emergencies in readiness for first response(during initial rapid assessments)
Indicators are linked to the activities.
","","","Breastfeeding|Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Health professional training on breastfeeding|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Dietary guidelines|Fats|Trans fat|Salt/sodium|Sugars|Removal of taxes on healthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Iodine|Iron|Micronutrient supplementation|Nutrition education|Wheat flours|Rice|Food grade salt|Food safety|Food security and agriculture","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/Final%20Food%20and%20Nutrition%20Policy%202013.pdf" "24489","ZAF","South Africa","","The Government of South Africa United Nations Strategic Cooperation Framework, 2013-2017","Non-national nutrition policy document","","English","","2013","","2017","UN country team in South Africa","","2013","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Environment|Industry|Justice|Labour|Other","International relations, art and culture, cooperative governance, home affairs, human settlements, transport, public enterprises, public service, science and technology","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","IOM, OHCHR, UN Women, UNIC, UNODC, UNEP, UN Habitat","","","","","","","","","","","","","","","Key Result Area 2: Accelerated progress towards the sustainable achievement of the health MDGs.
Key Result Area 2: Government integrates sustainable development approaches into policies aimed at reducing poverty and promoting equitable socio-economic development.
","How results will be achieved: In order to accelerate progress towards the health MDGs, and towards the national priorities and outcomes identifed for health, the UN will support South Africa in the areas of sexual and reproductive health, maternal and child health, health emergencies, health systems and non-communicable diseases. This may include support to improve health information systems for more informed decision-making; to build national capacity around non-communicable diseases, immunisation, risk surveillance systems and other public health challenges; scale up proven high-impact interventions to save the lives of women, children and adolescents including through improved reproductive and child health services; build the capacity of the health workforce (including community health workers as part of the PHC re-engineering); and improve the nutritional status of infants and children, including through the promotion of exclusive breastfeeding and improved infant and young child feeding practices. Technical assistance, evidence generation, capacity building and provision of policy options will be the key strategies. The UN will support SANAC, South- South partners, development partners, government departments, the private sector and key civil society organizations.
How results will be achieved: The UN agencies and partners together with government departments will support the review of policies, plans and strategies in relation to poverty reduction and need of young people, women and children. This will be done by providing technical support to review policies and develop implementation plans, and build capacity in order to monitor implementation. This may include the promotion of the integration of nutrition, food-safety and food security programmes at all levels and their incorporation into national development policies. The UN agencies will provide technical support in capacity building at all levels of government and support review and development of policies and legal regulations to be developed for South Africa.
","","","","Promotion of exclusive breastfeeding for 6 months","","http://www.undp.org/content/dam/south_africa/docs/Agreements/UN%20SCFramework.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZAF%202013%20UNSCF.pdf" "8001","LKA","Sri Lanka","","NATIONAL STRATEGIC PLAN ADOLESCENT HEALTH (2013 - 2017)","Health sector policy, strategy or plan with nutrition components","","","","2013","","2017","Family Health Bureau, Ministry Of Health","","2013","Adopted","","2013","Ministry of Health","Health|Women, children, families","Family Health Bureau, Ministry Of Health Health, Women, children, families: Ministry of HealthCare and Nutrition, Ministry of Youth Affairs","","WHO, UNICEF, UNFPA","","","","WB","","","National NGOs","National NGOs: Sarvodaya (largest local NGO)","","","","","","","Goals:
1) To reduce Adolescent fertility rate from 28 per 1000 (2006/7) to 24 per 1000 adolescents in 2015
2) To reduce the prevalence of low BMI among adolescents from 47.2% (2002) to 35% by 2015
3) To reduce Anaemia among adolescence from 11.1% (2002) to 10%(2015)
4) To reduce STD/HIV among adolescents
5) To reduce cause specific mortality due to accidents and injuries
6) To reduce cause specific morbidities due to psychosocial health problems including deliberate self harm, substance use and all other forms of abuse
Programmatic Objectives
1. To increase the coverage of health promoting school program from 50% (2011) to 75% by 2015
2. To establish community based Adolescent Friendly Health Services in 50% of MOOH areas by 2017.
3. To increase life skills among adolescents from 65% (2004) to 75% in 2015.
4. To increase the coverage of weekly iron supplementation by 25% from the baseline by 2015.
5. To improve quality and coverage of Sexual and Reproductive Health education for adolescents
6. To increase accessibility to contraceptives/ family planning services for sexually active adolescents
7. To have resourceful media that supports optimum development of adolescents
8. To promote opportunities for recreational and extracurricular activities at home, school and neighbourhood
9. To support formulation and implementation of laws for optimum development of adolescents.
","3.2.3 Strategy 3
Ensure delivery of nutrition related information and services for in-school and out of school adolescents
Major activities
1) Streamline the regular supply of micronutrients to strengthen implementation of weekly iron folate supplementation for adolescents
2) Review innovative approaches to improve adolescent nutrition by sharing best practices
3) Provide adequate facilities for BMI assessment and necessary interventions with the active participation of adolescents
","","","","Underweight in adolescent girls|Anaemia in adolescent girls|Overweight in adolescents|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Monitoring of children’s growth in school|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation","","www.fhb.health.gov.lk","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/LKA%202013%20National%20strategic%20plan%20for%20adolescent%20health.pdf" "40064","BEN","Benin",""," Stratégie nationale pour l’alimentation du nourrisson et du jeune enfant 2015-2019","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2014","","2019","Ministère de la santé","7","2015","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Trade","","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","","CARE|Catholic Relief Services|Other, please specify under further details|Plan International|Terre des Hommes","Borne Fonden","US Agency for International Development (USAID)","","","","National NGOs","","Research/academia","Université d'Abomey CalaviIRSP","","","","","Objectif général
Améliorer par une alimentation optimale, l’état nutritionnel, la croissance, le développement, la santé et la survie du nourrisson, du jeune enfant et de la mère en vue de contribuer à la réduction de la mortalité infanto juvénile.
Objectifs spécifiques
Axe stratégique 1 : Promotion d’une alimentation appropriée du nourrisson et du jeune enfant
L’Allaitement Maternel Exclusif
Alimentation complémentaire.
Pour que ses besoins nutritionnels soient satisfaits, il faut donc que les aliments complémentaires soient :
Axe stratégique 2: Alimentation du nourrisson et du jeune enfant en situations particulières y compris dans le contexte du VIH
Axe stratégique 3: Promotion de l’alimentation de la mère
UNDAF effet 1:D’ici à fin 2018, les populations rurales et périurbaines, notamment les jeunes et les femmes dans les communes d’intervention accroissent leur revenu et améliorent leur sécurité alimentaire
1.4 Les populations pauvres et les groupes vulnérables disposent de capacités accrues (filets de protection sociale ; transfert des revenus, techniques et technologiques appropriés) pour assurer leur sécurité alimentaire et nutritionnelle ainsi que l’accès aux marchés.
Effet 2: D’ici à fin 2018, les enfants de moins de 5 ans, les adolescents (es), les femmes en âge de procréer et les ménages bénéficient de façon équitable d’interventions à haut impact de qualité en santé y compris le VIH/SIDA, les MNT, la nutrition, la planification familiale, l’assainissement de base et les communautés adoptent des practiques favorable à la sante.
2.1 Les institutions et les acteurs des niveaux national et départemental, zones sanitaires et des collectivités locales (communes)ont des capacités accrues pour laplanification, la coordination et le suivide la mise en oeuvre des paquets d’intervention àhautLes institutions et les acteurs des niveaux national et départemental, zones sanitaires et des collectivités locales (communes) ont des capacités accrues pour la planification, la coordination et le suivi de la mise en oeuvre des paquets d’intervention à haut impact de qualité en santé, MNT, nutrition, planification familiale, VIH/SIDA et assainissement de base.impact de qualité en santé, MNT, nutrition, planification familiale, VIH/SIDA et assainissement de base.
2.2 Les Zones Sanitaires et les communes retenues ont des capacités accrues pour offrir des paquets d’intervention à haut impact de qualité en nutrition, planification familiale, VIH/ Sida, MNT et sasainiessement de base.
","UNDAF effet 1
1.4 activités
Implications de tous les acteurs ; Bon ciblage des populations et zones vulnérables.
UNDAF effet 2
Engagement et appropriation des partenaires
2.2
Accessibilité aux services de santé en terme de coût des prestations et de la disponibilité des infrastructures améliorées
","UNDAF effet 1
1.4
• Nombre de ménages pauvres et vulnérables ayant bénéficié d’un appui pour la mise en place d’une AGR
• Existence d’un socle de protection sociale
UNDAF effet 2
• Taux d’accouchements assistés par du personnel qualifié (médecins, infirmiers, sage femmes) (R : 84% ; C : 90%)
• Proportion des femmes enceintes séropositives mises sous -prophylaxie ARV
• Proportion d’enfants de 6 à 59 mois présentant la malnutrition aigue
• Proportion de populations utilisant les latrines améliorées
2.1
• Existence d’un document politique/stratégie pour le financement du secteur de la santé
• Existence d’un document de coordination et de suivi de la mise en oeuvre des PIHI (paquet d'interventions à haut impact)
• Nombre de documents de politique et stratégie en santé de la mère et de l’enfant intégrant les PIHI
• Proportion d’acteurs clés formés pour faire une planification basée sur les résultats
2.2
• % de formations sanitaires des zones sanitaires retenues disposant du plateau technique adéquat (ressources humaines,matérielles, infrastructures) pour offrir: des services de prise en charge de qualité des enfants malnutris
","","","Wasting in children 0-5 years|Counselling on healthy diets and nutrition during pregnancy|Promotion of exclusive breastfeeding for 6 months|Management of moderate acute malnutrition|Management of severe acute malnutrition|HIV/AIDS and nutrition|Food security and agriculture|Improved hygiene / handwashing|Vaccination","","http://www.ilo.org/wcmsp5/groups/public/---africa/---ro-addis_ababa/documents/publication/wcms_461896.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202014%20UNDAF.pdf" "41600","BRA","Brazil","","Resolução N.º 163, 13 de março de 2014 que dispõe sobre a abusividade do direcionamento de publicidade e de comunicação mercadológica à criança e ao adolescente.","Legislation relevant to nutrition","","Portuguese","4","2014","","","DOU nº 65 de 04/04/2014, Seção 1, pág. 4","4","2014","Adopted","3","2014","CONANDA - Conselho Nacional dos Direitos da Criança e do Adolescente","Women, children, families|Justice","","","","","","","","","","","","","","","","","","","","","","
Art. 1º Esta Resolução dispõe sobre a abusividade do direcionamento de publicidade e de comunicação mercadológica à criança e ao adolescente, em conformidade com a política nacional de atendimento da criança e do adolescente prevista nos arts. 86 e 87, incisos I, III, V, da Lei nº 8.069, de 13 de julho de 1990.
§ 1º Por 'comunicação mercadológica' entende-se toda e qualquer atividade de comunicação comercial, inclusive publicidade, para a divulgação de produtos, serviços, marcas e empresas independentemente do suporte, da mídia ou do meio utilizado.
§ 2º A comunicação mercadológica abrange, dentre outras ferramentas, anúncios impressos, comerciais televisivos, spots de rádio, banners e páginas na internet, embalagens, promoções, merchandising, ações por meio de shows e apresentações e disposição dos produtos nos pontos de vendas.
Art. 2º Considera-se abusiva, em razão da política nacional de atendimento da criança e do adolescente, a prática do direcionamento de publicidade e de comunicação mercadológica à criança, com a intenção de persuadi-la para o consumo de qualquer produto ou serviço e utilizando-se, dentre outros, dos seguintes aspectos:
I - linguagem infantil, efeitos especiais e excesso de cores;
II - trilhas sonoras de músicas infantis ou cantadas por vozes de criança;
III - representação de criança;
IV - pessoas ou celebridades com apelo ao público infantil;
V - personagens ou apresentadores infantis;
VI - desenho animado ou de animação;
VII - bonecos ou similares;
VIII - promoção com distribuição de prêmios ou de brindes colecionáveis ou com apelos ao público infantil; e
IX - promoção com competições ou jogos com apelo ao público infantil.
§ 1º O disposto no caput se aplica à publicidade e à comunicação mercadológica realizada, dentre outros meios e lugares, em eventos, espaços públicos, páginas de internet, canais televisivos, em qualquer horário, por meio de qualquer suporte ou mídia, seja de produtos ou serviços relacionados à infância ou relacionados ao público adolescente e adulto.
§ 2º Considera-se abusiva a publicidade e comunicação mercadológica no interior de creches e das instituições escolares da educação infantil e fundamental, inclusive em seus uniformes escolares ou materiais didáticos.
§ 3º As disposições neste artigo não se aplicam às campanhas de utilidade pública que não configurem estratégia publicitária referente a informações sobre boa alimentação, segurança, educação, saúde, entre outros itens relativos ao melhor desenvolvimento da criança no meio social.
","Regulating marketing of unhealthy foods and beverages to children|Advertising (in streets and stores)|Give-aways|Internet|Promotions|Radio|Settings where children gather such as schools, childcare and other educational establishments|TV|Use of licensed and brand equity characters|Using celebrities|Any product, including foods and beverages|Covers children up to 18 years of age|Mandatory marketing restrictions","","https://crianca.mppr.mp.br/pagina-1635.html#resolucao_163 https://extranet.who.int/ncdccs/Data/BRA_B15_Resolu%C3%A7%C3%A3o%20CONANDA%20163_2014.pdf","http://www.planalto.gov.br/ccivil_03/leis/l8069.htm","WHO NCD Document Repository","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BRA%202014%20Resolu%C3%A7%C3%A3o%20CONANDA%20163_2014.pdf" "24462","COG","Congo","","Plan Cadre des Nations Unies pour l’Aide au Developpement 2014-2018","Non-national nutrition policy document","","French","","2014","","2018","Republique du Congo, Coordination Resident du Systeme des Nations Unies","","2014","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Urban planning|Environment|Other","Energie, développement durable","Food and Agriculture Organisation (FAO)|International Fund for Agricultural Development (IFAD)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UN Women","Other","WWF","Japan International Co-operation Agency (JICA)|The World Bank","","European Union","","","","","","Private sector","","","","Effet UNDAF 3: D’ici 2018, les populations les plus vulnérables utilisent les services sociaux de base de qualité (éducation, santé, sécurité alimentaire, eau et assainissement) ainsi que des services financiers adaptés.
Produit 3.1 : Les populations les plus vulnérables ont accès à un paquet de services essentiels de santé de qualité définis selon les normes nationales.
Produit 3.3 : Les ménages atteignent un niveau de sécurité alimentaire acceptable
Produit 3.4 : Les populations vulnérables ont accès à l’eau potable
","3. Les ménages atteignent un niveau de sécurité alimentaire acceptable : depuis plusieurs années, la couverture des besoins alimentaires nationaux est en partie assurée par un important volume d’importations, essentiellement constituées de produits carnés, traduisant la forte dépendance à l’extérieur ; d’où la nécessité de la relance de la production nationale. Les capacités des femmes seront renforcées étant donné leur important rôle dans le secteur agricole en général et en particulier dans la culture de production subsistance et dans l’alimentation. Le SNU accompagnera le renforcement des capacités techniques, logistiques et humaines du secteur agricole et halieutique, par l’encadrement des producteurs au niveau départemental et par l’appui à la diversification de leurs activités.
4. Les populations vulnérables ont accès à l’eau potable : L’accès à l’eau de boisson est un défi majeur au Congo. Malgré quelques progrès réalisés ces dernières années, des disparités existent toujours selon le milieu de résidence et les départements, et les risques d’exposition aux maladies d’origine hydrique (diarrhées, choléra) demeurent importants, au regard du faible accès à l’eau potable et des faiblesses des services d'assainissement, notamment dans les zones rurales et périurbaines. La fréquence des épidémies (choléra, poliomyélite…) enregistrées au cours de ces trois dernières années en est une excellente illustration. De ce fait, le SNU accompagnera techniquement le gouvernement dans l’amélioration de la fourniture et de la surveillance de la qualité de l’eau potable fournie aux populations.
","Taux de mortalité maternelle. Baseline : 426/100 000 Cible : 390/100 000
Taux de mortalité infantile. Baseline : 81décès pour 1000 naissances vivantes Cible : 56décès pour 1000 naissances vivantes
Taux de malnutrition chronique. Baseline : 24,4% ; Cible : 20,0%
Taux d’accès à l’eau potable. Baseline : 32% dans les zones rurales et 65%en milieu urbain ; Cible : 95%
Proportion des formations sanitaires offrant un paquet de services essentiels de santé complet. Baseline : 30% ; Cible : 90%
Pourcentage de la population qui utilise le paquet de services essentiels. Baseline : 20% ; Cible : 60%
Pourcentage des ménages ayant bénéficié d’un appui pour compléter leur ration alimentaire (jardins potagers, petit élevage, etc.).
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COG%202014%20UNDAF.pdf" "39454","DOM","Dominican Republic","","Ley de Soberania de Seguridad Alimentaria y Nutricional","Comprehensive national nutrition policy, strategy or plan","","Spanish","","2014","","","CONGRESO NACIONAL","","2016","","","","","Cabinet/Presidency|Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Urban planning|Environment|Industry|Labour","","","","","","","","","","National NGOs","","","","","","","","Art. 19. El Sistema Nacional de Soberanía y Seguridad Alimentaria y Nutricional tiene como objetivos fundamentales:
a) articular las iniciativas y esfuerzos del país y canalizarlos en la formulación y aplicación de las políticas y los planes para la soberanía, seguridad alimentaria y nutricional,
b) promover la producción de alimentos en el país, protegiendo el material genético nativo y a la producción local, garantizando que se prohíba la importación e internación de productos cuya comercialización, prestación, uso o consumo estén suspendidos o prohibidos en su país de origen, o en terceros países por razón de protección de la salud y seguridad, siempre y cuando dichas suspensiones o prohibiciones hayan sido debidamente justificadas mediante procedimientos científicos y de análisis de riesgo de conformidad a los acuerdos internacionales relevantes vigentes en la materia.,
c) estimular y viabilizar la integración de los esfuerzos entre las instancias del gobierno, el Estado y la sociedad civil,
d) dar seguimiento, monitorear y evaluar sistemáticamente el estado de la soberanía y la seguridad alimentaria y nutricional del país y adoptar las medidas que se consideren necesarias,
e) contribuir a la gobernanza mundial en materia soberanía y seguridad alimentaria y nutricional fortaleciendo especialmente la colaboración e integración en la región caribeña y latinoamericana dichas materias.
Art. 20. El Sistema Nacional de Soberanía y Seguridad Alimentaria y Nutricional observará en su funcionamiento las siguientes directrices:
I. Alineamiento con la Estrategia Nacional de Desarrollo y otras estrategias sectoriales.
II. Promoción de la intersectorialidad e integralidad de las políticas, los programas y las acciones gubernamentales y no gubernamentales.
III. Desarrollar fórmulas prácticas y funcionales de coordinación evitando la duplicidad de funciones.
IV. Descentralización de las acciones, articulación y colaboración entre las esferas de gobierno y entre todos los componentes del sistema.
V. Monitoreo sistemático de la situación alimentaria y nutricional y elaboración de informes que contribuyan a la corrección de las acciones y las políticas en curso.
VI. La correspondencia eficiente del presupuesto con la gestión a realizar y la adopción de modelos de gestión por resultados.
VII. Profesionalismo, racionalidad y eficiencia en las estructuras.
VIII. Los temas de género, niñez, adolescencia y tercera edad, serán considerados de modo transversal en todo lo concerniente a la soberanía y seguridad alimentaria y nutricional.
De las funciones
Art. 26. Para el cumplimiento de su objetivo, el Consejo tendrá las siguientes funciones:
I. Acceso a los alimentos: fortalecimiento y consolidación del sistema de protección social para asegurar el mismo a la población vulnerable de un modo estable y considerando las necesidades de una alimentación adecuada que se vincule con la producción local.
II. Producción y disponibilidad de alimentos con especial atención a las formas de producción autónoma de la población, a los ciclos cortos de comercialización y a la creación de un entorno inclusivo y adecuado que atienda las necesidades especificas de los pequeños productores y la agricultura familiar y las mujeres productoras de alimentos en lo que se refiere a acceso a tecnología, crédito, seguros y comercialización.
III. Promover la tenencia de la tierra y su uso eficiente de manera equitativa a fin de que los pequeños y medianos productores agropecuarios incrementen su potencial de producir alimentos que podrán utilizar para el autoconsumo y la venta de los excedentes en los mercados, incrementando su generación de ingresos y contribuyendo de este modo a reducir la pobreza extrema y el flagelo del hambre sin deteriorar la base de los recursos naturales.
IV. Abastecimiento: propiciando la articulación de los mercados y la transparencia y eficiencia de los sistemas de distribución y comercialización, con atención a las economías locales y el establecimiento de mecanismos que aseguren la estabilidad de la disponibilidad de alimentos y minoren los riesgos de volatilidad de precios por fenómenos especulativos y prácticas abusivas o distorsionadoras.
V. Inocuidad y calidad de los alimentos: promoviendo la regulación normativa y adopción de buenas prácticas en la producción y distribución de alimentos para que los mismos sean inocuos y nutritivos, así como las normas necesarias para asegurar la calidad y adecuación de la alimentación institucional y/o colectiva o ambas, con especial atención a la primera infancia, los escolares y la tercera edad.
VI. Promoviendo la atención, el cuidado y seguimiento de la salud y nutrición: promoviendo la atención y cuidados de salud con especial atención a mujeres gestantes, primera infancia, personas de la tercera edad, población con necesidades especificas y medidas que faciliten la adopción de buenas prácticas tales como la lactancia materna.
De la Red Nacional para la Soberanía y Seguridad Alimentaria y Nutricional (RED SSAN)
Art. 29. Se instituye la Red Nacional para la Soberanía y Seguridad Alimentaria y Nutricional para coordinar las acciones encaminadas a la formulación, ejecución, seguimiento y evaluación del Plan Nacional de Soberanía y Seguridad Alimentaria y Nutricional.
Art. 35. La Red Nacional para la Soberanía y Seguridad Alimentaria y Nutricional es sobre todo de un concepto organizativo integrador. Sus actividades son financiadas por el Presupuesto General del Estado, aunque no se excluyen otras fuentes. Sus principales funciones son:
1. Reunirse periódicamente en los niveles municipal, provincial, regional y nacional para monitorear el estado general de la Soberanía y Seguridad Alimentaria y Nutricional en esos niveles, alertar sobre cualquier eventualidad que obstaculice el desarrollo de la soberanía y seguridad alimentaria y nutricional, y elaborar propuestas oportunamente para enfrentar los problemas que se presenten.
2. Al cumplirse el tercer año del Plan Cuatrienal a partir de la convocatoria por el Consejo Nacional para la Soberanía y Seguridad Alimentaria y Nutricional, la Red iniciara el proceso de evaluación del cumplimiento del Plan Cuatrienal en curso en los niveles municipales, provinciales, regionales y nacional, y propondrá al Consejo Nacional el nuevo Plan Cuatrienal.
3. Evaluar la situación mundial de la producción y comercialización de alimentos, su impacto en República Dominicana y elaborar propuestas para amortiguar y superar sus y propondrá al Consejo Nacional el nuevo Plan Cuatrienal efectos negativos, así como aprovechar las oportunidades.
4. Contribuir activamente a la colaboración e integración en la región caribeña y latinoamericana en todo lo concerniente a la soberanía y seguridad alimentaria y nutricional.
5. Participar activamente en la promoción y desarrollo en el país de una cultura alimentaria inocua y nutritiva.
6. Apoyar el desarrollo de la economía solidaria y de los emprendimientos familiares y comunitarios en la producción y comercialización de alimentos, con especial énfasis en las mujeres productoras.
7. Promover el apoyo financiero, científico y tecnológico al desarrollo de la producción nacional y comercialización de alimentos sanos y nutritivos con énfasis en los pequeños y medianos productores.
8. Velar en todo momento por la protección del medio ambiente y de los recursos naturales del país, en especial de los suelos y en el empleo racional del agua y el desarrollo y administración de sus fuentes.
9. Promover la aplicación de una nueva Ley de Reforma Agraria, que se adecue mejor a las circunstancias actuales del país.
10. Dar seguimiento a la aplicación de la Ley sobre Soberanía y Seguridad Alimentaria y Nutricional, así como de otros fundamentos legales relacionados con la soberanía y seguridad alimentaria y nutricional y hacer proposiciones para su perfeccionamiento.
11. Hacer propuestas mediante planes, proyectos y otras iniciativas encaminadas a superar en todas las regiones del país la inseguridad alimentaria y nutricional.
12. Promover la eficiencia en el manejo integral de los asuntos relacionados con la Soberanía y Seguridad Alimentaria y Nutricional, en particular en lo tocante a evitar la duplicidad de funciones, asegurar el empleo racional de los recursos y al el aprovechamiento de las potencialidades científicas y tecnológicas del país.
13. Exigir y promover la transparencia en todo lo relacionado con la Soberanía y Seguridad Alimentaria y Nutricional.
14. Acopiar, intercambiar y difundir información relativa a la Soberanía y Seguridad Alimentaria y Nutricional, aprovechando fundamentalmente los medios electrónicos. Consolidar la Red a todos los niveles promoviendo el intercambio mutuo de información.
15. Incentivar la investigación científica y tecnológica y la aplicación de sus resultados.
16. Promover la colaboración con los organismos internacionales vinculados al tema, en especial la FAO, el PMA, el PNUD, la OPS/OMS, UNICEF, intercambiar sistemáticamente con estas instituciones informaciones y coordinar tareas de desarrollo.
3.1 Policy Goal
The goal of the NNP is to ensure optimal nutrition of all people living in Ghana throughout their lifecycle.
3.2 Policy Objectives
The NNP has three objectives:
1. To increase coverage of high-impact nutrition-specific interventions that ensure optimal nutrition of Ghanaians throughout their lifecycle, 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.
","3.3 Policy Measures
3.3.1 Policy Objective 1: To increase coverage of high impact
nutrition-specific interventions that ensure optimal nutrition of Ghanaians throughout the lifecycle with specific reference to maternal health and child survival
Policy Measures
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
3.3.2 Policy Objective 2: To ensure high coverage of nutrition-sensitive interventions to address the underlying causes of malnutrition
Policy Measures
1. Health, Water, Hygiene, and Sanitation Services
2. Agriculture and Food Security
3. Social Protection and Safety Nets
4. Education
3.3.3 Policy Objective 3: To Reposition Nutrition as a Priority Multi-Sectoral Development Issue in Ghana
Policy Measures
1. Advocacy and Communication
2. Nutrition as a Priority
3. Integration and Coordination
4. Institutional Strengthening
5. Research
6. Monitoring and Evaluation
","","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Underweight in children 0-5 years|Underweight in women|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Minimum acceptable diet|Overweight in children 0-5 yrs|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Home grown school feeding|Dietary guidelines|Creation of healthy food environment|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Micronutrient supplementation|Nutrition education|Complementary foods|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture","","http://ndpc.gov.gh/downloads/Policy%20Almanac/Nutrition%20Policy_September%202013%20(Draft).pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GHA%202013%20National%20Nutrition%20Policy.pdf" "23526","GIN","Guinea","","Politique nationale d’Alimentation","Comprehensive national nutrition policy, strategy or plan","","French","4","2014","","","Ministère de la Santé","4","2014","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Transport|Trade|Environment|Industry|Information|Labour","","","","","","","","","","","","","","","","","","3.3 Objectifs
L’objectif général est d’éradiquer la sous-alimentation et de faire reculer la malnutrition ainsi que ses conséquences économiques et socio-sanitaires.
Les objectifs spécifiques sont :
(i) atteindre l’autosuffisance alimentaire,
(ii) consolider la sécurité alimentaire,
(iii) garantir la couverture universelle de la prise en charge holistique de tous les cas de malnutrition et des maladies provoquées par la malnutrition et,
(iv) parvenir à une couverture universelle des interventions essentielles de prévention de la malnutrition maternelle et infanto-juvénile, du surpoids et de l’obésité
","3.4.1 Axe 1 : La mobilisation nationale pour éradiquer la sous-alimentation
Il s’agit d’aligner les stratégies sectorielles de développement socio-économique pour la sécurité alimentaire et nutritionnelle à travers une meilleure coordination, une analyse approfondie de la situation socio-économique territoriale et la création des synergies pour des effets tangibles sur la sous-alimentation. Les secteurs suivants sont concernés au premier chef : développement agropastoral et halieutique, protection de l’environnement, promotion de l’emploi des jeunes, éducation des filles, alphabétisation, promotion de l’agro-industrie, hydraulique, énergie, eau, transports et travaux publics, communication, douanes, forces de sécurité.
3.4.2 Axe 2 : La mobilisation nationale pour faire reculer la malnutrition
Il s’agit de créer une synergie sectorielle effective pour des interventions sensibles à la nutrition telles que l’éducation nutritionnelle, la fortification alimentaire, l’hygiène alimentaire, l’assainissement du milieu, la sécurité sanitaire des aliments, la communication, l’enseignement supérieur et la recherche scientifique et technique.
3.4.3 Axe 3 : La capacitation des collectivités déconcentrées et décentralisées et des communautés locales à la base
Il s’agit d’engager davantage les autorités des collectivités déconcentrées et décentralisées dans la promotion et le suivi des activités concourant à la sécurité alimentaire et nutritionnelle d’une part et de veiller à l’appropriation effective des activités par les organisations communautaires à la base d’autre part.
3.4.4 Axe 4 : Le renforcement du système de santé pour l’accès universel aux services et soins de santé primaires de qualité
Il s’agit de veiller particulièrement à la prise en charge holistique de tous les cas de malnutrition et à l’intégration effective des interventions essentielles d’alimentation et de nutrition dans le continuum des soins pour protéger les 1000 premiers jours de vie sur l’ensemble du territoire.
","
4.3. Objectifs
4.3.1. Objectif général L’objectif général de la politique nationale de nutrition est d’améliorer l’état nutritionnel de la population en Guinée-Bissau, en particulier des personnes vulnérables, en créant des synergies entre des interventions directes de nutrition et celles d’autres secteurs sensibles à la nutrition.
4.3.2. Objectifs spécifiques La Politique Nationale de Nutrition vise les objectifs spécifiques suivants d’ici 2025 :
· Réduire de 30% le taux de petits poids à la naissance,
· Réduire de 40% le taux de retard de croissance chez les enfants de moins de 5 ans,
· Réduire à moins de 5% le taux de malnutrition aiguë chez les enfants de moins de 5 ans,
· Réduire d’un tiers la prévalence du surpoids chez les femmes en âge de procréer,
· Réduire d'un tiers la prévalence de l'anémie chez les enfants de 0 à 23 mois,
· Réduire de 50% la prévalence de l’anémie chez les femmes en âge de procréer,
· Eliminer les troubles dus à la carence en vitamine A, · Eliminer les troubles de la carence en iode
4.4. Axes stratégiques
La réalisation des objectifs de la présente Politique Nationale de Nutrition passe par la mise en œuvre, selon une approche multisectorielle, des orientations stratégiques et initiatives prioritaires suivantes :
4.5.1. Les interventions directes de nutrition
a. Interventions visant les enfants de 0-24 mois (fenêtre d’opportunité)
i. Promouvoir, soutenir et protéger les pratiques optimales d'allaitement maternel précoce et exclusif pour les nourrissons de 0 à 6 mois au niveau des familles, des communautés et des structures sanitaires :
ii. Promouvoir, soutenir et favoriser l'accès à une alimentation de complément de qualité et appropriée pour les enfants de 6-24 mois :
iii. Lutter contre les carences en micronutriments :
iv. Assurer la détection précoce et la prise en charge de la malnutrition aiguë, de la malnutrition chronique et des maladies infantiles associées à la malnutrition :
v. Améliorer l'accès à l’eau potable et aux bonnes pratiques d’hygiène et d’assainissement :
b. Interventions visant les enfants de 24-59 mois
i. Prévenir et contrôler les carences en micronutriments :
ii. Assurer la détection précoce et la prise en charge de la malnutrition aiguë, de la malnutrition chronique et des maladies courantes de l'enfance associées à malnutrition :
iii. Améliorer l’accès à l’eau potable et aux bonnes pratiques d’hygiène et d’assainissement :
c. Interventions visant les enfants et les adolescents de 6-19 ans
d. Interventions visant les femmes de 15 à 49 ans (femmes en âge de procréer)
e. Interventions visant les femmes enceintes et les femmes allaitantes
4.5.2. Interventions dans le secteur de Santé publique
a. Diarrhées, Paludisme, VIH/SIDA et Tuberculose :
b. Surnutrition et maladies non transmissibles liées aux modes de vie
4.5.3. Les interventions dans les secteurs sensibles à la nutrition
a. Interventions dans le Secteur de la sécurité alimentaire
b. Interventions dans le Secteur de l’Eau-Hygiène-Assainissement
c. Interventions dans le Secteur de l’Environnement
d. Interventions dans les Secteurs de l’Education, de la Culture, de la Jeunesse et des Sports
e. Interventions dans les domaines de la Planification et de l’Administration du Territoire
f. Interventions dans le Secteur de l’Industrie
g. Interventions dans les Secteurs de l’Economie, du Commerce, de l’Artisanat et du Tourisme
h. Interventions dans le Secteur du Genre, de la Famille et de l’Enfant
i. Interventions dans le Secteur de Protection sociale
j. Interventions dans le secteur des Urgences, Risques et Catastrophes
k. Interventions dans le secteur de la Fonction publique et du Travail
l. Interventions dans le Secteur de la Communication, Sensibilisation et Plaidoyer
Note: Specific interventions are listed in document.
RS-1.5. La prévention de la malnutrition est assurée de manière efficace.
· La promotion des comportements individuels positifs et du changement social ciblant des pratiques appropriées de nutrition maternelle, d’alimentation du nourrisson et du jeune enfant ;
· Le renforcement de l’allaitement maternel exclusif ;
· La supplémentation en micronutriments à certaines périodes de la vie, enfance, âge scolaire, femmes enceintes, allaitantes, etc. ;
· L’implication des collectivités territoriales et des communautés à tous les niveaux ;
· La promotion de l’utilisation des aliments enrichis en micronutriments (farine et huile).
RS-1.6. La Surveillance de la croissance et du développement de l’enfant est assurée de manière permanente et efficace.
· La vulgarisation de l’utilisation des nouvelles courbes de croissance pour suivre l’évolution staturo-pondérale des enfants ;
· Les conseils aux mères ou parents-soignants sur l’état de leur enfant et les mesures à prendre pour maintenir ou corriger cet état.
· La prise en charge des cas de malnutrition aiguë, modérée et sévère dans les formations sanitaires et au niveau communautaire selon le protocole révisé de prise en charge de la malnutrition.
RS-1.7. La prévention des carences en micronutriments est assurée de manière plus efficace.
· la prise en charge des carences en micronutriments à travers les activités de routine (PEV, CPN, CPON) ;
· l’intensification de SIAN ;
· la promotion de la consommation de sel iodé au niveau ménage et communautaire ;
· la promotion de la production des aliments thérapeutiques au niveau local.
RS-1.9. Des services de santé et de nutrition de qualité sont disponibles en milieu scolaire.
· le renforcement des capacités des structures de santé communautaire qui abrite des établissements scolaires réhabilitation/équipement complémentaire, ressources humaines au besoin) ;
· la promotion de l’hygiène alimentaire en milieu scolaire;
· La prévention et la réduction de l’exposition aux principaux facteurs de risques aux plans individuel et collectif en milieu scolaire (violences, alcoolisme, tabagisme, usage des drogues etc.) ;
· La vaccination contre le tétanos ;
· La réalisation des visites médicales systématiques dans les écoles ;
· La prise en charge correcte des malades sur le plan global y compris l’organisation de la référence en milieu scolaire ;
· La réalisation d’étude en vue d’assoir un dispositif approprié de prise en charge de la question de santé scolaire.
","","","","Underweight in children 0-5 years|Underweight in women|Breastfeeding promotion/counselling|School-based health and nutrition programmes|Micronutrient supplementation|Wheat flours|Management of moderate acute malnutrition|Management of severe acute malnutrition","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MLI-2014-2023-PDDSS.pdf" "24482","NER","Niger","","Plan cadre des Nations Unies Pour l’assistance au développement (UNDAF)","Non-national nutrition policy document","","French","","2014","","2018","UN Country Team of Niger","","2014","","","","","Health|Education and research|Women, children, families|Development|Justice|Other","Intérieur","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IAEA, CEA, IOM, UN Women, UNCDF, PNUD, UNEP, UNOPS, UN Habitat, ONUD","Other","","Other|Japan International Co-operation Agency (JICA)","USA, Belgique, France","European Union","","National NGOs","","","","Private sector","","","","Effet 1. D’ici à 2018, les ménages vulnérables et les communautés ciblés augmentent leur résilience en matière de sécurité alimentaire et nutritionnelle, d’environnement, de catastrophes et d’inclusion socio-économique
Produit 1-2 : Les ménages vulnérables ciblés utilisent les services de prévention et de soins et les bonnes pratiques en vue d’améliorer leur nutrition
Produit 1-3 : Les ménages vulnérables dans les zones d’intervention ont accès à des filets sociaux et des programmes de relèvement adaptés
Effet 2. D'ici à 2018, les institutions nationales, régionales et locales appuyées utilisent des systèmes et mécanismes adaptés pour la prévention/gestion des risques/ catastrophes, la gestion durable de l’environnement et de la sécurité alimentaire
Produit 2-3 : Les institutions de vulgarisation nationales, régionales et locales soutenues disposent de capacités renforcées de transfert de compétences pour améliorer la production agro-pastorale et l’état nutritionnel des populations
","24. La stratégie du SNU consistera à apporter un appui-conseil au Gouvernement, à renforcer les capacités des acteurs, à développer un plaidoyer en faveur de la mobilisation des ressources et à inciter les pouvoirs publics à formuler et à mettre en oeuvre des politiques et programmes appropriés dans ses secteurs d'intervention.
25. Dans cette perspective, le SNU contribuera à l’amélioration de la sécurité alimentaire et nutritionnelle, de l'accès aux moyens de subsistance et de la gestion des ressources naturelles. Le SNU propose de faciliter aux ménages vulnérables un meilleur accès aux intrants (services financiers, eau, engrais, semences améliorées, équipements, appui-conseil/vulgarisation/encadrement, intrants zootechniques, etc.), aux marchés et aux infrastructures de stockage et transformation ainsi qu'à l'énergie, dans une approche de sauvegarde d'un environnement sain et d’atténuation des impacts du changement climatique. Le SNU veillera également à renforcer l’implication des acteurs des chaînes alimentaires et des institutions pour permettre l’adoption des bonnes pratiques limitant les pertes post-récoltes (infrastructures qualité).
26. L’amélioration de l’état nutritionnel des enfants et des femmes implique nécessairement : i) le renforcement et l’extension de couverture des services de prévention, de soins et de prise en charge de la malnutrition aiguë et chronique ; ii) la diversification de leur alimentation et la correction des carences nutritionnelles spécifiques (micronutriments) ; iii) l'application des pratiques familiales essentielles pour la survie et le développement de l’enfant (lavage des mains, allaitement maternel, espacement des naissances, utilisation des moustiquaires imprégnées, etc.) ; iv) l’amélioration de l’accès à l’eau potable et l’assainissement.
27. Le SNU facilitera également l'accès des ménages vulnérables, y compris les ménages non agricoles, à des filets sociaux de sécurité adaptés (transferts conditionnels et inconditionnels d’espèces, etc.), à des programmes de relèvement et de restauration des moyens d’existence diversifiés (AGR, etc.), à des opportunités économiques, à des emplois décents et à des connaissances utiles et pratiques pour promouvoir le changement social et de comportement et rehausser le niveau de leur résilience. Le SNU renforcera aussi les capacités du Dispositif National de Prévention et de Gestion des Catastrophes et des Crises Alimentaires (DNPGCCA) et des institutions nationales compétentes pour assurer une meilleure efficacité dans le domaine de la prévention et de la gestion des crises alimentaires et des catastrophes.
","1.1 Taux de prévalence de l’insécurité alimentaire sévère et modérée pour les ménages (désagrégé par sexe)
1.2 Taux de prévalence de la malnutrition aiguë et chronique
1.5 Pourcentage des ménages des zones vulnérables à l’insécurité alimentaire bénéficiaires de filets sociaux
1.1.1 Pourcentage de ménages vulnérables à l’insécurité alimentaire utilisant les intrants agricoles (désagrégé par sexe)
1.2.1 Taux de guérison des enfants malnutris par sexe pris en charge dans les centres de récupération nutritionnelle
1.2.2 Taux de couverture des enfants en vitamine A
1.2.3 Pourcentage de ménages assurant la diversification de l’alimentation des enfants (désagrégé par milieu de vie)
1.2.4 Pourcentage de mères pratiquant l’allaitement maternel exclusif pendant les 6 premiers mois dans les localités ciblées
1.3.2 Pourcentage des ménages vulnérables bénéficiant de programmes de restauration et de développement de moyens d'existence
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Vitamin A deficiency|Vitamin A|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Improved hygiene / handwashing|Conditional cash transfer programmes","","http://www.uncclearn.org/sites/default/files/niger_undaf.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202014%20UNDAF.pdf" "24484","TGO","Togo","","Plan cadre des Nations Unies pour l’aide au développement (UNDAF) 2014-2018","Non-national nutrition policy document","","French","","2014","","2018","UN country team of Togo","11","2013","","","","","Health|Education and research|Women, children, families|Social welfare|Environment","","Food and Agriculture Organisation (FAO)|International Food Policy Research Institute (IFPRI)|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)","OHCHR","Other","PLAN et PSI, HI, Aide et Action, EAA","Other|The World Bank","AFD, GIZ, GFTAM, Coopération Française, Allemande, US, BAD","European Union","","National NGOs","","","","","","","GAVI","Effet UNDAF 1 : La sécurité alimentaire, la résilience des communautés aux changements climatiques et l’accès des jeunes et des femmes à l’emploi sont améliorés
Effet UNDAF 2 : Les populations notamment les plus vulnérables ont un accès équitable aux services sociaux de base de qualité
Produit 2.2 : L’offre des services de prévention, de traitement, de soins et d’appui en matière de maladies transmissibles et non transmissibles est améliorée
Produit 2.3 : La nourriture, l’eau, l’hygiène et l’assainissement sont rendus disponibles dans les écoles, les formations sanitaires et dans les communautés.
","La mise en œuvre des interventions communautaires à haut impact dans une approche intégrée, contribuera à la réduction de la mortalité maternelle, néo-natale et infanto juvénile. Elle repose essentiellement sur le développement et le passage à l’échelle d’un paquet d’interventions préventives et curatives à haut impact relatives à la santé de l’enfant de 0 à 5 ans - initialement dans les régions où la mortalité chez les moins de cinq ans est la plus élevée et ensuite sur l’ensemble du territoire national.
Ce paquet comprend le renforcement des soins communautaires et familiaux à travers: (i) la promotion au niveau familial et communautaire des pratiques familiales essentielles, (ii) la mise en œuvre d’une approche intégrée des interventions pour le traitement et le suivi des pathologies les plus courantes et les plus létales pour les enfants de moins de cinq ans ( la diarrhée, le paludisme, la pneumonie, la malnutrition aigüe sévère et la malnutrition chronique16); le renforcement de la politique de subvention des médicaments génériques essentiels. Ces activités seront appuyées par le SNU dans les communautés éloignées des structures sanitaires périphériques.
Le SNU appuiera également le renforcement de la prestation des services pour le jeune enfant au niveau des structures et en stratégie avancée en accordant la priorité: (i) aux soins préventifs (renforcement du PEV, supplémentation en micronutriments, fortification et conseils nutritionnels, déparasitage systématique périodique des enfants de 0 à 5 ans); (ii) la prise en charge intégrée des maladies de l’enfant (PCIME clinique);(iii) la prise en charge du nouveau-né y compris la réanimation, la prévention et le traitement de l’infection (iv)le traitement de la malnutrition; (v) la prise en charge et le suivi de l’enfant vivant avec le VIH.
Pour la lutte contre les maladies non transmissibles, le SNU apportera son appui dans la mise œuvre du Plan stratégique intégré de lutte contre les MNT 2012-2015 aligné sur le plan d’action mondial de lutte contre les MNT 2013-202017: le développement et le renforcement des mesures législatives, réglementaires et intersectorielles pour réduire les facteurs de risque modifiables des principales MNT ainsi que la protection des personnes vivants avec les MNT et en situation de handicap à travers :(i) le plaidoyer ; (ii) la réduction de l’offre et de l’accessibilité aux produits du tabac et de l’alcool ; (iii) la mise en œuvre des décrets d’application de la loi anti- tabac votée par l’Assemblée nationale en décembre 2010 ; (iv) la promotion d’une alimentation saine et (v) la promotion de l’activité physique régulière individuelle ;(vi)la promotion de la détection précoce des principales MNT; (vii)le renforcement des capacités de prise en charge des cas.
La mise en œuvre des interventions communautaires à haut impact dans une approche intégrée, contribuera à la réduction de la mortalité maternelle, néo-natale et infanto juvénile. Elle repose essentiellement sur le développement et le passage à l’échelle d’un paquet d’interventions préventives et curatives à haut impact relatives à la santé de l’enfant de 0 à 5 ans - initialement dans les régions où la mortalité chez les moins de cinq ans est la plus élevée et ensuite sur l’ensemble du territoire national.
Ce paquet comprend le renforcement des soins communautaires et familiaux à travers: (i) la promotion au niveau familial et communautaire des pratiques familiales essentielles, (ii) la mise en œuvre d’une approche intégrée des interventions pour le traitement et le suivi des pathologies les plus courantes et les plus létales pour les enfants de moins de cinq ans ( la diarrhée, le paludisme, la pneumonie, la malnutrition aigüe sévère et la malnutrition chronique16); le renforcement de la politique de subvention des médicaments génériques essentiels. Ces activités seront appuyées par le SNU dans les communautés éloignées des structures sanitaires périphériques.
Le SNU appuiera également le renforcement de la prestation des services pour le jeune enfant au niveau des structures et en stratégie avancée en accordant la priorité: (i) aux soins préventifs (renforcement du PEV, supplémentation en micronutriments, fortification et conseils nutritionnels, déparasitage systématique périodique des enfants de 0 à 5 ans); (ii) la prise en charge intégrée des maladies de l’enfant (PCIME clinique);(iii) la prise en charge du nouveau-né y compris la réanimation, la prévention et le traitement de l’infection (iv)le traitement de la malnutrition; (v) la prise en charge et le suivi de l’enfant vivant avec le VIH.
Pour la lutte contre les maladies non transmissibles, le SNU apportera son appui dans la mise œuvre du Plan stratégique intégré de lutte contre les MNT 2012-2015 aligné sur le plan d’action mondial de lutte contre les MNT 2013-202017: le développement et le renforcement des mesures législatives, réglementaires et intersectorielles pour réduire les facteurs de risque modifiables des principales MNT ainsi que la protection des personnes vivants avec les MNT et en situation de handicap à travers :(i) le plaidoyer ; (ii) la réduction de l’offre et de l’accessibilité aux produits du tabac et de l’alcool ; (iii) la mise en œuvre des décrets d’application de la loi anti- tabac votée par l’Assemblée nationale en décembre 2010 ; (iv) la promotion d’une alimentation saine et (v) la promotion de l’activité physique régulière individuelle ;(vi)la promotion de la détection précoce des principales MNT; (vii)le renforcement des capacités de prise en charge des cas.
Pour en savoir plus, consulter VII. Résultats indicatifs.
","Taux de couverture des besoins alimentaires.
Pourcentage d’enfant de moins de 5 ans souffrant de malnutrition chronique.
Pourcentage d’enfants bénéficiant d’un allaitement maternel exclusif.
Nombre de personnes vivant dans des communautés ayant atteint le statut FIDAL (fin de la défécation à l’air libre).
Nombre d’école primaire publique et de structures sanitaires bénéficiant d’un point d’eau potable, et de latrines améliorées.
Nombre d’écoles publiques bénéficiant de repas scolaires pendant les jours ouvrables.
Nombre d’enfants scolarisés des écoles publiques des zones défavorisées recevant au moins un repas équilibré par jour.
Nombre de cadre de concertation, pour une alimentation saine et suffisante et une nutrition équilibrée, fonctionnels.
Nombre d’établissements scolaires disposant de jardins et des cantines scolaires fonctionnels
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Promotion of fruit and vegetable intake|Physical activity and healthy lifestyle|Micronutrient supplementation|Food fortification|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Food security and agriculture|Household food security|Home, school or community gardens|Improved hygiene / handwashing|Nutrition and malaria|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TGO%202014%20UNDAF.pdf" "23503","ZWE","Zimbabwe","","Zimbabwe National Nutrition Strategy","Comprehensive national nutrition policy, strategy or plan","","","","2014","","2018","Food and Nutrition Council","","2014","","","","","Education and research|Food and agriculture|Health|Labour|Nutrition council|Social welfare|Women, children, families","Food and Nutrition Council Education and research, Food and agriculture, Health, Labour, Nutrition council, Social welfare, Women, children, families,","","UN","","International NGOs & National NGOs","","","","","National NGOs","","","","","","","","KEY RESULT AREAS GOALS AND STRATEGIES
1) KRA 1 Adolescent and Maternal Nutrition Services
a. Goal 1: Coverage of health and community nutrition services for adolescents increased to 50% by 2018
b. Goal 2: Standard maternal health and nutrition package scaled up to 90% coverage by 2018
c. Goal 3: 50% of women of reproductive age have positive support from spouses and communities for decisions on maternal health, nutrition, healthy lifestyles and safe living environment by 2018.
2) KRA2: Infant and Young Child Nutrition
a. Goal 4: All health institutions provide the standard IYCF package (BMFHI, BF, CF, multiple micronutrient supplementation and fortification, dietary diversification, disease prevention and management, nutrition interventions in emergencies, feeding behaviours and stimulation, PMTCT, WASH and IMAM) by 2018
b. Goal 5: Community IYCF counseling package increased from 44% to 100% of districts and in at least 90% of the wards by 2018
c. Goal 6:Coverage of growth monitoring and promotion for under-fives increased from 2 districts to 20 districts by 2016 and to 40 districts by 2018 and covering 5 wards per district by 2018
3) KRA3 Clinical Nutrition Services
a. Goal 7: To increase the proportion of the adult population practicing at least one or a combination of the top 5 healthy lifestyles to 40% by 2018
b. Goal 8: Proportion of health facilities (central, provincial, mission and district hospitals) providing quality nutrition services for communicable (schistosomiasis, HIV, malaria, soil transmitted helminthes) and non-communicable diseases increased to 75% by 2018.
c. Goal 9: 30% of institutions adopt national food service and nutrition guidelines by 2018.
4) KRA4 Enhancing the Quality of Nutrition Information Systems and Effectiveness of Advocacy
a. Goal 10: Timely availability of relevant nutrition information that incorporates disaster risk reduction at all levels adequate for disaster preparedness planning and nutrition programming by 2018.
5) KRA 5 Strengthening Multi-sectoral Coordination and Collaboration for Integrated Nutrition Response
a. Goal 11:80% of women of reproductive age have the capacity to safely provide for their food, health and nutrition security using appropriate technologies
b. Goal 12: Coverage of health and community nutrition services for school children increased to 50% by 2018
c. Goal 13: All provinces and districts have Food and Nutrition Security Committees that are fully discharging their terms of reference by 2014, 50% of ward level committees functioning by 2018
d. Goal 14: To increase the proportion of households consuming safe and acceptable diets all year round to at least 80% by 2018
e. Goal 15: Scale up evidence-based nutrition sensitive interventions in social protection services to 80% coverage by 2018
f. Goal 16: At least 50% of community based health workers promote WASH related behaviour change whilst integrating nutrition messaging by 2018
g. Goal 17: To ensure that at least 50% of imported and locally produced foods are evaluated for safety by 2018.
6) KRA6 Capacity Development for Nutrition Service Delivery and Resource Mobilization
a. Goal 18:To ensure that the National Nutrition Department has a critical mass of staff with the ability, tools, supportive supervision and resources to integrate nutrition into other sectors
b. Goal 19: To increase resource allocation to nutrition to 1% of GDP per year by 2018.
","","Table 14 contains Outcome Indicators, Baseline Values, Targets and Allowable Variance
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight, obesity and diet-related NCDs|Overweight in children 0-5 yrs|Overweight in adolescents|Dietary practice|Fat intake|Sodium/salt intake|Fruit and vegetable intake|Maternal, infant and young child nutrition|Growth monitoring and promotion|Breastfeeding promotion/counselling|Breastfeeding in difficult circumstances|Nutrition in schools|School-based health and nutrition programmes|Nutrition in the school curriculum|Provision of school meals / School feeding programme|Promotion of healthy diet and prevention of obesity and diet-related NCDs|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin and mineral nutrition|Micronutrient supplementation|Food vehicles (i.e. types of fortified foods)|Biofortifcation|Acute malnutrition|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutrition and infectious disease|HIV/AIDS and nutrition|Nutrition sensitive actions|Health related|Conditional cash transfer programmes","","http://www.fnc.org.zw/","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZWE%202014%20National%20Nutrition%20Strategy.pdf" "24494","AFG","Afghanistan","","United Nations Development Assistance Framework for Afghanistan 2015-2019","Non-national nutrition policy document","","English","","2015","","2019","UN country team of Afghanistan","","2015","","","","","Health|Education and research|Women, children, families|Finance, budget and planning|Transport|Urban planning|Information|Justice|Labour|Other","Economy, foreign affairs, interior, public works, refugees, rural development","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|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 Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","IOM, OHCHR, UNEP, UN Habitat, UNMAS, UNODC, UN Women","","","","","","","","","","","Private sector","","","","Output 2: Strengthened mechanisms to increase equitable access to agricultural production and productivity, licit economic opportunities, productive assets and lands for food and livelihood security for vulnerable and marginalized population.
Output 1. Improved capacity of government and nongovernment organizations to increase accessibility to and demand for delivery of quality and cost effective health care, including maternal reproductive health, ASRH, family planning, nutrition and WASH services for the most marginalized and vulnerable populations.
","In the areas of health care, nutrition, WASH, education and prevention and protection services, UN agencies will support a range of interlinked and mutually supportive interventions at three levels: policy reform and implementation; data and knowledge management and community action.
At the policy and institutional level the UNCT will assist the development and implementation of health, nutrition, education drugs, child protection and WASH policies, strategies, and sectoral plans. It will support the strengthening of health systems, including Human Resources for Health (HRH), hospital management and reforms, improving access to essential medicines and health technology, and support establishing quality assurance and improvement mechanisms including drug & food regulation. At the implementation level, it will help expand health facilities to the areas not currently covered by BPHS and or cut off due to climatic or geographical barriers. It will assist the Government and CSOs (includes NGOs, CBOs and other civil society actors), and the private sector, under public-private partnership arrangements, in the implementation of the BPHS & EPHS, with a focus on strengthened capacity to deliver quality health and nutrition services, especially to women and children, psychosocial services to victims of Gender Based Violence, and services for persons with disabilities, including at the community level. The prevention and control of diseases, access to quality drugs, including contraceptives and HIV/AIDS prevention, treatment, care and rehabilitation services, will be other areas of support. It will support the Government in completing the Polio Eradication Initiative agenda and strengthening emergency preparedness and response. It will also provide support to increased coverage of quality safe and drinking water and sanitation and increased access to and utilization of quality preventive and curative nutrition services, provided at community level and through health facilities.
","Output Indicator 2.2: % of targeted populations, farming families and households which have access to agricultural production and productivity, economic opportunities and productive assets for food and agri-based livelihood security
Outcome Indicator 2.4: Prevalence of global acute malnutrition of children 6-59 months by sex
Outcome Indicator 2.5: Proportion of population using an improved drinking water source
Outcome Indicator 2.6: Proportion of population using an improved sanitation facility
Output Indicator 2.1.3: % of communities which have access to health facilities within one hour walking distance by residence
Output Indicator 2.1.6: # of pregnant and lactating women received infant and young child feeding counselling
","Outcome indicators|Process indicators","","Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202015%20Annex.pdf|https://extranet.who.int/nutrition/gina/sites/default/filesstore/AFG%202015%20Annex.pdf" "24452","AGO","Angola","","Partnership framework between the government of Angola and the UN system (UNPAF)","Non-national nutrition policy document","","English","","2015","","2019","Ministry of Planning and Regional Development","","2015","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Sport|Environment|Industry|Labour|Sub-national|Other","Ministry of Energy and Water","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Office for the Coordination of Humanitarian Affairs (OCHA)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","UNCHR, UNEP, UN Habitat, IOM, IAEA, UNISDR, UNCTAD","","","Other|Bill and Melinda Gates Foundation|Japan International Co-operation Agency (JICA)|The World Bank|US Agency for International Development (USAID)","Global Fund, Rotary","European Union|Other","Portuguese bilateral cooperation, cooperation with the German Embassy","National NGOs","ADPP, PIN, AAEA","","","Private sector","","","","Result 1.1: Health. By 2019 Angola reduced maternal and child morbidity and mortality, the mortality rate of its population, the risk factors for the health of adolescents and non- communicable diseases
Result 3.1 Inclusive growth, economic diversification, production and job creation. By 2019, Angola possesses and is implementing policies and strategies for the promotion of inclusive and sustainable growth to enable Angola to leave the group of Less Advanced countries
","Result 1.1. Adequate support from the central level of the Ministry of Health for capacity building of provincial and municipal staff to better implement actions in the field of health.
Recruitment of additional health personnel for the different levels of the health pyramid.
Coordination of the activities of all the actors in the health sector.
Information system on water and sanitation (SISAS) & Model for community management of water (MOGECA) launched and implemented as planned
Surveys and evaluations
Baseline Survey on Mothers and care givers awareness of essential practices in health, nutrition and WASH. (UNICEF) (2015)
Qualitative study on Mothers and care givers awareness and behaviors of essential practices in health, nutrition and WASH. (UNICEF) (2015)
Study on the Impact of the school feeding programme(UNICEF) (2016)
Rapid Assessment study on Mothers and care givers awareness and behavior regarding essential practices in health, nutrition and WASH (UNICEF) (2017)
Final evaluation on parents and caregivers’ awareness of essential practices in health, nutrition and WASH (UNICEF). (2019
","Result 1.1.
Indicator 1: Development and implementation of policies: Number of policies/national plans updated/produced and budgeted with the support of the UN to promote and strengthen health in line with the 9 priority programmes of the PNDS 2012 -2025.
Baseline: 4 plans produced.
Goal: 9 plans produced (1. National Strategic Plan for the Aged; 2 .National Strategic Plan for Maternal, Neonatal and Infant Health (including vaccinations); 3. Strategic Plan for Infant Nutrition; 4. National strategic Plan for the control and prevention of malaria; 5. National Plan for Water and Sanitation; 6 .National Policy for Community Interventions; 7. Multiannual Integrated Plan for Vaccination; 8. National Plan for the Elimination of Mother to child HIV; 9. Plan for Management, Procurement and Logistics )
Indicator 2: Capacity building and training. Number of teams of the government and civil society trained in health matters (sexual and reproductive health, including maternal and newborn health, family planning, HIV/AIDS, DNT, etc.).
Baseline: Not available
Goal: 1000 individuals trained in sexual reproductive health and HIV/AIDS by 2019.
Indicator 3: Supply of services. Number of provinces to implement the policy of re- vitalisation of the municipal health services, including integrated services for health, nutrition, water and sanitation and HIV/AIDS.
Baseline: 5 provinces Goal: 10 provinces by 2019.
Result 3.1
Indicator 5: Increase in the number and improvement in the quality of research on hunger, poverty and national inequalities carried out by Angolan universities.
Baseline: At the moment, few national institutions produce research in a systematic way.
Goal: At least four national institutions produce periodic studies which help in decision making.
","Process indicators","","HIV/AIDS and nutrition|Improved hygiene / handwashing|Water and sanitation","","http://www.undp.org/content/dam/angola/docs/legalframework/UNDP_AO_UNPAF2015-2019_EN.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/AGO%202015%20UNPAF.pdf" "25899","AZE","Azerbaijan","","Azerbaijan National Strategy for the Prevention and Control of Non-Communicable Diseases 2015-2020","NCD policy, strategy or plan with healthy diet components","","English","","2015","","2020","","","2015","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Industry|Labour","The Ministry of Health, The Ministry of Finance, The Ministry of Taxes, The Ministry of Education, The Ministry of Youth and Sport, The Ministry of Labour and Social Protection, The Ministry of Economy and Industry, The Ministry of Agriculture, State Committee of Family, Women and Children Affairs","","","","","","","","","National NGOs","","","","","","","","Goal: The overall goal of the National Strategy on Prevention and Control of Micronutrient Deficiencies (NSPCMD) is to improve the overall health, nutritional status, survival, growth, development and productivity of the population by preventing and alleviating micronutrient deficiencies.
Objectives:
To provide guidelines on interventions and actions for improved access and affordability to micronutrients through increased consumption of micronutrient rich foods, fortified foods and supplements and compliance to micronutrient guidelines and regulations
To provide a common platform for resource mobilization for the implementation of the national micronutrient deficiency prevention and control programmes
To promote efficient implementation and programme delivery of micronutrient interventions that can create impact among the marginalized through improved planning, capacity development, monitoring, coordination and collaboration of partners in the country
To improve knowledge, awareness and utilization of micronutrient deficiency control interventions through advocacy, social mobilization and behavior change communication
To strengthen research and monitoring and evaluation of National Micronutrient Deficiency Prevention and Control programmes in the country
","Micronutrient Priority Areas of Action
Vitamin A
1. Strengthening VAC supplementation strategy for children aged 6-59 months, especially those living in hard-to-reach areas and moderately malnourished children.
2. Revisiting existing policy for post-partum VAC supplementation programme in the context of recent WHO recommendation.
3. Reinforcing compliance by private sectors as key players in the vitamin A fortification program.
Iodine
1. Revising existing Salt Law to implement the use of iodized salt in livestock and processed food.
2. Declaring USI as a programme of national importance and intervening in a mission mode (Salt Mission).
3. Transforming USI project into a sustainable programme and mainstreaming USI activities within NNS.
4. Initiating a Market Intervention Operation (MIO) to determine the right price for consumers.
5. Introducing iodized salt into safety net programmes.
6. Taking strong administrative action against non-performing mills.
7. Imposing restriction on import of refined edible salt, with proper quality checks and with the exception of emergency situations.
Iron
1. Reviewing policy on IFA supplementation guidelines for adolescent girls and NPNL women; consider adding other micronutrients to supplements.
2. Considering policy on multiple micronutrient supplementation during pregnancy.
3. Need based targeted MNP supplementation programme for young children aged 6-23 months.
Zinc
1. Developing and implementing policy on rice fortification with zinc as one of the multiple micronutrients for the poorest group through government safety net programmes and other groups (open market sale, rationing, etc.).
2. Considering bio-fortification of rice with zinc for mass populations.
Vitamin B12
1. Considering possibility of adding animal source foods in appropriate form for vulnerable groups through safety net and food security programme. This can also increase consumption of other micronutrients, such as vitamins A, D, B12, iron and zinc.
Vitamin D and Calcium
1. Developing and implementing policy on food fortification with vitamin D (such as edible oil – consider double fortification).
2. Strengthening calcium supplementation during pregnancy, as per WHO guideline.
","See Table 16 and Table 17, pages 72 and 73
","","","International Code of Marketing of Breast-milk Substitutes|Maternity protection|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Health professional training on breastfeeding|Complementary feeding promotion/counselling|Nutrition in the school curriculum|School gardens|Vitamin A|Calcium|Iodine|Iron and folic acid|Vitamin D|Zinc|Micronutrient powder for home fortification|Food fortification|Nutrition education|Rice|Food grade salt|Edible oils and margarine|Biofortifcation|Deworming|Food security and agriculture|Home, school or community gardens|Vulnerable groups","","http://iphn.dghs.gov.bd/wp-content/uploads/2016/01/NMDCS-.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BGD%202015%20National%20Strategy%20on%20prevention%20and%20control%20of%20micronutrient%20deficiency.pdf" "39448","COG","Congo","","Plan opérationnel de lutte contre la malnutrition au Congo 2016-2020","Comprehensive national nutrition policy, strategy or plan","","French","","2015","","2020","","5","2015","","","","","Nutrition council|Women, children, families","","","","","","","","","","National NGOs","","","","","","","communities","3.1. OBJECTIFS
2.1.1. Objectif général
D’ici 2025, réduire d’au moins 50% la prévalence de toutes les formes de malnutrition chez les populations vulnérables, notamment les enfants de 0 à 59 mois, les femmes enceintes et allaitantes au Congo.
2.1.2. Objectifs spécifiques
D’ici 2025 :
2.2. STRATEGIES
2.2.1. Renforcement des cadres stratégique, institutionnel, juridique et financier de la lutte contre la malnutrition.
Interventions
2.2.2. Extension de la couverture des interventions de nutrition (prévention et prise en charge de la malnutrition, interventions favorables à la nutrition)
Interventions
2.2.3. Mise en place d’un système opérationnel de communication pour le développement.
Interventions
2.2.4. Amélioration de la sécurité alimentaire des ménages.
Interventions
2.2.5. Renforcement des capacités et de la recherche
Interventions
see tables P12-37
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Fruit and vegetable intake|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Provision of school meals / School feeding programme|Monitoring of children’s growth in school|Media campaigns on healthy diets and nutrition|Vitamin A|Micronutrient supplementation|Micronutrient powder for home fortification|Staple foods|Complementary foods|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture|Household food security|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COG%202015%20Plan%20operationnel%20contre%20la%20malnutrion.pdf" "39450","CIV","Côte d'Ivoire","","Politique Nationale de Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2015","","2020","","","2015","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Development|Trade|Industry","Ministère en charge des Ressources Animales et Halieutiques,Ministère en charge de l’hydraulique humaine","","Système des Nations Unies","Other","Organisations Non Gouvernementales internationales.","Other","partenaires multilatérauxpartenaires bilatéraux","","","National NGOs","","","","","","","","6.2. Objectif Général
L’objectif général du Plan National Multisectoriel pour la Nutrition 2016-2020 est
d’améliorer le statut nutritionnel de la population.
6.3. Objectifs Spécifiques
6.4. Objectifs Sectoriels
5.1.2 Objectif global
Réduire de 15% le nombre de la population en situation d’extrême pauvreté
","Axe stratégique 1 : Augmentation les revenus des plus pauvres
Axe stratégique 2 : Amélioration de l’accès aux services sociaux de base
Приложение № 1 КОНЦЕПЦИЯ по обеспечению здорового питания населения Республики Узбекистан на период 2015-2020 годы
II. ЦЕЛЬ И ЗАДАЧИ КОНЦЕПЦИИ
3. Основными задачами по обеспечению здорового питания населения Республики Узбекистан являются:
Приложение № 1 КОНЦЕПЦИЯ по обеспечению здорового питания населения Республики Узбекистан на период 2015-2020 годы
III. ОСНОВНЫЕ НАПРАВЛЕНИЯ ДЕЯТЕЛЬНОСТИ ПО ОБЕСПЕЧЕНИЮ ЗДОРОВОГО ПИТАНИЯ И ОБРАЗА ЖИЗНИ
4. В рамках реализации настоящей Концепции предусматривается:
а) совершенствование нормативно-правовой базы, регулирующей отношения в области обеспечения населения здоровым питанием и формирования здорового образа жизни, в том числе:
б) реализация мер, направленных на совершенствование механизмов обеспечения населения здоровым питанием и формирование культуры здорового образа жизни:
в) проведение научных исследований в области здорового питания и диетологии:
г) организация широкой разъяснительной работы в области здорового питания и формирования культуры здорового образа жизни:
д) дальнейшее повышение качества подготовки медицинских кадров: внедрение учебных программ в области здорового питания для среднего специального, профессионального, высшего и послевузовского образования:
Приложение № 2: Комплекс мер по обеспечению здорового питания населения Республики Узбекистан на период 2015-2020 годы
Приложение № 1 КОНЦЕПЦИЯ по обеспечению здорового питания населения Республики Узбекистан на период 2015-2020 годы
V. ОЖИДАЕМЫЕ РЕЗУЛЬТАТЫ РЕАЛИЗАЦИИ КОНЦЕПЦИИ
9. Реализация Концепции позволит к 2020 году:
Goal: All citizens of Bangladesh enjoy health and well-being
GI 5. Prevalence of stunting among under-five children
Baseline: 36.1%
Target 2021: 25%
GI 6. Prevalence of diabetes and hypertension among adult women
Baseline: Diabetes 11.2%; Hypertension 32.9%
Target 2021: Diabetes 10%; Hypertension 30%
Program objective: To ensure quality and equitable healthcare for all citizens of Bangladesh by gradually achieving Universal Health Coverage (UNC)
Component 3: Quality basic services reach the disadvantaged population to progress towards UHC
3.1.1 % of infants less than 6 months receiving exclusive breastfeeding
Baseline: 55.3%
Target 2021: 65%
3.1.2 % of infants 6-23 month are fed with minimum acceptable diet
Baseline: 22.8%
Target 2021: 45%
","","","","","Breastfeeding|Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Minimum acceptable diet|Raised blood glucose/diabetes|Raised blood pressure|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Vitamin A|Calcium|Iron and folic acid|Micronutrient supplementation|Nutrition education|Food grade salt|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Food safety|Food security and agriculture|Diarrhoea or ORS|Family planning (including birth spacing)|Vaccination|Water and sanitation","","http://www.mohfw.gov.bd/index.php?searchword=hnpsip&ordering=&searchphrase=all&Itemid=1&option=com_search&lang=en","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BGD%202016%20Health%20Nutrition%20and%20Population%20Strategic%20Investment%20Plan.pdf" "24689","BEN","Benin","","Directives nationales pour la surveillance de la croissance et du développement de l’enfant au Benin","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","6","2016","","","Ministère de la Santé/DIRECTION DE LA SANTE DE LA MERE ET DE L’ENFANT","","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Information|Other","","","","","","","","","","","","","","","","","","Objectif général
Améliorer les pratiques de la surveillance de la croissance et du développement de l’enfant pendant et après la fenêtre d’opportunité des 1000 premiers jours de vie.
Objectifs Spécifiques
surveillance de l’état nutritionnel de la femme enceinte
surveillance de l’état nutritionnel chez la femme allaitante
surveillance de la croissance et le développement des enfants 0-24 mois
surveillance de la croissance et du développement de l’enfant après les 1000 premiers jours de vie
","Objectif Général
Assurer la contribution de la Nutrition à la réalisation des ODD au Bénin
","Réduction de l’insuffisance pondérale à la naissance
Lutte contre l’anémie chez la femme en âge de procréer
Lutte contre les carences en micronutriments
Réduction de la prévalence des maladies chroniques non transmissibles liées à la nutrition
Promotion de la recherche en matière de nutrition
Promotion de l’allaitement maternel exclusif au cours des six premiers mois
Promotion de l’allaitement maternel dans les FS et au niveau communautaire
Renforcement de la sécurité sanitaire et de la qualité nutritionnelle des aliments
Réduction de la malnutrition chez les enfants de moins de 5 ans
Supplémentation et Fortification alimentaires
PCIME clinique et communautaire et de la PFE
Renforcement de la multisectorialité et du partenariat avec les autres secteurs
Plaidoyer et mobilisation des ressources dans le domaine de la nutrition
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in adolescents|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Monitoring of children’s growth in school|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Food-based dietary guidelines (FBDG)|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Vitamin A|Micronutrient powder for home fortification|Nutrition education|Wheat flours|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food safety|Food security and agriculture|Home, school or community gardens|Vaccination","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BEN%202016%20Plan%20d%E2%80%99actions%20de%20la%20Politique%20du%20Secteur%20Sant%C3%A9_0.pdf" "24686","BFA","Burkina Faso","","Politique Nationale de Nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2016","","2025","ministry of health","2","2016","","","","","Nutrition council|Health|Food and agriculture|Education and research|Women, children, families","","","","","","","","","","","","","","","","","","OBJECTIF GENERAL DE LA POLITIQUE
Améliorer l’état nutritionnel des populations à travers la mise en œuvre d’interventions multisectorielles
Orientations stratégiques
Réduction de la sous nutrition (detailed activities page 18-20)
Réduction des carences en micronutriments (detailed activities page 20-22)
Renforcement de la lutte contre la surnutrition et les maladies chroniques non transmissibles liées à la nutrition. (detailed activities page 22)
Renforcement de la sécurité sanitaire des aliments (detailed activities page 23-24)
Amélioration de la gouvernance et les dispositions législatives en matière de nutrition. (detailed activities page 24)
A l’horizon 2025, le Burundi vise :
(6) Réduction de la malnutrition jusqu’aux seuils de l’OMS soit : malnutrition chronique :<40%, Insuffisance pondérale :<25%, Malnutrition aigue : <5% particulièrement chez les populations les plus vulnérables notamment les enfants de moins de cinq ans, les femmes enceintes ou allaitantes, les personnes vivant avec le VIH et les personnes âgées.
(10) L’accès pour les jeunes de 20- 24 ans à l’éducation nutritionnelle des jeunes
","6.1.3. Domaine prioritaire III : amélioration de la santé maternelle, du nouveau-né, de l’enfant d’âge préscolaire, de l’enfant d’âge scolaire, de l’adolescent(e) et de la personne âgée.
(1) Période pré-gestationnelle:
(2) Période gestationnelle:
(3) Période de travail et de l’accouchement :
(5) Période postnatale (nouveau-né):
(6) Période de la petite enfance ( jusqu’à 11 mois):
(7) Période de l’enfance (12-59 mois)
(8) Période scolaire (6 à 10 ans): (
(9) Période de l’adolescence (10- 20 ans)
(10) Période de la jeunesse (20- 24 ans) :
6.1.4. Domaine prioritaire IV : lutte contre la malnutrition
6.1.4.1. Reduction de la malnutrition chronique chez les enfants de moins de 5 ans
6.1.4.2. Reduction de la malnutrition chez la femme en âge de procréer, surtout la femme enceinte ou la femme allaitante
6.1.4.3. Amélioration de l’état nutritionnel des autres groupes vulnérables (PVVIH, orphelins,…)
% d’enfants < 5 ans souffrant de malnutrition chronique
","Outcome indicators","","Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Counselling on infant feeding in the context HIV|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Underweight in women|Underweight in adolescent girls|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood glucose/diabetes|Raised blood pressure|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Vitamin A|Iodine|Iron and folic acid|Micronutrient supplementation|Food fortification|Nutrition education|Food grade salt|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Nutrition & infectious disease|Household food security|Family planning (including birth spacing)|Improved hygiene / handwashing|Nutrition and malaria|Vaccination|Water and sanitation|Vulnerable groups","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BDI%202016%20National%20Health%20Policy.pdf" "39449","COG","Congo","","Strategie Nationale de Lutte Contre les Carences en Micronutriments 2016-2020","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2016","","2020","Ministere de la Sante et de la Population","2","2016","Adopted","","2016","","Nutrition council|Health|Food and agriculture|Women, children, families","","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|World Food Programme (WFP)|World Health Organization (WHO)","","","","Other|The World Bank","Fonds Mondial","European Union","","National NGOs","","","","Private sector","la Minoterie du Congo (MINOCO)","","","BUT
Cette stratégie vise à contribuer à l’amélioration du statut nutritionnel des populations congolaises.
OBJECTIF GENERAL
Améliorer le statut en micronutriments des populations congolaises, en particulier, les femmes enceintes et allaitantes, les enfants et les adolescents.
OBJECTIFS STRATEGIQUES
2.5.1 Renforcement des cadres institutionnel, législatif, réglementaire et normatif de la lutte contre les carences en micronutriments
Actions prioritaires :
2.5.2 Supplémentation en micronutriments les enfants, les femmes enceintes et allaitantes
Actions prioritaires
2.5.3 Fortification des aliments de large consommation en micronutriments
Actions prioritaires :
2.5.4 Renforcement de la production des aliments riches en micronutriments
Actions prioritaires :
2.5.5 Mettre en œuvre des interventions de santé publique
Actions prioritaires :
2.5.6 Communication pour le développement
Actions prioritaires
2.5.7 Renforcer la Recherche appliquée en matière de lutte contre les carences en micronutriments
Actions prioritaires :
Renforcement des capacités des laboratoires de recherche
","See tables 5-8, pages 23-24
","","","Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|School gardens|Vitamin A|Vitamin B12|Micronutrient supplementation|Micronutrient powder for home fortification|Nutrition education|Wheat flours|Staple foods|Refined sugar|Complementary foods|Biofortifcation|Nutrition & infectious disease|Food security and agriculture|Home, school or community gardens|Vaccination","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/COG%202016%20Strategie%20nationale%20en%20micronutriments.pdf" "39458","SLV","El Salvador","","Plan Estratégico Nacional Intersectorial de Promoción, Protección y Apoyo a la Lactancia Materna 2016 - 2019","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2016","","2019","Ministerio de Salud","","2016","","","","","Cabinet/Presidency|Health|Education and research|Women, children, families|Social welfare|Labour","","","UNICEF","","Salvadorian Institute for Women, College of Physicians, Centre for Breastfeeding support","","","","","National NGOs","","","","","","","","Propósito:
Incrementar la práctica de la lactancia materna exclusiva y prolongada hasta los dos años, en el ámbito familiar y comunitario, contribuyendo a la salud integral de la niñez de El Salvador.
Objetivo:
Establecer las estrategias, mecanismos y acciones que favorezcan la promoción, protección y apoyo a la lactancia materna durante el período del 2016 al 2019.
","Actividades
Indicadores
Línea estratégica 3: Monitoreo y evaluación
Objetivo Específico:
Establecer mecanismos y acciones que permitan monitorear y evaluar la promoción, protección y apoyo a la lactancia materna.
Actividades e Indicadores
Monitoreo y evaluación del cumplimiento del plan estratégico intersectorial de promoción protección y apoyo a la lactancia materna.
Evaluación del cumplimiento del Código internacional de comercialización de sucedáneos de la leche materna.
Vigilancia a travès de auditorias permanentes de trabajo sobre la implementaciòn de las salas de lactancia materna y del cumplimiento de la hora de permiso por patrono
Actualización de la Inciativa de Hospitales amigos de la niñez y las madres
Acreditación de 10 nuevos hospitales como amigos de la niñez y las madres
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" "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" "24473","GNB","Guinea-Bissau","","Partnership framework between Guinea-Bissau and the United Nations ","Non-national nutrition policy document","","English","","2016","","2020","UN Country Team of Guinea-Bissau","4","2016","Adopted","10","2016","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Environment|Industry|Information|Justice|Other","Foreign Affairs, Defense, Security","Food and Agriculture Organisation (FAO)|International Labour Organization (ILO)|Joint United Nations Progam on HIV/AIDS (UNAIDS)|Other|United Nations Children's Fund (UNICEF)|United Nations Educational, Scientific and Cultural Organization (UNESCO)|United Nations High Commissioner for Refugees (UNHCR)|United Nations Industrial Development Organization (UNIDO)|United Nations Population Fund (UNFPA)|World Food Programme (WFP)|World Health Organization (WHO)","UN Habitat, UNODC, UNOPS, UN Women","","","The World Bank","","European Union|Other","African Union, IMF","National NGOs","","Research/academia","","Private sector","","","","
Outcome 3:All citizens, particularly the most marginalized and vulnerable, have equitable, sustainable access to and will use the services in health, nutrition, HIV/AIDS, water, sanitation and hygiene, education, and protection services.
","The promotion of the right to food and the improvement of governance of food and nutritional security as well as land governance;
The improvement in infant and newborn health through the implementation of the vaccination strategy, the promotion at the community level of knowledge, behaviors, and practices affecting the health of the newborn, infant, and mother, and the reduction in acute and moderate malnutrition in children 6 to 59 months of age, pregnant women, and nursing mothers;
The improvement of the nutritional status of TB and HIV patients under treatment;
In the area of water, sanitation and hygiene, the interventions of the United Nations team will make a contribution to the promotion of the use of improved sanitation facilities, the transition to scale of the washing of hands using soap, the promotion of sustainable, equitable access to potable water in the communities, schools, and health centers, and the development of the capacities of resource managers in potable water.
","Indicator 3.7: Proportion of children under 5 years old suffering from chronic malnutrition
Indicator 3.8: Proportion of children at least 5 years old suffering from acute malnutrition
Indicator 3.12: Rate of defecation in open air
Indicator 3.13: Proportion of people with access to potable water
Indicator 3.16: Nutritional recovery rate
","Process indicators","","Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Nutrition & infectious disease|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/GNB%202016%20UNPAF.pdf" "36207","MUS","Mauritius","","National Plan of Action For Nutrition","Comprehensive national nutrition policy, strategy or plan","","English","","2016","","2020","Ministry of Health and Quality of Life","9","2016","","","","","Health|Food and agriculture|Education and research|Women, children, families|Consumer affairs|Industry","","","","","","","","","","National NGOs","","","","","","","","But de la Politique
La présente politique vise à permettre au Niger d’atteindre les Objectifs de Développement Durable (ODD), particulièrement l’ODD2: éliminer la faim, assurer la sécurité alimentaire, améliorer la nutrition et promouvoir une agriculture durable.
Objectif général
La politique nationale sur la sécurité nutritionnelle, qui exprime l'engagement pris par le Gouvernement de la République du Niger, vise à éliminer toutes les formes de malnutrition au travers d’une large mobilisation multisectorielle de ressources institutionnelles, humaines, et financières.
Objectifs spécifiques
Engagement 1: Le Niger s’engage à assurer que les politiques et instruments qui protègent et améliorent la sécurité nutritionnelle et le cadre de vie des Nigériennes et des Nigériens, particulièrement au niveau des groupes vulnérables, soient formulés et guident les décisions et actions du Gouvernement et de ses partenaires.
Engagement 2: Le Niger s’engage à assurer une nutrition et un développement optimal pour chaque enfant, une nutrition adéquate durant l’adolescence en particulier pour les jeunes filles, et un apport nutritionnel approprié pendant la grossesse et l’allaitement.
Engagement 3: Le Niger s’engage à créer les conditions d’une disponibilité accrue de l’approvisionnement et de la consommation d’aliments diversifiés, pour garantir une alimentation quantitativement et qualitativement adéquate aux enfants de moins de cinq ans, aux adolescentes et adolescents, aux femmes enceintes et allaitantes et ceci durant les différentes périodes de l’année y compris la période de soudure.
Engagement 4: Le Niger s’engage à assurer le développement et la mise à l’échelle de stratégies permettant un accès à l’eau potable, et aux infrastructures d’hygiène et d’assainissement pour les enfants, les femmes et les hommes.
Engagement 5: Le Niger s’engage à ce qu’un socle de protection sociale ou des programmes de protection sociale contribuent directement ou indirectement à la promotion de la sécurité nutritionnelle en particulier pour les catégories les plus vulnérables.
Engagement 6: Le Niger s’engage pour une éducation formelle et non formelle qui promeut la sécurité nutritionnelle.
Engagement 7: Le Niger s’engage à lutter contre le surpoids et l’obésité, y compris la surnutrition des enfants, et à réduire l’incidence des maladies non transmissibles (prévenir et contrôler les maladies liées à la mauvaise alimentation et ses conséquences).
Engagement 8: Le Niger s’engage à développer et mettre à l’échelle des stratégies de communication cohérentes et multisectorielles assurant un support politique, des changements sociaux et de comportements favorisant une meilleure nutrition.
Note: for each commitment, stratgies are listed in document pages 15-21
","","","","Maternity protection|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|Overweight in school children|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Complementary feeding promotion/counselling|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Nutrition counselling on healthy diets|Micronutrient supplementation|Nutrition education|Management of moderate acute malnutrition|Management of severe acute malnutrition|Food security and agriculture|Conditional cash transfer programmes|Vulnerable groups","","","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/NER%202016%20PNSN_0.pdf" "25744","POL","Poland","","Narodowy Program Zdrowia na lata 2016–2020 [National Health Program for 2016-2020]","Health sector policy, strategy or plan with nutrition components","","Polish","","2016","","2020","Legal Journal of the Government of Poland","9","2016","Adopted","8","2016","Government of Poland","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Labour|Other","Ministry of Tourism; National Defense","","","","","","","","","","","Research/academia","","","","Other","Mass Media; Public Education and Recreation Centers","3. Wskaźniki monitorowania poszczególnych celów operacyjnych 1) cel operacyjny 1
Outcome 2.2. Health By end 2020, Ugandan population enjoys healthier and productive lives with substantial reductions in mortality and morbidity, especially among children, adolescents, pregnant women and other vulnerable groups; and sustained improvements in population dynamics.
Output 2.2.2. Water, Sanitation and Hygiene (WASH) By end 2020, targeted institutions with adequate technical and operational capacity to deliver cost-effective and sustainable models of community-based safe WASH & environmental preservation systems; and hygiene, sanitation behavior change at household, health facility and school settings.
Output 2.2.3 Nutrition and Household Food Security By end 2020, coordination capacity of OPM and technical and operational capacity of targeted stakeholders strengthened to ensure operationalization and scale-up of proven high-impact, cost-effective, multi-sectoral, integrated and community-based nutrition & Household Food Security interventions that effectively contribute to reducing stunting and other forms of malnutrition and enhanced food security.
Output 2.2.5. Dual burden of communicable and non-communicable diseases (NCD) By end 2020, equitable and increased coverage of effective preventive and care services, particularly for major communicable diseases (malaria, HIV/AIDS, TB) targeting most-at-risk populations; and comprehensive NCD control and management of major risk factors (tobacco, alcohol and substance abuse, physical inactivity and diet) and mental health.
","2.2.2.1. Provide Technical and financial support to MWE for strengthened coordination of the WASH partnerships and improved resource allocation
2.2.2.2. Strengthen national and district functional and financial capacity to increase coverage of water and sanitation services in rural growth centers, health facilities and schools, including in humanitarian situations
2.2.2.3. Support MoH and MoLG Scale-up community-led total sanitation (Hygiene promotion)
2.2.2.5. Support MoLG and private sectors for a sustained, community ownership and maintenance of water and sanitation, infrastructures
2.2.2.6. Support OPM, MoH, MWE, and LGs, MoES, to operationalize an integrated ( communities, schools and Health centers) WASH resilience programme
2.2.3.2 Support advocacy efforts with parliament and relevant ministries for leveraging domestic resources for nutrition
2.2.3.3 Provide technical support to MWE, MoES, MoLG and MoH to scale-up and sustain high-impact child and maternal nutrition interventions with a particular focus on the first 1000 days of life, including in humanitarian situations
2.2.3.4 Support OPM, MoH and other UNAP stakeholders in evidence generation on the burden of all forms of malnutrition; nutrition-sensitive budgeting and equity-focused planning
2.2.3.5 Provide technical and financial support to the OPM and relevant sectors to implement the National Nutrition and Food Security Monitoring and Evaluation Framework
2.2.5.1 Strengthen evidence generation and use for, policy formulation, programming, advocacy for multisectoral collaboration, enhanced partnerships, increased financing for accelerated scale up of service coverage for communicable and non-communicable diseases
2.2.5.2 Provide technical and financial support to MoH to develop/review policies, strategies, guidelines and plans for communicable and non- communicable diseases
2.2.5.3 Support capacity building at all levels for sustainable prevention and control of communicable and non-communicable diseases
","Percentage of rural and urban people with access to improved sanitation, by rural/urban
Percentage of people with access to (and using) hand washing facilities (households and schools)
Existence of national Integrated Food and Nutrition M&E System
Number of districts with a functional comprehensive community- based nutrition model
National Food consumption score
Prevalence of major NCD risk factors
","Outcome indicators|Process indicators","","Stunting in children 0-5 yrs|Improved hygiene / handwashing|Water and sanitation","","","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/UGA%202016%20UNDAF.pdf" "24490","TZA","United Republic of Tanzania","","United Nations Development Assistance Plan","Non-national nutrition policy document","","English","","2016","","2021","UN country team of Tanzania","","2016","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Trade|Environment|Industry|Sub-national|Other","","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)","IAEA, ITC, OHCHR, UN Habitat, UNCTAD; UNEP, UNODC, UNV, UN Women, UNCDF, IOM","Other","","","","","","National NGOs","","","","Private sector","","","","Outcome statement: Increased coverage of equitable, quality and effective nutrition services among women and children under five
Output: Improved nutrition specific services for women and children under five available
Output: Relevant MDAs and select LGAs are better able to realize a multi-sectoral nutrition response at national, regional and district level
Output statement: Vulnerable groups have increased access to safe and affordable water supply sanitation and hygiene
Output: Select MDAs are better able to formulate policies, plans and guidelines for the sustainable management of water, sanitation and hygiene
Output: Select LGAs have enhanced capacity to plan and implement sustainable water, sanitation and hygiene services
","Tanzanians’ consistently poor nutritional status demands action. UN Tanzania will therefore support duty bearers to realize a multi-sectoral nutrition response at national, regional and district levels for those living on both the mainland and Zanzibar, supported by an effective nutrition information and surveillance system. The quality and coverage of services for those most at risk of poor nutritional outcomes, namely women and children under five, will also be enhanced.Key government institutions and select LGAs will be supported to effectively integrate nutrition in their planning and budgeting processes, with emphasis given to a multi-sectoral approach with concomitant resources for coordination. It is anticipated that >80% of all LGAs on the mainland will implement nutrition plans and budget that include at least five nutrition specific or sensitive interventions integrated in their MTEFs by 2021. Regional and district nutrition officers plus health workers will be given regular technical and supervisory training to ensure they meet the highest professional standards whilst agricultural extension workers will be afforded supplies and technical expertise to mainstream nutrition in their food security interventions.
Nutrition services for women and children under five will receive a boost with service providers enabled to promote appropriate Maternal, Infant and Young Child Feeding methods through counselling and supplies provision, including use of iron-folic acid supplements during pregnancy, exclusive breastfeeding for infants under five months and provision of vitamin A supplements and deworming for those between 6-59 and 12-59 months respectively. Additional support will be afforded for the treatment of Moderate and Severe Acute Malnutrition (SAM) by health workers, including those operating at the community level. It is anticipated that the numbers of children with Moderate Acute Malnutrition treated in UN supported districts will rise from 5,000 in 2014 to 30,000 by 2021, whilst those treated for SAM will increase from 7,000 to 80,000 over the same five year period. Moreover, small and medium scale producers will be facilitated to provide food fortified with micronutrients specifically Vitamin A, Iron and Iodine.
Implementation of the national Nutrition Action Plan will be monitored through regular sector reviews and remedial action effected where required. Furthermore, regular nutrition surveys at national, regional and district levels will provide timely, quality and disaggregated data for decisionmaking, resource mobilization and effective programming, with accountability improved through the use of nutrition scorecards across mainland and Zanzibar.
Further, the MoHSW will be supported to develop and disseminate the national strategy and guidelines for WASH in health facilities which includes the promotion of sound WASH behaviours and management of medical waste. As a complement, technical and financial assistance will be afforded for the implementation of WASH in priority health facilities alongside schools and communities, with compliance to national guidelines assured. In addition, a National Behaviour Change Communication Strategy for the promotion of sanitation and hygiene will be developed and disseminated.
","% of girls and boys age 6-59 months who receive vitamin A supplement during the previous 6 months
% of pregnant women who receive iron-folic acid supplement for at least 90 days
% of infants 0-5 months (girls and boys) who are exclusively breastfed
% of children aged 0-59 months with Severe Acute Malnutrition (SAM) appropriately treated
% if targeted districts with at least 90% of children aged 6-59 months covered with two annual doses of vitamin A supplement
% of small and medium scale miller fortifying flour in UN supported Districts in mainland
% of mothers/caregivers of children 0-23 months who participate in counselling sessions on IYCF in UN Supported Distrcits
# of SAM children treated according to WHO guidelines in UN Supported Districts
# of MAM children treated according to WHO guidelines in UN Supported Districts
% of children 6-23 months participating in supplementary feeding programme in UN Supported Districts in mainland
% of districts on the mainland with nutrition plan and budget that includes at least five nutrition specific or sensitive interventions integrated in MTEF
% of LGA budgets on the mainland allocated to nutrition activities
% of population using improved safe drinking water source
Status if national WASH behaviour change communication (BCC) strategies
% of LGAs implementing activities based on a comprehensive MIS- informed local plan for WASH
% of schools with a functional WASH package meeting national guidelines in UN supported districts
% of health care facilities complying with national WASH guidelines in UN supported districts
% of water points which are functional
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Vitamin A|Iron and folic acid|Food fortification|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","http://www.ilo.org/wcmsp5/groups/public/---africa/---ro-addis_ababa/---ilo-dar_es_salaam/documents/publication/wcms_549240.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TZA%202016%20UNDAP.pdf" "25934","TZA","United Republic of Tanzania","","Strategic and Action Plan for the Prevention and Control of Non Communicable Diseases in Tanzania 2016-2020","NCD policy, strategy or plan with healthy diet components","","English","","2016","","2020","Ministry of Health, Community Development, Gender, Elderly and Children","5","2016","","","","","Health|Food and agriculture|Education and research|Women, children, families|Trade|Industry","","","","","","","","","","","","","","","","","","• Reduction in the mean population intake of salt to less than 5gms per day
• 0% increase in obesity prevalence from baseline
• 25% reduction from baseline in the prevalence of raised blood pressure
• 10% reduction from baseline in the proportion of individuals with raised total cholesterol
• 10% reduction from baseline in the prevalence of diabetes
","3.10.3.2.5 Priority actions and activities for strategic intervention to: Reduce modifiable NCDs risk factors and create health promoting environment
Indicators of Success
Outcome 1.1: By 2021, GRZ and partners deliver equitable, inclusive, quality and integrated social services
Outcome 1.2: By 2021, marginalised and vulnerable populations demand and utilise quality and integrated social services
","","
Proportion of the population with access to safe drinking water (rural, urban)
Stunting rate
Proportion of population with access to improved sanitation (urban, rural)
Children under 6 months who are exclusively breastfed
","Outcome indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Improved hygiene / handwashing|Water and sanitation","","http://zm.one.un.org/sites/default/files/final_zambia-united_nations_sustainable_development_partnership_framewor.pdf ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZMB%202016%20UNSDPF.pdf" "24493","ZWE","Zimbabwe","","ZUNDAF 2016-2020 Zimbabwe United Nations Development Assistance Framework","Non-national nutrition policy document","","English","","2016","","2020","","","2016","","","","","Nutrition council|Health|Women, children, families|Finance, budget and planning","","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)","IAEA, ITC, UNCTAD, UNIC, UNOPS, ITU, OHCHR, UNEP, UNODC, UN Women, UPU","Other","","Other|The World Bank","OECD, SUN","","","National NGOs","","","","Private sector","","","","
OUTCOME 1: Targeted households in rural and urban areas have improved food and nutrition security
OUTCOME 2. Communities are equipped to cope with climate change and build resilience for household food and nutrition security
OUTCOME 1: Vulnerable populations have increased access to and utilisation of quality basic social services
","
To address nutrition issues, a multisectoral and targeted approach to combat stun ng will be applied. Key strategies to reduce stunting will include: coordination and collaboration across sectors to enhance convergence of interventions for greater impact; community engagement; behaviour change communication for the uptake of nutrition services; and sustained adoption of practices that promote good nutrition.
Partnerships with the private sector and academia to support the implementation of the food fortification strategy will be developed through the Scaling Up Nutri on (SUN) Business Networks. Efforts will also focus on the continued establishment of Government led food and nutrition security committees at all administrative levels in order to facilitate cross-sector linkages and collaboration for scaling up nutrition at sub-national levels. Through these efforts, the UN will support increased access to resources for women and youth in order to increase their food and nutrition security.
In line with Zim Asset, the Food and Nutri on Policy, and the National Nutri on and Food Fortification strategies, the UN will prioritize delivery of high-impact nutrition interventions based on global guidance and evidence. Using a lifecycle approach, the UN will incorporate strategies and actions that will support Zimbabwe in its attainment of the World Health Assembly targets for increasing the rates of exclusive breastfeeding, reducing stunting, reducing anaemia and controlling obesity by 2025.
Agricultural production and productivity depends on energy and environmental resources such as land and water. The UN will promote resource-efficient technologies, sustainable land and water resources management and renewable and sustainable energy solutions crucial for sustained food and nutrition security that spans generations. Education, training and capacity development in all these areas will be essential.
","1.2 proportion of households consuming an acceptable diet
1.3 proportion of children under 5 years of age, both male and female who are stunted
1.4 proportion of children 0.5 months, both male and female exclusively breastfed
1.5 proportion of children 6-23 months, both male and female receiving minimum acceptable diet
1.6 proportion of women 15-49 years with any anemia
2.2 prevalence of households with moderate or severe hunger (HHS- Household Hunger Scale)
1.11.% of population with access to improved sanitation and hygiene
","Outcome indicators|Process indicators","","Breastfeeding - Exclusive 6 months|Stunting in children 0-5 yrs|Anaemia in women 15-49 yrs|Minimum acceptable diet|Food security and agriculture|Improved hygiene / handwashing|Water and sanitation","","http://www.zw.one.un.org/2016-2020-zimbabwe-united-nations-development-assistance-framework ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ZWE%202016%20UNDAF.pdf" "24492","AIA|ATG|ABW|BRB|VGB|DMA|GRD|JAM|MSR|KNA|LCA|VCT|TTO|BLZ|GUY|SUR","Anguilla|Antigua and Barbuda|Aruba|Barbados|British Virgin Islands|Dominica|Grenada|Jamaica|Montserrat|Saint Kitts and Nevis|Saint Lucia|Saint Vincent and the Grenadines|Trinidad and Tobago|Belize|Guyana|Suriname","","United Nations Multi-Country Sustainable Development Framework in Caribbean","Non-national nutrition policy document","","English","","2017","","2021","UN country teams in the Caribbean","","2016","","","","","Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Development|Trade|Labour|Other","Social transformation","","","Other","","The World Bank","","Other","CARICOM","National NGOs","","Research/academia","","Private sector","","","","
Improve health and wellbeing by addressing the ability of the state to provide services, increasing access to healthy nutrition, a healthy environment and knowledge as preventive measures. Sustainable health financing and direct action to addresses NCDs, SRH and HIV/AIDS and related stigma is also necessary for better health outcomes.
Universal access to quality health care services and systems, and Laws, policies, and systems introduced to support healthy lifestyles among all segments of the population
Laws, policies and systems introduced to support healthy lifestyles among all segments of the population.
","","Number of countries that have achieved targets in reducing prevalence of hypertension rates
Number of countries that have achieved their targets in reduction of diabetes prevalence
","Outcome indicators","","Raised blood glucose/diabetes|Raised blood pressure","","http://www.2030caribbean.org/content/unct/caribbean/en/home/resources.html ","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/CARIBBEAN%202017%20MSDF.pdf" "26353","BGD","Bangladesh","","Programme Implementation Plan, 4th Health, Population and Nutrition Sector Programme","Health sector policy, strategy or plan with nutrition components","","English","1","2017","6","2022","Government of the People's Republic of Bangladesh","4","2017","","","","","Health|Education and research|Women, children, families|Social welfare","","United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","Other|Department of International Development (DFID)|Global Affairs Canada|Japan International Co-operation Agency (JICA)|Swedish International Development Cooperation Agency (SIDA)|The World Bank|US Agency for International Development (USAID)","GAVI-HSS; GFATM; EKN;","","","","","","","","","","","Main objectives
The 4th HPNSP is built on existing achievement to improve equity, quality and efficiency with a view to gradually moving towards UHC and achieving health related Sustainable Development Goals (SDGs) through pursuing the following strategic objectives (SOs) during the next five and half years starting from January 2017:
SO 1 : To strengthen governance and stewardship of the public and private health sectors
SO 2 : To undertake institutional development for improved performance at all levels of the system
SO 3 : To provide sustainable financing for equitable access to health care for the population and accelerated progress towards universal health coverage
SO 4 : To strengthen the capacity of the MOHFW's core health systems (Financial Management, Procurement, Infrastructure development)
SO 5 : To establish a high quality health workforce available to all through public and private health service providers
SO 6 : To improve health measurement and accountability mechanisms and build a robust evidence-base for decision making
SO 7 : To improve equitable access to and utilization of quality health, nutrition and family planning services
SO 8 : To promote healthy lifestyle choices and a healthy environment
...
Programme Priorities
...
The nutrition programme will continue to be mainstreamed within the DGHS and DGFP service provision. Regular nutritional services will be provided for strengthening IYCF programme, distribution of iron-folic acid supplementation among pregnant and lactating women and adolescent girls, continuation of existing half-yearly Vitamin A capsules distribution programme, scaling up postpartum Vitamin A distribution to improve vitamin A status of neonates through breast milk, monitoring of universal iodization of edible salt, promotion of zinc for treatment of diarrhea, etc. The 4th HPNSP will also strengthen inter- and -intra ministerial coordination; collaboration with the Ministry of Local Government, Rural Development and Cooperatives, and the Ministry of Food to address nutrition and food safety issues within urban contexts.
IX. New Elements or Issues That Would Add More Value to the Programme
The 4th HPNSP is characterized by restructured OPs, implementation mechanism and program contents, activities or focus in OPs. The Program has elements that are different and or add value to the third Sector Program-HPNSDP, particularly in reproductive, maternal, newborn, child & adolescent health; nutrition & food safety; and non-communicable diseases. The objectives of the new elements/focus are to address the unfinished agenda of HPNSDP; challenges posed by demographic and/or epidemiological changes taking place; changing national economy, society and citizen‘s aspirations; and the Sustainable Development Goals (SDGs) related to health and well-being. Some notable new focuses are stated below:
...
(iii). Mainstreamed Nutrition: Nutrition services and awareness building activities will be expanded, using MOHFW service facilities and through co-operation with NGO stakeholders. This will require recognizing nutrition related services provided by a host of sources like multilateral interventions in water and sanitation, food safety and security, education, welfare and social safety net programs, salt iodization and food fortification, etc.
(iv). NCDs: Link needs to be established with existing service providers in the private sector (esp. the not-for-profit organizations). Some non-government actors are playing recognized and important role for a number of NCDs like the Bangladesh Diabetic Association, Heart Foundation for hypertension, Cancer Institute/Ahsanulla Cancer Hospital for cancer, Blind Welfare Society etc. All these organizations receive substantial funds from both MOHFW and MOSW.
XII. Sub-sector wise Brief Description of the Programme
The 4th HPNSP will be taking action for improving upon the areas of health, nutrition and population sub-sectors as described in the subsequent paragraphs
Health Sub-sector
...
Non-Communicable Disease Control (NCDC): A transition in the disease pattern is taking place in Bangladesh in the recent past - shifting from communicable to non-communicable diseases (NCDs). The key activities to be pursued during the 4th HPNSP for addressing the NCD related issues include - strengthening capacity of primary health care for early detection, management and referral of NCDs; coordination with other OP services and Ministries/Agencies/Units under MOHFW for promotion of healthy lifestyle and prevention of NCDs; training of health workers on detection/screening of major NCDs (e.g. hypertension, diabetes mellitus, COPD); etc.
...
Public Health, Lifestyle Change and Environment: Health promotion, awareness building, community participation, surveillance, research, SBCC activities are the core public heath activities to be pursued under the 4th HPNSP. Other key interventions to be implemented include - development of a comprehensive healthy lifestyle and environment strategy; using ICT platforms including mobile technology and social media to disseminate SBCC messages; promoting healthy diet; avoiding the hazards of overdose of salt, oil and sugar; promoting adequate intake of fruits and vegetables; stoppage of smoking and substance abuse; etc.
...
Nutrition Sub-sector
Nutrition and Food Safety: A shift in implementation of nutrition services by mainstreaming through existing service delivery platforms was made during the HPNSDP. Moving into the 4th HPNSP, nutrition services will be expanded through delivery of the newly adopted ESP, improved inter-OP functional coordination and multi-sectoral collaboration; growth monitoring and promotion, infant and young child feeding counseling, nutrition counseling delivered through ANC and PNC, identification and management of severe and acute malnourished children, vitamin A supplementation, iron folic acid distribution, expansion of, food fortification, promotion of food safety and good hygiene including WASH interventions, etc.
...
XIII. Proposed Operational Plans:
The number of HPNSDP – OPs (32) were reviewed, rationalized and renamed for implementation during the 4th HPNSP. There are now 29 OPs for this PIP distributed across DGHS (14), DGFP (7), and MOHFW (5) and other agencies (one each for DGDA, DGNM and NIPORT), each of which reflects priority areas of the 4th HPNSP.
...
CHAPTER IV: SUMMARY OF OPERATIONAL PLANS
...
PROVISION OF QUALITY HEALTH SERVICES
4.5. Objectif général
L’objectif général de la PNSAN est de contribuer à l’élimination de l’insécurité alimentaire et la malnutrition sous toutes ses formes au Gabon.
4.6. Objectifs spécifiques
4.7.1. Axe stratégique 1: Amélioration de la souveraineté à travers l’accroissement durable de la production agricole animale, halieutique, cynégétique et des produits forestiers non ligneux
4.7.1.4. Objectif stratégique 4: Promouvoir des régimes alimentaires sains et durables
4.7.2. Axe stratégique 2: Accroissement des interventions spécifiques à la nutrition
4.7.2.1. Objectif stratégique 1: Améliorer la nutrition des adolescentes et des femmes en âge de procréer
4.7.2.2. Objectif stratégique 2: Améliorer l’Alimentation du Nourrisson et du Jeune Enfant (ANJE) pour prévenir la malnutrition chronique.
4.7.2.3. Objectif stratégique 3: Mettre en oeuvre les interventions de nutrition en milieu scolaire
4.7.2.4. Objectif stratégique 4: Prévenir la malnutrition chez la population en général
4.7.2.5. Objectif stratégique 5: Prévenir et gérer l'obésité.et les maladies non transmissibles liées à l'alimentation
4.7.2.6. Objectif stratégique 6: Prévenir et prendre en charge la malnutrition aigüe
A1.5 Renforcer la législation (lois sur la santé mentale, commercialisation des aliments, allaitement maternel, personnes handicapées, utilisation du sel, protection des consommateurs
S 2 Réduction de l’exposition aux FdR modifiables et environnementaux (écologiques) des MNT et des Handicaps en créant des environnements favorables à la santé
","
By 2025, reduce the burden of preventable mortality (before the age of 70) due to heart diseases, diabetes, cancer, and stroke by 25%
AND In five years, reduce the prevalence of:
i. High blood pressure by 20%;
ii. High cholesterol by 20%;
iii. High blood sugar by 20%;
iv. Adult overweight/obesity by 10%;
v. Adolescent overweight/obesity (ages 13 – 15 years) by 12%;
vi. Child overweight/obesity by 15%;
• Increase by 50% the proportion of persons who are aware of their disease status with regards to hypertension, diabetes dyslipidaemia and cervical cancer; and
1.3 Increase availability, accessibility, and consumption of healthy foods and promote physical activity
1.3.1 Development of policies on marketing of high fat, high sugar, high salt foods, and sugar sweetened non-alcoholic beverages in keeping with WHO guidelines, and policies on access to health nutrition for children along the life course.
1.3.2 Establish baseline for population sodium and Trans fat intake.
1.3.3 Implement Workplace Health Promotion policy promoting physical activity and access to healthy foods in public sector Ministries
1.3.4 Develop health education and social marketing campaigns promoting healthy eating and active living in collaboration with public, private, and civil society stakeholders.
","","","","Breastfeeding|Overweight and obesity in adults|Overweight in adolescents|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Sodium/salt intake|Sugar intake|Growth monitoring and promotion|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Promotion of fruit and vegetable intake|Nutrient declaration (i.e. back-of-pack labelling)|Ban or virtual elimination of industrial trans fatty acids|Regulating marketing of unhealthy foods and beverages to children|Healthy food environment in workplaces|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets","","https://extranet.who.int/ncdccs/Data/TTO_B3_TTO%20National-Strategic-Plan-%20for%20Prevention%20and%20Control%20of%20NCDs-2017-2021.pdf","WHO NCD Document Repository ","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TTO-2017-2021-NCD.pdf" "39767","KHM","Cambodia","","National multisectoral action plan for the prevention and control of noncommunicable diseases","NCD policy, strategy or plan with healthy diet components","","English","","2018","","2027","Royal Government of Cambodia, Ministry of Health","6","2018","Adopted","","","","Health|Education and research|Women, children, families|Finance, budget and planning|Industry|Information|Labour","","","","","","","","","","National NGOs","","","","","","","","","3. Promote healthy diet and physical activity
3.1 Conduct a national survey on salt use.
3.2 Promote healthy diet and physical activity through the healthy city program
3.3 Promote healthy diet and physical activity in schools.
3.4 Raise public awareness about healthy diet and physical activity through mass media.
3.5 Develop and implement the national action plan on salt reduction
3.6 Replace trans-fat with unsaturated fat
3.7 Develop national guideline on nutrition for all sectors
3.8 Strengthen the management of advertisements (food and non-food products) that are fraud, misleading or cheating about the quality and safety of products to be used without following established regulations.
3.9 Manage taxes on foods and subsidies
3.10 Replace saturated fat with unsaturated fat
3.11 Provide health and safety education at low income workplaces
3.12 Reduce consumption of plastic products
","7. Objectifs
Contribuer à la réduction de toutes les formes de la malnutrition chez les couches le plus vulnérables et assurer particulièrement aux enfants de Djibouti d’atteindre leur potentiel de croissance et de développement harmonieux.
De manière spécifique, il vise à :
11. Paquets d’interventions
11.2. Intervention pour les adolescentes
Elles doivent à cet effet être sensibilisées à une meilleure utilisation des aliments disponibles localement. Des aliments diversifiés avec les différents groupes d’aliments : constructeurs, énergétiques et protecteurs. Des séances de sensibilisation avec des démonstrations culinaires doivent se faire dans les communautés et dans les écoles (collège et lycée).
Les micronutriments, notamment le Fer et l’Acide Folique sont très importants pour les adolescentes à cause des menstruations. A ce titre, elles doivent avoir accès aux aliments enrichis incluant l’iodation du sel. La supplémentation en micronutriments et le déparasitage sont fortement recommandés.
Le programme scolaire doit être renforcé en module de nutrition
Les cantines scolaires en zone rurale et périurbaine qui intègrent la supplémentation en poudre de micronutriment sont également importantes
11.3. Intervention pour les femmes enceintes
Il est impératif pour les femmes enceintes, d’assurer le suivi de la grossesse lors des consultations prénatales et prendre (…) le Fer et l’Acide Folique. La supplémentation en micronutriments, le déparasitage et les aliments enrichis incluant l’iodation du sel sont fortement recommandés. Elles doivent aussi être sensibilisées particulièrement sur l’utilisation des aliments disponibles
Localement. Des séances de sensibilisation avec des démonstrations culinaires doivent se faire dans les communautés avec les différents aliments disponibles sur le marché.
11.4. Promotion de l’Alimentation du Nourrisson et du Jeune Enfant (ANJE)
11.5. Le suivi de la croissance
11.6. Réduction des carences en micronutriment
11.9. Promotion de pratiques familiales essentielles/actions essentielles de Nutrition
11.10. Prévention contre le surpoids et les maladies métaboliques
","
Objetivo general
Alcanzar una adecuada nutrición y desarrollo de la población ecuatoriana durante todo el curso de vida, brindando atención integral y, generando mecanismos de corresponsabilidad entre todos los niveles de gobierno, ciudadanía y sector privado; en el marco de intervenciones intersectoriales que incidan sobre los determinantes sociales de la salud.
Objetivos específicos
1. Fortalecer el rol del Estado, la coordinación intersectorial y la participación ciudadana en la aplicación de este plan.
2. Brindar atención integral de salud durante todo el ciclo de vida, con énfasis en los 1000 primeros días, la etapa escolar, así como, el fomento y protección de la lactancia materna.
3. Fortalecer y generar intervenciones que incidan sobre los determinantes de la salud, enfocados en la promoción de la salud, la protección social, la seguridad y soberanía alimentaria y agua-saneamiento.
","Lineamiento estratégico 1. Dinamizar la coordinación intersectorial entre todos los actores públicos y privados con el fin de generar mecanismos de corresponsabilidad.
Lineamiento estratégico 2. Asegurar el monitoreo continuo y evaluación periódica de las políticas de alimentación y nutrición.
Lineamiento estratégico 3. Asegurar la atención integral en salud y nutrición de los grupos prioritarios en todo el curso de vida en todos los niveles de atención.
Lineamiento estratégico 4. Fomentar y proteger la práctica de la lactancia materna y la alimentación complementaria adecuada.
Lineamiento estratégico 5. Fomentar espacios y prácticas saludables durante todo el ciclo de vida.
Lineamiento estratégico 6. Incrementar el acceso a agua segura y servicios de saneamiento adecuados.
Lineamiento estratégico 7. Contribuir a la autosuficiencia y diversidad de alimentos sanos, nutritivos y culturalmente apropiados de forma permanente.
Lineamiento estratégico 8. Fortalecer la protección e inclusión social a través de estrategias de fomento del ejercicio de derechos de los ciudadanos en todo su ciclo de vida
","En el marco de la implementación del Plan Intersectorial de Alimentación y Nutrición es evidente la necesidad de fortalecer el monitoreo de las acciones propuestas, así como la evaluación del Plan en sí mismo. Para esto, el mejoramiento continuo de los sistemas de información, así como los registros administrativos, y la implementación periódica de encuestas, es indispensable para la generación de insumos a nivel intersectorial, para la toma de decisiones. Líneas de acción 2.1 Articulación y mejoramiento continuo de los sistemas de información. 2.2 Levantamiento y generación de información periódica de alimentación y nutrición. 2.3 Monitoreo y evaluación permanente de los planes, programas, proyectos, iniciativas e intervenciones de nutrición y alimentación saludable.
Indicadores
AXE 1 : FAVORISER DES ENVIRONNEMENTS PROPICES A LA SANTE DES POLYNESIENS
OBJECTIF 1 : UN ENVIRONNEMENT FAVORABLE A UNE ALIMENTATION SAINE
Priorité 1: Mettre en place le processus d’engagements et des mesures pour inciter le progrès nutritionnel
Action 1 : Instaurer des chartes d’engagement de progrès nutritionnel pour les entreprises et commerces alimentaires locaux
Action 2 : Collecter et développer les connaissances et les expériences allant dans le sens du progrès nutritionnel et de l’innovation alimentaire
Action 3 : Développer et accompagner le réseau des entreprises et des commerces alimentaires engagés dans une démarche de progrès nutritionnel
Action 4 : Valoriser les expériences et les résultats obtenus
Action 5 : Développer les cadres réglementaires nécessaires pour soutenir les objectifs du progrès nutritionnel en faveur de la santé des Polynésiens (bonus/malus pour les entreprises)
Priorité 2 : Collaborer avec les structures concernées sur des techniques de transformation des produits locaux
Action 1 : Labéliser les produits locaux transformés qui respectent les recommandations nutritionnelles
Action 2 : Intégrer l’éducation au goût aux programmes d’éducation nutritionnelle
Priorité 3 : Adopter une règlementation pour un environnement sain
Action 1 : Réviser la liste des produits de première nécessité
Action 2 : Imposer l’étiquetage nutritionnel des produits commercialisés
Action 3 : Inciter les entreprises locales à s’engager dans une démarche de progrès nutritionnel
Action 4 : Encadrer la commercialisation et la distribution de produits jugés néfastes pour la santé dans les lieux publics
Action 5 : Encadrer la promotion et les parrainages des produits nocifs à la santé et favoriser celles des produits sains
Action 6 : Réglementer l’installation des distributeurs et établissements d’alimentation autour des écoles, crèches, garderies et centres d’accueil
Priorité 4 : Concevoir et mettre en oeuvre la fiscalité comportementale
Action 1 : Mettre en place une taxation nutritionnelle progressive sur l’ensemble des produits sucre, sels, et graisses
Action 2 : Mettre en place les bonus/malus pour la taxation nutritionnelle
Action 3 : Valoriser les produits en fonction de leur qualité nutritive avec un indicateur visuel.
Action 4 : Mettre en place une taxe sur les publicités pour les produits sucrés, salés et riche en graisse
AXE 2 : SANTE TOUT AU LONG DE LA VIE
OBJECTIF 1 : LA PERINATALITE
Priorité 1 : Mener un projet commun autour de la périnatalité et la petite enfance
Action 5 : Poursuivre le programme allaitement et alimentation saine
","","","","Breastfeeding|Breastfeeding - Continued|Complementary feeding|Overweight in children 0-5 yrs|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Added sugars|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Reformulation of foods and beverages|Fats|Trans fat|Salt/sodium|Sugars|Taxation on unhealthy foods|Creation of healthy food environment|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Food safety|Improved hygiene / handwashing|Vaccination|Water and sanitation|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/PYF_B11_Schéma-Prévention-2018-2022.pdf","","WHO 2019 NCD Country Capacity Survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PYF%202018%20Sch%C3%A9ma%20Pr%C3%A9vention%20Sant%C3%A9.pdf" "40310","LUX","Luxembourg","","Plan cadre national 2018-2025","NCD policy, strategy or plan with healthy diet components","","French","","2018","","2025","Le Gouvernement du Grand Duché de Luxembourg","","2018","","","","","Health|Education and research|Women, children, families|Sport","Ministére de la famille, de l'intégration et à la Grande RégionMinistère de l'éducation nationale, de l'enfance et de la jeunesse","","","","","","","","","","","","","","","","","L’objectif général du PCN GIMB 2018-2025 est de promouvoir ensemble l’alimentation équilibrée et l’activité physique régulière et adaptée et de lutter contre la problématique de l’obésité et de la sédentarité pour l’ensemble de la population.
","Axe 2 : Promouvoir l’alimentation équilibrée et l’activité physique régulière et adaptée dans toutes les politiques ;
Objectif Stratégique (OS) n°1 : Réduire d’au moins 20% la prévalence du retard de croissance d’ici 2021 au niveau national
OS.1.1. Réduire d’au moins 40% la prévalence du retard de croissance dans les régions de Sédhiou, Tambacounda, Kédougou, Kolda, Louga Kaffrine, Fatick, Matam, Diourbel ;
OS.1.2. Réduire d’au moins 15% la prévalence du retard de croissance dans les autres régions (Dakar, Thiès, Kaolack, Saint-Louis, Ziguinchor) ;
OS.1.4.Augmenter d’au moins 30% la proportion de femmes enceintes et allaitantes qui ont un régime alimentaire varié, diversifié, de quantité suffisante et équilibrée ;
OS.1.5. Augmenter à 20% au moins la proportion d'enfants 6-23mois qui bénéficient d'un apport alimentaire minimum acceptable.
Objectif Stratégique (OS) n°2 : Réduire de 15% la proportion d’enfants ayant un faible poids de naissance, d’ici 2021
OS.2.1. Réduire d'au moins 40% la prévalence du faible poids de naissance dans les régions Centre et Nord ;
Objectif Stratégique (OS) n°3 : Réduire à moins de 5% la prévalence de la malnutrition aigüe des enfants de 0 à 5 ans
OS.3.1. Réduire à moins de 10% la prévalence de la malnutrition aigüe chez les enfants de 0 à 5 ans dans les régions de Saint Louis, Matam, Louga, Tambacounda et Diourbel ;
OS.3.2. Réduire à moins de 5% la prévalence de la malnutrition aigüe chez les enfants de 0 à 5 ans dans les autres régions.
OS.2.2. Réduire d'au moins 20% la prévalence du faible poids de naissance dans les régions Sud, Sud-Est et Ouest.
Objectif Stratégique (OS) n°4 : Porter à 43% au moins le taux de l’Allaitement Maternel Exclusif durant les 6 premiers mois
OS.4.1. Réduire de 50% le pourcentage de femmes qui donne de l’eau en plus de l’allaitement maternel pendant les six (06) premiers mois ;
OS.4.2. Porter la mise au sein précoce (dans l’heure qui suit la naissance) à 50% au moins.
Objectif Stratégique (OS) n°5 : Réduire de 25% la prévalence de l’anémie chez les groupes vulnérables
OS.5.1. Réduire de 25% la prévalence de l’anémie chez les enfants de 6 - 59 mois ;
OS.5.2. Réduire de 25% la prévalence de l’anémie chez les adolescentes (par rapport à la situation de référence à évaluer lors des prochaines enquêtes) ;
OS.5.3. Réduire de 25% la prévalence de l’anémie chez les femmes en âge de reproduction.
Objectif Stratégique (OS) n°6 : Réduire d’au moins 20% la prévalence des carences pour les autres micronutriments (iode, zinc et vitamine A)
OS.6.1. Réduire de 20% la carence en zinc chez les enfants de moins de 5 ans ;
OS.6.2. Réduire d’au moins 20% la prévalence de la carence en iode chez les FAR ;
OS.6.3. Réduire d’au moins 20% la prévalence de la carence en iode chez les FE ;
OS.6.4. Réduire d’au moins 20% la prévalence de la carence en Vitamine A chez les enfants de moins 5 ans ;
OS.6.5. Porter à 80% le taux de consommation de sel adéquatement iodé dans les ménages.
Objectif Stratégique (OS) n°7 : Réduire de 10% la prévalence de l’obésité chez les groupes vulnérables
OS.7.1. Réduire la prévalence de l’obésité d’au moins 5% chez les enfants de moins de 5 ans ;
OS.7.2. Réduire la prévalence de l’obésité de 5% chez les adolescents (par rapport à la situation de référence à évaluer lors des prochaines enquêtes) ;
OS.7.3. Réduire la prévalence de l’obésité de 5% chez les FAR.
","","*Voir le Tableau 1 sur la page 70
","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia|Anaemia in adolescent girls|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Iodine deficiency disorders|Vitamin A deficiency|Minimum acceptable diet|Overweight in children 0-5 yrs|Overweight in adolescents|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Counselling on feeding and care of LBW infants|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Regulation/guidelines on types of foods and beverages available|Nutrition in the school curriculum|Hygienic cooking facilities and clean eating environment|Provision of school meals / School feeding programme|School meal standard|Food labelling|Regulating marketing of unhealthy foods and beverages to children|Vitamin A|Other B-vitamins|Micronutrient supplementation|Micronutrient powder for home fortification|Wheat flours|Food distribution/supplementation for prevention of acute malnutrition|Management of moderate acute malnutrition|Management of severe acute malnutrition|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Food security and agriculture|Conditional cash transfer programmes|Vulnerable groups","","http://intomorrowetrust.com/psmn/","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/SEN-2017-2021-Plan%20Strategique%20multisectorel%20de%20la%20Nutrition.pdf" "39424","TUN","Tunisia","","Stratégie Nationale Multisectorielle de Prévention et Contrôle des Maladies Non Transmissibles (MNT)","NCD policy, strategy or plan with healthy diet components","","French","","2018","","2025","","5","2018","","","","","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Sport|Consumer affairs|Trade|Environment|Industry|Information","","United Nations Children's Fund (UNICEF)|United Nations Development Programme (UNDP)|World Health Organization (WHO)","","","","","","","","National NGOs","ONGs, associations, société civile","","","","","","","2.1.2. Principes directeurs et résultats attendus (impact) de la stratégie MNT
Cibles tunisiennes chez les 15 ans et plus 2018-2025, adaptées des cibles OMS
2.2. Axes Stratégiques de la Prévention et Contrôle des MNT
AXE 1 : LA GOUVERNANCE NATIONALE DE LA PREVENTION ET CONTROLE DES MNT, BASEE SUR LA MISE EN PLACE DE MECANISMES DE COORDINATION INTRA ET INTER SECTORIELS EST ASSUREE
- Créer (ou identifier) une structure au sein du ministère de la santé (comité, unité,…), qui sera chargée de la coordination, ainsi que du suivi et évaluation des activités du plan.
- Mettre en place au sein du gouvernement, un comité multisectoriel de pilotage, qui aura la mission de coordonner l’élaboration des plans d’action des différents secteurs, de faciliter l’octroi des ressources nécessaires, d’assurer le suivi et évaluation de la mise en oeuvre du plan. Ce comité qui devrait s’intégrer dans le cadre de l’Objectif 3 des ODD, devra avoir un rôle décisionnel, et le ministère de la santé assurera le rôle de leadership de ce comité.
- Mettre en place des comités multisectoriels régionaux pour faciliter la mise en oeuvre de la mise en oeuvre des activités dans chaque région et en assurer le suivi
- Proposer au sein de ce comité les aspects concernant les financements innovants (taxation sur les produits néfastes à la santé) qui pourraient servir à financer en partie les investissements dans la prévention des MNT
- Développer au sein de ce comité la revue des aspects législatifs concernant le renforcement des mesures de prévention et de contrôle des MNT en Tunisie
AXE 2 : LES FACTEURS DE RISQUE (FR) MODIFIABLES DES MNT SONT REDUITS EN TENANT COMPTE DES CIBLES NATIONALES PAR RAPPORT AUX CIBLES VOLONTAIRES DE L’OMS
Axe 2.4.1 : réduction de la consommation de l’alcool
AXE 4: UN PLAN DE COMMUNICATION POUR LA PREVENTION ET LE CONTÔLE DES MNT EST ELABORE ET MIS EN ŒUVRE
AXE 5 : UN SYSTEME DE SUIVI ET EVALUATION (S&E) DES MNT ET DE LEURS FACTEURS DE RISQUE EST MIS EN PLACE ET EST FONCTIONNEL ET EFFICACE
","Dans le domaine de la Gouvernance
1) Stratégie nationale multisectorielle MNT élaborée
2) Mécanisme de coordination intra et intersectoriel mis en place
Dans le domaine de la Prévention et de la réduction des Facteurs de Risque
2) Campagnes de sensibilisation sur les facteurs de risque des MNT réalisées
3) La réduction du sel dans le pain est adoptée par d’autres boulangeries dans les autres gouvernorats
4) Au moins un nouveau produit agroalimentaire favorable à la santé est fabriqué et mis sur le marché
5) Plaidoyer sur l’étiquetage des produits agroalimentaires réalisé
Dans le domaine de la surveillance et du Suivi & Evaluation
1) Enquête STEPS réalisée et résultats publiés
2) Des réunions de coordination entre les registres du cancer du nord, centre et sud sont organisées
3) Des réunions avec les responsables du système national d’information sanitaire (SNIS) sont organisées sur les MNT et leurs facteurs de risque
","Process indicators","","Overweight in adolescents|Fat intake|Saturated fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Promotion of exclusive breastfeeding for 6 months|Nutrition in the school curriculum|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Taxation on unhealthy foods|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction","","https://extranet.who.int/ncdccs/Data/TUN_B11_Stratégie Nationale MNT 18-25_Finale (dernière version juin 2018).pdf","","WHO 2019 NCD Country Capacity Survey","https://extranet.who.int/nutrition/gina/sites/default/filesstore/TUN%202018%20Strat%C3%A9gie%20Nationale%20MNT.pdf" "39773","UKR","Ukraine","","Національний План Заходів щодо неінфекційних захворювань для досягнення глобальних цілей сталого розвитку [National Action Plan for Non-communicable Diseases for the Attainment of the Global Sustainable Development Goals]","NCD policy, strategy or plan with healthy diet components","","Ukrainian","","2018","","","","","2018","Adopted","7","2018","Кабінету Міністрів України","Cabinet/Presidency|Health|Food and agriculture|Education and research|Women, children, families|Finance, budget and planning|Sport|Trade|Information","","","","","","","","","","National NGOs","","","","","","","","","Objectif général :
- Lutter contre le développement des MNT sur l’ensemble de la population en Polynésie française
Objectifs spécifiques :
- Développer des modes alimentaires sains pour la santé
Objectifs opérationnels :
- Agir sur la réglementation pour développer un environnement alimentaire sain
- Promouvoir la qualité nutritionnelle des produits locaux
- Réglementer la distribution et commercialisation des produits dont la surconsommation est néfaste pour la santé
- Poursuivre les campagnes d’informations concernant l’alimentation équilibrée
","
II.2. AXE 2 : Actions spécifiques sur l’alimentation équilibrée
- Le progrès nutritionnel
- L’alimentation de base
- La réglementation
Detailed indicators by action area can be found in tables p61-97
","Process indicators","","Breastfeeding|Breastfeeding - Exclusive 6 months|Complementary feeding|Minimum acceptable diet|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Overweight in adolescents|Overweight in school children|Raised blood cholesterol|Raised blood glucose/diabetes|Raised blood pressure|Fat intake|Saturated fat intake|Total fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Health professional training on breastfeeding|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|School gardens|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Food labelling|Nutrient declaration (i.e. back-of-pack labelling)|Front of pack labelling|Taxation on unhealthy foods|Removal of taxes on healthy foods|Subsidies on healthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Household food security|Home, school or community gardens|Vulnerable groups","","https://extranet.who.int/ncdccs/Data/PYF_B23_2019-02-12-Programme AEAP.pdf","","WHO 2019 NCD Country Capacity Survey","" "96698","MLI","Mali","","Plan stratégique intègre de lutte contre les maladies non transmissibles (MNT) 2019-2023","NCD policy, strategy or plan with healthy diet components","","French","","2019","","2023","Ministère de la Santé et des Affaires Sociales","2","2018","","","","","Health|Food and agriculture|Women, children, families|Social welfare|Environment","","","","","","","","","","National NGOs","","","","","","","","3.4 Goal of the Policy
The goal of the policy is to reinvigorate and reinforce a breastfeeding culture aimed at promoting breastfeeding from birth and improving infant and young child feeding practices for the attainment of a target of at least 50% of babies exclusively breastfed in Trinidad and Tobago by 2025.
3.5 Objectives of the Policy
3.6 Policy Scope and Coverage
This Policy applies to all stakeholders in the private and public sectors of Trinidad and Tobago offering services and products related to breastfeeding. This includes relevant health care staff and family support, the community and NGOs, civil society and other support groups, and manufacturers and marketing personnel employed in the sale and promotion of breast-milk substitutes and complementary foods using international standards.
The scope of this policy is as follows: -
Objetivo General
Garantizar las oportunidades para el desarrollo integral de niñas y niños desde la gestación hasta cumplir los 9 años.
Objetivos específicos
Acciones clave
Evaluación
La evaluación de la Estrategia Nacional para el Desarrollo Integral de la Primera Infancia abordará procesos, productos, resultados e impacto. Se realizarán tres evaluaciones: inicial, intermedia y final. La evaluación inicial al finalizar el tercer año de la implementación, la evaluación intermedia al finalizar el séptimo año de implementación y una evaluación final, al concluir el décimo año de implementación.
Indicadores
Objetivo General
Incrementar el número de niñas y niños que son alimentados al seno materno desde su nacimiento y hasta los dos años de edad.
Objetivos Específicos
Metas
Ejes estratégicos
Fortalecer las competencias institucionales para la promoción, protección y apoyo de la lactancia materna
Ejes estratégicos
Impulsar la participación de la iniciativa privada en la promoción y apoyo a la lactancia materna
Ejes estratégicos
Vigilar el cumplimiento del Código Internacional de Comercialización de Sucedáneos de la Leche Materna
Eje estratégico
Fomentar la práctica del amamantamiento natural en los municipios de la Cruzada Nacional contra el Hambre
Ejes estratégicos
Eje transversal: Capacitación al personal de salud, estudiantes universitarios de áreas médicas y afines, así como a la población en general
Actividades
Seguimiento y Evaluación
Realizar la evaluación periódica de las acciones tanto de la estrategia como de su impacto. Gestionar la inclusión de los indicadores de práctica de lactancia materna en sus diversas modalidades de práctica en la Encuesta Nacional de Nutrición 2018. Desarrollar indicadores que midan el proceso y el impacto de la Estrategia Nacional. Gestionar la inclusión de estos indicadores en los diversos sistemas de información del Sistema Nacional de Salud.
Indicadores
Objetivos
Metas
50% - Porcentaje de embarazadas atendidas en el primer trimestre gestacional.
90% Cobertura de Tamiz Neonatal.
5% - Porcentaje de recién nacidos con bajo peso al nacer.
30 - Razón de mortalidad materna.
7.07 - Tasa de Mortalidad Neonatal.
25% - Porcentaje de cesáreas
","Estrategias
Líneas de acción
1.2.1. Fomentar la alimentación de calidad con micronutrientes que favorezcan la salud materna y fetal.
1.2.2. Impulsar la lactancia materna exclusiva durante los primeros seis meses y en caso de las mujeres con VIH brindar consejería sobre las alternativas para la alimentación infantil.
1.2.3. Fortalecer el manejo nutricional del prematuro extremo sustentado en evidencia científicas actuales y buenas prácticas.
","Indicadores
Finalidade e metas
Finalidade
Contribuir para a aceleração da redução da mortalidade materna, neonatal e infantil em Moçambique, através do investimento e esforços focalizados num pacote de intervenções prioritárias, de alto impacto para a Saúde Materna, Neonatal e Infantil, possíveis de serem implementadas até 2016, dentro da capacidade existente no Serviço Nacional de Saúde.
Principais indicadores e metas
A implementação deste Plano pretende contribuir para os indicadores e metas propostas no PESS 2014-2019 e no PNI. No entanto, considerando os níveis actuais atingidos, parte das metas definidas foi revista de forma a reflectir a realidade e o que espera atingir com este Plano até Dezembro de 2016.
Indicadores de impacto e metas
1. Reduzir o Rácio de Mortalidade Materna Institucional de 284/100.000 NV em 2012 para 150/100.000 NV em 2015 e para 90/100.000 NV em 2016 (Meta: PNI);
2. Reduzir o Rácio Geral de Mortalidade Materna de 408 por 100.000 NV em 2011 para 250 por 100.000 NV em 2015 e 190 em 2017 (Meta PNI e PESS: 2014 - 2019);
3. Reduzir a Taxa de Nati-mortalidade Intra-hospitalar de 24/1.000 NV em 2007 para 12/1.000 NV em 2015 e para 10/1.000 em 2016 (Meta: PNI);
4. Reduzir a Proporção de Nados Mortos com Foco (+) à entrada da Maternidade de 12% em 2007 para 6% em 2015 e para 4% em 2016 (Meta: PNI);
5. Reduzir a Mortalidade Neonatal de 30 por 1000 NV em 2011 para 28 por 1000 NV em 2015 e 25 por 1000 NV em 2017 (Meta: PNI e PESS: 2014 - 2019);
Indicadores de resultados e metas
6. Aumentar a cobertura de 4 Consultas Pré-Natais de 51% em 2011 para 70% em 2015 e 80% em 2017 (Meta: PESS: 2014 - 2019);
7. Aumentar a percentagem de mulheres grávidas que recebem TIP Malária de acordo com o Protocolo Nacional de 19% em 2011 para 70% em 2015 e 80% em 2017 (Meta: PESS: 2014 - 2019);
8. Aumentar a cobertura do despiste da Sífilis na mulher grávida de 60% em 2007 para 80% em 2015 e 95% em 2016, e o tratamento completo para 80% 2015 e 95% em 2016 (Meta: PNI);
9. Aumentar a percentagem de mulheres grávidas HIV + que recebem que receberam medicamentos ARV nos últimos 12 meses para reduzir para <de 5% o risco de transmissão de mãe para o filho dos 79% em 2012 para 90% em 2015 e 90% em 2016 (Meta: PESS: 2014 – 2019);
10. Aumentar a Taxa de Cobertura do Parto Institucional de 48% em 2003 e 54% em 2011, para 68% em 2015 e 70% em 2017 (Meta: PESS: 2014 – 2019);
11. Aumentar o número de Unidades Sanitárias que prestam Cuidados Obstétricos de Emergência Básicos dos 2.2/500.000 habitantes em 2011 (DNSP-DSMC) para 3,2/500.000 habitantes em 2015 e para 4/500.000 habitantes em 2016 (Meta: PNI);
12. Aumentar o número de Unidades Sanitárias que prestam Cuidados Obstétricos de Emergência Completos dos 0,7/500.000 habitantes em 2011 (DNSP-DSMC) e para 1,2/500.000 habitantes em 2015 e para 1.5/500.000 habitantes em 2016 (Meta: PNI);
13. Aumentar o número de Maternidades que prestam assistência humanizada ao parto de acordo com os parâmetros da IMM de 34 em 2010 para 140 em 2015 e 172 em 2016 (Meta: MISAU-DepSMC);
14. Aumentar a percentagem de partos com manejo activo do 3º período do trabalho de parto de 0% em 2010 para 75% em 2015 e 98% em 2016 (Meta: MISAU-DepSMC);
15. Aumentar a percentagem de casos de pré-eclâmpsia grave e eclâmpsia tratados com Sulfato de Magnésio de 20% em 2010 para 75% em 2015 e 98% em 2016 (Meta: MISAU-DepSMC);
16. Aumentar a Taxa de Cesarianas em relação aos Partos Esperados de 3% em 2012 para 8% em 2015 e 10% em 2016 (Meta: PNI);
17. Aumentar a percentagem de recém-nascidos com contacto imediato pele-a-pele com mãe de 0% em 2010 para 85% em 2015 e 95% em 2016 (Meta: MISAU-DepSMC);
18. Aumentar a percentagem de recém-nascidos amamentados dentro da 1ª hora após o nascimento de 0% em 2010 para 85% em 2015 e 95% em 2016 (Meta: MISAU-DepSMC);
19. Aumentar a percentagem de Crianças Expostas ao HIV com Teste Virológico dentro de 2 meses do nascimento de 35.3% em 2013 para 72% em 2015 e 74% em 2016 (Meta: MISAU/PTV:);
20. Aumentar a percentagem de Crianças Expostas identificadas HIV + que iniciam TARV de 22% em 2012 para 80% em 2015 e 80% em 2016 (Meta: PESS: 2014 – 2019)
21. Aumentar a Taxa de Cobertura da Consulta Pós-Parto de 62% em 2012 para 80% em 2015 e para 90% em 2017 (Meta: PESS: 2014 – 2019);
","Cuidados durante a Gestação
Intervenções Prioritárias
CPN: Promoção da 1ª CPN dentro do 1º trimestre da gravidez e mínimo de 4 CPN durante a gravidez;
Cuidados durante o Parto
Cuidados Neonatais imediatos: Secagem do RN, contacto imediato pele a pele, amamentação precoce e estímulo do recém-nascido, cuidados a ter com o recém-nascido em casa (lavagem das mãos, atraso do 1◦ banho, aquecimento, LME, cuidados higinénicos com o cordão umbilical e os olhos, e reconhecimento dos sinais de perigo);
Cuidados Pós-Parto para a Mulher e Recém-Nascido
Promoção da Amamentação precoce (dentro da 1ª hora) e exclusiva até aos 6 meses;
Cuidados de Saúde Infantil
Promoção de comportamentos chave e boas práticas para a SI, e busca activa de casos e referência: AIDI-C incluindo distribuição baseada na comunidade de Vit A, SRO, Cloro e seguimento/profilaxia com Cotrimozal (PTV) de Crianças em risco;
Mobilização social/comunicação social
Organizar, anualmente, a semana da Campanha Nacional de Tolerância “0” para as Mortes Maternas e Neonatais;
Processo para a monitoria e avaliação
O Processo de Monitoria e Avaliação tem como finalidade oferecer uma informação consistente e fiável sobre os progressos na implementação do Plano Operacional para a Aceleração da Redução da Mortalidade Materna, Neonatal e Infantil, tal como:
Enquanto que o processo de monitoria fará o seguimento das actividades para identificar que progressos estão a ser alcançados em relação aos resultados esperados, provendo aos gestores oportunidades de clarificar, identificar e responder às necessidades que surjam durante a implementação, o processo de avaliação apoiará na determinação da relevância, eficiência, eficácia e sustentabilidade das intervenções deste Plano para a melhoria da saúde e na redução da mortalidade Materna, Neonatal e Infantil, com o propósito de identificação de futuras politicas, estratégias e intervenções.
As principais tarefas e actividades deste plano de M&E são:
Monitoria e Avaliação do Plano
Indicadores de Processo
Metas
Plan de Acción
Estrategias Medidas punto 37, inciso 22. Lograr la eliminación sostenible de los trastornos debidos a la carencia de yodo para el 2006 y de la carencia de vitamina A para el 2011 y reducir en una tercera parte la prevalencia de la anemia, incluida la carencia de hierro para el 2011.
","Seguimiento y Evaluación
Objetivo
Crear o fortalecer y mantener sistemas confiables de información cuantitativa y cualitativa, suficientemente desagregada, oportuna y veraz, relativa a la situación de la niñez y la adolescencia, en todos los ámbitos abordados en este Plan Nacional de Acción.
Metas o Productos Esperados
Contar para el año 2011, con indicadores que permitan dar cuenta del cumplimiento de los derechos de la niñez y la adolescencia en concordancia con el marco jurídico que el país ha adoptado. Contar para el año 2015, con un Sistema de Información Nacional que permita el acceso a información desagregada según distrito, etapa del ciclo de vida, sexo y grupo étnico, confiable y oportuno para orientar la toma de decisiones. Contar para el 2015, con un Sistema de Información Nacional que permita articular indicadores sobre la situación de la niñez y la adolescencia con la inversión social según programas, área geográfica, cobertura, ciclo de vida, sexo y etnia, de manera que se pueda poner en evidencia elacortamiento de brechas y una más equitativa distribución de la riqueza nacional.
Estrategias
Desarrollar mecanismos que fortalezcan las capacidades de los recursos humanos del sector social, principalmente de salud y educación, para el diseño e implementación de sistemas de información y análisis que generen información básica necesaria en el diagnóstico de situación, análisis de tendencias y evaluación de intervenciones. Establecimiento de medidas legislativas para incluir indicadores sobre el cumplimiento de los derechos de niñas, niños y adolescentes a través de la creación y desarrollo de sistemas de información local. Fortalecimiento y apoyo a las oficinas encargadas de la recolección y análisis de datos, a fin de que sistemáticamente elaboren y publiquen indicadores con enfoque de género. Establecimiento de un sistema obligatorio de reporte de casos de abuso infantil y violencia contra la mujer, la niña, el niño y el adolescente, violación, incesto, acoso sexual y violencia a ser llevado por parte de profesionales en salud, docentes, trabajadores sociales y los profesionales que cuidan de las niñas y los niños. Se incluira en estos sistemas, la identificación de indicadores en torno a emergentes retos como el embarazo adolescente, la explotación sexual de niñas, niños y adolescentes, el trabajo infantil, el uso y abuso de sustancias adictivas, conductas de riesgo y discapacidades causadas particularmente por accidentes. Seleccionar el mejor conjunto de indicadores ambientales que permitan evaluar, el impacto de las medidas que al respecto se pongan en ejecución y sus resultados en términos de la calidad de vida de la niñez y la adolescencia. Poner en ejecución medidas que permitan identificar y evaluar los avances en materia de ciencia y tecnología, seleccionando aquellos indicadores que permitan conocer los logros que el país va obteniendo y sus beneficios entre la niñez y la adolescencia
","Process indicators","","Low birth weight|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Anaemia|Anaemia in pregnant women|Iodine deficiency disorders|Vitamin A deficiency|Breastfeeding|Right to health|School-based health and nutrition programmes|Nutrition in the school curriculum|Vitamin A|Iodine|Iron and folic acid|Management of moderate acute malnutrition|Management of severe acute malnutrition|Improved hygiene / handwashing|Vaccination|Water and sanitation|Vulnerable groups","","https://www.inec.gob.pa/redpan/sid/docs/documentos%20marco/nacionales/Plan%20Estrategico%20Nacional%20De%20La%20Ni%C3%B1ez%20y%20La%20Adolescencia.pdf","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/PAN%202015%20Plan%20Estrategico%20Nacional%20de%20la%20Ni%C3%B1ez%20y%20la%20Adolescencia.pdf" "41595","ESP","Spain","","Estrategia Nacional de Salud Sexual y Reproductiva","Health sector policy, strategy or plan with nutrition components","","Spanish","","2011","","","Ministerio de Sanidad, Política Social e Igualdad","","2011","Not adopted","","","","Health|Women, children, families","","","","","","","","","","","","","","","","","","Objetivo general
Ofrecer una atención global, continuada, integral y de calidad al proceso reproductivo en el Sistema Nacional de Salud, basada en el mejor conocimiento disponible, centrada en las necesidades y circunstancias de las personas usuarias, y orientada a promover una vivencia humana, íntima y satisfactoria para las mujeres, sus parejas, bebés y familia.
Objetivos específicos
1. Promover la salud, el bienestar y autonomía de las mujeres embarazadas. Facilitar adecuadamente su implicación en el proceso fisiológico y en sus cuidados, y proporcionar una atención adaptada a las necesidades y circunstancias de cada mujer y pareja.
2. Potenciar la atención al parto normal. Mejorar la calidad y calidez asistencial, favoreciendo el clima de confianza, seguridad e intimidad de las mujeres, apoyado y respetado por los y las profesionales, manteniendo los niveles de seguridad actuales.
3. Mejorar las condiciones del nacimiento. Orientar la atención al bienestar del bebé, su adecuada adaptación a la vida extrauterina, el establecimiento del vínculo afectivo, la lactancia materna y los cuidados centrados en el desarrollo y las familias.
4. Promover la salud y bienestar de las mujeres puérperas. Continuar la atención facilitando asesoramiento y cuidados, explorando sus necesidades, cambios emocionales y psicológicos, y situación del vínculo, la lactancia y el apoyo de la pareja.
5. Impulsar los aspectos que deben contemplarse de manera transversal en todo el proceso. Destacar la importancia de la formación de profesionales, la participación de las mujeres y sus parejas (considerando la multiculturalidad y discapacidad), la coordinación institucional, y la investigación y difusión de buenas prácticas.
6. Impulsar un cambio en los valores sociales en torno a la maternidad y paternidad, que tradicionalmente se concretan en exigencias inalcanzables para las madres y en la tolerancia de una escasa implicación paterna.Prevenir defectos congénitos del tubo neural mediante la suplementación con Ácido Fólico (AF). Identificar precozmente anomalías cromosómicas y malformaciones mediante las técnicas de diagnóstico prenatal.
","Salud Reproductiva
Línea estratégica 1: Promoción de la salud en el embarazo
Línea estratégica 2: Atención sanitaria en el embarazo
Línea estratégica 3: Atención al parto. Se hace referencia a la Estrategia de Atención al Parto Normal en el SNS, que dispone de sus propias líneas estratégicas, con objetivos y recomendaciones específicos, que actualmente se encuentra en desarrollo.
Línea estratégica 4: Cuidados del nacimiento a la primera semana de vida
Línea estratégica 5: Promoción de la lactancia materna
Línea estratégica 6: Cuidados del recién nacido hospitalizado
Línea estratégica 7: Cuidados propios del puerperio
Línea estratégica 8: Atención sanitaria en el puerperio
Línea estratégica 9: Formación de profesionales
Línea estratégica 10: Participación de las mujeres y las parejas
Línea estratégica 11: Coordinación institucional
Línea estratégica 12: Investigación, innovación y buenas prácticas
Recomendaciones
Seguimiento y evaluación de la Estrategia Nacional de Salud Sexual y Reproductiva (ENSSR)
El proceso de seguimiento y evaluación de la ENSSR comenzará una vez haya sido aprobada por el CISNS. Para su desarrollo, se constituirán dos Comités de Seguimiento y Evaluación compuestos por los CCII y CCTT de Salud Sexual y de Salud Reproductiva, y estará coordinado por el OSM del MSPS. Una de las funciones de estos nuevos Comités de Seguimiento y Evaluación será la actualización de los contenidos del documento en base a la nueva evidencia disponible. Otra, directamente vinculada con este proceso, será la revisión, actualización y evaluación de la ENSSR, que se realizará a los dos años de su puesta en marcha y posteriormente cada cuatro años. El proceso evaluativo al que se enfrenta la Estrategia será complejo, ya que por un lado se pretende abordar el estado de bienestar físico, emocional, mental y social de hombres y mujeres relacionado con la sexualidad y la reproducción (y no una enfermedad concreta o un conjunto de problemas de salud), y por otro, se propone recoger la información de la atención ofrecida en los servicios sanitarios del SNS. Por ello, y para facilitar su desarrollo, se llevará a cabo en tres fases vinculadas a la estructura, el diseño y los resultados que se desprendan de la implantación de la Estrategia
","","","Anaemia in pregnant women|Iodine deficiency disorders|Breastfeeding|Breastfeeding - Continued|Breastfeeding - Exclusive 6 months|Raised blood glucose/diabetes|Raised blood pressure|Counselling on healthy diets and nutrition during pregnancy|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Baby-friendly Hospital Initiative (BFHI)|Health professional training on breastfeeding|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Counselling on infant feeding in the context HIV|International Code of Marketing of Breast-milk Substitutes|Monitoring of the Code|Capacity building for the Code|Maternity protection|Complementary feeding promotion/counselling|Complementary food provision|Regulation on marketing of complementary foods|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Creation of healthy food environment|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Iodine|Iron and folic acid|Micronutrient supplementation|Nutrition education|Food safety|Family planning (including birth spacing)|Vulnerable groups","","https://www.mscbs.gob.es/organizacion/sns/planCalidadSNS/pdf/equidad/ENSSR.pdf","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/ESP%202011%20National%20SRH%20Strategy.pdf" "40425","SLB","Solomon Islands","","National Youth Policy 2017-2030","Other, please specify","Child or adolescent plan with nutrition components","English","","2017","","2030","Ministry of Women,Youth, Children and Family affairs","11","2017","Not adopted","","","","Women, children, families","Ministry of Women,Youth, Children and Family affairs","Other|United Nations Development Programme (UNDP)","United Nations Peacebuilding UN Women","","","","","","","","","","","","","","","Priority Policy 3
Health & Wellbeing – by 2030; (i) 100% of youths are aware of and are practicing health living and lifestyles; and (ii) actively engage in cultural, spiritual, sporting and other physical activities to improve their health and holistic wellbeing.
Priority Policy 4
Priority Policy 3
3.1 Develop and implement a Youth-to-Youth Strategy for Health & Wellbeing that will help youths achieve a state of complete physical, mental, social and spiritual well-being including for youths with disabilities that aims to:
b. Empower youths to combat and reverse the rapidly increasing threat of Non-Communicable Diseases (diabetes, stroke, heart attack, hypertension, obesity, asthma, cancers) that currently causes 7 out of every 10 deaths in S. Islands and increasing.
3.3 Develop and implement ‘A strategy for sports, recreation and health for youths’ - that utilises sports as an essential tool to empower children and youth with life skills including through: (See also 5.5)
a. Inclusion of physical education in school curriculum;
b. Establishing / formalizing annual in-school, inter-school and out-of-school sports competitions
c. Establishing a national youth sports academy (NYSA) to nurture and develop young sporting talents
d. Linking school sports to the NYSA and respective ‘national professional sporting bodies associations’ (NPSBAs)
By 2019, implement an youth advocacy and empowerment programme aimed at ensuring that by 2030:
By 2019, a strategy for sports, recreation and health for youths is developed and implemented, together with relevant indicators to define and measure success (See also 5.5). The strategy involves the establishment of a national Youth Sports Academy (NYSA) and creating links with national professional sporting bodies’ associations (NSBPAs).
Physical education incorporated in school curriculum by 2020
Objective 5:Improve reproductive health including family planning.
Objective 6:Investing in nutrition especially of adolescent girls, pregnant and lactating women, children under 5
Objective 7: Investing in addressing social determinants of health.
","A National Overview Of The Provincial IRMNCAH Action Plans
Table 2: Strategic objectives with key indicators of achievement.
Core Indicators of achievement
- Integration of the FP and RMNCAH services at the PHC level
- Reduction in Unmet need for contraception
- % decrease in Maternal and Adolescent Anemia
- % increase in IYCF practices
- % Decrease in wasting, anemia and Zinc deficiency
- Integrated mechanism to address the social determinants in place
- Laws pertaining to mandatory female school enrollment and early girl marriages passed and in place
","","","Wasting in children 0-5 years|Anaemia|Anaemia in women 15-49 yrs|Vitamin A|Iron and folic acid|Zinc|Micronutrient supplementation|Micronutrient powder for home fortification|Food fortification|Wheat flours|Management of moderate acute malnutrition|Diarrhoea or ORS|Family planning (including birth spacing)","","","","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/PAK%202016%20National%20RMNCAH%26N%20Strategy%202016-2020.pdf" "41517","UGA","Uganda","","The National Integrated Early Childhood Development Policy Action Plan of Uganda (2016-2021)","Other, please specify","Child or adolescent plan with nutrition components","English","","2016","","2021","Ministry of Gender, Labour and Social Development","3","2016","Not adopted","","","","Health|Women, children, families|Development|Labour","Ministry of Gender, Labour and Social Development","","","","","","","","","","","","","","","","","1.2.3 Goal of the policy
The goal of the policy is to provide direction and guidance to all sectors for quality, inclusive, coordinated and well-funded ECD services and programs.
1.2.4 Objectives of the policy
The NIECD Policy of Uganda has three objectives;
To harmonize existing ECD policy related goals, objectives and strategies and initiatives within and across all sectors.
To set, improve and align standards for ensuring access to well- coordinated, quality, equitable and inclusive ECD services within and across sectors
To build and strengthen capacity of systems and structures to deliver integrated quality and inclusive ECD programs.
Food Security and Nutrition
Strategies
a) Promote micronutrient supplementation and diet diversification.
b) Promote and improve food security at household and community level.
c) Promote breastfeeding and optimal feeding practices for infants and young children
Priority Program Initiatives
% Stunting of children under five years
% Underweight – prevalence in under-fives
% Low birth weight - newborns less than 2.5 kg
% of children 6-59 with anemia, vitamin or other mineral deficiency
% children 6-59 who receive micro nutrient supplementation and deworming
% women 15-49 years (adolescents, expectant women and lactating mothers) with anemia vitamin or other mineral deficiency
% women (adolescents, expectant women and lactating mothers) 15-49 years who receive micro nutrient supplementation
% of families/households that are engaged in production of nutritious foods
% of families/households that have diverse sources of food
% of families/households accessing education and extension services (health, agriculture and nutrition)
% of infants who exclusively breastfeed to 6 months
% of infants who start breastfeeding within 1 hour of birth
% of infants who continue breastfeeding up to 20 -23 months
% of infants who start receiving solid, semi solids or soft foods at 6 months of age
% of infants (6-23 months) who receive minimum acceptable diet(four food groups)
% of infants who receive fortified foods
É urgente investir na aceleração da Redução da prevalência da Desnutrição. A complexidade da rede de causalidade leva a sugerir uma diversidade de intervenções. Diferentes sectores e autores são necessários, visto que os problemas são multifactoriais e intersectoriais.
As intervenções em diferentes direcções devem permitir mudar o quadro actual, buscando melhorar com maior intensidade as condições de vida das mulheres antes, durante e depois da gravidez e das crianças até aos 2 anos, com possibilidade de cobrir também a faixa etária de 2 a 5 anos.
Espera-se com a implementação da PONAN reduzir a prevalência de desnutrição crónica em 50%, até o ano 2025, saindo dos atuais 38% para 19%, ou seja, uma queda anual de 3,2%.
Havendo necessidade de implementar estratégias mais agressivas para eliminar progressivamente a fome, a desnutrição e prevenir e controlar as doenças crónicas não transmissíveis, inclusive a tendência ao excesso de peso no país,
","Acções prioritárias em alimentação & nutrição
Para melhorar o Estado Nutricional da sociedade angolana e reduzir a desnutrição em crianças, a Política Nacional de Alimentação e Nutrição terá como foco as seguintes áreas prioritárias:
Mecanismos de monitorização e de avaliação
Dependendo dos cenários de desenvolvimento do país, as metas serão sempre as mais ambiciosas possíveis sem perder a visão realista. Desta forma, será possível acelerar o processo de desenvolvimento nacional.
O monitoramento será baseado nos indicadores de referência previamente selecionados. Os mesmos servirão de base não só para a monitorização, mas também para a avaliação dos avanços registados. A recolha de dados é facilitada graças à melhoria e reforço do Sistema de Informação Sanitária (SIS) e da investigação operacional. A transparência será sempre presente na prestação de contas e na divulgação periódica dos relatórios.
Nutricao - Indicador, valor
4. Key Priorities
Survival, health, nutrition, development, education, protection and participation are the undeniable rights of every child and are the key priorities of this Policy.
Survival, Health and Nutrition
4.1 The right to life, survival, health and nutrition is an inalienable right of every child and will receive the highest priority
Every child has a right to adequate nutrition and to be safeguarded against hunger, deprivation and malnutrition. The State commits to securing this right for all children through access, provision and promotion of required services and supports for holistic nurturing, wellbeing with nutritive attainment of all children, keeping in view their individual needs at different stages of life in a life cycle approach.
","4.4 The State shall take all necessary measures to:
(i) Improve maternal health care, including antenatal care, safe delivery by skilled health personnel, post natal care and nutritional support
(ii) Provide universal access to information and services for making informed choices related to birth and spacing of children
(iii) Secure the right of the girl child to life, survival, health and nutrition
(iv) Address key causes and determinants of child mortality through interventions based on continuum of care, with emphasis on nutrition, safe drinking water sanitation and health education
…
(viii) Ensure availability of essential services, supports and provisions for nutritive attainment in a life cycle approach, including infant and young child feeding (IYCF) practices, special focus on adolescent girls and other vulnerable groups, and special measures for the health, care and nutrition, including nutrition education, of expectant and nursing mothers
(x) Prevent HIV infections at birth and ensure infected children receive medical treatment, adequate nutrition and after-care, and are not discriminated against in accessing their rights
Education and Development
4.6 The State shall take all necessary measures to:
(xvi) Ensure that children’s health is regularly monitored through the school health programme and arrangements are made for health and emergency care of children
(xxii) Promote appropriate baby feeding facilities in public places and at workplaces for working mothers in public, private and unorganized sector
","","","","Complementary feeding|Complementary feeding promotion/counselling|School-based health and nutrition programmes|Monitoring of children’s growth in school|HIV/AIDS and nutrition|Family planning (including birth spacing)|Water and sanitation|Vulnerable groups","","","","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/IND%202013%20The_National_Policy_for_Children_2013.pdf" "40718","DOM","Dominican Republic","","Plan nacional de prevención y control de las enfermedades no transmisibles 2019-2024","NCD policy, strategy or plan with healthy diet components","","Spanish","","2019","","2024","Ministerio de Salud Pública","","2019","Not adopted","","","","Cabinet/Presidency|Health|Food and agriculture|Women, children, families|Social welfare","","","","","","","","","","","","","","","","","","Objetivo General
Prevenir la morbilidad y mortalidad prematura de las enfermedades no transmisibles a través de un enfoque multisectorial que promueva el bienestar y la salud de la Población.
Objetivos Específicos
1. Reducir la prevalencia de los principales factores de riesgo de las ENT y fortalecer los factores protectores, con énfasis en los niños, los adolescentes y los grupos vulnerables; mediante la implementación de estrategias de promoción de la salud y mecanismos regulatorios.
2. Ampliar la cobertura, el acceso equitativo y mejorar la calidad de la atención de los pacientes con ENT en los servicios de salud, considerando sus factores de riesgo, con énfasis en la atención primaria de salud y el autocuidado.
3. Posicionar e integrar las ENT en las agendas legislativas, económicas y de desarrollo, a través de estrategias nacionales e intersectoriales.
4. Fortalecer el subsistema de vigilancia de las ENT. 5. Desarrollar investigaciones relacionadas con las ENT, sus factores de riesgo y determinantes, que permita utilizar los resultados para la toma de decisiones y elaboración de políticas y programas
","Reducción Ingesta de sal/sodio
Diabetes y Obesidad
Políticas de reducción del consumo de las grasas TRANS, Azúcar y Sal, concertadas en la Comisión Nacional de ENT .
Acciones
Hospitales de maternidades implementando la estrategia de Iniciativa Hospital Amigos
Acciones
Política Nacional de Desarrollo que impulse la producción y consumo de frutas y hortalizas, integrando los programas de agricultura, salud y medio ambiente
Ante proyecto de ley que Regule la venta de alimentos con alto contenido de sodio, grasas trans y azucares en las cafeterías de los establecimientos públicos y privados del sistema de salud (hospitales, centros de salud y unidades de salud) y sector educativo (universidades y centros escolares)
Vigilancia epidemiológica de las enfermedades no transmisibles funcionando según los estándares del SINAVE
Acciones
Objetivo del sistema de monitoreo y evaluación
Generar los mecanismos que permitan conocer el avance del cumplimiento de las Acciones estratégicas que conforman el Plan de Acción de la Estrategia Nacional de las ENT como resultados intermedios para alcanzar las Metas Nacionales.
Metodología
La etapa de Monitoreo y Evaluación del Plan de Acción requiere de una estructura funcional y una operativa que le permita generar acciones hacia los ejecutores de las acciones estratégicas y así recopilar la información necesaria para conocer el estado actual y sus consideraciones. El conjunto de estas estructuras, sus instrumentos y los análisis de resultados es lo que se denomina Sistema de Monitoreo y Evaluación del Plan de Acción. Este Sistema por medio de la aplicación de sus instrumentos generará la información que permitirá conocer la situación actual de las acciones estratégicas por medio del estado de los indicadores de gestión y de resultado que fueron planificados. Los datos se analizan y se procede a generar los informes hacia los tomadores de decisiones y los actores sociales involucrados, con el fin de fortalecer la gestión hacia el logro de las metas y objetivos propuestos. Las autoridades de las Instituciones y todo tipo de Organizaciones que participan en la implementación del Plan también son usuarios de los resultados, estos tomadores de decisiones pueden orientar recursos y definir prioridades que fortalezcan el cumplimiento de lo planificado. La operacionalización del Sistema se realiza por Fases, las siguientes son las recomendadas: recolección de información, procesamiento de los datos, análisis de los datos y divulgación técnica de resultados.
","","","Breastfeeding|Overweight and obesity in school age children and adolescents|Overweight and obesity in adults|Raised blood glucose/diabetes|Total fat intake|Trans fat intake|Sodium/salt intake|Sugar intake|Fruit and vegetable intake|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Baby-friendly Hospital Initiative (BFHI)|Health professional training on breastfeeding|Maternity protection|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Promotion of fruit and vegetable intake|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Physical activity and healthy lifestyle|Sugar reduction|Fat reduction (total, saturated, trans)|Salt reduction|Food security and agriculture","","https://www.msp.gob.do/web/Transparencia/documentos_oai/1061/mispas-daf-cm-2019-0172/10427/plan-nacional-prevencion-y-control-de-las-enfermedades-no-transmisibles-2019-2024.pdf","","","https://extranet.who.int/nutrition/gina/sites/default/filesstore/DOM%202019%20Plan%20nacional%20ENT%202019%202024.pdf" "40684","CUB","Cuba","","Programa Nacional de Lactancia Materna","Nutrition policy, strategy or plan focusing on specific nutrition areas","","Spanish","","2011","","","Dirección Nacional Materno Infantil, MINSAP","","2011","Adopted","","","","Nutrition council|Health|Women, children, families|Sub-national","Comisión Nacional, integrada por miembros permanentes del MINSAP, MINED, MES, INDER, MINCULT, FMC, CDR, OPJM, FEEM, FEU, MINJUS, ICRT, CTC, responsable del Programa Nacional de VIH/SIDA y órganos del Poder Popular.8.1.2. Un Grupo Técnico Asesor Nacional integrado por la Dirección Nacional Materno Infantil, Dirección Nacional de Atención Primaria de Salud, Dirección Nacional de Hospitales, Promoción de Salud, Epidemiología, MINED, MES, organizaciones políticas y de masas y otros, según resulte conveniente.","","","","","","","","","","","","","","","","","Objetivo general
Mejorar, a través de una alimentación óptima, el estado de nutrición, el crecimiento y el desarrollo, la salud y, de este modo, la supervivencia de los lactantes y los niños pequeños, lo que contribuye a elevar la calidad de vida del adulto.
Objetivos Específicos
Actividades Específicas
Para cumplir el objetivo 1:
Para cumplir el objetivo 2:
Para cumplir el objetivo 3:
Para cumplir el objetivo 4:
Para cumplir el objetivo 5:
Evaluación
El cumplimiento de las actividades del Programa se analizará una vez al año en las Reuniones Nacionales Territoriales del PAMI, semestralmente en las Provinciales y trimestralmente en las Municipales.
Evaluación parcial
Evaluación final
Objetivo
Contribuir a mejorar el estado de salud y la calidad de vida de la población nacional en materia alimentaria y nutricional.
Propósito
Entregar el marco de referencia para el desarrollo de regulaciones, estrategias, planes, programas y proyectos en materia de alimentación y nutrición.
","COMPONENTES DE LA POLÍTICA NACIONAL DE ALIMENTACIÓN Y NUTRICIÓN
La Política Nacional de Alimentación y Nutrición cuenta con ocho componentes que especifican las áreas en que se establece la necesidad de generar avances a nivel nacional, y para los cuales es necesario el desarrollo de políticas, programas, proyectos e iniciativas públicas y privadas:
1. Humanizar la nutrición y promover el derecho a la alimentación adecuada.
2. Fortalecer la seguridad alimentaria y nutricional: disponibilidad, acceso, utilización de los alimentos y estabilidad.
3. Mejorar la configuración de los entornos y sistemas alimentarios.
4. Promover la alimentación saludable.
5. Fortalecer la atención nutricional en los diferentes niveles de atención de salud.
6. Vigilar la alimentación y nutrición y evaluar las políticas públicas.
7. Impulsar la participación ciudadana y el control social. 8. Profundizar la intersectorialidad y salud en todas las políticas.
","El Plan Nacional de Salud para los Objetivos Sanitarios al 2020 (MINSAL, 2016) es la guía que orienta el trabajo del sector salud. Establece como meta en materia de obesidad infantil «Disminuir o mantener el porcentaje de obesidad en niños pertenecientes a establecimientos del Sistema Público de Salud en 9,6%». Para ello establece como prioridad lograr que:
Adicionalmente, en la evaluación de mitad de periodo de los objetivos sanitarios se ha establecido el seguimiento de indicadores de larga data en el sector, tales como, la «Prevalencia de Obesidad en Menores de 6 años en el Sistema Público de Salud».
","Outcome indicators","","Low birth weight|Breastfeeding|Breastfeeding - Exclusive 6 months|Fruit and vegetable intake|Right to food|Right to health|Right to water|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Baby-friendly Hospital Initiative (BFHI)|Health professional training on breastfeeding|Infant feeding in emergencies|International Code of Marketing of Breast-milk Substitutes|Monitoring of the Code|Capacity building for the Code|Maternity protection|Regulation on marketing of complementary foods|Regulation/guidelines on types of foods and beverages available|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Dietary guidelines|Promotion of fruit and vegetable intake|Food labelling|Front of pack labelling|Taxation on unhealthy foods|Regulating marketing of unhealthy foods and beverages to children|Creation of healthy food environment|Healthy food environment in workplaces|Healthy food environment in hospitals|Media campaigns on healthy diets and nutrition|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Nutrition education|Food safety|Food security and agriculture|Household food security|Food sovereignty|Water and sanitation|Conditional cash transfer programmes|Vulnerable groups","","http://www.bibliotecaminsal.cl/wp/wp-content/uploads/2018/01/BVS_POL%C3%8DTICA-DE-ALIMENTACI%C3%93N-Y-NUTRICI%C3%93N.pdf","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","" "40769","CIV","Côte d'Ivoire","","Plan de passage a échelle de l’initiative hôpitaux des bébés (IHAB)","Nutrition policy, strategy or plan focusing on specific nutrition areas","","French","","2017","","2020","Ministère de la santé et de l’hygiène publique","","2017","Not adopted","","","","Nutrition council|Health|Women, children, families","","United Nations Children's Fund (UNICEF)","","","","","","","","","","","","","","","","a. But
Améliorer la santé des enfants et des mères par la promotion des bonnes pratiques nutritionnelles
b. Objectif général
Contribuer à accroître le taux d’allaitement maternel exclusif de 12% à 50 % d’ici 2020
c. Objectifs spécifiques
4- Renforcer l’application du code international de commercialisation des substituts du lait maternel par la mise en place d’un système de surveillance.
5- Renforcer la qualité et la couverture des interventions communautaires de promotion des pratiques optimales d’allaitement
","Cible 5 : Reduction de la malnutrition chronique de 43% à 33%
details in tables p80-86
","Mise en oeuvre des actions conjointes pour agir sur les déterminants sociaux de la santé
Il sera question d'actualiser et de mettre en œuvre les plans d'actions conjoints entre le secteur de la santé et les autres secteurs notamment en ce qui concerne la promotion de la sécurité alimentaire et la lutte contre la malnutrition, l’amélioration de l’approvisionnement en eau, hygiène et assainissement ainsi que pour l’amélioration de l’accès des populations marginalisées aux services et soins de santé.
","details in tables p80-86
","","","Stunting in children 0-5 yrs|Anaemia|Anaemia in pregnant women|Anaemia in women 15-49 yrs|Breastfeeding|Breastfeeding - Early initiation by 1 hour|Breastfeeding - Exclusive 6 months|Raised blood cholesterol|Raised blood glucose/diabetes|Growth monitoring and promotion|Breastfeeding promotion/counselling|Promotion of exclusive breastfeeding for 6 months|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Vitamin A|Calcium|Iodine|Iron and folic acid|Zinc|Micronutrient supplementation|Micronutrient powder for home fortification|Management of moderate acute malnutrition|Management of severe acute malnutrition|Deworming|Nutritional care & support for people with TB|HIV/AIDS and nutrition|Nutrition & infectious disease|Food safety|Household food security|Diarrhoea or ORS|Family planning (including birth spacing)|Improved hygiene / handwashing|Vaccination|Water and sanitation|Vulnerable groups","","","","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/COD%202018%20Plan%20National%20de%20D%C3%A9veloppement%20Sanitaire.pdf" "40770","DJI","Djibouti","","Plan national de développement sanitaire (PNDS) 2018 – 2022","Health sector policy, strategy or plan with nutrition components","","French","","2018","","2022","Ministère de la sante","","2018","Not adopted","","","","Health|Women, children, families","","World Health Organization (WHO)","","","","","","","","","","","","","","Other","Partenaires techniques et financiers","Effet 2.7 : Renforcer la lutte contre la malnutrition.
Le renforcement de la lutte contre la malnutrition sera réalisé à travers trois produits ou résultat d’extrants qui sont : (1) renforcer la sensibilisation des mères pour adopter les pratiques familiales essentielles y compris l’allaitement maternel exclusif jusqu’à 6 mois (2) Assurer la disponibilité permanente des intrants de prise en charge de la malnutrition (3) Renforcer les structures de réhabilitation nutritionnelle (4) Renfoncer les capacités du personnel impliquées dans la lutte contre la malnutrition.
","","VII.3. Objectifs globaux
− Réduire la mortalité néonatale de 31%° en 2010 à 15%° en 2015 ;
− Réduire la mortalité infantile de 59%° en 2010 à 34%° en 2015 ;
− Réduire la mortalité infanto-juvénile de 96%°en 2010 à 61%° en 2015.
VII.4. Objectifs spécifiques ...
11. D’ici 2015, la couverture de prise en charge de la malnutrition aiguë (CMAM+ FARN) a atteint 70%.
...
","","
Promotion de l’allaitement exclusif puis complété.
Promouvoir une alimentation saine et équilibrée.
Promouvoir la consommation du sel suffisamment iodé.
","","","","Breastfeeding promotion/counselling|Maternity protection|Folic acid|Micronutrient supplementation|Family planning (including birth spacing)|Vulnerable groups","","http://zdravstvo.gov.mk/wp-content/uploads/2012/12/akcionen-bezbedno-majcinstvo.pdf","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/MKD%202018%20Action%20Plan%20for%20Sexual%20and%20reproductive%20Health%202018-2020.pdf" "40334","BGD","Bangladesh","","National Strategy for Adolescent Health 2017-2030","Health sector policy, strategy or plan with nutrition components","","English","","2017","","2030","Ministry of Family and Welfare","12","2016","Not adopted","","","","Health|Education and research|Women, children, families|Social welfare|Development","Ministry of Family and Welfare; Local Government, Rural Development and Cooperatives; Education; Social Welfare; and Women and Children Affairs","Joint United Nations Progam on HIV/AIDS (UNAIDS)|United Nations Children's Fund (UNICEF)|United Nations Population Fund (UNFPA)|World Health Organization (WHO)","","","","","","","","","","","","","","","","
SD3 Adolescent Nutrition
Problem Statement
Malnutrition, micronutrient deficiencies and other nutrition related diseases among adolescents, particularly adolescent girls contributes to the perpetuation of intergenerational malnutrition.
Strategic Objectives
1.To reduce under nutrition and anaemia among adolescent girls (pregnant and non-pregnant) and boys;
2.To reduce the risk of low birth weight babies, pregnancy related complications and nutritional risks among adolescent girls;
3.To reduce micronutrient deficiencies such as Calcium, Vitamin D and Iodine deficiency among pregnant adolescent girls;
4.To improve lifestyles and reduce the risks of overweight and obesity among all adolescents.
","Key Strategies
1.Mainstream nutrition education and promotion and hygiene education including hand washing into the health care system, education system as well as other systems which reach out-of-school adolescents;
2.Establish programmes that promote dietary diversification, dietary adequacy, fortified foods and nutrition security through community and school based interventions;
3.Strengthen the capacity of service providers to deliver effective nutrition counselling and services to all adolescents, with a special focus on raising awareness on the consequences of child marriage and meeting the nutritional needs of pregnant adolescent girls;
4.Provide and promote micronutrient supplementation (i.e. IFA and MMS), consumption of fortified foods and de-worming at health facilities, schools, and workplace;
5.Conduct community based awareness campaigns on the importance of good nutrition, healthy foods and the consequences of malnutrition, anaemia and obesity on the overall development and growth of adolescents;
6.Promote and improve access to sports and physical activity in the community, schools and at the workplace.
","","","","Low birth weight|Underweight in adolescent girls|Anaemia|Anaemia in adolescent girls|Iodine deficiency disorders|Overweight in adolescents|School-based health and nutrition programmes|Promotion of healthy diet and prevention of obesity and diet-related NCDs (general)|Nutrition counselling on healthy diets|Physical activity and healthy lifestyle|Calcium|Iodine|Iron and folic acid|Vitamin D|Micronutrient supplementation|Food fortification|Nutrition education|Deworming|Improved hygiene / handwashing|Water and sanitation","","http://etoolkits.dghs.gov.bd/toolkits/bangladesh-program-managers/national-strategy-adolescent-health-2017-2030","","WHO Global Sexual, Reproductive, Maternal, Newborn, Child and Adolescent Health (SRMNCAH) Policy Survey https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/national-policies?selectedTabName=Documents","https://extranet.who.int/nutrition/gina/sites/default/filesstore/BGD%202016%20National%20Strategy%20for%20Adolescent%20Health%202017-2030.pdf" "23757","JAM","Jamaica","","National Infant and Young Child Feeding Policy","Nutrition policy, strategy or plan focusing on specific nutrition areas","","English","","2014","","","Government of Jamaica","","2014","Adopted","","2013","Cabinet Office","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Trade|Labour|Other","Government of Jamaica Ministries of Health; Education; Commerce; Agriculture; Foreign Affairs; Labour and Social Security; Finance; Planning Institute of Jamaica; Early Childhood Commission","Food and Agriculture Organisation (FAO)|United Nations Children's Fund (UNICEF)|World Health Organization (WHO)","PAHO; UNICEF; FAO","","","","","","","","","","","","","","","1. To increase access to breastfeeding support in communities and the workplace.
2. To achieve BFHI status in all institutions providing maternity and child health services.
3. To establish a sustainable mechanism for accurate, timely and comprehensive collection and dissemination of data on infant and young child feeding and related indicators to influence policy and programme development.
4. To build capacity within all relevant agencies and at different levels of the health system and community, for the promotion, protection and support of infant and young child feeding.
5. To develop and implement sustainable public education initiatives for the promotion and support of optimal infant and young child feeding practices.
","To ensure that all Jamaican children benefit, a multi-foci strategy will be employed to strengthen the infant and young child feeding programme in Jamaica. The areas of emphasis will be in five priority areas :
3.4.1 Advocacy/Legislation
3.4.2 Training
3.4.3 Health Care Delivery
3.4.4 Public Information, Education and Communication
3.4.5 Monitoring, Evaluation and Research
","","","","Baby-friendly Hospital Initiative (BFHI)|International Code of Marketing of Breast-milk Substitutes|Maternity protection|Stunting in children 0-5 yrs|Wasting in children 0-5 years|Underweight in children 0-5 years|Anaemia in pregnant women|Overweight in children 0-5 yrs|Minimum dietary diversity of women|Counselling on healthy diets and nutrition during pregnancy|Breastfeeding promotion/counselling|Counselling on feeding and care of LBW infants|Infant feeding in emergencies|Monitoring of the Code|Capacity building for the Code|Complementary feeding promotion/counselling|Media campaigns on healthy diets and nutrition|Micronutrient supplementation","","http://jis.gov.jm/media/NIYCF-Policy.pdf","","WHO 2nd Global Nutrition Policy Review 2016-2017","https://extranet.who.int/nutrition/gina/sites/default/filesstore/JAM%202014%20NIYCF%20Policy.pdf" "8359","BFA","Burkina Faso","","Plan stratégique nutrition","Comprehensive national nutrition policy, strategy or plan","","French","","2010","","2015","Ministere de la Sante","","2010","Adopted","","2010","conseil des ministres","Health|Food and agriculture|Education and research|Women, children, families|Social welfare|Finance, budget and planning|Information|Other","","","","","","","","","","","","","","","","","","V- OBJECTIFS
5.1. Objectif général
Contribuer à l’amélioration de l’état nutritionnel des populations du Burkina Faso d’ici 2015.
5.2. Objectifs spécifiques
1. Réduire la prévalence de l’insuffisance pondérale de 38% à 25% chez les enfants de moins de 5 ans d’ici 2015 ;
2. Renforcer la lutte contre les carences en micronutriments (iode, fer, vitamine A) d’ici 2015 ;
3. Renforcer la lutte contre les maladies chroniques non transmissibles liées à la nutrition d’ici 2015 ;
4. Améliorer l’offre de services en matière de nutrition dans les formations sanitaires d’ici 2015
5. Renforcer l’offre de services à base communautaire en matière de nutrition d’ici 2015 ;
6. Améliorer la coordination intrasectorielle et la collaboration intersectorielle en matière de nutrition d’ici 2015
","VI. ORIENTATIONS STRATEGIQUES
Stratégie 1 : Surveillance et prise en charge nutritionnelle
Il s’agira de renforcer les mécanismes de surveillance de l’état nutritionnel des groupes vulnérables (nourrissons, jeunes enfants, femmes enceintes et femmes allaitantes y compris PVVIH) et la prise en charge de la malnutrition à travers :
Stratégie 2 : Promotion de l’alimentation optimale du nourrisson et du jeune enfant
La mise en oeuvre de cette stratégie se fera par le soutien aux approches et initiatives suivantes :
6.4. Objectif spécifique 4 : Renforcer l’offre de services en matière de nutrition dans les formations sanitaires d’ici 2015
6.5. Objectif spécifique 5 : Renforcer l’offre de services à base communautaire en matière de nutrition d’ici 2015.
6.6. Objectif spécifique 6 : Renforcer la coordination intrasectorielle et la collaboration intersectorielle en matière de nutrition d’ici 2015
Overordnet mål
Et sunt og variert kosthold i hele befolkningen uavhengig av kjønn, alder, geografi, sosioøkonomisk status, kulturell bakgrunn, funksjonsevne, religion og livssyn.
Delmål
1. Legge til rette for å endre kostholdet i tråd med helsemyndighetenes råd
2. Redusere sosiale forskjeller i kosthold
3. Styrke kunnskap om og synliggjøre sammenhenger mellom kosthold og fysisk og psykisk helse
4. Fremme utvikling av sunne og trygge matvarer og tilstrebe en helse- og miljøvennlig praksis i produksjon og forbruk av mat 5. Styrke og kvalitetssikre mat-, måltids- og ernæringsarbeid i helse-, omsorgs- og sosialtjenesten.
","1 Måltidsglede og sunt kosthold
1.1 Fremme gode mat- og måltidsvaner i barnehagen
1.2 Fremme gode måltider og matordninger i skole og skolefritidsordning
1.3 Bidra til at helsemyndighetenes anbefaling om 20 minutters spisetid følges opp i skolen
1.4 Mobilisere barn for matglede og et sunt og bærekraftig kosthold
1.5 Tiltak for å styrke praktiske ferdigheter
1.6 Motivere til matglede og bedre matomsorg for eldre
1.7 Inkludere mat og måltider i tiltak for å fremme sosialt fellesskap og forebygge ensomhet
1.8 Sunne tilbud på arbeidsplassen og andre serveringssteder
2 Gode og enkle valg
2.1 En helhetlig og langsiktig intensjonsavtale med matvarebransjen
2.2 Videreføre og videreutvikle saltpartnerskapet
2.3 Redusere inntaket av mettet fett og sukker
2.4 Videreføre og videreutvikle Nøkkelhullet som merkeordning
2.5 Følge opp arbeidet relatert til markedsføring av mat og drikke til barn
2.6 Fremme forbruk av grønnsaker og andre plantebaserte matvarer
2.7 Fremme forbruk av fisk og sjømat i kostholdet
2.8 Sikre at befolkningen har et tilfredsstillende inntak av jod og vitamin D
2.9 Ernæringshensyn i anbud i helseforetakene og andre offentlige instanser
2.10 Matproduksjon, produktutvikling og innovasjon
2.11 Bærekraftig og miljøvennlig praksis
3 Kommunikasjon og kunnskap
3.1 Utvikle verktøy og ressurser til faget mat og helse i grunnskolen og bidra til bedre kompetanse hos dem som underviser i faget
3.2 Videreføre og videreutvikle Små grep, stor forskjell
3.3 Kommunikasjon som understøtter arbeid med å gjøre sunne valg enkle
3.4 Opplæringsprogram for ansatte i barneverninstitusjoner, omsorgssentre og eventuelt fosterforeldre
3.5 Innføre selvforpleining og utarbeide kokebok som støtte til sunnere mat i fengsler
3.6 Informasjonsmateriell som asylmottak og kommuner kan bruke i sitt arbeid med flyktninger og innvandrere
4 Mat, måltider og ernæring i helse- omsorgstjenesten
4.1 Kompetanse om mat, måltider og ernæring i helse- og omsorgstjenesten
4.2 Følge opp arbeidet med gode verktøy, faglige retningslinjer og kvalitets-indikatorer
4.3 Implementere Nasjonal faglig retningslinje for spedbarnsernæring
4.4 Fremme, støtte og beskytte amming
4.5 Helhetlig ernæringsstrategi i helseforetakene
4.6 Fremme godt arbeid med kosthold og ernæring i den kommunale helse-og omsorgstjenesten
4.7 Følge opp ernæringsarbeidet i tjenesten rettet mot mennesker med utviklingshemming
4.8 Ivareta ernæringshensyn i helse- og omsorgstjenester innen rus og psykisk helse
4.9 Tannhelsetjenestens bidrag i kostholds- og ernæringsarbeidet
5 Forskning, utvikling og innovasjon
5.1 Følge og beskrive utviklingen i norsk kosthold
5.2 Utvikle og følge opp kostholds-, måltids- og helseindikatorer
5.3 Fremme forskning om mat, ernæring og helse
5.4 Følge opp mat- og helseområdet i regjeringens handlingsplan for oppfølging av HelseOmsorg21 (HO21)
5.5 Skaffe økt kunnskap og synliggjøre sammenheng mellom psykisk helse og kosthold
5.6 Bygge opp kompetanse om effekter av tiltak og atferdsøkonomi
5.7 Videreutvikle matvaretabellen og tilpasse til nøkkelgruppers behov
5.8 System for å følge endringer i næringsinnhold, volum og omsetning over tid
","